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Investigating multilevel language interventions targeting spoken production in post-stroke aphasia: a scoping review protocol. 研究针对卒中后失语症的言语生产的多层次语言干预:范围审查协议。
IF 4.5 Q3 HEALTH CARE SCIENCES & SERVICES Pub Date : 2025-11-01 Epub Date: 2025-11-06 DOI: 10.11124/JBIES-24-00516
Grace Aryee, Jade Cartwright, Denis Visentin, Janet Webster, Anne Whitworth

Objective: This scoping review will identify multilevel language interventions that target spoken language production in aphasia following stroke and describe their characteristics, the theoretical predictions of the approaches, and what tools are used to measure outcomes.

Introduction: Multilevel aphasia interventions target more than one linguistic level in a sequential and/or simultaneous way. Recent research has shown that treating multiple levels of language processing in the same intervention can broaden treatment effectiveness. It can also provide greater evidence of therapy gains, transferring to untreated language skills and impacting broader participation and quality of life, than focusing on language levels in isolation. Currently, there is no synthesis or analysis of multilevel aphasia interventions in the literature that might help understand the components that may contribute to these potential benefits. Conducting a scoping review will allow us to systematically explore the nature of these multilevel interventions, their proposed outcomes, and highlight directions for clinical practice and future research.

Eligibility criteria: This review will consider aphasia intervention studies that aim to improve spoken production through involving more than one linguistic level in the intervention. Studies will include adults 18 years and older with post-stroke aphasia irrespective of aphasia type, severity, or time post-onset. All settings will be eligible for inclusion.

Methods: This review will be conducted in accordance with JBI methodology for scoping reviews. CINAHL, MEDLINE, PsycINFO, and Scopus will be searched for published articles. 2 reviewers will independently screen articles for relevance against the inclusion criteria. Data will be presented in tables, accompanied by a narrative summary.

Review registration: OSF https://osf.io/4y7me.

目的:本综述将确定针对中风后失语症的口语产生的多层次语言干预措施,并描述其特征,方法的理论预测,以及用于测量结果的工具。介绍:多层次失语症干预以顺序和/或同时的方式针对多个语言水平。最近的研究表明,与孤立地关注语言水平相比,在同一干预措施中治疗多个语言处理水平可以扩大治疗效果,并提供更多证据表明,治疗成果转移到未经治疗的语言技能上,并影响更广泛的参与和生活质量。目前,文献中还没有对多级失语干预的综合或分析,这可能有助于理解可能导致这些潜在益处的成分。进行范围审查将使我们能够系统地探索这些多层次干预措施的性质,其提出的结果,并强调临床实践和未来研究的方向。入选标准:本综述将考虑旨在通过在干预中涉及多个语言水平来提高口语产生的失语症干预研究。研究将包括中风后失语症患者,不论失语症类型、严重程度或发病时间。方法:本综述将按照JBI范围综述方法学进行。将检索CINAHL, MEDLINE, PsycINFO和Scopus。两名审稿人将根据纳入标准独立筛选文章的相关性。数据将以表格形式提出,并附有叙述性摘要。评审注册:OSF https://osf.io/4y7me。
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引用次数: 0
Mapping clinical pathways and evaluation in joint arthroplasty: a scoping review protocol. 绘制关节成形术的临床路径和评估:一项范围审查方案。
IF 4.5 Q3 HEALTH CARE SCIENCES & SERVICES Pub Date : 2025-10-01 Epub Date: 2025-10-07 DOI: 10.11124/JBIES-24-00568
José Miguel Seguro, Ana Cláudia Abreu, Francisco Matos, Inês Martins Esteves, Márcia Pestana Santos

Objectives: This scoping review will aim to map the clinical pathways for patients undergoing adult hip, knee, or shoulder arthroplasties. The review will also map the indicators and measurement tools used to evaluate the effectiveness of these pathways.

Introduction: Clinical pathways are structured, multidisciplinary care plans designed to standardize and optimize patient care. Clinical pathways reduce clinical heterogeneity, decrease malpractice risk, ensure high-quality care, and lower costs. The evidence characterizing these pathways and their evaluation indicators remains fragmented.

Eligibility criteria: This review will consider studies of any type on hip, knee, and shoulder arthroplasty; performed on adults; that describe clinical pathways, including their components, implementation, and evaluation.

Methods: This review will follow the JBI methodology for scoping reviews. A 3-step search strategy will be used to identify published and unpublished studies across multiple databases: PubMed, CINAHL (EBSCOhost), Scopus, Web of Science Core Collection, and the Cochrane Library. Gray literature will also be searched for. Studies published in English, Portuguese, and Spanish will be included, with no date limitations on the searches. Two independent reviewers will screen study titles, abstracts, and full texts, and extract data using a predefined extraction form. Data will be presented in tabular format and synthesized narratively.

Review registration: OSF https://osf.io/ysrw8.

目的:本综述旨在绘制成人髋关节、膝关节或肩关节置换术患者的临床路径。审查还将绘制用于评估这些途径有效性的指标和衡量工具。临床路径是结构化的、多学科的护理计划,旨在标准化和优化患者护理。临床路径减少临床异质性,降低医疗事故风险,确保高质量的护理,并降低成本。表征这些途径及其评价指标的证据仍然支离破碎。入选标准:本综述将考虑任何类型的研究;髋关节、膝关节和肩关节置换术;对成年人表演;描述临床途径,包括其组成部分、实施和评估。方法:本综述将遵循JBI方法进行范围综述。一个三步搜索策略将用于识别多个数据库中已发表和未发表的研究:PubMed、CINAHL (EBSCOhost)、Scopus、Web of Science Core Collection和Cochrane Library。灰色文献也将被搜索。以英语、葡萄牙语和西班牙语发表的研究将被包括在内,对搜索没有日期限制。两名独立审稿人将筛选研究标题、摘要和全文,并使用预定义的提取表格提取数据。数据将以表格形式呈现,并以叙述的方式综合。评审注册:OSF: https://doi.org/10.17605/OSF.IO/YSRW8。
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引用次数: 0
Structured evidence summaries designed to inform decision-makers in health research: a scoping review protocol. 旨在为卫生研究决策者提供信息的结构化证据摘要:范围审查方案。
IF 4.5 Q3 HEALTH CARE SCIENCES & SERVICES Pub Date : 2025-10-01 Epub Date: 2025-10-07 DOI: 10.11124/JBIES-24-00357
Ariadna Auladell-Rispau, Joanne Khabsa, Danielle Pollock, Ivan Solà, Gabriel Rada, Elie A Akl, Gerard Urrutia, María Ximena Rojas-Reyes

Objective: This scoping review aims to identify, summarize, and describe the content and format of structured evidence summaries designed to inform clinical or policy decisions.

Introduction: There is a need to develop a more efficient strategy to ensure that the results of the Living Evidence approach reach end users in a timely manner, thereby enhancing their role in the decision-making process.

Eligibility criteria: Any article assessing the development or validation process of generating a structured evidence summary aimed at informing health decision-makers will be considered for inclusion in the review. Additionally, we will include summaries that have been published as part of the updated reports of living systematic reviews of any health-related question.

Methods: This scoping review will be conducted in accordance with the JBI guidance for scoping reviews and reported according to the Preferred Reporting Items for Systematic Reviews and Meta-Analysis extension for Scoping Reviews (PRISMA-ScR). The initial search will be conducted in PubMed, Embase, and Cochrane, as well as websites and databases specializing in health decision-making and health technology assessment, including Health Systems Evidence, Epistemonikos, NICE Evidence Search, and websites of major European health technology assessment agencies, such as the European Network for Health Technology Assessment (EUnetHTA) and the National Institute for Health and Care Excellence (NICE). Finally, broader searches will be conducted in Google Scholar and the JBI Evidence-Based Practice Database to identify hard-to-find articles. Two researchers will independently screen, select, and extract documents, with findings presented both narratively and in tabular format.

Review registration: OSF https://osf.io/69chn.

目的:本综述旨在识别、总结和描述旨在为临床或政策决策提供信息的结构化证据摘要的内容和格式。引言:有必要制定一个更有效的战略,以确保实时证据方法的结果及时到达最终用户,从而增强他们在决策过程中的作用。资格标准:任何评估旨在为卫生决策者提供信息的结构化证据摘要的开发或验证过程的文章都将被考虑纳入审查。此外,我们将包括已发表的摘要,作为任何健康相关问题的实时系统评价的更新报告的一部分。方法:本次范围评价将按照JBI范围评价指南进行,并按照系统评价和荟萃分析范围评价扩展的首选报告项目(PRISMA-ScR)进行报告。初步检索将在PubMed、Embase和Cochrane进行,以及专门从事卫生决策和卫生技术评估的网站和数据库,包括卫生系统证据、Epistemonikos、NICE证据检索,以及欧洲主要卫生技术评估机构的网站,如欧洲卫生技术评估网络(EUnetHTA)和国家卫生与护理卓越研究所(NICE)。最后,将在b谷歌Scholar和JBI循证实践数据库中进行更广泛的搜索,以确定难以找到的文章。两名研究人员将独立筛选、选择和提取文件,并以叙述和表格形式呈现研究结果。评审注册:OSF OSF .io/69chn。
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引用次数: 0
Economic evaluation synthesis: time for a methodological update to support equitable decision-making. 经济评价综合:更新方法以支持公平决策的时间。
IF 4.5 Q3 HEALTH CARE SCIENCES & SERVICES Pub Date : 2025-10-01 Epub Date: 2025-10-07 DOI: 10.11124/JBIES-25-00430
Yuri Jadotte, Denny John, Suzy Lockwood, Norma Bulamu, Ghislaine van Mastrigt, Luke Vale, Judith Gomersall, Dru Riddle, Sonia Hines
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引用次数: 0
Experiences of perinatal depression screening in women during perinatal period: a qualitative systematic review protocol. 围产期妇女围产期抑郁症筛查的经验:一项定性系统评价方案。
IF 4.5 Q3 HEALTH CARE SCIENCES & SERVICES Pub Date : 2025-10-01 Epub Date: 2025-10-07 DOI: 10.11124/JBIES-24-00557
Xuemei Tao, Hua Rongyu, Patraporn Bhatarasakoon

Objective: This review aims to synthesize women's experiences of perinatal depression screening.

Introduction: Perinatal depression is common for women during the perinatal period. The rate of untreated perinatal depression is high, and the consequences are serious. Targeted depression screening for perinatal women offers the potential to identify and treat undiagnosed patients and help prevent perinatal depression's detrimental consequences.

Eligibility criteria: Articles from all settings will be considered. This review will include qualitative data from qualitative research and mixed methods articles that explore women's experiences of perinatal depression screening. Participants are women who accept perinatal depression screening, regardless of age.

Methods: The search strategy will include CINAHL (EBSCOhost), Clinical Key, China National Knowledge Infrastructure (CNKI), Embase, PubMed, and Scopus. Two independent reviewers will cross-check the search outcomes and eligible articles and verify additional articles that are suitable for analysis. Google Scholar and ProQuest Dissertations and Theses (ProQuest) will be used to identify gray literature. The JBI approach will be used for literature selection, critical appraisal, data extraction, and data synthesis.

Review registration: PROSPERO CRD42024606518.

目的:总结妇女围产期抑郁症筛查的经验。围产期抑郁症是围产期妇女的常见病。围产期抑郁症未经治疗的比例很高,后果很严重。围产期妇女有针对性的抑郁症筛查提供了识别和治疗未确诊患者的潜力,并有助于预防围产期抑郁症的有害后果。资格标准:将考虑所有设置的文章。本综述将包括来自定性研究和混合方法文章的定性数据,探讨妇女围产期抑郁症筛查的经验。参与者是接受围产期抑郁症筛查的妇女,无论年龄大小。方法:检索策略包括CINAHL (EBSCOhost)、Clinical Key、CNKI、Embase、PubMed、Scopus。两名独立审稿人将交叉检查搜索结果和符合条件的文章,并验证其他适合分析的文章。谷歌学者和ProQuest学位论文和论文(ProQuest)将用于识别灰色文献。JBI方法将用于文献选择、批判性评估、数据提取和数据合成。评审注册号:PROSPERO CRD42024606518。
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引用次数: 0
Teaching professional writing in prelicensure health professional education programs: a scoping review. 执照前卫生专业教育项目中的专业写作教学:范围审查。
IF 4.5 Q3 HEALTH CARE SCIENCES & SERVICES Pub Date : 2025-10-01 Epub Date: 2025-10-07 DOI: 10.11124/JBIES-24-00255
Patricia Morris, Rose McCloskey, Alexis McGill, Lisa Keeping-Burke, Alex Goudreau, Holly Knight, Sarah Buckley, David Mazerolle, Courtney Jones
<p><strong>Objective: </strong>This review aimed to map the literature on teaching strategies used to teach professional writing to prelicensure students enrolled in health professional programs.</p><p><strong>Introduction: </strong>Health education programs must teach students how to practice professional writing as it is a fundamental skill for effective communication in health care. Professional writing is crucial for ensuring continuity of care, promoting patient safety, and meeting regulatory and institutional standards. Understanding the teaching strategies used to develop professional writing skills is important because it helps educators identify the most effective methods for preparing students for practice.</p><p><strong>Eligibility criteria: </strong>This review considered studies on teaching strategies used by faculty at any academic institution, in any country, to teach professional writing in prelicensure health professional programs. Disciplines such as medicine, nursing, occupational therapy, pharmacy, dentistry, and veterinary medicine were included. Strategies included any intentional activity (in-person or virtual) aimed at developing students' professional writing. Professional writing included writing for the purpose of recording assessments or interventions, conveying information to a care team, communicating with patients, or demonstrating compliance with professional or institutional policies or practices.</p><p><strong>Methods: </strong>This review followed the JBI methodology for scoping reviews. Published literature was located in MEDLINE (Ovid), Embase (Ovid), CINAHL with Full Text (EBSCOhost), ProQuest Nursing and Allied Health (ProQuest), and ERIC (EBSCOhost). A search for unpublished research reports was conducted in ProQuest Dissertations and Theses, Open Access Theses and Dissertations (OATD), and OAIster (WorldCat). The reference lists of all included studies were manually back-searched for additional studies, and Google Scholar and Web of Science Core Collection were used for forward citation tracking to identify further studies. Search results were limited from 2010 to the present, and only reports written in English and French were eligible. Data were extracted from studies that met the eligibility criteria by 2 independent reviewers. Data are presented in tabular format to address findings related to the review objectives.</p><p><strong>Results: </strong>Thirty-three studies from 7 countries, published between 2010 and 2025, were included. All studies examined at least 1 teaching strategy, and included 5 disciplines: nursing, medicine, pharmacy, dentistry, and veterinary medicine. Three additional studies focused on interprofessional education. A variety of strategies was used to teach professional writing, with the most common being didactic methods such as lectures, as well as checklists. These strategies included group and individualized modes of delivery and targeted a range of professional writing types,
目的:本综述旨在梳理有关卫生专业预科学生专业写作教学策略的文献。健康教育课程必须教会学生如何练习专业写作,因为这是医疗保健中有效沟通的基本技能。专业写作对于确保护理的连续性、促进患者安全以及满足监管和机构标准至关重要。了解用于培养专业写作技能的教学策略是很重要的,因为它可以帮助教育者确定最有效的方法,让学生为实践做好准备。资格标准:本综述考虑了在任何国家的任何学术机构的教师使用的教学策略的研究,这些策略用于在获得执照前的卫生专业课程中教授专业写作。包括医学、护理、职业治疗、药学、牙科和兽医学等学科。策略包括任何旨在发展学生专业写作的有意活动(面对面的或虚拟的)。专业写作包括以记录评估或干预、向护理团队传达信息、与患者沟通或证明对专业或机构政策或实践的遵守为目的的写作。方法:本综述采用JBI方法进行范围综述。已发表的文献位于MEDLINE (Ovid)、Embase (Ovid)、CINAHL全文(EBSCOhost)、ProQuest护理与联合健康(ProQuest)和ERIC (EBSCOhost)。对未发表的研究报告进行了搜索,包括ProQuest dissertation and dissertation, Open Access dissertation and dissertation (oad)和OAIster (WorldCat)。人工对所有纳入研究的参考文献列表进行反向检索,以寻找更多的研究,并使用谷歌Scholar和Web of Science Core Collection进行转发引用跟踪,以确定进一步的研究。搜索结果限于2010年至今,并且只有用英语和法语撰写的报告才符合条件。数据由2位独立审稿人从符合资格标准的研究中提取。数据以表格形式呈现,以说明与审查目标有关的调查结果。结果:纳入了来自7个国家的33项研究,发表于2010年至2025年之间。所有研究至少检查了一种教学策略,包括护理、医学、药学、牙科和兽医学5个学科。另外三项研究侧重于跨专业教育。教授专业写作的策略多种多样,最常见的是说教式的方法,如讲座和清单。这些策略包括小组和个性化的交付模式,并针对一系列专业写作类型,包括评估、出院摘要、处方和患者教育材料。结论:本综述中纳入的大多数研究都是在最近5年内发表的,这突显了越来越多的人认识到为未来的卫生保健毕业生做好专业写作准备。这篇综述揭示了在理解执照前课程中最有效的专业写作教学方法方面的差距。未来的研究应确定最佳的教学策略,并制定标准化的评估指标,以确保卫生专业学生完全具备满足临床实践写作需求的能力。评审注册:OSF https://osf.io/nveqr/。
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引用次数: 0
Physical activity-based interventions in the management of dementia or cognitive impairment in sub-Saharan Africa: a scoping review protocol. 撒哈拉以南非洲以身体活动为基础的痴呆或认知障碍管理干预措施:范围审查方案
IF 4.5 Q3 HEALTH CARE SCIENCES & SERVICES Pub Date : 2025-10-01 Epub Date: 2025-10-07 DOI: 10.11124/JBIES-24-00504
Michael C Ibekaku, Lawrence Adebusoye, Lori Weeks, Parisa Ghanouni, Nazanin Nasiri, Chukwuebuka P Onyekere, Caitlin McArthur

Objective: This scoping review aims to map the existing literature on physical activity-based interventions for the management of dementia and cognitive impairment in sub-Saharan Africa.

Introduction: Dementia and cognitive impairment are growing public health concerns in sub-Saharan Africa, where the number of affected individuals is expected to rise significantly. Given the high rate of dementia underdiagnosis in this region, many individuals experiencing cognitive decline may not have a formal dementia diagnosis. Physical activity-based interventions, conceptualized in this review as both structured exercise programs (eg, aerobic training, resistance exercises) and unstructured physical activities (eg, walking, dancing, or daily movement-based activities), are increasingly used in cognitive impairment dementia care. However, most research in this area has been conducted in other regions, with limited knowledge of how these interventions are applied in sub-Saharan African countries.

Eligibility criteria: The review will include studies focusing on individuals with dementia or cognitive impairment, where physical activity - based interventions are implemented. The setting will be sub-Saharan African countries, with no restrictions on the language or date of publication.

Methods: The review will follow the JBI methodology for scoping reviews and adhere to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR). A comprehensive search will be conducted in PubMed, CINAHL, PsycINFO, SPORTDiscus, Scopus, Embase, and African Journals Online databases. Gray literature sources, including Google Scholar and Database of African Theses and Dissertations-Research (DATAD-R), will also be searched. Data will be charted and summarized descriptively, with the results presented in narrative and visual formats.

Review registration: OSF https://osf.io/gz65k.

目的:本综述旨在对撒哈拉以南非洲地区以身体活动为基础的痴呆和认知障碍干预管理的现有文献进行梳理。导言:痴呆症和认知障碍是撒哈拉以南非洲日益严重的公共卫生问题,预计受影响的个人人数将大幅增加。考虑到该地区痴呆症未确诊率很高,许多经历认知能力下降的人可能没有正式的痴呆症诊断。基于身体活动的干预措施,在本综述中被定义为有组织的运动项目(如有氧训练、阻力训练)和非组织的身体活动(如散步、跳舞或日常运动活动),越来越多地用于认知障碍痴呆的护理。然而,这一领域的大多数研究都是在其他地区进行的,对这些干预措施如何在撒哈拉以南非洲国家应用的了解有限。纳入标准:本综述将包括以痴呆症或认知障碍患者为重点的研究,在这些研究中实施了基于身体活动的干预措施。背景将是撒哈拉以南非洲国家,对语言和出版日期没有限制。方法:本综述将遵循JBI的范围评价方法,并遵循系统评价和范围评价扩展元分析的首选报告项目(PRISMA-ScR)。将在PubMed, CINAHL, PsycINFO, SPORTDiscus, Scopus, Embase和African Journals Online数据库中进行全面搜索。灰色文献资源,包括谷歌学者和非洲论文研究数据库(DATAD-R),也将被检索。数据将被绘制成图表并进行描述性总结,结果将以叙述和视觉形式呈现。评审注册:Open Science Framework https://osf.io/gz65k。
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引用次数: 0
Measures of shared decision-making for multiple long-term condition consultations: a scoping review protocol. 多个长期条件协商的共同决策措施:范围审查协议。
IF 4.5 Q3 HEALTH CARE SCIENCES & SERVICES Pub Date : 2025-10-01 Epub Date: 2025-10-07 DOI: 10.11124/JBIES-25-00028
Joanne Butterworth, Karen Mattick, Suzanne Richards, Umesh Kadam

Objective: The objective of this scoping review is to understand the extent and type of evidence in relation to measures of shared decision-making applicable to consultations between older people living with multiple long-term conditions and health care practitioners in primary care.

Introduction: The number of people living with multiple long-term conditions is expected to rise worldwide, putting pressure on primary care systems and practitioners. Patient involvement in shared decision-making is key to the provision of high-quality, patient-centered care and can enable self-management, efficiency, and effective care; however, there is a lack of pragmatic guidance. To evaluate shared decision-making in context and inform best practice, measures must be applicable for use in this population and setting.

Eligibility criteria: Studies reporting any measure of shared decision-making designed and developed for use in consultations between older patients (aged ≥ 65 years) and practitioners to map the breadth of domains and content of these measures will be considered for inclusion. Studies will be limited to Westernized health care systems.

Methods: This scoping review will follow JBI methodology. A comprehensive search will be conducted in PubMed, Embase, CINAHL (EBSCOhost), the Cochrane Database of Systematic Reviews, Cochrane CENTRAL, PROSPERO, ClinicalTrials.gov, and other gray literature sources. The search strategy will include keywords related to shared decision-making and measures/instruments, and will not be restricted by date or language. Data extraction and narrative analysis will be guided by the JBI framework.

Review registration: OSF https://osf.io/wfg4s.

目的:本范围审查的目的是了解与共同决策措施有关的证据的程度和类型,这些措施适用于在初级保健机构中患有多种长期疾病的老年人之间的咨询。导言:预计世界范围内患有多种长期疾病的人数将会增加,这将给初级保健系统和从业人员带来压力。患者参与共同决策是提供高质量、以患者为中心的护理的关键,可以实现自我管理、效率和有效的护理;然而,缺乏务实的指导。为了评估背景下的共同决策并为最佳实践提供信息,必须采取适用于这一人群和环境的措施。入选标准:研究报告了任何共同决策的措施,这些措施设计和开发用于成人患者和从业人员之间的会诊,以绘制这些措施的领域广度和内容。研究将仅限于西方化的卫生保健系统。没有语言和日期限制。方法:本综述将遵循JBI方法。将在PubMed、Embase、CINAHL (EBSCOhost)、Cochrane系统评价数据库、Cochrane CENTRAL、PROSPERO、ClinicalTrials.gov和其他灰色文献来源中进行全面搜索。搜索策略将包括与共同决策和措施/工具相关的关键字,并且不受日期或语言的限制。数据提取和叙事分析将以JBI框架为指导。评审注册:OSF https://osf.io/wfg4s。
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引用次数: 0
Effectiveness of palliative care for the management of end-stage liver disease: a systematic review protocol. 缓和治疗在终末期肝病管理中的有效性:一项系统评价方案。
IF 4.5 Q3 HEALTH CARE SCIENCES & SERVICES Pub Date : 2025-10-01 Epub Date: 2025-10-07 DOI: 10.11124/JBIES-24-00454
Harshitha Manjunath, Aditi Manoj, Bhagya S, Sahana Rani S, Chithra Venkateswaran, Denny John

Objective: The aim of this systematic review will be to evaluate the effectiveness of palliative care for treating adults with end-stage liver disease (ESLD), focusing on outcomes such as quality of life, quality of care, symptom burden, and patient satisfaction.

Introduction: ESLD is a critical health issue, characterized by various devitalizing symptoms that negatively affect quality of life for patients. Palliative care, which is a specialty used to alleviate pain and control other manifestations of the disease, has been suggested across various studies for the management of quality of life and symptom burden in patients with ESLD.

Eligibility criteria: This review will include studies focusing on the use of palliative care for adults (≥18 years) with ESLD. Papers that compare palliative care with usual care or placebo will also be included.

Methods: The review will follow the JBI methodology for systematic reviews of effectiveness. PubMed, Embase (Ovid), Cochrane Central Register of Controlled Trials (CENTRAL), CINAHL (EBSCOhost), Scopus, and Web of Science will be searched for published studies. Sources to be searched for unpublished literature will include Google Scholar, ProQuest Dissertations and Theses Global, Shodhganga, MedNar, OpenGrey, and the WHO International Clinical Trials Registry Platform. Two independent reviewers will assess titles, abstracts, and full-text papers against the inclusion criteria. A third reviewer will resolve any discrepancies. Standardized JBI appraisal tools will be used to critically appraise eligible studies. Two independent reviewers will extract data. Meta-analysis will be conducted for outcomes, where feasible. If a meta-analysis cannot be conducted, the findings will be reported in a narrative format, adhering to the Synthesis Without Meta-analysis guidelines. Certainty of evidence will be reported using the Grading of Recommendations, Assessment, Development and Evaluation (GRADE) approach.

Review registration: PROSPERO CRD42024586855.

目的:本系统综述的目的是评估姑息治疗治疗终末期肝病(ESLD)的有效性,重点关注生活质量、护理质量、症状负担和患者满意度等结果。ESLD是一种严重的健康问题,其特点是各种失活症状对患者的生活质量产生负面影响。姑息治疗是一种用于减轻疼痛和控制疾病其他表现的专科,已在各种研究中被建议用于管理ESLD患者的生活质量和症状负担。纳入标准:本综述将纳入关注ESLD成人(≥18岁)姑息治疗使用的研究。将包括关注缓和治疗与常规治疗或安慰剂比较的论文。方法:检索MEDLINE (PubMed)、Embase (Ovid)、Cochrane (CENTRAL)、CINAHL (EBSCOhost)、Scopus和Web of Science等已发表的研究。搜索未发表文献的来源包括谷歌Scholar、ProQuest dissertation and Theses、Shodhganga、MedNar、OpenGrey和World Health Organization。两名独立审稿人将根据纳入标准评估标题、摘要和全文论文。第三位审稿人将解决任何差异。标准化的JBI评估工具将用于严格评估合格的研究。两名独立审稿人将提取数据。如果可行,将对结果进行荟萃分析。如果不能进行荟萃分析,研究结果将以叙述形式报告。证据的确定性将使用建议、评估、发展和评价分级(GRADE)方法进行报告。审核注册:PROSPERO CRD42024586855。
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引用次数: 0
Registered nurses' experiences of organizational change in acute care settings: a qualitative systematic review. 急症护理机构组织变革的注册护士经验:一项定性系统回顾。
IF 4.5 Q3 HEALTH CARE SCIENCES & SERVICES Pub Date : 2025-10-01 Epub Date: 2025-10-07 DOI: 10.11124/JBIES-24-00317
Darlaine Jantzen, Lenora Marcellus, Danielle Damianos, Geraldine Irlbacher
<p><strong>Objective: </strong>The objective of this review was to describe the experiences of registered nurses (RNs) providing direct patient care in acute care settings undergoing organizational change.</p><p><strong>Introduction: </strong>RNs, comprising the largest group of health care professionals in the hospital setting, are directly influenced by organizational change. Exploring their experiences will contribute to better strategic planning within hospital systems. An understanding of both the positive and negative experiences of ubiquitous organizational change, and the factors that mitigate negative effects, is essential to retaining precious health human resources, specifically nurses in acute care.</p><p><strong>Inclusion criteria: </strong>Qualitative studies of RNs working in direct patient care in acute care settings with experiences of organizational change were included. Quantitative studies and studies of other health care professionals, including those where midwives are not RNs, were excluded. Studies limited to organizational change that involved planned, purposeful change impacting daily nursing practice were included.</p><p><strong>Methods: </strong>An initial search was conducted in MEDLINE (EBSCOhost) and CINAHL (EBSCOhost), followed by a full search in CINAHL, MEDLINE, PsycINFO, Business Source Complete, ERIC (all via EBSCOhost), PubMed, and gray literature sources. Original searches were conducted in June 2017 and updated in July 2023. There were no search limits. We followed the JBI approach for study selection, critical appraisal, data extraction, and synthesis. Synthesized findings were assessed using ConQual.</p><p><strong>Results: </strong>Seventy-nine studies were eligible for inclusion after full-text review, but after assessing methodological quality, 5 were ineligible for lacking representation of participant voices. In total, 74 studies with 471 findings were included in the review. The earliest study was from 1987, with the majority published between 2013 and 2023. Most were phenomenological, hermeneutic, or grounded theory studies. Sixteen countries were represented in the included studies, with almost half from the US and England. The 5 synthesized findings are: i) Nurses experienced a lack of meaningful participatory approaches and effective preparation and planning; ii) Nurses identified facilitators to help them navigate change at intrapersonal, leadership, and organizational levels, with two-way communication an overarching facilitator; iii) Nurses experienced a range of affective responses in direct response to organizational change; iv) Nurses experienced impacts on their care practices, nursing identity, workload, roles, and everyday responsibilities, which influenced the quality and safety of patient care; and v) Organizational change led to altered relationships at organizational, unit, team, and nurse-patient levels.</p><p><strong>Conclusions: </strong>The quality of the included studies was high
目的:本综述的目的是描述在经历组织变革的急症护理机构中直接提供病人护理的注册护士(RNs)的经验。简介:注册护士是医院中最大的卫生保健专业人员群体,他们直接受到组织变革的影响。探索他们的经验将有助于医院系统内更好的战略规划。了解无处不在的组织变革的积极和消极经验,以及减轻消极影响的因素,对于保留宝贵的卫生人力资源,特别是急症护理护士至关重要。纳入标准:对在急症护理机构直接护理病人的注册护士进行定性研究,并纳入有组织变革经验的注册护士。定量研究和其他卫生保健专业人员的研究,包括助产士不是注册护士的研究,被排除在外。研究仅限于组织变革,包括计划的,有目的的变化影响日常护理实践。方法:在MEDLINE (EBSCOhost)和CINAHL (EBSCOhost)中进行初步检索,随后在CINAHL、MEDLINE、PsycINFO、Business Source Complete、ERIC(全部通过EBSCOhost)、PubMed(2017年1月至6月,2023年1月至7月)和灰色文献来源(2017年6月,2023年7月更新)中进行全面检索。没有搜索限制。我们遵循JBI方法进行研究选择、批判性评估、数据提取和综合。使用征服评估综合结果。结果:79项研究被纳入综述,但在评估方法学质量后,5项研究被排除,剩下74项研究有561项发现。最早的研究始于1987年,其中大部分发表于2013年至2023年之间。大多数是现象学、解释学或基于理论的研究。这些研究涵盖了16个国家,其中近一半来自美国和英国。5个综合发现是:i)护士缺乏有意义的参与方法和有效的计划和准备;ii)护士确定了促进者,以帮助他们在人际关系、领导和组织层面上应对变化,双向沟通是最重要的促进者;iii)护士在组织变革的直接反应中经历了一系列情感反应;iv)护士的护理实践、护理身份、工作量、角色和日常职责受到影响,影响患者护理的质量和安全;组织变革导致组织、单位、团队和护患层面关系的改变。结论:纳入的研究质量高,为本综述提供了支持。在任何医疗保健变革之前,从护理角度让护士参与进来,对于最大限度地减少对患者护理质量的负面影响,以及增加有效、高效和尊重的变革至关重要。护士受到混乱、非参与性举措的影响,这些举措未能提高患者护理质量。早期的、持续的、有效的双向沟通是必要的。医疗保健领导可以通过参与护士对高质量患者护理的承诺来促进积极的变革体验。实践建议包括参与性方法,在组织变革的所有层面上进行持续的双向沟通。建议进行与组织变革相关的定量系统审查和评价研究。审核注册:PROSPERO CRD42023442473。
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引用次数: 0
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