scholarly journals A Systematic Literature Review of Empirical Studies on Decentralized Nursing Stations

2018 ◽  
Vol 12 (1) ◽  
pp. 44-68 ◽  
Author(s):  
Lindsey Fay ◽  
Hui Cai ◽  
Kevin Real

Objectives: The objective of this systematic review of literature was to critically evaluate peer-reviewed evidence regarding the effectiveness of decentralized nurse stations (DNSs). Background: The DNS has become an important topic in healthcare design research and practice over the past decade with aims of improving staff efficiency and patient experience. Research has shown to be inconclusive, with studies reporting an assortment of mixed findings. Method: A systematic review of literature was conducted using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses search process of electronic databases, citation tracking, and manual searches of references. All authors evaluated the studies independently. Studies included were empirical, peer-reviewed investigations of DNS in hospitals over the past 15 years. Each study was evaluated using an accepted healthcare design evaluation framework. Results: Over 200 studies were identified. After exclusions, 21 studies published since 2003 were available for full evaluation. Key findings from this review include (a) there is a positive trend toward patient experience in units with DNS, (b) nursing teamwork was perceived to decline in units with DNS, (c) methodological issues may be responsible for the mixed and inconsistent findings, and (d) there is no consistent categorization of nurse station typology or standard definition for DNS. Conclusions: Based on the evaluation framework, DNS are supportive of the patient experience yet have a negative impact on nursing teamwork. Higher quality studies are needed to classify specific typologies of DNS and account for elements such as patient care models, communication, visibility, and other patient care–related factors.

2019 ◽  
Vol 19 (3) ◽  
pp. 189-212
Author(s):  
Vartika Chaudhary ◽  
Dinesh Sharma ◽  
Arti D. Kalro

Scepticism towards marketing activities is a common consumer cognition. Despite its widespread prevalence, no attempt has been made in the past to review and synthesise the extant literature on scepticism. This study presents a comprehensive review and analysis of consumer scepticism literature from various domains of marketing. The paper critically examines various definitions, operationalisations, typologies, and the theoretical foundation of consumer scepticism, and differentiates scepticism from related constructs of (dis)trust, dissonance, and ambivalence. It presents a synthesis of literature on the antecedents (individual, product, and claim-related factors) and consequences (for promotions, products, retailers, and firms) of consumer scepticism. A framework is proposed based on the synthesis. The framework can help researchers studying scepticism in a particular domain (like health-related claims) identify relevant variables from other domains (like environmental claims). Results of the review process reveal a lack of clarity on the dimensionality and the measurement of scepticism; a paucity of research on drivers and consequences of consumer scepticism; and the need for further investigation of the concept of situational scepticism.


2015 ◽  
Vol 7 (3) ◽  
pp. 349-363 ◽  
Author(s):  
Lauren Bolster ◽  
Liam Rourke

ABSTRACT Background Despite 25 years of implementation and a sizable amount of research, the impact of resident duty hour restrictions on patients and residents still is unclear. Advocates interpret the research as necessitating immediate change; opponents draw competing conclusions. Objective This study updates a systematic review of the literature on duty hour restrictions conducted 1 year prior to the implementation of the Accreditation Council for Graduate Medical Education's 2011 regulations. Methods The review draws on reports catalogued in MEDLINE and PreMEDLINE from 2010 to 2013. Interventions that dealt with the duty hour restrictions included night float, shortened shifts, and protected time for sleep. Outcomes were patient care, resident well-being, and resident education. Studies were excluded if they were not conducted in patient care settings. Results Twenty-seven studies met the inclusion criteria. Most frequently, the studies concluded that the restrictions had no impact on patient care (50%) or resident wellness (47%), and had a negative impact on resident education (64%). Night float was the most frequent means of implementing duty hour restrictions, yet it yielded the highest proportion of unfavorable findings. Conclusions This updated review, including 27 recent applicable studies, demonstrates that focusing on duty hours alone has not resulted in improvements in patient care or resident well-being. The added duty hour restrictions implemented in 2011 appear to have had an unintended negative impact on resident education. New approaches to the issue of physician fatigue and its relationship to patient care and resident education are needed.


2022 ◽  
pp. 243-255
Author(s):  
N. S. Bohra ◽  
Navneet Rawat

The present study aims to develop a conceptual framework of the scope and challenges of Tier 2 Business Schools in India. Management education has seen a drastic change in the recent past with a huge inflow of students, and this gave management institutes an edge to grow. Besides taking this opportunity, some institutes have compromised on various parameters which is degrading quality education. In this study, strategic analysis has been done by using the past review. For strategic analysis on challenges and future scope of Tier 2 Business Schools (T2BS) in India, challenges-scope matrix has been carefully developed and evaluated. Research procedure adopted in this study is professionally framed, and systematic review of literature has been done before concluding the study.


2020 ◽  
Vol 12 (2) ◽  
pp. 189-199 ◽  
Author(s):  
Shgufta Docter ◽  
Moin Khan ◽  
Chetan Gohal ◽  
Bheeshma Ravi ◽  
Mohit Bhandari ◽  
...  

Context: Cannabis use has increased, in large part due to decriminalization. Despite this increase in usage, it remains unclear what proportion of athletes use cannabis and what effect it has on athletic performance and recovery. Objective: To systematically review cannabis use among athletes, including epidemiology, effect on performance and recovery, and regulations for use in sport. Data Sources: PubMed, MEDLINE, and EMBASE databases were queried from database inception through November 15, 2018. A hand search of policies, official documents, and media reports was performed for relevant information. Study Selection: All studies related to cannabis use in athletes, including impact on athletic performance or recovery, were included. Study Design: Systematic review. Level of Evidence: Level 4. Data Extraction: Demographic and descriptive data of included studies relating to epidemiology of cannabis use in athletes were extracted and presented in weighted means or percentages where applicable. Results: Overall, 37 studies were included, of which the majority were cross-sectional studies of elite and university athletes. Among 11 studies reporting use among athletes (n = 46,202), approximately 23.4% of respondents reported using cannabis in the past 12 months. Two studies found a negative impact on performance, while another 2 studies found no impact. There was no literature on the influence of cannabis on athletic recovery. Across athletic organizations and leagues, there is considerable variability in acceptable thresholds for urine tetrahydrocannabinol levels (>15 to 150 ng/mL) and penalties for athletes found to be above these accepted thresholds. Conclusion: Overall, these results suggest that approximately 1 in 4 athletes report using cannabis within the past year. Based on the available evidence, cannabis does not appear to positively affect performance, but the literature surrounding this is generally poor. Given the variability in regulation across different sport types and competition levels, as well as the growing number of states legalizing recreational cannabis use, there is a need to improve our understanding of the effects of cannabis use on the athlete and perhaps adopt a clearer and overarching policy for the use of cannabis by athletes in all sports and at all levels.


Author(s):  
Arman Mergaliyev ◽  
Mehmet Asutay ◽  
Alija Avdukic ◽  
Yusuf Karbhari

AbstractThis study utilises higher objectives postulated in Islamic moral economy or the maqasid al-Shari’ah theoretical framework’s novel approach in evaluating the ethical, social, environmental and financial performance of Islamic banks. Maqasid al-Shari’ah is interpreted as achieving social good as a consequence in addition to well-being and, hence, it goes beyond traditional (voluntary) social responsibility. This study also explores the major determinants that affect maqasid performance as expressed through disclosure analysis. By expanding the traditional maqasid al-Shari’ah,, we develop a comprehensive evaluation framework in the form of a maqasid index, which is subjected to a rigorous disclosure analysis. Furthermore, in identifying the main determinants of the maqasid disclosure performance, panel data analysis is used by including several key variables alongside political and socio-economic environment, ownership structures, and corporate and Shari’ah governance-related factors. The sample includes 33 full-fledged Islamic banks from 12 countries for the period of 2008–2016. The findings show that although during the nine-year period the disclosure of maqasid performance of the sampled Islamic banks has improved, this is still short of ‘best practices’. Through panel data analysis, this study finds that the Muslim population indicator, CEO duality, Shari’ah governance, and leverage variables positively impact the disclosure of maqasid performance. However, the effect of GDP, financial development and human development index of the country, its political and civil rights, institutional ownership, and a higher share of independent directors have an overall negative impact on the maqasid performance. The findings reported in this study identify complex and multi-faceted relations between external market realities, corporate and Shari’ah governance mechanisms, and maqasid performance.


2019 ◽  
pp. 121-143
Author(s):  
Riccardo Resciniti ◽  
Federica De Vanna

The rise of e-commerce has brought considerable changes to the relationship between firms and consumers, especially within international business. Hence, understanding the use of such means for entering foreign markets has become critical for companies. However, the research on this issue is new and so it is important to evaluate what has been studied in the past. In this study, we conduct a systematic review of e-commerce and internationalisation studies to explicate how firms use e-commerce to enter new markets and to export. The studies are classified by theories and methods used in the literature. Moreover, we draw upon the internationalisation decision process (antecedents-modalities-consequences) to propose an integrative framework for understanding the role of e-commerce in internationalisation


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