scholarly journals Use of telehealth in the provision of after-hours palliative care services in rural and remote Australia: A scoping review protocol

PLoS ONE ◽  
2022 ◽  
Vol 17 (1) ◽  
pp. e0261962
Author(s):  
Pathmavathy Namasivayam ◽  
Dung T. Bui ◽  
Christine Low ◽  
Tony Barnett ◽  
Heather Bridgman ◽  
...  
Keyword(s):  
Palliative Care ◽  
Systematic Reviews ◽  
Scoping Review ◽  
Grey Literature ◽  
Rural And Remote ◽  
Remote Communities ◽  
Care Services ◽  
Scoping Reviews ◽  
Palliative Care Services ◽  
After Hours

Introduction After-hours services are essential in ensuring patients with life limiting illness and their caregivers are supported to enable continuity of care. Telehealth is a valuable approach to meeting after-hours support needs of people living with life-limiting illness, their families, and caregivers in rural and remote communities. It is important to explore the provision of after-hours palliative care services using telehealth to understand the reach of these services in rural and remote Australia. A preliminary search of databases failed to reveal any scoping or systematic reviews of telehealth in after-hours palliative care services in rural or remote Australia. Aim To review and map the available evidence about the use of telehealth in providing after-hours palliative care services in Australian rural and remote communities. Methods The proposed scoping review will be conducted using the Arksey and O’Malley methodological framework and in accordance with the Joanna Briggs Institute methodology for scoping reviews. The reporting of the scoping review will be guided by the Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR). This review will consider research and evaluation of after-hours services using telehealth for palliative care stakeholders in rural and remote Australia. Peer reviewed studies and grey literature published in English from 2000 to May 2021 will be included. Scopus, Web of Science, CINAHL Complete, Embase via Ovid, PsycINFO via Ovid, Emcare via Ovid, Medline via Ovid, and grey literature will be searched for relevant articles. Titles and abstracts will be screened by two independent reviewers for assessment against the inclusion criteria. Data will be extracted and analysed by two reviewers using an adapted data extraction tool and thematic analysis techniques. Diagrams, tables, and summary narratives will be used to map, summarise and thematically group the characteristics of palliative care telehealth services in rural and remote Australia, including stakeholders’ perceptions and benefits and challenges of the services.

Biologics in professional and Olympic sport: a scoping review

2021 ◽  
Vol 103-B (7) ◽  
pp. 1189-1196
Author(s):  
Iain R. Murray ◽  
Navnit S. Makaram ◽  
Scott A. Rodeo ◽  
Marc R. Safran ◽  
Seth L. Sherman ◽  
...  
Keyword(s):  
Systematic Reviews ◽  
Scoping Review ◽  
Grey Literature ◽  
Musculoskeletal Injuries ◽  
American Football ◽  
Biologic Therapies ◽  
Olympic Athletes ◽  
Hamstring Injuries ◽  
Consensus Statements ◽  
Scoping Reviews

Aims The aim of this study was to prepare a scoping review to investigate the use of biologic therapies in the treatment of musculoskeletal injuries in professional and Olympic athletes. Methods Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) extension for scoping reviews and Arksey and O’Malley frameworks were followed. A three-step search strategy identified relevant published primary and secondary studies, as well as grey literature. The identified studies were screened with criteria for inclusion comprising clinical studies evaluating the use of biologic therapies in professional and Olympic athletes, systematic reviews, consensus statements, and conference proceedings. Data were extracted using a standardized tool to form a descriptive analysis and a thematic summary. Results A total of 202 studies were initially identified, and 35 met criteria for the scoping review; 33 (94.3%) were published within the last eight years, and 18 (51.4%) originated from the USA. Platelet rich plasma was the most studied biologic therapy, being evaluated in 33 (94.3%) studies. Ulnar collateral ligament and hamstring injuries were the conditions most studied (nine (25.7%) studies and seven (20.0%) studies, respectively). Athletes most frequently participated in baseball, soccer, and American football. Only two (5.7%) studies were level 1 evidence, with interpretation and comparison between studies limited by the variations in the injury profile, biologic preparations, and rehabilitation protocols. Conclusion There is diverse use of biologic therapies in the management of musculoskeletal injuries in professional and Olympic athletes. There is currently insufficient high-level evidence to support the widespread use of biologic therapies in athletes. Further research priorities include the development of condition/pathology-specific preparations of biologic therapies, and of outcome measures and imaging modalities sufficiently sensitive to detect differences in outcomes, should they exist. Cite this article: Bone Joint J 2021;103-B(7):1189–1196.

scholarly journals Alcohol use and alcohol-related harm in rural and remote communities: protocol for a scoping review

BMJ Open ◽  
2020 ◽  
Vol 10 (8) ◽  
pp. e036753
Author(s):  
Erik Loewen Friesen ◽  
Paul Kurdyak
Keyword(s):  
Public Health ◽  
Alcohol Use ◽  
Scoping Review ◽  
Emergency Department Visits ◽  
Health Concern ◽  
Rural And Remote ◽  
Remote Communities ◽  
Scoping Reviews ◽  
Alcohol Related Harm ◽  
Related Harm

IntroductionAlcohol-related harm is a major public health concern and appears to be particularly problematic in rural and remote communities. Evidence from several countries has shown that the prevalence of harmful alcohol use and alcohol-attributable hospitalisations and emergency department visits are higher in rural and remote communities than in urban centres. The extents of this rural–urban disparity in alcohol-related harm as well as the factors that mediate it are poorly understood. The objective of this scoping review is to synthesise the international research on the factors that influence the prevalence or risk of alcohol-related harm in rural and remote communities. This will help to clarify the conceptual landscape of rural and remote alcohol research and identify the gaps in knowledge that need to be addressed.Methods and analysisThis scoping review will access published literature through search strategies developed for Medline, PsycINFO, Embase, CINAHL and Sociological Abstracts. There will be no date, country or language restrictions placed on the search. Title and abstract, followed by full-text screening, will be conducted by two independent reviewers to evaluate all identified articles against a set of prespecified inclusion and exclusion criteria. Data from selected articles will be extracted and compiled into a final manuscript that adheres to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews checklist guidelines.Ethics and disseminationThe results of this review will be helpful in guiding future research on rural and remote alcohol use and alcohol-related harm, which will inform more effective, evidence-based public health strategies to reduce alcohol-related harm in rural and remote communities. The results will be disseminated via field-specific conference presentations and peer-reviewed publication.

scholarly journals Perioperative management for people with chronic kidney disease receiving dialysis undergoing major surgery: a protocol for a scoping review

BMJ Open ◽  
2020 ◽  
Vol 10 (9) ◽  
pp. e038725
Author(s):  
Tyrone G Harrison ◽  
Brenda R Hemmelgarn ◽  
Janine F Farragher ◽  
Connor O'Rielly ◽  
Maoliosa Donald ◽  
...  
Keyword(s):  
Chronic Kidney Disease ◽  
Kidney Disease ◽  
Systematic Reviews ◽  
Scoping Review ◽  
Perioperative Management ◽  
Evidence Synthesis ◽  
Grey Literature ◽  
Major Surgery ◽  
Increased Risk ◽  
Scoping Reviews

IntroductionPeople with chronic kidney disease receiving dialysis (CKD G5D) have an increased risk of poor postoperative outcomes and a high incidence of major surgery. Despite the high burden of these combined risks, there is a paucity of evidence to support tailored perioperative strategies to manage this population. A comprehensive evidence synthesis would inform the management of these patients in the perioperative period and identify knowledge gaps. We describe a protocol for a scoping review of the literature to identify existing perioperative strategies, protocols, pathways and interventions for people with CKD G5D undergoing major surgery.Methods and analysisWe will conduct a scoping review in accordance with the Joanna Briggs Institute methodology and report per the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for scoping reviews. In February 2020, we will complete our search of MEDLINE, EMBASE, CINAHL Plus, Cochrane Database of Systematic Reviews, and Cochrane Controlled Trials Registry for published literature from inception to present. All study types are eligible for inclusion, without language restriction. Studies reporting a perioperative intervention in adult patients with CKD G5D are eligible for inclusion. Studies in prevalent kidney transplant patients or patients with acute kidney injury, and studies that report on surgical approaches without consideration of perioperative management strategies, will be excluded. Reviewers will independently assess abstracts for all identified studies in duplicate, and again at the full-text stage. Following published literature searches, a search of the grey literature will be developed. We will extract and narratively report study, participant and intervention details. This will include a summary table outlining the strategies employed, organised into post hoc developed perioperative domains.Ethics and disseminationEthical considerations do not apply to this scoping review. Findings will be disseminated through relevant conference presentations and publications.

scholarly journals Implementation of health-focused interventions in vulnerable populations: protocol for a scoping review

BMJ Open ◽  
2020 ◽  
Vol 10 (7) ◽  
pp. e036937
Author(s):  
Amanda M Midboe ◽  
Caroline Gray ◽  
Hannah Cheng ◽  
Leonore Okwara ◽  
Randall C Gale
Keyword(s):  
Social Services ◽  
Vulnerable Populations ◽  
Systematic Reviews ◽  
Scoping Review ◽  
English Language ◽  
Grey Literature ◽  
Large Body ◽  
Care Continuum ◽  
Scoping Reviews ◽  
Meta Analyses

IntroductionVulnerable populations face significant challenges in navigating the care continuum, ranging from diagnosis of illness to linkage and retention in healthcare. Understanding how best to move individuals within these vulnerable populations across the care continuum is critical to improving their health. A large body of literature has focused on evaluation of implementation of various health-focused interventions in this population. However, we do not fully understand the unique challenges to implementing healthcare interventions for vulnerable populations. This study aims to examine the literature describing implementation of health service interventions among vulnerable populations to identify how implementations using the Consolidated Framework for Implementation Research are adapted. Findings from this review will be useful to implementation scientists to identify gaps in evidence and for adapting similar interventions in unique settings.Methods and analysisThis study protocol outlines a scoping review of the peer-reviewed and grey literature, using established approaches delineated in Arksey and O'Malley’s scoping review framework and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews Checklist. Search strategies will be developed and refined by a medical librarian in collaboration with the research team. Searches will be conducted in electronic databases (CINAHL, Cochrane, PsychINFO, PubMed, Social Services Abstracts, Web of Science, Google and Google Scholar) and limited to studies published between 1 August 2009 and 1 June 2020. Additionally, hand searches will be conducted in three relevant journals—Implementation Science, Systematic Reviews and BMJ Open. English-language studies and reports meeting inclusion criteria will be screened independently by two reviewers and the final list will be abstracted and charted in duplicate.Ethics and disseminationThis is a review of the literature; ethics approval is not indicated. We will disseminate findings from this study in peer-reviewed journals as well as presentations to relevant stakeholders and conferences.

scholarly journals Maternal and newbornnewborn outcomes of antenatal breastmilk expression: a scoping review protocol

BMJ Open ◽  
2020 ◽  
Vol 10 (5) ◽  
pp. e033101
Author(s):  
Imane Foudil-Bey ◽  
Malia SQ Murphy ◽  
Erin J Keely ◽  
Darine El-Chaâr
Keyword(s):  
Systematic Reviews ◽  
Scoping Review ◽  
Research Question ◽  
Grey Literature ◽  
Open Science ◽  
British Library ◽  
Breastfeeding Initiation ◽  
Infant Outcomes ◽  
Scoping Reviews ◽  
Maternal And Infant Outcomes

IntroductionMothers with diabetes face unique challenges associated with breastfeeding initiation and maintenance. Antenatal breastmilk expression (BME) may be suggested to mothers, including mothers with diabetes, to improve breastfeeding, maternal, and infant outcomes postpartum. However, there have been few evaluations of the potential harms and benefits of this practice. The objective of our scoping review will be to broadly examine the literature describing maternal and infant outcomes of antenatal BME.Methods and analysisThis scoping review will address the research question: ‘Among women who engaged in antenatal BME, what maternal and infant outcomes have been evaluated?’ A search of published and unpublished studies available in English will be conducted in February 2020 using the following databases: Medline (OVID), Embase (OVID), CINAHL (EBSCOHost), and Cochrane Database of Systematic Reviews (OVID). A search of the British Library E-Theses Online Services (EThOS) database and OpenGrey will be conducted to identify relevant grey literature. This scoping review will use a five-step framework to guide the selection, extraction, and analysis of eligible studies. Clinical consultation will be included as a sixth step to our methodology. Literature reporting on the effect of antenatal BME on maternal and infant outcomes, breastfeeding initiation and duration, and the experiences of women who have engaged in the practice will be considered. The data will be summarised with attention paid to high-risk obstetrical populations such as women with diabetes. Our results will be reported as outlined by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews.Ethics and disseminationResearch ethics board approval will not be required due to the nature of the study’s methodology. The results of this review will be disseminated through peer-reviewed publication and presentation at relevant conferences.Trail registration numberOpen Science Framework (osf.io/gfp2q).

scholarly journals Palliative care for people who use substances during communicable disease epidemics and pandemics: a scoping review protocol

BMJ Open ◽  
2021 ◽  
Vol 11 (10) ◽  
pp. e053124
Author(s):  
Daniel Z Buchman ◽  
Philip Ding ◽  
Samantha Lo ◽  
Naheed Dosani ◽  
Rouhi Fazelzad ◽  
...  
Keyword(s):  
Palliative Care ◽  
Scoping Review ◽  
Literature Search ◽  
Communicable Disease ◽  
Scientific Journal ◽  
Grey Literature ◽  
Care Access ◽  
Scoping Reviews ◽  
Disease Epidemics ◽  
The Impact

IntroductionCommunicable disease epidemics and pandemics magnify the health inequities experienced by marginalised populations. People who use substances suffer from high rates of morbidity and mortality and should be a priority to receive palliative care, yet they encounter many barriers to palliative care access. Given the pre-existing inequities to palliative care access for people with life-limiting illnesses who use substances, it is important to understand the impact of communicable disease epidemics and pandemics such as COVID-19 on this population.Methods and analysisWe will conduct a scoping review and report according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews reporting guidelines. We conducted a comprehensive literature search in seven bibliographical databases from the inception of each database to August 2020. We also performed a grey literature search to identify the publications not indexed in the bibliographical databases. All the searches will be rerun in April 2021 to retrieve recently published information because the COVID-19 pandemic is ongoing at the time of this writing. We will extract the quantitative data using a standardised data extraction form and summarise it using descriptive statistics. Additionally, we will conduct thematic qualitative analyses and present our findings as narrative summaries.Ethics and disseminationEthics approval is not required for a scoping review. We will disseminate our findings to healthcare providers and policymakers through professional networks, digital communications through social media platforms, conference presentations and publication in a scientific journal.

scholarly journals Insights from the Northern Territory on factors that facilitate effective palliative care for Aboriginal peoples

2009 ◽  
Vol 33 (4) ◽  
pp. 636 ◽  
Author(s):  
Emma L Phillips ◽  
Pam D McGrath
Keyword(s):  
Palliative Care ◽  
Health Care Providers ◽  
Health Professionals ◽  
Traditional Healers ◽  
Cultural Safety ◽  
Aboriginal Peoples ◽  
Care Providers ◽  
Remote Communities ◽  
Care Services ◽  
Palliative Care Services

This article aims to assist remote communities to develop their own palliative care services by providing findings on successful strategies identified through a 2-year research project which developed an innovative model for Indigenous palliative care. The discussion is set in the context of an understanding of the notion of cultural safety and discusses the positive experiences of the benefits of palliative care from the perspectives of both consumers and health professionals. The findings show that successful outcomes are derived from generic factors associated with palliative care philosophy and practice and from more specific factors, including the provision of pragmatic support to overcome practical problems, and community visits by health professionals. Factors specific to cultural respect are important, including familiarity and continuity of health care providers, cultural respect for grieving practices, provision of comfort food and bush tucker, development of culturally appropriate built environments, use of traditional healers and respect for spiritual practices.

Non-specialist palliative care: A principle-based concept analysis

2019 ◽  
Vol 33 (6) ◽  
pp. 634-649 ◽  
Author(s):  
Mary Nevin ◽  
Valerie Smith ◽  
Geralyn Hynes
Keyword(s):  
Palliative Care ◽  
Clinical Care ◽  
Grey Literature ◽  
Concept Analysis ◽  
Cochrane Library ◽  
Specialist Palliative Care ◽  
Care Services ◽  
Palliative Care Services ◽  
The Cochrane Library ◽  
Care Capacity

Background: Building palliative care capacity among all healthcare practitioners caring for patients with chronic illnesses, who do not work in specialist palliative care services (non-specialist palliative care), is fundamental in providing more responsive and sustainable palliative care. Varying terminology such as ‘generalist’, ‘basic’ and ‘a palliative approach’ are used to describe this care but do not necessarily mean the same thing. Internationally, there are also variations between levels of palliative care which means that non-specialist palliative care may be applied inconsistently in practice because of this. Thus, a systematic exploration of the concept of non-specialist palliative care is warranted. Aim: To advance conceptual, theoretical and operational understandings of and clarity around the concept of non-specialist palliative care. Design: The principle-based method of concept analysis, from the perspective of four overarching principles, such as epistemological, pragmatic, logical and linguistic, were used to analyse non-specialist palliative care. Data sources: The databases of CINAHL, PubMed, PsycINFO, The Cochrane Library and Embase were searched. Additional searches of grey literature databases, key text books, national palliative care policies and websites of chronic illness and palliative care organisations were also undertaken. Conclusion: Essential attributes of non-specialist palliative care were identified but were generally poorly measured and understood in practice. This concept is strongly associated with quality of life, holism and patient-centred care, and there was blurring of roles and boundaries particularly with specialist palliative care. Non-specialist palliative care is conceptually immature, presenting a challenge for healthcare practitioners on how this clinical care may be planned, delivered and measured.

An Evaluation of Systematic Reviews of Palliative Care Services

2002 ◽  
Vol 18 (2) ◽  
pp. 77-83 ◽  
Author(s):  
Danielle M Goodwin ◽  
Irene J. Higginson ◽  
Adrian G.K. Edwards ◽  
Ilora G. Finlay ◽  
Alison M. Cook ◽  
...  
Keyword(s):  
Palliative Care ◽  
Systematic Reviews ◽  
Systems Of Care ◽  
Meta Analysis ◽  
Inclusion Criteria ◽  
Care Services ◽  
Palliative Care Services ◽  
Meta Regression ◽  
Contacting Authors ◽  
Quality Evidence

This review aimed to identify and appraise all systematic reviews of palliative care services, to examine their findings in relation to methods used, and to explore whether further methods such as meta-analysis and meta-regression may be worthwhile. Ten databases were searched and augmented by hand searching specific journals, contacting authors, and examining the reference lists of all papers retrieved. Five systematic reviews met the inclusion criteria, and the update electronic search identified a further systematic review which found similar studies. A total of 39 studies were identified by the five systematic reviews. Of the 39 studies, 15 were RCTS, and 12 of those were North American. In comparison, the majority of U.K. studies were retrospective. Each review concluded similarly that there was a lack of good quality evidence on which to base conclusions. The more recent reviews were more rigorous, but none used a quantitative analysis. Despite the difficulties in combining heterogeneous interventions and outcomes in meta-analysis or meta-regression, such techniques may be valuable. More high quality evidence is needed to compare the relative merits of the differences in models of palliative care services, so that countries can learn from other appropriate systems of care at end of life.

scholarly journals Experimental assessment of thermal sensation and thermal comfort of sedentary subjects: a scoping review protocol

2020 ◽  
Vol 4 (2) ◽  
pp. 80-88
Author(s):  
Daniele Costa ◽  
J. C. Guedes ◽  
J. Santos Baptista
Keyword(s):  
Thermal Comfort ◽  
Systematic Reviews ◽  
Scoping Review ◽  
Thermal Sensation ◽  
Grey Literature ◽  
Office Work ◽  
Experimental Assessment ◽  
Scoping Reviews ◽  
Review Protocol ◽  
Meta Analyses

Thermal comfort affects satisfaction in the workplace, which impacts work efficiency and productivity. Since office workers spend most of their working hours performing sedentary tasks, a scoping review is proposed to contextualize how thermal sensation and thermal comfort are experimentally assessed in the scientific literature. This work presents the scoping review protocol for the scoping review. It follows the Preferred Reporting Items for Systematic Reviews and Meta-Analyses for systematic review protocols (PRISMA-P). The scoping review will be elaborated based on the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for scoping reviews (PRISMA-ScR). The scoping review will consider peer-reviewed articles written in English, published or in-press. Grey literature and conference papers will be excluded. Only studies performing the experimental assessment of thermal sensation and thermal comfort of human subjects engaged in sedentary activities within homogeneous environments will be considered suitable for the scoping review. Studies will be retrieved from the Journal Storage (JSTOR), PubMed, Scopus, and Web of Science databases. The search strategy will consist of the use of the expression ("thermal comfort" OR "therm* sensation" OR "thermosensation") AND ("sedentary" or "office work*" or "office task*"). After removing duplicates, the remaining studies will have their title, abstract, and keywords screened. Studies meeting the eligibility criteria will be selected for full-text screening. Data items will be summarized using summary tables, and their reporting will consider the PRISMA-ScR checklist. The scoping review aims to summarize the existing scientific evidence and identify research needs to experimentally assess the thermal sensation and the thermal comfort of subjects performing sedentary tasks.

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