scholarly journals Exploring the operationalisation and implementation of outreach in community settings with hard-to-reach and hidden populations: protocol for a scoping review

BMJ Open ◽  
2021 ◽  
Vol 11 (2) ◽  
pp. e039451
Author(s):  
Janina Krabbe ◽  
Sunny Jiao ◽  
Adrian Guta ◽  
Allie Slemon ◽  
Aman Ahluwalia Cameron ◽  
...  
Keyword(s):  
Scoping Review ◽  
Sex Workers ◽  
Successful Implementation ◽  
Community Settings ◽  
Hidden Populations ◽  
Exclusion Criteria ◽  
Prevention And Health Promotion ◽  
Core Components ◽  
Data Source ◽  
Review Criteria

IntroductionOutreach is regularly identified as an effective strategy to engage underserved, hard-to-reach and hidden populations with essential life-sustaining health services. Despite the increasing expansion of outreach programmes, particularly in HIV prevention and health promotion with youth, sex workers, people living with mental health and substance use challenges, and those affected by homelessness, there has been limited synthesis of the evidence concerning the core components of outreach programming or indicators of its successful implementation. Without this understanding, current outreach programmes may be limited in achieving the desired aims. The aim of this scoping review is to explore how outreach has been operationalised and implemented in various community settings with people underserved in current healthcare contexts. Understanding the state of knowledge pertaining to outreach as programming and as practice involving the engagement of people considered hard-to-reach will enable the identification of promising trends and limitations in the field.Methods and analysisThis scoping review follows the Arksey and O’Malley’s framework. CINAHL, MEDLINE, PsycINFO and PubMed databases will be searched for peer-reviewed references focused on outreach with hard-to-reach and hidden groups from 1 January 2008 to 30 April 2020. Guided by explicit inclusion and exclusion criteria, three reviewers will independently assess references in two successive stages. Titles and abstracts will be reviewed followed by full-text assessment of papers meeting the review criteria. A descriptive overview, tabular and/or graphical summaries and a thematic analysis will be carried out on extracted data.Ethics and disseminationEthics approval was not required as the only data source was peer-reviewed documents. Outreach knowledge users who are members of the project team will participate in all aspects of study design, implementation and result dissemination strategies.

Real-time video telemedicine applications in the emergency department: a scoping review of literature

CJEM ◽  
2017 ◽  
Vol 20 (6) ◽  
pp. 920-928 ◽  
Author(s):  
Danielle K. Kelton ◽  
Adam Szulewski ◽  
Daniel Howes
Keyword(s):  
Emergency Department ◽  
Real Time ◽  
Scoping Review ◽  
Exclusion Criteria ◽  
Current State ◽  
Study Selection ◽  
Cochrane Database ◽  
The World ◽  
Data Source ◽  
Widespread Interest

AbstractObjectivesTo collect and synthesize the literature describing the use of real-time video-based technologies to provide support in the care of patients presenting to emergency departments.Data SourceSix electronic databases were searched, including Medline, CINAHL, Embase, the Cochrane Database, DARE, and PubMed for all publications since the earliest date available in each database to February 2016.Study SelectionSelected articles were full text articles addressing the use of telemedicine to support patient care in pre-hospital or emergency department settings. The search yielded 2976 articles for review with 11 studies eligible for inclusion after application of the inclusion and exclusion criteria. A scoping review of the selected articles was performed to better understand the different systems in place around the world and the current state of evidence supporting telemedicine use in the emergency department.ConclusionsTelemedicine support for emergency department physicians is an application with significant potential but is still lacking evidence supporting improved patient outcomes. Advances in technology, combined with more attractive price-points have resulted in widespread interest and implementation around the world. Applications of this technology that are currently being studied include support for minor treatment centres, patient transfer decision-making, management of acutely ill patients and scheduled teleconsultations.

scholarly journals Evidence for implementation of interventions to promote mental health in the workplace: a systematic scoping review protocol

2021 ◽  
Vol 10 (1) ◽  
Author(s):  
Charlotte Paterson ◽  
Caleb Leduc ◽  
Margaret Maxwell ◽  
Birgit Aust ◽  
Benedikt L. Amann ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Promotion ◽  
Scoping Review ◽  
Mental Health Problems ◽  
Evaluation Studies ◽  
Grey Literature ◽  
Mental Health Promotion ◽  
Successful Implementation ◽  
Health Promotion Interventions ◽  
Promote Mental Health

Abstract Background Mental health problems are common in the working population and represent a growing concern internationally, with potential impacts on workers, organisations, workplace health and compensation authorities, labour markets and social policies. Workplace interventions that create workplaces supportive of mental health, promote mental health awareness, destigmatise mental illness and support those with mental disorders are likely to improve health and economical outcomes for employees and organisations. Identifying factors associated with successful implementation of these interventions can improve intervention quality and evaluation, and facilitate the uptake and expansion. Therefore, we aim to review research reporting on the implementation of mental health promotion interventions delivered in workplace settings, in order to increase understanding of factors influencing successful delivery. Methods and analysis A scoping review will be conducted incorporating a stepwise methodology to identify relevant literature reviews, primary research and grey literature. This review is registered with Research Registry (reviewregistry897). One reviewer will conduct the search to identify English language studies in the following electronic databases from 2008 through to July 1, 2020: Scopus, PROSPERO, Health Technology Assessments, PubMed, Campbell Collaboration, Joanna Briggs Library, PsycINFO, Web of Science Core Collection, CINAHL and Institute of Occupational Safety and Health (IOSH). Reference searching, Google Scholar, Grey Matters, IOSH and expert contacts will be used to identify grey literature. Two reviewers will screen title and abstracts, aiming for 95% agreement, and then independently screen full texts for inclusion. Two reviewers will assess methodological quality of included studies using the Mixed Methods Appraisal Tool and extract and synthesize data in line with the RE-AIM framework, Nielson and Randall’s model of organisational-level interventions and Moore’s sustainability criteria, if the data allows. We will recruit and consult with international experts in the field to ensure engagement, reach and relevance of the main findings. Discussion This will be the first systematic scoping review to identify and synthesise evidence of barriers and facilitators to implementing mental health promotion interventions in workplace settings. Our results will inform future evaluation studies and randomised controlled trials and highlight gaps in the evidence base. Systematic review registration Research Registry (reviewregistry897)

Preparing nurses for primary health care futures: how well do Australian nursing courses perform?

2010 ◽  
Vol 16 (3) ◽  
pp. 211 ◽  
Author(s):  
Helen Keleher ◽  
Rhian Parker ◽  
Karen Francis
Keyword(s):  
Health Care ◽  
Health Promotion ◽  
Primary Health Care ◽  
Chronic Disease ◽  
Curriculum Reform ◽  
Community Settings ◽  
Educational Preparation ◽  
Undergraduate Nursing ◽  
Primary Health ◽  
Prevention And Health Promotion

Health reform is increasingly targeted towards strengthening and expansion of primary health systems as care is shifted from hospitals to communities. The renewed emphasis on prevention and health promotion is intended to curb the tide of chronic disease and sustain effective chronic disease management, as well as address health inequities and increase affordable access to services. Given the scope of nurses’ practice, the success of Australia’s health system reforms are dependent on a nursing workforce that is appropriately educated and prepared for practice in community settings. This article reports on the results of an Australian national audit of all undergraduate nursing curricula to examine the extent of professional socialisation and educational preparation of nurses for primary health care. The results of the audit are compared with Australian nursing standards associated with competency in primary health care. The findings indicate that Australian nursing competencies are general in their approach to skills and knowledge, not specifying any particular competencies for primary health care, while undergraduate student preparation for practice in primary health and community settings is patchy and not keeping pace with reform agendas that promote expanded roles for nurses in primary health care, prevention and health promotion. The implication for nursing curriculum reform is that attention to achieving nursing graduate capacity for primary health care and health promotion is a priority.

Wearable Sensors and Their Metrics for Measuring Comprehensive Occupational Fatigue: A Scoping Review

2017 ◽  
Vol 61 (1) ◽  
pp. 1041-1045 ◽  
Author(s):  
Yibo Zhu ◽  
Rasik R Jankay ◽  
Laura C Pieratt ◽  
Ranjana K. Mehta
Keyword(s):  
Heart Rate ◽  
Scoping Review ◽  
Wearable Sensors ◽  
Health And Safety ◽  
Exclusion Criteria ◽  
Multidimensional Construct ◽  
Ovid Medline ◽  
Rate Sensor ◽  
Sleep Length ◽  
Occupational Fatigue

Extensive research has been conducted to study the effects of physical and sleep related fatigue on occupational health and safety. However, fatigue is a complex multidimensional construct, that is task- and occupation-dependent, and our knowledge on how to measure this complex construct is limited. A scoping review was conducted to: 1) review sensors and their metrics currently employed in occupational fatigue studies, 2) identify overlap between sensors and associated metrics that can be leveraged to assess comprehensive fatigue, 3) investigating the effectiveness of the sensors/metrics, and 4) recommended potential sensor/metric combinations to evaluate comprehensive fatigue. 512 unique abstracts were identified through Ovid-MEDLINE, MEDLINE, Embase and Cinal databases and application of the inclusion/exclusion criteria resulted in 27 articles that were included for the review. Heart rate sensors and actigraphs were identified to be the most suitable devices to study comprehensive fatigue. Heart rate trend within the heart rate sensor, and sleep length and sleep efficiency within actigraphs were found to be the most popular and reliable metrics for measuring occupational fatigue.

scholarly journals Promoting Diet and Physical Activity in Nurses

2016 ◽  
Vol 31 (1) ◽  
pp. 19-27 ◽  
Author(s):  
Luciana Torquati ◽  
Toby Pavey ◽  
Tracy Kolbe-Alexander ◽  
Michael Leveritt
Keyword(s):  
Physical Activity ◽  
English Language ◽  
Data Extraction ◽  
Student Nurses ◽  
Inclusion Criteria ◽  
Exclusion Criteria ◽  
Data Synthesis ◽  
Diet And Physical Activity ◽  
Data Source

Objective. To systematically review the effectiveness of intervention studies promoting diet and physical activity (PA) in nurses. Data Source. English language manuscripts published between 1970 and 2014 in PubMed, Scopus, CINAHL, and EMBASE, as well as those accessed with the PICO tool, were reviewed. Study Inclusion and Exclusion Criteria. Inclusion criteria comprised (1) nurses/student nurses working in a health care setting and (2) interventions where PA and/or diet behaviors were the primary outcome. Exclusion criteria were (1) non–peer-reviewed articles or conference abstracts and (2) interventions focused on treatment of chronic conditions or lifestyle factors other than PA or diet in nurses. Data Extraction. Seventy-one full texts were retrieved and assessed for inclusion by two reviewers. Data were extracted by one reviewer and checked for accuracy by a second reviewer. Data Synthesis. Extracted data were synthesized in a tabular format and narrative summary. Results. Nine (n = 737 nurses) studies met the inclusion criteria. Quality of the studies was low to moderate. Four studies reported an increase in self-reported PA through structured exercise and goal setting. Dietary outcomes were generally positive, but were only measured in three studies with some limitations in the assessment methods. Two studies reported improved body composition without significant changes in diet or PA. Conclusions. Outcomes of interventions to change nurses’ PA and diet behavior are promising, but inconsistent. Additional and higher quality interventions that include objective and validated outcome measures and appropriate process evaluation are required.

Mobility Assistants to Support Multi-Modal Routes in Smart Cities: A Scoping Review

2021 ◽  
Vol 3 (1) ◽  
pp. 26-40
Author(s):  
Nelson Pacheco Rocha ◽  
Gonçalo Santinha ◽  
Mário Rodrigues ◽  
Carlos Rodrigues ◽  
Alexandra Queirós ◽  
...  
Keyword(s):  
Scoping Review ◽  
Early Stage ◽  
Smart Cities ◽  
Research Trends ◽  
Exclusion Criteria ◽  
Major Barrier ◽  
Stage Of Development ◽  
Electronic Search ◽  
Inclusion Results

Objectives - This study aimed to identify: (i) the current research trends related to mobility assistants to support multi-modal routes in smart cities; (ii) the types of smart cities’ data being used; (iii) the methods applied to assess the proposed solutions; and iv) the major barriers for their dissemination. Methods - An electronic search was conducted in several databases, combining relevant keywords. Then titles and abstracts were screened against inclusion and exclusion criteria. Finally, the full texts of the eligible articles were retrieved and screened for inclusion. Results - A total of 19 articles were included. These articles either propose algorithms to optimize routes planning or presenting specific applications that make use of a broad range of smart cities’ data. Conclusion - The number of included articles is very reduced when compared with the total number of articles related to smart cities, which means that the mobility assistants to support multi-modal routes are still not significant within the smart cities’ research. Moreover, most of the included articles report applications in an early stage of development, which is a major barrier for the respective dissemination.

The Grief and Bereavement Experiences of Informal Caregivers: A Scoping Review of the North American Literature

2021 ◽  
pp. 082585972110522
Author(s):  
Neerjah Skantharajah ◽  
Carol Barrie ◽  
Sharon Baxter ◽  
M. Carolina Borja ◽  
Anica Butters ◽  
...  
Keyword(s):  
American Literature ◽  
Scoping Review ◽  
Informal Caregivers ◽  
Exclusion Criteria ◽  
The North ◽  
Current State ◽  
Grief And Bereavement ◽  
Hospice And Palliative Care ◽  
The Impact

Background Informal caregivers are a significant part of the hospice and palliative care landscape as members of the interdisciplinary care team. Despite this, little is known about the impact this responsibility has on informal caregivers’ experiences of grief and bereavement. To address this, a scoping review of the literature was conducted to explore the current state of knowledge toward grief and bereavement of informal caregivers of adult/geriatric patients in the hospice and palliative/end-of-life care realm within North America. Methods Using Arksey and O’Malley's 5-step framework, key electronic health care and social sciences databases (eg, CINAHL, MEDLINE, ProQuest Sociological Abstracts, PsycINFO) alongside gray literature sources were searched and screened against inclusion and exclusion criteria. A thematic content analysis was used to identify key themes. Results 29 articles met the final inclusion criteria with 3 central themes emerging: (1) mediators of grief, (2) grief experiences, and (3) types of grief. Discussion Informal caregivers encounter unique grief and bereavement experiences: The range of psychosocial outcomes, both negative and positive, can be affected by various mediators such as caregiver burden, demographics, disease type of the patient being cared for, etc. Bereavement interventions must be designed with the mediators of grief in mind. Conclusions Understanding the nuances of informal caregivers’ experiences with grief and bereavement will inform and advance practice, policy, and research. Practitioners/clinicians should be further educated on how to properly acknowledge the complexity of grief and bereavement for informal caregivers, specifically paying attention to mediators. Further research needs to consider the role of culture.

The link between autism spectrum disorder and gut microbiota: A scoping review

Autism ◽  
2020 ◽  
Vol 24 (6) ◽  
pp. 1328-1344 ◽  
Author(s):  
Amanda Nitschke ◽  
Raywat Deonandan ◽  
Anne TM Konkle
Keyword(s):  
Autism Spectrum Disorder ◽  
Gut Microbiota ◽  
Scoping Review ◽  
Bacterial Species ◽  
Autism Spectrum ◽  
Spectrum Disorder ◽  
Exclusion Criteria ◽  
The Past ◽  
Gastrointestinal Distress ◽  
Special Diets

Gut dysfunction and microbial dysbiosis comorbidities are of particular interest in recent autism research, as gastrointestinal distress is present in up to 90% of autism spectrum disorder cases and therefore may play a key role in the pathogenesis of this disorder. This scoping review aims to integrate the results of studies conducted in the past 6 years examining the association between gut microbiota and autism spectrum disorder, specifically with regard to the characterization of autism spectrum disorder microbiota and potential therapeutic interventions. Studies related to the gastrointestinal microbiome of subjects with autism spectrum disorder were identified through PubMed, SCOPUS, PsycInfo, and Google Scholar databases. Studies were screened and selected based on defined inclusion and exclusion criteria; 19 studies were included. Research continues to report differences between microbiota of individuals with autism spectrum disorder and controls; however, the types and abundances of bacteria present remain inconsistent. Promising treatment interventions for autism spectrum disorder, including special diets, dietary supplementation, and of particular interest, microbiota transfer therapy, are also being explored. Research regarding the link between gut microbiota and autism spectrum disorder renders exciting results; however, it is still in its infancy of investigation. Rigorous methodologies are required to support and strengthen the reliability of existing results, and to further our understanding of the pathogenesis of autism spectrum disorder. Lay abstract Gastrointestinal distress and gut microbial imbalances are commonly found in children with autism spectrum disorder, and therefore may play a key role in the development of the disorder. This scoping review aimed to examine the extent, range and nature of research conducted in the past 6 years that focused on furthering our understanding of autism spectrum disorder and its association with gut microbiota. A literature review was performed with predetermined key words. Studies were screened and selected based on defined inclusion and exclusion criteria. A total of 19 studies were included for final analysis. While there are continuous reports of differences in gut microbiota between autism spectrum disorder and neurotypical individuals, knowledge about the consistency in the presence and abundance of bacterial species, as well as metabolites, remains deficient. Treatments such as special diets, vitamin, prebiotic, probiotic, and microbiota transfer therapy show promising therapeutic potential, yet are in their infancy of investigation. Overall, further research with rigorous methodologies is required to support and strengthen the reliability of existing findings. Future research should aim to increase sample sizes, eliminate biases, and subgroup autism spectrum disorder groups to help accommodate for inter-individual variation. As increasing evidence of a unique autism spectrum disorder microbiome and metabolome is acquired, autism spectrum disorder-specific biomarkers can be identified. These biomarkers have great implications in terms of elucidating the molecular mechanisms of autism spectrum disorder, preventing the onset of autism spectrum disorder, and improving treatments for individuals with autism spectrum disorder.

scholarly journals Beyond Oncology: Question Prompt Lists in Healthcare—A Scoping Review Protocol

2020 ◽  
Vol 3 (1) ◽  
pp. 9
Author(s):  
Matthias Lukasczik ◽  
Christian Gerlich ◽  
Hans Dieter Wolf ◽  
Heiner Vogel
Keyword(s):  
Scoping Review ◽  
Review Process ◽  
Web Of Science ◽  
Preventive Measures ◽  
Health Condition ◽  
Target Groups ◽  
Exclusion Criteria ◽  
Prisma Statement ◽  
Review Protocol ◽  
Question Prompt

Question prompt lists (QPL) are an instrument to promote patient participation in medical encounters by providing a set of questions patients can use during consultations. QPL have predominantly been examined in oncology. Less is known about their use in other contexts. Therefore, we plan to conduct a scoping review to provide an overview of the fields of healthcare in which QPL have been developed and evaluated. MEDLINE/PUBMED, PSYCINFO, PSYNDEX, WEB OF SCIENCE, and CINAHL will be systematically searched. Primary studies from different healthcare contexts that address the following participants/target groups will be included: persons with an acute, chronic, or recurring health condition other than cancer; healthy persons in non-oncological primary preventive measures. There will be no restrictions in terms of study design, sample size, or outcomes. However, only published studies will be included. Studies that were published in English and German between 1990 and 2019 will be examined. Two independent reviewers will apply defined inclusion/exclusion criteria and determine study eligibility in the review process guided by the PRISMA statement.

Sign in / Sign up

Export Citation Format

Share Document