scholarly journals Decision Making in Paediatric Care: an overview with reference to nursing care

2005 ◽  
Vol 12 (3) ◽  
pp. 223-238 ◽  
Author(s):  
Inger Hallström ◽  
Gunnel Elander
Keyword(s):  
Decision Making ◽  
Clinical Practice ◽  
Literature Review ◽  
Nursing Care ◽  
Best Interests ◽  
Future Research ◽  
Snowball Sampling ◽  
Paediatric Care

The purpose of this overview of published articles on decision making in paediatric care was to identify important aspects of its possible use in clinical practice and to obtain a base for future research. A literature review was undertaken utilizing snowball sampling to identify articles because of the diversity present within the area of decision making in paediatric care. The databases PubMed and CINAHL were used. The search was limited to articles published in English during the period 1994-2004. The analysis entailed a series of comparisons across articles, focusing on major areas of enquiry and patterns of results. Various levels of decision making are described because these seem to form a basis for how decisions are made. Concepts found to be of importance for decision making are described under the following headings: competence, the child’s best interests, knowledge, values and attitudes, roles and partnership, power, and economy. Further research is suggested.

scholarly journals A Systematic Literature Review of Multi-Criteria Decision-Making Methods for Sustainable Selection of Insulation Materials in Buildings

2021 ◽  
Vol 13 (2) ◽  
pp. 737
Author(s):  
Indre Siksnelyte-Butkiene ◽  
Dalia Streimikiene ◽  
Tomas Balezentis ◽  
Virgilijus Skulskis
Keyword(s):  
Decision Making ◽  
Literature Review ◽  
Systematic Literature Review ◽  
Energy Demand ◽  
Energy Performance ◽  
Future Research ◽  
Multi Criteria Decision Making ◽  
Insulation Materials ◽  
Advantages And Disadvantages ◽  
Selection Of

The European Commission has recently adopted the Renovation Wave Strategy, aiming at the improvement of the energy performance of buildings. The strategy aims to at least double renovation rates in the next ten years and make sure that renovations lead to higher energy and resource efficiency. The choice of appropriate thermal insulation materials is one of the simplest and, at the same time, the most popular strategies that effectively reduce the energy demand of buildings. Today, the spectrum of insulation materials is quite wide, and each material has its own specific characteristics. It is recognized that the selection of materials is one of the most challenging and difficult steps of a building project. This paper aims to give an in-depth view of existing multi-criteria decision-making (MCDM) applications for the selection of insulation materials and to provide major insights in order to simplify the process of methods and criteria selection for future research. A systematic literature review is performed based on the Search, Appraisal, Synthesis and Analysis (SALSA) framework and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement. In order to determine which MCDM method is the most appropriate for different questions, the main advantages and disadvantages of different methods are provided.

scholarly journals Surveying Human Habit Modeling and Mining Techniques in Smart Spaces

2019 ◽  
Vol 11 (1) ◽  
pp. 23 ◽  
Author(s):  
Francesco Leotta ◽  
Massimo Mecella ◽  
Daniele Sora ◽  
Tiziana Catarci
Keyword(s):  
Decision Making ◽  
Internet Of Things ◽  
Literature Review ◽  
Visual Analysis ◽  
Future Research ◽  
Specific Method ◽  
Human Intervention ◽  
Smart Space ◽  
Smart Spaces ◽  
Research Questions

A smart space is an environment, mainly equipped with Internet-of-Things (IoT) technologies, able to provide services to humans, helping them to perform daily tasks by monitoring the space and autonomously executing actions, giving suggestions and sending alarms. Approaches suggested in the literature may differ in terms of required facilities, possible applications, amount of human intervention required, ability to support multiple users at the same time adapting to changing needs. In this paper, we propose a Systematic Literature Review (SLR) that classifies most influential approaches in the area of smart spaces according to a set of dimensions identified by answering a set of research questions. These dimensions allow to choose a specific method or approach according to available sensors, amount of labeled data, need for visual analysis, requirements in terms of enactment and decision-making on the environment. Additionally, the paper identifies a set of challenges to be addressed by future research in the field.

Behavioural biases in investment decision making – a systematic literature review

2015 ◽  
Vol 7 (1) ◽  
pp. 88-108 ◽  
Author(s):  
Satish Kumar ◽  
Nisha Goyal
Keyword(s):  
Decision Making ◽  
Literature Review ◽  
Empirical Research ◽  
Systematic Literature Review ◽  
Investment Decision ◽  
Future Research ◽  
Behavioural Finance ◽  
Content Type ◽  
Investment Decision Making ◽  
The Impact

Purpose – The purpose of this paper is to systematically review the literature published in past 33 years on behavioural biases in investment decision-making. The paper highlights the major gaps in the existing studies on behavioural biases. It also aims to raise specific questions for future research. Design/methodology/approach – We employ systematic literature review (SLR) method in the present study. The prominence of research is assessed by studying the year of publication, journal of publication, country of study, types of statistical method, citation analysis and content analysis on the literature on behavioural biases. The present study is based on 117 selected articles published in peer- review journals between 1980 and 2013. Findings – Much of the existing literature on behavioural biases indicates the limited research in emerging economies in this area, the dominance of secondary data-based empirical research, the lack of empirical research on individuals who exhibit herd behaviour, the focus on equity in home bias, and indecisive empirical findings on herding bias. Research limitations/implications – This study focuses on individuals’ behavioural biases in investment decision-making. Our aim is to analyse the impact of cognitive biases on trading behaviour, volatility, market returns and portfolio selection. Originality/value – The paper covers a considerable period of time (1980-2013). To the best of authors’ knowledge, this study is the first using systematic literature review method in the area of behavioural finance and also the first to examine a combination of four different biases involved in investment decision-making. This paper will be useful to researchers, academicians and those working in the area of behavioural finance in understanding the impact of behavioural biases on investment decision-making.

scholarly journals Obstetric Nursing: An Integrative Review

10.3823/2456 ◽  
2017 ◽  
Vol 10 ◽  
Author(s):  
Sidney Medeiros de Oliveira ◽  
Marianna Leite Barroso ◽  
Vânia Barbosa do Nascimento ◽  
Gislene Farias de Oliveira
Keyword(s):  
Clinical Practice ◽  
Literature Review ◽  
Research Method ◽  
Scientific Literature ◽  
Critical Assessment ◽  
Integrative Review ◽  
Future Research ◽  
Evidence Based ◽  
The Subject ◽  
Nursing Health

Evidence-based research, tend to encourage the development and / or use of the results found, in the clinical practice. The amount and complexity of information in health, requires the production of literature review methods, such as integrative review, which provide a support in the form of synthesis. The aim of this study was to analyze the scientific literature available on midwifery in SciELO database from 2010 to 2015. It presents general concepts and stages of development of the integrative review, as well as relevant aspects of the applicability of this method for research in nursing and health in general. The integrative review is a research method that allows a systematic search, critical assessment and the promotion of a synthesis of the available evidence on the subject investigated.The publications reviewed here, have shown how it is relevant to clinical practice, the participation of nursing in all stages of the gestational cycle, including childbirth and the postpartum period. Also provided to identify gaps that that will direct the development of future research, such as those relating to liability issues of the nursing area hardly contemplated in studies of care in obstetrics.  Keywords: Research. obstetric nursing. Health.

scholarly journals Delivering patient choice in clinical practice: a conversation analytic study of communication practices used in neurology clinics to involve patients in decision-making

2015 ◽  
Vol 3 (7) ◽  
pp. 1-170 ◽  
Author(s):  
Markus Reuber ◽  
Merran Toerien ◽  
Rebecca Shaw ◽  
Roderick Duncan
Keyword(s):  
Decision Making ◽  
Clinical Practice ◽  
Research Programme ◽  
Patient Choice ◽  
Legal Rights ◽  
Future Research ◽  
Important Lesson ◽  
Data Set ◽  
Option Listing ◽  
Communication Practices

BackgroundThe NHS is committed to offering patients more choice. Yet even within the NHS, the meaning of patient choice ranges from legal ‘rights to choose’ to the ambition of establishing clinical practice as a ‘partnership’ between doctor and patient. In the absence of detailed guidance, we focused on preciselyhowto engage patients in decision-making.ObjectivesTo contribute to the evidence-base about whether or not, and how, patient choice is implemented to identify the most effective communication practices for facilitating patient choice.DesignWe used conversation analysis to examine practices whereby neurologists offer choice. The main data set consists of audio- and video-recorded consultations. Patients completed pre- and post-consultation questionnaires and neurologists completed the latter.Setting and participantsThe study was conducted in neurology outpatient clinics in Glasgow and Sheffield. Fourteen neurologists, 223 patients and 120 accompanying others took part.ResultsPatients and clinicians agreed that choice had featured in 53.6% of consultations and that choice was absent in 14.3%. After 32.1% of consultations,eitherpatientorneurologist thought choice was offered. The presence or absence of choice was not satisfactorily explained by quantitatively explored clinical or demographic variables. For our qualitative analysis, the corpus was divided into four subsets: (1) patient and clinician agree that choice was present; (2) patient and clinician agree that choice was absent; (3) patient ‘yes’, clinician ‘no’; and (4) patient ‘no’, clinician ‘yes’. Comparison of all subsets showed that ‘option-listing’ was the only practice for offering choice that was presentonly(with one exception, which, as we show, proves the rule) in those consultations for which participantsagreed there was a choice. We show how option-listing can be used to engage patients in decision-making, but also how very small changes in the machinery of option-listing [for instance the replacement or displacement of the final component of this practice, the patient view elicitor (PVE)] can significantly alter the slot for patient participation. In fact, a slightly modified form of option-listing can be used to curtail choice. Finally, we describe two forms of PVE that can be used to hand a single-option decision to the patient, but which, we show, can raise difficulties for patient choice.ConclusionsChoice features in the majority of recorded consultations. If doctors want to ensure a patient knows she or he has a choice, option-listing is likely to be best understood by patients as an invitation to choose. However, an important lesson from this study is that simply asking doctors to adopt a practice (like option-listing) will not automatically lead to a patient-centred approach. Our study shows that preciselyhowa practice is implemented is crucial.Future researchFuture research should investigate (1) links between the practices identified here and relevant outcome measures (like adherence); (2) whether being given a choice is better or worse for patients than receiving a doctor’s recommendation, taking account of clinical and demographic factors; and (3) how our approach could be fruitfully applied in other settings.FundingThe National Institute for Health Research Health Services and Delivery Research programme.

scholarly journals Adoption of the concept of person-centred care into discourse in Europe: a systematic literature review

2021 ◽  
Vol 35 (9) ◽  
pp. 265-280 ◽  
Author(s):  
Kristina Rosengren ◽  
Petra Brannefors ◽  
Eric Carlstrom
Keyword(s):  
Decision Making ◽  
Clinical Practice ◽  
Literature Review ◽  
Systematic Approach ◽  
Grey Literature ◽  
Quality Of Healthcare ◽  
Healthcare Systems ◽  
Evidence Based ◽  
Content Type ◽  
Healthcare Settings

PurposeThis study aims to describe how person-centred care, as a concept, has been adopted into discourse in 23 European countries in relation to their healthcare systems (Beveridge, Bismarck, out of pocket).Design/methodology/approachA literature review inspired by the SPICE model, using both scientific studies (CINHAL, Medline, Scopus) and grey literature (Google), was conducted. A total of 1,194 documents from CINHAL (n = 139), Medline (n = 245), Scopus (n = 493) and Google (n = 317) were analysed for content and scope of person-centred care in each country. Countries were grouped based on healthcare systems.FindingsResults from descriptive statistics (percentage, range) revealed that person-centred care was most common in the United Kingdom (n = 481, 40.3%), Sweden (n = 231, 19.3%), the Netherlands (n = 80, 6.7%), Northern Ireland (n = 79, 6.6%) and Norway (n = 61, 5.1%) compared with Poland (0.6%), Hungary (0.5%), Greece (0.4%), Latvia (0.4%) and Serbia (0%). Based on healthcare systems, seven out of ten countries with the Beveridge model used person-centred care backed by scientific literature (n = 999), as opposed to the Bismarck model, which was mostly supported by grey literature (n = 190).Practical implicationsAdoption of the concept of person-centred care into discourse requires a systematic approach at the national (politicians), regional (guidelines) and local (specific healthcare settings) levels visualised by decision-making to establish a well-integrated phenomenon in Europe.Social implicationsEvidence-based knowledge as well as national regulations regarding person-centred care are important tools to motivate the adoption of person-centred care in clinical practice. This could be expressed by decision-making at the macro (law, mission) level, which guides the meso (policies) and micro (routines) levels to adopt the scope and content of person-centred care in clinical practice. However, healthcare systems (Beveridge, Bismarck and out-of-pocket) have different structures and missions owing to ethical approaches. The quality of healthcare supported by evidence-based knowledge enables the establishment of a well-integrated phenomenon in European healthcare.Originality/valueOur findings clarify those countries using the Beveridge healthcare model rank higher on accepting/adopting the concept of person-centered care in discourse. To adopt the concept of person-centred care in discourse requires a systematic approach at all levels in the organisation—from the national (politicians) and regional (guideline) to the local (specific healthcare settings) levels of healthcare.

scholarly journals The judgment grounds in surrogate decision-making in Japanese clinical practice: A qualitative survey

2020 ◽  
Author(s):  
Masashi Tanaka ◽  
Kayoko Ohnishi ◽  
Aya Enzo ◽  
Taketoshi Okita ◽  
Atsushi Asai
Keyword(s):  
Decision Making ◽  
Clinical Practice ◽  
Best Interests ◽  
Current Status ◽  
Surrogate Decision Making ◽  
Inclusion Criteria ◽  
Surrogate Decision ◽  
Factor Type ◽  
Family Preference ◽  
Made In

Abstract Background Surrogate decision-making is expected to become more prevalent in Japanese clinical practice. In recent years, activities to promote advanced care planning (ACP) have gathered momentum, which may potentially affect the ways in which judgments are made in surrogate decision-making. The purpose of this study is to clarify the current judgment grounds on which surrogate decisions are made in Japan. Methods We adopted a qualitative research method that was based on semi-structured interviews to reveal the judgment grounds in surrogate decision-making involving critical, life-sustaining treatment choices in acute hospitals.  Results We received a list of 228 participants who met the inclusion criteria. Of these, we interviewed 15 participants. We analyzed the content of the 14 transcribed texts, eliminating one text that did not meet the inclusion criteria. We extracted a total of four core categories, 17 categories, 35 subcategories, and 55 codes for qualitative analysis of interviews regarding the judgement grounds in surrogate decision-making. The four core categories are as follows: Type 1 "Patient preference-oriented factor," Type 2 "Patient interest-oriented factor," Type 3 "Family preference-oriented factor," and Type 4 "Balanced patient/family preference-oriented factor." Type 4 was the reasoning related to an attempt to balance preferences of the patient and those of the surrogate decision-maker.  Conclusions This study revealed the current status of surrogate decision-making about important matters related to a patient’s life in Japan. Surrogate decision-makers base their decisions not only on the preferences and best interests of the patient, but on their own preferences as well. In the future, we believe that surrogate decisions-makers will be required to consider the judgment grounds from a more diverse perspective and that such attitudes should be ethically accepted. 

Application of Multi-Criteria Decision-Making Methods in Sustainable Manufacturing Management: A Systematic Literature Review and Analysis of the Prospects

2021 ◽  
pp. 1-23
Author(s):  
Renata Pelissari ◽  
Sharfuddin Ahmed Khan ◽  
Sarah Ben-Amor
Keyword(s):  
Decision Making ◽  
Literature Review ◽  
Systematic Literature Review ◽  
Uncertain Data ◽  
Sustainable Manufacturing ◽  
Future Research ◽  
Decision Making Process ◽  
Multi Attribute Decision Making ◽  
Social Environmental ◽  
Cost Of Materials

Due to increasing environmental regulation and customers’ demand for environmentally friendly products, organizations have been required to adopt sustainable manufacturing practices by implementing clean technology (Cleantec) to manufacture green products. By adopting environmental practices, organizations can also achieve qualitative and quantitative benefits that help them remain competitive in the market while meeting governmental environmental policies, such as lowering energy and the cost of materials. The significant number of articles addressing sustainability in manufacturing published in the past few years attests to the importance of the topic. However, not many studies have been developed to understand the decision-making process in sustainable manufacturing. Therefore, the objective of this paper is to conduct a systematic literature review on the application of multi-attribute decision-making (MADM) methods in sustainable manufacturing. A total of 158 papers, published between 2009 and 2018, met the criteria set in the research methodology. The 158 papers were then analyzed and classified into seven categories: (i) SM domain, (ii) activity within the organization, (iii) decision goals, (iv) decision-makers involved (group or individual), (v) uncertain data, (vi) SM aspects (social, environmental, and economic), and (vii) MADM methods. Among the results, we identified that AHP is the most applied MADM method and, regarding the activities of the organization, MADM methods have been the most frequently applied to strategy management and supply chain. We also identified a tendency to consider uncertain and imprecise data in the decision-making process. Another result is that all the three domains — economic, environmental and social — were considered in most of the papers, followed by the combination of the economic and environmental perspectives. In the conclusion, some recent trends and future research directions are highlighted.

A literature review exploring the efficacy of case formulations in clinical practice. What are the themes and pertinent issues?

2009 ◽  
Vol 2 (2) ◽  
pp. 63-74 ◽  
Author(s):  
Robert Aston
Keyword(s):  
Decision Making ◽  
Clinical Practice ◽  
Literature Review ◽  
Clinical Outcome ◽  
Therapy Recommendations ◽  
Cognitive Behavioural

AbstractThere is a paucity of research exploring the validity, reliability and impact on clinical outcome of Cognitive Behavioural Psychotherapy (CBP) case formulations. This review considers a variety of literature that relates to formulations and their use, it also draws on other types of psychotherapy where there appears to be a more established and robust research base. The literature review explores the research that has taken place within CBP and considers the themes that emerge from this research. Several themes were identified and these relate to decision-making and experience, specific guidelines to aid quality of formulations and a significant lack of understanding of clients' views on the formulation process and its outcome. It is unclear whether formulations do influence the successfulness of therapy. Recommendations are made as to what further research is needed and the form this should take.

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