6,136 results
Search Results
2. Freehand drawing activity: a comparison between tablet-finger vs paper&crayon throughout time.
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Paule Ruiz, MPuerto, Sánchez Santillán, Miguel, and Pérez-Pérez, Juan Ramón
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MOBILE apps , *MOTOR ability , *PORTABLE computers , *GRAPHIC arts , *PHYSIOLOGICAL adaptation , *DATA analysis , *RESEARCH funding , *DRAWING , *CLINICAL trials , *INTERVIEWING , *DESCRIPTIVE statistics , *CHI-squared test , *CREATIVE ability , *TEACHERS , *ONLINE education , *COLLEGE teacher attitudes , *ANALYSIS of variance , *STATISTICS , *COMPARATIVE studies , *VISUAL perception , *DATA analysis software , *CHILDREN - Abstract
The apps for drawing are present in our children's life. Nevertheless, little is known about the impact of mobile technology on the freehand drawing educational activity. There are few works which are contextualised within short periods of time, with teachers who are not theirs and, in some cases, outside the children's classroom. In this paper, we are focussed on the use of technology on freehand drawing activity. Thus, we have compared the graphics produced by 4- and 5-year-old children with paper&crayon in comparison with those with tablet-finger. Children made the drawings during a planned free-drawing activity, in their ordinary classrooms, with their teachers and during five sessions. Assessment of drawings has evidenced tablet feasibility for making graphics. Nevertheless, with the passing of time, quality of graphics (tablet-finger vs paper&crayons), are nearly matched, demonstrating the low impact level technology has on this activity. In addition, if drawings are analysed specifically according to ages, results have shown that both groups have to develop adaptation strategies of visual perceptual skills and fine motor skills for the touch screen in order to obtain the same quality in the drawings made on both support types. [ABSTRACT FROM AUTHOR]
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- 2024
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3. SAGES White Paper on the importance of diversity in surgical leadership: creating the fundamentals of leadership development (FLD) curriculum.
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Shao, Jenny M., Bingener, Juliane, Alimi, Yewande, Puri, Ruchir, McHugh, Kim, Gomez-Garibello, Carlos, Shim, Joon K., Collins, Courtney, Sylla, Patricia, and Qureshi, Alia P.
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CURRICULUM evaluation , *NONPROFIT organizations , *DIVERSITY & inclusion policies , *PHILOSOPHY of education , *MEETINGS , *RESEARCH funding , *LEADERSHIP , *WORK environment , *MEDICAL care , *NEGOTIATION , *CONFLICT (Psychology) , *QUESTIONNAIRES , *LEARNING , *GOAL (Psychology) , *PROBLEM solving , *TEACHING methods , *OPERATIVE surgery , *SURVEYS , *PROFESSIONS , *CURRICULUM planning , *PROBLEM-based learning , *COMMUNICATION , *ONLINE education , *CONCEPTUAL structures , *MEDICAL practice , *HEALTH care teams , *PROFESSIONAL competence , *GROUP process , *COMMITTEES - Abstract
Background: The Society of American Gastrointestinal and Endoscopic Surgeons (SAGES) has long recognized and championed increasing diversity within the surgical workplace. SAGES initiated the Fundamentals of Leadership Development (FLD) Curriculum to address these needs and to provide surgeon leaders with the necessary tools and skills to promote diversity, equity, and inclusion (DEI) in surgical practice. In 2019, the American College of Surgeons issued a request for anti-racism initiatives which lead to the partnering of the two societies. The primary goal of FLD was to create the first surgeon-focused leadership curriculum dedicated to DEI. The rationale/development of this curriculum and its evaluation/feedback methods are detailed in this White Paper. Methods: The FLD curriculum was developed by a multidisciplinary task force that included surgeons, education experts, and diversity consultants. The curriculum development followed the Analysis, Design, Development, Implementation and Evaluation (ADDIE) instructional design model and utilized a problem-based learning approach. Competencies were identified, and specific learning objectives and assessments were developed. The implementation of the curriculum was designed to be completed in short intervals (virtual and in-person). Post-course surveys used the Kirkpatrick's model to evaluate the curriculum and provide valuable feedback. Results: The curriculum consisted of interactive online modules, an online discussion forum, and small group interactive sessions focused in three key areas: (1) increasing pipeline of underrepresented individuals in surgical leadership, (2) healthcare equity, and (3) conflict negotiation. By focusing on positive action items and utilizing a problem-solving approach, the curriculum aimed to provide a framework for surgical leaders to make meaningful changes in their institutions and organizations. Conclusion: The FLD curriculum is a novel leadership curriculum that provided surgeon leaders with the knowledge and tools to improve diversity in three areas: pipeline improvement, healthcare equity, and conflict negotiation. Future directions include using pilot course feedback to enhance curricular effectiveness and delivery. [ABSTRACT FROM AUTHOR]
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- 2024
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4. Dissemination effect of data papers on scientific datasets.
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Jiao, Hong, Qiu, Yuhong, Ma, Xiaowei, and Yang, Bo
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PROFESSIONAL peer review , *PUBLISHING , *ONLINE information services , *SERIAL publications , *NATURAL language processing , *CONTENT mining , *CITATION analysis , *INFORMATION resources , *RESEARCH funding , *MEDLINE , *MEDICAL research - Abstract
Open data as an integral part of the open science movement enhances the openness and sharing of scientific datasets. Nevertheless, the normative utilization of data journals, data papers, scientific datasets, and data citations necessitates further research. This study aims to investigate the citation practices associated with data papers and to explore the role of data papers in disseminating scientific datasets. Dataset accession numbers from NCBI databases were employed to analyze the prevalence of data citations for data papers from PubMed Central. A dataset citation practice identification rule was subsequently established. The findings indicate a consistent growth in the number of biomedical data journals published in recent years, with data papers gaining attention and recognition as both publications and data sources. Although the use of data papers as citation sources for data remains relatively rare, there has been a steady increase in data paper citations for data utilization through formal data citations. Furthermore, the increasing proportion of datasets reported in data papers that are employed for analytical purposes highlights the distinct value of data papers in facilitating the dissemination and reuse of datasets to support novel research. [ABSTRACT FROM AUTHOR]
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- 2024
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5. From plagiarism to scientific paper mills: a profile of retracted articles within the SciELO Brazil collection.
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Santos-d'Amorim, Karen, Wang, Ting, Lund, Brady, and Macedo Dos Santos, Raimundo Nonato
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DATABASES , *CORRUPTION , *PUBLISHING , *PLAGIARISM , *SERIAL publications , *MANUFACTURING industries , *BIBLIOGRAPHIC databases , *BIBLIOMETRICS , *ORGANIZATIONAL behavior , *BIBLIOGRAPHY , *FRAUD , *ELECTRONIC publishing , *CITATION analysis , *BIBLIOGRAPHICAL citations , *RESEARCH funding , *MEDICAL literature - Abstract
This paper investigates retracted articles indexed in the Scientific Electronic Library Online (SciELO) Brazil, using bibliometric techniques to identify the characteristics of these retractions and relevant citation trends. All records of retracted articles from the first record in October 2004 to April 2022 were included. Sixty-seven retractions and 870 citations pre- and post-retraction were analyzed. Results indicate a change of scenario that began in 2015, with recurrences of retracted articles allegedly produced by paper mills. The prevalence of retractions derived from professional misconduct in health research and the frequency of post-retraction citations in health sciences raise concerns in the chain of stakeholders, public health, and scientific development. [ABSTRACT FROM AUTHOR]
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- 2024
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6. Wellbeing Outcomes and Risk and Protective Factors for Parents with Migrant and Refugee Backgrounds from the Middle East in the First 1000 Days: A Systematic Review.
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Winter, Amelia Kate, Due, Clemence, and Ziersch, Anna
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MENTAL illness risk factors ,MENTAL illness prevention ,ANXIETY prevention ,PREVENTION of mental depression ,RISK assessment ,MEDICAL information storage & retrieval systems ,EMIGRATION & immigration ,HEALTH services accessibility ,INFANT development ,HEALTH attitudes ,HEALTH status indicators ,RESEARCH funding ,PSYCHOLOGICAL distress ,MATERNAL health services ,PSYCHOLOGY of refugees ,MOTHERS ,CHILD health services ,PARENT attitudes ,POSTPARTUM depression ,HELP-seeking behavior ,DESCRIPTIVE statistics ,DISEASE prevalence ,LONELINESS ,PARENTING ,FAMILY roles ,FAMILIES ,PREGNANCY outcomes ,POPULATION geography ,EXPERIENCE ,SYSTEMATIC reviews ,MEDLINE ,THEMATIC analysis ,MIGRANT labor ,CHILD development ,PATIENT-professional relations ,PSYCHOLOGY of parents ,ONLINE information services ,SOCIAL support ,PATIENT satisfaction ,PSYCHOSOCIAL factors ,WELL-being ,PSYCHOLOGY information storage & retrieval systems ,MENTAL depression ,SOCIAL isolation ,COMMUNICATION barriers ,COVID-19 pandemic ,PREGNANCY - Abstract
The First 1000 Days (the period from conception to a child's second birthday) is an important developmental period. However, little is known about experiences of parents with refugee and migrant backgrounds during this period. A systematic review was conducted according to PRISMA guidelines. Publications were identified through searches of the Embase, PsycINFO, PubMed, and Scopus databases, critically appraised, and synthesised using thematic analysis. A total of 35 papers met inclusion criteria. Depressive symptomatology was consistently higher than global averages, however maternal depression conceptualisations differed across studies. Several papers reported changes in relationship dynamics as a result of having a baby post-migration. Consistent relationships were found between social and health support and wellbeing. Conceptualisations of wellbeing may differ among migrant families. Limited understanding of health services and relationships with health providers may impede help-seeking. Several research gaps were identified, particularly in relation to the wellbeing of fathers, and of parents of children over 12 months old. [ABSTRACT FROM AUTHOR]
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- 2024
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7. FoxO1 knockdown inhibits RANKL‐induced osteoclastogenesis by blocking NLRP3 inflammasome activation.
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Wang, Zhanqi, Luo, Wenxin, Zhang, Guorui, Li, Haiyun, Zhou, Feng, Wang, Dongyang, Feng, Xuan, Xiong, Yi, and Wu, Yingying
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NF-kappa B ,BIOLOGICAL models ,PAPER chromatography ,RESEARCH funding ,CARRIER proteins ,BONE growth ,POLYMERASE chain reaction ,ENZYME-linked immunosorbent assay ,TRANSCRIPTION factors ,CELLULAR signal transduction ,FLUORESCENT antibody technique ,MICE ,STATE-Trait Anxiety Inventory ,GENES ,OSTEOCLASTS ,ANIMAL experimentation ,WESTERN immunoblotting ,GENETIC techniques ,PERIODONTITIS ,SIGNAL peptides ,MEMBRANE proteins ,TUMOR necrosis factors ,SEQUENCE analysis ,PHENOTYPES - Abstract
Objectives: This study aimed to elucidate the connection between osteoclastic forkhead transcription factor O1 (FoxO1) and periodontitis and explore the underlying mechanism by which FoxO1 knockdown regulates osteoclast formation. Materials and Methods: A conventional ligature‐induced periodontitis model was constructed to reveal the alterations in the proportion of osteoclastic FoxO1 in periodontitis via immunofluorescence staining. Additionally, RNA sequencing (RNA‐seq) was performed to explore the underlying mechanisms of FoxO1 knockdown‐mediated osteoclastogenesis, followed by western blotting, quantitative polymerase chain reaction, and enzyme‐linked immunosorbent assay. Results: FoxO1+ osteoclasts were enriched in the alveolar bone in experimental periodontitis. Moreover, FoxO1 knockdown led to impaired osteoclastogenesis with low expression of osteoclast differentiation‐related genes, accompanied by an insufficient osteoclast maturation phenotype. Mechanistically, RNA‐seq revealed that the nuclear factor kappa B (NF‐κB) and nucleotide‐binding oligomerization domain‐like receptor family pyrin domain containing 3 (NLRP3) inflammasome signaling pathways were inhibited in FoxO1‐knockdown osteoclasts. Consistent with this, MCC950, an effective inhibitor of the NLRP3 inflammasome, substantially attenuated osteoclast formation. Conclusions: FoxO1 knockdown contributed to the inhibition of osteoclastogenesis by effectively suppressing NF‐κB signaling and NLRP3 inflammasome activation. This prospective study reveals the role of FoxO1 in mediating osteoclastogenesis and provides a viable therapeutic target for periodontitis treatment. [ABSTRACT FROM AUTHOR]
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- 2024
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8. A Validity Study of the Digitized Version of the Rapid Automatized Naming Test.
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Kim, Sohyun An, Gotlieb, Rebecca, Rhinehart, Laura V., Pedroza, Veronica, and Wolf, Maryanne
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DIGITAL technology ,READING ,RESEARCH funding ,PHONOLOGICAL awareness ,READABILITY (Literary style) ,DYSLEXIA ,RESEARCH methodology evaluation ,DESCRIPTIVE statistics ,WORD processing ,COMPARATIVE studies - Abstract
Rapid automatized naming (RAN) is a powerful predictor of reading fluency, and many digitized dyslexia screeners include RAN as an essential component. However, the validity of digitized RAN has not been established. Using a sample of 174 second-graders, this study tested (1) the comparability between paper and digitized versions of RAN and (2) the validity of the digitized version. We found that paper and digital versions were highly correlated, and such correlation was consistent across students' reading levels. Further, the digital RAN predicted children's word reading proficiency as well as the paper version. Moreover, the constructs measured by paper and digital versions of RAN were comparable. We conclude that the digitized RAN is a valid alternative to the traditional paper version for this age group. [ABSTRACT FROM AUTHOR]
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- 2024
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9. A systematic review of contaminants in donor human milk.
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Thayagabalu, Sionika, Cacho, Nicole, Sullivan, Sandra, Smulian, John, Louis‐Jacques, Adetola, Bourgeois, Marie, Chen, Henian, Weerasuriya, Wasana, and Lemas, Dominick J.
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MEDICAL information storage & retrieval systems ,CRITICALLY ill ,PATIENTS ,FOOD consumption ,RESEARCH funding ,BREAST milk banks ,CINAHL database ,BREAST milk ,STAPHYLOCOCCUS aureus ,FOOD contamination ,SYSTEMATIC reviews ,MEDLINE ,BACTERIAL contamination ,ONLINE information services ,COMPARATIVE studies ,CHILDREN - Abstract
Donor human milk (DHM) from a milk bank is the recommended feeding method for preterm infants when the mother's own milk (MOM) is not available. Despite this recommendation, information on the possible contamination of donor human milk and its impact on infant health outcomes is poorly characterised. The aim of this systematic review is to assess contaminants present in DHM samples that preterm and critically ill infants consume. The data sources used include PubMed, EMBASE, CINAHL and Web of Science. A search of the data sources targeting DHM and its potential contaminants yielded 426 publications. Two reviewers (S. T. and D. L.) conducted title/abstract screening through Covidence software, and predetermined inclusion/exclusion criteria yielded 26 manuscripts. Contaminant types (bacterial, chemical, fungal, viral) and study details (e.g., type of bacteria identified, study setting) were extracted from each included study during full‐text review. Primary contaminants in donor human milk included bacterial species and environmental pollutants. We found that bacterial contaminants were identified in 100% of the papers in which bacterial contamination was sought (16 papers) and 61.5% of the full data set (26 papers), with the most frequently identified genera being Staphylococcus (e.g., Staphylococcus aureus and coagulase‐negative Staphylococcus) and Bacillus (e.g., Bacillus cereus). Chemical pollutants were discovered in 100% of the papers in which chemical contamination was sought (eight papers) and 30.8% of the full data set (26 papers). The most frequently identified chemical pollutants included perfluoroalkyl substances (six papers), toxic metal (one paper) and caffeine (one paper). Viral and fungal contamination were identified in one paper each. Our results highlight the importance of establishing standardisation in assessing DHM contamination and future studies are needed to clarify the impact of DHM contaminants on health outcomes. Key messages: Research regarding chemical contamination in donor human milk (DHM) is limited and needs to be studied further to draw appropriate conclusions on reducing potential risks for infants.Parents/guardians should be educated on the availability of DHM as a supplemental feeding option and made aware of the current research in the field.DHM use requires further standardisation both within the United States and abroad. This standardisation should ensure that risks are not overemphasised and DHM is a cost‐effective, accessible resource as a short‐term intervention when used appropriately as part of optimal lactation and breastfeeding support. [ABSTRACT FROM AUTHOR]
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- 2024
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10. Non-fungible tokens (NFTs) in healthcare: a thematic analysis and research agenda.
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Sibanda, Khulekani, Ndayizigamiye, Patrick, and Twinomurinzi, Hossana
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DATA security ,PERSONAL property ,MEDICAL informatics ,DATABASE management ,RESEARCH funding ,DIGITAL health ,RESEARCH evaluation ,PRIVACY ,MEDICAL supplies ,SUPPLY chains ,SOFTWARE analytics ,BLOCKCHAINS ,THEMATIC analysis ,SYSTEMATIC reviews ,PRIORITY (Philosophy) ,COMMUNICATION ,INFORMATION retrieval ,HEALTH information systems ,MEDICAL ethics ,ACCESS to information - Abstract
Introduction: In the big data era, where corporations commodify health data, non-fungible tokens (NFTs) present a transformative avenue for patient empowerment and control. NFTs are unique digital assets on the blockchain, representing ownership of digital objects, including health data. By minting their data as NFTs, patients can track access, monetize its use, and build secure, private health information systems. However, research on NFTs in healthcare is in its infancy, warranting a comprehensive review. Methods: This study conducted a systematic literature review and thematic analysis of NFTs in healthcare to identify use cases, design models, and key challenges. Five multidisciplinary research databases (Scopus, Web of Science, Google Scholar, IEEE Explore, Elsevier Science Direct) were searched. The approach involved four stages: paper collection, inclusion/exclusion criteria application, screening, full-text reading, and quality assessment. A classification and coding framework was employed. Thematic analysis followed six steps: data familiarization, initial code generation, theme searching, theme review, theme definition/naming, and report production. Results: Analysis of 19 selected papers revealed three primary use cases: patientcentric data management, supply chain management for data provenance, and digital twin development. Notably, most solutions were prototypes or frameworks without real-world implementations. Four overarching themes emerged: data governance (ownership, tracking, privacy), data monetization (commercialization, incentivization, sharing), data protection, and data storage. The focus lies on user-controlled, private, and secure health data solutions. Additionally, data commodification is explored, with mechanisms proposed to incentivize data maintenance and sharing. NFTs are also suggested for tracking medical products in supply chains, ensuring data integrity and provenance. Ethereum and similar platforms dominate NFT minting, while compact NFT storage options are being explored for faster data access. Conclusion: NFTs offer significant potential for secure, traceable, decentralized healthcare data exchange systems. However, challenges exist, including dependence on blockchain, interoperability issues, and associated costs. The review identified research gaps, such as developing dual ownership models and data pricing strategies. Building an open standard for interoperability and adoption is crucial. The scalability, security, and privacy of NFT-backed healthcare applications require further investigation. Thus, this study proposes a research agenda for adopting NFTs in healthcare, focusing on governance, storage models, and perceptions. [ABSTRACT FROM AUTHOR]
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- 2024
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11. Approaches to the identification and management of depression in people living with chronic kidney disease: A scoping review of 860 papers.
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Pearce, Christina J., Hall, Natalie, Hudson, Joanna L., Farrington, Ken, Tucker, Madeleine J. Ryan, Wellsted, David, Jones, Julia, Sharma, Shivani, Norton, Sam, Ormandy, Paula, Palmer, Nick, Quinnell, Anthony, Fitzgerald, Lauren, Griffiths, Sophie, and Chilcot, Joseph
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CHRONIC kidney failure complications ,DIAGNOSIS of mental depression ,PSYCHOLOGY information storage & retrieval systems ,MEDICAL databases ,MEDICAL information storage & retrieval systems ,SYSTEMATIC reviews ,SELF-evaluation ,MEDICAL screening ,PSYCHOLOGICAL tests ,MENTAL depression ,RESEARCH funding ,LITERATURE reviews ,MEDLINE ,DISEASE management ,COGNITIVE therapy ,ADULTS - Abstract
Background: Depression is prevalent across the spectrum of Chronic Kidney Disease and associated with poorer outcomes. There is limited evidence regarding the most effective interventions and care pathways for depression in Chronic Kidney Disease. Objectives: To investigate how depression is identified and managed in adults with Chronic Kidney Disease. Design: Scoping review. Methods: Systematic search of eight databases with pre‐defined inclusion criteria. Data relevant to the identification and/or management of depression in adults with Chronic Kidney Disease were extracted. Results: Of 2147 articles identified, 860 were included. Depression was most identified using self‐report screening tools (n = 716 studies, 85.3%), with versions of the Beck Depression Inventory (n = 283, 33.7%) being the most common. A total of 123 studies included data on the management of depression, with nonpharmacological interventions being more frequently studied (n = 55, 45%). Cognitive Behavioural Therapy (n = 15) was the most common nonpharmacological intervention, which was found to have a significant effect on depressive symptoms compared to controls (n = 10). However, how such approaches could be implemented as part of routine care was not clear. There was limited evidence for antidepressants use in people with Chronic Kidney Disease albeit in a limited number of studies. Conclusions: Depression is commonly identified using validated screening tools albeit differences exist in reporting practices. Evidence regarding the management of depression is mixed and requires better‐quality trials of both pharmacological and nonpharmacological approaches. Understanding which clinical care pathways are used and their evidence, may help facilitate the development of kidney care specific guidelines for the identification and management of depression. [ABSTRACT FROM AUTHOR]
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- 2024
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12. What and when to debrief: a scoping review examining interprofessional clinical debriefing.
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Paxino, Julia, Szabo, Rebecca A., Marshall, Stuart, Story, David, and Molloy, Elizabeth
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INTERDISCIPLINARY education ,TERMS & phrases ,INTERPROFESSIONAL relations ,RESEARCH funding ,CINAHL database ,DESCRIPTIVE statistics ,SIMULATION methods in education ,SYSTEMATIC reviews ,MEDLINE ,LITERATURE reviews ,CONCEPTUAL structures ,ONLINE information services ,POSTOPERATIVE period ,ERIC (Information retrieval system) ,PSYCHOLOGY information storage & retrieval systems - Abstract
Introduction Clinical debriefing (CD) improves teamwork and patient care. It is implemented across a range of clinical contexts, but delivery and structure are variable. Furthermore, terminology to describe CD is also inconsistent and often ambiguous. This variability and the lack of clear terminology obstructs understanding and normalisation in practice. This review seeks to examine the contextual factors relating to different CD approaches with the aim to differentiate them to align with the needs of different clinical contexts. Methods Articles describing CD were extracted from Medline, CINAHL, ERIC, PubMed, PsychINFO and Academic Search Complete. Empirical studies describing CD that involved two or more professions were eligible for inclusion. Included papers were charted and analysed using the Who-What-When-Where-Why-How model to examine contextual factors which were then used to develop categories of CD. Factors relating to what prompted debriefing and when debriefing occurred were used to differentiate CD approaches. Results Forty- six papers were identified. CD was identified as either prompted or routine, and within these overarching categories debriefing was further differentiated by the timing of the debrief. Prompted CD was either immediate or delayed and routine CD was postoperative or end of shift. Some contextual factors were unique to each category while others were relatively heterogeneous. These categories help clarify the alignment between the context and the intention of CD. Conclusions The proposed categories offer a practical way to examine and discuss CD which may inform decisions about implementation. By differentiating CD according to relevant contextual factors, these categories may reduce confusion which currently hinders discourse and implementation. The findings from this review promote context-specific language and a shift away from conceptions of CD that embody a one-size-fits-all approach. [ABSTRACT FROM AUTHOR]
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- 2024
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13. Community initiatives for well‐being in the United Kingdom and their role in developing social capital and addressing loneliness: A scoping review.
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Tierney, Stephanie, Rowe, Rosie, Connally, Emily L, Roberts, Nia W, Mahtani, Kamal R, and Gorenberg, Jordan
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WELL-being ,CINAHL database ,MEDICAL information storage & retrieval systems ,SOCIAL support ,SYSTEMATIC reviews ,SOCIAL capital ,COMMUNITY support ,MENTAL health ,SOCIAL isolation ,LONELINESS ,DESCRIPTIVE statistics ,INTERPERSONAL relations ,RESEARCH funding ,SOCIAL attitudes ,LITERATURE reviews ,MEDLINE ,SOCIAL skills ,TRUST - Abstract
Introduction: Loneliness can have a negative impact on people's physical and psychological well‐being; building social capital is a potential means of addressing this connection. Community initiatives (e.g. groups, clubs, neighbourhood activities) may be a route that enables people to build social capital to tackle loneliness. Understanding what is known, and where gaps in knowledge exist, is important for advancing research on this topic. Methods: A scoping review was undertaken to explore the question – What community initiatives, with a focus on well‐being, have been evaluated in the United Kingdom that include information about social capital and loneliness? Four databases (Medline, CINAHL, ASSIA and Embase) were searched for relevant research papers. References were screened by two researchers to identify if they met the review's inclusion criteria. Data were summarised as a narrative and in tables. Results: Five papers met the review's inclusion criteria. They all used qualitative methods. Findings suggested that social capital could be developed through creating a sense of trust, group cohesion and reciprocity among participants in the community initiatives. This connection enabled people to experience a sense of belonging and to feel they had a meaningful relationship with others, which appeared to alleviate feelings of loneliness. Conclusion: More research is warranted on the review topic, including studies that have employed quantitative or mixed methods. Clarity around definitions of social capital and loneliness in future research is required. Engagement with community initiatives can provide a formalised route to help people develop connections and counteract limitations in their social networks. However, individuals may be wary about attending community initiatives, needing support and encouragement to do so. Social prescribing link workers are one means of motivating people to access groups, events or organisations that could improve their well‐being. [ABSTRACT FROM AUTHOR]
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- 2024
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14. A systematic review of literature examining the application of a social model of health and wellbeing.
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Rahman, Rachel, Reid, Caitlin, Kloer, Philip, Henchie, Anna, Thomas, Andrew, and Zwiggelaar, Reyer
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HOLISTIC medicine ,HEALTH status indicators ,OCCUPATIONAL achievement ,INTERPROFESSIONAL relations ,RESEARCH funding ,MEDICAL care ,CINAHL database ,DESCRIPTIVE statistics ,ATTITUDE (Psychology) ,SYSTEMATIC reviews ,MEDLINE ,MATHEMATICAL models ,CONCEPTUAL structures ,THEORY ,CHANGE ,STAKEHOLDER analysis ,SOCIAL support ,QUALITY assurance ,WELL-being ,PSYCHOLOGY information storage & retrieval systems - Abstract
Background Following years of sustained pressure on the UK health service, there is recognition amongst health professionals and stakeholders that current models of healthcare are likely to be inadequate going forward. Therefore, a fundamental review of existing social models of healthcare is needed to ascertain current thinking in this area, and whether there is a need to change perspective on current thinking. Method Through a systematic research review, this paper seeks to address how previous literature has conceptualized a social model of healthcare and, how implementation of the models has been evaluated. Analysis and data were extracted from 222 publications and explored the country of origin, methodological approach, and the health and social care contexts which they were set. Results The publications predominantly drawn from the USA, UK, Australia, Canada and Europe identified five themes namely: the lack of a clear and unified definition of a social model of health and wellbeing; the need to understand context; the need for cultural change; improved integration and collaboration towards a holistic and person-centred approach; measuring and evaluating the performance of a social model of health. Conclusion The review identified a need for a clear definition of a social model of health and wellbeing. Furthermore, consideration is needed on how a model integrates with current models and whether it will act as a descriptive framework or, will be developed into an operational model. The review highlights the importance of engagement with users and partner organizations in the co-creation of a model of healthcare. [ABSTRACT FROM AUTHOR]
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- 2024
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15. Organizational Support for Nurses' Career Planning and Development: A Scoping Review.
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Kallio, Hanna, Liljeroos, Hanna, Koivunen, Marita, Kuusisto, Anne, Hult, Marja, and Kangasniemi, Mari
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CORPORATE culture ,RESEARCH funding ,NURSING career counseling ,CINAHL database ,SYSTEMATIC reviews ,MEDLINE ,LITERATURE reviews ,SOCIAL support ,ONLINE information services ,VOCATIONAL guidance - Abstract
Aim. To systematically map and identify key knowledge on organizational support for nurses' career planning and development. Design. Scoping review. Methods. Systematic electronic searches were carried out with the CINAHL, PubMed, Scopus, and Web of Science databases in May 2022. The searches were limited to scientific, peer-review papers that were published in English from January 2012 to May 2022. Data were extracted and synthetized and are presented in tables and text. The review was conducted following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Results. We identified 1,400 papers and 28 met the inclusion criteria. Organizations recognized nurses' career planning and development in relation to the individual's professional development and the organization's need to promote high-quality services and workforce engagement. The organizational support included strategic work to ensure there were adequate resources and purposeful vacancies and a structured framework based on objective qualification criteria and equal assessment. Organizations focused on sharing knowledge, structured career planning, and interpersonal support. Support within the nursing profession and multilayered interprofessional collaboration were also important. Conclusion. Nurses' career planning and development was linked to their personal development and the organization's aims and required support from both fellow nurses and other professionals. Implications for the Nursing Management. Identifying the organizational structures and methods that are needed to support nurses' career planning and development can help nursing management to evaluate and develop strategies that improve the attractiveness of a nursing career and nurses' engagement. [ABSTRACT FROM AUTHOR]
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- 2024
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16. Psychosocial impacts of being nil‐by‐mouth as an adult: A scoping review.
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Hepper, Elizabeth C., Wilson, John, Drinnan, Michael, and Patterson, Joanne M.
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PREPROCEDURAL fasting ,MEDICAL information storage & retrieval systems ,EVIDENCE gaps ,PSYCHOLOGICAL distress ,RESEARCH funding ,CINAHL database ,SOCIAL factors ,QUESTIONNAIRES ,DESCRIPTIVE statistics ,SYSTEMATIC reviews ,MEDLINE ,BURDEN of care ,EATING disorders ,SURVEYS ,QUALITY of life ,NUTRITIONAL status ,PSYCHOLOGY of caregivers ,AFFECT (Psychology) ,FASTING ,PSYCHOLOGY information storage & retrieval systems ,CAREGIVER attitudes ,SOCIAL isolation ,EVALUATION ,ADULTS - Abstract
Aim: To map existing evidence and identify gaps in the literature concerning psychosocial impacts of being nil by mouth (NBM) as an adult. Design: A scoping review of the literature was undertaken using JBI guidance. A protocol was registered on the Open Science Framework (osf.io/43g9y). Reporting was guided by Preferred Reporting Items for Systematic Reviews and Meta‐Analysis extension for Scoping Reviews (PRISMA‐ScR). Methods: A comprehensive search of six databases (CINAHL, Embase, MEDLINE, PsycINFO, SCOPUS and Web of Science) was performed for studies published up to February 2023, with no restriction to study type. A scope of the grey literature was also undertaken. Two authors independently assessed eligibility and extracted data. Descriptive statistical analysis and narrative synthesis were used, and patient and public involvement included in funding discussions. Results: A total of 23 papers were included in the review, consisting of 14 primary studies (7 qualitative and 7 quantitative) and 9 grey literature. Both global psychological distress and distress specific to being NBM (thirst, missing food and drink) were reported. Caregivers also experience distress from their family member being NBM. Furthermore, social impacts were reported for both patient and caregiver, primarily social isolation and subsequent low mood. Conclusion: Furthermore, research is needed to understand the prevalence of this population, how best to measure psychosocial impacts and to explore whether (and how) psychosocial impacts change over time. Advancement in this area would enable better service development to optimize care for this patient group. What is known about this topic?: Eating and drinking provides more than nutrition and hydration.A wide range of conditions can lead to recommendations for no longer eating and drinking (nil by mouth).Being nil by mouth (NBM) for short periods such as pre‐operative fasting causes distress; however, little is understood about impact on longer‐term abstinence from eating and drinking. What this paper adds?: Psychosocial consequences of being nil by mouth (NBM)have been investigated by both quantitative and qualitative studies.Being NBM impacts both patients and caregivers in various psychosocial aspects, including distress and social isolation.Several gaps remain, however, regarding ways to measure psychosocial impact of being NBM. [ABSTRACT FROM AUTHOR]
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- 2024
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17. Evaluation of Public Involvement in Doctoral Research Using a Four‐Dimensional Theoretical Framework.
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Teodorowski, Piotr, Tahir, Naheed, and Ahmed, Saiqa
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PATIENT selection ,SOCIAL media ,RESEARCH funding ,HUMAN research subjects ,INTERVIEWING ,DATA analytics ,COMMUNITIES ,EXPERIMENTAL design ,CONCEPTUAL structures ,MEDICAL research ,RESEARCH methodology ,ORGANIZATIONAL change ,PATIENT participation ,COVID-19 pandemic - Abstract
Background: Working together and co‐production with public advisors have become popular among health researchers. This practice extends to doctoral researchers who involve public advisors at different stages of their research or throughout their doctoral journey. Objective: A doctoral researcher and two public advisors jointly evaluated public involvement in doctoral research. Methods: Using the established public involvement evaluation framework by Gibson and colleagues, public advisors and a doctoral researcher mapped and evaluated their experiences of public involvement in doctoral research. The four‐dimensional framework allowed the authors to reflect on (1) the strength of the public voice, (2) the number of ways in which public advisors had an opportunity to get involved, (3) whether the discussion was about the public or organisation's (doctoral researcher, university or funder) concerns and (4) if the organisation changed or resisted feedback. Results are presented in a diagrammatic and narrative way. Results: Public advisors saw themselves as having a stronger voice in doctoral research than the doctoral researcher perceived. All agreed that there existed multiple ways for public advisors to be involved. Public advisors' feedback was taken on board, but it was also limited due to restrictions of what the doctoral programme allowed. Conclusion: Public advisors ensured that the doctoral research was more relevant to the public. The ongoing involvement also shaped the doctoral researcher's thinking and views. Patient and Public Involvement: Two public advisors were involved throughout the 3 years of this doctoral research. They co‐evaluated this involvement and are co‐authors of this paper. [ABSTRACT FROM AUTHOR]
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- 2024
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18. Extending higher education recognition programs through a dedicated post-award reflective practice tool.
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Swiatek, Lukasz, Ducasse, Ana Maria, Coburn, Jennifer, Northcote, Maria, and Samarawickrema, Nirma
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OCCUPATIONAL achievement ,SCHOLARSHIPS ,RESEARCH funding ,QUALITATIVE research ,MEETINGS ,EMPLOYMENT portfolios ,LONGITUDINAL method ,PROFESSIONAL employee training ,STAKEHOLDER analysis - Abstract
Higher education professional recognition programs, which lead to the awarding of such accolades as teaching and learning fellowships, offer participants opportunities to reflect carefully on their practice. However, few resources exist to help participants engage in reflection after the award-receiving stage. This reflection is important in helping participants not rest on their laurels and, instead, build on the practices for which they received recognition. Through a process of collaborative reflection, a group of fellowship-recipients, from different disciplines and higher education institutions, addressed this gap as stakeholder-participant-researchers by developing a transdisciplinary approach to undertaking post-award reflective practice. From this collaboration, a novel two-stage tool was developed using an iterative design methodology. The tool presented in this paper as the result of this research can be understood as a means of supporting self-paced, continued post-award reflective practice; the tool's first stage guides users through retrospective reflection, looking back on previous achievements, while the second stage leads users through anticipatory planning, looking towards the future, to achieve fresh goals. The tool thus deepens the reflective practice of recognition program awardees and supports their ongoing professional development. This paper reports on the development of this bespoke tool, which may be enacted in varied settings. [ABSTRACT FROM AUTHOR]
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- 2024
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19. Evaluating diabetes care in primary healthcare centers in Abuja, Nigeria: a cross-sectional formative assessment.
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Orji, Ikechukwu A., Baldridge, Abigail S., Ikechukwu-Orji, Mercy U., Banigbe, Bolanle, Eze, Nelson C., Chopra, Aashima, Omitiran, Kasarachi, Iyer, Guhan, Odoh, Deborah, Alex-Okoh, Morenike, Reng, Rifkatu, Hirschhorn, Lisa R., Huffman, Mark D., and Ojji, Dike B.
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DIAGNOSIS of diabetes ,TREATMENT of diabetes ,HEALTH services accessibility ,CROSS-sectional method ,MEDICAL protocols ,MEDICAL personnel ,RURAL health ,BLOOD sugar monitors ,MANAGEMENT information systems ,RESEARCH funding ,PRIMARY health care ,DESCRIPTIVE statistics ,RURAL health services ,ROUTINE diagnostic tests ,MEDICAL screening ,DRUGS ,DATA analysis software ,HEALTH information systems ,EQUIPMENT & supplies - Abstract
Introduction: Noncommunicable diseases (NCDs) are associated with high and rising burden of morbidity and mortality in sub-Saharan Africa, including Nigeria. Diabetes mellitus (DM) is among the leading causes of NCD-related deaths worldwide and is a foremost public health problem in Nigeria. As part of National policy, Nigeria has committed to implement the World Health Organization (WHO) Package of Essential Non-communicable Disease interventions for primary care. Implementing the intervention requires the availability of essential elements, including guidelines, trained staff, health management information systems (HMIS), equipment, and medications, in primary healthcare centers (PHCs). This study assessed the availability of the DM component of the WHO package, and the readiness of the health workers in these PHCs to implement a DM screening, evaluation, and management program to inform future adoption and implementation. Methods: This cross-sectional formative assessment adapted the WHO Service Availability and Readiness Assessment (SARA) tool to survey 30 PHCs selected by multistage sampling for readiness to deliver DM diagnosis and care in Abuja, Nigeria, between August and October 2021. The SARA tool was adapted to focus on DM services and the availability and readiness indicator scores were calculated based on the proportion of PHCs with available DM care services, minimum staff requirement, diagnostic tests, equipment, medications, and national guidelines/protocols for DM care within the defined SARA domain. Results: All 30 PHCs reported the availability of at least two full-time staff (median [interquartile range] = 5 [4–9]), which were mostly community health extension workers (median [interquartile range]) = 3 [1–4]. At least one staff member was recently trained in DM care in 11 PHCs (36%). The study also reported high availability of paper-based HMIS (100%), and DM screening services using a glucometer (87%), but low availability of DM job aids (27%), treatment (23%), and national guidelines/protocols (0%). Conclusion: This formative assessment of PHCs' readiness to implement a DM screening, evaluation, and management program in Abuja demonstrated readiness to integrate DM care into PHCs regarding equipment, paper-based HMIS, and nonphysician health workers' availability. However, strategies are needed to promote DM health workforce training, provide DM management guidelines, and supply essential DM medications. [ABSTRACT FROM AUTHOR]
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- 2024
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20. Supraspinatus extraction from MRI based on attention-dense spatial pyramid UNet network.
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Wang, Peng, Liu, Yang, and Zhou, Zhong
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SUPRASPINATUS muscles ,DEEP learning ,DIGITAL image processing ,ROTATOR cuff injuries ,COMPUTER-aided design ,MAGNETIC resonance imaging ,RETROSPECTIVE studies ,DESCRIPTIVE statistics ,RESEARCH funding ,DECISION making in clinical medicine ,COMPUTER-assisted image analysis (Medicine) ,SHOULDER - Abstract
Background: With potential of deep learning in musculoskeletal image interpretation being explored, this paper focuses on the common site of rotator cuff tears, the supraspinatus. It aims to propose and validate a deep learning model to automatically extract the supraspinatus, verifying its superiority through comparison with several classical image segmentation models. Method: Imaging data were retrospectively collected from 60 patients who underwent inpatient treatment for rotator cuff tears at a hospital between March 2021 and May 2023. A dataset of the supraspinatus from MRI was constructed after collecting, filtering, and manually annotating at the pixel level. This paper proposes a novel A-DAsppUnet network that can automatically extract the supraspinatus after training and optimization. The analysis of model performance is based on three evaluation metrics: precision, intersection over union, and Dice coefficient. Results: The experimental results demonstrate that the precision, intersection over union, and Dice coefficients of the proposed model are 99.20%, 83.38%, and 90.94%, respectively. Furthermore, the proposed model exhibited significant advantages over the compared models. Conclusion: The designed model in this paper accurately extracts the supraspinatus from MRI, and the extraction results are complete and continuous with clear boundaries. The feasibility of using deep learning methods for musculoskeletal extraction and assisting in clinical decision-making was verified. This research holds practical significance and application value in the field of utilizing artificial intelligence for assisting medical decision-making. [ABSTRACT FROM AUTHOR]
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- 2024
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21. Preliminary Screening of Per- and Polyfiuoroalkyl Substances (PFAS) in Philippine Fast Food Packaging using Liquid Chromatography-Mass Spectrometry (LC-MS).
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ENCARNACION, ELYSON KEITH PONCE, ALCANTARA, ANNE CARDOZA, ARMARIO, HAROLD ESPLANA, ALEJANDRO, WINNIE PAGADUAN, ZHAOQI ZHAN, ZHE SUN, and NG LIN
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RISK assessment ,LIQUID chromatography-mass spectrometry ,ENVIRONMENTAL monitoring ,RESTAURANTS ,RESEARCH funding ,CONVENIENCE foods ,FOOD packaging ,DESCRIPTIVE statistics ,POLLUTANTS ,ENVIRONMENTAL exposure ,DATA analysis software ,FLUOROCARBONS - Abstract
Per- and polyfiuoroalkyl substances (PFAS) on paper packaging resist water and oil to effectively contain food and beverages. However, previous studies have established correlations between PFAS and several diseases including COVID-19, cancers, and obesity. The goal of this collaborative research between the Philippines and Singapore is to set a baseline for PFAS levels in local packaging with the intended outcome of further increasing awareness on these contaminants in Southeast Asia, providing a starting point for migration experiments and risk assessments on PFAS in commercially-available food contact materials and articles, and initiating policy developments on these substances in the Philippines. In this study, 15 different types of PFAS were analyzed in selected paper packaging used by major quick service restaurants (QSRs) in Metro Manila. Using liquid chromatography-mass spectrometry (LC-MS), PFAS was detected in 100% of the samples with a total PFAS concentration range of 8.20-97.7 ng PFAS/100 cm². The highest amount of PFAS compound measured across all samples was PF-3,7-DMOA (89.8 ng/100 cm²). PFAS compounds regulated in European packaging such as PFHpA, PFOA, PFNA and PFDA were also detected in all samples but at trace levels. Paper wrappers for rice and small burgers were found to have the highest total PFAS of 97.7 ng PFAS/100 cm². This value translates to approximately 65.1 ng F/100 cm² which is way below 10,000 ng F/100 cm², the currently existing limit for PFAS in packaging set by the Danish Ministry of Environment and Food. While each packaging may be deemed safe compared to regulation, the compounded effects brought by use of multiple packaging, and high frequency and long-term exposures require further investigation. [ABSTRACT FROM AUTHOR]
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- 2024
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22. Exploring Whether and How People Experiencing High Deprivation Access Diagnostic Services: A Qualitative Systematic Review.
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Vincent, Christine, Fenge, Lee‐Ann, Porter, Sam, and Holland, Sharon
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HEALTH services accessibility ,MEDICAL care use ,MEDICAL information storage & retrieval systems ,HEALTH literacy ,NATIONAL health services ,DIAGNOSTIC services ,RESEARCH funding ,SOCIAL determinants of health ,HEALTH attitudes ,CINAHL database ,SOCIOECONOMIC factors ,RESPONSIBILITY ,EMOTIONS ,EXPERIENCE ,SYSTEMATIC reviews ,MEDLINE ,THEMATIC analysis ,MEDICAL databases ,CONCEPTUAL structures ,HEALTH equity ,PATIENT decision making ,MEDICAL screening ,MINORITIES ,SOCIAL isolation ,PATIENTS' attitudes ,PSYCHOLOGY information storage & retrieval systems ,SOCIAL stigma - Abstract
Introduction: To contribute to addressing diagnostic health inequalities in the United Kingdom, this review aimed to investigate determinants of diagnostic service use amongst people experiencing high deprivation in the United Kingdom. Methods: A systematic review was conducted using three databases (EBSCO, Web of Science and SCOPUS) to search studies pertaining to diagnostic service use amongst people experiencing high deprivation. Search terms related to diagnostics, barriers and facilitators to access and deprivation. Articles were included if they discussed facilitators and/or barriers to diagnostic service access, contained participants' direct perspectives and focussed on individuals experiencing high deprivation in the United Kingdom. Articles were excluded if the full text was unretrievable, only abstracts were available, the research did not focus on adults experiencing high deprivation in the United Kingdom, those not including participants' direct perspectives (e.g., quantitative studies) and papers unavailable in English. Results: Of 14,717 initial papers, 18 were included in the final review. Determinants were grouped into three themes (Beliefs and Behaviours, Emotional and Psychological Factors and Practical Factors), made up of 15 sub‐themes. These were mapped to a conceptual model, which illustrates that Beliefs and Behaviours interact with Emotional and Psychological Factors to influence Motivation to access diagnostic services. Motivation then influences and is influenced by Practical Factors, resulting in a Decision to Access or Not. This decision influences Beliefs and Behaviours and/or Emotional and Psychological Factors such that the cycle begins again. Conclusion: Decision‐making regarding diagnostic service use for people experiencing high deprivation in the United Kingdom is complex. The conceptual model illustrates this complexity, as well as the mediative, interactive and iterative nature of the process. The model should be applied in policy and practice to enable understanding of the factors influencing access to diagnostic services and to design interventions that address identified determinants. Patient or Public Contribution: Consulting lived experience experts was imperative in understanding whether and how the existing literature captures the lived experience of those experiencing high deprivation in South England. The model was presented to lived experience experts, who corroborated findings, highlighted significant factors for them and introduced issues that were not identified in the review. [ABSTRACT FROM AUTHOR]
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- 2024
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23. The elements of end-of-life care provision in paediatric intensive care units: a systematic integrative review.
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Adistie, Fanny, Neilson, Susan, Shaw, Karen L., Bay, Betul, and Efstathiou, Nikolaos
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MEDICAL information storage & retrieval systems ,GREY literature ,RESEARCH funding ,CINAHL database ,DECISION making ,DESCRIPTIVE statistics ,PEDIATRICS ,SYSTEMATIC reviews ,MEDLINE ,INTENSIVE care units ,TERMINAL care ,PSYCHOLOGY information storage & retrieval systems - Abstract
Background: Deaths in paediatric intensive care units (PICUs) are not uncommon. End-of-life care in PICUs is generally considered more challenging than other settings since it is framed within a context where care is focused on curative or life-sustaining treatments for children who are seriously ill. This review aimed to identify and synthesise literature related to the essential elements in the provision of end-of-life care in the PICU from the perspectives of both healthcare professionals (HCPs) and families. Methods: A systematic integrative review was conducted by searching EMBASE, CINAHL, MEDLINE, Nursing and Allied Health Database, PsycINFO, Scopus, Web of Science, and Google Scholar databases. Grey literature was searched via Electronic Theses Online Service (EthOS), OpenGrey, Grey literature report. Additionally, hand searches were performed by checking the reference lists of all included papers. Inclusion and exclusion criteria were used to screen retrieved papers by two reviewers independently. The findings were analysed using a constant comparative method. Results: Twenty-one studies met the inclusion criteria. Three elements in end-of-life care provision for children in the PICUs were identified: 1) Assessment of entering the end-of-life stage; 2) Discussion with parents and decision making; 3) End of life care processes, including care provided during the dying phase, care provided at the time of death, and care provided after death. Conclusion: The focus of end-of-life care in PICUs varies depending on HCPs' and families' preferences, at different stages such as during the dying phase, at the time of death, and after the child died. Tailoring end-of-life care to families' beliefs and rituals was acknowledged as important by PICU HCPs. This review also emphasises the importance of HCPs collaborating to provide the optimum end-of-life care in the PICU and involving a palliative care team in end-of-life care. [ABSTRACT FROM AUTHOR]
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- 2024
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24. Reflexive professionalisation in social work practice development, research, and education: the vital challenge of democratic citizen participation.
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Van Beveren, Laura, Feryn, Nele, Tourne, Juno, Lorenz, Walter, Roose, Rudi, Åberg, Isabella, Blomberg, Helena, Butler, Philomena, Čajko Eibicht, Monika, Caklová, Kateřina, Campbell, Jim, Donnelly, Sarah, Gallagher, Bláíthín, Havrdova, Zuzana, Kroll, Christian, Lindroos, Sanni, Machado, Idalina, Margarido, Helena, Melo, Sara, and Moreira, Andreia
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OCCUPATIONS ,PROFESSIONAL practice ,QUALITATIVE research ,RESEARCH funding ,SOCIAL services ,CONTENT analysis ,SOCIAL work education ,PROFESSIONAL identity ,SOCIAL work research ,THEMATIC analysis ,RESEARCH ,CASE studies ,HEALTH promotion ,HEALTH equity ,PATIENT participation ,POVERTY - Abstract
Copyright of European Journal of Social Work is the property of Routledge and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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- 2024
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25. Identification of methodological issues regarding direct impact indicators of COVID-19: a rapid scoping review on morbidity, severity and mortality.
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Garriga, Cesar, Valero-Gaspar, Teresa, Rodriguez-Blazquez, Carmen, Diaz, Asuncion, Bezzegh, Péter, Daňková, Šárka, Unim, Brigid, Palmieri, Luigi, Thiβen, Martin, Pentz, Richard, Cilović-Lagarija, Šeila, Jogunčić, Anes, Feteira-Santos, Rodrigo, Vuković, Jakov, Idavain, Jane, Curta, Anda, Sandu, Petru, Vinko, Matej, and Forjaz, Maria João
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MEDICAL information storage & retrieval systems ,HEALTH status indicators ,RESEARCH funding ,POPULATION health ,SEVERITY of illness index ,DESCRIPTIVE statistics ,SYSTEMATIC reviews ,MEDLINE ,MEDICAL research ,LITERATURE reviews ,ONLINE information services ,COVID-19 ,COVID-19 pandemic - Abstract
Background During the first epidemic wave, COVID-19 surveillance focused on quantifying the magnitude and the escalation of a growing global health crisis. The scientific community first assessed risk through basic indicators, such as the number of cases or rates of new cases and deaths, and later began using other direct impact indicators to conduct more detailed analyses. We aimed at synthesizing the scientific community's contribution to assessing the direct impact of the COVID-19 pandemic on population health through indicators reported in research papers. Methods We conducted a rapid scoping review to identify and describe health indicators included in articles published between January 2020 and June 2021, using one strategy to search PubMed, EMBASE and WHO COVID-19 databases. Sixteen experts from European public health institutions screened papers and retrieved indicator characteristics. We also asked in an online survey how the health indicators were added to and used in policy documents in Europe. Results After reviewing 3891 records, we selected a final sample of 67 articles and 233 indicators. We identified 52 (22.3%) morbidity indicators from 33 articles, 105 severity indicators (45.1%, 27 articles) and 68 mortality indicators (29.2%, 51). Respondents from 22 countries completed 31 questionnaires, and the majority reported morbidity indicators (29, 93.5%), followed by mortality indicators (26, 83.9%). Conclusions The indicators collated here might be useful to assess the impact of future pandemics. Therefore, their measurement should be standardized to allow for comparisons between settings, countries and different populations. [ABSTRACT FROM AUTHOR]
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- 2024
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26. Electronic adaptation and danish cross-cultural translation of PEmb-QoL and VEINES-QoL/Sym for patients with venous thromboembolism.
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Lindegaard, Stine Foged, Højen, Anette Arbjerg, and Rolving, Nanna
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FIELD research ,PULMONARY embolism ,HUMAN research subjects ,AGE distribution ,ACTIVITIES of daily living ,HEALTH surveys ,INTERVIEWING ,VENOUS thrombosis ,INFORMED consent (Medical law) ,SEX distribution ,QUESTIONNAIRES ,DESCRIPTIVE statistics ,RESEARCH funding ,JUDGMENT sampling - Abstract
Purpose: Most patient-reported outcome (PROs) used in thrombosis research and clinical practice are delivered using technology like online questionnaires. However, only few have undergone formal electronic adaptation from paper to digital versions, threatening the validity and reliability of the PROs. The present study aimed to perform an electronic adaption and cross-cultural translation of two PROs measuring health-related quality of life in a Danish cohort of patients with venous thrombosis (VTE), specifically the VEINES-QoL/Sym questionnaire and the PEmb-QoL questionnaire. Methods: The electronic adaption and cross-cultural translation processes followed the international guidelines recommended by ISPOR. The migration of the questionnaires from paper to electronic versions was conducted in the Research Electronic Data Capture (REDCap). Following approval of the electronically adapted and translated versions, a pretest of the questionnaires was performed by cognitive interviewing patients with VTE recruited from a hospital setting. Results: Nine men and ten women between the age of 19 and 73 years participated in cognitive interviews. The questionnaires were successfully adapted from paper to electronic versions, and during the migration process only a few modifications to the content and format were made. Most comments were related to technicalities, e.g. touch functions and checkboxes. The cross-cultural translation of both questionnaires was satisfactory, as only minor rephrasing was required. Conclusions: The original and Danish version of VEINES-QoL/Sym and PEmb-QoL were successfully adapted into electronic versions and are ready to share for REDCap users. Furthermore, the Danish versions of the two questionnaires have shown satisfactory face validity. [ABSTRACT FROM AUTHOR]
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- 2024
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27. Coding Diagnoses from the Electronic Death Certificate with the 11th Revision of the International Statistical Classification of Diseases and Related Health Problems: An Exploratory Study from Germany.
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Stausberg, Jürgen and Vogel, Ulrich
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RESEARCH funding ,CAUSES of death ,DEATH certificates ,MEDICAL coding ,RESEARCH ,SEMANTICS ,NOSOLOGY - Abstract
The 11th Revision of the International Statistical Classification of Diseases, Injuries, and Causes of Death (ICD-11) will replace its predecessor as international standard for cause-of death-statistics. The digitization of healthcare is a main motivation for its introduction. In parallel, the replacement of the paper-based death certificate with an electronic format is under evaluation. At the moment, the death certificate is used in paper-based format with ICD-10 for coding in Germany. To be prepared for the switch to ICD-11, the compatibility between ICD-11 and the electronic certificate should be assured. Objectives were to check the appropriateness of diagnosis-related information found on death certificates for an ICD-11 coding and to describe enhancements to the certificate's structure needed to fully utilize the strengths of ICD-11. As part of an exploratory test of a respective application, information from 453 electronic death certificates were provided by one local health authority. From a sample of 200 certificates, 433 diagnosis texts were coded into the German version of ICD-11. The appropriateness of the results as well as the further requirements of ICD-11, particularly with regard to post-coordination, were checked. For 430 diagnosis texts, 649 ICD-11 codes were used. Three hundred and sixty two diagnosis texts were rated as appropriately represented through the coding result. Almost all certificates contained diagnosis texts that lacked details required by ICD-11 for a precise coding. The distribution of diseases was very similar between ICD-10 and ICD-11 coding. A few gaps in ICD-11 were identified. Information requested by ICD-11 for a mandatory post-coordination were almost entirely absent from the death certificates. The structure and content of the death certificate are currently not well prepared for an ICD-11 coding. Necessary information was frequently missing. The line-oriented structure of death certificates has to be supplemented with a more flexible approach. Then, the semantic knowledge base of ICD-11 should better guide the content related input fields of a future electronic death certificate. [ABSTRACT FROM AUTHOR]
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- 2024
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28. Clinical Validation of Digital Healthcare Solutions: State of the Art, Challenges and Opportunities.
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Gomis-Pastor, Mar, Berdún, Jesús, Borrás-Santos, Alicia, De Dios López, Anna, Fernández-Montells Rama, Beatriz, García-Esquirol, Óscar, Gratacòs, Mònica, Ontiveros Rodríguez, Gerardo D., Pelegrín Cruz, Rebeca, Real, Jordi, Bachs i Ferrer, Jordi, and Comella, Adrià
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DIGITAL technology ,ACCREDITATION ,CLINICAL medicine ,SAFETY ,ART ,MEDICAL informatics ,DIFFUSION of innovations ,NATURE ,RESEARCH funding ,INTERPROFESSIONAL relations ,DATABASE management ,DIGITAL health ,EMPIRICAL research ,EVALUATION of medical care ,PATIENT care ,DESCRIPTIVE statistics ,BUSINESS ,SYSTEMATIC reviews ,MEDLINE ,TELEMEDICINE ,RESEARCH methodology ,CONCEPTUAL structures ,BIBLIOMETRICS ,QUALITY assurance ,ONLINE information services ,DATA analysis software ,ADOPTION ,RELIABILITY (Personality trait) - Abstract
Digital health technologies (DHTs) at the intersection of health, medical informatics, and business aim to enhance patient care through personalised digital approaches. Ensuring the efficacy and reliability of these innovations demands rigorous clinical validation. A PubMed literature review (January 2006 to July 2023) identified 1250 papers, highlighting growing academic interest. A focused narrative review (January 2018 to July 2023) delved into challenges, highlighting issues such as diverse regulatory landscapes, adoption issues in complex healthcare systems, and a plethora of evaluation frameworks lacking pragmatic guidance. Existing frameworks often omit crucial criteria, neglect empirical evidence, and clinical effectiveness is rarely included as a criterion for DHT quality. The paper underscores the urgency of addressing challenges in accreditation, adoption, business models, and integration to safeguard the quality, efficacy, and safety of DHTs. A pivotal illustration of collaborative efforts to address these challenges is exemplified by the Digital Health Validation Center, dedicated to generating clinical evidence of innovative healthcare technologies and facilitating seamless technology transfer. In conclusion, it is necessary to harmonise evaluation approaches and frameworks, improve regulatory clarity, and commit to collaboration to integrate rigorous clinical validation and empirical evidence throughout the DHT life cycle. [ABSTRACT FROM AUTHOR]
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- 2024
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29. Disability Tax in the Welfare State: Uncertainty and Resentment about Disability Services in Finland.
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Katsui, Hisayo
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HEALTH services accessibility ,IMMIGRANTS ,RESEARCH funding ,CHILDREN with disabilities ,ANGER ,MEDICAL care for people with disabilities ,INTERVIEWING ,QUESTIONNAIRES ,UNCERTAINTY ,CITIZENSHIP ,TAXATION ,SURVEYS ,HUMAN rights ,EXPERIENCE ,PUBLIC welfare ,PEOPLE with disabilities - Abstract
This paper focuses on the uncertainty and resentment that many persons with disabilities feel concerning their disability services in the welfare state of Finland. This paper elaborates on the theme through the lived citizenship of persons with disabilities using the key theory of disability tax as an analytical tool. The empirical data were collected through an online survey (n = 541) and six group interviews (n = 41) of persons with disabilities in 2023. The disability tax experiences are elaborated through four aspects: (1) rejected applications, (2) uncertain realisation, (3) laborious complaint mechanisms, and (4) the psycho–emotional effect. The findings of this study establish collective experiences of multi-layered disability tax throughout the disability services process. It concludes that disability services, which were originally planned to specifically ensure equal opportunities to participate in society for persons with disabilities, are increasingly becoming the very sources of burden as austerity has silently grown deeper over recent years and has become the clear policy of the current government. [ABSTRACT FROM AUTHOR]
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- 2024
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30. Embedding Public Involvement in a PhD Research Project With People Affected by Advanced Liver Disease.
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Beresford, Cathy J., Rahman, Mahabuba, Gray, Yvonne, Ramshaw, Sandra, Gelling, Leslie, Baron, Sue, and Dominey, Jackie
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LIVER disease treatment ,SOCIAL media ,PATIENT selection ,RESEARCH funding ,INTERPROFESSIONAL relations ,DATA analysis ,DOCTORAL programs ,PATIENT psychology ,HUMAN research subjects ,DESCRIPTIVE statistics ,DECISION making ,MEDICAL research ,ATTITUDES of medical personnel ,ACQUISITION of data ,GROUNDED theory ,STAKEHOLDER analysis ,COMMITMENT (Psychology) ,PATIENT participation ,PATIENTS' attitudes ,CAREGIVER attitudes - Abstract
Background: Liver disease is an increasing cause of morbidity and mortality in the United Kingdom and can be challenging to live with in the advanced stages. There has been little research exploring the healthcare experiences of UK individuals with decompensated disease when the liver cannot carry out its functions properly. A PhD research project was developed with people who have liver disease to explore care experiences in decompensated advanced liver disease. Public involvement (PI) is an essential aspect of meaningful health research, and this paper reports on the progression of our PI approach in this ongoing study. Objective: To embed PI throughout the research project to ensure that the study is meaningful to individuals with liver disease and the people who support them. Methods: The research adopts a Constructivist Grounded Theory methodology to develop a theory of care experience. Various PI approaches were considered in developing the PI strategy for this qualitative study. Initially, Embedded consultation was the preferred model, which has evolved to include aspects of collaboration and coproduction. A PI group was set up to oversee the project through the national public engagement website VOICE, and reflections on PI from three members of the group are included in this paper to illuminate the PI process. Results: Six individuals with liver disease and three carers from across the United Kingdom are part of an ongoing PI group. Their role includes commenting on the findings of the systematic literature review for this project and contributing to decisions about recruitment, data collection and data analysis. Additionally, they had a direct impact on changing the focus of the research. The PI group will continue involvement until the completion of the project. Conclusion: Successfully embedding PI into doctoral research, as demonstrated in this project, requires commitment, planning and dedication to reciprocal working for the benefit of PI contributors as well as the research. This approach could be adopted by other postgraduate researchers. Patient or Public Contribution: This project is overseen by the PI group, whose contribution is described throughout, including reflections from three PI group members. [ABSTRACT FROM AUTHOR]
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- 2024
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31. Pregnant racialised migrants and the ubiquitous border: The hostile environment as a technology of stratified reproduction.
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LONERGAN, GWYNETH
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IMMIGRATION law ,CHILDBIRTH & psychology ,ATTITUDES toward pregnancy ,ECOLOGY ,GOVERNMENT policy ,MATERNAL health services ,FOCUS groups ,RESEARCH funding ,SEX distribution ,INTERVIEWING ,PREGNANT women ,CITIZENSHIP ,RACISM ,EXPERIENCE ,THEMATIC analysis ,MIGRANT labor ,HUMAN reproduction ,RESEARCH methodology ,HOUSING ,PSYCHOSOCIAL factors ,SOCIAL classes ,HEALTH care rationing - Abstract
This article explores the impact of the 'hostile environment' on racialised migrant women's experiences of pregnancy and childbirth in England, arguing that the 'hostile environment' functions as a technology of 'stratified reproduction.' First coined by Shellee Colen, the concept of stratified reproduction describes the dynamic by which some individuals and groups may be supported in their reproductive activities, while others are disempowered and discouraged. This paper locates the stratified reproduction produced by the 'hostile environment' as intertwined with wider gendered and racialised discourses around British citizenship which have been 'designed to fail' racialised residents of the UK. Drawing on interviews with racialised migrant mothers in the north of England, this paper analyses how the proliferation and intensification of immigration controls interacts with gender, race, class, and other social regimes to differentially allocate the resources necessary for a safe and healthy pregnancy and childbirth, and how this is experienced materially by pregnant migrants. [ABSTRACT FROM AUTHOR]
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- 2024
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32. Methods for more-than-human wellbeing: A collaborative journey with object interviews.
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Thorpe, Holly, Brice, Julie, Soltani, Anoosh, Nemani, Mihi, and O'Leary, Grace
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HUMANISM ,WOMEN ,INTERPROFESSIONAL relations ,HEALTH status indicators ,RESEARCH funding ,SOCIOECONOMIC factors ,MEDICAL research ,MATHEMATICAL models ,INTERPERSONAL relations ,THEORY ,COVID-19 pandemic ,WELL-being ,FEMINIST criticism ,CULTURAL pluralism - Abstract
Articulating the complexities of relational wellbeing can be challenging at the best of times, and even more complex during periods of heightened stress and uncertainty. Taking inspiration from feminist materialisms and recent writings on material methods, we explore the potential of object interviews to reveal the material-discursive dimensions of women's experiences of wellbeing during the pandemic. In this paper we describe our research process conducting object interviews with 38 women living in Aotearoa New Zealand from a range of socio-economic, cultural, and ethnic backgrounds. We explore the potential and challenges of object interviews for surfacing new ways of knowing (theoretically, methodologically, and cross-culturally) wellbeing beyond human-oriented health, medical and social-constructionist models, and towards more multidimensional and relational understandings. This paper offers our reflections and learnings about the process of re-turning object interviews and the potential of such approaches for evoking complex ways of knowing wellbeing during and beyond pandemic times. [ABSTRACT FROM AUTHOR]
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- 2024
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33. Marked variations in medical provider and out-of-pocket costs for radical prostatectomy procedures in Australia.
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Walsan, Ramya, Mitchell, Rebecca J., Braithwaite, Jeffrey, Westbrook, Johanna, Hibbert, Peter, Mumford, Virginia, and Harrison, Reema
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HEALTH services accessibility ,SURGICAL robots ,USER charges ,HUMAN services programs ,RESEARCH funding ,RADICAL prostatectomy ,HEALTH policy ,RETROSPECTIVE studies ,DESCRIPTIVE statistics ,STATE governments ,LONGITUDINAL method ,MEDICAL records ,ACQUISITION of data ,HEALTH equity ,CONFIDENCE intervals ,MEDICAL care costs ,GOVERNMENT regulation ,OPERATING rooms ,ECONOMICS - Abstract
Objectives: Unwarranted clinical variations in radical prostatectomy (RP) procedures are frequently reported, yet less attention is given to the variations in associated costs. This issue can further widen disparities in access to care and provoke questions about the overall value of the procedure. The present paper aimed to delve into the disparities in hospital, medical provider and out-of-pocket costs for RP procedures in Australia, discussing plausible causes and potential policy opportunities. Methods: A retrospective cohort study using Medibank Private claims data for RP procedures conducted in Australian hospitals between 1 January 2015 and 31 December 2020 was undertaken. Results: Considerable variations in both medical provider and out-of-pocket costs were observed across the country, with variations evident between different states or territories. Particularly striking were the discrepancies in the costs charged by medical providers, with a notable contrast between the 10th and 90th percentiles revealing a substantial difference of A$9925. Hospitals in Australia exhibited relatively comparable charges for RP procedures. Conclusions: Initiatives such as enhancing transparency regarding individual medical provider costs and implementing fee regulations with healthcare providers may be useful in curbing the variations in RP procedure costs. What is known about the topic? Unwarranted clinical variations in radical prostatectomy procedures are well documented in the literature; however, variations in cost are less widely reported. What does this paper add? This paper aims to highlight the cost variations in radical prostatectomy procedures in Australia, discussing their plausible causes, implications and proposing potential policy opportunities. What are the implications for practitioners? Excessive fees imposed by medical providers may contribute to inequalities in healthcare access. Enhancing transparency of individual medical provider costs and implementing fee regulations may be useful in controlling unwarranted variations in procedure costs. This article belongs to the Special Issue: Value-based Healthcare. [ABSTRACT FROM AUTHOR]
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- 2024
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34. The parent perspective on paediatric delirium and an associated care bundle: A qualitative study.
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Stenkjaer, Rikke Louise, Egerod, Ingrid, Moszkowicz, Mala, Collet, Marie Oxenbøll, Weis, Janne, Ista, Erwin, Greisen, Gorm, and Herling, Suzanne Forsyth
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FEAR ,QUALITATIVE research ,CRITICALLY ill ,PATIENTS ,RESEARCH funding ,INTERVIEWING ,PARENT-child relationships ,PARENT attitudes ,DESCRIPTIVE statistics ,PEDIATRICS ,THEMATIC analysis ,SOUND recordings ,DELIRIUM ,RESEARCH ,RESEARCH methodology ,INTENSIVE care units ,DATA analysis software ,CHILDREN - Abstract
Aims: To explore how parents experienced their child with delirium and how parents viewed our delirium management bundle. Design: We conducted a qualitative exploratory descriptive study using semi‐structured individual or dyad interviews. Methods: Twelve semi‐structured interviews with 16 parents of 12 critically ill children diagnosed with delirium in a paediatric intensive care unit were conducted from October 2022 to January 2023 and analysed through a reflexive thematic analysis. Findings: We generated five themes: (1) knowing that something is very wrong, (2) observing manifest changes in the child, (3) experiencing fear of long‐term consequences, (4) adding insight to the bundle, and (5) family engagement. Conclusion: The parents in our study were able to observe subtle and manifest changes in their child with delirium. This caused fear of lasting impact. The parents regarded most of the interventions in the delirium management bundle as relevant but needed individualization in the application. The parents requested more information regarding delirium and a higher level of parent engagement in the care of their child during delirium. Impact: This paper contributes to understanding how parents might experience delirium in their critically ill child, how our delirium management bundle was received by the parents, and their suggestions for improvement. Our study deals with critically ill children with delirium, their parents, and staff working to prevent and manage paediatric delirium (PD) in the paediatric intensive care unit. Reporting Method: The consolidated criteria for reporting qualitative research guidelines were used to ensure the transparency of our reporting. Patient or Public Contribution: No patient or public contribution to the research design. What does this Paper Contribute to the Wider Global Community?: ‐ It increases awareness of the parent's perspective on PD in critically ill children.‐ It shows how PD might affect parents, causing negative emotions such as distress, frustration, and fear of permanent damage.‐ It shows that the parents in our study, in addition to the care bundle, requested more information on delirium and more involvement in the care of their delirious child. [ABSTRACT FROM AUTHOR]
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- 2024
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35. Nurse managers' perceptions of the prospective acceptability of an implementation leadership training programme: A qualitative descriptive study.
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Chen, Wenjun, Graham, Ian D., Hu, Jiale, Lewis, Krystina B., and Gifford, Wendy
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NURSES ,NURSE administrators ,HUMAN services programs ,QUALITATIVE research ,LEADERS ,SELF-efficacy ,RESEARCH funding ,LEADERSHIP ,EVALUATION of human services programs ,INTERVIEWING ,TERTIARY care ,JUDGMENT sampling ,THEMATIC analysis ,NURSES' attitudes ,RESEARCH methodology ,CONCEPTUAL structures ,DATA analysis software ,COVID-19 pandemic - Abstract
Aim: To explore the prospective acceptability of an implementation leadership training programme prototype for nurse managers in China to implement evidence‐based practices, from the perspectives of potential programme participants and deliverers. Design: A qualitative descriptive study was conducted in Spring 2022 at three tertiary hospitals in Hunan, China. Methods: We conducted individual semi‐structured interviews with unit‐level nurse managers (n = 14), including 12 potential participants, and two potential deliverers that have been involved in developing the programme prototype. Interview questions and thematic analysis were guided by the Theoretical Framework of Acceptability. Results: After reviewing the programme content, potential participants and deliverers reported that unit nurse managers would benefit from engaging in the programme, acknowledging that the programme fit with professional nursing values for implementing research evidence. They expressed positive views about being involved in producing academic papers through the training process, and interactive multi‐modal training activities such as group work, experience‐sharing and coaching. Seven participants were not very confident about being fully engaged in the training, as they could not navigate the English research literature. Both participants and deliverers highlighted factors that would influence their participation, including time constraints, the impact of the COVID‐19 pandemic, and support from senior organizational leadership. Conclusions: The training programme prototype was perceived to be useful and acceptable. The multimodal training activities were considered a strength and managers expressed an interest in writing academic papers about their implementation processes. Support from senior hospital leaders and programme deliverers was identified as critical to the training programme's success. Impact: The study helps understand nurse managers' perceptions and concerns of participating in an implementation leadership training programme and could inform the development and refinement of similar programmes in various nursing contexts globally. [ABSTRACT FROM AUTHOR]
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- 2024
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36. Organisational factors associated with healthcare workforce development, recruitment, and retention in the United Kingdom: a systematic review.
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Alkan, Erkan, Cushen-Brewster, Noreen, and Anyanwu, Philip
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EMPLOYEE retention ,CORPORATE culture ,MEDICAL information storage & retrieval systems ,MEDICAL personnel ,PSYCHOLOGICAL burnout ,RESEARCH funding ,WORK environment ,LABOR turnover ,DESCRIPTIVE statistics ,SYSTEMATIC reviews ,MEDLINE ,AGGRESSION (Psychology) ,EMPLOYEE recruitment ,INTENTION ,JOB stress ,ONLINE information services ,QUALITY assurance ,PSYCHOSOCIAL factors ,LABOR supply ,PSYCHOLOGY information storage & retrieval systems ,EMPLOYEES' workload - Abstract
Aims: To synthesise evidence regarding organisational practice environment factors affecting healthcare workforce development, recruitment, and retention in the UK. Methods/data sources: A systematic search of PubMed, Web of Science, EMBASE, and PsycINFO yielded ten relevant studies published between 2018 and 2023 and conducted in the UK (the last search was conducted in March 2023). Adhering to The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, two independent reviewers conducted screening, sifting, and data extraction, applying the quality assessment tool for risk of bias. Results: Results highlight key factors associated with staff intention to leave/turnover/retention: workplace challenges, aggression, moral distress, on-the-job embeddedness, leadership involvement, organisational support, and flexible shift patterns. Notably, aggression from colleagues, including clinical staff but not interdisciplinary personnel, has a more detrimental impact on staff intention to leave than aggression from patients. Conclusion: The complex and context-dependent impacts of these organisational factors on the UK healthcare workforce underscore the need for tailored interventions. The review acknowledges limitations, including bias from excluding qualitative studies, a small pool of included studies, and nurse overrepresentation. Summary statement: What is already known: Securement and retainment issues affect different aspects of health and care services. Moreover, healthcare workforce shortages persist in the UK. What this paper adds: Our findings on the importance of workplace challenges and aggression, moral distress, on-the-job-embeddedness, leadership, flexible shift pattern, and organisational support in staff retention are important to addressing the current UK healthcare workforce crisis. Implications for practice/policy: The findings of this review are important to healthcare commissioners, policymakers, and stakeholders, offering valuable insights for dealing with factors contributing to shortages in the healthcare workforce and enhancing staff satisfaction and retention. [ABSTRACT FROM AUTHOR]
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- 2024
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37. Defining and quantifying population-level need for children's palliative care: findings from a rapid scoping review.
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Delamere, Tara, Balfe, Joanne, Fraser, Lorna K., Sheaf, Greg, and Smith, Samantha
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MEDICAL information storage & retrieval systems ,PALLIATIVE treatment ,RESEARCH funding ,POPULATION health ,HEALTH ,CINAHL database ,INFORMATION resources ,DESCRIPTIVE statistics ,SYSTEMATIC reviews ,MEDLINE ,LITERATURE reviews ,MEDICAL databases ,MEDICAL needs assessment ,NEEDS assessment ,PSYCHOLOGY information storage & retrieval systems - Abstract
Background: The number of children who require palliative care has been estimated to be as high as 21 million globally. Delivering effective children's palliative care (CPC) services requires accurate population-level information on current and future CPC need, but quantifying need is hampered by challenges in defining the population in need, and by limited available data. The objective of this paper is to summarise how population-level CPC need is defined, and quantified, in the literature. Methods: Scoping review performed in line with Joanna Briggs Institute methodology for scoping reviews and PRISMA-ScR guidelines. Six online databases (CINAHL, Cochrane Library, EMBASE, Medline, PsycINFO, and Web of Science), and grey literature, were searched. Inclusion criteria: literature published in English; 2008–2023 (Oct); including children aged 0–19 years; focused on defining and/or quantifying population-level need for palliative care. Results: Three thousand five hundred seventy-eight titles and abstracts initially reviewed, of which, 176 full-text studies were assessed for eligibility. Overall, 51 met the inclusion criteria for this scoping review. No universal agreement identified on how CPC need was defined in population-level policy and planning discussions. In practice, four key definitions of CPC need were found to be commonly applied in quantifying population-level need: (1) ACT/RCPCH (Association for Children with Life-Threatening or Terminal Conditions and their Families, and the Royal College of Paediatrics and Child Health) groups; (2) The 'Directory' of Life-Limiting Conditions; (3) 'List of Life-Limiting Conditions'; and (4) 'Complex Chronic Conditions'. In most cases, variations in data availability drove the methods used to quantify population-level CPC need and only a small proportion of articles incorporated measures of complexity of CPC need. Conclusion: Overall, greater consistency in how CPC need is defined for policy and planning at a population-level is important, but with sufficient flexibility to allow for regional variations in epidemiology, demographics, and service availability. Improvements in routine data collection of a wide range of care complexity factors could facilitate estimation of population-level CPC need and ensure greater alignment with how need for CPC is defined at the individual-level in the clinical setting. [ABSTRACT FROM AUTHOR]
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- 2024
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38. Navigating the cultural adaptation of a US-based online mental health and social support program for use with young Aboriginal and Torres Strait Islander males in the Northern Territory, Australia: Processes, outcomes, and lessons.
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Opozda, Melissa J., Bonson, Jason, Vigona, Jahdai, Aanundsen, David, Paradisis, Chris, Anderson, Peter, Stahl, Garth, Watkins, Daphne C., Black, Oliver, Brickley, Bryce, Canuto, Karla J., Drummond, Murray J. N., Miller Jr., Keith F., Oth, Gabriel, Petersen, Jasmine, Prehn, Jacob, Raciti, Maria M., Robinson, Mark, Rodrigues, Dante, and Stokes, Cameron
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EDUCATION of Torres Strait Islanders ,SOCIAL media ,HUMAN services programs ,MENTAL health services ,MENTAL health ,GENDER identity ,GROUP identity ,RESEARCH funding ,MEDICAL care ,EDUCATIONAL outcomes ,CULTURE ,MASCULINITY ,INTERNET ,PSYCHOLOGICAL adaptation ,ATTITUDE (Psychology) ,BLACK people ,ONLINE education ,MATHEMATICAL models ,CURRICULUM planning ,SOCIAL support ,HEALTH promotion ,COLLEGE students ,THEORY ,WELL-being - Abstract
Background: Despite disproportionate rates of mental ill-health compared with non-Indigenous populations, few programs have been tailored to the unique health, social, and cultural needs and preferences of young Aboriginal and Torres Strait Islander males. This paper describes the process of culturally adapting the US-based Young Black Men, Masculinities, and Mental Health (YBMen) Project to suit the needs, preferences, culture, and circumstances of Aboriginal and Torres Strait Islander males aged 16–25 years in the Northern Territory, Australia. YBMen is an evidence-based social media-based education and support program designed to promote mental health, expand understandings of gender and cultural identities, and enhance social support in college-aged Black men. Methods: Our adaptation followed an Extended Stages of Cultural Adaptation model. First, we established a rationale for adaptation that included assessing the appropriateness of YBMen's core components for the target population. We then investigated important and appropriate models to underpin the adapted program and conducted a non-linear, iterative process of gathering information from key sources, including young Aboriginal and Torres Strait Islander males, to inform program curriculum and delivery. Results: To maintain program fidelity, we retained the core curriculum components of mental health, healthy masculinities, and social connection and kept the small cohort, private social media group delivery but developed two models: 'online only' (the original online delivery format) and 'hybrid in-person/online' (combining online delivery with weekly in-person group sessions). Adaptations made included using an overarching Aboriginal and Torres Strait Islander social and emotional wellbeing framework and socio-cultural strengths-based approach; inclusion of modules on health and wellbeing, positive Indigenous masculinities, and respectful relationships; use of Indigenous designs and colours; and prominent placement of images of Aboriginal and Torres Strait Islander male sportspeople, musicians, activists, and local role models. Conclusions: This process resulted in a culturally responsive mental health, masculinities, and social support health promotion program for young Aboriginal and Torres Strait Islander males. Next steps will involve pilot testing to investigate the adapted program's acceptability and feasibility and inform further refinement. Keywords: Aboriginal, Torres Strait Islander, Indigenous, Australia, male, cultural adaptation, social media, mental health, masculinities, social support. [ABSTRACT FROM AUTHOR]
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- 2024
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39. Spatial Allocation Rationality Analysis of Medical Resources Based on Multi-Source Data: Case Study of Taiyuan, China.
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Hu, Lujin and Cai, Shengqi
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COMMUNITY health services ,DATABASES ,MEDICAL care use ,HEALTH services accessibility ,SOCIAL network analysis ,RESEARCH funding ,RESIDENTIAL patterns ,POPULATION geography ,DESCRIPTIVE statistics ,TRANSPORTATION ,METROPOLITAN areas ,MEDICAL emergencies ,TECHNOLOGY ,MEDICAL needs assessment ,PUBLIC health ,HEALTH care rationing ,URBAN health ,EVALUATION - Abstract
Reasonably allocating medical resources can effsectively optimize the utilization efficiency of such resources. This paper took Taiyuan City as an example and established a model to evaluate the rationality of medical resource spatial allocation, incorporating two key dimensions: the spatial layout and the supply and demand of medical resources. In terms of the spatial layout, three indexes were included: Firstly, the service coverage rates of different levels of medical institutions, based on residents' medical orientations, were calculated using network analysis methods. Secondly, the Huff-2SFCA method was improved to calculate the accessibility of medical resources for four different modes of transportation. Then, the Health Resource Agglomeration Degree (HRAD) and Population Agglomeration Degree (PAD) were used to quantify the equity of medical resources. In terms of the supply and demand of medical resources, one index was included: the supply–demand ratio of medical resources during sudden public health events, which was calculated using the number of beds per thousand people as an indicator. These four indexes were weighted using the entropy weight method to obtain the rationality grade of medical resource spatial allocation in Taiyuan City. The study found that the rationality evaluation level of medical resource allocation in the central urban area of Taiyuan City followed a "concentrically decreasing" pattern. The rating ranged from "very reasonable" to "less reasonable", with the area of each level expanding gradually. The areas rated within the top two categories only accounted for 19.92% of the study area, while the area rated as "less reasonable" occupied 38.73% of the total area. These results indicate that the model accounted for residents' travel for various medical orientations and the availability of resources during public health emergencies. It considered both the spatial layout and supply and demand of medical resources, offering recommendations for the precise allocation of urban medical resources. [ABSTRACT FROM AUTHOR]
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- 2024
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40. Co-creating community wellbeing initiatives: what is the evidence and how do they work?
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Powell, Nicholas, Dalton, Hazel, Lawrence-Bourne, Joanne, and Perkins, David
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COMMUNITY support ,PSYCHOLOGICAL resilience ,COMMUNITY health services ,MENTAL health ,RESEARCH funding ,CONVERSATION ,SELF-efficacy ,INTERPROFESSIONAL relations ,CINAHL database ,COMMUNITIES ,REFLECTION (Philosophy) ,SYSTEMATIC reviews ,MEDLINE ,INFORMATION services ,SOCIAL skills ,LITERATURE reviews ,CONCEPTUAL structures ,MEDICAL databases ,COMMUNICATION ,HEALTH promotion ,STAKEHOLDER analysis ,HEALTH outcome assessment ,SOCIAL support ,WELL-being ,COMMUNITY-based social services ,PSYCHOLOGY information storage & retrieval systems ,COALITIONS ,EVALUATION ,PSYCHOSOCIAL factors - Abstract
Background: Addressing wellbeing at the community level, using a public health approach may build wellbeing and protective factors for all. A collaborative, community-owned approach can bring together experience, networks, local knowledge, and other resources to form a locally-driven, place-based initiative that can address complex issues effectively. Research on community empowerment, coalition functioning, health interventions and the use of local data provide evidence about what can be achieved in communities. There is less understanding about how communities can collaborate to bring about change, especially for mental health and wellbeing. Method: A comprehensive literature search was undertaken to identify community wellbeing initiatives that address mental health. After screening 8,972 titles, 745 abstracts and 188 full-texts, 12 exemplar initiatives were identified (39 related papers). Results: Eight key principles allowed these initiatives to become established and operate successfully. These principles related to implementation and outcome lessons that allowed these initiatives to contribute to the goal of increasing community mental health and wellbeing. A framework for community wellbeing initiatives addressing principles, development, implementation and sustainability was derived from this analysis, with processes mapped therein. Conclusion: This framework provides evidence for communities seeking to address community wellbeing and avoid the pitfalls experienced by many well-meaning but short-lived initiatives. [ABSTRACT FROM AUTHOR]
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- 2024
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41. Consultations With Muslims From Minoritised Ethnic Communities Living in Deprived Areas: Identifying Inequities in Mental Health Care and Support.
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Tannerah, Ashraf, Hazel, Oluwalolami, Desson, Sheree, Farah, Rahima, Kamil‐Thomas, Zalihe, Iqbal, Halima, Eames, Catrin, Saini, Pooja, and Bifarin, Oladayo
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MENTAL illness prevention ,HEALTH services accessibility ,HEALTH literacy ,MENTAL health services ,RESEARCH funding ,MEDICAL quality control ,PATIENT safety ,DIVERSITY & inclusion policies ,QUESTIONNAIRES ,CULTURAL competence ,POVERTY areas ,SOCIAL theory ,MUSLIMS ,THEMATIC analysis ,RACISM ,TRUST ,MINORITIES ,SOCIAL support ,HEALTH equity ,HEALTH promotion ,PATIENTS' attitudes ,SOCIAL stigma - Abstract
Background: Limited research concerning existing inequities in mental health care and support services in the United Kingdom captures perceptions and lived experiences of the significantly underrepresented Muslim population. Methods: Underpinned by social constructivist theory, we used consultation to facilitate public and patient involvement and engagement (PPIE) to identify inequities in mental health care and support experienced by Muslims from minoritised ethnic communities living in deprived areas in Liverpool, UK. The rationale was to (a) better inform standards and policies in healthcare and (b) provide a psychologically safe space to members of the Muslim community to share perceptions and experiences of mental health care and support services. To ensure trustworthiness of the data, member checking was adopted. This paper describes the procedure to achieving this consultation, including our recruitment strategy, data collection and analysis as well as key findings. Findings: Twenty‐seven consultees attended the women's consultation and eight consultees attended the men's consultation. Consultees were from Yemeni, Somali, Sudanese, Egyptian, Algerian, Pakistani and Moroccan communities and share the Islamic faith. Four key interlinked themes were identified from consultees' narratives: (1) broken cycle of trust; (2) an overmedicalised model of care; (3) community mental health prevention initiatives; and (4) culturally conscious training and education. Conclusions: The Muslim population has identified numerous barriers to accessing mental health support and there is a need to resource activities that would aid deeper understanding of mental health support needs through continuous and meaningful community initiatives. This would afford mental health practitioners and organisations opportunities for developing realistic anti‐racism strategies, effectively adopting social prescription, strengthening partnerships and collaborations aimed at supporting delivery of evidence‐based mental health care provisions to tackle mental health inequities. Patient and Public Involvement: This paper reports on the involvement and engagement of Muslims from minoritised ethnic communities living in the Liverpool city region. [ABSTRACT FROM AUTHOR]
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- 2024
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42. Trends in Multicomponent Training Research in the Aged Population: A Bibliometric Analysis.
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Pereira-Payo, Damián, Denche-Zamorano, Ángel, Mendoza-Muñoz, María, Franco-García, Juan Manuel, Carlos-Vivas, Jorge, and Pérez-Gómez, Jorge
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SERIAL publications ,HEALTH status indicators ,RESEARCH funding ,EXERCISE therapy ,CITATION analysis ,DESCRIPTIVE statistics ,RESISTANCE training ,MUSCLE strength ,THEMATIC analysis ,AGING ,MEDICAL research ,BIBLIOMETRICS ,PHYSICAL fitness ,QUALITY of life ,AEROBIC exercises ,DATA analysis software ,POSTURAL balance ,SARCOPENIA ,ACCIDENTAL falls - Abstract
The proportion of aged populations is increasing worldwide. Exercise has a palliating effect on some adverse implications of aging. Multicomponent training (MCT) is a recommended form of exercise for the aged population. The aims of this research were to (1) study the number of publications regarding MCT in the aged population following an exponential growth rate; (2) identify the journals, authors, and countries that stand out the most in this area; and (3) describe the most common themes and used keywords in this field. The analysis was performed through the traditional laws of bibliometrics, including, Price's, Lotka's, Bradford's, and Zipf's law. All documents published in journals indexed in the Web of Science (WoS) Core Collection from 2001 to November 2023 that met the inclusion criteria were included. The 485 documents included in this review revealed that the number of annual publications experienced an exponential growth phase, 15 journals with six or more publications formed the core journals on this topic, and the author Mikel Izquierdo and his collaborative network topped the lists of prominent and prolific co-authors. Spain was the leading country in number of publications. Various thematic lines and keywords regarding strength, sarcopenia, quality of life, falls, balance, dual-task exercise, and cognitive and physical functioning were identified. In conclusion, this work confirmed that research on this topic is going through an exponential growth phase and provided detailed information about the journals, authors, and countries involved in the subject, as well as the keywords most frequently used in the subject matter. [ABSTRACT FROM AUTHOR]
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- 2024
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43. The effect of workplace bullying and self‐efficacy on emotional distress among hospital nurses.
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Fang, Li, Hsiao, Li‐Ping, and Fang, Shu‐Hui
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BULLYING & psychology ,JOB stress ,CROSS-sectional method ,STATISTICAL correlation ,SELF-evaluation ,PEARSON correlation (Statistics) ,PSYCHOLOGICAL distress ,SELF-efficacy ,INTERPROFESSIONAL relations ,NURSE administrators ,T-test (Statistics) ,RESEARCH funding ,HOSPITAL nursing staff ,PEER relations ,QUESTIONNAIRES ,MULTIPLE regression analysis ,VIOLENCE in the workplace ,DESCRIPTIVE statistics ,HOSPITAL emergency services ,EMOTIONS ,PSYCHOLOGICAL adaptation ,RESEARCH ,INTENSIVE care units ,ONE-way analysis of variance ,NURSES' attitudes ,SOCIODEMOGRAPHIC factors ,COMPARATIVE studies ,DATA analysis software ,SOCIAL support ,SLEEP disorders - Abstract
Aims: This study intended to explore the workplace bullying, self‐efficacy and emotional distress of the nursing staff and determine the predictors of nursing staff's emotional distress. Methods: Cross‐sectional and correlation designs were used, collecting data including socio‐demographic data, workplace bullying, self‐efficacy and emotional distress scales. Results: Results showed that the frequency of poor sleep quality in the recent 2 weeks, working in the intensive care centre or emergency room, high workplace bullying and low self‐efficacy were the main predictors of emotional distress in nursing staff. Conclusion: Nursing supervisors are advised to design suitable shift schemes to allow adequate time for nurses to maintain proper rest and develop a safety notification system to give bullied victims the assurance of safety. The design and implementation of the programs are encouraged to improve self‐efficacy among nurses by strengthening the training of social skills, improving employees' communication skills and their relationships with other employees. Summary statement: What is already known about this topic? Nursing workplace bullying can lead to health problems and patient safety problems.What this paper adds? This study provides information about workplace bullying, self‐efficacy and emotional distress in nurses.Poor sleep quality in the recent 2 weeks, working in the intensive care centre or the emergency room, high workplace bullying and low self‐efficacy were the main predictors of emotional distress among nurses.The implications of this paper for policy/practice/research/education Hospital managers should arrange education programs to improve nurses' self‐efficacy to avoid emotional distress.Suitable shift schemes should be designed for the nurses to maintain proper rest, and a safety notification system should be provided to the bullied victims for the assurance of safety. [ABSTRACT FROM AUTHOR]
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- 2024
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44. Associations of anxiety and fatigue with hazardous occupational conditions of Korean nurses in early pregnancy: A cross‐sectional study.
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Kim, Jung‐Hee, Kim, Oksoo, Cho, Mijung, Jeong, Hyunseon, and Dan, Hyunju
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RISK assessment ,CROSS-sectional method ,RESEARCH funding ,CRONBACH'S alpha ,WORK environment ,FATIGUE (Physiology) ,HOSPITAL nursing staff ,QUESTIONNAIRES ,ANXIETY ,CONFIDENCE intervals ,PSYCHOLOGICAL tests ,DATA analysis software ,REGRESSION analysis ,SHIFT systems ,PREGNANCY - Abstract
Aim: To identify occupational conditions associated with anxiety and fatigue among Korean nurses in early pregnancy. Background: Pregnant nurses, like non‐pregnant hospital nurses, are exposed to dangerous and stressful work environments, which can affect fatigue and anxiety. Design and Methods: This cross‐sectional study enrolled 1490 nurses who participated in the early pregnancy module in the Korea Nurses' Health Study between 2014 and 2020. Hierarchical linear regression analyses were employed to identify the factors associated with anxiety and fatigue among nurses in early pregnancy. Results: One‐fifth of participants were working night shifts, and more than two‐thirds were working overtime. When using antineoplastic drugs and disinfectants, the rate of use of protective equipment varied depending on the size of the hospital. Working overtime and lifting heavy objects were associated with increased anxiety and fatigue among nurses. Conclusion: Overtime work was associated with both anxiety and fatigue among pregnant nurses. Pregnant hospital nurses were exposed to both night shift and overtime work. Therefore, hospital managers should improve hazardous working environments to protect the health of nurses in early pregnancy and their fetuses. Summary statement: What is already known about this topic? Nurses in early pregnancy are exposed to work environments that can affect their reproductive health.The relationship between mental health and work environment among nurses in early pregnancy is poorly understood. What this paper adds? Despite legal guidelines, some pregnant nurses performed potentially harmful work such as night shifts, overtime and heavy lifting.There were differences in the occupational risks to which the study participants were exposed depending on hospital size.Overtime and heavy lifting were related to anxiety and fatigue in study participants. The implications of this paper: To protect nurses in early pregnancy, an appropriate maternal safety programme should be developed for hospital work environments.Education programmes should be implemented for nurses in early pregnancy on safety guidelines such as the use of personal protective equipment (PPE).Physically difficult tasks can increase fatigue and anxiety among nurses in early pregnancy, so legal and institutional regulations focusing on safe working environments should be strengthened. [ABSTRACT FROM AUTHOR]
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- 2024
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45. The effect of the programme based on Roy adaptation model on social media addiction, healthy lifestyle and self‐esteem of nursing students.
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Yaman, Zeliha and Yılmaz, Mualla
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SOCIAL media ,INTERNET addiction ,LIFESTYLES ,SELF-esteem testing ,PEARSON correlation (Statistics) ,ROY adaptation model ,RESEARCH funding ,T-test (Statistics) ,SELF-efficacy ,HUMAN services programs ,EVALUATION of human services programs ,STATISTICAL sampling ,FISHER exact test ,RANDOMIZED controlled trials ,DESCRIPTIVE statistics ,MANN Whitney U Test ,CHI-squared test ,LONGITUDINAL method ,CONTROL groups ,PRE-tests & post-tests ,HEALTH behavior ,NURSING students ,SELF-perception - Abstract
Aim: This study was conducted to evaluate the effect of the Roy adaptation model‐based strengthening program (RAMBSP) applied to nursing students on social media addiction, healthy lifestyle behaviours and self‐esteem. Methods: One hundred five nursing students studying at a nursing faculty of a university were included in this prospective, two‐armed (1:1), randomized controlled study. The study group (n:54) had 12 weeks of RAMBSP online group sessions. No intervention was made to the control group (n:51). The social media addiction level, which was the primary outcome of the study, was evaluated with the Bergen Social Media Addiction Scale (BSMAS) and healthy lifestyle behaviours and self‐esteem, which were secondary outcomes, were evaluated with the Healthy Lifestyle Behaviours Scale II (HLBS‐II) and the Rosenberg Self‐Esteem Inventory (REI). Students filled out BSMAS, HLBS‐II, and REI online via Google Forms before and after RAMBSP. Findings: At the end of the programme, there was no significant difference between the groups in terms of BSMAS scores of the students in the study group (p > 0.05); however, the difference was significant in terms of HLBS‐II and REI scores (p < 0.05). It was determined that the empowerment programme increased students' awareness of social media addiction. Conclusion: It is recommended to implement programmes that will increase students' awareness of social media addiction and its effects and to conduct new research that will cover large and different sample groups. Trial registration: It was registered at ClinicalTrials.gov in March 2021 (NCT04820517). Summary statement: What is already known about this topic? With the development of technology, social media addiction is widely seen in nursing students, who are a fragile group.Biopsychosocial approaches should be presented together in practices aimed at reducing or controlling the use of social media.It is not known whether an empowerment programme based on the nursing model (Roy adaptation model) to reduce social media addiction in nursing students is effective. What this paper adds? This programme constitutes an example of how to combine Roy adaptation model, one of the nursing models related to reducing social media addiction and providing controlled social media use, with the empowerment programme.The strengthening programme based on Roy adaptation model helped student nurses to acquire and maintain healthy lifestyle behaviours by increasing their awareness of social media addiction and improving their self‐esteem. The implications of this paper Roy adaptation model‐based psychoeducation should be conducted to enable nursing students to gain awareness of social media addiction and its consequences.Roy adaptation model‐based activities should be planned and implemented to intervene in students with social media addiction and to lead them to healthy social media use.Course contents should be added to the nursing curriculum to encourage the use of social media in a way that is effective, safe and contributes to personal development. [ABSTRACT FROM AUTHOR]
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- 2024
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46. Effects of compassion satisfaction and compassion fatigue on posttraumatic growth of psychiatric nurses: A cross‐sectional study.
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Zeng, Li, Liu, Guiling, Feng, Fen, Qiu, Yinong, Wang, Shuping, Yu, Meng, and Wang, Jialin
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CROSS-sectional method ,PEARSON correlation (Statistics) ,SCALE analysis (Psychology) ,RESEARCH funding ,T-test (Statistics) ,PSYCHOLOGICAL burnout ,HUMAN beings ,QUESTIONNAIRES ,STATISTICAL sampling ,POSTTRAUMATIC growth ,DESCRIPTIVE statistics ,PSYCHIATRIC nurses ,JOB satisfaction ,ONE-way analysis of variance ,SECONDARY traumatic stress ,REGRESSION analysis - Abstract
Aims: This study aimed to explore the effects of compassion satisfaction and compassion fatigue on the posttraumatic growth of psychiatric nurses. Background: Psychiatric nurses' prolonged and repeated exposure to trauma and complex situations in the work environment can lead to negative emotions such as compassion fatigue, but they also experience positive consequences such as posttraumatic growth, and the relationship between compassion fatigue and posttraumatic growth is not unclear. Methods: A total of 336 nurses from psychiatry departments of seven tertiary hospitals in Sichuan Province, China, were administered an online questionnaire. Participants were recruited through convenience sampling. The posttraumatic growth level was measured with the Simplified Chinese version of the Posttraumatic Growth Inventory. The Professional Quality of Life Scale‐Chinese version was used to assess compassion satisfaction, burnout and secondary traumatic stress. T‐test and one‐way variance analysis, Pearson correlation analysis and hierarchical linear regression were used for data analysis. A STROBE checklist was used to guide the reporting of the research. Results: Psychiatric nurses' posttraumatic growth is at a low level, influenced by demographic and occupational factors, whereas compassion satisfaction, burnout and secondary traumatic stress are at a moderate level. Hierarchical regression analysis suggested that compassion satisfaction and secondary traumatic stress had a positive impact on posttraumatic growth, whereas burnout had a negative impact on posttraumatic growth. Conclusions: Findings suggest that nursing managers should attach importance to the mental health of psychiatric nurses, improve compassion satisfaction, alleviate burnout and promote posttraumatic growth. Summary statement: What is already known about this topic? Psychiatric patients generally have complex and special conditions, which makes psychiatric nursing work high‐risk and stressful, which often poses significant challenges for psychiatric nurses, such as compassion fatigue.There is a correlation between compassion satisfaction, compassion fatigue and posttraumatic growth among nurses. What this paper adds? Psychiatric nurses have low levels of posttraumatic growth and moderate levels of compassionate satisfaction, burnout and secondary traumatic stress, and posttraumatic growth is influenced by sleep hours per day, marital status, children and job satisfaction.Compassion satisfaction and secondary traumatic stress have a positive impact on posttraumatic growth of psychiatric nurses, whereas burnout has a negative impact on posttraumatic growth of psychiatric nurses. The implications of this paper: This study emphasizes that policy makers should clarify the relationship between posttraumatic growth, compassion satisfaction and compassion fatigue as soon as possible to support the rapid growth of psychiatric nurses in nursing work.This study provides a basis for nursing managers to explore and implement interventions to improve compassion satisfaction among psychiatric nurses, reduce burnout and promote personal psychological growth. [ABSTRACT FROM AUTHOR]
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- 2024
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47. Advanced practice nurse competencies to practice in emergency and critical care settings: A scoping review.
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Yamaguchi, Yu, Matsunaga‐Myoji, Yuriko, and Fujita, Kimie
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INTENSIVE care nursing ,INTERPROFESSIONAL relations ,RESEARCH funding ,CINAHL database ,LEADERSHIP ,PATIENT-family relations ,NURSING ,DECISION making ,NURSE practitioners ,SYSTEMATIC reviews ,MEDLINE ,EMERGENCY nursing ,LITERATURE reviews ,PATIENT decision making ,CRITICAL care medicine - Abstract
Aim: Advanced Practice Nurses are expected to provide lifesaving care to patients with complex acute illnesses in emergency and critical care settings. However, little is known about their competencies and barriers to practice in emergency and critical care settings. This review investigated these nurses' competencies to practice. Methods: A scoping review was conducted in accordance with Arksey and O′Malley's framework. Extensive research searches were conducted using seven electronic databases: MEDLINE, CINAHL, Scopus, Web of Science, Ichushi Web, Mednar and GreyNet International. Definitions and explanations of Advanced Practice Nurse competencies were categorized into elements and grouped according to similarity. Results: The database searches identified 2,483 studies, and data were extracted for 23 studies. Analysed studies were published between 2000 and 2021 and conducted in eight countries. Seven competencies were identified: performing advanced practice nursing, acute patient care, diagnostic assessment, interdisciplinary collaboration and consultation, leadership and system management, documenting patient care and supporting patient and family decision‐making. Conclusion: This review identified competencies unique to Advanced Practice Nurses in emergency and critical care settings. Further research is required to facilitate understanding of the crucial roles of advanced care nurses among healthcare providers. Summary statement: What is already known about this topic? Advanced practice nurses contribute to patient outcomes in emergency and critical care settings.There is no review of the competencies to practice required or experienced by these nurses.What this paper adds? Advanced practice nursing competencies include performing advanced practice nursing, acute patient care, diagnostic assessment, interdisciplinary collaboration and consultation, leadership and system management, documenting patient care and supporting patient and family decision‐making.The implications of this paper: Further qualitative studies may be needed to better understand the types and status of Advanced Practice Nurses' competencies to practice in emergency and critical care settings. [ABSTRACT FROM AUTHOR]
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- 2024
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48. Levels and influencing factors of mental workload among intensive care unit nurses: A systematic review and meta‐analysis.
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Teng, Mei, Yuan, Zhongqing, He, Hong, and Wang, Jialin
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JOB stress prevention ,MEDICAL information storage & retrieval systems ,QUALITY of work life ,INTENSIVE care nursing ,MENTAL health ,RESEARCH funding ,INDUSTRIAL psychology ,CINAHL database ,HOSPITAL nursing staff ,WORK-life balance ,META-analysis ,DESCRIPTIVE statistics ,SYSTEMATIC reviews ,MEDLINE ,INTENSIVE care units ,MEDICAL databases ,SOCIAL support ,ONLINE information services ,DATA analysis software ,COMPARATIVE studies ,CRITICAL care nurses ,EMPLOYEES' workload ,THOUGHT & thinking ,PSYCHOLOGY information storage & retrieval systems - Abstract
Aim: The purpose of this systematic review was to determine the levels and influencing factors of mental workload in intensive care unit nurses. Background: Intensive care unit nurses have a high mental workload level. To our knowledge, no meta‐analytic research investigating the levels of mental workload in intensive care unit nurses and related factors has yet been performed. Design: This article is a systematic review and meta‐analysis. Methods: Eleven electronic databases were searched from the database setup dates until 31 December 2022. The research team independently conducted study selection, quality assessments, data extractions and analysis of all included studies. The PRISMA guideline was used to guide reportage of the systematic review and meta‐analysis. Results: Seventeen studies were included. In these studies, the pooled mean score of mental workload was 68.07 (95%CI:64.39–71.75). Furthermore, subgroup analyses indicated that intensive care unit nurses' mental workload differed significantly by countries, sample size and publication year. The mental workload influential factors considered were demographic, work‐related and psychological factors. Conclusion: Hospital administrators should develop interventions to reduce mental workload to enhance the mental health of intensive care unit nurses and nursing care quality. Hospital managers should pay attention to the mental health of nurses and guide them to correctly relieve occupational stress and reduce mental workload. Summary statement: What is already known about this topic? The prevalence of mental workload among ICU nurses is higher than in other departments in hospital.There are no published systematic review and meta‐analysis studies that synthesize the current evidence. What this paper adds? This review estimated overall mental workload scores, which indicated that ICU nurses have a high level of mental workload.The levels of mental workload among ICU nurses may be influenced by multiple factors, classified for this review in terms of demographic, work‐related and psychological factors. The implications of this paper: Demographic, work‐related and psychological variables should be taken into account in developing comprehensive interventions to reduce nurses' mental workload.Similar meta‐analyses in the future can evaluate other healthcare workers and those in other regions to determine in what departments the level of mental workload is high. [ABSTRACT FROM AUTHOR]
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- 2024
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49. Grandparents' Retirement and Mother's Employment Quality: The Mediating Role of Intergenerational Caregiving.
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Shangguan, Yiwen, Han, Chuanfeng, and Zhao, Jing
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SOCIAL security ,INCOME ,JOB security ,RESEARCH funding ,RETIREMENT ,MOTHERS ,BEHAVIOR ,DESCRIPTIVE statistics ,CAREGIVERS ,JOB satisfaction ,QUALITY of life ,SOCIAL support ,CHILD care ,EMPLOYMENT ,INTERGENERATIONAL relations - Abstract
The grandparents' retirement behavior has important support on mother's employment quality. This paper aims to estimate the influence of grandparents' retirement behavior on mother's employment quality, based on the China Family Panel Studies of 2018. The findings reveal a significant enhancement in mother's employment quality resulting from grandparents' retirement behavior. The mediating effect of grandparents' intergenerational caregiving explains approximately 68.77% of this improvement. Furthermore, the positive effect of grandparents' retirement behavior on mother's employment quality is more pronounced in families where the grandchild is older and in better health. Notably, the involvement of paternal grandparents yields more favorable outcomes compared to maternal grandparents. Findings from this study suggest that grandparent's retirement behavior play an important role in mother's employment quality through the provision of childcare assistance. Moreover, these findings highlight that the effectiveness of such support varies depending on the characteristics of both grandchildren and grandparents. [ABSTRACT FROM AUTHOR]
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- 2024
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50. Oral frailty: A concept analysis.
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Yang, Chengfengyi, Gao, Yajing, An, Ran, Lan, Yue, Yang, Yue, and Wan, Qiaoqin
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RESEARCH funding ,FRAIL elderly ,CINAHL database ,SYMPTOMS ,SYSTEMATIC reviews ,MEDLINE ,THEMATIC analysis ,MEDICAL databases ,NUTRITIONAL status ,ONLINE information services ,SOCIODEMOGRAPHIC factors ,CONCEPTS ,ORAL health ,COMORBIDITY - Abstract
Aim: To clarify the concept of oral frailty to provide a clear and standardized conceptual basis for further research in older people. Design: Rodgers and Knafl's evolutionary concept analysis approach. Methods: The narrative analysis detailedly extracted and synthesized the attributes of oral frailty, as well as its antecedents, consequences and related terms under the guidance of Rodgers' evolutionary method. Data Sources: Multiple databases including Pubmed, CINAHL and Cochrane were searched using selected search terms 'oral frail*', 'oral health' and 'aged' respectively. Articles written between 2013 and 2023 were included, and grey literature was excluded. Results: A total of 32 articles were included for further analysis and synthesis. The attributes of oral frailty were hypofunction, predisposing in nature, non‐specific and multidimensional. Antecedents of prefrailty were classified into four categories, namely, sociodemographic characteristics, comorbidity, physical function and psychosocial factors. Consequences of oral frailty include three themes: increased risk of adverse outcomes, poor nutritional status and possibility of social withdrawal. Related terms that had shared attributes with oral frailty were oral health, functional dentition, oral hypofunction and deterioration of oral function. Conclusions: Oral frailty is an age‐related phenomenon reflected in decreased oral function. The findings of this concept analysis are conducive to understanding and clarifying the oral frailty, which can help clinicians or other healthcare providers to consider how to distinguish oral frailty in older adults and further promote the development of this field. Impact: Oral frailty is increasingly recognized as an age‐related phenomenon reflected in decreased oral function. As it is newly proposed, no consensus has been reached regarding the theoretical and operational concept of it. Through clarifying the concept, this paper will guide future healthcare research on oral frailty regarding the influencing factors, mechanisms and interventions, thus raising the awareness with regard to oral health among older adults. What does this paper contribute to the wider global clinical community?: In the context of older adults, oral frailty is a concept that requires further research to guide future theoretical development, and the influencing factors, mechanisms and interventions need to be further studied.Raise awareness with regard to oral health among older people and more attention will be paid to the early identification and intervention of oral frailty, so as to further improve the quality of life of older adults. [ABSTRACT FROM AUTHOR]
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- 2024
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