scholarly journals Towards understanding the de-adoption of low-value clinical practices: a scoping review

BMC Medicine ◽  
2015 ◽  
Vol 13 (1) ◽  
Author(s):  
Daniel J. Niven ◽  
Kelly J. Mrklas ◽  
Jessalyn K. Holodinsky ◽  
Sharon E. Straus ◽  
Brenda R. Hemmelgarn ◽  
...  
Keyword(s):  
Scoping Review ◽  
Clinical Practices

scholarly journals Identifying low-value clinical practices in critical care medicine: protocol for a scoping review

BMJ Open ◽  
2015 ◽  
Vol 5 (10) ◽  
pp. e008244 ◽  
Author(s):  
Daniel J Niven ◽  
T Jared McCormick ◽  
Sharon E Straus ◽  
Brenda R Hemmelgarn ◽  
Lianne P Jeffs ◽  
...  
Keyword(s):  
Critical Care ◽  
Scoping Review ◽  
Critical Care Medicine ◽  
Clinical Practices

scholarly journals Developing measures for WHO recommendations on antenatal care for a positive pregnancy experience: a conceptual framework and scoping review

BMJ Open ◽  
2019 ◽  
Vol 9 (4) ◽  
pp. e024130 ◽  
Author(s):  
Samantha R Lattof ◽  
Özge Tunçalp ◽  
Allisyn C Moran ◽  
Maurice Bucagu ◽  
Doris Chou ◽  
...  
Keyword(s):  
Antenatal Care ◽  
Conceptual Framework ◽  
Scoping Review ◽  
Clinical Practices ◽  
Women's Voices ◽  
Scoping Reviews ◽  
Assess Quality ◽  
Meta Analyses ◽  
Routine Antenatal Care

ObjectivesIn response to the newest WHO recommendations on routine antenatal care (ANC) for pregnant women and adolescent girls, this paper identifies the literature on existing ANC measures, presents a conceptual framework for quality ANC, maps existing measures to specific WHO recommendations, identifies gaps where new measures are needed to monitor the implementation and impact of routine ANC and prioritises measures for capture.MethodsWe conducted searches in four databases and five websites. Searches and application of inclusion/exclusion criteria followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses flow approach for scoping reviews. Data were extracted on measure information, methodology, methodological work and implementation. We adapted and refined a conceptual framework for routine ANC based on these measures.ResultsThis scoping review uncovered 58 resources describing 46 existing measures that align with WHO recommendations and good clinical practices for ANC. Of the 42 WHO-recommended ANC interventions and four good clinical practices included in this scoping review, only 14 WHO-recommended interventions and three established good clinical practices could potentially be measured immediately using existing measures. Recommendations addressing the integration of ANC with allied fields are likelier to have existing measures than recommendations that focus on maternal health. When mapped to our conceptual framework, existing measures prioritise content of care and health systems; measures for girls’ and women’s experiences of care are notably lacking. Available data sources for non-existent measures are currently limited.ConclusionOur research updates prior efforts to develop comprehensive measures of quality ANC and raises awareness of the need to better assess experiences of ANC. Given the inadequate number and distribution of existing ANC measures across the quality of care conceptual framework domains, new standardised measures are required to assess quality of routine ANC. Girls’ and women’s voices deserve greater acknowledgement when measuring the quality and delivery of ANC.

scholarly journals Low-value clinical practices in adult traumatic brain injury: an umbrella review protocol

BMJ Open ◽  
2019 ◽  
Vol 9 (10) ◽  
pp. e031747 ◽  
Author(s):  
Pier-Alexandre Tardif ◽  
Lynne Moore ◽  
François Lauzier ◽  
Imen Farhat ◽  
Patrick Archambault ◽  
...  
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Systematic Reviews ◽  
Scoping Review ◽  
Methodological Quality ◽  
Healthcare Quality ◽  
Cochrane Central Register ◽  
Clinical Practices ◽  
Umbrella Review

IntroductionTraumatic brain injury (TBI) leads to 50 000 deaths, 85 000 disabilities and costs $60 billion each year in the USA. Despite numerous interventions and treatment options, the outcomes of TBI have improved little over the last three decades. In a previous scoping review and expert consultation survey, we identified 13 potentially low-value clinical practices in acute TBI. The objective of this umbrella review is to synthesise the evidence on potentially low-value clinical practices in the care of acute TBI.Methods and analysisUsing umbrella review methodology, we will search Cochrane Central Register of Controlled Trials, Embase, Epistemonikos, International Prospective Register of Systematic Reviews (PROSPERO) and PubMed to identify systematic reviews evaluating the effect of potential intrahospital low-value practices using tailored population, intervention, comparator, outcome and study design questions based on the results of a previous scoping review. We will present data on the methodological quality of these reviews (Assessing the Methodological Quality of Systematic Reviews-2), reported effect sizes and strength of evidence (Grading of Recommendations, Assessment, Development and Evaluation).Ethics and disseminationEthics approval is not required as original data will not be collected. Knowledge users from five healthcare quality organisations and clinical associations are involved in the design and conduct of the study. Results will be disseminated in a peer-reviewed journal, at international scientific meetings and to clinical, healthcare quality and patient–partner associations. This work will support the development of metrics to measure the use of low-value practices, inform policy makers on potential targets for deimplementation and in the long term reduce the use of low-value clinical practices in acute TBI care.PROSPERO registration numberCRD42019132428.

scholarly journals Mitigating Burnout in an Oncological Unit: A Scoping Review

2021 ◽  
Vol 9 ◽  
Author(s):  
Rasheed Omobolaji Alabi ◽  
Päivi Hietanen ◽  
Mohammed Elmusrati ◽  
Omar Youssef ◽  
Alhadi Almangush ◽  
...  
Keyword(s):  
Job Satisfaction ◽  
Scoping Review ◽  
Positive Impact ◽  
Quality Care ◽  
Healthcare Providers ◽  
Training Group ◽  
Well Being ◽  
Working Environment ◽  
Clinical Practices ◽  
Patients With Cancer

Objectives: The purpose of this study was to provide a scoping review on how to address and mitigate burnout in the profession of clinical oncology. Also, it examines how artificial intelligence (AI) can mitigate burnout in oncology.Methods: We searched Ovid Medline, PubMed, Scopus, and Web of Science, for articles that examine how to address burnout in oncology.Results: A total of 17 studies were found to examine how burnout in oncology can be mitigated. These interventions were either targeted at individuals (oncologists) or organizations where the oncologists work. The organizational interventions include educational (psychosocial and mindfulness-based course), art therapies and entertainment, team-based training, group meetings, motivational package and reward, effective leadership and policy change, and staff support. The individual interventions include equipping the oncologists with adequate training that include—communication skills, well-being and stress management, burnout education, financial independence, relaxation, self-efficacy, resilience, hobby adoption, and work-life balance for the oncologists. Similarly, AI is thought to be poised to offer the potential to mitigate burnout in oncology by enhancing the productivity and performance of the oncologists, reduce the workload and provide job satisfaction, and foster teamwork between the caregivers of patients with cancer.Discussion: Burnout is common among oncologists and can be elicited from different types of situations encountered in the process of caring for patients with cancer. Therefore, for these interventions to achieve the touted benefits, combinatorial strategies that combine other interventions may be viable for mitigating burnout in oncology. With the potential of AI to mitigate burnout, it is important for healthcare providers to facilitate its use in daily clinical practices.Conclusion: These combinatorial interventions can ensure job satisfaction, a supportive working environment, job retention for oncologists, and improved patient care. These interventions could be integrated systematically into routine cancer care for a positive impact on quality care, patient satisfaction, the overall success of the oncological ward, and the health organizations at large.

Healing Architecture in Healthcare: A Scoping Review

2022 ◽  
pp. 193758672110725
Author(s):  
Thorben Simonsen ◽  
Jodi Sturge ◽  
Cameron Duff
Keyword(s):  
Scoping Review ◽  
Spatial Organization ◽  
Evidence Synthesis ◽  
Meta Analysis ◽  
Clinical Practices ◽  
Decision Tool ◽  
Healthcare Settings ◽  
Scoping Reviews ◽  
Definition Of ◽  
Methodological Guidelines

Objectives: The purpose of this scoping review is to identify evidence on how characteristics of healing architecture in clinical contexts impact clinical practice and patient experiences. Based on these insights, we advance a more practice-based approach to the study of how healing architectures work. Background: The notion of “healing architecture” has recently emerged in discussions of the spatial organization of healthcare settings, particularly in the Nordic countries. This scoping review summarizes findings from seven articles which specifically describe how patients and staff experience characteristics of healing architecture. Methods: This scoping review was conducted using the framework developed by Arksey and O’Malley. We referred to the decision tool developed by Pollock et al. to confirm that this approach was the most appropriate evidence synthesis type to identify characteristics related to healing architecture and practice. To ensure the rigor of this review, we referred to the methodological guidelines of the Preferred Reporting Items for Systematic Reviews and Meta-Analysis extension for Scoping Reviews. Results: There are two main findings of the review. First, there is no common or operative definition of healing architecture used in the selected articles. Secondly, there is limited knowledge of how healing architecture shapes clinical and patient outcomes. Conclusions: We conclude that further research is needed into how healing architectures make a difference in everyday clinical practices, both to better inform the development of evidence-based designs in the future and to further elaborate criteria to guide postoccupancy evaluations of purpose-built sites.

scholarly journals From Motor Learning Theory to Practice: A Scoping Review of Conceptual Frameworks for Applying Knowledge in Motor Learning to Physical Therapist Practice

2019 ◽  
Vol 99 (12) ◽  
pp. 1628-1643 ◽  
Author(s):  
Michal Kafri ◽  
Osnat Atun-Einy
Keyword(s):  
Physical Therapy ◽  
Motor Learning ◽  
Conceptual Framework ◽  
Scoping Review ◽  
Physical Therapist ◽  
Building Blocks ◽  
Mental Practice ◽  
Data Sources ◽  
Conceptual Frameworks ◽  
Clinical Practices

Abstract Background The importance of motor learning knowledge for physical therapist practice is well known; however, its application is lacking. Conceptual frameworks that place motor learning knowledge within a clinical context are a potential mediator to overcome this gap. Purpose This study aimed to conduct a scoping review of the literature to identify and describe the content of such conceptual frameworks in physical therapy/rehabilitation, including the approaches taken in their development and the “elements” or building blocks of motor learning–based interventions within each conceptual framework. Data Sources The data sources used were PubMed, CINAHL, and PsychInfo databases. Study Selection Articles that were selected had a primary focus on motor learning and its application in physical therapy/rehabilitation and were published between 2000 and 2017. Data Extraction Twelve of 62 relevant articles met the inclusion criteria. Data Synthesis Papers attempted to translate theoretical knowledge into a coherent, clinically accessible conceptual framework via 3 main approaches: synthesizing selected motor learning elements into original new conceptual frameworks, mapping motor learning elements in current clinical practices, and assembling selected motor learning elements. The elements of motor learning that were common across papers included theoretical concepts (such as “meaningful goal setting” and “active involvement”); practice variables (including the type, frequency, and timing of feedback; the focus of instructions; task breakdown; and the amount, variability, and order of practice); and intervention strategies (task specific and mental practice). Psychological aspects related to self-efficacy and motivation were also considered integral. Limitations Papers published before the year 2000 were excluded. Conclusion The scoping review revealed that the presentation of motor learning elements in a coherent framework encompassed very diverse approaches and used different categorization systems. In addition, to fully grasp the complexity of clinical practice, motor learning should be coupled with other fields of knowledge.

scholarly journals Enhancing Collaborative Treatment Planning with Young People in Mental Health Settings: A Narrative Scoping Review

2018 ◽  
Vol 5 (2) ◽  
pp. 22
Author(s):  
Katherine Reid ◽  
Alexandra Olsen ◽  
Pim Kuipers
Keyword(s):  
Mental Health ◽  
Young People ◽  
Treatment Planning ◽  
Scoping Review ◽  
Mental Health Treatment ◽  
Young Person ◽  
Clinical Practices ◽  
Starting Point ◽  
Mental Health Settings ◽  
Mental Health Difficulties

Background: Despite the growing recognition of recovery oriented principles as the preferred way of working with children and young people in a mental health context, translating these principles to practice remains unclear. For mental health clinicians, collaborative treatment planning with young people who experience significant mental health difficulties is complex.Objective: To identify clinical practices to enhance the participation of young people in mental health treatment planning.Methods: A scoping review was conducted, using narrative summaries. From 1172 articles identified in a database search and evaluated against inclusion criteria, 22 were included for review. Basic thematic analysis was used to identify key themes from the literature.Results: The studies reviewed suggested that participatory treatment planning leads to improved processes and outcomes for the young person, the clinician and services. Clinical practices that may enable participation in treatment planning included relational engagement, contracting, therapeutic strategies, strength-based treatment planning and working systematically. A number of consumer, contextual and service delivery factors were also identified which constrain such participation.Discussion: The categorised findings, ranked according to prominence, provide a useful framework to enable practitioners to maximise the participation of young people in treatment planning. While the findings should be considered as preliminary, due to limitations of studies and methodology, they provide a useful starting point for future studies.

scholarly journals Clinical Management of Low Vitamin D: A Scoping Review of Physician Practices

2018 ◽  
Author(s):  
Michelle Rockwell ◽  
Vivica Kraak ◽  
Matthew Hulver ◽  
John Epling
Keyword(s):  
Vitamin D ◽  
Scoping Review ◽  
Clinical Management ◽  
Community Dwelling ◽  
Future Research ◽  
Clinical Practices ◽  
Skeletal Health ◽  
Research Attention ◽  
Physician Practices ◽  
Targeted Testing

The role of vitamin D in the prevention and treatment of non-skeletal health issues has received significant media and research attention in recent years. Costs associated with clinical management of low vitamin D (LVD) have increased exponentially. However, no clear evidence supports vitamin D screening to improve health outcomes. Authoritative bodies and professional societies recommend against population-wide vitamin D screening in community-dwelling adults who are asymptomatic or at low risk of LVD. In order to assess patterns of physician management of LVD in this conflicting environment, we conducted a scoping review of three electronic databases and gray literature. Thirty-eight records met inclusion criteria and were summarized in an evidence table. Results from seven countries showed a consistent increase in vitamin D lab tests and related costs. Many vitamin D testing patterns reflected screening rather than targeted testing for individuals at high risk of vitamin D deficiency or insufficiency. Interventions aimed at managing inappropriate clinical practices related to LVD were effective in the short term. Variability and controversy were pervasive in many aspects of vitamin D management, shining light on physician practices in the face of uncertainty. Future research is needed is needed to inform better clinical guidelines and to assess implementation practices that encourage evidence-based management of LVD in adult populations.

scholarly journals Nursing actions for liberty deprived people: a scoping review

2019 ◽  
Vol 23 (3) ◽  
Author(s):  
Mayara Lima Barbosa ◽  
Suzane Gomes de Medeiros ◽  
Flávia Barreto Tavares Chiavone ◽  
Lhana Lorena de Melo Atanásio ◽  
Gabriela Maria Cavalcanti Costa ◽  
...  
Keyword(s):  
Scoping Review ◽  
Search Strategy ◽  
Health Conditions ◽  
Clinical Practices ◽  
Nursing Team ◽  
Professional Class ◽  
Care Practices ◽  
Role Of Nursing ◽  
Final Selection

Abstract Objective: To identify and map the care practices carried out by the nursing team for the Liberty Deprived People. Method: Scoping review according to the JBI Institute Reviewer's Manual. In the initial search we used MESH: Nursing, Delivery of Health Care and Prisoners, to delimit the final search strategy, made up by a combination of twelve keywords, performed in scientific and gray databases, with no temporal limit. Information about publication year, country of origin, objective, aspects of the method, results and conclusions related to the scoping review, were extracted. Results: 59.310 texts were found, after reading the title and abstract, 55 were read in full and 15 articles composed the final selection. Among nursing actions there is preponderance of clinical practices, screening and qualified listening, which contribute to improving the health conditions of liberty deprived people and their families. Conclusions and implications for practice: The nursing actions carried out in prisons contribute to health for liberty deprived people. This paper elucidates the role of nursing in the penitentiaries, informing on the actions that this professional class performs, in order to highlight the gaps that are still perceived and contributing to the training of nurses for acting in the prison system health teams.

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