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- Improving nutritional care for older adults: the role of massive open online courses and implementation science in enhancing health professional knowledge and attitudespor Bonetti, L., Caruso, R. el marzo 28, 2024 a las 1:43 pm
Commentary on: Eglseer D. Development and evaluation of a Massive Open Online Course (MOOC) for healthcare professionals on malnutrition in older adults. Nurse Educ Today. 2023 Apr;123:105741. doi: 10.1016/j.nedt.2023.105741. Epub 2023 Feb 4. CommentaryImplications for practice and research Massive open online course (MOOCs) can improve health professionals (HPs)’ knowledge and nutritional care skills for malnutrition in older adults efficiently. Implementation science studies are necessary to effectively change HPs’ behaviours and attitudes towards malnutrition by considering organisational, cultural and self-efficacy aspects. Future research should focus on identifying effective strategies for implementing evidence-based nutritional care for older adults, emphasising HPs’ attitudes and self-efficacy. Context Malnutrition is a prevalent condition among older adults in acute hospital settings that can result in adverse clinical outcomes such as increased pressure ulcer development, reduced wound healing, increased infections and higher mortality rates.1 Providing adequate nutritional care...
- Supportive environment is key to self-determination for people with severe or profound intellectual disabilitiespor Desroches, M. L. el marzo 28, 2024 a las 1:43 pm
Commentary on: Kuld PB, Frielink N, Zijlmans M, et al. . Promoting self-determination of persons with severe or profound intellectual disabilities: a systematic review and meta-analysis. J Intellect Disabil Res. 2023 Jul;67(7):589–629. doi: 10.1111/jir.13036. Epub 2023 May 11. Implications for practice and research Nurses can promote self-determination of people with severe and profound intellectual disabilities through relationship building and learning to read a person’s communication cues to determine their preferences. Future research should use an ecological approach to optimise environments for self-determination and consistent measures to strengthen the evidence base. Context Self-determination is a key dimension of quality of life for people with intellectual disabilities, that is, acting freely and willfully to make things happen in one’s own life.1 The United Nations’ Convention on the Rights of Persons with Disabilities recognises self-determination as a human right, in contrast to historic paternalisation in...
- Literature suggests gaps in evidence-based PRN medication practices in acute mental healthcarepor Hipp, K. el marzo 28, 2024 a las 1:43 pm
Commentary on: Wong S, Müller A. Nurses' use of pro re nata medication in adult acute mental healthcare settings: An integrative review. Int J Ment Health Nurs. 2023 Apr 6. doi: 10.1111/inm.13148. Epub ahead of print. Implications for practice and research This literature review provides synthesised evidence to evaluate and improve the clinical practice of pro re nata (PRN) medication in mental healthcare organisations. Further research focused on exploring grey literature would offer additional perspectives and broaden the current clinical practices of PRN utilisation. Context PRN refers to unscheduled medication used to manage acute symptoms. PRN is commonly used in mental healthcare, but literature suggests that its use is not always based on evidence. This review offers knowledge for developing evidence-based PRN practice. The nurses play a crucial role in PRN administration, including assessing patients’ needs for medication, following prescribed indications and instructions, as...
- Strategies for supporting mental health nurses applications of trauma-informed carepor Shah, R. B. el marzo 28, 2024 a las 1:43 pm
Commentary on: Wilson A, Hurley J, Hutchinson M, Lakeman R. Trauma-informed care in acute mental health units through the lifeworld of mental health nurses: A phenomenological study. Int J Ment Health Nurs. 2023 Jun;32(3):829–838. doi: 10.1111/inm.13120. Epub 2023 Jan 27. Implications for practice and research Clients’ medical data and trauma histories should be supplemented with information on their strengths to promote a holistic and integrated understanding of their lived experiences. Research is needed to better understand the extent to which trauma-informed care (TIC) principles are taught to nursing students so that they understand how to apply TIC in different healthcare settings. Context There is growing support for the delivery of trauma-informed care (TIC) in diverse clinical, organisational and community settings.1 TIC can be characterised by a realisation of the widespread impacts of trauma and recovery strategies; recognition of the potential signs of trauma;...
- Ghost in the inbox: AI may help alleviate the burden of patient messagespor Rose, C., Preiksaitis, C. el marzo 28, 2024 a las 1:43 pm
Commentary on: Ayers JW, Poliak A, Dredze M, Leas EC, Zhu Z, Kelley JB, Faix DJ, Goodman AM, Longhurst CA, Hogarth M, Smith DM. Comparing Physician and Artificial Intelligence Chatbot Responses to Patient Questions Posted to a Public Social Media Forum. JAMA Intern Med. 2023 Jun 1;183(6):589-596. doi: 10.1001/jamainternmed.2023.1838. CommentaryImplications for practice and research AI assistants could be used to draft responses for physicians and nurses, potentially addressing a key element of burn-out. Further research is needed to assess the impact of communication on healthcare outcomes and should incorporate patient evaluations and feedback. Context In the setting of increasing adoption of virtual healthcare and the surge in electronic patient messages, there has been a higher workload for physicians and nurses, contributing to burnout and potentially terse, unanswered or unhelpful patient messages. Given these challenges, there is a need to explore innovative solutions...