Model Integration: Can Understanding Biopsychosocial Gut-Brain Axis Mechanistic Pathways Improve our Clinical Reasoning in Primary Care?

Autor: Ford SH; UNCG School of Nursing, 237 McIver Street, Greensboro, NC 27402., Hodges EA; UNC School of Nursing, Carrington Hall CB#7460, Chapel Hill 27516., Thoyre S; UNC School of Nursing, Carrington Hall CB#7460, Chapel Hill 27516., Baker M; UNC School of Nursing, Carrington Hall CB#7460, Chapel Hill 27516., Bartlett TR; The University of Alabama Capstone College of Nursing, Box 870358, Tuscaloosa, Alabama 35487.
Jazyk: angličtina
Zdroj: The journal for nurse practitioners : JNP [J Nurse Pract] 2021 Nov-Dec; Vol. 17 (10), pp. 1208-1213. Date of Electronic Publication: 2021 Nov 08.
DOI: 10.1016/j.nurpra.2021.09.009
Abstrakt: Introduction: Most NPs practice in primary care settings. Cognitive tools to inform and advance NP understanding of biopsychosocial mechanisms can support early recognition, interdisciplinary collaboration, interventions, and prevention of negative outcomes.
Theory and Methods: We describe the development of a model to support NP consideration of gut-brain axis (GBA) evidence-based pathways, contributing variables, and related health outcomes.
Results: The model's outcomes are factors associated with homeostasis or disruption of biological, psychological, and social systems.
Discussion/conclusion: This cognitive tool aims to support NP awareness of multi-domain GBA relationships to consider with differential diagnoses and clinical treatment of the "whole body system".
Databáze: MEDLINE
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