Tuesday, 6 March 2018

Does contraception lead to depression?

Roger Watson, Editor

The aim of this study was: 'to analyse the association of postpartum depression with drugs (including contraceptive devices and implants) with spontaneously reported adverse events reported in the US Food and Drug Administration Adverse Event Reporting System database'. The study was conducted in Japan and the article, which is published in Nursing Open is authored by Horibe et al. (2017). 

The total number of Food and Drug Administration Adverse Event Reporting System System (FAERS) reports analysed was 6,157,897 of which 253 reported postpartum depression (PPD). The most common drug associated with PPD was levonorgestrel (IUD with progestogen) although nine other drugs were also associated with PPD. The effect of levonorgestrel was not age related. The three drugs most commonly relate to adverse effects (eg device expulsion, pain, hemorrhage) were levonogestrel, etonogestrel and drospirenon.

The authors conclude: 'Among the drugs in the FAERS database, the use of contraceptives or an IUD with progestogen might pose a risk for PPD. We showed the potential risk of contraceptives on PPD in a real-life setting. These data will enhance the information available to nurses and clinicians in advising patients on contraception and/or treating PPD and may be useful in the management of women’s health during the early postpartum period. Considering the causality restraints of the current analysis, further epidemiological studies are recommended.


Horibe M, Hane Y, Abe J, Matsui T, Kato Y, Ueda N, Sasaoke S, Matooka Y, Hatahari H, Hasagewa S, Kinosada Y, Hara H, Nakamura M (2017) Contraceptives as possible risk factors for postpartum depression: A retrospective study of the food and drug administration adverse event reporting system, 2004–2015  Nursing Open doi: 10.1002/nop2.121

Thursday, 15 February 2018

What do patients complain about?

Roger Watson, Editor

The aim of this study reported in this article from Sweden and published in Nursing Open was to: ´To explore patient-reported regarding communication and healthcare  and how these were responded to by healthcare professionals.´ The article by Skålén et al. is titled: ´Patient complaints about health care in a Swedish County: characteristics and satisfaction after handling´.

The study exmained the content of 587 patient-reported complaints in one County Council in Sweden. According to the authors the results show: ´that patients’ dissatisfaction with encounters and communication concerned all departments in the healthcare organization. Patients were most dissatisfied when they were not met in a professional manner. There were differences between genders, where women reported more complaints regarding their dissatisfaction with encounters and communication compared with men. Many of the answers on the patient-reported complaints lack a personal apology and some of the patients failed to receive an answer to their complaint.´ In conclusion, the authors say: ´patient-reported complaints regarding provided care stem from asymmetric communication, where the patients are not met in accordance with their individual needs. From a person-centred perspective, this can have a significant impact on patients’ satisfaction with healthcare encounters and experiences of quality of care.´

Skålén, C., Nordgren, L. and Annerbäck, E.-M. (2016), Patient complaints about health care in a Swedish County: characteristics and satisfaction after handling. Nurs Open, 3: 203–211. doi:10.1002/nop2.54

Monday, 15 January 2018

Living with chronic hepatitis B in Iran

Roger Watson, Editor

The aim of this study from Iran was to: 'explain the perception of patients with chronic hepatitis B regarding problems in the Iranian society.' Twenty-seven patients with chronic hepatitis B in Iran were interviewed and seven themes were identified: insufficient self-care, misperceptions, stigmatization, psychological consequences, failure, spiritual struggle and post-traumatic growth.

Money was an issue in being followed up as one of woman said: “My husband and I are infected with the disease in a way that I check my tests every 6 months and my husband every 3 months, but honestly, we do not refer frequently since the costs of the tests are extremely high. Actually, this is a great concern in our family, which prevents any further follow-up action.” Stigmatization and rejection were also issues, as one person said: “People’s view about the disease is so unpleasant. In offices, if colleagues know about the disease of an employee, they misbehave with the infected person.” Yet others took extreme measures to prevent spread as one woman explained: “I’m told that my disease could be transmitted through blood, but I take care of myself at home so that my children and husband could be safe from the disease. Even during cooking, I wear multi-layered gloves and never cook without gloves.”

The authors concluded: 'People suffering from hepatitis B live with their family and interact with people and the society. These people have different healthcare needs throughout various stages of life, such as in adolescence, married life, pregnancy, etc. Hence, it seems necessary to educate patients visiting Medicare centers using effective means throughout the life stages, as well as to provide nursing care without labeling. In turn, this will help patients adjust better to the chronic condition and will improve their quality of life.'


Ezbarami ZT, Hassani P, Tafreshi MZ, Majd HA (2017) A qualitative study on individual experiences of chronic B patients Nursing Open DOI: 10.1002/nop2.100

Sunday, 10 December 2017

The Directory of Open Access Journals

Worried about whether or not an open access journal is reputable? Then check the Directory of Open Access Journals (the DOAJ) and see if it is listed there. The DOAJ describes itself as follows: 

DOAJ is a community-curated online directory that indexes and provides access to high quality, open access, peer-reviewed journals. DOAJ is independent. All funding is via donations, 50% of which comes from sponsors and 50% from members and publisher members. All DOAJ services are free of charge including being indexed in DOAJ. All data is freely available.

Principles of Transparency and Best Practice in Scholarly Publishing

What does the green tick symbol next to some journals mean?

The green tick ("The Tick") is displayed against all journals that were accepted into DOAJ after March 2014 when DOAJ launched its new criteria for journals to be accepted into DOAJ. The new criteria require a higher level of compliance to best practices and publishing standards. Journals that do not have The Tick are in the process of reapplying under the new criteria.

Wednesday, 1 November 2017

October issue of Nusing Open

Roger Watson, Editor

The latest issue of Nursing Open is out with 12 open access articles. My editorial calls for action against predatory publishers.