scholarly journals Study protocol of a systematic review and qualitative evidence synthesis using two different approaches: Healthcare related needs and desires of older people with post-stroke aphasia

BMJ Open ◽  
2021 ◽  
Vol 11 (4) ◽  
pp. e039348
Author(s):  
Nadine Janis Pohontsch ◽  
Thorsten Meyer ◽  
Yvonne Eisenmann ◽  
Maria-Inti Metzendorf ◽  
Verena Leve ◽  
...  
Keyword(s):  
Systematic Review ◽  
Older People ◽  
Evidence Synthesis ◽  
Meta Analysis ◽  
Research Question ◽  
Treatment Success ◽  
Qualitative Studies ◽  
Qualitative Evidence Synthesis ◽  
Healthcare Needs ◽  
Qualitative Evidence

IntroductionStroke is a frequent disease in the older population of Western Europe with aphasia as a common consequence. Aphasia is known to impede targeting treatment to individual patients’ needs and therefore may reduce treatment success. In Germany, the postacute care of patients who had stroke is provided by different healthcare institutions of different sectors (rehabilitation, nursing and primary care) with substantial difficulties to coordinate services. We will conduct two qualitative evidence syntheses (QESs) aiming at exploring distinct healthcare needs and desires of older people living with poststroke aphasia. We thereby hope to support the development of integrated care models based on needs of patients who are very restricted to communicate them. Since various methods of QESs exist, the aim of the study embedding the two QESs was to determine if findings differ according to the approach used.Methods and analysisWe will conduct two QESs by using metaethnography (ME) and thematic synthesis (ThS) independently to synthesise the findings of primary qualitative studies. The main differences between these two methods are the underlying epistemologies (idealism (ME) vs realism (ThS)) and the type of research question (emerging (ME) vs fixed (ThS)).We will search seven bibliographical databases. Inclusion criteria comprise: patients with poststroke aphasia, aged 65 years and older, studies in German/English, all types of qualitative studies concerning needs and desires related to healthcare or the healthcare system. The protocol was registered in the International Prospective Register of Systematic Reviews, follows Preferred Reporting Items for Systematic Review and Meta-Analysis Protocols guidelines and includes three items from the Enhancing Transparency in Reporting the synthesis of Qualitative Research checklist.Ethics and disseminationEthical approval is not required. Findings will be published in a peer-reviewed journal and presented on national conferences.

scholarly journals SNI Model for Sustainable Black Women Owned Cooperatives

2020 ◽  
Author(s):  
King Costa ◽  
Johlene Ntwane
Keyword(s):  
Black Women ◽  
Systematic Reviews ◽  
Evidence Synthesis ◽  
Meta Analysis ◽  
Research Question ◽  
Qualitative Evidence Synthesis ◽  
Sustainable Business ◽  
Research On Research ◽  
Main Research ◽  
Qualitative Evidence

This study focussed on developing a strategy framework for sustainable business undertaking by black women owned cooperatives in the Northern Cape district of Francis Baard. Black women owned cooperatives face a number of notable impediments that obstruct sustainable and successful business development and management. Some of the contributors to the current state of affairs could be attributable to lack of effective strategy focussed on cooperatives in general and black owned women cooperatives in particular. A number of studies have been published on the plight and status of cooperatives in South Africa and beyond, with clearly focussed recommendation emanating from empirical findings. This study, being aware of vast repository of literature on the phenomena and using the Population, Intervention, Comparator and Outcome (PICO) method, sought to answer the question, “how to develop a strategy framework for black women owned cooperatives to run sustainable businesses. A Qualitative Evidence Synthesis, a method within the Systematic Reviews approach was adopted as suitable orientation for answering the research question. A systematic review, also known as research on research (RoR) provides evidence based solution hinged upon primary research conducted by many different authors on the same context or situation. Using a Preferred Reporting items for systematic Reviews and Meta-Analysis (PRISMA), A total of 400 articles were retrieved from varied databases such as Ebsco-host, Google Scholar, Z-Library and Web of Science. Through a rigorous critical appraisal of these articles, 100 articles were finally included in the study as subject of analysis. Thematic analysis using the webQDA software produced thematic expressions that were finally treated to develop a theory/framework as per main research objective. The outcome of this qualitative evidence synthesis culminated in a formulation of the SNI Framework for Sustainable Black Women Owned Cooperatives.

scholarly journals The lived experience of people with obesity: study protocol for a systematic review and synthesis of qualitative studies

2021 ◽  
Vol 10 (1) ◽  
Author(s):  
Emma Farrell ◽  
Marta Bustillo ◽  
Carel W. le Roux ◽  
Joe Nadglowski ◽  
Eva Hollmann ◽  
...  
Keyword(s):  
Systematic Review ◽  
Lived Experience ◽  
Health Care Providers ◽  
Evidence Synthesis ◽  
Qualitative Studies ◽  
Qualitative Evidence Synthesis ◽  
Care Providers ◽  
Critical Appraisal Skills ◽  
Health Complications

Abstract Background Obesity is a prevalent, complex, progressive and relapsing chronic disease characterised by abnormal or excessive body fat that impairs health and quality of life. It affects more than 650 million adults worldwide and is associated with a range of health complications. Qualitative research plays a key role in understanding patient experiences and the factors that facilitate or hinder the effectiveness of health interventions. This review aims to systematically locate, assess and synthesise qualitative studies in order to develop a more comprehensive understanding of the lived experience of people with obesity. Methods This is a protocol for a qualitative evidence synthesis of the lived experience of people with obesity. A defined search strategy will be employed in conducting a comprehensive literature search of the following databases: PubMed, Embase, PsycInfo, PsycArticles and Dimensions (from 2011 onwards). Qualitative studies focusing on the lived experience of adults with obesity (BMI >30) will be included. Two reviewers will independently screen all citations, abstracts and full-text articles and abstract data. The quality of included studies will be appraised using the critical appraisal skills programme (CASP) criteria. Thematic synthesis will be conducted on all of the included studies. Confidence in the review findings will be assessed using GRADE CERQual. Discussion The findings from this synthesis will be used to inform the EU Innovative Medicines Initiative (IMI)-funded SOPHIA (Stratification of Obesity Phenotypes to Optimize Future Obesity Therapy) study. The objective of SOPHIA is to optimise future obesity treatment and stimulate a new narrative, understanding and vocabulary around obesity as a set of complex and chronic diseases. The findings will also be useful to health care providers and policy makers who seek to understand the experience of those with obesity. Systematic review registration PROSPERO CRD42020214560.

scholarly journals Experiences of people taking opioid medication for chronic non-malignant pain: a qualitative evidence synthesis using meta-ethnography

BMJ Open ◽  
2020 ◽  
Vol 10 (2) ◽  
pp. e032988 ◽  
Author(s):  
Vivien P Nichols ◽  
Francine Toye ◽  
Sam Eldabe ◽  
Harbinder Kaur Sandhu ◽  
Martin Underwood ◽  
...  
Keyword(s):  
Science Citation Index ◽  
Citation Index ◽  
Evidence Synthesis ◽  
Qualitative Studies ◽  
Science Citation ◽  
Qualitative Evidence Synthesis ◽  
Opioid Use ◽  
Eligibility Criteria ◽  
Opioid Medication ◽  
Qualitative Evidence

ObjectiveTo review qualitative studies on the experience of taking opioid medication for chronic non-malignant pain (CNMP) or coming off them.DesignThis is a qualitative evidence synthesis using a seven-step approach from the methods of meta-ethnography.Data sources and eligibility criteriaWe searched selected databases—Medline, Embase, AMED, Cumulative Index to Nursing and Allied Health Literature, PsycINFO, Web of Science and Scopus (Science Citation Index and Social Science Citation Index)—for qualitative studies which provide patients’ views of taking opioid medication for CNMP or of coming off them (June 2017, updated September 2018).Data extraction and synthesisPapers were quality appraised using the Critical Appraisal Skills Programme tool, and the GRADE-CERQual (Grading of Recommendations Assessment, Development and Evaluation working group - Confidence in Evidence from Reviews of Qualitative research) guidelines were applied. We identified concepts and iteratively abstracted these concepts into a line of argument.ResultsWe screened 2994 unique citations and checked 153 full texts, and 31 met our review criteria. We identified five themes: (1) reluctant users with little choice; (2) understanding opioids: the good and the bad; (3) a therapeutic alliance: not always on the same page; (4) stigma: feeling scared and secretive but needing support; and (5) the challenge of tapering or withdrawal. A new overarching theme of ‘constantly balancing’ emerged from the data.ConclusionsPeople taking opioids were constantly balancing tensions, not always wanting to take opioids, and weighing the pros and cons of opioids but feeling they had no choice because of the pain. They frequently felt stigmatised, were not always ‘on the same page’ as their healthcare professional and felt changes in opioid use were often challenging.Trial registration number49470934; Pre-results.

scholarly journals Postsurgical rehabilitation for adults with low back pain with or without radiculopathy who were treated surgically: protocol for a mixed studies systematic review

BMJ Open ◽  
2020 ◽  
Vol 10 (3) ◽  
pp. e036817 ◽  
Author(s):  
Carol Cancelliere ◽  
Jessica J. Wong ◽  
Hainan Yu ◽  
Margareta Nordin ◽  
Silvano Mior ◽  
...  
Keyword(s):  
Systematic Review ◽  
Low Back Pain ◽  
Back Pain ◽  
Sports Medicine ◽  
Evidence Synthesis ◽  
Meta Analysis ◽  
Empirical Studies ◽  
Qualitative Studies ◽  
Low Back ◽  
Sequential Approach

IntroductionSurgical rates for low back pain (LBP) have been increasing in Europe, North America and Asia. Many patients treated surgically will require postsurgical rehabilitation. Little is known about the effectiveness of postsurgical rehabilitation interventions on health outcomes or about patients’ experiences with these interventions.ObjectivesTo conduct a mixed studies systematic review of quantitative and qualitative studies regarding: (1) the effectiveness and safety of postsurgical rehabilitation interventions for adults with LBP treated surgically and (2) the experiences of patients, healthcare providers, caregivers or others involved with the rehabilitation.Methods and analysisWe will search MEDLINE, Embase, PsycINFO, CINAHL, the Index to Chiropractic Literature, the Cochrane Controlled Register of Trials and the Rehabilitation & Sports Medicine Source for peer-reviewed empirical studies published from inception in any language. Studies using quantitative, qualitative and mixed methodologies will be included. We will also search reference lists of all eligible articles. Data extraction will include type of presurgical pathology, indication for surgery, surgical procedure, how the intervention was delivered and by whom, context and setting. We will conduct a quality assessment of each study and consider study quality in our evidence synthesis. We will use a sequential approach at the review level to synthesise and integrate data. First, we will synthesise the quantitative and qualitative studies independently, conducting a meta-analysis of the quantitative studies if appropriate and thematic synthesis of the qualitative studies. Then, we will integrate the quantitative and qualitative evidence by juxtaposing the findings in a matrix.Ethics and disseminationEthical approval is not required for this knowledge synthesis. Findings will be disseminated through knowledge translation activities including: (1) presentations at national and international conferences and scientific meetings; (2) presentations to local and international stakeholders; (3) publications in peer-reviewed journals and (4) posts on organisational websites.PROSPERO registration numberCRD42019134607.

scholarly journals How do middle-aged and older adults with chronic hip pain view their health problem and its care? A protocol for a systematic review and qualitative evidence synthesis

BMJ Open ◽  
2021 ◽  
Vol 11 (11) ◽  
pp. e053084
Author(s):  
Travis Haber ◽  
Rana S Hinman ◽  
Fiona Dobson ◽  
Samantha Bunzli ◽  
Michelle Hall
Keyword(s):  
Systematic Review ◽  
Older Adults ◽  
Data Extraction ◽  
Evidence Synthesis ◽  
Hip Pain ◽  
Qualitative Evidence Synthesis ◽  
Middle Aged ◽  
Qualitative Evidence ◽  
Prisma Statement ◽  
Registration Number

IntroductionChronic hip pain in middle-aged and older adults is common and disabling. Patient-centred care of chronic hip pain requires a comprehensive understanding of how people with chronic hip pain view their health problem and its care. This paper outlines a protocol to synthesise qualitative evidence of middle-aged and older adults' views, beliefs, expectations and preferences about their chronic hip pain and its care.Methods and analysisWe will perform a qualitative evidence synthesis using a framework approach. We will conduct this study in accord with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) Statement and the Enhancing Transparency in Reporting the synthesis of Qualitative research checklist. We will search MEDLINE, CINAHL, The Cochrane Central Register of Controlled Trials, EMBASE and PsycINFO using a comprehensive search strategy. A priori selection criteria include qualitative studies involving samples with a mean age over 45 and where 80% or more have chronic hip pain. Two or more reviewers will independently screen studies for eligibility, assess methodological strengths and limitations using the Critical Appraisal Skills Programme qualitative studies checklist, perform data extraction and synthesis and determine ratings of confidence in each review finding using the Grading of Recommendations Assessment, Development and Evaluation—Confidence in the Evidence from Reviews of Qualitative research approach. Data extraction and synthesis will be guided by the Common-Sense Model of Self-Regulation. All authors will contribute to interpreting, refining and finalising review findings. This protocol is registered on PROSPERO and reported according to the PRISMA Statement for Protocols (PRISMA-P) checklist.Ethics and disseminationEthics approval is not required for this systematic review as primary data will not be collected. The findings of the review will be disseminated through publication in an academic journal and scientific conferences.PROSPERO registration numberPROSPERO registration number: CRD42021246305.

scholarly journals N17 The Perceptions and Experiences of People Living with Inflammatory Bowel Disease of Nursing Care A Qualitative Evidence Synthesis

2021 ◽  
Vol 15 (Supplement_1) ◽  
pp. S616-S616
Author(s):  
C Conmy
Keyword(s):  
Inflammatory Bowel Disease ◽  
Nursing Care ◽  
Bowel Disease ◽  
Evidence Synthesis ◽  
Improve Patient Care ◽  
Qualitative Evidence Synthesis ◽  
Thematic Synthesis ◽  
Healthcare Needs ◽  
Qualitative Evidence ◽  
Inflammatory Bowel

Abstract Background Inflammatory bowel disease is a chronic condition of the bowel which is known to be very challenging for patients especially during times of active disease or flare ups of their symptoms. Those affected have to adapt their lives to the chronic nature of their condition. The aim of this review was to synthesise qualitative evidence on the perceptions and experiences of those living with inflammatory bowel disease on nursing care received in all health care settings and identify barriers and facilitators for optimal nursing care. Qualitative evidence synthesis guided by Thomas & Harden’s (2008) method of thematic synthesis was used. Methods A systematic search was carried out in CINAHL, Embase, Medline, Cochrane and Google Scholar using combinations of key words. Searches were imported into Covidence which is an online software product used for systematic reviews. Title and abstract screening and full text screening were carried out to screen for eligible papers. Included studies were critically appraised using Critical Appraisal Support Programme (CASP) and thematic synthesis of the data was conducted. Eleven studies were included in the synthesis. Results From the thematic synthesis of the included studies three analytical themes were developed; 1) Meaningful care for patients, 2) Accessible support and information 3) “A constant” for people with IBD. Conclusion This review demonstrated the positive and negative experiences of patients with inflammatory bowel disease on the nursing care they received. It raises key issues for patients which can be addressed by nursing when caring for patients. The results will inform nursing on what is important to patients and how their healthcare needs can be met in all settings. This review will also support evidence for nurses to obtain resources and improve patient care.

scholarly journals Nurses’ Experience of Caring for Patients with Delirium: Systematic Review and Qualitative Evidence Synthesis

2021 ◽  
Vol 11 (1) ◽  
pp. 164-174
Author(s):  
Nissy Thomas ◽  
Mardhie Coleman ◽  
Daniel Terry
Keyword(s):  
Systematic Review ◽  
Early Recognition ◽  
Evidence Synthesis ◽  
Clinical Care ◽  
Conscious State ◽  
Qualitative Evidence Synthesis ◽  
Theoretical Understanding ◽  
Qualitative Evidence ◽  
Knowledge Deficit ◽  
Methodological Assessment

Delirium is an acute deterioration in attention, conscious state, perception, and cognition of a person. While nurses possess the theoretical understanding of the condition, they lack insight into its early recognition and management. This systematic review aims to understand what factors influence nurses as they care for patients with delirium, and to identify best practices to improve overall clinical care. The Qualitative Evidence Synthesis (QES), as a strategy process to identify gaps in research, formulate new models or strategies for care, underpinned the review. In addition to specific inclusion and exclusion criteria, a methodological assessment, data were analysed using QES, as informed by the Joanna Briggs Institute Review process. Ten studies were identified and synthesised to generate four key themes. The themes included (1) nurse’s knowledge deficit; (2) increased workload and stress; (3) safety concerns among nurse when caring for patients with delirium; and (4) strategies used when caring for patients with delirium. Overall, the review has highlighted the need for increased delirium education and coping strategies among nurses to effectively care for patients with delirium. This may be augmented through regular education sessions to provide nurses with the confidence and competence to care for the acutely confused person.

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