scholarly journals Defining the concepts of a smart nursing home and its potential technology utilities that integrate medical services and are acceptable to stakeholders: a scoping review protocol

BMJ Open ◽  
2021 ◽  
Vol 11 (2) ◽  
pp. e041452
Author(s):  
Yuanyuan Zhao ◽  
Fakhrul Zaman Rokhani ◽  
Sazlina Shariff Ghazali ◽  
Boon How Chew
Keyword(s):  
Nursing Home ◽  
Nursing Homes ◽  
Scoping Review ◽  
Database Search ◽  
Medical Services ◽  
Primary Study ◽  
Phase 2 ◽  
Electronic Database ◽  
Care Assessment ◽  
Electronic Database Search

IntroductionSmart technologies, digital health and eHealth have been shown to enhance institutional elderly care. Because of the rapidly ageing societies, information technologies in geriatric healthcare are urgently needed. A lot of innovation in smart healthcare has occurred in the past decade, and its use in nursing care assessment, daily living activities and service management is yet to be defined. More fundamentally, the concepts, definitions and scopes of a smart nursing home are still vague. Thus, this scoping review aims to examine the extent, range (variety) and nature (characteristics) of evidence on the existing smart concepts and feasible healthcare technologies, types of medical services in nursing home settings and acceptability of a smart nursing home by the elderly people ≥60 years old, their caregivers, nursing home operators and government agencies.Methods and analysisThis scoping review will be guided by the smart technology adoption behaviours of elder consumers theoretical model (Elderadopt) by Golant and reported according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses for Scoping Reviews. First, we will conduct an internet search for nursing homes and websites and databases related to the stakeholders to retrieve the definitions, concepts and criteria of a smart nursing home (phase 1). Second, we will conduct an additional systematic electronic database search for published articles on any measures of technological feasibility and integration of medical services in nursing home settings and their acceptability by nursing home residents and caregivers (phase 2). The electronic database search will be carried out from 1999 to 30 September 2020 and limited to works published in English and Chinese languages. For phase 2, the selection of literature is further limited to residents of nursing homes aged ≥60 years old with or without medical needs but are not terminally ill or bed-bound. Qualitative data analysis will follow the Framework Methods and thematic analysis using combined inductive and deductive approaches, conducted by at least two reviewers.Ethics and disseminationThis protocol is registered on osf.io (URL: https://osf.io/qtwz2/). Ethical approval is not necessary as the scoping review is not a primary study, and the information is collected from selected articles that are publicly available sources. All findings will be disseminated at conferences and published in peer-reviewed journals.

scholarly journals Defining the Concepts of a Smart Nursing Home and Its Potential Technology Utilities That Integrate Medical Services and Are Acceptable to Stakeholders: a Scoping Review

2021 ◽  
Author(s):  
Yuanyuan Zhao ◽  
Fakhrul Zaman Rokhani ◽  
Shariff-Ghazali Sazlina ◽  
Navin Kumar Devaraj ◽  
Jing Su ◽  
...  
Keyword(s):  
Older Adults ◽  
Nursing Home ◽  
Nursing Homes ◽  
Information Management ◽  
Scoping Review ◽  
New Technologies ◽  
Digital Health ◽  
Medical Services ◽  
Smart Technology

Abstract Background and objectives:Smart technology in nursing home settings has potential to elevate an operation that manages a larger number of elderly residents. However, the concepts, definitions and scopes of ‘smartness’, integrated medical services and stakeholders’ acceptability of a smart nursing home are less clear. This scoping review aims to define a smart nursing home and examine the qualitative evidence on technological feasibility, integration of medical services and acceptability of the stakeholders. Methods:Comprehensive searches were conducted on stakeholders’ websites and 11 electronic databases for existing concepts of a smart nursing home (Phase 1), and on what and how technologies and medical services were implemented in nursing home settings, as well as acceptability assessment by the stakeholders (Phase 2). The publication year was inclusive of January 1999 to September 2021. The language was limited to English and Chinese. Included articles must report nursing home settings and related to older adults ≥ 60 years old with or without medical demands but not bed-bound. New technology developments and system designs were measured by Technology Readiness Levels. The analysis was guided by Framework Method and the smart technology adoption behaviours of elder consumers theoretical model, and reported according to the PRISMA-ScR.Results:A total of 177 literature (13 website documents and 164 journal articles) were selected. Smart nursing homes are technology-assisted nursing homes that allow life enjoyment of its residents. They used IoT, computing technologies, cloud computing, big data and AI, information management systems, and digital health to integrate medical services in monitoring abnormal events, assisting daily living, teleconsultation, health information management, and improving interaction between providers and residents. Fifty-five percent of the new technologies were proven ready for use in nursing homes (level 6-7), and the remaining were proven of implementation feasibility (level 1-5). Providers with higher education, tech-savviness, fewer years at work, and older adults with more severe illnesses were more acceptable to smart technologies.Conclusions:Smart nursing homes with integrated medical services have great potential to improve the quality of care and ensure elderly residents’ quality of life.

The experiences, priorities, and perceptions of informal caregivers of people with dementia in nursing homes: A scoping review

Dementia ◽  
2021 ◽  
pp. 147130122110126
Author(s):  
Alexandra E Harper ◽  
Lauren Terhorst ◽  
Marybeth Moscirella ◽  
Rose L Turner ◽  
Catherine V Piersol ◽  
...  
Keyword(s):  
Nursing Home ◽  
Nursing Homes ◽  
Home Care ◽  
Scoping Review ◽  
Informal Caregivers ◽  
Nursing Home Care ◽  
Person Centered Care ◽  
People With Dementia ◽  
Centered Care

Background Person-centered care has been shown to increase desired outcomes for people with dementia, yet informal caregivers’ dissatisfaction with care is often reported. For those living in a nursing home, informal caregivers are uniquely situated to provide key insights into the individual’s care. However, little is known of the informal caregivers’ perspective, which hinders efforts to improve their satisfaction with person-centered nursing home care. Thus, we examined the comprehensive experiences, priorities, and perceptions of informal caregivers of nursing home residents with dementia. Methods In collaboration with stakeholders, a scoping review of Medline (Ovid), EMBASE.com , CINAHL (EBSCO), the Cochrane Library (Wiley), and PsycINFO (Ovid) databases from January 2000 to July 2020 was conducted. Data were extracted reflecting the experiences, priorities, and preferences of caregivers of people with dementia residing in nursing homes. Results We identified 114 articles that revealed nine themes: (1) communication, (2) transition to nursing home, (3) quality of care, (4) quality of life, (5) informal caregiver role, (6) knowledge of dementia, (7) end-of-life preferences, (8) medication use to manage neuropsychiatric behaviors, and (9) finances. Conclusion Informal caregivers described aspects of care that led to both positive and negative experiences with and perceptions of nursing home care. The shortcomings in communication were discussed most frequently, indicating a high priority area. While researchers define the identified themes individually, informal caregivers perceive them to be interwoven as they relate to person-centered care delivery. Although we did not assess the quality of included articles, by identifying themes relevant to caregivers’ perspectives of nursing home care, our findings may help to inform efforts to optimize caregivers’ satisfaction with nursing home care for residents with dementia.

scholarly journals Urtica dioica (Stinging Nettle) – Properties, Uses and Applications

2021 ◽  
pp. 154-159
Author(s):  
Anjali, Sushma ◽  
Reena Sharma
Keyword(s):  
Fungal Infections ◽  
Database Search ◽  
Urtica Dioica ◽  
Pharmacological Properties ◽  
Electronic Database ◽  
Stinging Nettle ◽  
Wide Range ◽  
The World ◽  
Electronic Database Search ◽  
Pharmacological Potential

Utricaceae is a family of herbs and shrubs that can be found in a variety of habitats around the world. A lot of research has been carried out till date targeted for close understanding of this medicinal plant. The botanical distribution, Ethnomedicinal applications, Traditional uses as well as Pharmacological properties of the Urtica genus, are discussed in this study. The composition such as flavonoids and array of phenolic compounds which includes alcohols, Diocanol, Diol glucosides, Terpenes diols, and sugars as well are an inclusion in the genus Urtica. A wide range of research reports have been published representing its biological and pharmacological potential against cancer, tumors, bacterial, viral or fungal infections significantly. The information about the Urtica genus has been extracted using electronic database search such as Google Scholar and Pubmed as well as a library search for peer-reviewed journal publications.

scholarly journals Measuring the Impact of COVID-19 on Mental Health: A Scoping Review of the Existing Scales

2020 ◽  
Vol 42 (5) ◽  
pp. 421-427 ◽  
Author(s):  
Viswa Chaitanya Chandu ◽  
Yamuna Marella ◽  
Gnana Sarita Panga ◽  
Srinivas Pachava ◽  
Viswanath Vadapalli
Keyword(s):  
Mental Health ◽  
Scoping Review ◽  
Mental Health Problems ◽  
Well Being ◽  
Health Problems ◽  
Economic Consequences ◽  
Future Research ◽  
Electronic Database ◽  
Electronic Database Search ◽  
The Impact

Background: The coronavirus disease (COVID-19) pandemic, associated with the economic consequences of non-pharmaceutical interventions such as lockdown, has led to mental health consequences among people worldwide. Protecting the mental well-being of populations is an imperative component of fighting the COVID-19 pandemic. This scoping review attempts to present an overview of the existing tools to measure COVID-19-related mental health problems. Methods: Literature search was conducted in the PubMed electronic database using developed key search terms. Reference lists of the identified eligible articles were reviewed to locate relevant articles missed from the electronic database search. Fifteen scales measuring COVID-19-associated mental health problems, validated among diverse populations across the world, were included in this review. Results: The majority of these scales were validated among middle-aged adults in Turkey. Only a few validated scales encompass the negative socioeconomic consequences of COVID-19. None of the available scales focused on the aspects of suicidal ideation or behavioral responses/coping strategies, neither were they inclusive of participants from diverse age, geographic, and COVID-19 exposure groups. Conclusion: This scoping review highlights the need for future research to develop and validate comprehensive psychometric tools to assess COVID-19-associated mental health problems. Also, in view of the vulnerable nature of healthcare professionals for developing mental health concerns in the course of providing services for COVID-19-affected individuals, future psychometric research needs to concentrate on the development of measures specific for these professionals.

scholarly journals An integrative counselling program to promote active ageing for older people in Thai nursing homes: an intervention mixed methods design

2021 ◽  
Vol 9 (1) ◽  
Author(s):  
Jantana Juthavantana ◽  
Nanchatsan Sakunpong ◽  
Ujsara Prasertsin ◽  
Monthira Charupheng ◽  
Sheibon Hassakama Lau
Keyword(s):  
Nursing Home ◽  
Mixed Methods ◽  
Nursing Homes ◽  
Older People ◽  
Phase 1 ◽  
The Elderly ◽  
Active Ageing ◽  
Phase 2 ◽  
Mixed Methods Design ◽  
Counselling Program

Abstract Background Active ageing has been a rapidly developing field of study in light of the growing population of older people. Acknowledgement of the lack of a counselling program to promote active ageing for the older people in nursing homes led to the development of this study which aims to investigate active ageing of the Thai elderly in a nursing home in addition to promoting active ageing for them through integrative counselling. Methods The study was conducted in a nursing home in Samut Prakan province, Thailand. The integrative counselling program referred to appropriate literature along with implementation of the Satir Model and Motivational Interviewing techniques. An intervention mixed methods design was applied in the study, which consisted of two phases. Phase 1 involved an investigation of the concept of active ageing, based on the context of older people in nursing homes by way of in-depth interviews, involving 5 participants. Phase 2 comprised of an investigation of the effects of an integrative counselling program to promote active ageing for older people in the same nursing home. There was a total of 16 participants in phase 2 which were divided equally into experimental and control groups respectively. Results Phase 1 of the study showcased qualitative results of the progress of active ageing development in older people that resulted in 4 sub-themes (Health development, spiritual development, active engagement and psychosocial support). Two parameters were used to analyze the results in phase 2. The quantitative results showed that the active ageing score of participants in the experimental arm increased significantly after enrollment (p < 0.05). Furthermore, the experimental group had a higher overall active ageing score in comparison to the control group. Qualitative results of phase 2 elicited factors promoting active ageing in the elderly which included activities, group facilitator and group atmosphere. Both quantitative and qualitative results of phase 2 proved to be significant, showing that the program managed to develop active ageing in participants. Conclusion Psychologists and multidisciplinary teams looking after older people in nursing homes are able to use this integrative counselling program for development of active ageing in the elderly population.

scholarly journals Psychodynamic Based Equine—Assisted Psychotherapy in Adults with Intertwined Personality Problems and Traumatization: A Systematic Review

2020 ◽  
Vol 17 (16) ◽  
pp. 5661
Author(s):  
Géza Kovács ◽  
Annemiek van Dijke ◽  
Marie-Jose Enders-Slegers
Keyword(s):  
Systematic Review ◽  
Clinical Studies ◽  
Psychodynamic Psychotherapy ◽  
Adult Population ◽  
Database Search ◽  
Electronic Database ◽  
Equine Assisted Psychotherapy ◽  
Positive Effects ◽  
Electronic Database Search ◽  
Equine Assisted

The growing field of equine-assisted psychotherapy (EAP), a subfield of animal-assisted psychotherapy (AAP), needs theoretically-based clinical studies. This systematic review examines the existing clinical studies in adult populations on psychodynamic psychotherapy combined with equine-assisted psychotherapy. An electronic database search was divided in two studies to identify publications on 1) EAP combined with psychodynamic psychotherapy and 2) EAP combined to personality problems and traumatization in order to compile studies by population, intervention, outcome and therapeutic assets. Study 1 revealed no relevant clinical studies on EAP with a psychodynamic background with an adult population. Study 2 revealed 12 publications to review predominantly addressing veterans with PTSD. The methodological limitations of most of the studies restrain the overall findings on outcome. However, overall positive effects for EAP, specifically on its experiential features and on finding interpersonal trust for patients, can be discerned. There is an apparent need for clinical studies meeting methodological standards on psychodynamic underpinned EAP methodologies in adults with intertwined personality problems and traumatization.

scholarly journals The Effectiveness of Aromatherapy in Reducing Pain: A Systematic Review and Meta-Analysis

2016 ◽  
Vol 2016 ◽  
pp. 1-13 ◽  
Author(s):  
Shaheen E. Lakhan ◽  
Heather Sheafer ◽  
Deborah Tepper
Keyword(s):  
Olfactory System ◽  
Recent Literature ◽  
Meta Analysis ◽  
Database Search ◽  
Significant Positive Effect ◽  
Electronic Database ◽  
Analog Scale ◽  
Electronic Database Search ◽  
Secondary Analyses ◽  
Positive Effect

Background. Aromatherapy refers to the medicinal or therapeutic use of essential oils absorbed through the skin or olfactory system. Recent literature has examined the effectiveness of aromatherapy in treating pain. Methods. 12 studies examining the use of aromatherapy for pain management were identified through an electronic database search. A meta-analysis was performed to determine the effects of aromatherapy on pain. Results. There is a significant positive effect of aromatherapy (compared to placebo or treatments as usual controls) in reducing pain reported on a visual analog scale (SMD = −1.18, 95% CI: −1.33, −1.03; p<0.0001). Secondary analyses found that aromatherapy is more consistent for treating nociceptive (SMD = −1.57, 95% CI: −1.76, −1.39, p<0.0001) and acute pain (SMD = −1.58, 95% CI: −1.75, −1.40, p<0.0001) than inflammatory (SMD = −0.53, 95% CI: −0.77, −0.29, p<0.0001) and chronic pain (SMD = −0.22, 95% CI: −0.49, 0.05, p=0.001), respectively. Based on the available research, aromatherapy is most effective in treating postoperative pain (SMD = −1.79, 95% CI: −2.08, −1.51, p<0.0001) and obstetrical and gynecological pain (SMD = −1.14, 95% CI: −2.10, −0.19, p<0.0001). Conclusion. The findings of this study indicate that aromatherapy can successfully treat pain when combined with conventional treatments.

scholarly journals Revisiting the Etiology of Hemifacial Microsomia / Retomando la etiología de la microsomía hemifacial

2014 ◽  
Vol 33 (71) ◽  
pp. 19
Author(s):  
Chijioke O. Eseonu ◽  
Alexandre R. Vieira
Keyword(s):  
Growth Hormone ◽  
Serotonin Receptor ◽  
Chromosomal Abnormalities ◽  
Gene Mutations ◽  
Database Search ◽  
Hormone Deficiency ◽  
Hemifacial Microsomia ◽  
Electronic Database ◽  
Revisión Sistemática ◽  
Electronic Database Search

<p><em>Background</em>: Hemifacial microsomia (HM) is one of the most common congenital facial malformations of newborns worldwide. Despite its prevalence, little is known about its etiology. Features of HM vary among different reports in the literature, affecting ears, mouth, and mandible on one or both sides. <em>Purpose and Methods</em>: We performed a systematic literature review to determine if there is new evidence regarding the pathological origins of HM. During a seven-month period (September 2010-April 2011) an exhaustive electronic database search was constructed. An inclusion criterion, which set the specific parameters of the electronic database search for this review, was implemented using a number of built-in search tools. <em>Results</em>: A total of 1,250 published reports were displayed upon entry of the Boolean phrase “etiology AND hemifacial microsomia.” Of these papers, all of the publications selected for by the inclusion criterion had been published within the last ten years. Concomitantly, with regards to etiological origins, selection of a specific paper had to convey theories or experimental approaches of which had not been published as the main focus of a report more than three times in all with regards to previous documented literature with hemifacial microsomia as its basis. This final inclusion criterion left only eight studies eligible for this review. Reports included the suggestion of an etiologic role of growth hormone deficiency, fluoxetine ingestion, <em>SALL4</em> expression, <em>BAPX1</em> expression, and trisomy of chromosome 10. It appears that both genetic and environmental factors play a role in the etiology of HM. These factors include gene mutations, variation in serotonin receptor binding, growth hormone imbalances, and chromosomal abnormalities. Future studies in humans should determine the frequency of etiologic coding mutations in <em>SALL4</em>, <em>BAPX1</em>, and trisomy 10 in HM cases. </p><p> </p><p><em>Antecedentes</em>: la microsomía hemifacial (MH) es una de las malformaciones faciales congénitas más frecuentes en recién nacidos mundialmente. A pesar de su prevalencia, poco se sabe sobre su etiología. Las características de la MH varían en los diferentes reportes de la literatura; afecta oídos, boca y mandíbula, uni o bilateralmente. <em>Propósito y métodos</em>: se llevó a cabo una revisión sistemática de la literatura para determinar si hay nueva evidencia sobre el origen patológico de la MH. Durante siete meses (septiembre de 2010-abril de 2011) realizamos una búsqueda exhaustiva en bases de datos electrónicas. Un criterio de inclusión que determinó los parámetros específicos de la búsqueda se implementó usando un número de herramientas de búsqueda. <em>Resultados</em>: la búsqueda booleana (“etiology AND hemifacial microsomia”) arrojó un total de 1250 publicaciones. Se seleccionaron reportes publicados en los últimos diez años. Asimismo, con respecto a la etiología, los artículos debían incluir teorías o experimentos que no se hubieran publicado como asunto principal más de tres veces con la MH como base. Este criterio final de inclusión dejó solamente ocho estudios elegibles para la revisión. Los reportes sugieren que una deficiencia en la hormona del crecimiento, ingestión de fluoxetina, expresión de <em>SALL4</em>, expresión de <em>BAPX1</em> y trisomía del cromosoma 10 como factores etiológicos. Parece que factores genéticos y ambientales cumplen un papel en la etiología de la MH. Estos factores incluyen mutaciones genéticas, variación en la unión del receptor de la serotonina, desbalances de la hormona del crecimiento y anomalías cromosómicas. Estudios futuros en humanos deberían determinar la frecuencia de mutaciones etiológicas en la codificación de <em>SALL4</em>, <em>BAPX1</em> y trisomía 10 en casos de MH. </p>

scholarly journals Nursing homes during the COVID-19 pandemic: a scoping review of challenges and responses

2021 ◽  
Author(s):  
Shamik Giri ◽  
Lee Minn Chenn ◽  
Roman Romero-Ortuno
Keyword(s):  
Nursing Home ◽  
Nursing Homes ◽  
Scoping Review ◽  
Nursing Home Residents ◽  
Well Being ◽  
External Factors ◽  
Related Factors ◽  
Nursing Home Population ◽  
Mesh Terms ◽  
Health And Social Care

Abstract Introduction COVID-19 has caused unprecedented challenges in nursing homes. In this scoping review, we aimed to describe factors that contributed to the spread and mortality of COVID-19 in nursing homes and provide an overview of responses that were implemented to try to overcome such challenges. Methods The MeSH terms “Nursing homes” and “COVID-19” were searched in MEDLINE Ovid, and English language articles were retrieved that were published between 1 March 2020 and 31 January 2021. Article titles and abstracts were screened by two reviewers, and the results of included articles were grouped by themes. Results The search retrieved 348 articles, of which 76 were included in the thematic review. 8 articles related to COVID-19 disease characteristics (e.g. asymptomatic transmission), 24 to resident-related factors (e.g. comorbidities, nutrition, cognition), 13 to facility characteristics (e.g. physical space, occupancy, for-profit status), 21 to staffing (e.g. staffing levels, staff-to-resident ratio, staff multi-employment), and 10 to external factors (e.g. availability of personal protective equipment, prevailing health and social care policies). In terms of responses, identified themes included widespread testing, isolation and cohorting of residents, staff protection and support, promotion of residents’ well-being, and technological innovations. Conclusion COVID-19 exerted severe challenges on the nursing home population and its staff. Both internal and external factors predisposed nursing homes to an increased propensity of spread. Numerous strategies were employed to attempt to mitigate the negative impacts. Substantial learning occurred that may not only aid future pandemic preparedness but improve quality of care for nursing home residents at all times.

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