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 and Safety of Aromatherapy in Managing Behavioral and Psychological Symptoms of Dementia: A Mixed-Methods Systematic Review

2021 ◽  
pp. 273-297
Author(s):  
Becky Siu Yin Li ◽  
Carmen Wing Han Chan ◽  
Minjie Li ◽  
Irene Kit Yee Wong ◽  
Yvonne Hoi Un Yu
Keyword(s):  
Systematic Review ◽  
Mixed Methods ◽  
Adverse Effects ◽  
Psychological Symptoms ◽  
Experimental Studies ◽  
Qualitative Studies ◽  
Qualitative Synthesis ◽  
Quasi Experimental ◽  
Adherence Monitoring ◽  
Behavioral And Psychological Symptoms

<b><i>Introduction:</i></b> Behavioral and psychological symptoms of dementia (BPSD) is the most prominent and distressing manifestation for older persons with dementia (PWD) and caregivers. Aromatherapy has demonstrated its effectiveness in managing BPSD in various studies. However, previous studies and systematic reviews have obtained inconsistent findings, and a review of qualitative studies is yet to be conducted. <b><i>Method:</i></b> A mixed-methods systematic review with a convergent segregated approach was performed to evaluate the effectiveness of aromatherapy in improving the BPSD and quality of life (QoL) of PWD and in relieving the distress and burden of caregivers, as well as its safety for PWD. Both published and unpublished quantitative and qualitative studies written in English and Chinese between January 1996 and December 2020 were retrieved from 28 databases, including MEDLINE, EMBASE, and Web of Science, based on the prespecified criteria. The methodological quality was assessed by using critical appraisal tools from the Joanna Briggs Institute. Quantitative synthesis, qualitative synthesis, and integration of quantitative and qualitative evidence were performed. <b><i>Results:</i></b> A total of 12 randomized controlled trials, 10 quasi-experimental studies, and 2 qualitative studies were included in the review. Some inconsistent findings regarding the effectiveness of aromatherapy in reducing the severity of BPSD were observed. Some studies reported that aromatherapy significantly improved the QoL of PWD and relieved the distress and burden of caregivers, promoted a positive experience among caregivers, and had very low adverse effects on PWD (with aromatherapy inhalation reporting no adverse effects). <b><i>Conclusion:</i></b> Aromatherapy, especially in the inhalation approach, could be a potentially safe and effective strategy for managing BPSD. However, more structuralized and comparable studies with sufficient sample size, adherence monitoring, and sound theoretical basis could be conducted to obtain conclusive findings.

How do we know what we know? Epistemic tensions in social and cultural research on gambling 1980-2000

2004 ◽  
Author(s):  
Virginia M. McGowan
Keyword(s):  
Systematic Review ◽  
Social Theory ◽  
Narrow Range ◽  
Research Literature ◽  
Scholarly Research ◽  
Culturally Informed ◽  
Cultural Research ◽  
The Social ◽  
Epistemic Cultures ◽  
Contemporary Social Theory

This project seeks to answer the question, how do we know what we know about gambling? With reference to a systematic review of the gambling research literature that addresses social and cultural topics and issues, this paper explores the epistemic cultures that created and gave authority to knowledge about gambling presented in scholarly research published between 1980 and 2000. From small beginnings in the 1980s, scholarly research in this area exploded during the 1990s and was dominated by surveys describing the distribution of problem and pathological forms. The trend in gambling research is towards an increasingly narrow range of topics, focused on pathology, and curiously disengaged from advances in contemporary social theory. The paper concludes with a plea for nuanced, politically engaged, and culturally informed gambling research grounded in the social, cultural, historical, and everyday contexts in which gambling is embedded.

scholarly journals A Mixed-Methods Systematic Review of the Impacts of Coronavirus on Society and Culture

2021 ◽  
Vol 18 (2) ◽  
pp. 491
Author(s):  
Yeon Jung Yu ◽  
Young Su Park ◽  
Alison Keller ◽  
Jin-Won Noh ◽  
Jiho Cha
Keyword(s):  
Systematic Review ◽  
Mixed Methods ◽  
Quantitative Methods ◽  
Health Workers ◽  
Public Knowledge ◽  
Qualitative And Quantitative ◽  
Cultural Effects ◽  
The Social ◽  
And Control ◽  
Synthesis Approach

Little is understood of the social and cultural effects of coronaviruses such as coronavirus disease 2019 (COVID-19), severe acute respiratory syndrome (SARS) and Middle East respiratory syndrome (MERS-CoV). This systematic review aims to synthesize existing findings (both qualitative and quantitative) that focus on the social and cultural impacts of coronaviruses in order to gain a better understanding of the COVID-19 pandemic. Utilizing a predetermined search strategy, we searched CINAHL, PsycINFO, PubMed, and Web of Science to identify existing (qualitative, quantitative, and mixed-methods) studies pertaining to the coronavirus infections and their intersection with societies and cultures. A narrative synthesis approach was applied to summarize and interpret findings of the study. Stemming from SARS outbreak in 2003, qualitative and quantitative findings (twelve adopted quantitative methods and eight exclusively used qualitative methods) were organized under five topical domains: governance, crisis communication and public knowledge, stigma and discrimination, social compliance of preventive measures, and the social experience of health workers. The selected studies suggest that current societies are not equipped for effective coronavirus response and control. This mixed-methods systematic review demonstrates that the effects of coronaviruses on a society can be debilitating.

scholarly journals Sexual orientation disclosure in health care: a systematic review

2018 ◽  
Vol 68 (668) ◽  
pp. e187-e196 ◽  
Author(s):  
Hannah Brooks ◽  
Carrie D Llewellyn ◽  
Tom Nadarzynski ◽  
Fernando Castilho Pelloso ◽  
Felipe De Souza Guilherme ◽  
...  
Keyword(s):  
Systematic Review ◽  
Sexual Orientation ◽  
Mixed Methods ◽  
Communication Skills ◽  
Healthcare Professionals ◽  
Same Sex ◽  
Qualitative Synthesis ◽  
Healthcare Settings ◽  
Poor Treatment ◽  
Perceived Relevance

BackgroundSignificant health disparities between sexual minority individuals (that is, lesbian, gay, bisexual, or transgender [LGBT]) and heterosexual individuals have been demonstrated.AimTo understand the barriers and facilitators to sexual orientation (SO) disclosure experienced by LGBT adults in healthcare settings.Design and settingMixed methods systematic review, including qualitative, quantitative, and mixed methods papers following PRISMA guidelines.MethodStudy quality was assessed using the Mixed Methods Appraisal Tool (MMAT) and a qualitative synthesis was performed. Studies were included if their participants were aged ≥18 years who either identified as LGBT, had a same-sex sexual relationship, or were attracted to a member of the same sex.ResultsThe review included 31 studies representing 2442 participants. Four overarching themes were identified as barriers or facilitators to SO disclosure: the moment of disclosure, the expected outcome of disclosure, the healthcare professional, and the environment or setting of disclosure. The most prominent themes were the perceived relevance of SO to care, the communication skills and language used by healthcare professionals, and the fear of poor treatment or reaction to disclosure.ConclusionThe facilitators and barriers to SO disclosure by LGBT individuals are widespread but most were modifiable and could therefore be targeted to improve healthcare professionals’ awareness of their patients’ SO. Healthcare professionals should be aware of the broad range of factors that influence SO disclosure and the potential disadvantageous effects of non-disclosure on care. The environment in which patients are seen should be welcoming of different SOs as well as ensuring that healthcare professionals’ communication skills, both verbal and non-verbal, are accepting and inclusive.

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.

Ideological Inversion and the (De)legitimation of Neoliberalism in Chile

2020 ◽  
Author(s):  
Ismael Puga
Keyword(s):  
Mixed Methods ◽  
Social Economic ◽  
Social Study ◽  
Social Practices ◽  
Economic Order ◽  
Window Of Opportunity ◽  
Panel Surveys ◽  
Mixed Methods Approach ◽  
Strategic Adaptation ◽  
The Social

Using a mixed-methods approach based on discussion focus groups and panel surveys of the Longitudinal Social Study of Chile, this chapter demonstrates that Chilean’s neoliberal economic order is not legitimized by the vast majority of the population. Instead, the author argues that social norms are in serious conflict with the prevailing socioeconomic order. Within Chilean society, both citizens and social analysts are prone to agree with the existence of a “neoliberal consensus” due to the strategic adaptation of social practices that take place within a socioeconomic order that most individuals accept as a given. As a consequence, a “fantasy consensus” emerges in Chilean society in order to stabilize the social economic order, thus avoiding collective mobilization and social change. In this scenario, the protest waves that Chilean society has faced since 2011 offer additional proof that the “fantasy consensus” has experienced serious fissures, thus opening a window of opportunity to delegitimize Chile’s neoliberal order in the country.

scholarly journals Remote interventions to improve exercise behaviour in sedentary people living with and beyond cancer: a systematic review and meta-analysis

BMC Cancer ◽  
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Saïd Ibeggazene ◽  
Rebecca Turner ◽  
Derek Rosario ◽  
Liam Bourke
Keyword(s):  
Systematic Review ◽  
Exercise Intervention ◽  
Meta Analysis ◽  
Exercise Interventions ◽  
Exercise Behaviour ◽  
Cancer Services ◽  
The Social ◽  
Intervention Adherence ◽  
Randomised Controlled ◽  
Exercise Guidelines

Abstract Background The COVID-19 pandemic has forced many cancer services to consider a transition to a remote format of delivery that is largely untested. Accordingly, we sought to perform a systematic review of the effects of remotely delivered interventions to improve exercise behaviour in sedentary adults living with and beyond cancer. Methods Eligible studies were randomised controlled trials comparing a remotely delivered exercise intervention to a usual care comparison in sedentary people over 18 years old with a primary cancer diagnosis. Nine electronic databases were searched from inception to November 2020. Results The review included three trials, totalling 186 participants. Two of the included trials incorporated prescriptions that meet current aerobic exercise recommendations, one of which also meets the guidelines for resistance exercise. No trials reported an intervention adherence of 75% or more for a set prescription that meets current exercise guidelines. Conclusion There is little evidence suggesting that remote exercise interventions promote exercise behaviours or improve physical function in sedentary adults living with and beyond cancer. The development and evaluation of novel remote exercise interventions is needed to establish their usefulness for clinical practice. Given the social response to the COVID-19 pandemic, further research in this area is urgently needed.

scholarly journals Misuse of medication in adult substance misuse services: a systematic review protocol

BMJ Open ◽  
2021 ◽  
Vol 11 (6) ◽  
pp. e047283
Author(s):  
Rosalind Gittins ◽  
Louise Missen ◽  
Ian Maidment
Keyword(s):  
Systematic Review ◽  
Substance Misuse ◽  
Data Extraction ◽  
Meta Analysis ◽  
Grey Literature ◽  
Opioid Analgesics ◽  
Physical And Mental Health ◽  
Qualitative Synthesis ◽  
Treatment Services ◽  
The Impact

IntroductionThere is a growing concern about the misuse of over the counter (OTC) and prescription only medication (POM) because of the impact on physical and mental health, drug interactions, overdoses and drug-related deaths. These medicines include opioid analgesics, anxiolytics such as pregabalin and diazepam and antidepressants. This protocol outlines how a systematic review will be undertaken (during June 2021), which aims to examine the literature on the pattern of OTC and POM misuse among adults who are accessing substance misuse treatment services. It will include the types of medication being taken, prevalence and demographic characteristics of people who access treatment services.Methods and analysisAn electronic search will be conducted on the Cochrane, OVID Medline, Pubmed, Scopus and Web of Science databases as well as grey literature. Two independent reviewers will conduct the initial title and abstract screenings, using predetermined criteria for inclusion and exclusion. If selected for inclusion, full-text data extraction will be conducted using a pilot-tested data extraction form. A third reviewer will resolve disagreements if consensus cannot be reached. Quality and risk of bias assessment will be conducted for all included studies. A qualitative synthesis and summary of the data will be provided. If possible, a meta-analysis with heterogeneity calculation will be conducted; otherwise, Synthesis Without Meta-analysis will be undertaken for quantitative data. The reporting of this protocol follows the Preferred Reporting Items for Systematic Reviews and Meta-Analyses.Ethics and disseminationEthical approval is not required. Findings will be peer reviewed, published and shared verbally, electronically and in print, with interested clinicians and policymakers.PROSPERO registration numberCRD42020135216.

Sign in / Sign up

Export Citation Format

Share Document