Effectiveness of cultural competence educational interventions on health professionals and patient outcomes: A systematic review

A complement to in-hospital educational interventions is web-based patient education accessed during the home recovery period. While findings demonstrate the effectiveness of web-based patient education interventions on patient outcomes, they fall short of identifying the characteristics that are associated with desired outcomes. The purpose of this systematic review was to determine the characteristics of web-based patient education interventions that are associated with producing changes in self-care behaviours. A systematic review involving 19 studies was conducted to determine the most effective components of a web-based intervention. Findings suggest that the most effective form of web-based patient education is one that is interactive and allows patients to navigate the online system on their own. The findings from this systematic review allow for the design of a web-based educational intervention that will promote increased performance of self-care behaviours during the home recovery period.

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Effects of computerised clinical decision support systems (CDSS) on nursing and allied health professional performance and patient outcomes: a systematic review of experimental and observational studies

BMJ Open ◽

10.1136/bmjopen-2021-053886 ◽

2021 ◽

Vol 11 (12) ◽

pp. e053886

Author(s):

Teumzghi F Mebrahtu ◽

Sarah Skyrme ◽

Rebecca Randell ◽

Anne-Maree Keenan ◽

Karen Bloor ◽

...

Keyword(s):

Systematic Review ◽

Decision Support ◽

Patient Outcomes ◽

Health Professionals ◽

Comparative Research ◽

Clinical Decision Support Systems ◽

Clinical Decision ◽

Link Type ◽

Care Outcomes ◽

Allied Health Professional

ObjectiveComputerised clinical decision support systems (CDSS) are an increasingly important part of nurse and allied health professional (AHP) roles in delivering healthcare. The impact of these technologies on these health professionals’ performance and patient outcomes has not been systematically reviewed. We aimed to conduct a systematic review to investigate this.Materials and methodsThe following bibliographic databases and grey literature sources were searched by an experienced Information Professional for published and unpublished research from inception to February 2021 without language restrictions: MEDLINE (Ovid), Embase Classic+Embase (Ovid), PsycINFO (Ovid), HMIC (Ovid), AMED (Allied and Complementary Medicine) (Ovid), CINAHL (EBSCO), Cochrane Central Register of Controlled Trials (Wiley), Cochrane Database of Systematic Reviews (Wiley), Social Sciences Citation Index Expanded (Clarivate), ProQuest Dissertations & Theses Abstracts & Index, ProQuest ASSIA (Applied Social Science Index and Abstract), Clinical Trials.gov, WHO International Clinical Trials Registry (ICTRP), Health Services Research Projects in Progress (HSRProj), OpenClinical(www.OpenClinical.org), OpenGrey (www.opengrey.eu), Health.IT.gov, Agency for Healthcare Research and Quality (www.ahrq.gov). Any comparative research studies comparing CDSS with usual care were eligible for inclusion.ResultsA total of 36 106 non-duplicate records were identified. Of 35 included studies: 28 were randomised trials, three controlled-before-and-after studies, three interrupted-time-series and one non-randomised trial. There were ~1318 health professionals and ~67 595 patient participants in the studies. Most studies focused on nurse decision-makers (71%) or paramedics (5.7%). CDSS as a standalone Personal Computer/LAPTOP-technology was a feature of 88.7% of the studies; only 8.6% of the studies involved ‘smart’ mobile/handheld-technology.DiscussionCDSS impacted 38% of the outcome measures used positively. Care processes were better in 47% of the measures adopted; examples included, nurses’ adherence to hand disinfection guidance, insulin dosing, on-time blood sampling and documenting care. Patient care outcomes in 40.7% of indicators were better; examples included, lower numbers of falls and pressure ulcers, better glycaemic control, screening of malnutrition and obesity and triaging appropriateness.ConclusionCDSS may have a positive impact on selected aspects of nurses’ and AHPs’ performance and care outcomes. However, comparative research is generally low quality, with a wide range of heterogeneous outcomes. After more than 13 years of synthesised research into CDSS in healthcare professions other than medicine, the need for better quality evaluative research remains as pressing.

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Does education of primary care professionals to support patient self-management improve patient outcomes in chronic disease management? updated systematic review

BJGP Open ◽

10.3399/bjgpo.2020.0186 ◽

2021 ◽

pp. BJGPO.2020.0186

Author(s):

Claire Collins ◽

Gillian Doran ◽

Patricia Patton ◽

Roisin Fitzgerald ◽

Andree Rochfort

Keyword(s):

Systematic Review ◽

Primary Care ◽

Patient Outcomes ◽

Professional Training ◽

Complex Interventions ◽

Educational Interventions ◽

Self Management ◽

Cochrane Library ◽

Web Searches ◽

High Quality Research

BackgroundOur first systematic review included only two papers showing patient outcomes following health professional training for promoting patient self-management.AimTo present the updated review undertaken from September 2013 to August 2018.Design & settingA systematic review was undertaken using the PRISMA guidelines, following the methodology of the first review and is outlined in the PROSPERO registered protocol (Database registration number: CRD42013004418).MethodSix databases were searched - Cochrane Library, PubMed, ERIC, EMBASE, CINAHL and PsycINFO - in addition to Web searches, Hand searches and Bibliographies for articles published from September 1st, 2013 to August 31st 2018.ResultsOur updated systematic review showed more evidence is now available with 18 papers in the five year period from the 4,284 abstracts located. Twelve of these papers showed a difference between intervention and control groups. Of the 18 papers identified, 11 were assessed as having a low risk of bias and five overall were rated of weak quality. The educational interventions with health professionals spanned a range of techniques and modalities and many incorporated multiple interventions including patient components. There may be lack of adoption due to several challenges, including that complex interventions may not be delivered as planned and are difficult to assess, and due to patient engagement and the need for ongoing follow-up.DiscussionMore high quality research is needed on what methods work best and for which patients and what clinical conditions in the primary care setting. The practical implications of training healthcare professionals require specific attention.

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Effectiveness of Virtual Simulation to Enhance Cultural Competence in Pre-licensure and Licensed Health Professionals: A Systematic Review

Clinical Simulation in Nursing ◽

10.1016/j.ecns.2021.04.013 ◽

2021 ◽

Author(s):

Duckhee Chae ◽

Jae Yong Yoo ◽

Jaseon Kim ◽

Jeeheon Ryu

Keyword(s):

Systematic Review ◽

Cultural Competence ◽

Health Professionals ◽

Virtual Simulation

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A Systematic Review of the Methodological Rigor of Studies Evaluating Cultural Competence Training of Health Professionals

Academic Medicine ◽

10.1097/00001888-200506000-00013 ◽

2005 ◽

Vol 80 (6) ◽

pp. 578-586 ◽

Cited By ~ 97

Author(s):

Eboni G. Price ◽

Mary Catherine Beach ◽

Tiffany L. Gary ◽

Karen A. Robinson ◽

Aysegul Gozu ◽

...

Keyword(s):

Systematic Review ◽

Cultural Competence ◽

Health Professionals ◽

Methodological Rigor ◽

Competence Training

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Análise da Revisão Cochrane: Efectividade de Intervenções Educacionais para Pacientes sobre Medicamentos Sujeitos ou não a Receita Médica. Cochrane Database Syst Rev.2013;4:CD008416.

Acta Médica Portuguesa ◽

10.20344/amp.5290 ◽

2014 ◽

Vol 27 (1) ◽

pp. 4

Author(s):

António Vaz Carneiro ◽

João Costa

Keyword(s):

Systematic Review ◽

Drug Treatment ◽

Usual Care ◽

Treatment Regimen ◽

Health Professionals ◽

Clinical Care ◽

Relevant Information ◽

Educational Interventions ◽

Rational Use ◽

Cochrane Database

<div title="Page 1" class="page"><div class="layoutArea"><div class="column"><p><span>Understanding of the relevant information is especially important in the area of drug treatment, to guarantee an appropriate and rational use of medications by patients. The relevant information must be delivered in a way that patients understand all aspects of the treatment regimen they are taking. In this systematic review the authors analyzed a set of studies on the effectiveness of multimedia educational interventions about medications (prescribed or not) in patients of all ages, concluding that the aforementioned interventions are more effective than usual care (non-standardized education provided by health professionals as part of usual clinical care) or no education.</span></p></div></div></div>

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The Impacts of Educational Asthma Interventions in Schools: A Systematic Review of the Literature

Canadian Respiratory Journal ◽

10.1155/2016/8476206 ◽

2016 ◽

Vol 2016 ◽

pp. 1-14 ◽

Cited By ~ 5

Author(s):

Ana Carla Carvalho Coelho ◽

Laís Souza Barretto Cardoso ◽

Carolina de Souza-Machado ◽

Adelmir Souza-Machado

Keyword(s):

Systematic Review ◽

Health Professionals ◽

Developed Countries ◽

Educational Interventions ◽

School Staff ◽

Review Of The Literature ◽

Controlled Clinical Trials ◽

Asthma Symptoms ◽

The Impact

Objective. To review the literature on the impact of educational asthma interventions in schools regarding the knowledge and morbidity of the disease among children and adolescents.Methods. A systematic review was conducted for controlled clinical trials investigating the effectiveness of educational asthma interventions for students, asthmatic or nonasthmatic, families, and school staff. Databases were CENTRAL, PubMed, LILACS, MEDLINE, and SciELO. Articles published in any language were considered, in the period from 2005 to 2014, according to the PRISMA guidelines.Results. Seventeen articles were selected (N=5,879 subjects). 94% of the interventions (16 of 17 studies) were applied in developed countries that were led by health professionals and most of them targeted asthmatics. Asthma education promotes the improvement of knowledge about the disease in at least one of the evaluated areas. 29% of the interventions (5 of 17 studies) showed a reduction of the asthma symptoms, 35% (6 of 17 studies) reduction of the hospitalization instances and emergency visits, 29% (5 of 17 studies) reduction of school absenteeism, and 41% (7 of 17 studies) increase in the quality of life of the individuals.Conclusions. Educational interventions in schools raise the awareness of asthma and weaken the impact of morbidity indicators.

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