The experience of caregivers of chronically ill patients during the COVID-19: A Systematic Review

2021 ◽  
pp. 174239532110648
Author(s):  
Suebsarn Ruksakulpiwat ◽  
Wendie Zhou ◽  
Lalipat Phianhasin ◽  
Chitchanok Benjasirisan ◽  
Yuying Fan ◽  
...  
Keyword(s):  
Personal Experience ◽  
Healthcare Providers ◽  
Chronically Ill ◽  
Future Research ◽  
Future Studies ◽  
Quantitative Studies ◽  
Meta Analyses ◽  
Chronically Ill Patients ◽  
The Impact ◽  
Appraisal Tool

Objectives This study aimed to identify the difficulties that caregivers of chronically ill patients experienced during the COVID-19 pandemic and to provide directions for future studies. Methods Five electronic databases, including PubMed, Web of Science, CINAHL Plus Full Text, EMBASE, and Scopus, were systematically searched from January 2019 to February 2021. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses were employed for the literature screening, inclusion, and exclusion. The Mixed Methods Appraisal Tool was adopted for qualifying appraisal. Results Six studies met the study criteria, including three quantitative studies, two qualitative studies, and one mixed-method study. Mental health, personal experience, financial problems, physical health, and improvement approaches were the major five themes that participants reported regarding the impact of COVID-19 they encountered during the pandemic. Discussion The results could heighten healthcare providers, stakeholders, and policy leaders' awareness of providing appropriate support for caregivers. Future research incorporating programs that support caregivers’ needs is recommended.

Evaluation of the triple aim of medicine in prehospital telemedicine: A systematic literature review

2019 ◽  
Vol 26 (10) ◽  
pp. 571-580
Author(s):  
Nathan Culmer ◽  
Todd Smith ◽  
Catanya Stager ◽  
Hannah Meyer ◽  
Sarah Quick ◽  
...  
Keyword(s):  
Healthcare Providers ◽  
Clinical Importance ◽  
Care Quality ◽  
Small Sample ◽  
Future Research ◽  
Quality Cost ◽  
Limited Bandwidth ◽  
Emergency Situations ◽  
Meta Analyses ◽  
The Impact

Objectives With telemedicine becoming more widely implemented in emergency situations, understanding the quality and content of current findings that explore prehospital telemedicine is vital to establish best practices and guide future research. This systematic review examines the clinical importance of telemedicine in patient-provider ambulance-based settings with a focus on multifunctional systems for general prehospital emergency populations. Methods Using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses methodology we found 1564 abstracts, which were blind-reviewed by independent reviewers. Relevant articles were reviewed, classified, and analyzed according to research methods and technology type, as well as quality, cost, and satisfaction. The studies were also reviewed for validated evidence-based practice. Results Those studies that looked at cost, quality, and satisfaction with care generally shared favorable results. Setup notwithstanding, cost was comparable or less than controls. Care quality was also found to be in line with or slightly preferable to face-to-face care with some advantages in response time and quality. Patients and providers were satisfied with the systems. Common obstacles included limited bandwidth and small sample sizes. Conclusions Although feasibility remains salient, research regarding the impact of ambulance-based telemedicine on patients and healthcare providers is encouraging, but nascent. As a whole, this body of literature does not yet adequately speak to the most important concerns of medicine: quality, cost, and satisfaction. More research is needed in each of these areas. However, those studies that do address these matters share hopeful results. Future research should test these mechanisms in prehospital settings with greater rigor.

scholarly journals Collective empowerment of an online patient community: conceptualizing process dynamics using a multi-method qualitative approach

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Marie-Georges Fayn ◽  
Véronique des Garets ◽  
Arnaud Rivière
Keyword(s):  
Health Services ◽  
Online Communities ◽  
Patient Empowerment ◽  
Healthcare Providers ◽  
Chronically Ill ◽  
Future Research ◽  
Structured Interviews ◽  
Two Phases ◽  
Chronically Ill Patients ◽  
Collective Empowerment

Abstract Background Online communities for patients with chronic conditions are becoming healthcare providers. They gather to offer support and services, and to become a collective oppositional force. We found, however, that these communities and their collective power are rarely studied in the health services management literature, which focuses more on the empowering practices of healthcare professionals or patient participation. The aim of this study is thus to build a better understanding of the nature of patients’ collective empowerment and the processes underlying it. We carry out two exploratory qualitative studies to examine the motivations that drive chronically ill patients to engage in an individual and then collective empowerment process. Methods The first qualitative study involves four semi-structured interviews with experts. The second is a netnographic study carried out over a year on an online forum for people with thyroid disease. The latter has two phases: an immersion phase followed by one that traces the path of 21 forum members from their first message to their recognition as active members or even forum moderators. The data are analyzed through thematic and lexical content analyses. Results We were able to identify the different stages of the collective patient empowerment process and the criteria for progression though this process. Specifically, the first study sheds light on the unmet individual and collective needs of the patients. The second emphasizes the essential role of active contributors and their impact on the growth and power of the community. Conclusions This study looks at patient communities as a self-contained system and identifies the stages of collective empowerment that match the organization’s declared priorities: community, collaborative, productive, and societal. These results should help health professionals better take these online communities into account in patient care, improving their practices, and carrying out their policies. We call for future research into collective empowerment and its influence on patient behavior, the transformation of healthcare institutions, and the health services market.

Tourism research for the GCC region: Current status and future research directions

2021 ◽  
pp. 135481662199996
Author(s):  
Ali Salman Saleh ◽  
Charbel Bassil ◽  
Arsalan Safari
Keyword(s):  
United Arab Emirates ◽  
Current Status ◽  
Future Research ◽  
Research Directions ◽  
Regional Tourism ◽  
Research Theme ◽  
Tourism Sector ◽  
Future Research Directions ◽  
Meta Analyses ◽  
The Impact

Tourism in the Gulf Cooperation Council (GCC) countries has recently been considered by policymakers as a new avenue for economic diversification. Despite the considerable literature concerning the impact of tourism worldwide, only a limited number of studies have looked at the tourism sector in the GCC region or analyzed its economic, sociocultural, and environmental impacts. This article therefore conducts a systematic review of the state of the literature related to tourism in the GCC region. It provides effective insights about the current status, gaps, and challenges and proposes future research directions in this area for academics, practitioners, and policymakers with an interest in regional tourism development. The preferred reporting items for systematic reviews and meta-analyses approach was used to identify and select the papers. Some 23 papers were identified and analyzed. The majority of these studies focused on the United Arab Emirates, specifically the Dubai emirate. We found the most dominant research theme to be tourism planning.

Effectiveness of the IBCLC: Have we Made an Impact on the Care of Breastfeeding Families Over the Past Decade?

2019 ◽  
Vol 35 (3) ◽  
pp. 441-452 ◽  
Author(s):  
Barbara Haase ◽  
Emily Brennan ◽  
Carol L. Wagner
Keyword(s):  
Scoping Review ◽  
Physician Education ◽  
Future Research ◽  
Positive Role ◽  
Quantitative Studies ◽  
Lactation Consultants ◽  
Evidenced Based ◽  
Outpatient Settings ◽  
Breastfeeding Problems ◽  
The Impact

Background: International Board Certified Lactation Consultants (IBCLCs) have been in existence for over 3 decades, are currently represented in 110 countries, and have the only internationally recognized certification to provide safe and evidenced-based care for breastfeeding women and their infants. Research aim: To review the literature about the efficacy of IBCLCs on breastfeeding outcomes as well as studies that have examined the effectiveness of the IBCLC’s role. Methods: The design was a scoping review of the literature and critical analysis using PRISMA guidelines of existing studies published from 2008–2019. Qualitative and quantitative studies were reviewed. Results: Twelve ( N =12) studies met inclusion criteria. Seven themes emerged in the analysis including studies of the role of IBCLCs in resident physician education; IBCLC’s role in breastfeeding interventions and the management of breastfeeding problems; the impact of IBCLCs in inpatient and outpatient settings; and the impact of geographic access to IBCLCs on breastfeeding rates. Certification of and ongoing professional development of IBCLCs are also discussed. Conclusion: In this scoping review of existing literature assessing the effectiveness of IBCLCs in promoting and supporting breastfeeding, it is clear that IBCLCs play a positive role in supporting breastfeeding throughout the world. However, there are certain limitations that must be addressed. Recommendations for future research and clinical practice are discussed in the context of present limitations to breastfeeding expertise and support.

scholarly journals Review of Best Practices for CLABSI Prevention and the Impact of Recent Legislation on CLABSI Reporting

SAGE Open ◽  
2016 ◽  
Vol 6 (4) ◽  
pp. 215824401667774 ◽  
Author(s):  
Benjamin Woodward ◽  
Reba Umberger
Keyword(s):  
Best Practices ◽  
Healthcare Providers ◽  
Bloodstream Infections ◽  
Central Line ◽  
Mandatory Reporting ◽  
Future Research ◽  
Common Source ◽  
Healthcare Associated Infection ◽  
Extrinsic Factors ◽  
The Impact

Central line-associated bloodstream infections (CLABSI) are a very common source of healthcare-associated infection (HAI). Incidence of CLABSI has been significantly reduced through the efforts of nurses, healthcare providers, and infection preventionists. Extrinsic factors such as recently enacted legislation and mandatory reporting have not been closely examined in relation to changes in rates of HAI. The following review will examine evidence-based practices related to CLABSI and how they are reported, as well as how the Affordable Care Act, mandatory reporting, and pay-for-performance programs have affected these best practices related to CLABSI prevention. There is a disconnect in the methods and guidelines for reporting CLABSI between these programs, specifically among local monitoring agencies and the various federal oversight organizations. Future research will focus on addressing the gap in what defines a CLABSI and whether or not these programs to incentivize hospital to reduce CLABSI rates are effective.

Factors associated with dementia-related stigma and associated domains in adolescents: A Systematic Review Protocol v1

2021 ◽  
Author(s):  
Mrs Esra Hassan ◽  
Prof Naji Tabet ◽  
n.farina not provided
Keyword(s):  
Systematic Review ◽  
Data Extraction ◽  
Future Research ◽  
Factors Associated ◽  
Related Stigma ◽  
Review Protocol ◽  
Learning Software ◽  
Meta Analyses ◽  
Theses And Dissertations ◽  
Appraisal Tool

Background: To develop evidence-based anti-stigma programmes for adolescents, underlying factors that drive dementia-related stigma in adolescents need to be captured. However, it is unclear which factors play a role in dementia attitude formation in adolescents. This is a protocol for a systematic review that will seek to identify factors associated with dementia attitudes in adolescents (10-18 years old). Methods: A systematic search strategy will be used to identify observational data in which factors are associated with dementia-related stigma and associated domains (e.g. attitudes, beliefs, perceptions). Systematic searches for articles will be conducted in the following databases: PubMed, PsycInfo, Web of Science, SCOPUS and Open Access Theses and Dissertations. Titles and abstracts will be screened with the assistance of machine learning software (ASReview), prior to reviewing full texts. Following data extraction, quality assessment of study and risk of bias will be assessed using the mixed methods appraisal tool (MMAT). The protocol is written in line with the Preferred Reporting Items for Systematic Reviews and Meta-analyses Protocol (PRISMA-P) guidelines. Results: Descriptive data of the studies will be reported in tables and summarised narratively and split into thematic headings guided by the results of the systematic review. Identifying which factors are implicated in attitudes towards people living with dementia will allow researchers to be better informed in which factors may be a useful target for more tailored and effective dementia related anti-stigma-initiatives. Discussion: The findings from this systematic review will help guide future research to identify groups that may be at the greatest risk of developing stigmatising attitudes and potential targets for future intervention.

Conclusion: Clemency’s Place

2019 ◽  
pp. 226-252
Author(s):  
Daniel Pascoe
Keyword(s):  
Criminal Justice ◽  
Research Agenda ◽  
Southeast Asian ◽  
Future Research ◽  
Future Research Agenda ◽  
Quantitative Studies ◽  
Capital Cases ◽  
Judicial Sanctions ◽  
The Impact ◽  
The Relationship

The Conclusion, after briefly summarizing the respective country positions and restating the three-part hypothesis outlined in Chapter 7, considers what Southeast Asia’s ‘natural experiment’ on clemency means for policymakers, NGO staff, and legal practitioners working on death penalty cases in the region. The four national case studies, together with Chapter 7’s comparative hypothesis, suggest various practical means of boosting each Southeast Asian jurisdiction’s clemency rate within finalized capital cases. The Conclusion also considers what implications the comparative findings outlined in Chapter 7 have for the broader criminal justice literature in other parts of the world (particularly concerning the relationship between discretion exercised at different stages of a criminal case, the relationship between extrajudicial and judicial sanctions, the impact of democratization on criminal justice policies, and the influence of delay on criminal justice decision-making). Finally, the Conclusion suggests a future research agenda, including quantitative studies to ‘test’ the accuracy of the book’s three-part hypothesis in other parts of the retentionist world. The chapter ends with several predictions regarding the future of capital clemency in the four Southeast Asian jurisdictions under analysis (Thailand, Singapore, Malaysia, and Indonesia).

scholarly journals Multiple sclerosis: Implications for future research on postural control and gait

2020 ◽  
Vol 14 (2) ◽  
pp. 46-49
Author(s):  
Felipe Balistieri Santinelli ◽  
Emerson Sebastião ◽  
Marcela de Oliveira ◽  
Fabio Augusto Barbieri
Keyword(s):  
Multiple Sclerosis ◽  
Postural Control ◽  
Future Research ◽  
Insufficient Information ◽  
Future Studies ◽  
Rehabilitation Programs ◽  
The Central Nervous System ◽  
The Impact ◽  
Gait Impairments

The objective of this letter is to provide a perspective on the impact of multiple sclerosis (MS) on postural control and gait and suggestions for future studies. Although studies on MS with postural control and gait have been carried out for some time, in Brazil and in the World, there is still insufficient information on MS and impairments in postural control and gait.Postural control and gait impairments are recognized to cause several problems for people with MS, these being two of the symptoms that most affect quality of life.Here, we present studies that have investigated impairments in postural control and gait using different experimental designs and discuss the adaptations of the central nervous system (CNS) due to the damage caused by MS.We recommend future studies focus on how the CNS is organized towards postural control and gait, with a better ecological approach, which could assist the development of rehabilitation programs.

scholarly journals The Impact of the eHealth Technologies on the Chronically-ill Patient�s choice of Same Hospital Again (Preprint)

2018 ◽  
Author(s):  
Zhendong Li ◽  
Huiying Zhang ◽  
Ke Jiang ◽  
Wei Wei ◽  
Mitchell Mainstone
Keyword(s):  
Chronically Ill ◽  
Medical Costs ◽  
Public Hospitals ◽  
Medical Expenditure ◽  
Treatment Level ◽  
Ageing Population ◽  
Medical Field ◽  
Positive Correlation ◽  
Chronically Ill Patients ◽  
The Impact

BACKGROUND The rapidly-increasing numbers representing China’s ageing population necessarily results in increased medical expenditure following the needs of elderly people, particularly patients with chronic diseases. However, China’s healthcare system is struggling with this as a major issue: famous public hospitals are overcrowded, while community and rural hospitals find it difficult to attract enough patients. OBJECTIVE To examine how and whether the application of eHealth technologies in medical field influences chronically ill patients’ choice of same hospital on next visit. METHODS From July to October 2016, we conducted a survey in nine hospitals in Northern China. This study used regression analysis to compare the difference between high and low levels of application of eHealth technologies in the medical field. We constructed a hospital choice model in order to assist with this. According to the model, we analysed the relationship between relevant, influential factors and the chronically-ill patient’s choice of same hospital on next visit. RESULTS Empirical findings suggest that the chronically-ill patient’s choice of hospital on next visit is positively affected by the treatment level (β= 0.682, P < 0.001) and level of hospital convenience (β= 0.311, P < 0.001), and negatively affected by the medical costs (β= -0.124, P < 0.001). Additionally, Our findings suggest that the application of eHealth technologies in the medical field can significantly enhance the positive correlation between level of hospital convenience and the chronically-ill patients’ choice of same hospital on next visit (β= 0.269, P < 0.001), as well as the negative correlation between medical costs incurred and the chronically-ill patients’ choice of same hospital on next visit (β= -0.135, P < 0.001) . By contrast, the application of eHealth technologies weakens the positive correlation between the hospital’s treatment level and chronically-ill patients’ choice of same hospital on next visit (β= -0.241, P < 0.001). CONCLUSIONS The introduction of the eHealth technologies significantly closes the gap between levels of treatment provided by differing hospitals, while prompting hospital to improve the level of convenience for patients with chronic disease, as well as reducing any medical expense incurred. CLINICALTRIAL This study protocol was approved by the Ethics Committee of Tianjin University of Traditional Chinese Medicine. The reference number is TJUTCM-EC20160005.

scholarly journals The Effect of Head Inclination on Intraocular Pressure in the Prone Position

2017 ◽  
Author(s):  
Vanessa Marzilli
Keyword(s):  
Systematic Review ◽  
Patient Care ◽  
Situation Awareness ◽  
High Reliability ◽  
Healthcare Providers ◽  
Information Management System ◽  
Future Research ◽  
Staff Satisfaction ◽  
Patient Handoff ◽  
The Impact

Patient safety relies on effective and efficient communication among healthcare providers. Tools, such as standardized checklists, ensure information sharing in a consistent, predictable format. In the perioperative setting, where handoffs occur at several points and among various disciplines, high reliability is essential. This systematic review focused on the impact of standardized communication practices on perioperative staff satisfaction as it relates to sustainability of the new practice. The electronic databases PubMed and Google Scholar were used. Six articles met inclusion for the systematic review and of these six, four were determined to be of high quality through the application of The CASE Worksheet. The handoff tools implemented in these four studies were the electronic anesthesia information management system (AIMS), I-PASS mnemonic that described the illness, patient summary, action list, situation awareness and synthesis by receiver, Peri-op Handoff Protocol and a variation of the ‘Surgical Safety Checklist’ originally developed by WHO. Results of this systematic review suggest that these standardized communication methods are effective in improving perioperative staff satisfaction. Further research may prove helpful to determine if one handoff tool design is superior to the others. While future research could be performed to provide a larger sample size, the limited data gathered from this systematic review shows promising results. Implementing a standardized approach to perioperative communication and patient handoff has been shown in these studies to be beneficial in terms of staff satisfaction. Furthermore, it would be valuable to examine the indirect impact these communication tools have on patient care. Healthcare providers have the responsibility and opportunity to improve patient care through the adoption of standardized communication processes.

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