Podcasts about evidence based nursing

Complex clinical challenges faced by nurses and midwives need complex solutions that require an understanding of how different individuals experience and make sense of a shared situation or scenario. In this podcast, we delve into the use of a particular research approach called Phenomenography; a qualitative approach that aims to uncover the nuances of the similarities and differences of groups of people with a shared experience. Deputy editor of EBN, Professor Lisa Kidd, interviews Dr Kaye Rolls, Lecturer in Nursing at the University of Wollongong, Australia. Read the paper: https://ebn.bmj.com/content/26/4/129  Please subscribe to the Evidence-Based Nursing podcast via all podcast platforms, including Apple Podcasts (https://apple.co/3unklHE) and Spotify (https://spoti.fi/49afHf1), to get the latest podcasts.

On International Long Covid Awareness Day, we reflect on the challenges of living with Long Covid in relation to non-evidence based infection prevention and control guidelines, the difficulties accessing appropriate medical care, and the lack of support in place when returning to work. Dr Alison Twycross, Editor in Chief of Evidence-Based Nursing, talks to Dr Michaela Barnard, nurse and trustee at Supporting Healthcare Heroes UK.   Related links: Supporting Healthcare Heroes UK: https://shh-uk.org Editorial by Dr Evonne Curran: Evidenced-based infection prevention and control (IPC) guidelines: are just not evidenced-based https://ebn.bmj.com/content/26/2/45 Society of Occupational Medicine (SOM) (2022) Long Covid and Returning to Work: What works?  https://www.rcn.org.uk/Get-Help/RCN-advice/long-covid RCN supporting staff with Long Covid:  https://www.rcn.org.uk/COVID-19/Supporting-staff-who-are-living-with-long-COVID?fbclid=IwAR2RmRy2QxfBCnoToMgpQvwIc_257zZNAV0gnSP5ZIgSTZcoK3_eDR0F970 SOM Long Covid – A Manager's Guide:  https://www.som.org.uk/sites/som.org.uk/files/SOM_Long_COVID_A_Manager%27s_Guide_Feb_2024.pdf RCEM Report - Infection Prevential and Control: https://rcem.ac.uk/wp-content/uploads/2024/02/Infection_Prevention_Control_QIP_National_Report_2022_23.pdf   Please subscribe to the Evidence-Based Nursing podcast via all podcast platforms, including Apple Podcasts (https://apple.co/3unklHE) and Spotify (https://spoti.fi/49afHf1), to get the latest podcast every month.  

Dr. Ben Parkinson, EBN Associate Editor, speaks with Dr. Kimberley C. O'Sullivan (1) about her commentary titled, "Becoming unable to afford adequate home heating is associated with increased risk of severe mental distress" which was published in EBN, and is available online: https://ebn.bmj.com/content/26/4/140 (1) He Kāinga Oranga / Housing and Health Research Programme, Department of Public Health, University of Otago, Wellington, New Zealand Please subscribe to the Evidence-Based Nursing podcast via all podcast platforms, including Apple Podcasts (https://apple.co/3unklHE) and Spotify (https://spoti.fi/49afHf1), to get the latest podcast every month.  

videos: New Rule: Cancel Culture is Over Party | Real Time with Bill Maher (HBO) THIS VIDEO HAS TO GO VIRAL. CALM DOWN CELENTE, WHAT ARE YOU SO UPSET ABOUT #ukraine #stocks #bitcoin   Mushroom compound level predicts cognitive function jcvzNational University of Singapore, December 21 2022. Findings from a study reported in Antioxidants revealed an association between lower plasma levels of ergothioneine (ET), a compound that occurs in mushrooms, and an increased risk of cognitive impairment and dementia.”Before this study, there was little evidence that ET levels in the blood can predict the risk of developing cognitive issues,” noted lead researcher Barry Halliwell, of the National University of Singapore Yong Loo Lin School of Medicine. “Our findings demonstrate that if your ET levels are low, your risk of developing cognitive problems increases.” The study included 470 men and women of an average age of 73. Magnetic resonance imaging (MRI) scans conducted at recruitment determined the presence of cerebrovascular disease and/or brain atrophy and blood samples were evaluated for plasma ergothioneine. Neuropsychological tests administered at the beginning of the study and during up to 5 years of follow-up evaluated cognitive function. At the beginning of the study, 189 study participants had dementia, 193 were cognitively impaired without dementia and 88 had no cognitive impairment. Men and women with low (below the median) ergothioneine levels had worse cognitive function in comparison with those who had high levels. While cognitive function decreased over time among those with low or high levels of ergothioneine, the rate of decline was greater among participants who had low ergothioneine levels. When examined according to cognitive status, the long-term associations occurred only in participants who did not have dementia at the beginning of the study. “This points to the possibility of using a simple blood test to detect ET levels for early screening in the elderly to identify those who may have higher risk of cognitive decline,” Dr Halliwell stated. The researchers are planning a trial to evaluate the effects of ergothioneine supplementation among adults with mild cognitive impairment. (NEXT) Acupressure versus acupuncture—which one is better at treating sleep disturbance in patients with cancer? University of Hong Kong, December 21, 2022 Both acupuncture—which is invasive and involves inserted needles—and acupressure—which is non-invasive and involves mechanical pressure—can potentially help reduce sleep disturbance in patients with cancer. A recent analysis of published clinical trials suggests that acupressure may have a greater effect than acupuncture. The analysis, which is published in Worldviews on Evidence-Based Nursing, included 24 randomized controlled trials involving 2,002 patients. The findings suggest that nurses and other health professionals in oncology settings should be provided with acupressure training to help patients who are experiencing sleep problems.“Based on available evidence, acupressure may be a more promising approach than acupuncture for reducing sleep disturbance in patients with cancer,” said corresponding author Denise Shuk Ting Cheung, BNurs, PhD, RN, of the University of Hong Kong. “Future studies should focus on the differential mechanisms of action of acupressure and acupuncture and link them to the multifactorial causes of sleep disturbance in patients with cancer.” (NEXT) Extraversion, conscientiousness linked to immune system function University of Nottingham, December 15, 2022 Researchers have long suggested that personality may influence health. Now, a new study suggests that certain personality traits may play a role in immune system function. The research team – led by Prof. Kavita Vedhara of the School of Medicine at the University of Nottingham in the UK – found that extraverts are more likely to have strong immune systems, while people who are conscientious tend to have weaker immune systems. To reach their findings, published in the journal Psychoneuroendocrinology, the team enrolled 121 healthy adults – 86 females and 35 males – aged between 18 and 59 years. All participants were required to complete a test that measured five primary dimensions of personality: extraversion, neuroticism, openness, agreeableness and conscientiousness. The participants also provided blood samples, and the researchers used microarray technology to assess the link between the five personality traits and the activity of genes in white blood cells that play a role in immune system response. In addition, the researchers took note of participants' exercise, smoking and drinking behaviors so they could rule these out as contributing factors. Results of the analysis revealed that participants who scored higher for extraversion – a personality that is more assertive, talkative and enthusiastic – had increased expression of pro-inflammatory genes in white blood cells, while those who scored higher on conscientiousness had reduced expression of these genes. “Individuals who we would expect to be exposed to more infections as a result of their socially orientated nature (i.e., extraverts) appear to have immune systems that we would expect can deal effectively with infection, while individuals who may be less exposed to infections because of their cautious/conscientious dispositions have immune systems that may respond less well.”A smaller relationship was found between increased pro-inflammatory gene expression and higher scores on openness, while no link was found between agreeableness and neuroticism and heightened expression of pro-inflammatory genes. The team notes that their findings remained, even after accounting for participants' smoking, drinking and exercise status, as well as any reported negative emotions. In addition, Medical News Today reported on a study suggesting that men who are narcissistic – defined as having an inflated view of self-importance – may be more likely to develop cardiovascular problems than those who do not have narcissistic traits. (NEXT) They may be 95 and older, but they still crave independence University of York & Newcastle University (UK), December 20, 2022 People aged 95 and over still want to be part of society and enjoy a level of independence, despite having a more limited interaction with the world, a new study shows. The research, by a team at the University of York and Newcastle University, looked at the lives of 23 people from Newcastle, UK, as part of a 10-year follow-up study to the Newcastle 85+ study—an observational study spanning decades, following the experiences of people born in 1921. The research is published in the journal PLOS One. The study found that there were five key elements to sustaining a positive attitude to life post-95, the most important being a sense of independence, even if that meant reframing what independence is to them. Other areas included being able to reflect on past successes; being in control of when they need help from family; being outwardly presentable; and normalizing the impact of ill health. “We found that participants in the study saw themselves as content with their lives, despite their world becoming smaller, and in poor health and other challenges, they were able to find pleasure in the smaller things of their daily routines and events.” “Being independent came through strongly as a way of explaining their continued passion for life, and was strongly equated to feelings of dignity and youth. A bit of risk-taking, particularly with their health, was also important in order to keep their autonomy, particularly with family, where children had now become the caregiver.” Family relationships, however, were the most complex issue and those that felt most content were those that had made decisions about their own care—when to ask for help and when to ignore advice from their children or grandchildren. Participants also reported that even in serious ill health, accepting it as “normal” helped in minimizing its impact on their lives. The study aims to give voices to an age range that is rarely heard and provide insight into their experiences that needs to be considered as the population continues to live longer. The researchers argue that more research into older people needs to focus on the age range of 90+ years, and not just focus on the younger range of 65 to 80. (NEXT) Walking ‘Teabag style' for a few minutes a day could help adults meet physical activity targets Arizona State University, December 21, 2022 Adults could achieve global physical activity targets by walking inefficiently for just a few minutes each day, finds a study in the Christmas issue of The BMJ. Global rates of physical inactivity have not budged in the past 20 years, despite campaigns to increase physical activity and boost cardiovascular fitness in adults. The inefficient walking styles of Mr. Teabag and Mr. Putey, acted by John Cleese and Michael Palin in the 1971 Monty Python Ministry of Silly Walks sketch, have been shown to be more variable than usual walking, but their energy expenditure has never been measured. To fill this vital research gap, a team of U.S. researchers set out to compare the energy expenditure of low efficiency walking with high efficiency walking. Their findings are based on data from 13 healthy adults (six women, seven men) aged 22-71 years (average age 34) with no history of heart or lung disease, and no known gait disorder. Height and body weight were measured and each participant was shown a video of the Ministry of Silly Walks sketch before performing three walking trials, each lasting five minutes, around an indoor 30-meter course. In the first trial, participants walked in their usual style at a freely chosen pace. For the next two trials, participants were asked to recreate, to the best of their ability, the walks of Mr. Teabag and Mr. Putey that they had seen in the video. Distance covered during the five minute walks was used to calculate average speed. Oxygen uptake (mL/kg/min), energy expenditure (kcal/kg/min) and exercise intensity (METs)—the amount of calories expended per minute of physical activity—were also measured. The researchers found that only the Teabag walk resulted in a significantly greater energy expenditure—about 2.5 times that of usual walking. For men and women combined, oxygen uptake during normal walking was 11.3 mL/kg/min (or 3.2 METs), which was similar to that of the Putey walk (12.3 mL/kg/min, or 3.5 METs). However, the Teabag walk elicited an oxygen uptake of 27.9 mL/kg/min, or 8 METs, which qualifies as vigorous intensity exercise. In terms of energy expenditure, exchanging just one minute of usual walking style with one minute of Teabag walking was associated with an increase in energy expenditure of 8 kcal/min for men and 5 kcal/min for women. The researchers estimate that adults could achieve 75 minutes of vigorous intensity physical activity per week by walking in Teabag style—rather than their usual style—for about 11 min/day. And substituting usual style steps with Teabag style steps for about 12-19 min/day would increase daily energy expenditure by approximately 100 kcal. This amount of walking in Teabag style would likely increase cardiorespiratory fitness, reduce mortality risk, and would require no extra time commitment because it replaces movement adults already do with higher energy physical activity, they add. (NEXT) Wolfberry consumption may offer flu protection: Mouse data Tufts University, December 17, 2022 Consumption of wolfberries – also known as goji berries – may be associated with increasing the protective effect of influenza vaccines against the virus, according to new research in mice. Writing in the Journal of Nutrition, the study analysed the effect of goji berry consumption on the effectiveness of the influenze vaccine to prevent infection with the influenza virus in older mice. Led by researchers at the Jean Mayer USDA Human Nutrition Research Center on Aging (USDA HNRCA) at Tufts University, the research team noted that current vaccines for influenza do not fully protect the elderly against infection, and although wolfberry has been shown to improve immune responses “it is not known if this effect would translate to better protection.”The findings of the new study suggest that wolfberries appear to interact with the influenza vaccine, and therefore offer additional protection against the flu virus, by increasing the activity of dendritic cells – which play an important role in the ability of the immune system to defend against viral infections. “We observed higher antibody response and better protection against flu as indicated by less weight loss in the older mice that consumed wolfberries,” explained senior author Dr Simin Nikbin Meydani. “While previous studies have shown that wolfberries bolster immune response in mice, our results introduce their potential to reduce the age-related risk and severity of the flu virus in the presence of the vaccine.” “Wolfberries are rich in complex carbohydrates known as polysaccharides, as well as vitamins, carotenoids and flavonoids,” he commented. “Future studies in rodent models would be necessary to understand which components appear to be stimulating the dendritic cells.”

Videos : The Covid Redemption with Tim Robbins – #048 – Stay Free with Russell Brand MP calls for complete suspension of mRNA jab in extraordinary British Parliamentary speech Turmeric studied for its ability to seek out and destroy cancer stem cells, the source of all tumors Montclair State University, December 13, 202 Turmeric has gained immense popularity over the years not just for the unique flavor it adds to dishes like curries, but also for its various health benefits. One of its most promising therapeutic applications is as a natural remedy for cancer. Although the anticancer potential of turmeric isn't new, a recent study published in Cancer Letters further proved the importance of this golden spice in understanding and treating cancer. The team of American researchers evaluated the ability of curcumin, which is a polyphenol in turmeric, to target cancer stem cells that are assumed to be the primary cause of cancer tumor formation and malignancy. Unlike conventional cancer models used in previous studies, the cancer stem cell model suggests that only a small population of cancer cells drive the initiation, maintenance, and growth of tumors. These stem cells regularly undergo renewal and differentiation into other cancer cells, which no longer have the ability to regenerate themselves. Therefore, in this model, cancer stem cells that are not killed by treatments lead to the formation of more invasive and treatment-resistant tumors. In this study, the researchers found that curcumin is more effective in eradicating cancer since unlike conventional treatments, this polyphenol also targets cancer stem cells. It can do so through various mechanisms of action, which include the following. Regulation of cancer stem cell self-renewal pathway — There are different pathways involved in the self-renewal of cancer stem cells. These include the Wnt/beta-catenin, sonic hedgehog 89 (SHH), and Notch pathways. The researchers found that curcumin can directly or indirectly interfere with these pathways in 12 different cancer cell lines Modulation of microRNA — The body contains microRNAs, which are short RNA sequences that don't encode for anything. These microRNAs regulate more than 33 percent of protein-coding genes by targeting and binding to their corresponding messenger RNAs so that these won't be expressed. In this study, the authors observed that curcumin altered microRNA expression in cancer stem cells so that they can't produce everything that they need for tumor formation and growth. Direct anti-cancer activity — Curcumin selectively targets cancer cells and programs their death. When used in conjunction with conventional anticancer agents, this effect becomes more evident and the damage typically caused by chemotherapy is no longer observed. Overall, the results of this study show that for cancer treatments to be effective, they have to target and kill cancer stem cells just like turmeric does. Otherwise, these cancer stem cells will pave the way for the formation of more invasive and treatment-resistant tumors. (NEXT) Chiropractic spinal manipulation associated with reduction in low back surgery University Hospitals Cleveland Medical Center, December 19, 2022 A recent study from University Hospitals (UH) Connor Whole Health has found that adults who initially visit a chiropractor to receive spinal manipulation for low back pain caused by disc herniation or radiculopathy (i.e., sciatica) are less likely to undergo discectomy (i.e., disc surgery) over the subsequent two years. This study was recently published in the journal BMJ Open. In this retrospective cohort study, the authors selected adult patients, age 18 to 49, from a 101 million patient United States health records network (TriNetX, Cambridge, MA, U.S.). Patients with serious pathology or urgent indications for surgery were excluded from the study. Ultimately, the authors identified 5,785 patients who initially received chiropractic spinal manipulative therapy, and the same number of patients who received other forms of medical care for their low back pain. The authors used a statistical technique called propensity score matching to control for variables that could influence the likelihood that patients would undergo discectomy. In this process, they matched patients in both cohorts according to several such as age, sex, obesity, smoking, previous injections, and medications. The authors found that patients who initially received chiropractic spinal manipulation for their low back pain were significantly less likely to undergo lumbar discectomy through two years' follow-up. At one year follow-up, 1.5% of the patients in the chiropractic cohort had undergone discectomy, compared to 2.2% of patients in the cohort receiving other care At two years' follow-up, 1.9% of the patients in the chiropractic cohort had undergone discectomy, compared to 2.4% of patients in the cohort receiving other care This study represents the first study to examine whether chiropractic care is associated with a reduction in likelihood of discectomy. (NEXT) High-intensity exercise delays Parkinson's progression Northwestern Medicine and University of Denver, December 11, 2022 High-intensity exercise three times a week is safe for individuals with early-stage Parkinson's disease and decreases worsening of motor symptoms, according to a new phase 2, multi-site trial led by Northwestern Medicine and University of Denver scientists. This is the first time scientists have tested the effects of high-intensity exercise on patients with Parkinson's disease, the second most common neurodegenerative disorder and the most common movement disorder, affecting more than a million people in the United States. It previously had been thought high-intensity exercise was too physically stressful for individuals with Parkinson's disease. “If you have Parkinson's disease and you want to delay the progression of your symptoms, you should exercise three times a week with your heart rate between 80 to 85 percent maximum. Because medications for Parkinson's have adverse side effects and reduced effectiveness over time, new treatments are needed. The randomized clinical trial included 128 participants ages 40 to 80 years old from Northwestern University, Rush University Medical Center, the University of Colorado and the University of Pittsburgh. Participants enrolled in the Study in Parkinson Disease of Exercise (SPARX) were at an early stage of the disease and not taking Parkinson's medication, ensuring the results of the study were related to the exercise and not affected by medication. “The earlier in the disease you intervene, the more likely it is you can prevent the progression of the disease,” Corcos said. “We delayed worsening of symptoms for six months; whether we can prevent progression any longer than six months will require further study.” Scientists examined the safety and effects of exercise three times weekly for six months at high intensity, 80 to 85 percent of maximum heart rate, and moderate intensity, 60 to 65 percent of maximum heart rate. They compared the results to a control group who did not exercise. After six months, participants were rated by clinicians on a Parkinson's disease scale ranging from 0 to 108. The higher the number, the more severe the symptoms. Participants in the study had a score of about 20 before exercise. Those in the high intensity group stayed at 20. The group with moderate exercise got worse by 1.5 points. The group that did not exercise worsened by three points. Three points out of a score of 20 points is a 15 percent change in the primary signs of the disease and considered clinically important to patients. It makes a difference in their quality of life. (NEXT) Meditation adapts the brain to respond better to feedback University of Surrey UK, December 11, 2022 In a study in the Journal of Cognitive, Affective & Behavioral Neuroscience researchers from the University of Surrey have discovered a link between meditation and how individuals respond to feedback. Participants in the study, a mixture of experienced, novice and non-meditators, were trained to select images associated with a reward. Each pair of images had varying probabilities of a reward e.g. images that result in a reward 80 per cent of the time versus those that result in a reward 20 per cent of the time. Participants eventually learnt to select the pairing with the higher outcome. Researchers found that participants who meditated were more successful in selecting high-probability pairings indicating a tendency to learn from positive outcomes, compared to non – meditators who learned the pattern via low-probability pairings suggesting a tendency to learn from negative outcomes. During the study participants were connected to an EEG, a non-invasive method that records electrical patterns in the brain. Results from the EEG found that while all three groups responded similarly to positive feedback, the neurological response to negative feedback was highest in the non-meditation group, followed by the novice group and then by the experienced meditation group. These results indicate that the brains of meditators are less affected by negative feedback, and that this may be a result of altered dopamine levels caused by meditation. Paul Knytl, lead author and PhD candidate in psychology at the University of Surrey, said: “Humans have been meditating for over 2000 years, but the neural mechanisms of this practice are still relatively unknown. These findings demonstrate that, on a deep level, meditators respond to feedback in a more even-handed way than non-meditators, which may help to explain some of the psychological benefits they experience from the practice.” (NEXT) Caution to pregnant women on red meat diabetes link University of Adelaide (Australia) December 12, 2022 Pregnant women and women planning to become pregnant can make use of the holiday season to adjust their diets and reduce the risk of gestational diabetes, according to researchers at the University of Adelaide's Robinson Institute. The recommendation comes at a time when there is increasing evidence to suggest that red meat is linked with a higher rate of gestational diabetes in pregnant women, which poses risks to the health of both the mother and the baby. In a commentary published in the jjournal Evidence-Based Nursing, author Philippa Middleton says the latest international research shows that women who eat a lot of red and processed meats even before they become pregnant have a significant risk of developing gestational diabetes. “There have been several reports linking red meat with increased risk of type 2 diabetes, and now the work of a number of research teams worldwide is showing this link for diabetes during pregnancy,” says Ms Middleton, who is one of the Robinson Institute's research leaders. “While this news is alarming, there are also some positives. The latest research from the United States has shown that eating fish and poultry does not increase the risk of gestational diabetes, and consuming more vegetable and non-meat protein is associated with a reduction in risk. “For example, just over half a serving of nuts per day can reduce the risk of gestational diabetes by 40%.” “Based on current evidence, pregnant women or women planning to become pregnant should consider eating more vegetable protein, and nuts, and replacing some red meat with fish and poultry. (NEXT) Treatment for lupus may depend on restoring proteins in patients' blood Singapore General Hospital, December 19, 2022 Restoring protein balance in the blood may be key to developing an effective treatment for lupus. The incurable autoimmune disease reportedly affects about 100 in every 100,000 people worldwide, and disproportionally affects women between 15 and 45 years-old and Asians. Lupus causes the body's immune system to attack itself, which can inflame several vital organs like the kidneys, brain, heart, and lungs. The aggressive nature of the disease is what makes it life-threatening for many who have it, especially since current treatments don't help that much. “We are excited about the possibility of a new treatment option for lupus as 30 to 60 percent of patients do not respond to conventional medications despite aggressive regimens. In the past 65 years, only three drugs for lupus have been approved by the United States Food and Drug Administration but these drugs have modest efficacy. There is therefore a real and urgent need for better therapies, particularly for the more severe spectrum of lupus that we see in Asia,” says senior author Andrea Low, the Head and Senior Consultant in the Department of Rheumatology & Immunology at Singapore General Hospital (SGH), in a media release. To reach their findings, Low and her team studied CXCL5, a protein that helps to regulate the immune system through neutrophils, which are a type of white blood cell. They revealed that lupus patients had considerably lower levels of the protein in their blood compared to healthy people, thus suggesting that it may have a connection to the disease. They also discovered that mice with severe lupus injected weekly with CXCL5 displayed restored protein balance. Moreover, their survival outcomes increased from 25 percent to over 75 percent after 10 weeks. Not only did the injections reduce mortality risk, but they didn't cause any adverse side-effects, study authors report. “Our study has shown CXCL5 to be safe. There was no liver or kidney toxicity or cancer inducing effects. Major components of the immune system were also not compromised,” reports principal investigator Dr Fan Xiubo, Senior Research Fellow, Department of Clinical Translational Research, SGH. The entire team is hopeful that they can continue to build on their research to better the lives of patient's suffering from this debilitating disease. “To be in the forefront of medicine means we have to constantly further our understanding of diseases and offer patients better treatment options through rigorous scientific research. I'm heartened that the team has shed new light on lupus and the possibility of a more efficacious therapy for patients some years down the road,” says Professor Fong Kok Yong, Deputy Group CEO (Medical and Clinical Services), SingHealth, and Senior Consultant, Department Rheumatology & Immunology, SGH

Today we discuss a study that describes associations between race/ethnicity, hospital of birth and ‘unexpected newborn complications' in low-risk term neonates in New York City. Kristine Schmitz (1) and Lawrence Charles Kleinman (2) are the authors of a commentary published by EBN on that study. They tell Evidence-Based Nursing Associate Editor, Kerry Gaskin, how the quality of care in the hospital of delivery has a direct relation with more unexpected neonatal complications in black and hispanic infants. Read the commentary: Hospital Quality of Care and Racial and Ethnic Disparities in Unexpected Newborn Complications (https://ebn.bmj.com/content/25/3/89) Commentary on: Glazer KB, Zeitlin J, Egorova NN, et al. Hospital quality of care and racial and ethnic disparities in unexpected newborn complications. Pediatrics 2021;148:e2020024091. doi:10.1542/peds.2020-024091. Please subscribe to the Evidence-Based Nursing podcast via all podcast platforms, including Apple Podcasts, Google Podcasts, Stitcher and Spotify, to get the latest podcast every month. If you enjoy our podcast, please consider leaving us a review or a comment on the Evidence-Based Nursing podcast iTunes page (https://podcasts.apple.com/gb/podcast/ebn-podcast/id942927408). Thank you for listening. (1) Pediatrics, Rutgers Robert Wood Johnson Medical School Department of Pediatrics, New Brunswick, New Jersey, USA (2) Urban-Global Public Health, Rutgers School of Public Health, Piscataway, NJ, USA

In today's podcast, we discuss the results of an observational study that showed reduced alertness during working hours among eight-hour rotating-shift nurses. Evidence-Based Nursing Associate Editor, Kerry Gaskin, interviews Vittoria Sorice and Emma Russell, both from Chesterfield Royal Hospital NHS Foundation Trust, UK. Their paper is available on the EBN website (https://ebn.bmj.com/content/early/2022/04/06/ebnurs-2022-103518)and is a commentary on: Min A, Hong HC, Son S, et al, Alertness during working hours among eight-hour rotating-shift nurses: an observational study. J Nurs Scholar 2021;75. doi:10.1111/JNU.12743 Please subscribe to the Evidence-Based Nursing podcast via all podcast platforms, including Apple Podcasts, Google Podcasts, Stitcher and Spotify, to get the latest podcast every month. If you enjoy our podcast, please consider leaving us a review or a comment on the Evidence-Based Nursing podcast iTunes page (https://podcasts.apple.com/gb/podcast/ebn-podcast/id942927408). Thank you for listening.

Living with Long Covid is a different experience for each person, and can have significant ramifications for their personal lives and careers. In this last podcast of a series about Long Covid, Dr Alison Twycross, Editor in Chief of Evidence-Based Nursing, hears from Alison Love(1), Lynn Biggerstaff(2) and Sue Campion(3). The EBN podcast series of three episodes on Long Covid is produced by Letícia Amorim and edited by Brian O'Toole. Please subscribe to the Evidence-Based Nursing podcast via all podcast platforms, including Apple Podcasts, Google Podcasts, Stitcher and Spotify, to get the latest podcast every month. If you enjoy our podcast, please consider leaving us a review or a comment on the Evidence-Based Nursing podcast iTunes page (https://podcasts.apple.com/gb/podcast/ebn-podcast/id942927408). Thank you for listening. (1) Staff Nurse in ICU; (2) Ward Sister, Community Hospital, elderly rehabilitation ward; (3) Paediatric Nurse, Southampton Children's Hospital.

Returning to work as a nurse with Long Covid is thwart with difficulties in part due to its relapsing-remitting nature. Many nurses with Long Covid experience post-exertional malaise and symptom exacerbation if they push themselves and this may trigger a major relapse. This means that a return to work needs to be planned carefully. In this second podcast of a series about Long Covid, Dr Alison Twycross, Editor in Chief of Evidence-Based Nursing, speaks to two freelance consultants from Long Covid Work: Dr Clare Rayner, a consultant occupational physician, and Kirsty Stanley, Director, Occupational Therapist & Writer at Occupation4Life Ltd, about best practice in this context. They provide guidance for both employers and employees. Alison, Clare and Kirsty are also members of the Long Covid Support Employment Group. More information on the Long Covid Nurses and Midwives UK website: http://www.lcnmuk.co.uk/ The EBN podcast series on Long Covid is produced by Letícia Amorim and edited by Brian O'Toole. Please subscribe to the Evidence-Based Nursing podcast via all podcast platforms, including Apple Podcasts, Google Podcasts, Stitcher and Spotify, to get the latest podcast every month. If you enjoy our podcast, please consider leaving us a review or a comment on the Evidence-Based Nursing podcast iTunes page (https://podcasts.apple.com/gb/podcast/ebn-podcast/id942927408). Thank you for listening. The first episode of this three-episode series: https://soundcloud.com/bmjpodcasts/long-covid-what-we-know-so-far-with-dr-elaine-maxwell?in=bmjpodcasts/sets/ebn-podcast&utm_source=clipboard&utm_medium=text&utm_campaign=social_sharing

In the first of a series of three episodes about Long Covid, Dr Roberta Heale, Associate Editor of Evidence-Based Nursing, speaks to Dr Elaine Maxwell, Nurse and author of two National Institute for Health Research reviews on evidence on Long Covid. They discuss the variance in reported Long Covid statistics, the impact of vaccinations, symptoms, and research efforts. The EBN podcast series on Long Covid is produced by Letícia Amorim and edited by Brian O'Toole. Please subscribe to the Evidence-Based Nursing podcast via all podcast platforms, including Apple Podcasts, Google Podcasts, Stitcher and Spotify, to get the latest podcast every month. If you enjoy our podcast, please consider leaving us a review or a comment on the Evidence-Based Nursing podcast iTunes page (https://podcasts.apple.com/gb/podcast/ebn-podcast/id942927408). Thank you for listening. To read more about this subject, follow the links: https://evidence.nihr.ac.uk/themedreview/living-with-covid19/ https://evidence.nihr.ac.uk/themedreview/living-with-covid19-second-review/

In this podcast, Roberta Heale, Associate Editor of Evidence-Based Nursing, interviews Shaminder Singh, postdoctoral researcher, University of Calgary, Alberta, Canada. Dr. Singh discusses the commentary he wrote titled "A short therapy program may reduce the risk of suicide reattempts by strengthening problem-focused coping among people with attempted suicide”, which is based on the research article: Gysin-Maillart A, Soravia L, Schwab S. Attempted suicide short intervention program influences coping among clients with a history of attempted suicide. J Affect Disord 2019 Read the commentary on the EBN website: https://ebn.bmj.com/content/early/2020/06/09/ebnurs-2020-103257

Der Klinisch Relevant Podcast liefert Ärztinnen und Ärzten, sowie Angehörigen der Pflegeberufe kos-tenlose und unabhängige medizinische Fortbildungsinhalte, die Du jederzeit und überall anhören kannst und die für Dich von ärztlichen und pflegerischen Kollegen konzipiert werden. Im heutigen Beitrag geht es um das Thema Evidence-based Nursing und das Thema Veränderung der Pflegepraxis.

In this podcast, Associate Editor of Evidence-Based Nursing, Lisa Kidd, talks to Laura Austin, who's a Registered Nurse/Midwife working in the Fiona Stanley Hospital, Perth, Australia, and the author of a commentary on original, unpublished research based out of Melbourne. The aim of the research was to determine whether, within Australia, classification of hypertension within pregnancy should be adjusted to reflect the American College of Cardiology’s recent amendment to their guidelines. Read the commentary on the EBN’s website: https://ebn.bmj.com/content/early/2020/08/24/ebnurs-2020-103274 Commentary on: Reddy M, Rolnik DL, Harris K, et al. Challenging the definition of hypertension in pregnancy: a retrospective cohort study. Am J Obstet Gynecol 2020, Jan 16. doi:10.1016/j.ajog.2019.12.272. [Epub ahead of print].

In this episode of SigmaCast we discuss research related to the Worldviews on Evidence-Based Nursing article “Evaluating the outcomes of a Web‐Based Stress Management Program for Nurses and Nursing Assistants.”

This episode discusses research related to the Worldviews on Evidence-Based Nursing articles “A Longitudinal Analysis of Nurse Suicide in the United States (2005–2016) With Recommendations for Action” and “Sustainability and Outcomes of a Suicide Prevention Program for Nurses.”

This episode we will be discussing research related to the Worldviews on Evidence Based Nursing article "Prevalence and Correlates of Depression, Anxiety, Stress, Healthy Beliefs, and Lifestyle Behaviors in First‐Year Graduate Health Sciences Students."

In this episode, we discuss research related to the Worldviews on Evidence-Based Nursing article “Authentic Connections Groups: A Pilot Test of an Intervention Aimed at Enhancing Resilience Among Nurse Leader Mothers.”  

In this episode we will be discussing research related to the Worldviews on Evidence Based Nursing article “The MINDBODYSTRONG Intervention for New Nurse Residents: 6-Month Effects on Mental Health Outcomes, Healthy Lifestyle Behaviors, and Job Satisfaction." Guests in this episode: Marlene Sampson, PhD, MSN-Ed, RN, Associate Director for Nursing Education, The Ohio State University Wexner Medical CenterBernadette Mazurek Melnyk, PhD, APRN-CNP, FAANP, FNAP, FAAN, Dean and Professor, The Ohio State University College of NursingJacqueline Hoying, PhD, RN, Assistant Professor of Clinical Practice, The Ohio State University College of Nursing

Welcome to a new series of "research made simple" podcasts where researchers are interviewed about their studies and chosen methods, and implications for nursing practice and research are considered. In this first podcast, Associate Editor of EBN Laura Green speaks to Dr Sarah Campbell, a researcher within the Dementia and Ageing Research team in the School of Nursing, Midwifery and Social Work at the University of Manchester. Her doctoral research "Atmospheres of Dementia Care: Stories told through the bodies of men" is an ethnographic study exploring what role the experience of place plays, and the role gender has, in the lives of men living with dementia in a variety of care settings. The aim was to interpret the everyday embodied life for men living with dementia in care and their connection to atmosphere. The study was undertaken alongside a wider project colloquially known as The Hair and Care Project (ESRC Ref. 2011-2013; Dr Richard Ward, PI). The PhD study collected data across three fieldsites focusing on the experience of seven men living with dementia. To find out more about this research, contact Sarah on sarah.campbell@manchester.ac.uk or follow her on twitter @wanderingalong You can also read a few relevant articles in Evidence-Based Nursing about ethnography as a research method and its applicability to understanding nursing practice: Ethnography: Challenges and Opportunities https://ebn.bmj.com/content/20/4/98 Using observational research to to obtain a picture of nursing practice https://ebn.bmj.com/content/19/3/66

The communication between nurses and families during and after family decision meetings is discussed in this podcast. Roberta Heale talks to Dr Mohammad Khan, Community Medicine, School of Dental Science, Universiti Sains Malaysia about his commentary published by Evidence-Based Nursing (https://ebn.bmj.com/content/early/2019/09/10/ebnurs-2019-103089). The commentary relates to the paper: Pecanac K, King B. Nurse-Family Communication During and After Family Meetings in the Intensive Care Unit. J Nurs Scholarsh 2019;51:129–37

Was macht gute Pflege aus? Dazu gibt es laufend neue Erkenntnisse: Was letztes Jahr noch richtig war, ist heute vielleicht völlig überholt. Wissenschaftler forschen zu Themen, mit denen ihr jeden Tag bei der Arbeit zu tun habt. Neue Erkenntnisse können zu neuen Behandlungsmethoden führen. Dieser Prozess heißt Evidence Based Nursing (oder kurz: EBN) und gehört für Pflegefachpersonen zum Alltag. Warum EBN für die Pflege so wichtig ist und wo ihr die neuesten wissenschaftlichen Erkenntnisse findet, das erklären wir euch in diese Folge vom Elsevier Pflege Podcast.

What advice for families when breastfeeding is not an option in neonatal units? The study discussed in this podcast highlights that formula milk offers short-term benefits but may not result in any long-term benefits for growth or development over donor breast milk. The paper also concluded that formula milk appears to significantly increase risk of necrotising enterocolitis. Read the full commentary on the Evidence-Based Nursing website: https://ebn.bmj.com/content/22/1/18 Commentary on: “Formula versus donor breast milk for feeding preterm or low birth weight infants”. Cochrane Database Syst Rev. 2018;6:CD002971.

Florence Nightingale stands as one of the most important reformers of 19th century medicine -- a woman whose belief in the power of reason and statistical thinking would critically shape the both the fields of epidemiology and nursing. This episode discusses the fascinating story of Nightingale’s legacy -- how modern nursing was born out of the horrors of war, medical theories about poisonous air, the outsize influence of the average man, the first graph in history, and how a woman who died over a century ago presciently foresaw some of the most important scientific and social issues in medicine that are still with us today. Plus, a new #AdamAnswers about the doctor-nurse relationship.   Sources:   Beyersmann J and Schrade C, Florence Nightingale, William Farr and competing risks, Journal of the Royal Statistical Society: Series A (Statistics in Society) Volume 180, Issue 1 Fagin CM, Collaboration between nurses and physicians: no longer a choice. Academic Medicine. 67(5):295–303, May 1992. Fee E and Garofalo ME, Florence Nightingale and the Crimean War, Am J Public Health. 2010 September; 100(9): 1591. Garofalo ME and Fee E, Florence Nightingale (1820–1910): Feminism and Hospital Reform. Am J Public Health. 2010 September; 100(9): 1588. Halliday Stephen, Death and miasma in Victorian London: an obstinate belief. BMJ. 2001 Dec 22; 323(7327): 1469–1471. Hardy A, The medical response to epidemic disease during the long eighteenth century. Epidemic Disease in London, ed. J.A.I. Champion (Centre for Metropolitan History Working Papers Series, No.1, 1993): pp. 65-70. Jahoda G, Quetelet and the emergence of the behavioral sciences. Springerplus. 2015; 4: 473. Keith JM, Florence Nightingale: statistician and consultant epidemiologist. Int Nurs Rev. 1988 Sep-Oct; 35(5):147-50. Kopf EW, Florence Nightingale as statistician.. Res Nurs Health. 1978 Oct; 1(3):93-102. Kramer M, Schmalenberg C. Securing “good” nurse–physician relationships. Nurs Manage 2003;34(7):34-8. McDonald L Florence Nightingale and the early origins of evidence-based nursing Evidence-Based Nursing 2001;4:68-69. McDonald L, Florence Nightingale, statistics and the Crimean War, J. R. Statist. Soc. A (2014)177, Part 3, pp. 569–586. McDonald L, Florence Nightingale at First Hand, London and New York: Continuum, 2010. Oyler L, “It’s Really Sickening How Much Florence Nightingale Hated Women,” Vice Broadly, retrieved online at https://broadly.vice.com/en_us/article/kb4jd3/its-really-sickening-how-much-florence-nightingale-hated-women “Rank for Nurses,” The American Journal of Nursing, Vol. 20, No. 3 (Dec., 1919), pp. 241-24. Rowen L, The Medical Team Model, the Feminization of Medicine, and the Nurse's Role. AMA Journal of Ethics, Virtual Mentor. 2010;12(1):46-51. Soine AH, From Nursing Sisters to a Sisterhood of Nurses: German Nurses and Transnational Professionalization, 1836-1918, Published Dissertation, August 2009. Stein LI. The doctor–nurse game. Arch Gen Psychiatry 1967;16(6):699-703. Stein LI, et al. The doctor–nurse game revisited. N Engl J Med 1990;322(8):546-9. Young D A B. Florence Nightingale's fever BMJ 1995; 311 :1697.

Professor Linda Shields, credentialed children’s and young people’s nurse from the Faculty of Science, Charles Sturt University, New South Wales, Australia, talks us through the details of the findings of her research on discriminatory nursing practice towards lesbian, gay and bisexual parents. She is the co-author of a commentary published by Evidence-Based Nursing on: Andersen AE, Moberg C, Bengtsson Tops A, et al. Lesbian, gay and bisexual parents' experiences of nurses' attitudes in child health care: a qualitative study. J Clin Nurs. 2017; 26:5065-5071. Listen to the full conversation with EBN's Editor-in-Chief Professor Alison Twycross and read the commentary: https://ebn.bmj.com/content/21/2/47.

Many people vomit or feel nauseous after surgery, and it’s important to find effective ways to ease these unpleasant symptoms. One of the updated Cochrane Reviews in March 2018 looks at the effect of aromatherapy and we asked Sonia Hines from the Queensland Centre for Evidence‐Based Nursing & Midwifery in Australia to tell us more about the latest results.

Many people vomit or feel nauseous after surgery, and it’s important to find effective ways to ease these unpleasant symptoms. One of the updated Cochrane Reviews in March 2018 looks at the effect of aromatherapy and we asked Sonia Hines from the Queensland Centre for Evidence‐Based Nursing & Midwifery in Australia to tell us more about the latest results.

Many people vomit or feel nauseous after surgery, and it’s important to find effective ways to ease these unpleasant symptoms. One of the updated Cochrane Reviews in March 2018 looks at the effect of aromatherapy and we asked Sonia Hines from the Queensland Centre for Evidence‐Based Nursing & Midwifery in Australia to tell us more about the latest results.

School nurses are well-positioned to support adolescents experiencing pain secondary to stress and unhealthy lifestyle choices, but require training relevant to addressing such antecedents of pain. Paediatric nurse Brenna Quinn discusses with the editor of EBN Alison Twycross the challenge of supporting adolescents experiencing emotional or physical pain in schools. Professor Quinn (University of Massachusetts Lowell, Solomont School of Nursing, USA) is the author of a commentary published by Evidence-Based Nursing titled: “School nurses are able to support adolescents experiencing pain secondary to stress and unhealthy lifestyle choices”. Read the paper here: http://ebn.bmj.com/content/21/2/45.

Nurses are witnessing a higher prevalence of self-harm related to mental health in children and young people, says Lin Graham-Ray, designated nurse for looked after children and care-leavers in Merton and Wandsworth CCGs. The nurse consultant was the invited host of the EBN Twitter chat of 3rd January, which emphasized the need for nurses to understand that the problem “is happening all over the place" - she tells Associate Editor of EBN Roberta Heale in this podcast. Lin advocates listening and keeping the communication going with patients, from the privileged perspective of a nurse, as the key to prevention of self-harm in young people. Read the full chat: https://storify.com/EBN_BMJ/self-harm-with-young-people. You can join the bi-monthly EBN Online Journal Chats on Twitter by searching for #ebnjc. Follow Evidence-Based Nursing on Twitter: @EBNursingBMJ. For more information on the subjects covered in this podcast visit the Evidence-Based Nursing website (http://ebn.bmj.com/) and the blog (https://blogs.bmj.com/ebn/2017/12/29/self-harm-and-young-people).

In this episode Helen Noble, Associate Editor EBN, talks to Ian Walsh, Clinical Academic, Queen’s University Belfast, about the recently published paper "Persistent Long-Term Urinary Incontinence Post Parturition" in Evidence Based Nursing. Full paper >> http://ebn.bmj.com/content/20/1/8.full

Welcome to this Evidence Based Nursing podcast. This month’s commentary for discussion is concerned with patients with heart failure, and their partners, and the value they hold being seen and supported together . Dr Helen Noble, Lecturer Health Services Research, Queens University Belfast, and Associate Editor, Evidence Based Nursing will be joined by Assistant Professor Harleah G. Buck, of Pennsylvania State University who is the commentary author. The key issues that arise from this work including what we already know about the topic, the strengths and weaknesses of the research methods and the implications for clinical practice will be deliberated. The discussion is designed to help you think about issues raised in the commentary and explore the clinical applicability of the original research discussed. Reference to original commentary: Patients with heart failure, and their partners, value being seen and supported together. Evid Based Nurs 2015 18: 77 originally published online February 4, 2015 10.1136/eb-2014-102024

Welcome to the EBN podcast. Dr Joanna Smith, Associate Editor, will be taking a closer look at an article published by Dr Alison Twycross, who has published extensively on pain management in children, and is the Editor at Evidence-Based Nursing. In this session, Dr Alison Twycross, Head of Department for Children’s Nursing and Reader in Children’s Pain Management, will discuss issues raised in her article; children’s and parents’ perceptions of postoperative pain management: a mixed methods study. These discussions are designed to help you think about issues raised in the article, as well as the clinical applicability. As an expert in the field, Dr Alison Twycross reflects on the study, and offers insightful comments and ideas that can be used in practice. Read the commentary: Although parents are generally satisfied with their child's postoperative care, children continue to experience moderate-to-severe pain postoperatively http://goo.gl/WpyKw8

Welcome to the 11th #ebnjc podcast, this month’s topic is advanced care planning. Dr Alison Twycross, School of Health and Social Care, London South Bank University and Editor, Evidence Based Nursing will explore with the commentary author, a recent commentary in EBN titled: The majority of hospitalised elderly people at high risk of dying have thought about end-of-life care, though documentation of preferences in medical records may be lacking. The discussion is designed to help you think about issues raised in the commentary and explore the clinical applicability of the original research discussed. Dr Twycorss discuss with Dr Sarah Jeong, School of Nursing and Midwifery, University of Newcastle some of the issues raised in his commentary report. Dr Jeong reflects on the work, critically exploring the findings offering his thoughts on the implications for practice. Read the commentary: goo.gl/sg4dQi Read the original paper: goo.gl/HUDlaQ

Welcome to the 10th #ebnjc podcast, this month’s topic is care of people with learning disabilities. Dr Helen Noble, Lecturer Health Services Research, Queens University Belfast and Associate Editor, Evidence Based Nursing will explore with the commentary author, a recent commentary in EBN titled: In adults with intellectual disability, discontinuation of antipsychotics is associated with reduction in weight, BMI, waist circumference and blood pressure. The discussion is designed to help you think about issues raised in the commentary and explore the clinical applicability of the original research discussed. Dr Noble discuss with Professor Pierre Chue some of the issues raised in his commentary report. Dr Chue reflects on the work, critically exploring the findings offering his thoughts on the implications for practice. Read the commentary: http://goo.gl/KDnevz Read the original paper: http://goo.gl/TW050U

Welcome to the 8th #ebnjc podcast, this month’s topic is health promotion. Dr Helen Noble, Lecturer Health Services Research, Queens University Belfast and Associate Editor, Evidence Based Nursing, explores a recent EBN commentary, on people living with and beyond cancer and current exercise recommendations. The discussion is designed to help you think about issues raised in the commentary and explore the clinical applicability of the original research discussed.Dr Noble discusses with Dr Denise Spector, Duke University Medical Center, some of the issues raised in Bourke et al's systematic review. Dr Spector reflects on the work, critically exploring the findings, and offering her thoughts on the implications for practice.Read the commentary: http://ebn.bmj.com/content/early/2014/02/14/eb-2013-101635.fullRead the original research: http://www.ncbi.nlm.nih.gov/pubmed/24065550?dopt=Abstract

Welcome to the first EBNJC podcast, this month’s topic is Adult Nursing. Dr Helen Noble, Associate Editor, Evidence Based Nursing, will be exploring a commentary from the journal written by invited guest Dr Stephanie Thompson, from the Department of Medicine at the University of Alberta, Canada. The podcast discussions are intended to help you think about matters raised in the commentary, as well as the clinical applicability of the original research paper.Dr Thompson will discuss her commentary which critiqued a cross-sectional observational study aimed at examining sleep quality in chronic haemodialyzed patients in relation to morning-shift dialysis. She stresses that assessment of sleep quality, with attention to disease and treatment-related factors should be incorporated into the routine care of haemodialysis patients. Importantly Dr Thompson draws on her own experiences and reflects on the relevance of the study to practice and policy.Read the full commentary:ebnurs-2013-101673 - People receiving dialysis in the morning have better subjective sleep quality than those who receive dialysis at other times http://goo.gl/JqmP8iAnd the original research article: Better sleep quality in chronic haemodialyzed patients is associated with morning-shift dialysis: a cross-sectional observational study http://goo.gl/4yM8R2

Wenn Ärzte nach den Prinzipien der Evidence-based Medicine behandeln sollen, so liegt der Gedanke nahe, von Pflegekräften ein Evidence-based Nursing (EBN) zu fordern. Handelt es sich hier nur um einen neuen englischen Begriff für die gängige Praxis oder ein sinnvolles Instrument zur Verbesserung der Pflege?

Wenn Ärzte nach den Prinzipien der Evidence-based Medicine behandeln sollen, so liegt der Gedanke nahe, von Pflegekräften ein Evidence-based Nursing (EBN) zu fordern. Handelt es sich hier nur um einen neuen englischen Begriff für die gängige Praxis oder ein sinnvolles Instrument zur Verbesserung der Pflege?