scholarly journals Approaches to the rationalization of surgical instrument trays: Scoping review and research agenda

2020 ◽  
Author(s):  
Bruno Miranda Dos Santos ◽  
Flavio Sanson Fogliatto ◽  
Carolina Melecardi Zani ◽  
Fernanda Araujo Pimentel Peres
Keyword(s):  
Scoping Review ◽  
Surgical Instruments ◽  
Future Research ◽  
Healthcare Organizations ◽  
Lean Practices ◽  
Study Selection ◽  
Expert Analysis ◽  
The Subject ◽  
Research Questions ◽  
Systematic Reduction

Abstract Background Surgical Tray Rationalization (STR) consists of a systematic reduction in the quantity of surgical instruments to perform specific procedures without compromising patient safety, while reducing losses in the sterilization and assembly of trays. STR is one example of initiatives to improve process performance that have been widely reported in industrial settings, but only recently have gained popularity in healthcare organizations. Methods We conduct a scoping review of the literature aiming at identifying and mapping available evidence on the topic of surgical tray management. Five methodological stages are implemented and reported; they are: identifying research questions, identifying relevant studies, study selection, charting the data, and collating, summarizing and reporting the results. Results We reviewed forty-eight articles on STR, which were grouped according to their main proposed approaches: expert analysis, lean practices, and mathematical programming. We identify the most frequently used techniques within each approach and point to their potential contributions to operational and economic dimensions of STR. We also consolidate our findings proposing a roadmap to STR, with four generic steps (prepare, rationalize, implement, and consolidate) and recommended associated techniques. Conclusions To the best of our knowledge, ours is the first study that reviews and systematizes the existing literature on the subject of STR. Our study closes with the proposition of directions for future research, which are presented as nine research questions associated with the four generic steps proposed in the STR roadmap.

scholarly journals Approaches to the rationalization of surgical instrument trays: scoping review and research agenda

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Bruno Miranda dos Santos ◽  
Flavio Sanson Fogliatto ◽  
Carolina Melecardi Zani ◽  
Fernanda Araujo Pimentel Peres
Keyword(s):  
Scoping Review ◽  
Surgical Instruments ◽  
Future Research ◽  
Healthcare Organizations ◽  
Research Directions ◽  
Lean Practices ◽  
Study Selection ◽  
Expert Analysis ◽  
Future Research Directions ◽  
Research Questions

Abstract Background Surgical Tray Rationalization (STR) consists of a systematic reduction in the number of surgical instruments to perform specific procedures without compromising patient safety while reducing losses in the sterilization and assembly of trays. STR is one example of initiatives to improve process performance that have been widely reported in industrial settings but only recently have gained popularity in healthcare organizations. Methods We conduct a scoping review of the literature to identify and map available evidence on surgical tray management. Five methodological stages are implemented and reported; they are: identifying research questions, identifying relevant studies, study selection, charting the data, and collating, summarizing and reporting the results. Results We reviewed forty-eight articles on STR, which were grouped according to their main proposed approaches: expert analysis, lean practices, and mathematical programming. We identify the most frequently used techniques within each approach and point to their potential contributions to operational and economic dimensions of STR. We also consolidate our findings, proposing a roadmap to STR with four generic steps (prepare, rationalize, implement, and consolidate) and recommended associated techniques. Conclusions To the best of our knowledge, ours is the first study that reviews and systematizes the existing literature on the subject of STR. Our study closes with the proposition of future research directions, which are presented as nine research questions associated with the four generic steps proposed in the STR roadmap.

scholarly journals Exploration of stress management interventions to address psychological stress in stroke survivors: a protocol for a scoping review

BMJ Open ◽  
2020 ◽  
Vol 10 (3) ◽  
pp. e035592
Author(s):  
Madeleine Hinwood ◽  
Marina Ilicic ◽  
Prajwal Gyawali ◽  
Murielle Gabriela Kluge ◽  
Kirsten Coupland ◽  
...  
Keyword(s):  
Stress Management ◽  
Scoping Review ◽  
Cochrane Library ◽  
Future Research ◽  
Stroke Survivors ◽  
Brain Repair ◽  
Management Interventions ◽  
Study Selection ◽  
Research Findings ◽  
Research Questions

IntroductionSeveral studies have shown that stroke survivors report experiencing high and unremitting levels of stress, which can negatively affect brain repair processes and psychological outcomes and thereby compromise recovery. However, it is presently unclear which interventions have been trialled to manage stress in stroke survivors and whether they translate to clinically relevant outcomes. The aim of this scoping review will be to examine stress management interventions in stroke survivors in order to map the types of interventions trialled, commonly reported stress outcome measures and whether a reduction in stress contributes to reductions in relevant clinical outcomes.Methods and analysisThe methodological framework described in Arksey and O’Malley will be applied to this review. A draft search strategy was developed in collaboration with an experienced senior health research librarian. A systematic search of Medline, Embase, CINAHL, Cochrane library, PsycInfo and Clinicaltrials.gov as well as hand searching of reference lists and reviews will identify relevant studies for inclusion. To be eligible for inclusion, studies must report on the outcomes of an intervention targeting stress management and resilience in stroke survivors. Study selection and critical appraisal of selected studies will be carried out independently by two authors, with discrepancies resolved by consensus. Data will be charted using a standard extraction form. Results will be tabulated and narratively summarised to highlight findings relevant to our research questions and to inform recommendations for future research.Ethics and disseminationThis study does not require ethics approval. This scoping review will provide a synthesis of evidence for stress management interventions in stroke survivors. It will identify and clarify the gaps in stress research specific to stroke pathologies and highlight promising interventions for future research. Findings will be relevant to researchers and healthcare workers and will be disseminated via publications in peer-reviewed journals and presented at conferences.

Older age as a time to contribute: a scoping review of generativity in later life

2021 ◽  
pp. 1-22
Author(s):  
Feliciano Villar ◽  
Rodrigo Serrat ◽  
Michael W. Pratt
Keyword(s):  
Scoping Review ◽  
Older Persons ◽  
Leading Edge ◽  
Later Life ◽  
Dark Side ◽  
Future Research ◽  
Cultural Contexts ◽  
The Past ◽  
Research Questions ◽  
Methodological Approaches

Abstract Research on later-life generativity has promoted a new view of older persons that, far from the traditional images of disability, dependence and frailty, recognises their capacities, and potential to continue growing, while underlining their participation and contributions to families, communities and society. The goal of this study was to carry out a scoping review on later-life generativity, the first one conducted on this topic as far as we know, to show how studies in this area have evolved, which aspects of generativity in later life have been studied, and the methodological and epistemological approaches that are dominant in this area of inquiry. Our scoping review shows that research into generativity in later life has grown steadily over the past 30 years, and particularly during the last decade. However, our results also show how such growing interest has focused on certain methodological approaches, epistemological frameworks and cultural contexts. We identify four critical gaps and leading-edge research questions that should be at the forefront of future research into generativity in later life, gaps that reflect biases in the existing literature identified in the study. These are classified as methodological, developmental, contextual and ‘dark-side’ gaps.

scholarly journals Assessing the Relevance of Undergraduate Auditing Education: A Scoping Review

2019 ◽  
Vol 4 (1) ◽  
pp. 11
Author(s):  
Diana Tien Irafahmi
Keyword(s):  
Scoping Review ◽  
Time Span ◽  
Study Selection ◽  
Research Questions

The objective of this scoping review is to map the existing literature that asses the relevance of undergraduate auditing education to meet contemporary audit practice. The scoping review followed the protocol outlined by Arksey and O'Malley (2005) that has five main stages: (1) identifying the research questions; (2) identifying relevant studies; (3) study selection; (4) charting the data, and (5) collating, summarizing and reporting the results. The studies reviewed were selected from three electronic databases: Proquest, Taylor & Francis, and Science Direct within 25 years time span (1995-2019). The results of the scoping review indicated that the majority of the studies recognize a shift both in terms of content and pedagogy to keep its relevance to professional demand. The shift needs to more emphasize on content as a gap still exists between auditing educators and practitioners.

scholarly journals Exploration of implementation, financial and technical considerations within allied health professional (AHP) telehealth consultation guidance: a scoping review including UK AHP professional bodies’ guidance

BMJ Open ◽  
2021 ◽  
Vol 11 (12) ◽  
pp. e055823
Author(s):  
Enza Leone ◽  
Nicola Eddison ◽  
Aoife Healy ◽  
Carolyn Royse ◽  
Nachiappan Chockalingam
Keyword(s):  
Scoping Review ◽  
Allied Health ◽  
Data Extraction ◽  
Collaborative Work ◽  
Occupational Therapists ◽  
Legal Aspects ◽  
Future Research ◽  
Allied Health Professionals ◽  
Study Selection ◽  
The Uk

ObjectivesThe COVID-19 pandemic has resulted in a shift to remote consultations, but telehealth consultation guidelines are lacking or inconsistent. Therefore, a scoping review was performed to chart the information in the articles exploring telehealth for the UK allied health professionals (AHPs) and compare them with the UK AHP professional bodies’ guidelines.DesignScoping review following Aksey and O’ Malley methodological framework.Data sourcesCINHAL and MEDLINE were searched from inception to March 2021 using terms related to ‘telehealth’, ‘guidelines’ and ‘AHPs’. Additionally, the UK AHP professional bodies were contacted requesting their guidelines.Study selectionArticles exploring telehealth for patient consultations, written in English and published in peer-reviewed journal or guidelines available from UK AHP professional bodies/their websites were considered eligible for review.Data extractionOne reviewer extracted data concerning three overarching domains: implementation, financial and technological considerations.Results2632 articles were identified through database searches with 21 articles eligible for review. Eight guidelines were obtained from the UK AHP professional bodies with a total of 29 included articles/guidelines. Most articles were published in the last two years; there was variety in telehealth terminology, and most were developed for occupational therapists, physiotherapists and speech and language therapists. Information was lacking about the assessment of telehealth use and effectiveness, barriers and limitations, the logistical management, the family’s and caregiver’s roles and the costs. There was lack of clarity on the AHPs’ registration requirements, costs and coverage, and legal aspects.ConclusionThis study identified gaps in current guidelines, which showed similarities as well as discrepancies with the guidance for non-AHP healthcare professionals and revealed that the existing guidelines do not adequately support AHPs delivering telehealth consultations. Future research and collaborative work across AHP groups and the world’s leading health institutions are suggested to establish common guidelines that will improve AHP telehealth services.

Learning in action sports: A scoping review

2019 ◽  
Vol 26 (1) ◽  
pp. 263-283
Author(s):  
Eva Ellmer ◽  
Steven Rynne ◽  
Eimear Enright
Keyword(s):  
Thematic Analysis ◽  
Scoping Review ◽  
Empirical Studies ◽  
Grey Literature ◽  
Empirical Literature ◽  
Future Research ◽  
Research Activity ◽  
Action Sports ◽  
Academic Field ◽  
Research Questions

Action sports have increased in popularity, particularly over the past two decades. Research in the area has also proliferated, as multiple disciplinary perspectives and theoretical and conceptual frames have been applied to understanding and exploring a host of research questions concerning action sports culture, contexts and participants. However, despite this flurry of research activity, not much is known empirically about the learning of action sport participants, and few studies have focused specifically on learning in action sports. A scoping review was, therefore, conducted with the aim of synthesising the work that has been undertaken, and mapping future research agendas. Informed by Arksey and O’Malley’s six-stage framework, leading sports and education databases and Google Scholar were searched for empirical literature on learning in action sports published before July 2018. After the results were screened and relevant studies identified, data were extracted and analysed using a frequency and thematic analysis to form both a descriptive and thematic summary. A total of 78 empirical studies both from the peer-reviewed and grey literature were included in the scoping review. The frequency analysis concerned information on publication year, academic field, study design, study tools, sport and population. The thematic analysis led to the development of five main themes, addressing learning in social, physical, cultural, and cognitive/psychological contexts and via various forms of feedback. The majority of articles on learning in action sports were published from 2010 onward, suggesting a growing interest in the area. More theses/dissertations resulted in peer-reviewed publications; however, less than half of all reviewed journal articles were published in education/pedagogy journals. Theoretical and conceptual frameworks were rarely explicitly referenced and/or lacked clarity. There was consensus that learning in action sports is largely informal and self-regulated. With the increasing professionalisation of many action sports and their inclusion in international competition events and also in national curricula, an increase in more formalised learning is predicted. Finally, learning in action sports can be highly individualistic but only a few studies acknowledged this. A greater variety of research questions and methodologies, and more work across disciplinary boundaries will assist in the generation of new knowledge.

scholarly journals Debate: Decolonising Fascist Studies

Fascism ◽  
2021 ◽  
Vol 10 (2) ◽  
pp. 323-345
Author(s):  
Liam Liburd ◽  
Paul Jackson
Keyword(s):  
Subject Area ◽  
Early Career ◽  
Future Research ◽  
Methodological Issues ◽  
Race And Racism ◽  
Central Importance ◽  
Critical Theories ◽  
The Subject ◽  
Research Questions

Abstract The drive to decolonise is of central importance to the study of fascism, which after all was and remains a politics rooted in specific conceptions of colonialism and race. In this article, we have invited both leading academics and early career scholars to reflect on how we might ‘decolonise’ fascist studies. Their comments approach fascism in a range of contexts, and offer reflections on how to frame future research questions, approach methodological issues, and consider how fascism studies might develop a more overt and clear stance on the problems posed by decolonising the subject area more broadly. It is hoped that these commentaries will enrich the field of fascist studies and, in turn, do more to relate it to the work of scholars in other relevant areas of study, particularly those working on critical theories of race and racism. Contributors to this debate are: Leslie James, Raul Carstocea, Daniel Hedinger, Liam J. Liburd, Cathy Bergin, Benjamin Bland, Evan Smith, Jonathan Hyslop, Benjamin Zachariah, and Caroline Campbell.

scholarly journals Implementation of evidence-based parenting programs under real-world conditions: Protocol for a scoping review

PLoS ONE ◽  
2021 ◽  
Vol 16 (8) ◽  
pp. e0256392
Author(s):  
Rita Pinto ◽  
Catarina Canário ◽  
Orlanda Cruz ◽  
Maria José Rodrigo
Keyword(s):  
Scoping Review ◽  
Real World ◽  
Research Question ◽  
Parenting Programs ◽  
Evidence Based ◽  
Study Selection ◽  
Scoping Reviews ◽  
Research Questions ◽  
Meta Analyses ◽  
Evidence Based Programs

Protecting children is recognized as a public health priority and supporting parents through the implementation of evidence-based programs is a well-known strategy to achieve this. However, researchers highlight that these programs remain insufficiently implemented in real-world contexts. A knowledge gap exists between the intended implementation of evidence-based parenting programs and their actual implementation on real-world dynamics. This scoping review aims to provide a comprehensive understanding of how evidence-based parenting programs have been implemented under real-world conditions by providing a map of available evidence and identifying knowledge gaps. The overall research question is: "How have evidence-based parenting programs been implemented under real-world conditions?". The proposed scoping review follows the framework originally described by Arksey and O’Malley, Levac and colleagues, and the Joanna Briggs Institute: (1) identifying the research questions; (2) identifying the relevant studies; (3) study selection; (4) charting the data; (5) collating, summarizing, and reporting the results; (6) consultation. The Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) will inform the search strategy. The results will be described in relation to the research questions and in the context of the purpose of the review. This scoping review will help to bridge the implementation gap between research evidence and its translation into practice.

Patient Centered Studies Focusing on Diabetes Self-Management: A Scoping Review

2020 ◽  
Vol 16 (6) ◽  
pp. 557-569
Author(s):  
Monika Salkar ◽  
Meagen Rosenthal ◽  
Tanvee Thakur ◽  
Austin Arnold
Keyword(s):  
Type 2 Diabetes ◽  
Scoping Review ◽  
Diabetes Management ◽  
Current Knowledge ◽  
Future Research ◽  
Patient Centered ◽  
Pubmed Database ◽  
Research Questions ◽  
The Impact

Background: Type 2 diabetes continues to be a significant burden to patients and health systems globally. Addressing this condition from an alternative perspective, patients and various other stakeholders from three northern Mississippi communities co-created patient-centered research questions focused on type 2 diabetes management. Objective: The objective of this scoping review was to explore current literature focusing on nine patient- centered research questions to establish current knowledge and identify future research needs in the area of type 2 diabetes. Methods: A scoping review was conducted to obtain an overview of research related to the study purpose. The PubMed database was searched from March 2013 to March 2018 to identify patient-centered studies focused on type 2 diabetes and relevant to one of the nine research questions. Results: A total of 33 studies were identified and included. For five of the research questions, there was either no previous research literature or only “related” studies could be identified. These largely unexplored topics included how the understanding of guidelines by healthcare providers, specialty, and communication of medication side-effects impact patients’ understanding and outcomes, the impact of improving patients’ preparedness to communicate with providers, and whether younger patients require weight management programs that account for this populations’ needs. Conclusion: This lack of previous literature presents a unique opportunity to partner with patients to conduct this study and help improve the management of type 2 diabetes.

scholarly journals Use of social media for cancer prevention and early diagnosis: scoping review protocol

BMJ Open ◽  
2020 ◽  
Vol 10 (2) ◽  
pp. e033592 ◽  
Author(s):  
Aradhna Kaushal ◽  
Angelos P Kassianos ◽  
Jessica Sheringham ◽  
Jo Waller ◽  
Christian von Wagner
Keyword(s):  
Social Media ◽  
Early Diagnosis ◽  
Cancer Prevention ◽  
Scoping Review ◽  
Public Involvement ◽  
Grey Literature ◽  
Patient And Public Involvement ◽  
Future Research ◽  
Research Questions ◽  
Media Interventions

IntroductionSocial media platforms offer unique opportunities for health promotion messages focusing on cancer prevention and early diagnosis. However, there has been very little synthesis of the evaluation of such campaigns, limiting the ability to apply learning to the design of future social media campaigns. We aimed to provide a broad overview of the current research base on social media interventions for cancer prevention and early diagnosis, to identify knowledge gaps and to inform policy, practice and future research questions.MethodsWe will use scoping review methodology to explore the available evidence on social media interventions for cancer prevention and early diagnosis, with a focus on methodological approaches. Quantitative and qualitative studies and reports will be identified through searching several research databases, through internet searching for grey literature and by screening the citations of studies included in the review. All identified studies will undergo independent title and abstract screening and full-text screening against inclusion and exclusion criteria. We plan to chart the data from included studies to record the characteristics of the social media interventions, resources, activities, outputs, outcomes and impact. Charted data will be collated and summarised using a narrative synthesis. The interpretation and implications of the findings will be enhanced by consultation with relevant stakeholders such as public health organisations, cancer charities, and patient and public involvement groups when preliminary results are available.Ethics and disseminationEthical approval is not required for this scoping review. The results will be used to identify research questions for future systematic reviews and to inform the development of future social media interventions. We will disseminate findings in peer-reviewed journals and at relevant conferences.

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