RSS 1.0English Journal Editorials
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Identifying Indicators of Healthy Work Environments in Nursing as Determinants of Health in the 21st Century.A paradigm shift is occurring in the definition of health and therefore also in the determinants of health. Social determinants of health, considered by many to be the premises of good health and a purposeful life, are now the focus of attention in determinants of health. These determinants of health bring attention to the conditions in which people are born and live and work. This article proposes that indicators of healthy work environments in nursing can be identified as determinants of health. Study findings from around the world confirm that the health and well-being of nurses and their patients is related to nurses' work and work environments. Therefore, the working lives of nurses should be identified as an inseparable part of their personal lives, leading to consideration of work environments and thereby the quality of nurse's work lives as determinants of health in the 21st century.
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Lessons learnt from anonymized review of cases of peripartum hysterectomy by international experts: A qualitative pilot study.Severe obstetric complications are not extensively studied and individual cases are used too little and inappropriately in quality improvement activities, due to limited numbers and prioritization of quantitative research. Nordic and European experts performed a qualitative pilot study using anonymized cases of peripartum hysterectomy. It was feasible to anonymize narratives and we learned lessons in the form of themes for improved clinical care and future research. Therefore, we plan a Nordic anonymized review of the care of women who have undergone peripartum hysterectomy based on narratives. The qualitative outcomes of clinically relevant themes for quality improvement and research will add value to the quantitative analyses from the Nordic medical birth registries. In the longer term, we believe that qualitative audits should be an essential part of the process of continuing improvement in maternity care.
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EuGMS Task and Finish group on Fall-Risk-Increasing Drugs (FRIDs): Position on Knowledge Dissemination, Management, and Future ResearchKey summary pointsFalls are under-recognized as adverse drug events.Healthcare professionals are reluctant to withdraw fall-risk-increasing medications.The EuGMS Task and Finish group on fall-risk-increasing drugs (FRIDs) proposes in this paper its recommendations on dissemination of knowledge about, management of, and future research on FRIDs. AbstractFalls are a major public health concern in the older population, and certain medication classes are a significant risk factor for falls. However, knowledge is lacking among both physicians and older people, including caregivers, concerning the role of medication as a risk factor. In the present statement, the European Geriatric Medicine Society (EuGMS) Task and Finish group on fall-risk-increasing drugs (FRIDs), in collaboration with the EuGMS Special Interest group on Pharmacology and the European Union of Medical Specialists (UEMS) Geriatric Medicine Section, outlines its position regarding knowledge dissemination on medication-related falls in older people across Europe. The EuGMS Task and Finish group is developing educational materials to facilitate knowledge dissemination for healthcare professionals and older people. In addition, steps in primary prevention through judicious prescribing, deprescribing of FRIDs (withdrawal and dose reduction), and gaps in current research are outlined in this position paper.
