A Systematic Review of Evidence-Informed Practices for Patient Care Rounds in the ICU*

2013 ◽  
Vol 41 (8) ◽  
pp. 2015-2029 ◽  
Author(s):  
Daniel Lane ◽  
Mauricio Ferri ◽  
Jane Lemaire ◽  
Kevin McLaughlin ◽  
Henry T. Stelfox
Keyword(s):  
Systematic Review ◽  
Patient Care

scholarly journals Effectiveness of early assessment and intervention by interdisciplinary teams including health and social care professionals in the emergency department: protocol for a systematic review

BMJ Open ◽  
2018 ◽  
Vol 8 (7) ◽  
pp. e023464 ◽  
Author(s):  
Marica Cassarino ◽  
Katie Robinson ◽  
Rosie Quinn ◽  
Breda Naddy ◽  
Andrew O’Regan ◽  
...  
Keyword(s):  
Systematic Review ◽  
Emergency Department ◽  
Patient Care ◽  
Systematic Reviews ◽  
Social Care ◽  
Interdisciplinary Teams ◽  
Cochrane Library ◽  
Early Assessment ◽  
Health And Social Care ◽  
The Impact

IntroductionFinding cost-effective strategies to improve patient care in the emergency department (ED) is an increasing imperative given growing numbers of ED attendees. Encouraging evidence indicates that interdisciplinary teams including health and social care professionals (HSCPs) enhance patient care across a variety of healthcare settings. However, to date no systematic reviews of the effectiveness of early assessment and/or interventions carried by such teams in the ED exist. This systematic review aims to explore the impact of early assessment and/or intervention carried out by interdisciplinary teams including HSCPs in the ED on the quality, safety and cost-effectiveness of care, and to define the content of the assessment and/or intervention offered by HSCPs.Methods and analysisUsing the Preferred Reporting Items for Systematic Reviews and Meta-Analyses standardised guidelines, we will conduct a systematic review of randomised controlled trials (RCTs), non-RCTs, controlled before–after studies, interrupted time series and repeated measures studies that report the impact of early assessment and/or intervention provided to adults aged 18+ by interdisciplinary teams including HSCPs in the ED. Searches will be carried in Cumulative Index of Nursing and Allied Health Literature, Embase, Cochrane Library and MEDLINE from inception to March 2018. We will also hand-search the reference lists of relevant studies. Following a two-step screening process, two independent reviewers will extract data on the type of population, intervention, comparison, outcomes and study design. The quality of the studies will be appraised using the Cochrane Risk of Bias Tool. The findings will be synthesised in a narrative summary, and a meta-analysis will be conducted where appropriate.Ethics and disseminationEthical approval will not be sought since it is not required for systematic reviews. The results of this review will be disseminated through publication in a peer-review journal and presented at relevant conferences.Trial registration numberCRD42018091794.

scholarly journals A Systematic Literature Review of Empirical Studies on Decentralized Nursing Stations

2018 ◽  
Vol 12 (1) ◽  
pp. 44-68 ◽  
Author(s):  
Lindsey Fay ◽  
Hui Cai ◽  
Kevin Real
Keyword(s):  
Systematic Review ◽  
Patient Care ◽  
Patient Experience ◽  
Negative Impact ◽  
Evaluation Framework ◽  
Positive Trend ◽  
Review Of Literature ◽  
Related Factors ◽  
Healthcare Design ◽  
The Past

Objectives: The objective of this systematic review of literature was to critically evaluate peer-reviewed evidence regarding the effectiveness of decentralized nurse stations (DNSs). Background: The DNS has become an important topic in healthcare design research and practice over the past decade with aims of improving staff efficiency and patient experience. Research has shown to be inconclusive, with studies reporting an assortment of mixed findings. Method: A systematic review of literature was conducted using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses search process of electronic databases, citation tracking, and manual searches of references. All authors evaluated the studies independently. Studies included were empirical, peer-reviewed investigations of DNS in hospitals over the past 15 years. Each study was evaluated using an accepted healthcare design evaluation framework. Results: Over 200 studies were identified. After exclusions, 21 studies published since 2003 were available for full evaluation. Key findings from this review include (a) there is a positive trend toward patient experience in units with DNS, (b) nursing teamwork was perceived to decline in units with DNS, (c) methodological issues may be responsible for the mixed and inconsistent findings, and (d) there is no consistent categorization of nurse station typology or standard definition for DNS. Conclusions: Based on the evaluation framework, DNS are supportive of the patient experience yet have a negative impact on nursing teamwork. Higher quality studies are needed to classify specific typologies of DNS and account for elements such as patient care models, communication, visibility, and other patient care–related factors.

The impact of machine learning on patient care: A systematic review

2020 ◽  
Vol 103 ◽  
pp. 101785 ◽  
Author(s):  
David Ben-Israel ◽  
W. Bradley Jacobs ◽  
Steve Casha ◽  
Stefan Lang ◽  
Won Hyung A. Ryu ◽  
...  
Keyword(s):  
Machine Learning ◽  
Systematic Review ◽  
Patient Care ◽  
The Impact

scholarly journals Understanding why primary care doctors leave direct patient care: a systematic review of qualitative research

BMJ Open ◽  
2020 ◽  
Vol 10 (5) ◽  
pp. e029846
Author(s):  
Linda Long ◽  
Darren Moore ◽  
Sophie Robinson ◽  
Anna Sansom ◽  
Alex Aylward ◽  
...  
Keyword(s):  
Systematic Review ◽  
Job Satisfaction ◽  
Qualitative Research ◽  
Patient Care ◽  
Good Practice ◽  
Stress Factors ◽  
Direct Patient Care ◽  
Patient Relationship ◽  
Doctor Patient Relationship ◽  
Factors Affecting

BackgroundUK general practitioners (GPs) are leaving direct patient care in significant numbers. We undertook a systematic review of qualitative research to identify factors affecting GPs’ leaving behaviour in the workforce as part of a wider mixed methods study (ReGROUP).ObjectiveTo identify factors that affect GPs’ decisions to leave direct patient care.MethodsQualitative interview-based studies were identified and their quality was assessed. A thematic analysis was performed and an explanatory model was constructed providing an overview of factors affecting UK GPs. Non-UK studies were considered separately.ResultsSix UK interview-based studies and one Australian interview-based study were identified. Three central dynamics that are key to understanding UK GP leaving behaviour were identified: factors associated with low job satisfaction, high job satisfaction and those linked to the doctor–patient relationship. The importance of contextual influence on job satisfaction emerged. GPs with high job satisfaction described feeling supported by good practice relationships, while GPs with poor job satisfaction described feeling overworked and unsupported with negatively impacted doctor–patient relationships.ConclusionsMany GPs report that job satisfaction directly relates to the quality of the doctor–patient relationship. Combined with changing relationships with patients and interfaces with secondary care, and the gradual sense of loss of autonomy within the workplace, many GPs report a reduction in job satisfaction. Once job satisfaction has become negatively impacted, the combined pressure of increased patient demand and workload, together with other stress factors, has left many feeling unsupported and vulnerable to burn-out and ill health, and ultimately to the decision to leave general practice.

How to Read a Systematic Review and Meta-analysis and Apply the Results to Patient Care

JAMA ◽  
2014 ◽  
Vol 312 (2) ◽  
pp. 171 ◽  
Author(s):  
Mohammad Hassan Murad ◽  
Victor M. Montori ◽  
John P. A. Ioannidis ◽  
Roman Jaeschke ◽  
P. J. Devereaux ◽  
...  
Keyword(s):  
Systematic Review ◽  
Patient Care ◽  
Meta Analysis
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