scholarly journals Patient and caregiver experience with delayed discharge from a hospital setting: A scoping review

2019 ◽  
Vol 22 (5) ◽  
pp. 863-873 ◽  
Author(s):  
Amanda C. Everall ◽  
Sara J. T. Guilcher ◽  
Lauren Cadel ◽  
Maliha Asif ◽  
Joyce Li ◽  
...  
Keyword(s):  
Scoping Review ◽  
Hospital Setting ◽  
Delayed Discharge

scholarly journals Initiatives for improving delayed discharge from a hospital setting: a scoping review

BMJ Open ◽  
2021 ◽  
Vol 11 (2) ◽  
pp. e044291
Author(s):  
Lauren Cadel ◽  
Sara J T Guilcher ◽  
Kristina Marie Kokorelias ◽  
Jason Sutherland ◽  
Jon Glasby ◽  
...  
Keyword(s):  
Best Practices ◽  
Information Sharing ◽  
Scoping Review ◽  
Grey Literature ◽  
Hospital Setting ◽  
Practice Change ◽  
Multidisciplinary Teams ◽  
Delayed Discharge ◽  
Delayed Discharges ◽  
Future Work

ObjectiveThe overarching objective of the scoping review was to examine peer reviewed and grey literature for best practices that have been developed, implemented and/or evaluated for delayed discharge involving a hospital setting. Two specific objectives were to review what the delayed discharge initiatives entailed and identify gaps in the literature in order to inform future work.DesignScoping review.MethodsElectronic databases and websites of government and healthcare organisations were searched for eligible articles. Articles were required to include an initiative that focused on delayed discharge, involve a hospital setting and be published between 1 January 2004 and 16 August 2019. Data were extracted using Microsoft Excel. Following extraction, a policy framework by Doern and Phidd was adapted to organise the included initiatives into categories: (1) information sharing; (2) tools and guidelines; (3) practice changes; (4) infrastructure and finance and (5) other.ResultsSixty-six articles were included in this review. The majority of initiatives were categorised as practice change (n=36), followed by information sharing (n=19) and tools and guidelines (n=19). Numerous initiatives incorporated multiple categories. The majority of initiatives were implemented by multidisciplinary teams and resulted in improved outcomes such as reduced length of stay and discharge delays. However, the experiences of patients and families were rarely reported. Included initiatives also lacked important contextual information, which is essential for replicating best practices and scaling up.ConclusionsThis scoping review identified a number of initiatives that have been implemented to target delayed discharges. While the majority of initiatives resulted in positive outcomes, delayed discharges remain an international problem. There are significant gaps and limitations in evidence and thus, future work is warranted to develop solutions that have a sustainable impact.

scholarly journals Measuring perceived adequacy of staffing to incorporate nurses’ judgement into hospital capacity management: a scoping review

BMJ Open ◽  
2021 ◽  
Vol 11 (4) ◽  
pp. e045245
Author(s):  
Carmen J E M van der Mark ◽  
Hester Vermeulen ◽  
Paul H J Hendriks ◽  
Catharina J van Oostveen
Keyword(s):  
Psychometric Properties ◽  
Scoping Review ◽  
Care Delivery ◽  
Hospital Setting ◽  
Workforce Planning ◽  
Nurse Staffing ◽  
Measurement Instruments ◽  
Health Measurement ◽  
Factors Influencing

BackgroundMatching demand and supply in nursing work continues to generate debate. Current approaches focus on objective measures, such as nurses per occupied bed or patient classification. However, staff numbers do not tell the whole staffing story. The subjective measure of nurses’ perceived adequacy of staffing (PAS) has the potential to enhance nurse staffing methods in a way that goes beyond traditional workload measurement or workforce planning methods.ObjectivesTo detect outcomes associated with nurses’ PAS and the factors that influence PAS and to review the psychometric properties of instruments used to measure PAS in a hospital setting.Design and methodsA scoping review was performed to identify outcomes associated with PAS, factors influencing PAS and instruments measuring PAS. A search of PubMed, Cumulative Index to Nursing and Allied Health Literature (CINAHL), Business Source Complete and Embase databases identified 2609 potentially relevant articles. Data were independently extracted, analysed and synthesised. The quality of studies describing influencing factors or outcomes of PAS and psychometric properties of instruments measuring PAS were assessed following the National Institute for Health and Care Excellence quality appraisal checklist and the COnsensus-based Standards for the selection of health Measurement INstruments guidelines.ResultsSixty-three studies were included, describing 60 outcomes of PAS, 79 factors influencing PAS and 21 instruments measuring PAS. In general, positive PAS was related to positive outcomes for the patient, nurse and organisation, supporting the relevance of PAS as a staffing measure. We identified a variety of factors that influence PAS, including demand for care, nurse supply and organisation of care delivery. Associations between these factors and PAS were inconsistent. The quality of studies investigating the development and evaluation of instruments measuring PAS was moderate.ConclusionsMeasuring the PAS may enhance nurse staffing methods in a hospital setting. Further work is needed to refine and psychometrically evaluate instruments for measuring PAS.

scholarly journals The current landscape of pre-exposure prophylaxis service delivery models for HIV prevention: a scoping review

2020 ◽  
Author(s):  
Jef Vanhamel ◽  
Anke Rotsaert ◽  
Thijs Reyniers ◽  
Christiana Nöstlinger ◽  
Marie Laga ◽  
...  
Keyword(s):  
Hiv Prevention ◽  
Service Delivery ◽  
Scoping Review ◽  
Real World ◽  
Grey Literature ◽  
Hospital Setting ◽  
Potential Game ◽  
Key Populations ◽  
Service Delivery Models ◽  
Delivery Models

Abstract Background: Strengthening HIV prevention is imperative given the continued high HIV incidence worldwide. The introduction of oral PrEP as a new biomedical HIV prevention tool can be a potential game changer because of its high clinical efficacy and the feasibility of its provision to different key populations. Documenting the existing experience with PrEP service delivery in a variety of real-world settings will inform how its uptake and usage can be maximised. Methods: We conducted a scoping review using the five-step framework provided by Arksey and O’Malley. We systematically searched the existing peer-reviewed international and grey literature describing the implementation of real-world PrEP service delivery models reporting on four key components: the target population of PrEP services, the setting where PrEP was delivered, PrEP providers’ professionalisation and PrEP delivery channels. We restricted our search to English language articles. No geographical or time restrictions were set.Results: This review included 33 articles for charting and analysing of the results. The identified service delivery models showed that PrEP services mainly targeted people at high risk of HIV acquisition, with some models targeting specific key populations, mainly men who have sex with men. PrEP was often delivered centralised and in a clinical or hospital setting. Yet also community-based as well as home-based PrEP delivery models were reported. Providers of PrEP were mainly clinically trained health professionals, but in some rare cases community workers and lay providers also delivered PrEP. In general, in-person visits were used to deliver PrEP. More innovative digital options using mHealth and telemedicine approaches to deliver specific parts of PrEP services are currently being applied in a minority of the service delivery models in mainly high-resource settings.Conclusions: A range of possible combinations was found between all four components of PrEP service delivery models. This reflects differentiation of care according to different contextual settings. More research is needed on how integration of services in these contexts could be expanded and optimised to respond to key populations with unmet HIV prevention needs in different settings.

scholarly journals Animal assisted interventions in the children's hospital: protocol for a scoping review

2021 ◽  
Vol 3 ◽  
pp. 74
Author(s):  
Rachel Howe ◽  
Sandra Nicholson ◽  
Attracta Lafferty ◽  
Carmel Davies ◽  
Diarmuid Stokes ◽  
...  
Keyword(s):  
Scoping Review ◽  
Scientific Evidence ◽  
Companion Animals ◽  
Hospital Setting ◽  
Evidence Base ◽  
Hospital Environment ◽  
Children's Hospital ◽  
Children’S Hospital ◽  
Review Protocol ◽  
Long Term Impact

The introduction of Animal Assisted Interventions (AAIs) in healthcare is relatively common; however, their actual effectiveness and long-term impact are not so well known, especially in relation to the children’s hospital setting.  It is important to plot where and why animal interventions take place but also to focus on how the human animal bond impacts on children in a children’s hospital setting.  Family members, including companion animals, are important supports which help children to relax and give them a sense of familiarity to navigate the busy and stressful hospital environment.  The scoping review of the literature proposed will explore the scientific evidence base for AAIs in children’s hospitals and will map results prior to undertaking a full scale research project.   Arksey and O’Malley’s framework guided by the Joanna Briggs Institute will frame this review protocol.  Appendices are used to ensure transparency of methods. The protocol is presented in narrative style to demonstrate flow, fluency, and appeal to wider readership.

scholarly journals Protocol for a scoping review on the conceptualisation of learning in undergraduate clinical nursing practice

BMJ Open ◽  
2019 ◽  
Vol 9 (2) ◽  
pp. e024360 ◽  
Author(s):  
Malou Stoffels ◽  
Saskia M Peerdeman ◽  
Hester E M Daelmans ◽  
Johannes C F Ket ◽  
Rashmi A Kusurkar
Keyword(s):  
Nursing Education ◽  
Clinical Practice ◽  
Scoping Review ◽  
Nursing Practice ◽  
Medical Information ◽  
Hospital Setting ◽  
Undergraduate Nursing Education ◽  
Undergraduate Nursing ◽  
Clinical Nursing ◽  
Conceptual Clarity

IntroductionLearning in the clinical setting is a major form of learning in undergraduate nursing education. In spite of this, how nursing students learn in clinical practice is still largely unknown. Moreover, there is no conceptual clarity on learning in practice in the current literature. This paper aims to set up a protocol for a scoping review of the literature in order to map different conceptualisations of learning in practice in undergraduate clinical nursing education in the hospital setting. The operationalisations of different concepts will be compared and the findings of the studies will be synthesised.Methods and analysisThis scoping review will be guided by the methodological framework proposed by Arksey and O’Malley and refined by Levac et al. and the Joanna Briggs Institute. The search strategy will be developed together with a medical information specialist and the search will be performed in electronic databases (PubMed, EBSCO/ERIC and EBSCO/CINAHL). In a first search, we will identify concepts that are used as an equivalent to learning in practice. Next, we will search for studies operationalising these concepts in undergraduate nursing education. Finally, we will check reference lists for additional publications. Abstracts and full-text studies will independently be screened by two researchers. All studies that have ‘learning in undergraduate clinical nursing practice’ as their main topic and that include a definition and operationalisation of an equivalent to learning in clinical practice, will be considered for inclusion. We will chart different conceptualisations and their theoretical underpinnings, as well as reported learning opportunities, informal and formal aspects of learning, social aspects of learning and gaps in the literature.Ethics and disseminationThis review will help design future studies on learning in clinical nursing practice using well-defined and agreed on terminology. The results will be disseminated through journal publications and conference presentations.

scholarly journals Understanding transitional care programmes for older adults who experience delayed discharge: a scoping review protocol

BMJ Open ◽  
2019 ◽  
Vol 9 (12) ◽  
pp. e032149
Author(s):  
Katherine S McGilton ◽  
Shirin Vellani ◽  
Jessica Babineau ◽  
Jennifer Bethell ◽  
Susan E Bronskill ◽  
...  
Keyword(s):  
Older Adults ◽  
Narrative Analysis ◽  
Scoping Review ◽  
Transitional Care ◽  
Community Dwelling ◽  
Term Care ◽  
Delayed Discharge ◽  
Review Protocol ◽  
Delayed Discharges ◽  
Community Dwelling Older Adults

IntroductionMany hospitalised older adults experience delayed discharges due to increased postacute health and social support needs. Transitional care programmes (TCPs) provide short-term care to these patients to prepare them for transfer to nursing homes or back to the community with supports. There are knowledge gaps related to the development, implementation and evaluation of TCPs. The aims of this scoping review (ScR) are to identify the characteristics of older patients served by TCPs; criteria for transfer, components and services provided by TCPs; and outcomes used to evaluate TCPs.Methods and analysisThe study involves six-step ScR and is informed by a collaborative/participatory approach whereby stakeholders engage in the development of the research questions, identification of literature, data abstraction and synthesis; and participation in consultation workshop. The search for scientific literature will be done in the Medline, PsychINFO, Emcare and CINAHL databases; as well, policies and reports that examined models of transitional care and the outcomes used to evaluate them will be reviewed. Records will be selected if they involve community dwelling older adults aged 65 years or older, or indigenous persons 45 years or older; and presented in English, French, Dutch and German languages. Records will be screened, reviewed and abstracted by two independent reviewers. Extracted data will be analysed using descriptive statistics and a narrative analysis, and organised according to Donabedian’s model of structure (characteristics of older adults experiencing delayed discharge and served by TCPs), process (TCP components and services) and outcome.Ethics and disseminationThis ScR does not require ethics approval. Dissemination activities include integrated knowledge translation (KT) (consultation with stakeholders throughout the study) and end-of-grant KT strategies (presentations at national and international conferences; and publication in peer-reviewed interdisciplinary journal).

Scoping review of the Multiple Errands Test: Is it relevant to youths with acquired brain injury?

2018 ◽  
Vol 81 (12) ◽  
pp. 673-686 ◽  
Author(s):  
Vanessa L Hanberg ◽  
Diane E MacKenzie ◽  
Brenda K Merritt
Keyword(s):  
Brain Injury ◽  
Scoping Review ◽  
Clinical Utility ◽  
Hospital Setting ◽  
Community Setting ◽  
Acquired Brain Injury ◽  
Executive Dysfunction ◽  
Measurement Properties ◽  
Severe Acquired Brain Injury ◽  
Multiple Errands Test

Introduction For youths who sustain acquired brain injuries, distinguishing typical development of executive function from the impairment(s) can be a challenging but critical assessment consideration. Occupational therapists working with individuals after brain injury can use the Multiple Errands Test as a performance-based assessment of the effect of executive dysfunction in the real world. Although numerous test versions exist for different settings and diagnostic populations, their relevance to youths is unclear. We surveyed the non-virtual reality literature for test versions to determine the measurement properties and clinical utility for assessing youths in a community setting. Method A scoping review was completed to summarize study purpose/design, Multiple Errands Test structure, assessment environment, sample characteristics, psychometric properties, clinical utility and main findings of the test versions. Results We included 10 quantitative studies and found the strongest reliability and validity evidence for male adults with moderate to severe acquired brain injury, in a hospital setting. Multiple Errands Test versions can distinguish people with brain injury from controls and identify challenges in the home and community. No studies examined the test performance of younger participants. Conclusion This review highlights the research of several Multiple Errands Test versions and identifies gaps in that research, including the need for development of a test version for youths in a community setting.

Tailoring education of adults with cognitive impairment in the inpatient hospital setting: A scoping review

2020 ◽  
Author(s):  
Kate D’Cruz ◽  
Louise Meikle ◽  
Megan White ◽  
Alicia Herrmann ◽  
Carrie McCallum ◽  
...  
Keyword(s):  
Cognitive Impairment ◽  
Scoping Review ◽  
Hospital Setting ◽  
Inpatient Hospital
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