Use of compression therapy to treat lower limb wounds across Europe: a scoping review protocol

IntroductionPoor lower wound care is an avoidable patient harm. Compression therapy is an effective way of treating non-ischaemic lower limbs wounds, but it is not always used appropriately. There are many guidelines which set out how compression therapy should be used, but there is dearth of evidence about how it is actually used at a population level across Europe.AimThe aim of this scoping review is to map the evidence published in English relating to the use of compression therapy to treat lower limb wounds across Europe.MethodsThis scoping review will be conducted in line with the Joanna Briggs Institute and Preferred Reporting Items for Systematic Reviews and Meta-Analyses for Protocols and Scoping Reviews guidance. A search for relevant publications will be conducted on variety of databases and key websites in order to identify a comprehensive range of relevant literature. Peer reviewed empirical papers, theoretical papers and other publications in English relating to the use of compression therapy across Europe will be considered for inclusion.Ethics and disseminationEthical and research governance for this scoping review is not required because we will only gather secondary data. Our results will be disseminated to the widest possible audience through an open access paper in a peer reviewed international journal, conference presentations and a plain English summary. The results of this scoping review will be used by a panel of Key Opinion Leaders from across Europe to develop a driver diagram to underpin subsequent lower limb wound care improvement efforts.

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Combining feminist intersectional and community-engaged research commitments: Adaptations for scoping reviews and secondary analyses of national data sets

Gateways International Journal of Community Research and Engagement ◽

10.5130/ijcre.v12i1.6193 ◽

2019 ◽

Vol 12 (1) ◽

Cited By ~ 1

Author(s):

Leah Levac ◽

Ann B Denis

Keyword(s):

Scoping Review ◽

Public Services ◽

Research Collaboration ◽

Secondary Data ◽

Lessons Learned ◽

Data Sets ◽

Community Engaged Research ◽

Scoping Reviews ◽

Secondary Analyses ◽

Statistics Canada

As Hankivsky & Cormier (2011) and Denis (2008) note, the theoretical evolution of intersectionality has outpaced its methodological development. While past work has contributed to our understanding of how to apply intersectionality in research (CRIAW-ICREF & DAWN-RAFH 2014; Morris & Bunjan 2007; Simpson 2009), gaps persist. Drawing on a four-year community-university research collaboration called ‘Changing public services: Women and intersectional analysis’, we explore the incorporation of feminist intersectional and community-engaged research commitments into secondary data analyses, specifically a scoping review and secondary analyses of two Statistics Canada data sets. We discuss our application of these commitments across all stages of designing and undertaking these analyses, in particular drawing into focus the importance of dialogue and deliberation throughout our process. Our application of feminist intersectional and community-engaged commitments – including prioritising community benefit and practising self-reflexivity – revealed gaps and silences in the data, in turn improving our understanding of differences in people’s experiences, our critiques of policies and our identification of new research questions. The lessons learned, we conclude, are valuable for scholars, whether or not community engagement is central to their scholarly commitment. Keywordsfeminist intersectionality, community-engaged research, scoping review, logistic regression, community-university partnerships, Canadian public services

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Flat knit hosiery and compression wraps: managing lower limb lymphoedema

Journal of Prescribing Practice ◽

10.12968/jprp.2019.1.sup11.s8 ◽

2019 ◽

Vol 1 (Sup11) ◽

pp. S8-S14

Author(s):

Annemarie Brown

Keyword(s):

Health Professionals ◽

Lower Limb ◽

Self Care ◽

Compression Therapy ◽

Lower Limbs ◽

Adherence To Treatment ◽

Different Types ◽

The Difference

This article will give an overview of the causes and different types of lymphoedema of the lower limbs, together with the options available to manage the condition. Compression therapy is one of the main treatments for managing lymphoedema and the difference between circular knit and flat knit hosiery will be explained. More recently, compression wraps have been introduced as an alternative to hosiery and these may encourage patients to self-care for their condition and increase adherence to treatment. The need for a good skin regime in order to prevent cellulitis will be discussed, together with some useful resources, which will assist health professionals in caring for patients with lymphoedema.

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The Role of Occupational Therapy in Pulmonary Rehabilitation Programs: Scoping Review Protocol (Preprint)

10.2196/preprints.30244 ◽

2021 ◽

Author(s):

Natalie Snyder ◽

Ria Wilson ◽

Lian Finch ◽

Brooklyn Gallant ◽

Chris Landa ◽

...

Keyword(s):

Occupational Therapy ◽

Scoping Review ◽

Pulmonary Rehabilitation ◽

Clinical Decision Making ◽

Relevant Literature ◽

Occupational Therapists ◽

Well Being ◽

Current Guideline ◽

Scoping Reviews

BACKGROUND Background: Chronic respiratory diseases are highly prevalent and compromise an individual’s ability to perform activities of daily living (ADLs) and participate in meaningful life roles. Pulmonary rehabilitation (PR) is a well-established intervention aiming at restoring an individual’s exercise capacity and improving their ability to complete their ADLs. Occupational therapists help individuals engage in meaningful ‘occupations’, improving their health and well-being. Given the concordance in the aims of PR and the occupational therapy (OT) scope of practice, occupational therapists appear to be well-suited as key players in PR programs. However, the benefits of adding OT to PR programs have been sparsely reported in the literature and the role of OT in PR has never been synthesized or reported in national and international guidelines. OBJECTIVE Objective: To explore the role of OT in PR programs, the current guideline recommendations for the inclusion of OT in PR programs, the estimated prevalence of OT in PR programs and the reported or anticipated effects of OT interventions in PR programs. METHODS Methods: The review will be conducted following Joanna Briggs Institute (JBI) methodology for scoping reviews. A comprehensive search will be undertaken in the Cochrane Database of Systematic Reviews, EMBASE, MEDLINE, and CINAHL to identify and retrieve relevant literature, published in English, French or Portuguese. Gray literature will also be searched from international OT association websites for position statements and guidelines relevant to PR programs. All literature published since the establishment of the effectiveness of PR for chronic respiratory disease in 1994, that explores OT in PR programs for these patients will be included. Search results will be exported to Covidence for title, abstract, and full text screening, by two independent reviewers. Data will be extracted by two independent reviewers using a pilot-tested template including: the number of PR programs including OT (specifically from surveys), the purpose of the study, the study design, patient characteristics, respiratory conditions included, PR components, OT role, outcomes, and results. Findings will be presented using a narrative summary, supplemented by figures and/or tables. Key themes will be displayed in an infographic or schematic. RESULTS Results: The study was initiated in January 2021 and registered with the Open Science Framework (OSF) in February 2021, prior to title and abstract screening. Data collection, analysis and drafting of the manuscript will occur throughout 2021, with expected publication in 2022. CONCLUSIONS Conclusion: The results of this scoping review will help healthcare professionals improve patient care by broadening their understanding and awareness of the role of OT in PR programs. This role clarification may help to inform program development, clinical decision making and will serve to optimize the delivery of multidisciplinary care for patients in PR programs, ultimately improving patient outcomes. CLINICALTRIAL International Registered Report Identifier (IRRID): OSF Registration Identifier: DOI: 10.17605/OSF.IO/ZH63W

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Resilient healthcare theory as a lens to research emergency department operations: a protocol for a scoping review

BMJ Open ◽

10.1136/bmjopen-2021-053701 ◽

2021 ◽

Vol 11 (12) ◽

pp. e053701

Author(s):

Peter Thomas Chessum ◽

Mark Sujan ◽

Andreas Xyrichis ◽

Janet E Anderson

Keyword(s):

Complex Systems ◽

Scoping Review ◽

Research Question ◽

Scientific Journal ◽

Relevant Literature ◽

Published Data ◽

Scoping Reviews ◽

Ethical Approval ◽

Meta Analyses ◽

Ed Operations

IntroductionEmergency departments (EDs) are complex systems that have constant fluctuations in demand, creating mismatches with planned capacity. Despite the complexity of ED operations, quality and safety improvement are often approached in a reactive, linear and reductionist manner. There is increasing interest in adopting Resilient Healthcare (RHC) techniques based on complex systems thinking as a method for quality improvement and research in EDs. However, the evidence for this approach is still developing and it is not clear what techniques have been used so far and which are most effective. This scoping review will be conducted between March 2022 until May 2022. It seeks to examine the international literature for available reports that have adopted RHC theory to study ED operations and identify approaches used and proposed benefits.Methods and analysisThe methodology for scoping reviews outlined by Arksey and O’Malley (2005) will be followed, acknowledging refinements made to the scoping review process by Levac et al (2010). The methodology consists of five steps: (1) identifying the research question; (2) identifying the relevant literature; (3) study selection; (4) charting the data; and (5) collating, summarising and reporting the results. A two-stage approach will be undertaken to synthesise and report results: (1) numerical analysis of the nature and distribution of studies (the overall number of studies, country of origin, the most studied core function of ED, type of research design); and (2) a thematic mapping of the literature.Ethics and disseminationScoping review methodology synthesises published data and, therefore, does not require ethical approval. An article formatted in line with Preferred Reporting Items for Systematic Reviews and Meta-Analyses forScoping Reviews reporting guidance will be submitted for publication to a scientific journal. Findings will also be presented at relevant advanced practice conferences and disseminated within clinical and academic groups.

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Treating chronic oedema of the lower limb using circular knit garments: how garment characteristics affect outcomes

British Journal of Community Nursing ◽

10.12968/bjcn.2021.26.sup10.s22 ◽

2021 ◽

Vol 26 (Sup10) ◽

pp. S22-S28

Author(s):

Natalie Phillips ◽

Sue Lawrance ◽

Jeanne Everett

Keyword(s):

Clinical Practice ◽

Treatment Outcomes ◽

Lower Limb ◽

Burden Of Disease ◽

Compression Therapy ◽

Lower Limbs ◽

Improve Treatment ◽

Limited Experience

The use of compression therapy to treat chronic oedema of the lower limbs can be a challenge, especially when this is undertaken by clinicians who have limited experience and knowledge of the theoretical principles which underpin its use in clinical practice. This articles aims to discuss the reasoning which underpins the use of compression hosiery in the management of lymphoedema and how this understanding can improve treatment outcomes and reduce the burden of disease on patients and clinical resources.

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Health literacy in people with venous leg ulcers: a protocol for scoping review

BMJ Open ◽

10.1136/bmjopen-2020-044604 ◽

2021 ◽

Vol 11 (5) ◽

pp. e044604

Author(s):

CD Weller ◽

Victoria Team ◽

Sebastian Probst ◽

Georgina Gethin ◽

Catelyn Richards ◽

...

Keyword(s):

Health Literacy ◽

Scoping Review ◽

Wound Care ◽

Compression Therapy ◽

Clinical Problem ◽

Included Study ◽

Self Management ◽

Cochrane Library ◽

Ethical Review ◽

Venous Leg Ulcer

IntroductionChronic venous leg ulcer (VLU) healing is a complex clinical problem. It requires intervention from skilled, costly, multidisciplinary wound-care teams, working with patients to manage their care. Compression therapy has been shown to help heal venous ulcers and to reduce recurrence, with some evidence suggesting the value of exercise as well. These activities require health education and health literacy (HL) as patients must process, understand and consistently apply health information for successful self-management. Research suggests that those most vulnerable to VLUs also tend to have limited HL, but there have been no reviews examining the state of HL in patients with previous or active VLUs. This scoping review aims to examine the level of HL in VLU patients and how HL may link to self-management behaviours (particularly exercise and compression adherence), and their VLU healing generally.Methods and analysisWe will use Preferred Reporting Items for Systematic Reviews and Meta-Analyses Scoping Review guidelines and the Levac methodology framework to explore eligible papers that examine the effect of HL on their exercise and compression adherence. Electronic databases will be searched (MEDLINE, EMBASE, the Cochrane Library, PsycInfo and Health, OpenGray), examining for all papers on these subjects published between 2000 and 2020. All studies describing compression and or exercise during VLU management will be included. Study characteristics will be recorded; qualitative data will be extracted and evaluated. Quantitative data will be extracted and summarised.Ethics and disseminationWe will disseminate results through peer-reviewed publications. We will use data (ie, journal articles) from publicly available platforms; so, this study does not require ethical review. The consultation step will be carried out with patients, carers and health professionals as part of an established wound consumer group.

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The economics of abortion and its links with stigma: A secondary analysis from a scoping review on the economics of abortion

PLoS ONE ◽

10.1371/journal.pone.0246238 ◽

2021 ◽

Vol 16 (2) ◽

pp. e0246238

Author(s):

Brittany Moore ◽

Cheri Poss ◽

Ernestina Coast ◽

Samantha R. Lattof ◽

Yana van der Meulen Rodgers

Keyword(s):

Economic Impact ◽

Scoping Review ◽

Secondary Analysis ◽

Secondary Data ◽

Support Network ◽

Secondary Outcome ◽

Accurate Information ◽

Economic Implications ◽

World Region ◽

Scoping Reviews

Background Although abortions are a common aspect of people’s reproductive lives, the economic implications of abortion and the stigmas that surround abortion are poorly understood. This article provides an analysis of secondary data from a scoping review on the economic impact of abortion to understand the intersections between stigma and economics outcomes at the microeconomic (i.e., abortion seekers and their households), mesoeconomic (i.e., communities and health systems), and macroeconomic (i.e., societies and nation states) levels. Methods and findings We conducted a scoping review using the PRISMA extension for Scoping Reviews. Studies reporting on qualitative and/or quantitative data from any world region were considered. For inclusion, studies must have examined one of the following microeconomic, mesoeconomic, or macroeconomic outcomes: costs, benefits, impacts, and/or value of abortion-related care or abortion policies. Our searches yielded 19,653 items, of which 365 items were included in our final inventory. As a secondary outcome, every article in the final inventory was screened for abortion-related stigma, discrimination, and exclusion. One quarter (89/365) of the included studies contained information on stigma, though only 32 studies included stigma findings directly tied to economic outcomes. Studies most frequently reported stigma’s links with costs (n = 24), followed by economic impact (n = 11) and economic benefit (n = 1). Abortion stigma can prevent women from obtaining correct information about abortion services and laws, which can lead to unnecessary increases in costs of care and sizeable delays in care. Women who are unable to confide in and rely on their social support network are less likely to have adequate financial resources to access abortion. Conclusions Abortion stigma has a clear impact on women seeking abortion or post-abortion care at each level. Programmatic interventions and policies should consider how stigma affects delays to care, access to accurate information, and available social and financial support, all of which have economic and health implications.

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Management of non-compressible torso hemorrhage of the abdomen in civilian and military austere/remote environments: protocol for a scoping review

Trauma Surgery & Acute Care Open ◽

10.1136/tsaco-2021-000811 ◽

2021 ◽

Vol 6 (1) ◽

pp. e000811

Author(s):

Donald Adams ◽

Paige L McDonald ◽

Elaine Sullo ◽

Alexander B Merkle ◽

Timothy Nunez ◽

...

Keyword(s):

Current Literature ◽

Scoping Review ◽

Current Knowledge ◽

Data Extraction ◽

Evidence Synthesis ◽

Qualitative Interviews ◽

Relevant Literature ◽

Reporting Quality ◽

Health Science ◽

Scoping Reviews

The management of non-compressible torso hemorrhage in military austere/remote environments is a leading cause of potentially preventable death in the prehospital/battlefield environment that has not shown a decrease in mortality in 26 years. Numerous conceptual innovations to manage non-compressible torso hemorrhage have been developed without proven effectiveness in this setting. This scoping review aims to assess the current literature to define non-compressible torso hemorrhage in civilian and military austere/remote environments, assess current innovations and the effectiveness of these innovations, assess the current knowledge gaps and potential future innovations in the management of non-compressible torso hemorrhage in civilian and military austere/remote environments, and assess the translational health science perspective of the current literature and its potential effect on public health. The Joanna Briggs Institute for evidence synthesis will guide this scoping review to completion. A nine-step development process, the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews checklist, will be used to enhance the methodological and reporting quality of this scoping review. The Participant, Concept, Context framework will broaden this scoping review’s reach in developing a comprehensive search strategy. Thirty years will be explored to assess all relevant literature to ensure a thorough search. Two researchers will explore all the discovered literature and develop consensus on the selected literature included in this scoping review. The article will undergo review and data extraction for data analysis. The knowledge to action framework will guide the knowledge synthesis and creation of this scoping review. A narrative synthesis will systematically review and synthesize the collected literature to produce and explain a broad conclusion of the selected literature. Lastly, a consultation exercise in the form of qualitative interviews will be conducted to assess the thematic analysis results and validate the result of this scoping review. This scoping review will require Institutional Review Board approval for the expert consultation in the form of qualitative interviews. Consultants’ identifying information will remain confidential. The collected and analyzed data from this scoping review will identify gaps in the literature to create an evidence-informed protocol for the management of non-compressible torso hemorrhage of the abdomen in civilian and military austere/remote environments. The results of this scoping review will be distributed in peer-reviewed journals and educational, medical presentations. Scoping Review Protocol, Level IV.

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Scoping review of pharmacy-based initiatives for preventing unintended pregnancy: protocol

BMJ Open ◽

10.1136/bmjopen-2019-033002 ◽

2020 ◽

Vol 10 (1) ◽

pp. e033002 ◽

Cited By ~ 1

Author(s):

Philippa Buckingham ◽

Natalie Amos ◽

Safeera Yasmeen Hussainy ◽

Danielle Mazza

Keyword(s):

Unintended Pregnancy ◽

Scoping Review ◽

Meta Analysis ◽

Relevant Literature ◽

Cochrane Library ◽

Ovid Medline ◽

Scoping Reviews ◽

Ethical Approval ◽

Using Data

IntroductionDue to a high global incidence of unintended pregnancy, finding novel ways to increase the accessibility of contraceptive products and information is critical. One proposed strategy is to use the accessibility of community pharmacies and expand the role of pharmacists to deliver these services. This protocol reports the methods of a proposed scoping review of pharmacy-based initiatives for preventing unintended pregnancy. We intend to identify the range of interventions employed by pharmacists worldwide and their outcomes and aim to infer the value of task sharing for reducing certain access and equity barriers to contraception.Methods and analysisThis protocol was developed with guidance from the Joanna Briggs Institute Methodology for Scoping Reviews. Reporting is compliant with the Preferred Reporting Items for Systematic Reviews and Meta-analysis (PRISMA) protocols. The scoping review will be reported according to the PRISMA Extension for Scoping Reviews. Seven electronic databases (PubMed, Ovid Medline, Embase, Cochrane Library, Scopus and Cumulative Index to Nursing and Allied Health Literature) were systematically searched for relevant literature published in English from 2000, on 22 August 2019. Two authors will individually screen articles for eligibility in Covidence and data will be charted and reported using a tool developed for the purpose of this review.Ethics and disseminationFindings will be disseminated in publications and presentations with relevant stakeholders. Ethical approval is not required as we will be using data from publicly available literature sources. We will map available evidence across the breadth of studies that have been conducted and identify the effectiveness and acceptability of interventions.

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Pain associated with psoriasis: systematic scoping review protocol

BMJ Open ◽

10.1136/bmjopen-2019-031461 ◽

2020 ◽

Vol 10 (6) ◽

pp. e031461

Author(s):

Ana Sanader Vucemilovic ◽

Danijela Nujic ◽

Livia Puljak

Keyword(s):

Systematic Reviews ◽

Scoping Review ◽

Evidence Synthesis ◽

Relevant Literature ◽

Cochrane Library ◽

Published Data ◽

Cochrane Central Register ◽

Scoping Reviews ◽

Chronic Skin ◽

Meta Analyses

IntroductionPsoriasis is a common chronic skin inflammatory disease. Its presentation, apart from affected skin areas, involves other unpleasant symptoms, such as pain. Pain deteriorates the patient’s quality of life, impairing their daily behaviour and functioning. Therefore, the alleviation of pain in patients with psoriasis should be one of the most desired outcomes of successful treatment. The aim of this study is to summarise available evidence about pain in patients with psoriasis using systematic scoping review methodology in order to map the relevant literature.Methods and analysesOur scoping systematic review will provide evidence synthesis of the literature, both quantitative and qualitative, about the pain associated with psoriasis, including pain associated with psoriatic arthritis. Any types of studies will be eligible for inclusion, and we will not have any time, language or publication status restrictions. We will search MEDLINE, Embase and PsycINFO via OVID, as well as Cochrane Central Register of Clinical Trials, Cochrane Database of Systematic Reviews via Cochrane Library, CINAHL via EBSCO, OpenGrey and ProQuest Dissertations and Theses Global. All databases will be searched from the date of their inception. Retrieved bibliographic records and potentially relevant full texts will be screened by two authors independently. Two researchers will extract data independently. Any discrepancies will be resolved via discussion or consultation of the third author, if necessary. To appraise studies, we will use a Mixed Methods Appraisal Tool, AMSTAR 2, Cochrane risk of bias tool and ROBINS. Our findings will be reported according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews.Ethics and disseminationThe proposed study will not be conducted with human participants. We will only use published data and therefore ethics approval is not required. Our findings will be disseminated via peer-reviewed manuscript and conference reports.

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