scholarly journals Dimensions of safety culture: a systematic review of quantitative, qualitative and mixed methods for assessing safety culture in hospitals

BMJ Open ◽  
2021 ◽  
Vol 11 (7) ◽  
pp. e043982
Author(s):  
Kate Churruca ◽  
Louise A Ellis ◽  
Chiara Pomare ◽  
Anne Hogden ◽  
Mia Bierbaum ◽  
...  
Keyword(s):  
Systematic Review ◽  
Mixed Methods ◽  
Safety Culture ◽  
Web Of Science ◽  
Research Literature ◽  
Quality Appraisal ◽  
Culture Dimensions ◽  
Formal Quality ◽  
Single Method ◽  
Published Research

BackgroundThe study of safety culture and its relationship to patient care have been challenged by variation in definition, dimensionality and methods of assessment. This systematic review aimed to map methods to assess safety culture in hospitals, analyse the prevalence of these methods in the published research literature and examine the dimensions of safety culture captured through these processes.MethodsWe included studies reporting on quantitative, qualitative and mixed methods to assess safety culture in hospitals. The review was conducted using four academic databases (PubMed, CINAHL, Scopus and Web of Science) with studies from January 2008 to May 2020. A formal quality appraisal was not conducted. Study purpose, type of method and safety culture dimensions were extracted from all studies, coded thematically, and summarised narratively and using descriptive statistics where appropriate.ResultsA total of 694 studies were included. A third (n=244, 35.2%) had a descriptive or exploratory purpose, 225 (32.4%) tested relationships among variables, 129 (18.6%) evaluated an intervention, while 13.8% (n=96) had a methodological focus. Most studies exclusively used surveys (n=663; 95.5%), with 88 different surveys identified. Only 31 studies (4.5%) used qualitative or mixed methods. Thematic analysis identified 11 themes related to safety culture dimensions across the methods, with ‘Leadership’ being the most common. Qualitative and mixed methods approaches were more likely to identify additional dimensions of safety culture not covered by the 11 themes, including improvisation and contextual pressures.DiscussionWe assessed the extent to which safety culture dimensions mapped to specific quantitative and qualitative tools and methods of assessing safety culture. No single method or tool appeared to measure all 11 themes of safety culture. Risk of publication bias was high in this review. Future attempts to assess safety culture in hospitals should consider incorporating qualitative methods into survey studies to evaluate this multi-faceted construct.

scholarly journals Affectivity and physical habits in adolescents: A systematic review

2021 ◽  
Vol 24 (1) ◽  
pp. 65-75
Author(s):  
Álvaro Cristian Huerta-Ojeda ◽  
Gerardo Riquelme-Vera ◽  
María Mercedes Yeomans-Cabrera
Keyword(s):  
Systematic Review ◽  
Children And Adolescents ◽  
Web Of Science ◽  
Adult Life ◽  
Child And Adolescent ◽  
School Systems ◽  
Educational Systems ◽  
Training Process ◽  
Electronic Search ◽  
Published Research

Introduction: Affectivity has a fundamental role in educational systems' training process. However, there are no updated studies that show the different socio-affective agents used in the creation of physical habits in the child and adolescent population in school systems. Objective: To review and analyze previously published research that studied the influence of affectivity on children and adolescents' physical habits in school systems. Materials and methods: A systematic review was conducted with articles published between 2010 and 2020, which connected affectivity and physical habits. The electronic search was performed through Web of Science, Scopus, and Scielo databases. All articles that studied the influence of affectivity on the population's physical habits were included. Results: Three studies that analyzed the influence of affectivity on children and adolescents' physical habits were found. Conclusions: At the end of the systematic review, it was demonstrated that there is a significant relationship between affectivity and the physical habits in child and adolescent populations. It was also possible to observe that this influence, positive or negative, determines the child and adolescent population's interest in physical activity and sports in adult life.

scholarly journals Views and Experiences of Sex, Sexuality and Relationships Following Spinal Cord Injury: A Systematic Review and Narrative Synthesis of the Qualitative Literature

2020 ◽  
Vol 38 (4) ◽  
pp. 567-595
Author(s):  
Sarah Earle ◽  
Lindsay O’Dell ◽  
Alison Davies ◽  
Andy Rixon
Keyword(s):  
Systematic Review ◽  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Qualitative Data ◽  
Web Of Science ◽  
Research Question ◽  
Quality Appraisal ◽  
Sexual Rehabilitation ◽  
Cord Injury ◽  
Qualitative Literature

Abstract Research examining the effects of spinal cord injury on sexuality has largely focused on physiological functioning and quantification of dysfunction following injury. This paper reports a systematic review of qualitative research that focused on the views and experiences of people with spinal cord injury on sex and relationships. The review addressed the following research question: What are the views and experiences of people with spinal cord injury of sex, sexuality and relationships following injury? Five databases were relevant and employed in the review: CINAHL (1989–2016 only), PsychInfo, PubMed, Scopus and Web of Science, for research published between 1 January 1980 and 30 November 2019. After removing duplicates, 257 records remained and were screened using a two-stage approach to inclusion and quality appraisal. Following screening, 27 met the criteria for inclusion and are reported in the paper. The review includes studies from fifteen countries across five continents. Two main approaches to data analysis summary and thematic synthesis were undertaken to analyze the qualitative data reported in the papers. The analysis revealed four main themes: sexual identity; significant and generalized others, sexual embodiment; and; sexual rehabilitation and education.

What defines the comprehensive assessment of needs in palliative care? An integrative systematic review

2021 ◽  
Vol 35 (4) ◽  
pp. 651-669
Author(s):  
Blanca Goni-Fuste ◽  
Iris Crespo ◽  
Cristina Monforte-Royo ◽  
Josep Porta-Sales ◽  
Albert Balaguer ◽  
...  
Keyword(s):  
Systematic Review ◽  
Palliative Care ◽  
Web Of Science ◽  
Comprehensive Assessment ◽  
Care Provision ◽  
Process Of Care ◽  
Inclusion Criteria ◽  
Quality Appraisal ◽  
Future Studies ◽  
Appraisal Tool

Background: The comprehensive assessment of needs in palliative care identifies where patients most want attention to guide clinical decisions that tailor care provision from their first encounters. Aim: To define how and what needs are identified by the comprehensive assessment of needs in the original peer-reviewed articles in the field of palliative care. Design: An integrative systematic review as outlined by Whittemore and Knafl. Quality appraisal performed using the Mixed Methods Appraisal Tool. Data sources: PubMed, CINAHL, PsycINFO, Web of Science databases searched through May 2019 and updated in July 2020. Results: Forty-nine articles met inclusion criteria for original articles in English or Spanish reporting comprehensive assessment of needs of adult patients receiving palliative care. The majority (41/49) of studies were moderate to high quality. Two themes were identified: (1) How a comprehensive assessment of needs should be carried out in palliative care, which reflected a preference to develop structured tools for assessment; (2) What needs of patients should be assessed in the comprehensive assessment of needs in palliative care, which conveyed a trend to assess beyond core domains – physical, psychological, social, spiritual – with information and practical most prevalent, but with substantial variation in specifying and classifying needs into domains. Conclusions: The assessment of needs in palliative care is comprehensive but lacks consensus on the needs and domains that should be assessed by the palliative care team. Future studies should better define what needs can be standardized into the assessment to improve process of care and patient satisfaction.

scholarly journals Going Green and Going Dense: A Systematic Review of Compatibilities and Conflicts in Urban Research

2021 ◽  
Vol 13 (19) ◽  
pp. 10643
Author(s):  
Helena Madureira ◽  
Ana Monteiro
Keyword(s):  
Systematic Review ◽  
Web Of Science ◽  
Research Literature ◽  
Green Spaces ◽  
Social Benefits ◽  
Urban Greening ◽  
Multiple Perspectives ◽  
Urban Green ◽  
Urban Green Spaces ◽  
Current State

The dilemma of simultaneously promoting the advantages of urban densification and urban liveability, namely the environmental and social benefits of urban green spaces, has been widely acknowledged in the research literature. This paper aims to provide an overview of the current state of evidence on benefits, conflicts and challenges emerging from fostering both urban densification and urban greening aims. A systematic review following the PRISMA guidelines was conducted. Searches for peer-reviewed papers were conducted in Scopus and Web of Science. Our search yielded an initial 357 papers, which were then further sorted and screened to the 117 manuscripts retained and included in this review. The authors systematized the multiple perspectives in which the interactions between urban densification and urban greening have been explored. Moreover, the results revealed a lack of clear agreement about the existence or not of conflicts emerging from fostering both urban densification and urban greening aims, suggesting that the positive or negative interactions are not absolute but depend on the scale or the context on which the studies are conducted. Further research should explore multiple potential mediating variables (e.g., the mediator effect of scale and context) to deepen our understanding of interactions between density and greening.

scholarly journals Effective Virtual Interventions to Enhance Psychological Capital: A mixed-methods systematic review

2021 ◽  
Author(s):  
Joy Xu ◽  
Aljeena Rahat Qureshi ◽  
Yar Mohamed Al Dabagh ◽  
Cynthia Lai Kin ◽  
Rida Khan
Keyword(s):  
Systematic Review ◽  
Mixed Methods ◽  
Web Of Science ◽  
Psychological Capital ◽  
Individual Recognition ◽  
Grey Literature ◽  
Future Application ◽  
Meta Analyses ◽  
Study Designs ◽  
Appraisal Tool

BACKGROUNDDeveloped from positive psychology, Psychological Capital (PsyCap) entails a collection of intrinsic traits which may be optimized for productive and sustainable outcomes in life. This systematic review explores potential virtual implementation of PsyCap interventions, especially given the digital transition amidst the COVID-19 pandemic and its potential usage in the future.METHODSUtilizing a mixed-methods systematic review, this convergent integrated synthesis involves database searches conducted in APA PsychINFO, Web of Science and PubMed with literature published between 1995 and 2020. This systematic review follows the Preferred Reporting Items for Systematic Review and Meta-Analyses (PRISMA) guidelines with a registered PROSPERO protocol. With diverse study designs and accompanying grey literature, heterogeneity precluded statistical analysis for qualitative presentation of included studies. Study screening, extraction, and quality appraisal (using the Mixed Methods Appraisal Tool) were performed by two authors independently and reconciled. Disagreements were resolved by a third author.RESULTSPresent literature has determined effective increase of PsyCap with the PCI Intervention Model. Strengths-based interventions assisted in identifying individual recognition in strengths to maximize potential and increase PsyCap. Other interventions have been found to support hope, self-efficacy, resilience, or optimism (HERO).CONCLUSIONOverall, interventions from included studies showed effective improvement in HERO elements and increased PsyCap in individuals in academia and the workplace. In the context of the COVID-19 pandemic and future application, PsyCap interventions may be further explored and modified for virtual implementation for young adults.

scholarly journals Toward a socio-spiritual approach? A mixed-methods systematic review on the social and spiritual needs of patients in the palliative phase of their illness

2021 ◽  
pp. 026921632110103
Author(s):  
Tom Lormans ◽  
Everlien de Graaf ◽  
Joep van de Geer ◽  
Frederieke van der Baan ◽  
Carlo Leget ◽  
...  
Keyword(s):  
Systematic Review ◽  
Mixed Methods ◽  
Research Literature ◽  
Spiritual Needs ◽  
Qualitative Synthesis ◽  
The Social ◽  
Prisma Statement ◽  
Healthcare Interventions ◽  
Palliative Phase ◽  
Positive Outlook

Background: Patients express a variety of needs, some of which are labeled social and spiritual. Without an in-depth exploration of patients’ expressions of these needs, it is difficult to differentiate between them and allocate appropriate healthcare interventions. Aim: To gain insight into the social and spiritual needs of patients with a life-limiting illness and the distinction between these needs, as found in the research literature. Design: A mixed-methods systematic review and meta-aggregation were conducted following the Joanna Briggs Institute (JBI) approach to qualitative synthesis and the PALETTE framework and were reported according to the PRISMA statement. This review was registered in PROSPERO (CRD42019133571). Data sources: The search was conducted in PubMed, EMBASE, CINAHL, Scopus, and PsycInfo. Eligible studies reported social and spiritual needs from the patients’ perspective and were published between January 1st 2008 and October 2020. The quality of evidence was assessed using JBI Critical Appraisal Tools. Results: Thirty-four studies (19 qualitative, 1 mixed-methods, and 14 quantitative) were included. The five synthesized findings encompassing social and spiritual needs were: being autonomous, being connected, finding and having meaning, having a positive outlook, and dealing with dying and death. Conclusion: What literature labels as social and spiritual needs shows great similarities and overlap. Instead of distinguishing social from spiritual needs based on patients’ linguistic expressions, needs should always be explored in-depth. We propose a socio-spiritual approach that honors and preserves the multidimensionality of patients’ needs and enables interdisciplinary teamwork to allocate patient-tailored care.

scholarly journals Effectiveness of Eccentric Exercises in the Management of Chronic Achilles Tendinosis

2007 ◽  
Author(s):  
Carla van Usen ◽  
Barbara Pumberger
Keyword(s):  
Systematic Review ◽  
Cost Effective ◽  
Research Literature ◽  
Study Quality ◽  
Eccentric Training ◽  
Inclusion Criteria ◽  
Achilles Tendinosis ◽  
Research Designs ◽  
Training Objective ◽  
Published Research

Chronic Achilles tendinosis is commonly seen in clinical practice however the causes are largely unknown. In the last ten years good results have been reported with a range of approaches, one of which is eccentric training. Objective: This study reports on a systematic review of the literature to determine the effectiveness of eccentric training compared with other types of interventions for chronic Achilles tendinosis. Method: A systematic review of the published research literature was conducted to examine the quantity, nature, quality and significance of literature relevant to the effectiveness of eccentric training for chronic Achilles tendinosis. Subject inclusion criteria were being at least 16 years of age, having a minimum of three months of complaints and no other underlying pathologies. Results: Seven databases were searched, and 25 studies were included. They reflected a variety of research designs and study quality. Comparison interventions included surgery, medications and passive treatment. An index combining results and quality showed that the best options for managing Achilles tendinosis were medication and eccentric exercises. Taking account of factors such as cost, safety and inconvenience, eccentric exercises are favoured over drug intervention. Conclusion: Eccentric exercises are simple to perform and provide a cost effective, safe and efficient way to treat Achilles tendinosis. They should be considered first for all patients, before invasive interventions such as surgery and drug therapy.

The evolvement of food safety culture assessment: A mixed-methods systematic review

2021 ◽  
Vol 118 ◽  
pp. 125-142
Author(s):  
Laís Mariano Zanin ◽  
Elke Stedefeldt ◽  
Pieternel A. Luning
Keyword(s):  
Systematic Review ◽  
Mixed Methods ◽  
Food Safety ◽  
Safety Culture ◽  
Food Safety Culture
Sign in / Sign up

Export Citation Format

Share Document