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1.
Artículo en Inglés | MEDLINE | ID: mdl-38910185

RESUMEN

An extinction of incoming solar radiation is taking place by absorption and scattering by dust, water droplets, and gaseous molecules. Such phenomena are responsible for altering meteorological variables. In the present study, temporal analysis of the aerosol optical thickness (AOT) and black carbon (BC) surface mass concentration was undertaken using an ozone monitoring instrument (OMI) and modern-era retrospective analysis for research and applications, version 2 (MERRA-2) satellite from the year 2018 to 2022. The study was mainly focused on the western states of India which are Rajasthan, Gujarat, and Maharashtra. The correlation of AOT and BC surface mass concentration with near-surface temperature (2m above ground level) was analyzed. BC and temperature shows strong negative correlation as BC is known for its absorption of radiation. It accumulates in the atmosphere and contributes to atmospheric warming while simultaneously bringing down the near-surface air temperature due to the reduced sunlight reaching the ground. Also, seasonal analysis was conducted for winter, summer, monsoon, and post-monsoon, which shows the higher values of AOT in monsoon; however, seasonal average BC surface mass concentration was found high in winter in each year for all three states. AERONET data from Jaipur, Rajasthan, and Pune, Maharashtra for the year 2021 was used to further evaluate the AOT generated from OMI. The results demonstrated a significant connection, with R2 values of 0.62 and 0.69, respectively. The temperature retrieved from MERRA-2 was also validated with ground truth data of the Continuous Ambient Air Quality Monitoring Station (CAAQMS) at both stations showing high agreement with R2 > 0.70.

2.
JBI Evid Implement ; 2024 Jul 01.
Artículo en Inglés | MEDLINE | ID: mdl-38940360

RESUMEN

INTRODUCTION: Ineffective communication between health care professionals is one of the leading causes of medical errors and can result in adverse events and patient harm. Improving the effectiveness of communication in health care is a worldwide necessity. OBJECTIVE: The aim of this project was to promote evidence-based practices regarding general communication principles among the nursing staff in one unit of a children's hospital in the southern United States. METHODS: The project used JBI's Evidence Implementation Framework, together with two JBI audit tools (Practical Application of Clinical Evidence System and Getting Research into Practice). A baseline audit was conducted, followed by the implementation of targeted strategies. The project was completed with a follow-up audit to determine changes in practice. RESULTS: Baseline data revealed 61% adherence with four audit criteria for effective communication in health care. Barriers included a lack of education of nursing staff regarding communication skills and less than optimal use of a structured communication tool. Targeted strategies to address the barriers included providing an educational module on communication to nursing staff and moving the structured communication tool to a more convenient location to increase its use. The post-implementation data revealed 81% adherence with the four audit criteria, a 20% increase from baseline results. CONCLUSIONS: Optimizing communication and monitoring the use of a structured communication tool has the potential to decrease the risk of medical errors among health care providers. SPANISH ABSTRACT: http://links.lww.com/IJEBH/A217.

3.
JBI Evid Implement ; 22(2): 149-157, 2024 May 01.
Artículo en Inglés | MEDLINE | ID: mdl-38655854

RESUMEN

INTRODUCTION: Inpatient falls account for 6% to 24% of pediatric safety incidents and can lead to increased length of hospital stay, increased cost of care, and decreased satisfaction with care. A review of a pediatric hematology, oncology, neurology, and rehabilitation unit in a hospital in the southern United States revealed an average of one to two falls monthly. OBJECTIVE: This project aimed to promote evidence-based practices (EBPs) regarding fall prevention in the pediatric unit. METHODS: This project used the JBI Evidence Implementation Framework to promote EBPs regarding pediatric fall prevention. A baseline audit was conducted to identify gaps between evidence and current practice. Barriers to EBPs were identified, strategies were implemented to promote EBPs, and a follow-up audit was conducted to measure the effectiveness of the improvement strategies. RESULTS: The baseline audit revealed 100% compliance with all criteria except for Criterion 1 (using a validated assessment tool), which scored 0%, and Criterion 5 (communication between nurses at shift handover), which scored 69%. In the follow-up audit, Criterion 1 remained at 0%, but Criterion 5 rose to 82%. CONCLUSIONS: This project identified areas of non-compliance with best practice recommendations for the prevention and assessment of pediatric fall risk. Interventions were implemented, with positive results. Further investigation is needed to assess the long-term effectiveness of the interventions. SPANISH ABSTRACT: http://links.lww.com/IJEBH/A196.


Asunto(s)
Accidentes por Caídas , Práctica Clínica Basada en la Evidencia , Accidentes por Caídas/prevención & control , Humanos , Niño , Pediatría
4.
JBI Evid Implement ; 2024 Jan 03.
Artículo en Inglés | MEDLINE | ID: mdl-38164880

RESUMEN

INTRODUCTION: Immunosuppressed patients face increased health risks due to infections such as influenza or COVID-19. Scientific evidence supports improved health-related outcomes in this patient population, such as reduced hospitalizations, with up-to-date vaccinations. The project setting, a community-based rheumatology clinic, did not have a vaccination record specific to the needs of immunosuppressed patients, which may lead to a suboptimal immunization status in these patients. OBJECTIVE: This project aimed to promote evidence-based practices regarding the use of vaccinations in patients diagnosed with autoimmune disorders receiving immunosuppressive agents. METHODS: This project used the JBI evidence implementation framework to promote best practices regarding vaccination. Two audit criteria were identified using a JBI Evidence Summary. Baseline audits identified gaps between the evidence and current practice. Barriers to best practice were then identified, and strategies implemented. Post-implementation audits measured changes in compliance. RESULTS: Baseline audits revealed 67% compliance with the two best practices. Barriers included a lack of provider awareness of the current vaccination recommendations for immunosuppressed patients and a lack of customizable vaccine records. Strategies to address these barriers included educating providers about current national vaccination recommendations and implementing a new patient vaccination history intake form. Post-implementation audits revealed 83% compliance, with a 16% increase from baseline. CONCLUSIONS: This evidence-based implementation project enhanced best practices by educating providers and implementing an updated patient vaccination history form. Recommendations include the improved compliance with the use of the new form and to assess the effectiveness and usability of a customizable electronic form that interfaces with the clinic's electronic medical records.

5.
JBI Evid Synth ; 22(4): 737-743, 2024 Apr 01.
Artículo en Inglés | MEDLINE | ID: mdl-38015098

RESUMEN

OBJECTIVE: The objective of this scoping review is to identify the barriers and facilitators of reproductive justice in pediatric health care. INTRODUCTION: Reproductive justice is defined as the right to maintain personal bodily autonomy, to have or not have children, and to parent children in safe and sustainable communities. The reproductive justice framework is often applied to adult women in conventional care settings; however, the need for health care guided by the framework should extend to all females of reproductive age in all care settings, including pediatric settings. INCLUSION CRITERIA: This review will consider studies from 1994 to the present that report on the barriers and facilitators of reproductive justice in pediatric health care. Studies from any setting or geographic location will be included. This scoping review will include pediatric patients up to 21 years of age of any gender identity or sexual orientation who may birth a child, and their health care providers. METHODS: Database searches will include CINAHL (EBSCOhost), MEDLINE (PubMed), Embase (Elsevier), and Web of Science Core Collection. Sources of unpublished studies and gray literature to be searched include MedNar and ProQuest Dissertation and Theses Science and Engineering Collection (ProQuest). The JBI methodology for scoping reviews will be followed. Data extracted will include details about the title, authors, year of publication, type of evidence, participants, context, and concept. The extracted data will be presented in diagrammatic or tabular format in a manner that aligns with the objective and questions of the scoping review. REVIEW REGISTRATION: Open Science Framework https://osf.io/d5vf9.


Asunto(s)
Identidad de Género , Instituciones de Salud , Adulto , Humanos , Femenino , Niño , Masculino , Bases de Datos Factuales , Personal de Salud , Justicia Social , Literatura de Revisión como Asunto
6.
JBI Evid Implement ; 21(4): 374-385, 2023 Dec 01.
Artículo en Inglés | MEDLINE | ID: mdl-37131273

RESUMEN

OBJECTIVE: The objective of this project was to promote evidence-based practice and identify how to best implement nutrition education interventions for adults living in rural and/or low-income communities. INTRODUCTION: Adults living in rural and/or low-income communities are at increased risk for poor nutrition and chronic health conditions. Patients are referred to the EversCare Clinic (ECC), an ambulatory clinic at an academic medical center in Mississippi, USA, to receive assistance with social needs. In addition to living in rural and/or low-income communities, over 90% of the patients seen at the ECC are food-insecure, yet nutrition education is inconsistently provided. METHODS: The JBI Practical Application of Clinical Evidence System (PACES) and the Getting Research into Practice (GRiP) audit and feedback tools were used. The ECC team conducted a baseline audit of 30 patient electronic health records, designed and implemented best-practice nutrition education strategies, and completed a follow-up audit of 30 patient electronic health records. Four evidence-based criteria for nutrition education in adults living in rural and/or low-income communities were audited, and various interventions were used to address multiple levels. RESULTS: The baseline audit revealed patients were not receiving recommended nutrition education interventions. Following the implementation, there was a 64.2% improvement in compliance with all four best practice criteria. Involving nursing students proved to be an effective method of improving compliance. CONCLUSION: Adherence to best practices regarding implementing nutrition education interventions was satisfactory, with 80% of patients receiving interventions at individual, interpersonal, community, and societal levels. Future audits are planned to ensure sustainability.


Asunto(s)
Adhesión a Directriz , Educación en Salud , Humanos , Adulto , Mississippi
7.
Environ Technol ; 44(27): 4238-4247, 2023 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-35666650

RESUMEN

Advanced oxidation process in general and hydrodynamic cavitation, in particular, has emerged as a promising technology for the treatment of wastewater in the last few years as the process is energy-efficient and cost-effective. In this process, cavities are generated due to local pressure drops caused by constrictions. This work aimed to investigate the potential of hydrodynamic cavitation as a tertiary treatment to treat the secondary sedimentation tank effluent of a sewage treatment plant, with two laboratory-scale experimental setups having an orifice plate of a 1 mm diameter hole. The process dependency was estimated by optimizing inlet pressure (0.8 bar for setup I and 5 bar for setup II). Moreover, effective orifice jet length was varied to investigate the impact of fluid buoyancy force on expansion and collapse of a cavity on the chemical oxygen demand removal and disinfection potential. At L2 length (two-thirds of the original length), both setups can degrade the organic and inorganic pollutants to the maximum extent. With the optimum condition in setup II, maximum COD, TSS, and fecal coliform degradation were 80.47%, 62.83%, and 52.27%, respectively, compared to setup I.


Asunto(s)
Contaminantes Ambientales , Hidrodinámica , Aguas Residuales , Oxidación-Reducción , Análisis de la Demanda Biológica de Oxígeno
8.
JBI Evid Synth ; 20(7): 1827-1834, 2022 07 01.
Artículo en Inglés | MEDLINE | ID: mdl-36164715

RESUMEN

OBJECTIVE: The objective of this scoping review is to identify barriers and facilitators related to cancer clinical trial enrollment and participation among rural populations. INTRODUCTION: Advancing the effectiveness of cancer treatment and increasing early detection of cancer relies on enrollment and participation of individuals in cancer clinical trials. Lack of enrollment and participation in trials is a concern, and there is evidence that individuals living in rural areas are unlikely to participate in such trials. Information on barriers to, and facilitators of, enrollment and participation in cancer clinical trials is needed for the development of evidence-based interventions to increase the enrollment and participation of rural populations. INCLUSION CRITERIA: The review will consider studies on adults aged 18 years or older living in rural areas. Studies that report on barriers and facilitators to enrollment and participation in cancer clinical trials, including both cancer therapeutic and cancer early detection trials, will be included in the review. The review will consider quantitative, qualitative, and text and opinion papers for inclusion. METHODS: The search strategy will aim to locate published primary studies, reviews, and opinion papers, the latter including those by professional oncology organizations. The databases to be searched include MEDLINE, CINAHL, Embase, Web of Science, and Cochrane Library. Gray literature databases will also be searched. Two independent reviewers will retrieve full-text studies and extract data. The results will be presented in diagrammatic format with a narrative summary.


Asunto(s)
Neoplasias , Población Rural , Adulto , Humanos , Neoplasias/diagnóstico , Neoplasias/epidemiología , Neoplasias/terapia , Literatura de Revisión como Asunto
9.
JBI Evid Synth ; 20(12): 2995-3000, 2022 12 01.
Artículo en Inglés | MEDLINE | ID: mdl-36065936

RESUMEN

OBJECTIVE: The objective of this review is to synthesize qualitative evidence regarding the experiences of parents and prospective parents when receiving a diagnosis of Down syndrome for their child in the perinatal period. INTRODUCTION: Increased awareness of parental experiences when receiving a Down syndrome diagnosis for their child may help health care professionals provide the parental support needed to promote the best possible outcomes for these children. INCLUSION CRITERIA: The participants for this review are the parents and prospective parents of a child with Down syndrome. The phenomenon of interest is parents' and prospective parents' experiences when receiving the diagnosis of Down syndrome for their child in the perinatal period. Experiences of prospective parents, parents whose children are living or deceased, and those who terminated a pregnancy because of the diagnosis will be included. METHODS: This review will follow JBI methodology for qualitative reviews. The databases to be searched include Academic Search Premier, AccessPediatrics, Health Source: Nursing/Academic Edition, MEDLINE, CINAHL, Scopus, PsycINFO, and Web of Science. Sources of unpublished studies and gray literature will include ProQuest Dissertations and Theses Sciences and Engineering Collection, MedNar, National Association for Down Syndrome, Down Syndrome International, and WorldWideScience. Studies will be critically appraised by 2 independent reviewers. All studies, regardless of methodological quality, will be included. Data will be extracted by 2 independent reviewers. Findings will be pooled using the meta-aggregation approach. Where textual pooling is not possible, the findings will be presented narratively. The final synthesized findings will be graded according to the ConQual approach. SYSTEMATIC REVIEW REGISTRATION NUMBER: PROSPERO CRD42021250813.


Asunto(s)
Síndrome de Down , Embarazo , Femenino , Humanos , Niño , Síndrome de Down/diagnóstico , Síndrome de Down/genética , Investigación Cualitativa , Estudios Prospectivos , Padres , Personal de Salud , Revisiones Sistemáticas como Asunto
10.
JBI Evid Synth ; 20(11): 2727-2733, 2022 11 01.
Artículo en Inglés | MEDLINE | ID: mdl-36081363

RESUMEN

OBJECTIVE: The objective of this scoping review is to identify barriers and facilitators for low-dose computed tomography lung cancer screening uptake and adherence among rural populations in the United States. INTRODUCTION: Lung cancer is the leading cause of cancer-related death in the United States, and cancer patients from rural areas have poorer outcomes than those from metropolitan areas. Evidence exists that lung cancer screening by low-dose computed tomography significantly increases survival time but is also significantly underutilized. INCLUSION CRITERIA: Studies completed in the United States with adults who fit United States Preventive Services Task Force guidelines for lung cancer screening and who live in rural areas will be included. Studies published in English since 2013 that report on barriers and facilitators for low-dose computed tomography lung cancer screening uptake and adherence will be included in this review. Quantitative, qualitative, or mixed-methods studies will be included, along with opinion pieces published by government agencies or professional cancer-related organizations. METHODS: The search strategy will locate published primary studies, reviews, and opinion papers, including those by government and nonprofit agencies focused on cancer. The databases to be searched include MEDLINE, CINAHL Complete, Embase, Web of Science, and Cochrane Library. Gray literature databases and sources of unpublished studies will also be searched. Independent reviewers will be used throughout the search and selection process.


Asunto(s)
Detección Precoz del Cáncer , Neoplasias Pulmonares , Adulto , Humanos , Neoplasias Pulmonares/diagnóstico por imagen , Servicios Preventivos de Salud , Población Rural , Tomografía Computarizada por Rayos X , Estados Unidos/epidemiología , Revisiones Sistemáticas como Asunto
11.
JBI Evid Synth ; 20(8): 2087-2093, 2022 08 01.
Artículo en Inglés | MEDLINE | ID: mdl-35971207

RESUMEN

OBJECTIVE: The objective of this review is to synthesize evidence regarding the effectiveness of trauma-informed, school-based interventions for children with a history of trauma or adverse experiences as they pertain to academic performance and health outcomes, including behavior, mental health, and socio-emotional functioning. INTRODUCTION: Children and adolescents who face prolonged adverse experiences or trauma have a predisposition toward emotional, behavioral, mental, and physical health problems. Few children or adolescents who endure the repercussions of constant stress and hardships, or survivors of one or more types of trauma, receive the appropriate screening and diagnosis; therefore, they do not receive tailored care or interventions. INCLUSION CRITERIA: This review will include research syntheses pertaining to school-based, trauma-informed interventions for children and adolescents between the ages of 4 and 18 years with a history of adverse experiences or trauma. Comparisons will be made across all known school-based, trauma-informed interventions. This review will consider systematic reviews that include the following outcomes: mental health, behavior, academic performance, and/or socio-emotional functioning. METHODS: The search strategy will aim to locate both published and unpublished systematic reviews. An initial limited search of MEDLINE (PubMed) and CINAHL (EBSCO) will identify articles on the topic. The search strategy will be adapted for each included information source. Articles published in English will be considered for inclusion and no date limits will apply. Two independent reviewers will critically appraise eligible studies. Extracted data will be tabulated and presented along with a narrative summary.


Asunto(s)
Salud Mental , Instituciones Académicas , Adolescente , Niño , Preescolar , Humanos , Literatura de Revisión como Asunto
12.
J Clin Epidemiol ; 150: 210-215, 2022 10.
Artículo en Inglés | MEDLINE | ID: mdl-35462046

RESUMEN

Evidence-based health care (EBHC) is a worldwide movement with hundreds of organizations and thousands of individuals working to ensure that health care practice, policy, and decision-making are informed by rigorous research evidence, to improve health outcomes. The success of this global agenda, however, depends on individuals and organizations working together within a functioning evidence ecosystem. Collaborative evidence networks are a key mechanism to facilitate the synthesis, transfer, and implementation of evidence into health care policy and practice. Using the network functions approach as a framework for review, this paper explores the strategic functions and form of the JBI Collaboration to illustrate the role of a collaborative evidence network in promoting and supporting EBHC globally. It illustrates how the functions of a collaborative evidence network enable the development, exchange, and dissemination of knowledge, the building of social capital, mobilization of resources, and amplification and advocacy of members work and ideas, which increase the capacity and effectiveness of members in achieving their unified purpose. Effective and sustainable collaborative evidence networks have innovative ways of relating and mobilizing energy for action and combine formal and informal structures and relationships to successfully work together to address complex global health issues and drive the EBHC agenda forward.


Asunto(s)
Ecosistema , Práctica Clínica Basada en la Evidencia , Humanos , Política de Salud , Atención a la Salud , Salud Global
13.
JBI Evid Synth ; 20(6): 1601-1607, 2022 06 01.
Artículo en Inglés | MEDLINE | ID: mdl-35249994

RESUMEN

OBJECTIVE: The objective of this review is to examine mobile injury prevention programs for children and their families. INTRODUCTION: Unintentional injuries are the leading cause of death worldwide for children aged one to 18years. Providing injury prevention education to children and their families is a necessary and critical element in health promotion. INCLUSION CRITERIA: This review will consider studies that include children from birth to 18years of age and their parents or guardians. The concept of this review is mobile or traveling injury prevention education programs for the specified population. Studies conducted in any geographic location or setting that report on how these programs are being utilized, who is providing the education, where education is being provided, who is funding the education, and outcome measures reported with mobile injury prevention programs will be included in the review. METHODS: This review will follow JBI's guidance for scoping reviews. The key databases to be searched include MEDLINE (PubMed), CINAHL (EBSCO), the Cochrane Library (Wiley), ERIC (EBSCO), Web of Science (Clarivate), and Embase (Elsevier). The search for unpublished studies will consist of OpenGrey ( www.opengrey.eu ) and ProQuest Dissertations and Theses Sciences and Engineering Collection (ProQuest). Studies conducted in English, in any year, will be included. Two independent reviewers will perform title and abstract screening, retrieval and review of full-text studies, and data extraction. The results will be presented in diagrammatic or tabular form that aligns with a narrative summary.


Asunto(s)
Promoción de la Salud , Padres , Niño , Humanos , Literatura de Revisión como Asunto
14.
JBI Evid Synth ; 20(1): 121-157, 2022 01 01.
Artículo en Inglés | MEDLINE | ID: mdl-35039468

RESUMEN

OBJECTIVE: The objectives of this scoping review were to explore the existing literature related to millennial nurse-retention strategies and barriers, to examine and conceptually map the evidence, to extract any differences between Generation Y and Generation Z nurses, and to identify any gaps in the literature. INTRODUCTION: The millennial generation has become the largest group of nurses in the workforce. As nursing leaders grow to understand this generation's tendency to change employers frequently, organizations need to identify and implement strategies and reduce barriers to retain this generation as employees. INCLUSION CRITERIA: Studies and reports including registered nurses born between 1980 and 2000 with any level of education preparation and in any setting or geographical location were included. Studies and reports that examined nurse-retention barriers and strategies were considered for inclusion. This review considered experimental and quasi-experimental study designs, analytical observational studies, case-control studies, analytical cross-sectional studies, descriptive observational studies, systematic reviews and meta-analyses, qualitative studies, and text and opinion papers. METHODS: The review was conducted in accordance with the JBI methodology for scoping reviews. Studies and reports written in English after 2010 were included. The databases searched included MEDLINE, CINAHL, Embase, Scopus, Ovid HealthStar, and PsycINFO. The search for unpublished studies and reports included MedNar and ProQuest Dissertations and Theses. Eligible studies and reports underwent data extraction by two independent reviewers using a tool created by the authors. Along with a narrative summary, results are presented in a diagrammatic format that aligns with the review objectives and questions. RESULTS: Thirty-eight publications were included in the review. Strategies for millennial nurse retention were provided in 21 publications, barriers were provided in two publications, and 15 publications provided both strategies and barriers. No publications provided information on the differences between Generation Y and Generation Z. The findings from this scoping review were grouped into five concepts, with strategies and barriers for millennial retention identified for each of the concepts. Concepts identified included leadership, work environment, professional growth, professional fatigue, and self-actualization. CONCLUSIONS: The current evidence base shows that barriers to and strategies for millennial nurse retention commonly focus on the work environment and the relationships between nursing leadership and the bedside nurse. A preliminary scan of the evidence indicates that creating a healthy work environment that is collaborative, fair, flexible, challenging, and provides opportunities for growth may keep millennial nurses engaged. Having nursing leadership that models these values and leads by example may help millennial nurses to feel safe and supported; however, due to the methodology employed in this review, further rigorous research is needed to confirm this.


Asunto(s)
Liderazgo , Estudios de Casos y Controles , Estudios Transversales , Humanos , Estudios Observacionales como Asunto , Investigación Cualitativa
15.
JBI Evid Synth ; 20(5): 1385-1391, 2022 05 01.
Artículo en Inglés | MEDLINE | ID: mdl-34980866

RESUMEN

OBJECTIVE: This scoping review will explore the challenges experienced by home care agencies and home care providers during the COVID-19 pandemic and the changes made to overcome these challenges. INTRODUCTION: The COVID-19 pandemic has presented many challenges to home care agencies and providers worldwide. In response, home care agencies and providers were forced to make changes to the way they operate in order to continue providing quality care to homebound patients. INCLUSION CRITERIA: This scoping review will consider studies that explore the challenges experienced by home care agencies and providers during the COVID-19 pandemic and the changes implemented, or strategies, used to overcome the identified challenges. All geographic locations will be considered for inclusion. METHODS: This review will be conducted in accordance with the JBI methodology for scoping reviews. Key information sources will include MEDLINE, CINAHL, Embase, Scopus, and Web of Science. Sources of unpublished studies and gray literature will include ProQuest Dissertations and Theses, OpenGrey, medRxiv, and bioRxiv. The review will be limited to articles published in English, from 2020 until present day. Two independent reviewers will use a data extraction tool to collect data. Along with a narrative summary, the results will be presented in diagrammatic or tabular format in a manner that aligns with the review objective and questions.


Asunto(s)
COVID-19 , Agencias de Atención a Domicilio , Servicios de Atención de Salud a Domicilio , Humanos , Diseño Interior y Mobiliario , Pandemias , Literatura de Revisión como Asunto
16.
JBI Evid Synth ; 20(4): 1158-1164, 2022 04 01.
Artículo en Inglés | MEDLINE | ID: mdl-34719662

RESUMEN

OBJECTIVE: This scoping review aims to explore existing literature related to structural competency and how this concept is being implemented and evaluated in health sciences programs. The secondary aim is to examine and summarize any documented outcomes related to structural competency training. INTRODUCTION: Structural competency is a concept that was introduced in 2014 to train pre-health and health professionals to understand the broader structures that influence health outcomes. Studies have shown structural competency training is beneficial to health science students. To address health outcomes at the population level, students should collaborate with other disciplines to address the larger structures that influence health. INCLUSION CRITERIA: This scoping review will consider studies that include health science programs that implemented or evaluated structural competency training for undergraduate students, graduate students, and postgraduate trainees. METHODS: The key databases to be searched include MEDLINE, CINAHL, Scopus, Embase, Europe PubMed Central, PsycINFO, and ERIC. The search for unpublished studies will include ProQuest Dissertations and Theses, PapersFirst, and OpenGrey. Studies conducted in English, in any year, setting, or geographical location will be included. Two independent reviewers will perform retrieval of full-text studies and data extraction. The results will be presented in diagrammatic or tabular format with a narrative summary.


Asunto(s)
Curriculum , Medicina , Escolaridad , Educación en Salud , Personal de Salud , Humanos , Literatura de Revisión como Asunto
17.
JBI Evid Synth ; 20(3): 854-859, 2022 03 01.
Artículo en Inglés | MEDLINE | ID: mdl-34494615

RESUMEN

OBJECTIVE: The objective of this umbrella review is to identify and evaluate the factors that contribute to a positive childbirth experience in laboring women in the hospital setting. INTRODUCTION: Childbirth is a milestone for women. Overall, the experience can positively or negatively affect self-esteem, bonding, future childbirth decisions, and overall health and well-being. Understanding of the mother's perception and expectation of the childbirth event is needed to promote positive experiences and outcomes. INCLUSION CRITERIA: This review will consider qualitative systematic reviews that include pregnant women, women in active labor, or women who have recently given birth. This review will consider systematic reviews conducted in a hospital setting in any geographical location reporting on women's positive childbirth experiences, and the factors that led to positive experiences. METHODS: The search strategy will aim to locate qualitative systematic reviews. Databases to be searched include MEDLINE, CINAHL, Embase, Scopus, JBI Evidence Synthesis, and Cochrane Database of Systematic Reviews. Sources of unpublished reviews and gray literature to be searched include ProQuest Dissertations and Theses Sciences and Engineering Collection and OpenGrey. Systematic reviews published since 2001 in the English language will be included. Data will be extracted from systematic reviews by two independent reviewers and findings from the included reviews, as they relate to the umbrella review question, will be presented in tabular format with a supplemental narrative to ensure interpretability. SYSTEMATIC REVIEW REGISTRATION NUMBER: PROSPERO CRD42021251796.


Asunto(s)
Parto Obstétrico , Parto , Femenino , Hospitales , Humanos , Embarazo , Mujeres Embarazadas , Literatura de Revisión como Asunto , Revisiones Sistemáticas como Asunto
18.
JBI Evid Synth ; 19(12): 3238-3267, 2021 12.
Artículo en Inglés | MEDLINE | ID: mdl-33720107

RESUMEN

OBJECTIVE: The objective of this review was to map what is known about nurse manager emotional intelligence in relation to nurse job satisfaction and retention, and the tools used to measure emotional intelligence in this context. INTRODUCTION: As the health care environment responds to the demands of high-quality and low-cost care, nurse managers must ensure that patient care environments are safe, efficient, and effective. Understanding nurse manager emotional intelligence may help organizations improve nurse satisfaction and retention as a strategy for reducing costs. INCLUSION CRITERIA: This review considered experimental and quasi-experimental study designs, analytical observational studies, descriptive observational studies, systematic reviews and meta-analyses, qualitative studies, and text and opinion papers. Studies with staff nurses and experiences working with nurse managers were included. Studies that examined emotional intelligence of nurse managers, in any context, related to staff job satisfaction and retention in nursing and/or that discussed tools used to measure nurse managers' emotional intelligence were considered for inclusion. METHODS: This review followed JBI methodology for scoping reviews. Key information sources searched included CINAHL (EBSCO), Health and Psychosocial Instruments (EBSCO), Scopus (Elsevier), EBSCO Health Source (EBSCO), JBI Database of Systematic Reviews and Implementation Reports (Ovid), ERIC (EBSCO), WorldWideScience (Worldwidescience.com), Wiley Online Library (Onlinelibrary.wiley.com), ProQuest Dissertations and Theses (ProQuest), MedNar (MedNar.com), Google Scholar (GoogleScholar.com), and ScienceDirect (Elsevier). Studies published in English from 1995 to September 2019 were included in the review. Two independent reviewers assessed titles and abstracts against the inclusion criteria. Studies that met the inclusion criteria were retrieved in full and assessed in detail. The data extraction tool was developed by the authors to examine information retrieved. RESULTS: Eight quantitative studies were included, all from the United States. The studies included 232 nurse manager participants and 3731 staff nurse participants from academic and non-academic hospitals. Seven of the eight studies used the Mayer-Salovey-Caruso Emotional Intelligence Test to measure nurse manager emotional intelligence, and one study used the Emotional Quotient Inventory 2.0. Of the eight included studies, six studies showed no significant relationship between emotional intelligence and nurse job satisfaction and/or retention, one revealed a positive correlation, and one revealed both positive and negative correlations. CONCLUSIONS: Limited research exists to determine whether nurse manager emotional intelligence plays a role in staff nurse job satisfaction and/or retention. All studies reported a need for further research, as well as the use of differing methodologies and a more diverse nursing population. This review may raise awareness among nurse managers as well as health care organizations about understanding and developing emotional intelligence.


Asunto(s)
Enfermeras Administradoras , Inteligencia Emocional , Hospitales , Humanos , Satisfacción en el Trabajo , Estudios Observacionales como Asunto , Revisiones Sistemáticas como Asunto , Estados Unidos
19.
JBI Evid Synth ; 19(9): 2307-2338, 2021 09.
Artículo en Inglés | MEDLINE | ID: mdl-33741837

RESUMEN

OBJECTIVE: The aim of this review was to evaluate the association between anti-thyroid antibodies and quality of life in people with euthyroid Hashimoto thyroiditis. INTRODUCTION: Patients with Hashimoto thyroiditis report symptom distress more often than those with non-autoimmune thyroid disorders. Therefore, anti-thyroid antibodies may be related to decreased quality of life in persons with Hashimoto thyroiditis. The etiology of lingering symptoms, even in euthyroidism, remains unknown. The relationship between anti-thyroid antibodies and quality of life for people with Hashimoto thyroiditis has not been evaluated in a systematic review. INCLUSION CRITERIA: The participants were males and females at least 12 years of age, in any country, with Hashimoto thyroiditis. Participants not in a euthyroid state were excluded from this review. In this review, the exposure was the presence of anti-thyroid antibodies and the primary outcome was quality of life as measured by a validated scale. METHODS: A three-step search strategy was implemented with an initial search of PubMed and CINAHL. A comprehensive database search using all identified keywords and index terms was undertaken in March 2019 for relevant published literature, gray literature, and clinical trial registries. The final updates to the search strategies were conducted in December 2019. The search was limited to studies published in English after 1956. Two independent reviewers completed screening for inclusion and utilized the recommended JBI approach to critical appraisal, study selection, data extraction, and data synthesis. The findings are presented in a meta-analysis and in a narrative synthesis, which includes tables and figures. RESULTS: All 13 studies had high methodological quality. Four studies found a significant correlation (P < 0.05) between the presence of anti-thyroid antibodies and quality of life. A fifth study found a significant correlation (P < 0.001) between higher antibody levels and quality of life. A meta-analysis was conducted using two cross-sectional studies, which revealed that the summative small effect size was statistically significant and suggested a lower quality of life in antibody-positive patients. Due to the heterogeneity of the studies, a narrative synthesis was conducted for the three secondary outcomes: symptom distress, executive function, and mental health. Three studies found a statistically significant (P < 0.05) correlation between symptom distress and antibodies, two studies found a statistically significant (P < 0.05) association between executive function and antibodies, and all but one study found a statistically significant (P < 0.05) relationship between mental health and antibodies. CONCLUSIONS: The findings in this review did not reveal a definitive relationship between antibodies and quality of life. However, our meta-analysis suggested a link between anti-thyroid antibodies and decreased quality of life in euthyroid children and adults. Though not conclusive, poor mental health and symptom distress may be associated with anti-thyroid antibodies. Therefore, it may be beneficial to periodically evaluate the quality of life and mental health in euthyroid patients with positive antibodies. It is unlikely that antibodies and executive functions are related. The studies and our review's limitations require replication of findings to confirm a connection between antibodies, quality of life, and the secondary outcomes. Future research should continue to evaluate the relationship between anti-thyroid antibodies and the quality of life in individuals with euthyroid Hashimoto thyroiditis. SYSTEMATIC REVIEW REGISTRATION NUMBER: PROSPERO CRD42018084663.


Asunto(s)
Enfermedad de Hashimoto , Calidad de Vida , Adulto , Niño , Estudios Transversales , Femenino , Humanos , Masculino
20.
JBI Evid Synth ; 19(4): 842-866, 2021 04.
Artículo en Inglés | MEDLINE | ID: mdl-33534289

RESUMEN

OBJECTIVE: The objective of this review was to explore existing literature related to advanced practice nurse professional advancement programs, to examine and map the evidence, and to identify any gaps in the literature. INTRODUCTION: Internationally, there is literature regarding the implementation and benefits of professional advancement programs for staff nurses, but there is scant literature addressing professional advancement programs for advanced practice nurses. Professional advancement programs may enhance workplace engagement and foster retention by empowering employees to grow and excel. INCLUSION CRITERIA: This scoping review considered studies that included advanced practice nurses in direct patient care roles participating in professional advancement programs. The concept of the review was advanced practice nurse professional advancement programs and related criteria and characteristics (eg, length of service, performance review, educational preparation) and outcomes (eg, improved recruitment, retention, employee satisfaction). Studies conducted in any setting and geographical location where advanced practice nurses were employed were included. METHODS: Studies published in English from 1965 to search date were included. The databases searched included PubMed, CINAHL, Embase, Scopus, and PsycINFO. The search for unpublished evidence and gray literature included ProQuest Dissertations and Theses, MedNar, and various hospital websites. Retrieval of full-text studies and data extraction was performed independently by two reviewers. The extracted data is presented in diagrammatic or tabular form with an accompanying narrative summary. RESULTS: Nine descriptive studies were included in this review. All nine studies detailed the names of advancement programs, and provided characteristics and criteria for advancement for those participating in the programs. In addition, six studies described benefits of advancement, two studies described outcomes associated with advancement, and two studies described outcomes and benefits. CONCLUSION: There are few advanced practice nurse professional advancement programs discussed in the literature. In the included studies detailing these programs, there were wide variations in the names, criteria, and characteristics. There is also limited data available regarding outcomes associated with advanced practice nurse professional advancement programs.


Asunto(s)
Hospitales , Satisfacción Personal , Humanos
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