scholarly journals Women’s views and experiences of augmentation of labour with synthetic oxytocin infusion: a protocol for a qualitative evidence synthesis

2021 ◽  
Vol 4 ◽  
pp. 127
Author(s):  
Silvia Alòs-Pereñíguez ◽  
Deirdre O'Malley ◽  
Deirdre Daly
Keyword(s):  
Qualitative Data ◽  
Evidence Synthesis ◽  
Qualitative Evidence Synthesis ◽  
Care Providers ◽  
Policy And Practice ◽  
Assessment Development ◽  
Qualitative Evidence ◽  
Oxytocin Infusion ◽  
Synthetic Oxytocin ◽  
Women’S Views

Background: Augmentation of labour (AOL) is the most common intervention to treat labour dystocia. Previous research reported extensive disparities in AOL rates across countries and institutions.  Despite its widespread use, women’s views on and experiences of intrapartum augmentation with infused synthetic oxytocin are limited. Methods: A qualitative evidence synthesis on women’s views and experiences of AOL with synthetic oxytocin after spontaneous onset of labour will be conducted. Qualitative studies and studies employing a mixed methods design, where qualitative data can be extracted separately, will be included, as will surveys with open-ended questions that provide qualitative data. A systematic search will be performed of the databases: MEDLINE, CINAHL, EMBASE, PsycINFO, Maternity and Infant Care and Web of Science Core Collection from the date of inception. The methodological quality of included studies will be assessed using the Evidence for Policy and Practice Information and Co-ordinating Centre’s appraisal tool. A three-stage approach, coding of data from primary studies, development of descriptive themes and generation of analytical themes, will be used to synthesise findings. Confidence in findings will be established by the Grading of Recommendations Assessment, Development and Evaluation-Confidence in the Evidence from Reviews of Qualitative research. Discussion: This qualitative evidence synthesis may provide valuable information on women’s experiences of AOL and contribute to a review of clinical practice guidelines for maternity care providers. PROSPERO registration: CRD42021285252 (14/11/2021)

scholarly journals Early warning systems in maternity care: protocol for a qualitative evidence synthesis of maternity care providers’ views and experiences

2021 ◽  
Vol 4 ◽  
pp. 59
Author(s):  
Valerie Smith ◽  
Kumaresan Cithambaram ◽  
Deirdre O'Malley
Keyword(s):  
Early Warning ◽  
Maternity Care ◽  
Qualitative Data ◽  
Evidence Synthesis ◽  
Early Warning Systems ◽  
Successful Implementation ◽  
Qualitative Evidence Synthesis ◽  
Warning Systems ◽  
Care Providers ◽  
Qualitative Evidence

Background: Early warning systems (EWS) have been widely adopted for use in maternity settings internationally. The idea in using these systems is early recognition of potential or actual clinical deterioration in pregnant or postpartum women, and escalation of care. Barriers to successful implementation and use of EWS, however, have been identified. If EWS are to be applied consistently, a greater understanding of the views and experiences of EWS from the perspectives of those using and applying EWS in maternity practice is needed. This protocol describes a qualitative evidence synthesis of maternity care providers’ (midwives, obstetricians, and allied maternity care professionals) views and experiences of EWS use and application in practice. Methods: Studies will be included in the review if they report on maternity care providers use and application of EWS in any birth setting. Qualitative studies and studies of mixed methods design, where qualitative data can be extracted separately, will be included. To source relevant literature the electronic databases of MEDLINE, CINHAL, Web of Science Core Collection (incorporating Social Science Citation Index) and Maternity and Infant Care (MIDIRS), from date of inception, will be searched. The methodological quality of the included studies will be appraised using the 12-criteria of the assessment tool developed by the Evidence for Policy and Practice Information and Co-ordinating Centre. Thematic synthesis will be used for synthesising the qualitative data from included studies. The confidence in the findings will be assessed using the Grading of Recommendations Assessment, Development and Evaluation-Confidence in the Evidence from Reviews of Qualitative research. Conclusions: The findings of this qualitative evidence synthesis may provide valuable information on the barriers, challenges, and facilitators for EWS use based on the experiences of those directly involved in EWS application in maternity care provision. PROSPERO registration: CRD42021235137 (08/04/2021)

scholarly journals Maternity care during COVID-19: a protocol for a qualitative evidence synthesis of women’s and maternity care providers’ views and experiences.

2021 ◽  
Vol 4 ◽  
pp. 21
Author(s):  
Valerie Smith ◽  
Sarah-Jane Flaherty ◽  
Karen Matvienko-Sikar ◽  
Hannah Delaney
Keyword(s):  
Maternity Care ◽  
Assessment Tool ◽  
Evidence Synthesis ◽  
Relevant Literature ◽  
Qualitative Evidence Synthesis ◽  
Care Provision ◽  
Care Providers ◽  
Policy And Practice ◽  
Care Needs ◽  
Qualitative Evidence

Background: Considerable changes in maternity care provision internationally were implemented in response to COVID-19. Such changes, often occurring suddenly with little advance warning, have had the potential to affect women’s and maternity care providers experience of maternity care, both positively and negatively. For this reason, to gain insight and understanding of personal and professional experiences, we will perform a synthesis of the available qualitative evidence on women and maternity care providers’ views and experiences of maternity care during COVID-19. Methods and analysis: A qualitative evidence synthesis will be conducted. Studies will be eligible if they include pregnant or postpartum women (up to six months) and maternity care providers who received or provided care during COVID-19. To retrieve relevant literature the electronic databases of CINAHL, EMBASE, MEDLINE, PsycINFO, and the Cochrane COVID study register (https://covid-19.cochrane.org/) will be searched from 01-Jan-2020 to date of search. A combination of search terms based on COVID-19, pregnancy, childbirth and maternity care, and study design, will be used to guide the search.  The methodological quality of the included studies will be assessed by at least two reviewers using the Evidence for Policy and Practice Information (EPPI)-Centre 12-criteria quality assessment tool. The Thomas and Harden approach to thematic synthesis will be used for data synthesis. This will involve line by line coding of extracted data, establishing descriptive themes, and determining analytical themes. Confidence in the findings of the review will be assessed by two reviewers independently using Grading of Recommendations Assessment, Development and Evaluation-Confidence in the Evidence from Reviews of Qualitative research (GRADE-CERQual).   Conclusion: The proposed synthesis of evidence will help identify maternity care needs during a global pandemic from the perspectives of those receiving and providing care. The evidence will inform and help enhance care provision into the future.

scholarly journals Children and young people's experiences of living with developmental coordination disorder/dyspraxia: study protocol for a qualitative evidence synthesis

2021 ◽  
Vol 2 ◽  
pp. 28
Author(s):  
Áine O'Dea ◽  
Susan Coote ◽  
Katie Robinson
Keyword(s):  
Developmental Coordination Disorder ◽  
Research Policy ◽  
Evidence Synthesis ◽  
Complex Interventions ◽  
Future Research ◽  
Qualitative Evidence Synthesis ◽  
Policy And Practice ◽  
Everyday Activities ◽  
Qualitative Evidence ◽  
Coordination Disorder

Background Children with developmental coordination disorder (DCD) face significant challenges to deal with everyday activities due to underlying motor proficiency difficulties. These challenges affect children and young people’s participation; that is, involvement in daily life situations. Recent years have seen a growing body of qualitative research examining children’s experiences of living with DCD.  Meta-ethnographic synthesis offers a rigorous approach to bring together the findings of discrete qualitative studies to be synthesised in order to advance the conceptual understanding of living with DCD, which is not well conceptualised in the literature to date. Conducting a meta-ethnographic synthesis will help to illuminate the meaning of children and young people’s experiences of DCD regarding their involvement in everyday activities and situations. Aim This study aims to systematically review and synthesise qualitative literature regarding children and young people’s experiences and views of everyday life and living with DCD. Methods The method of qualitative evidence synthesis that will be followed in this review is a meta-ethnography. The eMERGe and PRISMA reporting guidelines will be adhered to. Ten databases will be searched; Academic Search Complete, AMED, CINAHL, ERIC, MEDLINE, PsychArticles, PsychInfo, EMBASE, SPORTDiscus, and Web of Science. The Joanna Briggs Institute Checklist will be used by two independent reviewers to appraise all included papers. PROSPERO registration number CRD42019129178 Discussion The findings of this meta-ethnography will endeavour to inform future research, policy and practice. In particular, the results will help to inform the design of future complex interventions to meet the needs of children and young people with DCD. Dissemination will involve the publication of the results in a peer-reviewed journal. Increasingly researchers and policymakers are calling for services to be informed by the perspective and voice of children with DCD. Therefore, a policy brief will be published so that the findings are widely available.

scholarly journals Formulating questions to explore complex interventions within qualitative evidence synthesis

2019 ◽  
Vol 4 (Suppl 1) ◽  
pp. e001107 ◽  
Author(s):  
Andrew Booth ◽  
Jane Noyes ◽  
Kate Flemming ◽  
Graham Moore ◽  
Özge Tunçalp ◽  
...  
Keyword(s):  
Qualitative Data ◽  
Guideline Development ◽  
Evidence Synthesis ◽  
Complex Interventions ◽  
Target Population ◽  
Rapid Review ◽  
Qualitative Evidence Synthesis ◽  
Stakeholder Perspectives ◽  
Qualitative Evidence ◽  
Who Guideline

When making decisions about complex interventions, guideline development groups need to factor in the sociocultural acceptability of an intervention, as well as contextual factors that impact on the feasibility of that intervention. Qualitative evidence synthesis offers one method of exploring these issues. This paper considers the extent to which current methods of question formulation are meeting this challenge. It builds on a rapid review of 38 different frameworks for formulating questions. To be useful, a question framework should recognise context (as setting, environment or context); acknowledge the criticality of different stakeholder perspectives (differentiated from the target population); accommodate elements of time/timing and place; be sensitive to qualitative data (eg, eliciting themes or findings). None of the identified frameworks satisfied all four of these criteria. An innovative question framework, PerSPEcTiF, is proposed and retrospectively applied to a published WHO guideline for a complex intervention. Further testing and evaluation of the PerSPEcTiF framework is required.

scholarly journals Children and young people's experiences of living with developmental coordination disorder/dyspraxia: study protocol for a qualitative evidence synthesis

2020 ◽  
Vol 2 ◽  
pp. 28
Author(s):  
Áine O'Dea ◽  
Susan Coote ◽  
Katie Robinson
Keyword(s):  
Developmental Coordination Disorder ◽  
Research Policy ◽  
Evidence Synthesis ◽  
Complex Interventions ◽  
Future Research ◽  
Qualitative Evidence Synthesis ◽  
Policy And Practice ◽  
Everyday Activities ◽  
Qualitative Evidence ◽  
Coordination Disorder

Background Children with developmental coordination disorder (DCD) face significant challenges to deal with everyday activities due to underlying motor proficiency difficulties. These challenges affect children and young people’s participation; that is, involvement in daily life situations. Recent years have seen a growing body of qualitative research examining children’s experiences of living with DCD.  Meta-ethnographic synthesis offers a rigorous approach to bring together the findings of discrete qualitative studies to be synthesised in order to advance the conceptual understanding of living with DCD, which is not well conceptualised in the literature to date. Conducting a meta-ethnographic synthesis will help to illuminate the meaning of children and young people’s experiences of DCD regarding their involvement in everyday activities and situations. Aim This study aims to systematically review and synthesise qualitative literature regarding children and young people’s experiences and views of everyday life and living with DCD. Methods The method of qualitative evidence synthesis that will be followed in this review is a meta-ethnography. The eMERGe and PRISMA reporting guidelines will be adhered to. Ten databases will be searched; Academic Search Complete, AMED, CINAHL, ERIC, MEDLINE, PsychArticles, PsychInfo, EMBASE, SPORTDiscus, and Web of Science. The Joanna Briggs Institute Checklist will be used by two independent reviewers to appraise all included papers. PROSPERO registration number CRD42019129178 Discussion The findings of this meta-ethnography will endeavour to inform future research, policy and practice. In particular, the results will help to inform the design of future complex interventions to meet the needs of children and young people with DCD. Dissemination will involve the publication of the results in a peer-reviewed journal. Increasingly researchers and policymakers are calling for services to be informed by the perspective and voice of children with DCD. Therefore, a policy brief will be published so that the findings are widely available.

scholarly journals Optimising the value of the critical appraisal skills programme (CASP) tool for quality appraisal in qualitative evidence synthesis

2020 ◽  
Vol 1 (1) ◽  
pp. 31-42
Author(s):  
Hannah A Long ◽  
David P French ◽  
Joanna M Brooks
Keyword(s):  
Critical Appraisal ◽  
Evidence Synthesis ◽  
Practical Experience ◽  
Qualitative Evidence Synthesis ◽  
Quality Appraisal ◽  
Policy And Practice ◽  
Qualitative Evidence ◽  
Novel Approach ◽  
Health Related ◽  
Critical Appraisal Skills

The value of qualitative evidence synthesis for informing healthcare policy and practice within evidence-based medicine is increasingly recognised. However, there is a lack of consensus regarding how to judge the methodological quality of qualitative studies being synthesised and debates around the extent to which such assessment is possible and appropriate. The Critical Appraisal Skills Programme (CASP) tool is the most commonly used tool for quality appraisal in health-related qualitative evidence syntheses, with endorsement from the Cochrane Qualitative and Implementation Methods Group. The tool is recommended for novice qualitative researchers, but there is little existing guidance on its application. This article considers issues related to the suitability and usability of the CASP tool for quality appraisal in qualitative evidence synthesis in order to support and improve future appraisal exercises framed by the tool. We reflect on our practical experience of using the tool in a systematic review and qualitative evidence synthesis. We discuss why it is worth considering a study’s underlying theoretical, ontological and epistemological framework and how this could be incorporated into the tool by way of a novel question. We consider how particular features of the tool may impact its interpretation, the appraisal results and the subsequent synthesis. We discuss how to use quality appraisal results to inform the next stages of evidence synthesis and present a novel approach to organising the synthesis, whereby studies deemed to be of higher quality contribute relatively more to the synthesis. We propose tool modifications, user guidance, and areas for future methodological research.

scholarly journals The experiences and perceptions of personhood for people living with dementia: A qualitative evidence synthesis protocol

2018 ◽  
Vol 1 ◽  
pp. 18 ◽  
Author(s):  
Niamh Hennelly ◽  
Adeline Cooney ◽  
Catherine Houghton ◽  
Eamon O'Shea
Keyword(s):  
Health Care Providers ◽  
Sense Of Self ◽  
Evidence Synthesis ◽  
Qualitative Evidence Synthesis ◽  
Care Providers ◽  
Policy Makers ◽  
Qualitative Evidence ◽  
Optimal Service ◽  
Abstract Screening ◽  
Full Text Screening

Background:Personhood in dementia is concerned with treating people living with dementia with dignity and respect, in a manner that supports their sense of self. It focuses on treating the person living with dementia as a person first and foremost. Supporting personhood in dementia is the key goal of person-centred care. Existing qualitative research examines what personhood means to the person living with dementia and explores what is important to their personhood and sense of self. However, to date little work has focused on synthesising these studies.Methods: This is a protocol for a qualitative evidence synthesis of personhood in dementia. The review examines qualitative peer-reviewed research of the perspectives and experiences of personhood for people living with dementia. A systematic search will be carried out on eight electronic databases and supplemented by other purposeful literature search methods. Title and abstract screening, and full text screening will be carried out by two authors independently. Included studies will be critically appraised. Thematic synthesis will be conducted on all of the included studies. Confidence in the review findings will be assessed using GRADE CERQual.Discussion:The findings from this synthesis will be useful to health care providers and policy makers seeking to understand what personhood means for people living with dementia. The findings will also inform optimal service provision, as well as outcome measures in dementia.PROSPERO registration:CRD42017076114(21/11/2017)

Patients' spirituality perspectives at the end of life: a qualitative evidence synthesis

2019 ◽  
pp. bmjspcare-2019-002016
Author(s):  
Barbara Clyne ◽  
Sinead M O’Neill ◽  
Daniel Nuzum ◽  
Michelle O'Neill ◽  
James Larkin ◽  
...  
Keyword(s):  
End Of Life ◽  
Spiritual Care ◽  
Evidence Synthesis ◽  
Spiritual Needs ◽  
Qualitative Evidence Synthesis ◽  
Care Needs ◽  
Assessment Development ◽  
Healthcare Settings ◽  
Qualitative Evidence ◽  
Applied Social Science

BackgroundUnderstanding patient perceptions of their spiritual needs when approaching the end of life is essential to support the delivery of patient-centred care.AimTo conduct a qualitative evidence synthesis on spirituality and spiritual care needs at the end of life in all healthcare settings from the patients’ perspective.DesignStudies were included where they were primary qualitative studies exploring spirituality in patients with a life expectancy of 12 months or less in any setting. Two reviewers independently screened titles, extracted data and conducted methodological quality appraisal. A thematic synthesis was conducted. Grading of Recommendations, Assessment, Development and Evaluation (GRADE) - Confidence in the Evidence from Reviews of Qualitative research (CERQual) was used to summarise the certainty of the evidence.Data sourcesSix databases (Medline, Embase, Cochrane, CINAHL, PsycINFO, Applied Social Science Index and Abstracts) were searched from inception up to January 2019.ResultsFifty papers (42 unique datasets), incorporating data from 710 patients were included. Studies recruited from a mix of inpatient, outpatient, hospice and community settings across 12 different countries. Three overarching themes were generated: the concept of spirituality, spiritual needs and distress, and spiritual care resources. Relationships were an intrinsic component of spirituality.ConclusionMeeting patients’ spiritual needs is an integral part of end-of-life care. This work emphasises that supporting relationships should be a central focus of spiritual care for patients at the end of life.PROSPERO registration numberCRD42019122062

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