Barriers to Quality Midwifery Care: A Systematic Review and Meta-Synthesis of Qualitative Data

2021 ◽  
Vol 11 (3) ◽  
pp. 84-100
Author(s):  
Yakubu Ismaila ◽  
Sara Bayes ◽  
Sadie Geraghty
Keyword(s):  
Systematic Review ◽  
Qualitative Data ◽  
Quality Care ◽  
Developed Countries ◽  
Structural Factors ◽  
Improve Quality ◽  
African Countries ◽  
Neonatal Deaths ◽  
Provide Quality Care ◽  
Process Factors

BACKGROUNDSkilled attendance at birth by well-educated and regulated midwives has been identified to reduce maternal and neonatal deaths, however, it has been established that midwives experience barriers that can affect their ability to provide quality care to women and neonates.AIMThis systematic review and meta-synthesis of qualitative data was conducted to investigate the barriers to midwives' ability to provide quality care focusing on African and developed countries.METHODSThe Joanna Briggs Institute process for conducting systematic reviews was followed for this review. Qualitative studies that reported on barriers to midwives' ability to provide quality care were identified by searching the following databases: CINAHL, PubMed, Web of Science, and PsychINFO. Studies reported in English in the last 10 years, within which most participants were midwives and the data reported on barriers to quality care provision by midwives were included in this review.RESULTS813 published research studies were screened, and 11 research papers were included in this review. The meta-synthesis of the findings resulted in six categories: the lack of equipment; inadequate skills and training, lack of space and infrastructure, staff shortages and high workloads, emotional barriers, and workplace culture. Using the Donabedian model of quality care, the barriers were grouped into structure, process, and outcome factors.CONCLUSIONCurrently efforts to improve quality care in African countries focus on structural factors. Efforts to improve quality care in developed countries focus on process factors. In order to improve quality care for women and neonates, efforts need to be focused on all the factors that promotequality care.

scholarly journals Health Care Professionals’ and Patients’ Management of the Interactional Practices in Telemedicine Videoconferencing: A Conversation Analytic and Discursive Systematic Review

2020 ◽  
pp. 104973232094234
Author(s):  
David Dalley ◽  
Rachel Rahman ◽  
Antonia Ivaldi
Keyword(s):  
Systematic Review ◽  
Health Care ◽  
Health Care Professionals ◽  
Quality Care ◽  
Effective Communication ◽  
Related Services ◽  
Multimodal Interactions ◽  
Health Related ◽  
Provide Quality Care ◽  
Videoconferencing Technology

Telemedicine has developed as a tool for increasing access to health-related services. However, clinicians are required to achieve effective communication and provide quality care despite the remoteness of patients. The aim of this review was to focus on the interactional components of telemedicine consultations, identifying the social and embodied practices that health care professionals and patients draw on when managing the complexities of videoconferencing technology. A systematic review of telemedicine research using conversation analysis and discursive psychology was conducted, resulting in six articles eligible for inclusion. Interactional practices were synthesized into three categories: positioning utterances, visual and audiological clarification, and directional feedback. These categories demonstrate complex but ordered multimodal interactions that position the technology and health care professional as key to ensuring effective communication. Their interactional relevance highlights a gap in telemedicine research, where the need to focus more on the communicative and clinical richness of these unique consultations is reinforced.

scholarly journals Preferential tariffs and development of Norwegian rose import from Africa

2020 ◽  
Vol 10 (3) ◽  
pp. 341-361
Author(s):  
Hege Medin ◽  
Maren Elise Bachke
Keyword(s):  
Developing Countries ◽  
Low Income ◽  
Quantitative Data ◽  
Qualitative Data ◽  
Developed Countries ◽  
Least Developed Countries ◽  
African Countries ◽  
Developed Country ◽  
Content Type ◽  
Preferential Tariff

PurposeImports of cut roses increased after Norway implemented a preferential tariff scheme for the least developed countries in 2002. When the scheme was extended to more countries in 2008 – among them Kenya – imports exploded. This article studies the subsequent changes in supply channels, import costs and the way Norwegian firms imported.Design/methodology/approachQualitative data, obtained through interviews among five rose importers, are combined with quantitative data for all importing firms and transactions in Norway for the years 2003–2014. These data are analysed in light of recent economic theories on international trade.FindingsWhen Kenya was included in the scheme, imports from Europe and domestic production in Norway decreased substantially. Imports from some African countries with low income levels also declined. Importing under GSP involves high fixed import costs due to stringent procedures. Each firm's imports increased gradually, and over time learning may have facilitated importing. Direct trade with African producers and control over the logistics chain seem to have become more important.Research limitations/implicationsThe analysis builds mainly on data for Norwegian importers, not for African exporters.Practical implicationsSimplifying the GSP procedures could increase Norwegian imports from developing countries and induce establishment of new trade relationships, perhaps also for other products than roses.Originality/valueUsing a mixture of original qualitative data as well as unique, detailed and comprehensive quantitative data, the article provides new insights into how preferential tariff reductions for developing countries’ exports to a developed country affect trade and buyer–supplier relationships.

Coaching Care Partners Who Support Loved Ones With MCI

2014 ◽  
Vol 19 (2) ◽  
pp. 50-56 ◽  
Author(s):  
Kerry Mills ◽  
Jennifer Brush
Keyword(s):  
Cognitive Functioning ◽  
Educational Program ◽  
Social Withdrawal ◽  
Quality Care ◽  
Critical Role ◽  
Family Care ◽  
Speech Language Pathologists ◽  
Care Partners ◽  
Provide Quality Care ◽  
Solution Focused

Speech-language pathologists can play a critical role in providing education and intervention to prevent social withdrawal, prevent premature disability, and maximize cognitive functioning in persons with MCI. The purpose of this article is to describe positive, solution-focused educational program that speech-language pathologists can implement with family care partners to improve relationships and provide quality care for someone living with MCI.

Skills and Competencies Required by Academic Librarians in an Internet-Driven Environment

Mousaion ◽  
2018 ◽  
Vol 35 (4) ◽  
Author(s):  
Yakubu A. Liman ◽  
Priti Jain ◽  
Baluwami Grand ◽  
Athulang Mutshewa
Keyword(s):  
Service Provision ◽  
Developed Countries ◽  
Review Literature ◽  
Internet Usage ◽  
Academic Librarians ◽  
Library Services ◽  
African Countries ◽  
Analysis Methodology ◽  
Internet Skills ◽  
Use Of Internet

This paper reviews literature on the skills and competencies required by academic librarians in an Internet-driven environment. Content analysis methodology was used to review literature. Purposive sampling was also used for identifying literature on skills and competencies of librarians in the use of Internet services in academic libraries. A total of 118 publications were selected. Findings from the articles reviewed show that librarians from developed countries required skills and competencies in Internet usage to provide effective library services. However, the findings also show that academic librarians from developing countries, especially in Africa, are still lagging behind regarding Internet skills and competencies to provide effective information services in the library. The paper concludes that despite changes brought by the Internet, there are still gaps in the way library services are provided because of poor Internet knowledge, skills and competencies of academic librarians. The paper recommends that academic librarians in African countries acquire Internet skills and competencies to update their knowledge and technological skills for effective library service provision.

INTEGRATED MEDICAL DATA MANAGEMENT SYSTEMS REVIEW

2019 ◽  
Author(s):  
Ihor Pysmennyi
Keyword(s):  
Health Informatics ◽  
Quality Care ◽  
Exchange Process ◽  
Knowledge Exchange ◽  
Clinical Information ◽  
Mobile Network ◽  
Developed Countries ◽  
Management Systems ◽  
Learning Techniques ◽  
Drastic Increase

In recent years we’ve seen breakthrough research success in medicine and computer science enabled by novel technology advancements, data analyses capabilities and learning techniques. Despite this, quality care doesn’t have full cove­ rage even in developed countries and access to care is recognised as one of the biggest challenges to the global healthcare system. Bound with population growth in remote areas in developing regions, which lack skilled professionals and medical resources, as well as aging in developed countries this caused a strong need for increasing healthcare effectiveness. Enabled by development of cloud technologies, quick expansion of mobile network coverage and internet access Clinical Information Management Systems integrated with decision support systems, Telemedicine (inclu­ ding distributed Virtual Healthcare Teams and medical imaging), Mobile Healthcare, medical Internet of Things (mIoT), Consumer Health Informatics with personal intelligent health assistants, Health Information Exchanges and deep learning techniques for diagnostics and knowledge extraction are among the state-of-the-art solutions which are more or less successfully used for coping with the problem mentioned above. This paper reviews current situation with implementing these novel informational systems, analyses their advantages, drawbacks, implementation impediments and outcome effectiveness suggesting platform for empowering their integration and maximizing output of each module. Such solution will have a synergy effect and result in a drastic increase of medical resource utilization effectiveness, service quality and providing bigger and fuller coverage with less spending at the same time empowering knowledge exchange process and laying foundation for future development and innovations in the whole healthcare domain.

scholarly journals Motherhood and decision-making among women living with HIV in developed countries: a systematic review with qualitative research synthesis

2021 ◽  
Vol 18 (1) ◽  
Author(s):  
Ariadna Huertas-Zurriaga ◽  
Patrick A. Palmieri ◽  
Joan E. Edwards ◽  
Sandra K. Cesario ◽  
Sergio Alonso-Fernandez ◽  
...  
Keyword(s):  
Systematic Review ◽  
Decision Making ◽  
Qualitative Research ◽  
Research Synthesis ◽  
Developed Countries ◽  
Evidence Based ◽  
Reproductive Decision ◽  
Women Living With Hiv ◽  
Reproductive Decision Making ◽  
Living With Hiv

Abstract Background Women living with HIV (WLH) lack evidence-based information about reproductive options while managing pressures from family, clinicians, and communities to give up the idea of having children. As the reproduction intentions of WLH are not well understood, stigmatizing behaviors force them to hide their disease to avoid rejection by their family, partner, and social networks. Compliance with social norms, fear of stigma, and discrimination influence their experience. Current research is individual qualitative studies lacking the synthesis perspective necessary to guide intervention development. The purpose of this study was to synthesize the evidence to explain the reproductive decision-making process for WLH in developed countries. Methods A systematic review with qualitative research synthesis was conducted through searches in 10 electronic databases (CINAHL, EMBASE, MEDLINE, Scopus, Social Science Citation Index, Web of Science, Google Scholar, Cuidatge, Cuiden Enfispo, and SciELO). Studies published in journals from 1995 to 2019 with qualitative data about reproductive decision-making among WLH in developed countries were eligible for inclusion. Developed country was operationalized by membership in the OECD for comparative conditions of social wellbeing and economic stability. The CASP and JBI checklists for qualitative research were used to assess study quality and methodological integrity. Thematic analysis and qualitative meta-summary techniques were used for the synthesis. Results Twenty studies from 12 developed countries were included in the synthesis. Findings were organized into 3 meta-themes from 15 themes and 45 subthemes, including: (1) Shattered identity, (2) Barriers, inequities, and misinformation, (3) Coping, resiliency, and support. Reproductive decision-making was perceived as a complex process influenced by facilitators and barriers. The facilitators helped WLH cope with their new situation to become more resilient, while the barriers made their situation more difficult to manage. Conclusion WLH encounter reproductive decision-making with knowledge deficits and limited social support. An integrated approach to holistic care with comprehensive multidisciplinary counseling is needed to support WLH. Clinicians could benefit from professional development to learn how to be authentically present for WLH, including engaging in conversations, demonstrating compassion, and understanding situations. Evidence-based clinical practice guidelines need to be tailored for the family planning and sexual health needs of WLH.

scholarly journals Functional illiteracy and developmental dyslexia: looking for common roots. A systematic review

2021 ◽  
Author(s):  
Réka Vágvölgyi ◽  
Kirstin Bergström ◽  
Aleksandar Bulajić ◽  
Maria Klatte ◽  
Tânia Fernandes ◽  
...  
Keyword(s):  
Systematic Review ◽  
Developmental Dyslexia ◽  
Phonological Processing ◽  
Empirical Studies ◽  
Developed Countries ◽  
Low Literacy ◽  
Behavioral Profile ◽  
Quantitative Studies ◽  
Functional Illiteracy ◽  
Basic Reading Skills

AbstractA considerable amount of the population in more economically developed countries are functionally illiterate (i.e., low literate). Despite some years of schooling and basic reading skills, these individuals cannot properly read and write and, as a consequence have problems to understand even short texts. An often-discussed approach (Greenberg et al. 1997) assumes weak phonological processing skills coupled with untreated developmental dyslexia as possible causes of functional illiteracy. Although there is some data suggesting commonalities between low literacy and developmental dyslexia, it is still not clear, whether these reflect shared consequences (i.e., cognitive and behavioral profile) or shared causes. The present systematic review aims at exploring the similarities and differences identified in empirical studies investigating both functional illiterate and developmental dyslexic samples. Nine electronic databases were searched in order to identify all quantitative studies published in English or German. Although a broad search strategy and few limitations were applied, only 5 studies have been identified adequate from the resulting 9269 references. The results point to the lack of studies directly comparing functional illiterate with developmental dyslexic samples. Moreover, a huge variance has been identified between the studies in how they approached the concept of functional illiteracy, particularly when it came to critical categories such the applied definition, terminology, criteria for inclusion in the sample, research focus, and outcome measures. The available data highlight the need for more direct comparisons in order to understand what extent functional illiteracy and dyslexia share common characteristics.

scholarly journals Mycoplasma genitalium incidence, persistence, concordance between partners and progression: systematic review and meta-analysis

2019 ◽  
Vol 95 (5) ◽  
pp. 328-335 ◽  
Author(s):  
Manuel Cina ◽  
Lukas Baumann ◽  
Dianne Egli-Gany ◽  
Florian S Halbeisen ◽  
Hammad Ali ◽  
...  
Keyword(s):  
Systematic Review ◽  
Antimicrobial Resistance ◽  
Meta Analysis ◽  
Age Distribution ◽  
Mycoplasma Genitalium ◽  
Developed Countries ◽  
Sexual Partners ◽  
Risk Of Bias ◽  
Infection Status ◽  
Sexually Transmitted

BackgroundMycoplasma genitalium is increasingly seen as an emerging sexually transmitted pathogen, and has been likened to Chlamydia trachomatis, but its natural history is poorly understood. The objectives of this systematic review were to determine M. genitalium incidence, persistence, concordance between sexual partners and the risk of pelvic inflammatory disease (PID).MethodsWe searched Medline, EMBASE, LILACS, IndMed and African Index Medicus from 1 January 1981 until 17 March 2018. Two independent researchers screened studies for inclusion and extracted data. We examined results in forest plots, assessed heterogeneity and conducted meta-analysis where appropriate. Risk of bias was assessed for all studies.ResultsWe screened 4634 records and included 18 studies; six (4201 women) reported on incidence, five (636 women) on persistence, 10 (1346 women and men) on concordance and three (5139 women) on PID. Incidence in women in two very highly developed countries was 1.07 per 100 person-years (95% CI 0.61 to 1.53, I2 0%). Median persistence of M. genitalium was estimated from one to three months in four studies but 15 months in one study. In 10 studies measuring M. genitalium infection status in couples, 39%–50% of male or female sexual partners of infected participants also had M. genitalium detected. In prospective studies, PID incidence was higher in women with M. genitalium than those without (risk ratio 1.73, 95% CI 0.92 to 3.28, I2 0%, two studies).DiscussionIncidence of M. genitalium in very highly developed countries is similar to that for C. trachomatis, but concordance might be lower. Taken together with other evidence about age distribution and antimicrobial resistance in the two infections, M. genitalium is not the new chlamydia. Synthesised data about prevalence, incidence and persistence of M. genitalium infection are inconsistent. These findings can be used for mathematical modelling to investigate the dynamics of M. genitalium.Registration numbersCRD42015020420, CRD42015020405

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