A Systematic Scoping Review and Textual Narrative Synthesis of Undergraduate Pediatric Nursing Simulations: What, Why, and How?

Abstract Background: Polycystic ovarian syndrome (PCOs) is one of the most common endocrine disorders in women throughout the world affecting their sexual/ reproductive health (SRH). Objective: This scoping review aims to identify SRH needs of women with PCOs Methods: PubMed, SCOPUS, Google Scholar, MEDLINE, Science Direct, Ovid and the Cochrane Library were screened from 2000 to 2019. English or Persian peer reviewed and gray literature sources were included. In the primary search, 52 articles were obtained; and finally by narrative synthesis framework for quality assessment, and data analysis and synthesis 27 articles were analyzed. Results: From the 27 selected articles, 9 main themes were obtained i.e.: Complications and problems affecting patients, Lifelong effect of PCOs on reproductive patterns , PCOs and adverse reproductive and pregnancy outcomes, Information needs and preferences of patients about health outcomes and their application for treatment and management of lifelong health outcomes, Financial burden of disease, The effect of PCOs on life experiences and quality of life of affected women, Sexual disorders, Psychological concerns and issues, Femininity feelings and roles Conclusion: Comparison of the 9 themes developed in this study with SRH needs in women, revealed that some of the issues, such as psychological challenges, patients' femininity feelings and roles and financial burden of disease have been ignored in providing SRH services, and should be taken into consideration.

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Intervenciones promotoras de esperanza en padres de niños con necesidades especiales de salud: una revisión scoping

Enfermería Global ◽

10.6018/eglobal.18.1.342621 ◽

2019 ◽

Vol 18 (1) ◽

pp. 646-689

Author(s):

Matilde Silva Carvalho ◽

Margarida Lourenço ◽

Zaida Charepe ◽

Elisabete Nunes

Keyword(s):

Conceptual Framework ◽

Nursing Care ◽

Scoping Review ◽

Time Window ◽

Daily Life ◽

Health Needs ◽

Pediatric Nursing ◽

Large Variability ◽

New Challenges ◽

Special Health

O conceito de esperança tem sido identificado como central para a enfermagem, ganhando visibilidade no âmbito da prestação de cuidados à criança com necessidades especiais de saúde e suas famílias. Surgindo novos desafios na enfermagem pediátrica e constatando as necessidades dos pais diante as adversidades que enfrentam, as intervenções promotoras de esperança deverão ser vistas em destaque. Objetivo: Mapear as intervenções que foram implementadas e avaliadas para promover a esperança em pais de crianças com necessidades especiais de saúde. Método: realizou-se uma revisão scoping, seguindo a metodologia proposta pelo Joanna Briggs Institute, nas bases de dados Pubmed, CINHAL complete e SciELO, nos idiomas português, inglês e espanhol e na janela temporal de 2008 a 2018. Resultados: Foram incluídos nesta revisão 7 estudos. A investigação encontrada é maioritariamente qualitativa, dispersa em termos temporais e diferenciada no quadro conceptual. Maioritariamente avaliada em indivíduos, os estudos englobam intervenções de carater grupal e individual, com variabilidade de contextos e características de intervenção. Conclusão: mantém-se a discussão sobre intervenções promotoras de esperança nos cuidados de enfermagem pediátrica, existindo necessidade de mais investigação para a validação de intervenções que promovam a esperança em pais de crianças com necessidades especiais de saúde. El concepto de esperanza ha sido identificado como central para la enfermería, ganando visibilidad en el ámbito de la atención al niño con necesidades especiales de salud y sus familias. Surgiendo nuevos desafíos en la enfermería pediátrica y constatando las necesidades de los padres ante las adversidades que enfrentan, las intervenciones promotoras de esperanza deberán ser vistas en destaque.Objetivo: Mapear las intervenciones que se han implementado y evaluado para promover la esperanza en los padres de los niños con necesidades especiales de salud.Método: Se llevó a cabo una revisión scoping, siguiendo la metodología propuesta por el Joanna Briggs Institute, en las bases de datos PubMed, CINHAL completa y SciELO, en portugués, inglés y español y en el marco de tiempo 2008-2018.Resultados: Fueron incluidos en esta revisión 7 estudios. La investigación encontrada es mayoritariamente cualitativa, dispersa en términos temporales y diferenciados en el marco conceptual. En la mayoría de los casos, los estudios engloban intervenciones de carácter grupal e individual, con variabilidad de contextos y características de intervención.Conclusión: Se mantiene la discusión sobre intervenciones promotoras de esperanza en los cuidados de enfermería pediátrica, existiendo necesidad de más investigación para la validación de intervenciones que promuevan la esperanza en los padres de niños con necesidades especiales de salud. The concept of hope has been identified as central to nursing and have gained visibility in the caring of children with special health needs and their families. With the emergence of new challenges in pediatric nursing and knowing the needs and adversities parents are facing in their daily life, interventions that promote hope should be highlighted.Objective: to map the interventions that have been implemented and evaluated to promote hope in parents of children with special health needs.Method: a scoping review was held, following Joanna Briggs Institute methodology, in the databases Pubmed, CINHAL complete and SciELO, in portuguese, english and spanish and in the time window from 2008 to 2018.Results: Seven studies were included in this review. The research that was found is mostly qualitative, dispersed in time and differentiated in terms of conceptual framework. Mostly evaluated in individuals, the studies encompass either group and individual interventions, with a large variability of contexts and intervention characteristics. Conclusion: discussions about hope promoting interventions in pediatric nursing care are currently occurring, the need for more research persists for the validation of hope promotion interventions in parents of children with special health needs.

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Coping in patients with pancreatic cancer: a scoping review and narrative synthesis

BMJ Supportive & Palliative Care ◽

10.1136/bmjspcare-2021-003266 ◽

2021 ◽

pp. bmjspcare-2021-003266

Author(s):

Patrick Ristau ◽

Claudia Oetting-Roß ◽

Andreas Büscher

Keyword(s):

Pancreatic Cancer ◽

Coping Strategies ◽

Scoping Review ◽

Publication Date ◽

Rapid Progression ◽

Narrative Synthesis ◽

The Usa ◽

Cancer Experience ◽

And Coping ◽

Disease Specific

IntroductionPancreatic cancer is a malignant disease with one of the highest cancer-specific mortality rates. Coping with it probably differs from other malignant diseases. This scoping review was intended to explore and characterise academic literature related to the coping in patients with pancreatic cancer.MethodsEight databases were searched for primary and secondary studies and reviews reporting on coping with pancreatic cancer (adenocarcinoma) in adults in English or German language, regardless of publication date or study design, which were then analysed and summarised by narrative synthesis.ResultsOf 1472 publications identified, 9 articles and book contributions published from 1989 to 2020 in the USA, Europe and Australia met the inclusion criteria. The two main aspects covered were the confrontation with coping tasks, and the reciprocally associated coping with these challenges. In particular, the coping tasks revealed some pancreatic cancer-specific features, such as an increased incidence of depression and anxiety or certain digestive problems, whereas applying of coping strategies seems to be more like the coping behaviours known from the literature for other severe or cancer diseases.ConclusionsPatients with pancreatic cancer experience various health issues and face various quality of life changes and coping tasks. Disease-specific contextual factors, usually consisting of late diagnosis at an advanced stage, rapid progression and often poor prognosis, as well as disease-specific challenges are major differences compared with other malignancies or serious illnesses. However, the coping strategies applied do not seem to differ in principle. Currently, no pancreatic cancer-specific coping model exists.

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What empirical research has been undertaken on the ethics of clinical research in India? A systematic scoping review and narrative synthesis

BMJ Global Health ◽

10.1136/bmjgh-2020-004729 ◽

2021 ◽

Vol 6 (5) ◽

pp. e004729

Author(s):

Sangeetha Paramasivan ◽

Philippa Davies ◽

Alison Richards ◽

Julia Wade ◽

Leila Rooshenas ◽

...

Keyword(s):

Clinical Trials ◽

Informed Consent ◽

Clinical Research ◽

Empirical Research ◽

Scoping Review ◽

Narrative Synthesis ◽

Research Gaps ◽

Evidence Map ◽

Starting Point ◽

Wide Range

IntroductionThe post-2005 rise in clinical trials and clinical research conducted in India was accompanied by frequent reports of unethical practices, leading to a series of regulatory changes. We conducted a systematic scoping review to obtain an overview of empirical research pertaining to the ethics of clinical trials/research in India.MethodsOur search strategy combined terms related to ethics/bioethics, informed consent, clinical trials/research and India, across nine databases, up to November 2019. Peer-reviewed research exploring ethical aspects of clinical trials/research in India with any stakeholder groups was included. We developed an evidence map, undertook a narrative synthesis and identified research gaps. A consultation exercise with stakeholders in India helped contextualise the review and identify additional research priorities.ResultsTitles/Abstracts of 9699 articles were screened, full text of 282 obtained and 80 were included. Research on the ethics of clinical trials/research covered a wide range of topics, often conducted with little to no funding. Studies predominantly examined what lay (patients/public) and professional participants (eg, healthcare staff/students/faculty) know about topics such as research ethics or understand from the information given to obtain their consent for research participation. Easily accessible groups, namely ethics committee members and healthcare students were frequently researched. Research gaps included developing a better understanding of the recruitment-informed consent process, including the doctor-patient interaction, in multiple contexts and exploring issues of equity and justice in clinical trials/research.ConclusionThe review demonstrates that while a wide range of topics have been studied in India, the focus is largely on assessing knowledge levels across different population groups. This is a useful starting point, but fundamental questions remain unanswered about informed consent processes and broader issues of inequity that pervade the clinical trials/research landscape. A priority-setting exercise and appropriate funding mechanisms to support researchers in India would help improve the clinical trials/research ecosystem.

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Improving Communication with Patients Discharged from the Emergency Department with Noncardiac Chest Pain: A Scoping Review with Narrative Synthesis

Emergency Medicine International ◽

10.1155/2021/6695210 ◽

2021 ◽

Vol 2021 ◽

pp. 1-10

Author(s):

Ramzi Shawahna ◽

Aya Ghoul ◽

Najlaa Zaid ◽

Wassan Damrah ◽

Mohammad Jaber

Keyword(s):

Emergency Department ◽

Chest Pain ◽

Scoping Review ◽

Treatment Plan ◽

The United States ◽

Initial Assessment ◽

Noncardiac Chest Pain ◽

Narrative Synthesis ◽

Key Terms ◽

Discharge Communication

Background. This scoping review with narrative synthesis aimed to analyze scholarly peer-reviewed articles reporting on improving communication with patients discharged from the emergency department with noncardiac chest pain and qualitatively narrate on and summarize items that can be used in guiding communication with patients discharged from the emergency department with noncardiac chest pain. Methods. The databases of EMBASE/PubMed, Scopus, COCHRANE, CInAHL/EBESCO, UW libraries, and Google Scholar were searched using relevant MeSH and key terms up to February 06, 2020. The selected articles were analyzed for their contents. Items guiding discharge communication were summarized qualitatively. Results. Twenty-five articles were eligible for full review. These were published in between 1994 and 2020. Of those, 16 (64.0%) originated from the United States and 4 (16%) used some interventional design. A total of 45 different items that could be used in guiding discharge communication with patients presenting to the emergency department with chest pain were identified from the studies included in this review. Items were grouped under 6 categories that were related to initial assessment (8 items), information on diagnosis (7 items), information on discharge (9 items), follow-up suggestions (7 items), symptoms that promote return to the emergency department (7 items), and treatment plan (7 items). Conclusion. Communication with patients discharged from the emergency department with noncardiac chest pain can be improved. Results of this investigation might be helpful in guiding quality improvement projects aimed for further improvement of communication with patients discharged from the emergency department with noncardiac chest pain.

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