首页 > 最新文献

JBI database of systematic reviews and implementation reports最新文献

英文 中文
What's the cost? Informing antimicrobial treatment of inpatients with economic evidence. 费用是多少?以经济证据告知住院患者抗菌药物治疗。
Pub Date : 2019-12-01 DOI: 10.11124/JBISRIR-D-19-00365
W. M. Dos Santos, S. Secoli, E. Aromataris
{"title":"What's the cost? Informing antimicrobial treatment of inpatients with economic evidence.","authors":"W. M. Dos Santos, S. Secoli, E. Aromataris","doi":"10.11124/JBISRIR-D-19-00365","DOIUrl":"https://doi.org/10.11124/JBISRIR-D-19-00365","url":null,"abstract":"","PeriodicalId":73539,"journal":{"name":"JBI database of systematic reviews and implementation reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88611029","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: 1
Meaningful and culturally appropriate palliative care for Chinese immigrants with a terminal condition: a qualitative systematic review protocol. 有意义的和文化上合适的临终华人移民的姑息治疗:一个定性的系统评价方案。
Pub Date : 2019-12-01 DOI: 10.11124/JBISRIR-2017-003867
Li Wei, Jennifer Walters, Qiaohong Guo, Catherine Fetherston, Moira O'Connor

Objective: This review aims to identify and synthesize the best qualitative evidence on the experiences of Chinese immigrants receiving palliative care in their country of residence where the culture is predominantly Western, and the experiences of their family carers.

Introduction: The recent increase in international immigration has led to challenges in providing culturally appropriate palliative care. Chinese populations have particular beliefs, values and practices surrounding death and filial piety. These differ considerably from those in Western cultures and have significant implications for palliative care service provision. This review will explore the experiences and perceptions of Chinese immigrants and how their cultural beliefs shape their acceptance and decision making related to palliative care.

Inclusion criteria: The review will include studies on the experiences of Chinese immigrants over 18 years of age with a terminal medical condition receiving palliative care in outpatient units, hospitals, hospices, specialist palliative care units, homes and community settings in their country of residence where the culture is predominantly Western.

Methods: Eligible studies will be studies with qualitative data including designs such as phenomenology, grounded theory, ethnography, narrative research, qualitative description, action research and feminist research published in English and Chinese. CINAHL, PsycINFO, MEDLINE, Scopus and Web of Science Core Collection will be used and grey literature will be searched using ProQuest Dissertations and Theses, OpenGrey and Caresearch. Appraisal of selected studies will be done with the Joanna Briggs Institute Qualitative Assessment and Review tool. Findings will be synthesized through a meta-aggregative approach to produce a comprehensive set of synthesized findings that can be used as a basis for evidence-based practice.

目的:本综述旨在识别和综合有关中国移民在其以西方文化为主的居住国接受姑息治疗的经历及其家庭照顾者的经历的最佳定性证据。导言:最近国际移民的增加导致了在提供文化上适当的姑息治疗方面的挑战。中国人对死亡和孝道有着特殊的信仰、价值观和习俗。这些与西方文化有很大的不同,对姑息治疗服务的提供有重要的影响。本综述将探讨中国移民的经历和看法,以及他们的文化信仰如何影响他们对姑息治疗的接受和决策。纳入标准:审查将包括研究18岁以上的晚期医疗状况的中国移民在门诊、医院、临终关怀、专科临终关怀单位、家庭和社区环境中接受姑息治疗的经历,这些国家的文化以西方为主。方法:合格的研究将包含定性数据的研究,包括现象学、扎根理论、民族志、叙事研究、定性描述、行动研究和女权主义研究等设计,并以中英文出版。将使用CINAHL、PsycINFO、MEDLINE、Scopus和Web of Science Core Collection检索灰色文献,使用ProQuest disserthesis and Theses、OpenGrey和Caresearch检索灰色文献。对选定研究的评估将使用乔安娜布里格斯研究所的定性评估和审查工具。研究结果将通过综合方法进行综合,以产生一套全面的综合研究结果,可作为循证实践的基础。
{"title":"Meaningful and culturally appropriate palliative care for Chinese immigrants with a terminal condition: a qualitative systematic review protocol.","authors":"Li Wei,&nbsp;Jennifer Walters,&nbsp;Qiaohong Guo,&nbsp;Catherine Fetherston,&nbsp;Moira O'Connor","doi":"10.11124/JBISRIR-2017-003867","DOIUrl":"https://doi.org/10.11124/JBISRIR-2017-003867","url":null,"abstract":"<p><strong>Objective: </strong>This review aims to identify and synthesize the best qualitative evidence on the experiences of Chinese immigrants receiving palliative care in their country of residence where the culture is predominantly Western, and the experiences of their family carers.</p><p><strong>Introduction: </strong>The recent increase in international immigration has led to challenges in providing culturally appropriate palliative care. Chinese populations have particular beliefs, values and practices surrounding death and filial piety. These differ considerably from those in Western cultures and have significant implications for palliative care service provision. This review will explore the experiences and perceptions of Chinese immigrants and how their cultural beliefs shape their acceptance and decision making related to palliative care.</p><p><strong>Inclusion criteria: </strong>The review will include studies on the experiences of Chinese immigrants over 18 years of age with a terminal medical condition receiving palliative care in outpatient units, hospitals, hospices, specialist palliative care units, homes and community settings in their country of residence where the culture is predominantly Western.</p><p><strong>Methods: </strong>Eligible studies will be studies with qualitative data including designs such as phenomenology, grounded theory, ethnography, narrative research, qualitative description, action research and feminist research published in English and Chinese. CINAHL, PsycINFO, MEDLINE, Scopus and Web of Science Core Collection will be used and grey literature will be searched using ProQuest Dissertations and Theses, OpenGrey and Caresearch. Appraisal of selected studies will be done with the Joanna Briggs Institute Qualitative Assessment and Review tool. Findings will be synthesized through a meta-aggregative approach to produce a comprehensive set of synthesized findings that can be used as a basis for evidence-based practice.</p>","PeriodicalId":73539,"journal":{"name":"JBI database of systematic reviews and implementation reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.11124/JBISRIR-2017-003867","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37283475","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: 3
Non-pharmacological interventions for pain management in adult victims of trauma: a scoping review protocol. 成人创伤受害者疼痛管理的非药物干预:范围审查方案。
Pub Date : 2019-12-01 DOI: 10.11124/JBISRIR-2017-004036
Mauro Mota, Madalena Cunha, Margarida Reis Santos, Dulce Silva, Eduardo Santos

Objective: This scoping review aims to map non-pharmacological interventions for reducing acute pain for adult victims of trauma.

Introduction: Acute pain, as a consequence of either a pathological or traumatic event or even due to invasive and non-invasive healthcare procedures, is highly prevalent in critically ill patients. However, specific acute pain as a direct consequence of trauma is one of the least studied areas of acute pain.

Inclusion criteria: This scoping review will consider studies on adult victims of trauma, aged 18 years or over, in prehospital emergency care, emergency departments and trauma centers. All studies that focus on non-pharmacological interventions designed to reduce acute pain, implemented and evaluated by health professionals in any form, duration, frequency and intensity, will be considered.

Methods: An initial search of PubMed and CINAHL will be undertaken, followed by a second search for published and unpublished studies from 2000 to the present in major healthcare related electronic databases. Studies in English, French, Spanish and Portuguese will be included. Data extraction will be performed independently by two reviewers in tabular form and include details about the interventions, populations, study methods and outcomes of interest. A narrative synthesis will accompany the results and will describe how they relate to the review objectives.

目的:这一范围审查的目的是绘制非药物干预措施,以减少急性疼痛的成人创伤受害者。急性疼痛,作为病理或创伤事件的结果,甚至由于侵入性和非侵入性医疗程序,在危重患者中非常普遍。然而,作为创伤直接后果的特异性急性疼痛是急性疼痛研究最少的领域之一。纳入标准:本范围综述将考虑院前急诊、急诊科和创伤中心18岁或以上的成人创伤受害者的研究。将考虑所有由卫生专业人员以任何形式、持续时间、频率和强度实施和评估的旨在减轻急性疼痛的非药物干预措施的研究。方法:对PubMed和CINAHL进行初步检索,然后对2000年至今主要医疗保健相关电子数据库中已发表和未发表的研究进行第二次检索。课程包括英语、法语、西班牙语和葡萄牙语。数据提取将由两名审稿人以表格形式独立进行,并包括有关干预措施、人群、研究方法和感兴趣的结果的详细信息。结果将伴随一个叙述性综合,并将描述它们与审查目标的关系。
{"title":"Non-pharmacological interventions for pain management in adult victims of trauma: a scoping review protocol.","authors":"Mauro Mota,&nbsp;Madalena Cunha,&nbsp;Margarida Reis Santos,&nbsp;Dulce Silva,&nbsp;Eduardo Santos","doi":"10.11124/JBISRIR-2017-004036","DOIUrl":"https://doi.org/10.11124/JBISRIR-2017-004036","url":null,"abstract":"<p><strong>Objective: </strong>This scoping review aims to map non-pharmacological interventions for reducing acute pain for adult victims of trauma.</p><p><strong>Introduction: </strong>Acute pain, as a consequence of either a pathological or traumatic event or even due to invasive and non-invasive healthcare procedures, is highly prevalent in critically ill patients. However, specific acute pain as a direct consequence of trauma is one of the least studied areas of acute pain.</p><p><strong>Inclusion criteria: </strong>This scoping review will consider studies on adult victims of trauma, aged 18 years or over, in prehospital emergency care, emergency departments and trauma centers. All studies that focus on non-pharmacological interventions designed to reduce acute pain, implemented and evaluated by health professionals in any form, duration, frequency and intensity, will be considered.</p><p><strong>Methods: </strong>An initial search of PubMed and CINAHL will be undertaken, followed by a second search for published and unpublished studies from 2000 to the present in major healthcare related electronic databases. Studies in English, French, Spanish and Portuguese will be included. Data extraction will be performed independently by two reviewers in tabular form and include details about the interventions, populations, study methods and outcomes of interest. A narrative synthesis will accompany the results and will describe how they relate to the review objectives.</p>","PeriodicalId":73539,"journal":{"name":"JBI database of systematic reviews and implementation reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.11124/JBISRIR-2017-004036","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37410400","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: 3
Association between restriction policies and rates of alcohol-related harms in Australian Aboriginal and Torres Strait Islander communities: a systematic review protocol. 澳大利亚土著居民和托雷斯海峡岛民社区限制政策与酒精相关危害率之间的关系:系统审查议定书。
Pub Date : 2019-12-01 DOI: 10.11124/JBISRIR-D-19-00041
S. Hines, T. Carey, K. Martin, M. Cibich
OBJECTIVEThis review aims to examine the association between alcohol restriction policies and rates of alcohol-related harms in Australian Aboriginal and Torres Strait Islander communities.INTRODUCTIONA number of different strategies have been used to reduce the harms and costs associated with excessive alcohol consumption in Aboriginal and Torres Strait Islander communities. These strategies, implemented at federal and state government levels, as well as by individual communities, have aimed to promote reduced alcohol consumption or prohibit consumption entirely. Strategies to address the problems associated with alcohol misuse can be categorized into three types: harm, demand and supply reduction.INCLUSION CRITERIAThis review will consider any kind of quantitative research study that includes Australian Aboriginal and Torres Strait Islander peoples living in communities subject to alcohol control policies due to the imposition of alcohol management plans or other alcohol restriction policies. Included studies will measure physical alcohol-related harms. The secondary outcome of interest will be rates of alcohol consumption measured as alcohol sales per person or as self-reported consumption. Studies published in English from 1998 will be included.METHODSThe proposed systematic review will be conducted in accordance with the JBI methodology for systematic reviews of etiology and risk. Published and unpublished studies will be sourced from multiple databases and resources. Two independent reviewers will screen, appraise and extract data from studies meeting the inclusion criteria. Data synthesis will be conducted and a Summary of Findings will be constructed.
目的:本综述旨在研究澳大利亚原住民和托雷斯海峡岛民社区酒精限制政策与酒精相关危害发生率之间的关系。在土著和托雷斯海峡岛民社区,为了减少与过度饮酒有关的危害和费用,采用了若干不同的战略。这些战略在联邦和州政府各级以及个别社区实施,旨在促进减少酒精消费或完全禁止消费。解决与酒精滥用有关的问题的战略可分为三类:危害、减少需求和减少供应。纳入标准本审查将考虑任何种类的定量研究,其中包括居住在因强制实施酒精管理计划或其他酒精限制政策而受酒精控制政策约束的社区的澳大利亚土著和托雷斯海峡岛民。纳入的研究将测量与酒精有关的身体危害。感兴趣的第二个结果将是以人均酒精销售量或自我报告消费量衡量的酒精消费量。1998年以来以英文发表的研究报告也将包括在内。方法本系统评价将按照JBI的病因和风险系统评价方法进行。已发表和未发表的研究将来自多个数据库和资源。两名独立审稿人将筛选、评估并从符合纳入标准的研究中提取数据。将进行数据综合,并编制一份调查结果摘要。
{"title":"Association between restriction policies and rates of alcohol-related harms in Australian Aboriginal and Torres Strait Islander communities: a systematic review protocol.","authors":"S. Hines, T. Carey, K. Martin, M. Cibich","doi":"10.11124/JBISRIR-D-19-00041","DOIUrl":"https://doi.org/10.11124/JBISRIR-D-19-00041","url":null,"abstract":"OBJECTIVE\u0000This review aims to examine the association between alcohol restriction policies and rates of alcohol-related harms in Australian Aboriginal and Torres Strait Islander communities.\u0000\u0000\u0000INTRODUCTION\u0000A number of different strategies have been used to reduce the harms and costs associated with excessive alcohol consumption in Aboriginal and Torres Strait Islander communities. These strategies, implemented at federal and state government levels, as well as by individual communities, have aimed to promote reduced alcohol consumption or prohibit consumption entirely. Strategies to address the problems associated with alcohol misuse can be categorized into three types: harm, demand and supply reduction.\u0000\u0000\u0000INCLUSION CRITERIA\u0000This review will consider any kind of quantitative research study that includes Australian Aboriginal and Torres Strait Islander peoples living in communities subject to alcohol control policies due to the imposition of alcohol management plans or other alcohol restriction policies. Included studies will measure physical alcohol-related harms. The secondary outcome of interest will be rates of alcohol consumption measured as alcohol sales per person or as self-reported consumption. Studies published in English from 1998 will be included.\u0000\u0000\u0000METHODS\u0000The proposed systematic review will be conducted in accordance with the JBI methodology for systematic reviews of etiology and risk. Published and unpublished studies will be sourced from multiple databases and resources. Two independent reviewers will screen, appraise and extract data from studies meeting the inclusion criteria. Data synthesis will be conducted and a Summary of Findings will be constructed.","PeriodicalId":73539,"journal":{"name":"JBI database of systematic reviews and implementation reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84681937","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: 2
Promoting informed consent in a children's hospital in Tabriz, Iran: a best practice implementation project. 在伊朗大不里士的一家儿童医院促进知情同意:最佳做法实施项目。
Pub Date : 2019-12-01 DOI: 10.11124/JBISRIR-D-19-00060
N. Kabiri, S. Hajebrahimi, Gisoo Alizadeh, Solmaz Azimzadeh, Nayyereh Farajzadeh, Amin Talebpour
INTRODUCTIONInformed consent is a continuous and dynamic process. It is a crucial part of healthcare procedures that becomes more complex in a pediatric clinical practice, where parents must make decisions for their children.OBJECTIVESThe aim of this implementation project was to evaluate the current practice and implement the best practice related to obtaining informed consent in a children's hospital in Tabriz, Iran.METHODSA clinical audit was undertaken using the JBI Practical Application of Clinical Evidence System (JBI PACES) tool. Five audit criteria representing the best-practice recommendations for informed consent were used. A baseline audit was conducted, followed by the implementation of multiple strategies. The project was finalized with a follow-up audit to determine change in practice.RESULTSThe compliance rate of all criteria improved from baseline to follow-up audit. Criteria 1 (obtaining informed consent prior to all nursing procedures) and 5 (provision of information related to the necessity of the treatment) reached 97% compliance in the follow-up cycle. Criterion 4 (provision of information related to the nature and effect of the treatment) achieved 74% compliance. Both criteria 2 and 3 (provision of information related to alternative treatments and consequences of refusing treatment) reached 57% in the follow-up cycle. To improve compliance, meetings were organized with the heads of departments, nurses and residents regarding informed consent. Also, staff were encouraged to report cases where informed consent was not obtained.CONCLUSIONThe audit results indicated an improvement in obtaining informed consent in the included departments. The interventions that were employed can facilitate the implementation of evidence into clinical practice.
知情同意是一个持续的动态过程。这是医疗程序的一个关键部分,在儿科临床实践中变得更加复杂,父母必须为他们的孩子做出决定。目的:本实施项目的目的是评估伊朗大不里士(Tabriz)一家儿童医院在获得知情同意方面的现行做法,并实施最佳做法。方法采用JBI临床证据系统实际应用(JBI PACES)工具进行临床审核。采用了代表知情同意最佳做法建议的五项审计标准。进行了基线审计,然后实施了多项战略。该项目最后进行了后续审计,以确定实践中的变化。结果从基线到随访,各指标的符合率均有提高。标准1(在所有护理程序之前获得知情同意)和标准5(提供与治疗必要性相关的信息)在随访周期中达到97%的依从性。标准4(提供有关治疗性质和效果的信息)达到74%的依从性。在随访周期中,标准2和标准3(提供有关替代治疗和拒绝治疗后果的信息)均达到57%。为了提高依从性,组织了与科室负责人、护士和住院医生关于知情同意的会议。此外,还鼓励工作人员报告未取得知情同意的情况。结论审计结果表明,纳入科室在知情同意获取方面有所改善。所采用的干预措施可以促进证据在临床实践中的实施。
{"title":"Promoting informed consent in a children's hospital in Tabriz, Iran: a best practice implementation project.","authors":"N. Kabiri, S. Hajebrahimi, Gisoo Alizadeh, Solmaz Azimzadeh, Nayyereh Farajzadeh, Amin Talebpour","doi":"10.11124/JBISRIR-D-19-00060","DOIUrl":"https://doi.org/10.11124/JBISRIR-D-19-00060","url":null,"abstract":"INTRODUCTION\u0000Informed consent is a continuous and dynamic process. It is a crucial part of healthcare procedures that becomes more complex in a pediatric clinical practice, where parents must make decisions for their children.\u0000\u0000\u0000OBJECTIVES\u0000The aim of this implementation project was to evaluate the current practice and implement the best practice related to obtaining informed consent in a children's hospital in Tabriz, Iran.\u0000\u0000\u0000METHODS\u0000A clinical audit was undertaken using the JBI Practical Application of Clinical Evidence System (JBI PACES) tool. Five audit criteria representing the best-practice recommendations for informed consent were used. A baseline audit was conducted, followed by the implementation of multiple strategies. The project was finalized with a follow-up audit to determine change in practice.\u0000\u0000\u0000RESULTS\u0000The compliance rate of all criteria improved from baseline to follow-up audit. Criteria 1 (obtaining informed consent prior to all nursing procedures) and 5 (provision of information related to the necessity of the treatment) reached 97% compliance in the follow-up cycle. Criterion 4 (provision of information related to the nature and effect of the treatment) achieved 74% compliance. Both criteria 2 and 3 (provision of information related to alternative treatments and consequences of refusing treatment) reached 57% in the follow-up cycle. To improve compliance, meetings were organized with the heads of departments, nurses and residents regarding informed consent. Also, staff were encouraged to report cases where informed consent was not obtained.\u0000\u0000\u0000CONCLUSION\u0000The audit results indicated an improvement in obtaining informed consent in the included departments. The interventions that were employed can facilitate the implementation of evidence into clinical practice.","PeriodicalId":73539,"journal":{"name":"JBI database of systematic reviews and implementation reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80092136","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: 1
Interprofessional team-based primary health care for adults with intellectual and developmental disabilities: a scoping review protocol. 智力和发育障碍成人的跨专业团队初级卫生保健:范围审查方案。
Pub Date : 2019-12-01 DOI: 10.11124/JBISRIR-2017-003999
Nicole Bobbette, Catherine Donnelly, Lee-Anne Ufholz, Jane Duggan, Emily Weatherbed

Objective: This review aims to examine the state of the evidence for interprofessional team-based primary health care for adults with intellectual and developmental disabilities.

Introduction: Adults with intellectual and developmental disabilities have complex health needs, as well as experience health service inequities. Interprofessional primary healthcare teams offer access to comprehensive primary health care and are recommended as an approach to improve the health of this population. At present, limited information is available regarding what services interprofessional primary healthcare teams provide and how services are evaluated specific to the care of adults with intellectual and developmental disabilities.

Inclusion criteria: This review will consider all studies that reference individuals with intellectual and developmental disabilities who are 18 years and over. It will consider all studies that refer to interprofessional healthcare provision within a primary healthcare team context. Interprofessional care is the term that will be used to describe services provided by interprofessional health providers (e.g. nurses, dietitians, social workers) in these teams. Work completed by physicians and nurses within traditional general practices will be excluded.

Methods: This review will be conducted according to the JBI methodology for scoping reviews. It will consider quantitative, qualitative and mixed methods study designs for inclusion. In addition, systematic reviews, program descriptions, clinical reviews and opinion papers will be considered. The review will consider all studies published since 2000 in English or French. All duplicates will be removed from identified citations. A data extraction tool will assist reviewers to identify and synthesize findings from selected papers.

目的:本综述旨在研究基于跨专业团队的成人智力和发育障碍初级卫生保健的证据现状。成人智力和发育障碍有复杂的卫生需求,并经历卫生服务不平等。跨专业初级保健小组提供全面的初级保健,并被建议作为改善这一人口健康的一种方法。目前,关于跨专业初级保健团队提供哪些服务以及如何评估针对智力和发育障碍成人的服务的信息有限。纳入标准:本综述将纳入所有涉及18岁及以上智力和发育障碍个体的研究。它将考虑所有涉及初级保健团队背景下的跨专业医疗保健提供的研究。跨专业护理这个术语将用于描述这些团队中的跨专业保健提供者(例如护士、营养师、社会工作者)提供的服务。医生和护士在传统全科实践中完成的工作将被排除在外。方法:本综述将按照JBI范围综述方法学进行。它将考虑定量,定性和混合方法的研究设计纳入。此外,系统评论,项目描述,临床评论和意见论文将被考虑。该综述将考虑自2000年以来以英语或法语发表的所有研究。所有重复将从已识别的引文中删除。数据提取工具将帮助审稿人从选定的论文中识别和综合研究结果。
{"title":"Interprofessional team-based primary health care for adults with intellectual and developmental disabilities: a scoping review protocol.","authors":"Nicole Bobbette,&nbsp;Catherine Donnelly,&nbsp;Lee-Anne Ufholz,&nbsp;Jane Duggan,&nbsp;Emily Weatherbed","doi":"10.11124/JBISRIR-2017-003999","DOIUrl":"https://doi.org/10.11124/JBISRIR-2017-003999","url":null,"abstract":"<p><strong>Objective: </strong>This review aims to examine the state of the evidence for interprofessional team-based primary health care for adults with intellectual and developmental disabilities.</p><p><strong>Introduction: </strong>Adults with intellectual and developmental disabilities have complex health needs, as well as experience health service inequities. Interprofessional primary healthcare teams offer access to comprehensive primary health care and are recommended as an approach to improve the health of this population. At present, limited information is available regarding what services interprofessional primary healthcare teams provide and how services are evaluated specific to the care of adults with intellectual and developmental disabilities.</p><p><strong>Inclusion criteria: </strong>This review will consider all studies that reference individuals with intellectual and developmental disabilities who are 18 years and over. It will consider all studies that refer to interprofessional healthcare provision within a primary healthcare team context. Interprofessional care is the term that will be used to describe services provided by interprofessional health providers (e.g. nurses, dietitians, social workers) in these teams. Work completed by physicians and nurses within traditional general practices will be excluded.</p><p><strong>Methods: </strong>This review will be conducted according to the JBI methodology for scoping reviews. It will consider quantitative, qualitative and mixed methods study designs for inclusion. In addition, systematic reviews, program descriptions, clinical reviews and opinion papers will be considered. The review will consider all studies published since 2000 in English or French. All duplicates will be removed from identified citations. A data extraction tool will assist reviewers to identify and synthesize findings from selected papers.</p>","PeriodicalId":73539,"journal":{"name":"JBI database of systematic reviews and implementation reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.11124/JBISRIR-2017-003999","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37410398","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: 1
Impact of mHealth interventions during the perinatal period on maternal psychosocial outcomes: a systematic review protocol. 围产期移动保健干预措施对产妇心理社会结局的影响:一项系统审查方案。
Pub Date : 2019-12-01 DOI: 10.11124/JBISRIR-D-19-00003
J. Dol, B. Richardson, G. Tomblin Murphy, M. Aston, D. McMillan, M. Campbell-Yeo
OBJECTIVEThis review aims to evaluate the effectiveness of mother-targeted mobile health (mHealth) education interventions during the perinatal period on maternal psychosocial outcomes in high-income countries.INTRODUCTIONMobile health (i.e. mHealth) is defined as the use of mobile devices to transmit health content and services. The use of mHealth to provide education and support to mothers is a growing field of health innovation. Mothers seek health information online during the postpartum period to learn about health concerns and get advice and support. Despite the potential benefits of mHealth, the potential impact on maternal psychosocial outcomes requires further evaluation.INCLUSION CRITERIAThe review will consider studies that include mHealth interventions targeting mothers in high-income countries. The mHealth education interventions must occur during the antenatal or postnatal period. This review will consider studies that compare the intervention to any comparators. Studies published in English from 2000 will be included.METHODSThe search strategy will aim to locate both published and unpublished studies. Following the search, all identified citations will be collated and duplicates removed. Titles and abstracts will be screened and full text of selected citations will then be assessed in detail against inclusion criteria. The results of the search will be reported in full in the final systematic review. Eligible studies will be critically appraised by two independent reviewers. Data extracted will include specific details about the interventions, populations, study methods and outcomes. Studies will be pooled in statistical meta-analysis or presented in narrative form including tables and figures.
目的:本综述旨在评估高收入国家围产期针对母亲的移动健康(mHealth)教育干预措施对产妇心理社会结局的有效性。移动医疗(即移动医疗)被定义为使用移动设备传送医疗内容和服务。利用移动医疗为母亲提供教育和支持是一个不断发展的卫生创新领域。在产后期间,母亲们在网上寻找健康信息,了解健康问题,并获得建议和支持。尽管移动医疗有潜在的好处,但对产妇心理社会结局的潜在影响需要进一步评估。纳入标准本综述将考虑包括针对高收入国家母亲的移动健康干预措施的研究。移动保健教育干预必须在产前或产后进行。本综述将考虑将干预措施与任何比较物进行比较的研究。2000年以来以英文发表的研究也将包括在内。方法检索策略旨在定位已发表和未发表的研究。搜索完成后,将对所有已识别的引文进行整理,并删除重复的引文。将筛选标题和摘要,然后根据纳入标准对选定引文的全文进行详细评估。检索结果将在最后的系统综述中完整报告。符合条件的研究将由两名独立审稿人进行严格评估。提取的数据将包括有关干预措施、人群、研究方法和结果的具体细节。研究将汇总在统计荟萃分析中,或以包括表格和数字在内的叙述形式呈现。
{"title":"Impact of mHealth interventions during the perinatal period on maternal psychosocial outcomes: a systematic review protocol.","authors":"J. Dol, B. Richardson, G. Tomblin Murphy, M. Aston, D. McMillan, M. Campbell-Yeo","doi":"10.11124/JBISRIR-D-19-00003","DOIUrl":"https://doi.org/10.11124/JBISRIR-D-19-00003","url":null,"abstract":"OBJECTIVE\u0000This review aims to evaluate the effectiveness of mother-targeted mobile health (mHealth) education interventions during the perinatal period on maternal psychosocial outcomes in high-income countries.\u0000\u0000\u0000INTRODUCTION\u0000Mobile health (i.e. mHealth) is defined as the use of mobile devices to transmit health content and services. The use of mHealth to provide education and support to mothers is a growing field of health innovation. Mothers seek health information online during the postpartum period to learn about health concerns and get advice and support. Despite the potential benefits of mHealth, the potential impact on maternal psychosocial outcomes requires further evaluation.\u0000\u0000\u0000INCLUSION CRITERIA\u0000The review will consider studies that include mHealth interventions targeting mothers in high-income countries. The mHealth education interventions must occur during the antenatal or postnatal period. This review will consider studies that compare the intervention to any comparators. Studies published in English from 2000 will be included.\u0000\u0000\u0000METHODS\u0000The search strategy will aim to locate both published and unpublished studies. Following the search, all identified citations will be collated and duplicates removed. Titles and abstracts will be screened and full text of selected citations will then be assessed in detail against inclusion criteria. The results of the search will be reported in full in the final systematic review. Eligible studies will be critically appraised by two independent reviewers. Data extracted will include specific details about the interventions, populations, study methods and outcomes. Studies will be pooled in statistical meta-analysis or presented in narrative form including tables and figures.","PeriodicalId":73539,"journal":{"name":"JBI database of systematic reviews and implementation reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76834720","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: 9
Workplace bullying and risk of burnout in nurses: a systematic review protocol. 工作场所欺凌和护士职业倦怠风险:系统审查方案。
Pub Date : 2019-12-01 DOI: 10.11124/JBISRIR-D-19-00019
Christina Purpora, Adam S Cooper, Claire Sharifi, Michelle Lieggi
OBJECTIVEThe objective of this review is to assess the association between workplace bullying and nurse burnout.INTRODUCTIONInternationally, workplace bullying has been linked to nurse burnout. Burnout is of significant concern due to its association with nurses' intent to quit, job dissatisfaction, reduced empathy and patient satisfaction. While there have been systematic reviews conducted on workplace bullying, none have explored its association with nursing burnout.INCLUSION CRITERIAThis review will consider studies that include licensed nurses in any clinical setting in any country. Only studies in which the Negative Acts Questionnaire-Revised was used to measure licensed nurses' exposure to workplace bullying and in which the Maslach Burnout Inventory was used to measure burnout (i.e. the outcome of interest) will be considered. Prospective and retrospective cohort studies, case-control studies and analytical cross-sectional studies will be considered for inclusion.METHODSKey information sources to be searched for studies in English from 1990 to the present include: CINAHL, Embase, PsycINFO, PubMed and Scopus. Two independent reviewers will screen titles, abstracts and full texts of selected citations against the inclusion criteria and appraise for methodological quality. Two reviewers will independently use the standardized data extraction tool to extract data from studies used in the review. Studies will, where possible, be pooled in a statistical meta-analysis. Where statistical pooling is not possible, the findings will be presented in narrative form including tables and figures to aid in data presentation, where appropriate.Systematic review registration number: PROSPERO CRD42019128798.
目的本综述的目的是评估工作场所欺凌与护士职业倦怠之间的关系。在国际上,工作场所欺凌与护士职业倦怠有关。由于职业倦怠与护士的离职意向、工作不满意、同理心降低和患者满意度有关,因此值得关注。虽然对职场欺凌进行了系统的评估,但没有人探讨过它与护理倦怠的关系。纳入标准本综述将考虑包括任何国家任何临床环境中的执业护士的研究。只有使用负面行为问卷-修订版来测量执业护士对工作场所欺凌的暴露和使用Maslach职业倦怠量表来测量职业倦怠(即兴趣结果)的研究才会被考虑。前瞻性和回顾性队列研究、病例对照研究和分析性横断面研究将被考虑纳入。方法检索1990年至今英文文献的主要信息源包括:CINAHL、Embase、PsycINFO、PubMed和Scopus。两名独立审稿人将根据纳入标准筛选选定引文的标题、摘要和全文,并评估方法质量。两名审稿人将独立使用标准化数据提取工具从审评中使用的研究中提取数据。在可能的情况下,研究将被汇总到统计荟萃分析中。在无法进行统计汇总的情况下,调查结果将酌情以叙述形式提出,包括表格和数字,以帮助提供数据。系统评价注册号:PROSPERO CRD42019128798。
{"title":"Workplace bullying and risk of burnout in nurses: a systematic review protocol.","authors":"Christina Purpora, Adam S Cooper, Claire Sharifi, Michelle Lieggi","doi":"10.11124/JBISRIR-D-19-00019","DOIUrl":"https://doi.org/10.11124/JBISRIR-D-19-00019","url":null,"abstract":"OBJECTIVE\u0000The objective of this review is to assess the association between workplace bullying and nurse burnout.\u0000\u0000\u0000INTRODUCTION\u0000Internationally, workplace bullying has been linked to nurse burnout. Burnout is of significant concern due to its association with nurses' intent to quit, job dissatisfaction, reduced empathy and patient satisfaction. While there have been systematic reviews conducted on workplace bullying, none have explored its association with nursing burnout.\u0000\u0000\u0000INCLUSION CRITERIA\u0000This review will consider studies that include licensed nurses in any clinical setting in any country. Only studies in which the Negative Acts Questionnaire-Revised was used to measure licensed nurses' exposure to workplace bullying and in which the Maslach Burnout Inventory was used to measure burnout (i.e. the outcome of interest) will be considered. Prospective and retrospective cohort studies, case-control studies and analytical cross-sectional studies will be considered for inclusion.\u0000\u0000\u0000METHODS\u0000Key information sources to be searched for studies in English from 1990 to the present include: CINAHL, Embase, PsycINFO, PubMed and Scopus. Two independent reviewers will screen titles, abstracts and full texts of selected citations against the inclusion criteria and appraise for methodological quality. Two reviewers will independently use the standardized data extraction tool to extract data from studies used in the review. Studies will, where possible, be pooled in a statistical meta-analysis. Where statistical pooling is not possible, the findings will be presented in narrative form including tables and figures to aid in data presentation, where appropriate.Systematic review registration number: PROSPERO CRD42019128798.","PeriodicalId":73539,"journal":{"name":"JBI database of systematic reviews and implementation reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89240617","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: 10
Experiences of outdoor nature-based therapeutic recreation programs for persons with a mental illness: a qualitative systematic review protocol. 精神疾病患者基于自然的户外治疗性娱乐项目的经验:一个定性的系统评价方案。
Pub Date : 2019-12-01 DOI: 10.11124/JBISRIR-D-19-00046
Caroline Picton, Ritin Fernandez, Lorna Moxham, Christopher Patterson

Objective: The objective of this review is to identify, appraise and synthesize the best available qualitative evidence on participation in outdoor therapeutic recreation programs for adults with a mental illness living in the community.

Introduction: Therapeutic recreation is posited to be beneficial for persons living with a mental illness. Research indicates that therapeutic recreation programs can foster mental health recovery. It is necessary to understand how nature-based therapeutic recreation programs are beneficial from the perspective of persons living with mental illness.

Inclusion criteria: The review will consider studies that have collected qualitative data on the experiences and perspectives of adults with a mental illness of their participation in nature-based therapeutic recreation programs.

Methods: The databases PsycINFO, CINAHL, MEDLINE, Scopus and Informit and unpublished sources in gray literature databases (Google) will be searched and reference lists will be checked to locate any additional studies. Studies published in English will be considered with no date limit. Two reviewers will independently assess the methodological quality of the studies which meet the inclusion criteria using the Joanna Briggs Institute (JBI) critical appraisal checklist for qualitative research. Data will be extracted by one reviewer using the standardized qualitative extraction tool and checked for accuracy by a second reviewer. The qualitative research findings will be pooled using JBI methodology. The JBI process of meta-aggregation will be used to identify categories and synthesized findings.

目的:本综述的目的是识别、评价和综合现有的关于社区成人精神疾病患者参加户外治疗性娱乐活动的最佳定性证据。治疗性娱乐被认为对患有精神疾病的人是有益的。研究表明,治疗性娱乐项目可以促进心理健康的恢复。从精神疾病患者的角度来看,有必要了解基于自然的治疗性娱乐项目是如何有益的。纳入标准:本综述将考虑已收集的关于成年精神疾病患者参与自然治疗性娱乐项目的经验和观点的定性数据的研究。方法:检索PsycINFO、CINAHL、MEDLINE、Scopus和Informit数据库以及灰色文献数据库(Google)中未发表的文献,并检查参考文献列表以查找任何额外的研究。以英文发表的研究将被考虑,没有日期限制。两名审稿人将使用乔安娜布里格斯研究所(JBI)定性研究关键评估清单,独立评估符合纳入标准的研究的方法学质量。数据将由一名审稿人使用标准化的定性提取工具提取,并由另一名审稿人检查准确性。定性研究结果将采用JBI方法汇总。元聚合的JBI过程将用于识别类别和综合发现。
{"title":"Experiences of outdoor nature-based therapeutic recreation programs for persons with a mental illness: a qualitative systematic review protocol.","authors":"Caroline Picton,&nbsp;Ritin Fernandez,&nbsp;Lorna Moxham,&nbsp;Christopher Patterson","doi":"10.11124/JBISRIR-D-19-00046","DOIUrl":"https://doi.org/10.11124/JBISRIR-D-19-00046","url":null,"abstract":"<p><strong>Objective: </strong>The objective of this review is to identify, appraise and synthesize the best available qualitative evidence on participation in outdoor therapeutic recreation programs for adults with a mental illness living in the community.</p><p><strong>Introduction: </strong>Therapeutic recreation is posited to be beneficial for persons living with a mental illness. Research indicates that therapeutic recreation programs can foster mental health recovery. It is necessary to understand how nature-based therapeutic recreation programs are beneficial from the perspective of persons living with mental illness.</p><p><strong>Inclusion criteria: </strong>The review will consider studies that have collected qualitative data on the experiences and perspectives of adults with a mental illness of their participation in nature-based therapeutic recreation programs.</p><p><strong>Methods: </strong>The databases PsycINFO, CINAHL, MEDLINE, Scopus and Informit and unpublished sources in gray literature databases (Google) will be searched and reference lists will be checked to locate any additional studies. Studies published in English will be considered with no date limit. Two reviewers will independently assess the methodological quality of the studies which meet the inclusion criteria using the Joanna Briggs Institute (JBI) critical appraisal checklist for qualitative research. Data will be extracted by one reviewer using the standardized qualitative extraction tool and checked for accuracy by a second reviewer. The qualitative research findings will be pooled using JBI methodology. The JBI process of meta-aggregation will be used to identify categories and synthesized findings.</p>","PeriodicalId":73539,"journal":{"name":"JBI database of systematic reviews and implementation reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.11124/JBISRIR-D-19-00046","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37405817","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: 9
Cost-effectiveness of antimicrobial treatment for inpatients with carbapenem-resistant Klebsiella pneumoniae infection: a systematic review of economic evidence. 耐碳青霉烯肺炎克雷伯菌感染住院患者抗菌治疗的成本效益:经济证据的系统回顾。
Pub Date : 2019-12-01 DOI: 10.11124/JBISRIR-D-18-00019
Wendel Mombaque Dos Santos, Edoardo Aromataris, Silvia Regina Secoli, Jessica Yumi Matuoka

Objectives: The objective of this review was to evaluate the cost-effectiveness of antimicrobial therapy for patients with carbapenem-resistant Klebsiella pneumoniae infection.

Introduction: Among the main multi-resistant microorganisms, carbapenem-resistant K. pneumoniae is responsible for the mortality of 40% of patients following 30 days of infection. Treatment for carbapenem-resistant K. pneumoniae infection entails the use of high-cost antimicrobials. Inappropriate use of antimicrobials can increase the cost of treatment fourfold. This review aimed to evaluate the cost-effectiveness of antimicrobial therapy treatment for patients with carbapenem-resistant K. pneumoniae infection to better inform decision making in hospital services.

Inclusion criteria: The review included studies on participants 18 years or over with carbapenem-resistant K. pneumoniae infection who had undergone antimicrobial therapy in hospital and acute care services. Studies that compared the cost-effectiveness of different antimicrobial therapy for carbapenem-resistant K. pneumoniae infection were included. Outcome measures were cost per unit of effect expressed in clinical outcome units; this included cost per avoided death, cost per prevention of sepsis and cost per duration of stay. Economic studies with a cost-effectiveness design were considered, as well as modeling studies.

Methods: A three-step search strategy was utilized to locate studies published in English, Spanish or Portuguese, with no date restrictions. Two independent reviewers screened titles and abstracts and the full texts of potentially relevant studies for eligibility. Methodological quality was assessed by two independent reviewers using the JBI critical appraisal checklist for economic evaluations. Data were extracted from included studies using the standardized JBI data extraction tool. Data were synthesized using narrative, tables and the JBI Dominance Ranking Matrix.

Results: This review identified eight studies that evaluated the cost-effectiveness of different treatments for carbapenem-resistant K. pneumoniae infection. The results of this study demonstrated that there was no gold standard treatment for carbapenem-resistant K. pneumoniae infection, hence treatment was generally directed by colonization pressure and resistance profiles. Furthermore, due to the moderate quality and limited number of studies, there was high uncertainty of the values of the cost-effectiveness ratio.

Conclusions: Ofloxacin appears to be the most cost-effective treatment; however, conclusions are limited due to the small number and low quality of studies.

目的:本综述的目的是评估抗碳青霉烯耐药性肺炎克雷伯菌感染患者抗菌治疗的成本-效果。在主要的多重耐药微生物中,碳青霉烯类耐药肺炎克雷伯菌导致40%的患者在感染后30天死亡。耐碳青霉烯肺炎克雷伯菌感染的治疗需要使用高成本的抗菌剂。不适当使用抗菌素可使治疗费用增加四倍。本综述旨在评估耐碳青霉烯肺炎克雷伯菌感染患者抗菌治疗的成本-效果,以更好地为医院服务决策提供信息。纳入标准:本综述纳入了18岁或以上的碳青霉烯类耐药肺炎克雷伯菌感染患者,这些患者曾在医院和急症护理机构接受过抗菌治疗。研究比较了碳青霉烯耐药肺炎克雷伯菌感染不同抗菌治疗的成本-效果。结果测量是用临床结果单位表示的每单位效果成本;这包括每次避免死亡的成本、每次预防败血症的成本和每次住院时间的成本。考虑了具有成本效益设计的经济研究,以及建模研究。方法:采用三步搜索策略来定位以英语、西班牙语或葡萄牙语发表的研究,没有日期限制。两名独立审稿人筛选了潜在相关研究的标题、摘要和全文。方法质量由两名独立的审稿人使用JBI关键评估清单进行经济评估。使用标准化的JBI数据提取工具从纳入的研究中提取数据。数据采用叙述、表格和JBI优势排序矩阵进行综合。结果:本综述确定了8项研究,评估了碳青霉烯耐药肺炎克雷伯菌感染不同治疗方法的成本效益。本研究结果表明,耐碳青霉烯肺炎克雷伯菌感染没有金标准治疗,因此治疗通常由定植压力和耐药谱指导。此外,由于研究质量适中且数量有限,成本-效果比的值存在很高的不确定性。结论:氧氟沙星是最具成本效益的治疗方法;然而,由于研究数量少,质量低,结论有限。
{"title":"Cost-effectiveness of antimicrobial treatment for inpatients with carbapenem-resistant Klebsiella pneumoniae infection: a systematic review of economic evidence.","authors":"Wendel Mombaque Dos Santos,&nbsp;Edoardo Aromataris,&nbsp;Silvia Regina Secoli,&nbsp;Jessica Yumi Matuoka","doi":"10.11124/JBISRIR-D-18-00019","DOIUrl":"https://doi.org/10.11124/JBISRIR-D-18-00019","url":null,"abstract":"<p><strong>Objectives: </strong>The objective of this review was to evaluate the cost-effectiveness of antimicrobial therapy for patients with carbapenem-resistant Klebsiella pneumoniae infection.</p><p><strong>Introduction: </strong>Among the main multi-resistant microorganisms, carbapenem-resistant K. pneumoniae is responsible for the mortality of 40% of patients following 30 days of infection. Treatment for carbapenem-resistant K. pneumoniae infection entails the use of high-cost antimicrobials. Inappropriate use of antimicrobials can increase the cost of treatment fourfold. This review aimed to evaluate the cost-effectiveness of antimicrobial therapy treatment for patients with carbapenem-resistant K. pneumoniae infection to better inform decision making in hospital services.</p><p><strong>Inclusion criteria: </strong>The review included studies on participants 18 years or over with carbapenem-resistant K. pneumoniae infection who had undergone antimicrobial therapy in hospital and acute care services. Studies that compared the cost-effectiveness of different antimicrobial therapy for carbapenem-resistant K. pneumoniae infection were included. Outcome measures were cost per unit of effect expressed in clinical outcome units; this included cost per avoided death, cost per prevention of sepsis and cost per duration of stay. Economic studies with a cost-effectiveness design were considered, as well as modeling studies.</p><p><strong>Methods: </strong>A three-step search strategy was utilized to locate studies published in English, Spanish or Portuguese, with no date restrictions. Two independent reviewers screened titles and abstracts and the full texts of potentially relevant studies for eligibility. Methodological quality was assessed by two independent reviewers using the JBI critical appraisal checklist for economic evaluations. Data were extracted from included studies using the standardized JBI data extraction tool. Data were synthesized using narrative, tables and the JBI Dominance Ranking Matrix.</p><p><strong>Results: </strong>This review identified eight studies that evaluated the cost-effectiveness of different treatments for carbapenem-resistant K. pneumoniae infection. The results of this study demonstrated that there was no gold standard treatment for carbapenem-resistant K. pneumoniae infection, hence treatment was generally directed by colonization pressure and resistance profiles. Furthermore, due to the moderate quality and limited number of studies, there was high uncertainty of the values of the cost-effectiveness ratio.</p><p><strong>Conclusions: </strong>Ofloxacin appears to be the most cost-effective treatment; however, conclusions are limited due to the small number and low quality of studies.</p>","PeriodicalId":73539,"journal":{"name":"JBI database of systematic reviews and implementation reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.11124/JBISRIR-D-18-00019","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37443411","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: 8
期刊
JBI database of systematic reviews and implementation reports
全部 Acc. Chem. Res. ACS Applied Bio Materials ACS Appl. Electron. Mater. ACS Appl. Energy Mater. ACS Appl. Mater. Interfaces ACS Appl. Nano Mater. ACS Appl. Polym. Mater. ACS BIOMATER-SCI ENG ACS Catal. ACS Cent. Sci. ACS Chem. Biol. ACS Chemical Health & Safety ACS Chem. Neurosci. ACS Comb. Sci. ACS Earth Space Chem. ACS Energy Lett. ACS Infect. Dis. ACS Macro Lett. ACS Mater. Lett. ACS Med. Chem. Lett. ACS Nano ACS Omega ACS Photonics ACS Sens. ACS Sustainable Chem. Eng. ACS Synth. Biol. Anal. Chem. BIOCHEMISTRY-US Bioconjugate Chem. BIOMACROMOLECULES Chem. Res. Toxicol. Chem. Rev. Chem. Mater. CRYST GROWTH DES ENERG FUEL Environ. Sci. Technol. Environ. Sci. Technol. Lett. Eur. J. Inorg. Chem. IND ENG CHEM RES Inorg. Chem. J. Agric. Food. Chem. J. Chem. Eng. Data J. Chem. Educ. J. Chem. Inf. Model. J. Chem. Theory Comput. J. Med. Chem. J. Nat. Prod. J PROTEOME RES J. Am. Chem. Soc. LANGMUIR MACROMOLECULES Mol. Pharmaceutics Nano Lett. Org. Lett. ORG PROCESS RES DEV ORGANOMETALLICS J. Org. Chem. J. Phys. Chem. J. Phys. Chem. A J. Phys. Chem. B J. Phys. Chem. C J. Phys. Chem. Lett. Analyst Anal. Methods Biomater. Sci. Catal. Sci. Technol. Chem. Commun. Chem. Soc. Rev. CHEM EDUC RES PRACT CRYSTENGCOMM Dalton Trans. Energy Environ. Sci. ENVIRON SCI-NANO ENVIRON SCI-PROC IMP ENVIRON SCI-WAT RES Faraday Discuss. Food Funct. Green Chem. Inorg. Chem. Front. Integr. Biol. J. Anal. At. Spectrom. J. Mater. Chem. A J. Mater. Chem. B J. Mater. Chem. C Lab Chip Mater. Chem. Front. Mater. Horiz. MEDCHEMCOMM Metallomics Mol. Biosyst. Mol. Syst. Des. Eng. Nanoscale Nanoscale Horiz. Nat. Prod. Rep. New J. Chem. Org. Biomol. Chem. Org. Chem. Front. PHOTOCH PHOTOBIO SCI PCCP Polym. Chem.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1