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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。
{"title":"Physical activity-based interventions in the management of dementia or cognitive impairment in sub-Saharan Africa: a scoping review protocol.","authors":"Michael C Ibekaku, Lawrence Adebusoye, Lori Weeks, Parisa Ghanouni, Nazanin Nasiri, Chukwuebuka P Onyekere, Caitlin McArthur","doi":"10.11124/JBIES-24-00504","DOIUrl":"10.11124/JBIES-24-00504","url":null,"abstract":"<p><strong>Objective: </strong>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.</p><p><strong>Introduction: </strong>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.</p><p><strong>Eligibility criteria: </strong>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.</p><p><strong>Methods: </strong>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.</p><p><strong>Review registration: </strong>OSF https://osf.io/gz65k.</p>","PeriodicalId":36399,"journal":{"name":"JBI evidence synthesis","volume":" ","pages":"2113-2123"},"PeriodicalIF":4.5,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144209801","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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。
{"title":"Registered nurses' experiences of organizational change in acute care settings: a qualitative systematic review.","authors":"Darlaine Jantzen, Lenora Marcellus, Danielle Damianos, Geraldine Irlbacher","doi":"10.11124/JBIES-24-00317","DOIUrl":"10.11124/JBIES-24-00317","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Objective: &lt;/strong&gt;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.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Introduction: &lt;/strong&gt;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.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Inclusion criteria: &lt;/strong&gt;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.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;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.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;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.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusions: &lt;/strong&gt;The quality of the included studies was high","PeriodicalId":36399,"journal":{"name":"JBI evidence synthesis","volume":" ","pages":"1977-2073"},"PeriodicalIF":4.5,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145065943","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Experiences of health care professionals in intensive care when families participate in clinician handovers: a qualitative systematic review. 家庭参与临床医生交接时重症监护卫生保健专业人员的经验: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-24-00154
Pauline Wong, Andree Gamble, Ruofei Chen, Ruth Endacott
<p><strong>Objective: </strong>The objective of this review was to evaluate health care professionals' experiences when families participate in clinician handovers in adult, pediatric, and neonatal intensive care units (ICUs).</p><p><strong>Introduction: </strong>Previous studies report the emotional distress families experience when a relative is admitted to intensive care, including an increased risk of post-traumatic stress disorder symptoms after discharge. Family involvement in patient care in ICU can improve safety and quality health care outcomes. Furthermore, family participation in clinician handovers may improve satisfaction with care, staff communication, and interpersonal relationships with families. However, health care professionals' attitudes toward family participation in multidisciplinary ward rounds are diverse, and little is known about their perspectives toward family participation in clinician handovers.</p><p><strong>Inclusion criteria: </strong>Studies were included if they involved health care professionals and any type of family participation during handover, from bedside presence to participation in decision-making. Clinician handovers included multidisciplinary ward rounds or nursing handovers. Settings were adult, pediatric, or neonatal intensive care units in rural or metropolitan regions in any country. Studies in other clinical contexts were excluded. Qualitative studies were included, as well as mixed methods studies if qualitative data could be clearly extracted.</p><p><strong>Methods: </strong>Databases searched included CINAHL Plus (EBSCOhost), MEDLINE (Ovid), Scopus, Embase (Ovid), Emcare (Ovid), PsycINFO (Ovid), ProQuest Central (including ProQuest Dissertations and Theses), Web of Science, MedNar, and Google Scholar, with limiters being English and the year range 2000 to present. The last search was in October 2024. Two reviewers independently screened the titles and abstracts and assessed the full-text articles that met inclusion criteria for methodological quality. Findings were extracted using the JBI data extraction tool and assigned a level of credibility. Meta-aggregation was used to synthesize the findings. Two reviewers discussed any disagreements to reach consensus and consulted a third reviewer when necessary.</p><p><strong>Results: </strong>Eleven studies published from 2003-2024 were included for data extraction. Five studies were qualitative and 6 were mixed methods. Six studies were conducted in the United States, 4 in Canada, and 1 in Australia. Three studies were in adult ICUs, 5 in pediatric, 1 in neonatal, and 2 did not specify the ICU type. All studies were on multidisciplinary bedside rounds, while none were conducted on nursing handovers. The findings revealed that health care professionals generally supported family participation in clinician handovers due to benefits such as improved communication between the health care team and families. However, they also identified barriers, includi
目的:本综述的目的是评估家庭参与成人、儿科和新生儿重症监护病房(icu)临床医生交接时卫生保健专业人员的经验。先前的研究报告了当亲属被送入重症监护时,家庭所经历的情绪困扰,包括出院后创伤后应激障碍症状的风险增加。家庭参与ICU患者护理可以提高安全性和质量的卫生保健结果。此外,家庭参与临床医生交接可以提高对护理的满意度,员工沟通,以及与家庭的人际关系。然而,卫生保健专业人员对家庭参与多学科查房的态度是多种多样的,很少知道他们对家庭参与临床医生交接的看法。纳入标准:纳入涉及医疗保健专业人员和移交期间任何类型的家庭参与的研究,从床边陪伴到参与决策。临床医生交接包括多学科查房或护理交接。设置在任何国家的农村或大都市地区的成人、儿科或新生儿重症监护病房。其他临床背景的研究被排除在外。包括定性研究,以及混合方法研究,如果可以清楚地提取定性数据。方法:检索的数据库包括CINAHL Plus (EBSCOhost)、MEDLINE (Ovid)、Scopus、Embase (Ovid)、Emcare (Ovid)、PsycINFO (Ovid)、ProQuest Central(包括ProQuest博士论文和论文)、Web of Science、MedNar和谷歌Scholar,限定词为英文,检索时间范围为2000年至今。最后一次搜索是在2024年10月。两位审稿人独立筛选标题和摘要,并评估符合方法学质量纳入标准的全文文章。使用JBI数据提取工具提取结果,并指定可信度水平。Meta-aggregation用于综合研究结果。两位审稿人讨论任何分歧以达成共识,必要时咨询第三位审稿人。结果:纳入2003-2024年发表的11篇研究进行数据提取。5项研究为定性研究,6项为混合研究。6项研究在美国进行,4项在加拿大进行,1项在澳大利亚进行。3项研究针对成人ICU, 5项针对儿科,1项针对新生儿,2项研究未明确ICU类型。所有的研究都是关于多学科的床边查房,而没有一个是关于护理交接的。研究结果显示,医疗保健专业人员普遍支持家庭参与临床医生的交接,因为这样可以改善医疗保健团队和家庭之间的沟通。然而,他们也发现了障碍,包括家庭对坏消息的情绪反应,以及在移交过程中对工作流程和教学机会的影响。会议强调,规划、领导和明确沟通对于成功促进家庭参与轮次至关重要。结论:虽然本综述发现卫生保健专业人员重视家庭参与多学科床边查房,但他们遇到了挑战,未来的研究需要探索家庭参与临床医生交接。在ICU移交过程中,需要包括家属在内的大量计划、投资和准备工作。评审注册号:PROSPERO CRD42020223011。
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引用次数: 0
Effectiveness of health literacy interventions for knowledge, skills, and attitudes in community health workers: a systematic review protocol. 卫生素养干预措施对社区卫生工作者的知识、技能和态度的有效性:一项系统审查方案
IF 4.5 Q3 HEALTH CARE SCIENCES & SERVICES Pub Date : 2025-10-01 Epub Date: 2025-10-07 DOI: 10.11124/JBIES-25-00035
Kerwyn Jim C Chan, Jeriel R De Silos, Madelyn A Gabrieles, Michael Justin S Valles

Objective: This systematic review aims to evaluate the effectiveness of health literacy interventions compared to standard or usual educational practices for knowledge, skills, and attitudes in community health workers.

Introduction: Health literacy plays a crucial role in improving personal and societal health outcomes. Community health workers, who serve as cultural mediators and health educators in communities, often face gaps in formal training on health literacy. Addressing this need through evidence-based interventions is essential to enhance their competencies and support their critical roles in health care systems worldwide.

Eligibility criteria: The review will consider experimental and quasi-experimental studies, including randomized controlled trials, cohort studies, and cross-sectional studies. Studies evaluating health literacy interventions, such as training, workshops, or seminars, delivered through any modality and language will be included. Primary outcomes include community health workers' health literacy knowledge assessed through validated measures. Secondary outcomes include skills in obtaining and processing health information and health literacy attitudes.

Methods: Databases including PubMed, Embase (Ovid), CINAHL Ultimate (EBSCOhost), Web of Science, Cochrane Central Register of Controlled Trials, and ProQuest Central will be searched, along with gray literature sources including ClinicalTrials.gov, World Health Organization International Clinical Trials Registry Platform, MedRxiv, and preprints.org. Screening of reports and assessment of methodological quality will be done by at least 2 reviewers independently. Data synthesis will involve meta-analysis, where appropriate, with subgroup analyses based on socioeconomic status, intervention duration, and delivery modality. Alternative synthesis methods will be used if statistical pooling is not possible. The Grading of Recommendations Assessment, Development and Evaluation (GRADE) approach will be used to assess the certainty of findings.

Review registration: PROSPERO CRD42025639226.

目的:本系统综述旨在评估卫生素养干预措施的有效性,与标准或通常的教育实践相比,社区卫生工作者的知识、技能和态度。健康素养在改善个人和社会健康结果方面发挥着至关重要的作用。社区卫生工作者在社区中充当文化调解人和卫生教育工作者,但在卫生素养的正式培训方面往往存在差距。通过循证干预措施满足这一需求,对于提高他们的能力并支持他们在全球卫生保健系统中发挥关键作用至关重要。纳入标准:本综述将考虑实验和准实验研究,包括随机对照试验、队列研究和横断面研究。将包括评估卫生素养干预措施的研究,如通过任何形式和语言提供的培训、讲习班或研讨会。主要成果包括通过有效措施评估社区卫生工作者的卫生素养知识。次要结果包括获取和处理卫生信息的技能以及卫生素养态度。方法:检索PubMed、Embase和CINAHL等数据库,以及ClinicalTrials.gov等灰色文献来源。报告的筛选和方法学质量的评估将由至少2名独立审稿人完成。数据综合将包括元分析,在适当的情况下,根据社会经济地位、干预持续时间和交付方式进行亚组分析。如果统计池是不可能的,将使用替代的综合方法。建议分级评估、发展和评价(GRADE)方法将用于评估结果的确定性。审核注册:PROSPERO ID CRD42025639226。
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