scholarly journals Determining ‘Curriculum Viability’ through Standards and Inhibitors of Curriculum Quality: A Scoping Review

2019 ◽  
Author(s):  
Rehan Ahmed Khan ◽  
Annemarie Spruijt ◽  
Usman Mahboob ◽  
Jeroen J. G. van Merrienboer

Abstract Background A curriculum is dynamic entity and hence, metaphorically, can be considered ‘alive’. Curricular diseases may impair its quality and hence its viability. The quality of a curriculum is typically assessed against certain quality standards only. This approach does not identify the inhibitors impeding the achievement of quality standards. The purpose of this study is to identify not only standards but also inhibitors of curriculum quality, allowing for a more comprehensive assessment of what we coin ‘curriculum viability’. Methods We performed a scoping review of ‘curriculum viability’, after which 13 articles were found eligible through a meticulous search and selection process. We first identified 1233 studies based on matching keywords, title and abstract; 36 of which met our inclusion criteria. After application of the Qualsyst criteria, two independent reviewers performed a thematic analysis of the 13 articles that remained. Results While all studies reported on standards of quality, only two studies described both standards and inhibitors of quality. These standards and inhibitors were related to educational content and strategy, students, faculty, assessment, educational/work environment, communication, technology and leadership. Conclusions The framework of curriculum viability thus developed will help identify inhibitors adversely affecting the curriculum viability and remaining hidden or un-noticed when curriculum evaluation is done.

2019 ◽  
Author(s):  
Rehan Ahmed Khan ◽  
Annemarie Spruijt ◽  
Usman Mahboob ◽  
Jeroen J. G. van Merrienboer

Abstract Background A curriculum is dynamic entity and hence, metaphorically, can be considered ‘alive’. Curricular diseases may impair its quality and hence its viability. The quality of a curriculum is typically assessed against certain quality standards only. This approach does not identify the inhibitors impeding the achievement of quality standards. The purpose of this study is to identify not only standards but also inhibitors of curriculum quality, allowing for a more comprehensive assessment of what we coin ‘curriculum viability’. Methods We performed a scoping review of ‘curriculum viability’, after which 13 articles were found eligible through a meticulous search and selection process. We first identified 1233 studies based on matching keywords, title and abstract; 36 of which met our inclusion criteria. After application of the Qualsyst criteria, two independent reviewers performed a thematic analysis of the 13 articles that remained. Results While all studies reported on standards of quality, only two studies described both standards and inhibitors of quality. These standards and inhibitors were related to educational content and strategy, students, faculty, assessment, educational/work environment, communication, technology and leadership. Conclusions The framework of curriculum viability thus developed will help identify inhibitors adversely affecting the curriculum viability and remaining hidden or un-noticed when curriculum evaluation is done.


2019 ◽  
Author(s):  
Rehan Ahmed Khan ◽  
Annemarie Spruijt ◽  
Usman Mahboob ◽  
Jeroen J. G. van Merrienboer

Abstract Background A curriculum is dynamic entity and hence, metaphorically, can be considered ‘alive’. Curricular diseases may impair its quality and hence its viability. The quality of a curriculum is typically assessed against certain quality standards only. This approach does not identify the inhibitors impeding the achievement of quality standards. The purpose of this study is to identify not only standards but also inhibitors of curriculum quality, allowing for a more comprehensive assessment of what we coin ‘curriculum viability’. Methods We performed a scoping review of ‘curriculum viability’, after which 13 articles were found eligible through a meticulous search and selection process. We first identified 1233 studies based on matching keywords, title and abstract; 36 of which met our inclusion criteria. After application of the Qualsyst criteria, two independent reviewers performed a thematic analysis of the 13 articles that remained. Results While all studies reported on standards of quality, only two studies described both standards and inhibitors of quality. These standards and inhibitors were related to educational content and strategy, students, faculty, assessment, educational/work environment, communication, technology and leadership. Conclusions The framework of curriculum viability thus developed will help identify inhibitors adversely affecting the curriculum viability and remaining hidden or un-noticed when curriculum evaluation is done.


Pharmacy ◽  
2020 ◽  
Vol 8 (2) ◽  
pp. 80
Author(s):  
Jéssica José ◽  
Biljana Cvetkovski ◽  
Vicky Kritikos ◽  
Rachel Tan ◽  
Sinthia Bosnic-Anticevich ◽  
...  

Pharmacists have a valuable role in the management of allergic rhinitis (AR) at the community pharmacy level. This role has been reported extensively in numerous papers. However, a systematic review of the available literature and a comprehensive analysis of the outcomes has not been published. This systematic review aimed to evaluate the impact of interventions developed by pharmacists on clinical AR outcomes. A thorough search was performed in three electronic databases, including studies published between January 2000 and June 2019. After the selection process, only three articles met the inclusion criteria and were further analysed. Despite the scarcity of the available studies, in all of them was clear that the pharmacist plays a pivotal role in the management of AR, significantly improving the patients’ quality of life and symptom control. This systematic review also stresses the utmost importance to investigate and report practices and interventions developed by pharmacists using measurable outcomes.


2018 ◽  
Vol 3 (2) ◽  
pp. 24
Author(s):  
Helaine Marinho Matos e Matos ◽  
Dênia Rodrigues Chagas

O presente estudo propôs a realização de uma revisão bibliográfica com critérios de busca e seleção utilizadas pela revisão sistemática, tendo como principal objetivo a identificação dos efeitos oriundos do processo de terceirização no setor de gerenciamento dos serviços de saúde. Este, por sua vez, respaldou-se em estudos que versam a respeito da temática abordada, publicados nas bases de dados MEDLINE e SciELO, onde passaram por um processo de seleção, resultando num acervo de 15 artigos. Dentre os resultados encontrados pôde-se observar que a evolução do processo de terceirização trouxe benefícios de suma relevância para o âmbito da saúde, principalmente no que concerne à redução dos custos orçamentais de diversas unidades de saúde, favorecendo o acesso aos usuários dos serviços da saúde, e consequentemente promovendo uma melhoria na qualidade dos atendimentos a essa clientela. No entanto, alguns estudos mostraram algumas falhas no setor administrativo que levaram ao surgimento de sérios problemas no âmbito financeiro. Portanto, é imprescindível que haja a instituição de medidas preventivas e de monitoramento direcionadas ao processo, a fim de se evitar futuros contratempos. THE OUTSOURCING PROCESS CONSEQUENCES FOR MANAGEMENT OF HEALTH SERVICES SECTOR ABSTRACT The present study proposed the accomplishment of a bibliographic review with search and selection criteria used by the systematic review, having as main objective the identification of the effects arising from the process of outsourcing in the health services management sector. This was supported by studies on the subject, published in the MEDLINE and SciELO databases, where they underwent a selection process, resulting in a collection of 15 articles. Among the results found, it was observed that the evolution of the outsourcing process brought benefits of great relevance to the health field, mainly in relation to the reduction of the budgetary costs of several health units, favoring access to the users of health services and consequently promoting an improvement in the quality of care to this population. However, some studies have shown some flaws in the administrative sector that have led to the emergence of serious financial problems. Therefore, it is essential that preventive and monitoring measures be taken in order to avoid future setbacks.


2021 ◽  
Author(s):  
Lucas de Mendonça ◽  
Regis Rodrigues Vieira ◽  
Michel Silvio Duailibi

Abstract Background: Learning style (LS) is the theoretical assumption that each individual has a better form for cognitive processing throughout learning. In medical education, LS has been studied as a tool to optimize medical learning. Teaching in the postgraduate medical environment embraces specific methodological aspects for mastering medical abilities and LS inventories have been widely used for enhance learning. However, no review has been done on this subject until this date. Therefore, a scoping review was performed to explore the extent of evidence on LS and postgraduate medical education. Methods: a systematic scoping review was performed according to PRISMA - ScR and JBI guidelines. We searched MEDLINE, ERIC, LILACS and SCIELO virtual library on February 2020. A peer review was performed with blinding of both investigators and any divergence was resolved by consensus. Searching strategy, search terms, exclusion and inclusion criteria and data charting were structured prior to the beginning of the study. Data was summarized and collated. Analysis of the quality of the evidence was also performed using specific tools.Results: 211 studies were obtained with the search engine after duplicates were removed. Of these, 40 were selected after applying exclusion and inclusion criteria. Two other studies were excluded post initial screening. The majority of studies were from United States. General surgery, internal medicine and family medicine were the specialties that had most studies on LS. Kolb LSI was the most used LS inventory. The majority of studies were observational with a cross sectional design (34 out of 38). Only four studies were RCTs with a low quality of evidence and a high risk of bias. It was also seen that LS may change through training, with work-hours and areas of specialty training.Conclusion: There is a lack of high quality studies to provide reliable evidence for the utilization of LS in postgraduate medical education and it is desirable for more Cohort or Randomized Control Trials in this area for a more robust evidence.


2021 ◽  
Vol 8 (2) ◽  
Author(s):  
Nurlaeli Qadrianti ◽  
Kusrini S. Kadar ◽  
Elly L. Sjattar

The prevalence of heart failure is high. More than 23 million patients worldwide and is believed to continue to increase to 46% in 2030. In America, the prevalence of heart failure is around 6 million patients per year. Meanwhile, heart failure in Asia is the highest in the world. To identify instruments for assessing patients with heart failure that used in Asia. This is a scoping review that follows the methodology of Arksey and O'Malley. We use 6 databases, namely Proquest, PubMed, EBSCO, Science Direct, ClinicalKey For Nursing, and Garuda. Articles in English and Indonesian were published between 2015 and 2020. We also did additional searches that met the inclusion criteria. Based on duplication, 2037 articles were left, then 1981 articles were screened. Then, 56 full-text articles were selected in the eligibility criteria, and the last 29 articles were selected for the synthesis. A total of 6 instruments were identified. We discussed the method, domain, and duration of assessments. The selection of instruments needs to be adapted to the epidemiological characteristics of the population. Keywords: quality of life; heart failure; scoping review; nursing care


Author(s):  
Allison Squires ◽  
Komal Patel Murali ◽  
Sherry A Greenberg ◽  
Linda L Herrmann ◽  
Catherine O D’amico

Abstract Background and Objectives The Nurses Improving Care for Healthsystem Elders (NICHE) is a nurse-led education and consultation program designed to help health care organizations improve the quality of care for older adults. To conduct a scoping review of the evidence associated with the NICHE program to (a) understand how it influences patient outcomes through specialized care of the older adult and (b) provide an overview of implementation of the NICHE program across organizations as well as its impact on nursing professionals and the work environment. Research Design and Methods Six databases were searched to identify NICHE-related articles between January 1992 and April 2019. After critical appraisal, 43 articles were included. Results Four thematic categories were identified including specialized older adult care, geriatric resource nurse (GRN) model, work environment, and NICHE program adoption and refinement. Specialized older adult care, a key feature of NICHE programs, resulted in improved quality of care, patient safety, lower complications, and decreased length of stay. The GRN model emphasizes specialized geriatric care education and consultation. Improvements in the geriatric nurse work environment as measured by perceptions of the practice environment, quality of care, and aging-sensitive care delivery have been reported. NICHE program adoption and refinement focuses on the methods used to improve care, implementation and adoption of the NICHE program, and measuring its impact. Discussion and Implications The evidence about the NICHE program in caring for older adults is promising but more studies examining patient outcomes and the impact on health care professionals are needed.


2018 ◽  
Vol 1 (3) ◽  
Author(s):  
Donny Nurhamsyah ◽  
Yanny Trisyani ◽  
Aan Nuraeni

Sudden deaths from acute myocardial infarction have been  a current trend of health care problem of Indonesians. This condition may have impacted on the patient’s quality of life. The aim of this literature review was to identify factors that affected quality of life patient after acute myocardial infarction event. This review used a scoping review method. Literature searching was conducted using Google Scholar, Pubmed and Science Direct utilizing keywords: acute myocardial infarction, quality of life and questionnaire. The inclusion criteria were quantitative or qualitative study, peer-reviewed, published in 2008 – 2018. There were 18,035 papers retreived, only 19 papers met the inclusion criteria. Data were analyzed using content analyses. The findings of this study indicate that the quality of life of patients has decreased after experiencing acute myocardial infarction. Quality of life is influenced by 5 major factors, namely biological factors, emotional factors, physical factors, social factors and psychometric factors.  There are 5 major factors that are proven to still affect the quality of life of patients with acute myocardial infarction. Further research is needed to determine psychometric factors in influencing quality of life. The instrument that can be used is macnew quality of life after myocardial infarction because it meets the psychometric criteria.


2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 989-989
Author(s):  
Hohyun Seong ◽  
Heather Lashley ◽  
Katherine Bowers ◽  
Kirsten Corazzini

Abstract Multimorbidity is widespread, costly, and associated with a range of deleterious symptoms, affecting 70-80 % of older adults. Resilience in late life has been the focus of considerable research to understand differences in vulnerabilities and recovery from stressors relevant to multimorbidity. Despite this, previous reviews have not focused on resilience in relation to multimorbidity in older adults; therefore, this study synthesized relevant literature. The study design was a scoping review following JBI methodology. Searched electronic databases included PubMed, Embase, CINAHL, and PsycINFO. Data were extracted by two independent reviewers and charted using Garrard’s review matrix method. Gough’s weight of evidence criteria were used to appraise quality. Of 468 retrieved studies, 14 met inclusion criteria, primarily from the US, UK, and Canada. Most resilience in multimorbidity frameworks operationalize resilience as dependent on the socio-environmental context of older adults. Resilience was commonly considered a dynamic process, but only one study was longitudinal. Measures were primarily psychological or psycho-social in nature and did not include biological or physical measures of resilience. Quality of life and quality of care were common outcomes; resilience significantly related to these outcomes. Findings indicate both the important relationships of resilience with outcomes of multimorbidity, as well as multiple gaps in our current understanding of resilience in relation to multimorbidity. Results highlight the need for studies with diverse populations across diverse cultures, studies that incorporate multidimensional measures, with attention to physiological or physical properties of resilience, and longitudinal studies that capture the dynamic process of resilience in multimorbidity.


2021 ◽  
Author(s):  
Carl Thomas Berdahl ◽  
Andrew J Henreid ◽  
Joshua M Pevnick ◽  
Kai Zheng ◽  
Teryl K Nuckols

BACKGROUND Many medical conditions—perhaps 80% of them—can be diagnosed by taking a thorough history of present illness (HPI). In the clinical setting, however, situational factors such as interruptions and time pressure may cause interactions with patients to be brief and/or fragmented. One solution for improving clinicians’ ability to collect a thorough HPI and maximize efficiency and quality of care could be to use a digital tool to obtain the HPI prior to face-to-face evaluation by a clinician. OBJECTIVE Our objective was to identify and characterize digital tools that have been designed to (1) obtain the history of present illness (HPI) directly from patients or caregivers and (2) present this information to clinicians before a face-to-face encounter. We also sought to describe outcomes reported in testing of these tools, especially those related to usability, efficiency, and quality of care. METHODS We conducted a scoping review using pre-defined search terms in the following databases: MEDLINE, CINAHL, PsychInfo, Web of Science, Embase, IEEE Digital Library, ACM Digital Library, and ProQuest Dissertations. Two reviewers screened titles and abstracts for relevance, performed full-text reviews of articles meeting inclusion criteria, and used a pile sorting procedure to identify distinguishing characteristics of the tools. Information describing the tools was primarily obtained from identified peer-reviewed sources; supplementary information was also obtained from tool websites and through direct communications with tool creators. RESULTS We identified 18 tools meeting inclusion criteria. Among them, 14 tools used primarily close-ended and/or multi-choice questions, 1 tool used free-text input, and 3 used conversational (chatbot) style. In total, 10 tools were tailored to specific patient subpopulations, and 8 did not specify a target subpopulation. Seven tools included multilingual support, and 12 had the capability to transfer data directly into the electronic health record. Studies of the tools reported on various outcome measures related to usability, efficiency, and/or quality of care. CONCLUSIONS The 18 HPI tools we identified varied greatly in their purpose and functionality. There was no consensus on how patient-generated information should be collected or presented to clinicians. Existing tools have undergone inconsistent levels of testing with a wide variety of different outcome measures used in evaluation, including some related to usability, efficiency, and quality of care. There is substantial interest in using digital tools to obtain the HPI from patients, but the outcomes measured have been inconsistent. Future research should focus on whether using HPI tools can lead to improved patient experience and health outcomes. CLINICALTRIAL N/A


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