Pub Date : 2011-03-18DOI: 10.11124/JBISRIR-2011-304
A. Gyi, C. Lockwood
Review Objective The objective of this review is to identify the International Medical Graduates‘ experiences, views, attitudes, and perceptions towards working and living in an Australian rural context. Inclusion criteria Type of participants While the current pathways that assist IMGs to enter medical practice in Australia are broad, this review will consider publications that include temporary resident IMGs from English versus non English speaking backgrounds recruited into rural and remote areas through Australia's 5-Year Overseas Trained Doctor Scheme regardless of duration of their length of experience in Rural Australia. Type of interventions/phenomena of interest This review will consider studies that investigate the difficulties these IMGs face in the process of adapting to a rural health service such as cultural shock, difficult working conditions, isolation, and family issues. In addition, their positive experiences in terms of factors or strategies that help them to adapt to their new working and living rural environment (such as social and cultural capital, local community awareness, health resources), will also be investigated. Type of outcome The types of data will incorporate IMGs experiential accounts of working in rural and remote communities in Australia.
{"title":"A systematic review of the experiences of International Medical Graduates in adjusting to rural and remote Australian medical practice.","authors":"A. Gyi, C. Lockwood","doi":"10.11124/JBISRIR-2011-304","DOIUrl":"https://doi.org/10.11124/JBISRIR-2011-304","url":null,"abstract":"Review Objective \u0000The objective of this review is to identify the International Medical Graduates‘ experiences, views, attitudes, and perceptions towards working and living in an Australian rural context. \u0000 \u0000Inclusion criteria \u0000 \u0000Type of participants \u0000While the current pathways that assist IMGs to enter medical practice in Australia are broad, this review will consider publications that include temporary resident IMGs from English versus non English speaking backgrounds recruited into rural and remote areas through Australia's 5-Year Overseas Trained Doctor Scheme regardless of duration of their length of experience in Rural Australia. \u0000 \u0000Type of interventions/phenomena of interest \u0000This review will consider studies that investigate the difficulties these IMGs face in the process of adapting to a rural health service such as cultural shock, difficult working conditions, isolation, and family issues. In addition, their positive experiences in terms of factors or strategies that help them to adapt to their new working and living rural environment (such as social and cultural capital, local community awareness, health resources), will also be investigated. \u0000 \u0000Type of outcome \u0000The types of data will incorporate IMGs experiential accounts of working in rural and remote communities in Australia.","PeriodicalId":91723,"journal":{"name":"JBI library of systematic reviews","volume":"18 1","pages":"1-14"},"PeriodicalIF":0.0,"publicationDate":"2011-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81140087","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}
Pub Date : 2011-01-01DOI: 10.11124/01938924-201109481-00003
J. Briggs, Lee-Wen Pai, Wei Chen, Hsin-Li Liu
{"title":"The Taiwan Joanna Briggs Institute Collaborating Centre: A Collaborating Centre of the Joanna Briggs Institute, National Yang-Ming University, Taipei, Taiwan.","authors":"J. Briggs, Lee-Wen Pai, Wei Chen, Hsin-Li Liu","doi":"10.11124/01938924-201109481-00003","DOIUrl":"https://doi.org/10.11124/01938924-201109481-00003","url":null,"abstract":"","PeriodicalId":91723,"journal":{"name":"JBI library of systematic reviews","volume":"39 1","pages":"1-19"},"PeriodicalIF":0.0,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"63415244","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}
Pub Date : 2011-01-01DOI: 10.11124/01938924-201109200-00001
S. Pearce, C. Rogers-Clark, Janis M Doolan
BACKGROUND The growing demand on health services due to an ageing population and people living with complex chronic illnesses necessitates an integrated and evidence based care approach. In times of acute illness, trauma or difficult life situations, for many older people the Emergency Department is the first port of call. Despite the benefits of presenting to the Emergency Department, this environment can also be challenging for the older person, particularly those who are frail and have cognitive impairments. Emergency Department nurses play a pivotal role in tailoring the care of the older patient that specifically meets their needs, enhances their level of comfort and decreases the risk of additional distress unrelated to their presenting illness. OBJECTIVES The objective of this systematic review was to determine the best available evidence in relation to age-friendly nursing interventions in the management of older people presenting to the Emergency Department. INCLUSION CRITERIA Participants considered for this systematic review included older people aged over 65 who were cared for in the Emergency DepartmentNurse led interventions that enhanced older people's comfort during their stay in Emergency Department, specifically in relation to nutrition, hydration, pressure area care, pain management and communication.Studies using quantitative research methods as well as opinion based papers were considered for this systematic review.Outcomes were assessed in relation to the effectiveness of nursing interventions on pressure area status, hydration status, nutritional status and pain status measured during their stay in the Emergency Department. The text and opinion part of the review focused on the recommended policies for age-friendly nursing interventions. SEARCH STRATEGY An extensive search of the literature was undertaken to retrieve any English language material published and unpublished materials between January 1999 to October 2010. METHODOLOGICAL QUALITY All included articles were assessed by two independent reviewers using the appropriate critical appraisal instruments from the Joanna Briggs Institute. DATA COLLECTION Data were extracted from included papers using data extraction tools developed by the Joanna Briggs Institute. DATA SYNTHESIS Data were synthesised and pooled according to their methodological approach, using standardised JBI instruments. Due to the methodological diversity and limited data found, quantitative data were combined in narrative summary. A meta-synthesis was undertaken for the opinion based data. RESULTS A total of 16 papers were included in the review, two research articles, seven expert opinion and another seven policy documents. This resulted in the identification of 39 findings, which were grouped into seven categories, which were further aggregated into two synthesised findings. CONCLUSIONS There is little high quality research in relation to effective nursing interventions in the managem
{"title":"A comprehensive systematic review of age-friendly nursing interventions in the management of older people in emergency departments.","authors":"S. Pearce, C. Rogers-Clark, Janis M Doolan","doi":"10.11124/01938924-201109200-00001","DOIUrl":"https://doi.org/10.11124/01938924-201109200-00001","url":null,"abstract":"BACKGROUND The growing demand on health services due to an ageing population and people living with complex chronic illnesses necessitates an integrated and evidence based care approach. In times of acute illness, trauma or difficult life situations, for many older people the Emergency Department is the first port of call. Despite the benefits of presenting to the Emergency Department, this environment can also be challenging for the older person, particularly those who are frail and have cognitive impairments. Emergency Department nurses play a pivotal role in tailoring the care of the older patient that specifically meets their needs, enhances their level of comfort and decreases the risk of additional distress unrelated to their presenting illness. OBJECTIVES The objective of this systematic review was to determine the best available evidence in relation to age-friendly nursing interventions in the management of older people presenting to the Emergency Department. INCLUSION CRITERIA Participants considered for this systematic review included older people aged over 65 who were cared for in the Emergency DepartmentNurse led interventions that enhanced older people's comfort during their stay in Emergency Department, specifically in relation to nutrition, hydration, pressure area care, pain management and communication.Studies using quantitative research methods as well as opinion based papers were considered for this systematic review.Outcomes were assessed in relation to the effectiveness of nursing interventions on pressure area status, hydration status, nutritional status and pain status measured during their stay in the Emergency Department. The text and opinion part of the review focused on the recommended policies for age-friendly nursing interventions. SEARCH STRATEGY An extensive search of the literature was undertaken to retrieve any English language material published and unpublished materials between January 1999 to October 2010. METHODOLOGICAL QUALITY All included articles were assessed by two independent reviewers using the appropriate critical appraisal instruments from the Joanna Briggs Institute. DATA COLLECTION Data were extracted from included papers using data extraction tools developed by the Joanna Briggs Institute. DATA SYNTHESIS Data were synthesised and pooled according to their methodological approach, using standardised JBI instruments. Due to the methodological diversity and limited data found, quantitative data were combined in narrative summary. A meta-synthesis was undertaken for the opinion based data. RESULTS A total of 16 papers were included in the review, two research articles, seven expert opinion and another seven policy documents. This resulted in the identification of 39 findings, which were grouped into seven categories, which were further aggregated into two synthesised findings. CONCLUSIONS There is little high quality research in relation to effective nursing interventions in the managem","PeriodicalId":91723,"journal":{"name":"JBI library of systematic reviews","volume":"9 20 1","pages":"679-726"},"PeriodicalIF":0.0,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"63414903","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}
Pub Date : 2011-01-01DOI: 10.11124/01938924-201109321-00008
Ihsan Mattar, C. Childs, C. Fai
{"title":"Factors causing acute delirium in critically ill adult patients: a systematic review.","authors":"Ihsan Mattar, C. Childs, C. Fai","doi":"10.11124/01938924-201109321-00008","DOIUrl":"https://doi.org/10.11124/01938924-201109321-00008","url":null,"abstract":"","PeriodicalId":91723,"journal":{"name":"JBI library of systematic reviews","volume":"9 32 Suppl 1","pages":"1-20"},"PeriodicalIF":0.0,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"63415302","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}
Pub Date : 2011-01-01DOI: 10.11124/01938924-201109641-00023
S. Gaston, Margaret Walker
{"title":"Venous Thromboembolism Risk Assessment and Prophylaxis: A Comprehensive Systematic Review of the Facilitators and Barriers to Healthcare Worker Compliance with Clinical Practice Guidelines in the acute care setting.","authors":"S. Gaston, Margaret Walker","doi":"10.11124/01938924-201109641-00023","DOIUrl":"https://doi.org/10.11124/01938924-201109641-00023","url":null,"abstract":"","PeriodicalId":91723,"journal":{"name":"JBI library of systematic reviews","volume":"9 64 Suppl 1","pages":"1-25"},"PeriodicalIF":0.0,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"63415339","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}
Pub Date : 2011-01-01DOI: 10.11124/jbisrir-2011-93
L. Hu, Ang Neo Kim Emily, Yeoh Eng Juh Allen
AIM To summarise and review the best available evidence on the poorer outcome of adverse drug reactions (ADRs) induced by oral dexamethasone in adolescents with Acute Lymphoblastic Leukaemia (ALL) than in children with ALL. METHODS Five databases for published literature were searched for the period 1990 to 2009. Additionally, the reference lists of all retrieved articles were further searched for additional references. Assessment for methodological quality was undertaken using a critical appraisal tool from JBI-SUMARI. Following the critical appraisal, data extraction was carried out using the data extraction tool from JBI-MAStaRI. Specific details about the study, design, data collection methods, participants, stage of therapy, type of adverse drug reaction, location of evidence and findings were then described and compiled into a table. Data synthesis was presented in a narrative format as the methodologically heterogeneous nature of the quantitative studies made it not appropriate to perform meta-analysis. RESULTS Eleven included studies, mostly descriptive, formed the basis of this systematic review. The ADRs induced by oral dexamethasone that have a poorer outlook in adolescents with ALL than in children with ALL are: transient hyperglycemia, infectious complications, thrombosis, thromboembolism and avascular necrosis. Adolescents were observed to have higher incidence and risk to these ADRs. In some included studies, adolescence age was found to be a predictor of the ADRs. CONCLUSION The results indicated that adolescents experience more severe ADRs induced by oral dexamethasone during ALL treatment than children. This phenomenon may be explained by the age-related variability in pharmacokinetics characteristics of dexamethasone between the adolescents and younger children as well as the impact of pubertal changes that occur in adolescents. The outcome of the ADRs however, may be inevitably affected by the presence of confounders such as co-administered drugs as well. IMPLICATION FOR PRACTICE The findings call for more attention to be given to ALL patients who are diagnosed at an adolescent age, especially when dexamethasone is administered. This will alert the healthcare professionals to watch for the ADRs when administering the treatment. Healthcare professionals should also inform caregivers and patients so that they can be more aware of the ADRs. IMPLICATION FOR RESEARCH Prospective studies involving a larger number of subjects should be carried out, with a focus on revising protocol's efficiency in monitoring dexamethasone-induced ADRs in ALL patients. Patient subgroups who are more vulnerable to such ADRs and often ignored in non-specific protocols should be identified and prophylactic interventions, such as early screening, proposed.
{"title":"Adverse drug reactions of oral dexamethasone in children and adolescents with childhood acute lymphoblastic leukemia: a systematic review.","authors":"L. Hu, Ang Neo Kim Emily, Yeoh Eng Juh Allen","doi":"10.11124/jbisrir-2011-93","DOIUrl":"https://doi.org/10.11124/jbisrir-2011-93","url":null,"abstract":"AIM To summarise and review the best available evidence on the poorer outcome of adverse drug reactions (ADRs) induced by oral dexamethasone in adolescents with Acute Lymphoblastic Leukaemia (ALL) than in children with ALL. METHODS Five databases for published literature were searched for the period 1990 to 2009. Additionally, the reference lists of all retrieved articles were further searched for additional references. Assessment for methodological quality was undertaken using a critical appraisal tool from JBI-SUMARI. Following the critical appraisal, data extraction was carried out using the data extraction tool from JBI-MAStaRI. Specific details about the study, design, data collection methods, participants, stage of therapy, type of adverse drug reaction, location of evidence and findings were then described and compiled into a table. Data synthesis was presented in a narrative format as the methodologically heterogeneous nature of the quantitative studies made it not appropriate to perform meta-analysis. RESULTS Eleven included studies, mostly descriptive, formed the basis of this systematic review. The ADRs induced by oral dexamethasone that have a poorer outlook in adolescents with ALL than in children with ALL are: transient hyperglycemia, infectious complications, thrombosis, thromboembolism and avascular necrosis. Adolescents were observed to have higher incidence and risk to these ADRs. In some included studies, adolescence age was found to be a predictor of the ADRs. CONCLUSION The results indicated that adolescents experience more severe ADRs induced by oral dexamethasone during ALL treatment than children. This phenomenon may be explained by the age-related variability in pharmacokinetics characteristics of dexamethasone between the adolescents and younger children as well as the impact of pubertal changes that occur in adolescents. The outcome of the ADRs however, may be inevitably affected by the presence of confounders such as co-administered drugs as well. IMPLICATION FOR PRACTICE The findings call for more attention to be given to ALL patients who are diagnosed at an adolescent age, especially when dexamethasone is administered. This will alert the healthcare professionals to watch for the ADRs when administering the treatment. Healthcare professionals should also inform caregivers and patients so that they can be more aware of the ADRs. IMPLICATION FOR RESEARCH Prospective studies involving a larger number of subjects should be carried out, with a focus on revising protocol's efficiency in monitoring dexamethasone-induced ADRs in ALL patients. Patient subgroups who are more vulnerable to such ADRs and often ignored in non-specific protocols should be identified and prophylactic interventions, such as early screening, proposed.","PeriodicalId":91723,"journal":{"name":"JBI library of systematic reviews","volume":"9 11 1","pages":"371-399"},"PeriodicalIF":0.0,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.11124/jbisrir-2011-93","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"63416556","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}
Pub Date : 2011-01-01DOI: 10.11124/01938924-200907241-00013
T. Pelton, P. van Vliet, K. Hollands
BACKGROUND Stroke is associated with disruption to efficient and accurate reach to grasp function. Information about treatments for upper limb coordination deficits and their effectiveness may contribute to improved recovery of upper limb function after stroke. REVIEW OBJECTIVES INCLUSION CRITERIA: We included studies with a specific design objective related to coordination of the hand and arm during reach to grasp and involving participants with a clinical diagnosis of stroke. The review was inclusive with regard to study design. To determine effectiveness of interventions we analysed studies with coordination measures that exist within impairment measurement scales or specific kinematic measures of coordination. SEARCH STRATEGY The search included The Cochrane Central Register of Controlled Trials (CENTRAL) (The Cochrane Library); MEDLINE; EMBASE; CINAHL; AMED; ProQuest Dissertations and Theses (International) and ISI Proceedings (Conference) databases. A grey literature search included Mednar, Dissertation International, Conference Proceedings, National Institute of Health (NIH) Clinical Trials and the National Institute of Clinical Studies. We also explored PEDro, CSP Research and REHABDATA therapy databases. Finally, the reference lists of identified articles were examined for additional studies. The search spanned from 1950 to April 2010 and was limited to English language papers only. CRITICAL APPRAISAL The methodological quality of the studies was assessed by two independent authors using the JBI Critical Appraisal Checklist for Comparable Cohort/ Case Control and the JBI Critical Appraisal Checklist for Experimental Studies together with additional questions from Downs and Black DATA EXTRACTION: Two review authors independently extracted data from the studies using standardised JBI-MAStARI data extraction forms. DATA SYNTHESIS Pooling of results was not appropriate so the findings were summarized in tables and in narrative form. RESULTS One RCT, two case control studies and 4 experimental studies without controls were included in this review. The review has identified three categories of potential interventions for improving hand and arm coordination after stroke; functional therapy, biofeedback or electrical stimulation and robot or computerised training. In view of the limited availability of good quality evidence and lack of empirical data this review does not draw a definitive conclusion for the second question regarding the effectiveness of interventions aimed at improving hand and arm coordination after stroke. Improvements in hand and arm coordination during reach to grasp were reported in 4 studies, whereas one study found no benefit. Two studies did not report specific effects of interventions for hand and arm coordination after stroke. CONCLUSIONS There is currently insufficient evidence to provide strong recommendations about the effect of interventions for improving hand and arm coordination during reach to grasp
背景笔划与有效和准确到达抓取功能的中断有关。有关上肢协调功能缺陷的治疗及其有效性的信息可能有助于改善中风后上肢功能的恢复。纳入标准:我们纳入了具有特定设计目标的研究，这些研究与手和手臂在伸手抓握过程中的协调有关，并纳入了临床诊断为中风的参与者。该综述包括了研究设计。为了确定干预措施的有效性，我们分析了存在于损伤测量量表或特定运动协调测量中的协调措施的研究。检索策略检索包括Cochrane Central Register of Controlled Trials (Central) (Cochrane Library);MEDLINE;EMBASE;CINAHL;艾湄湾;ProQuest学位论文和论文(国际)和ISI会议(会议)数据库。灰色文献检索包括Mednar, Dissertation International, Conference Proceedings, National Institute of Health (NIH) Clinical Trials and National Institute of Clinical Studies。我们还研究了PEDro、CSP Research和REHABDATA治疗数据库。最后，对已识别文章的参考文献列表进行检查，以进行其他研究。搜索时间从1950年到2010年4月，仅限于英文论文。关键评价研究的方法学质量由两位独立作者使用JBI可比队列/病例对照关键评价清单和JBI实验研究关键评价清单以及Downs和Black数据提取中的附加问题进行评估:两位综述作者使用标准化的JBI- mastari数据提取表格独立地从研究中提取数据。数据综合:汇集结果是不合适的，所以研究结果以表格和叙述形式总结。结果本综述纳入1项随机对照试验、2项病例对照研究和4项无对照的实验研究。该综述确定了三类改善中风后手和手臂协调的潜在干预措施;功能治疗、生物反馈或电刺激、机器人或计算机化培训。鉴于高质量证据的有限可用性和经验数据的缺乏，本综述没有对第二个问题得出明确的结论，即旨在改善中风后手和手臂协调的干预措施的有效性。4项研究报告了在伸手抓握过程中手和手臂协调性的改善，而一项研究没有发现任何益处。两项研究没有报道中风后干预对手和手臂协调的具体影响。结论目前还没有足够的证据来提供强有力的建议，以改善卒中后伸手抓握时手和手臂协调的干预效果。对于评估干预措施对手部和手臂协调的影响的结果措施，应该建立共识。具有良好方法学质量的随机对照试验，使用标准化的结果测量将使将来的荟萃分析比较成为可能。随着时间的推移，监测功能表现以及手和手臂协调的详细运动学测量的研究将有助于评估中风后的恢复和补偿水平。
{"title":"Interventions for improving coordination of reach to grasp following stroke: a systematic review.","authors":"T. Pelton, P. van Vliet, K. Hollands","doi":"10.11124/01938924-200907241-00013","DOIUrl":"https://doi.org/10.11124/01938924-200907241-00013","url":null,"abstract":"BACKGROUND Stroke is associated with disruption to efficient and accurate reach to grasp function. Information about treatments for upper limb coordination deficits and their effectiveness may contribute to improved recovery of upper limb function after stroke. REVIEW OBJECTIVES INCLUSION CRITERIA: We included studies with a specific design objective related to coordination of the hand and arm during reach to grasp and involving participants with a clinical diagnosis of stroke. The review was inclusive with regard to study design. To determine effectiveness of interventions we analysed studies with coordination measures that exist within impairment measurement scales or specific kinematic measures of coordination. SEARCH STRATEGY The search included The Cochrane Central Register of Controlled Trials (CENTRAL) (The Cochrane Library); MEDLINE; EMBASE; CINAHL; AMED; ProQuest Dissertations and Theses (International) and ISI Proceedings (Conference) databases. A grey literature search included Mednar, Dissertation International, Conference Proceedings, National Institute of Health (NIH) Clinical Trials and the National Institute of Clinical Studies. We also explored PEDro, CSP Research and REHABDATA therapy databases. Finally, the reference lists of identified articles were examined for additional studies. The search spanned from 1950 to April 2010 and was limited to English language papers only. CRITICAL APPRAISAL The methodological quality of the studies was assessed by two independent authors using the JBI Critical Appraisal Checklist for Comparable Cohort/ Case Control and the JBI Critical Appraisal Checklist for Experimental Studies together with additional questions from Downs and Black DATA EXTRACTION: Two review authors independently extracted data from the studies using standardised JBI-MAStARI data extraction forms. DATA SYNTHESIS Pooling of results was not appropriate so the findings were summarized in tables and in narrative form. RESULTS One RCT, two case control studies and 4 experimental studies without controls were included in this review. The review has identified three categories of potential interventions for improving hand and arm coordination after stroke; functional therapy, biofeedback or electrical stimulation and robot or computerised training. In view of the limited availability of good quality evidence and lack of empirical data this review does not draw a definitive conclusion for the second question regarding the effectiveness of interventions aimed at improving hand and arm coordination after stroke. Improvements in hand and arm coordination during reach to grasp were reported in 4 studies, whereas one study found no benefit. Two studies did not report specific effects of interventions for hand and arm coordination after stroke. CONCLUSIONS There is currently insufficient evidence to provide strong recommendations about the effect of interventions for improving hand and arm coordination during reach to grasp ","PeriodicalId":91723,"journal":{"name":"JBI library of systematic reviews","volume":"28 1","pages":"1226-1270"},"PeriodicalIF":0.0,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"63414499","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}
Pub Date : 2011-01-01DOI: 10.11124/01938924-201008341-00035
{"title":"The Effectiveness of Chlorhexidine bath in the prevention of Methicillin Resistant Staphylococcus Aureus (MRSA) in the Adult inpatient wards. A systematic review.","authors":"","doi":"10.11124/01938924-201008341-00035","DOIUrl":"https://doi.org/10.11124/01938924-201008341-00035","url":null,"abstract":"","PeriodicalId":91723,"journal":{"name":"JBI library of systematic reviews","volume":"9 48 Suppl 1","pages":"1-23"},"PeriodicalIF":0.0,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"63414745","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}
Pub Date : 2011-01-01DOI: 10.11124/01938924-201109481-00018
{"title":"Effects of psychoeducational interventions on sexual functioning, quality of life and psychosocial well-being in patients with gynaecological cancer: a systematic review.","authors":"","doi":"10.11124/01938924-201109481-00018","DOIUrl":"https://doi.org/10.11124/01938924-201109481-00018","url":null,"abstract":"","PeriodicalId":91723,"journal":{"name":"JBI library of systematic reviews","volume":"9 48 Suppl 1","pages":"1-29"},"PeriodicalIF":0.0,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"63415261","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}
Pub Date : 2011-01-01DOI: 10.11124/01938924-201109641-00017
S. Lim, C. Childs
BACKGROUND Constipation is one of the most common medical complications of acute stroke. Identifying evidence-based management strategies are essential to ensure an optimum stroke rehabilitation outcome. Currently, there are limited management strategies of constipation in stroke. OBJECTIVE The objective of this review was to determine the effectiveness of non-surgical management strategies for constipation in adults with stroke. SELECTION CRITERIA This review included studies of people of 18 years of age or more with a clinical diagnosis of stroke and symptoms of constipation defined by Rome Foundation.This review included studies that evaluate any types of non-surgical management of constipation in an adult person with stroke.The following comparisons were made where possible:This review considered studies that included bowel evacuation as the outcome measure. TYPES OF STUDIES All randomised controlled trials or other quantitative research designs were considered in the absence of RCTs. SEARCH STRATEGY A comprehensive search of eight major databases and all reference lists of relevant articles in English was performed from January 1990 up to March 2011. DATA COLLECTION & ANALYSIS Two reviewers independently assessed methodological quality using a standardised critical appraisal tool. Data was extracted from included studies using a standardised data extraction tool. There was heterogeneity in the types of intervention and outcome measures and statistical pooling of the findings was not appropriate. As such, the studies were grouped according to types of intervention where possible and the findings were presented in narrative form. MAIN FINDINGS The review included two randomised controlled trials and one quasi-experimental study. All studies were small and most were of poor quality. A one-off structured nurse assessment and intervention can be effective in improving symptoms of bowel dysfunction in stroke subjects. Targeted educational approach with written materials can result in long term lifestyle changes such as modifying diet and fluid intake to control bowel (one trial). Daily bowel care with digital stimulation may assist in achieving regular bowel evacuation but not within a shorter time frame (one trial). Time-scheduled bowel evacuation which follows premorbid bowel habit is considered to contribute to the efficacy of a bowel management program. Morning bowel program schedules are more effective than evening schedules in establishing effective bowel movement pattern (one trial). CONCLUSION The management strategies are limited due to insufficient evidence. The available evidence to support these treatments is only modest and not without methodological flaws. IMPLICATIONS FOR PRACTICE It is recommended that bowel management programs should incorporate a nursing component (assessment and education interventions) to improve symptoms of bowel dysfunction. The recommended optimal time for bowel evacuation schedule is in the
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