What Evidence Informs the Nursing Care of People with Class III Obesity in an Acute Care Setting? A Scoping Review.

Abstract Background: Obesity is a complex psycho-social construct which is strongly linked with health and well-being. The health and socioeconomic impacts of obesity on individuals and health care systems can be significant. The nursing care of people with Class III obesity needs careful attention to ensure the provision of appropriate care. This scoping review aims to synthesise available evidence on the nursing care of Class III obese patients in acute care settings. Methods : A scoping review informed by the Joanna Briggs Institute approach was undertaken. We searched CINAHL Plus, Medline, Scopus, Proquest Central, Web of Science and Embase databases for primary research articles relating to the nursing management of people classified as Class III obese in acute care settings. The methodological quality of all studies that met the inclusion criteria were assessed and data relating to methods and the findings extracted and synthesised into themes. Results : 3809 records were identified. Thirteen studies met the inclusion criteria and were included in the review. Three themes were generated from the synthesis of the findings: Access, knowledge and training related to equipment; Patient care; and Opportunities to improve care. Conclusions : The need for proactive planning to improve the nursing care provided to people classified as class III obese and admitted to acute care settings is vital. Access to appropriate equipment to support moving and handling and education on equipment use to prevent injury to both patients and staff is necessary. Education and support to promote engagement with patients, adapt nursing care practices and promote self-care have the potential to improve patient care and patient outcomes.

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Reasonable adjustments for people with intellectual disability in acute care: a scoping review of the evidence

BMJ Open ◽

10.1136/bmjopen-2020-039647 ◽

2021 ◽

Vol 11 (2) ◽

pp. e039647

Author(s):

Mairead Moloney ◽

Therese Hennessy ◽

Owen Doody

Keyword(s):

Intellectual Disability ◽

Acute Care ◽

Scoping Review ◽

Service Provision ◽

Care Setting ◽

Acute Care Setting ◽

Inclusion Criteria ◽

Health Service Provision ◽

Acute Care Settings ◽

Fair Access

ObjectivesPeople with intellectual disability are vulnerable in terms of health service provision due to increased comorbidity, higher dependency and cognitive impairment. This review explored the literature to ascertain what reasonable adjustments are evident in acute care to support people with intellectual disability, ensuring they have fair access and utilisation of health services.DesignScoping review.SettingAcute care settings.MethodsFive databases were systematically searched to identify studies that reported on the implementation of reasonable adjustments. Authors worked in pairs to screen studies for inclusion, data were extracted and charted and findings were synthesised according to content and themes.ResultsOf the 7770 records identified, six studies were included in the review. The volume of evidence was influenced by specific inclusion criteria, and only papers that reported on the actual implementation of a reasonable adjustment within an acute care setting were included. Many papers reported on the concept of reasonable adjustment; however, few identified its applications in practice.ConclusionsThe scoping review highlights a lack of research on the practice and implementation of reasonable adjustments within acute care settings. There is a need for increased support, education and the provision of intellectual disability specialists across acute care settings.

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Restricted visitation policies in acute care settings during the COVID-19 pandemic: a scoping review

Critical Care ◽

10.1186/s13054-021-03763-7 ◽

2021 ◽

Vol 25 (1) ◽

Author(s):

Stephana J. Moss ◽

Karla D. Krewulak ◽

Henry T. Stelfox ◽

Sofia B. Ahmed ◽

Melanie C. Anglin ◽

...

Keyword(s):

Acute Care ◽

Scoping Review ◽

Healthcare Professionals ◽

Case Series ◽

Well Being ◽

Primary Data ◽

Cochrane Central Register ◽

Negative Consequences ◽

Primary Research ◽

Acute Care Settings

Abstract Background Restricted visitation policies in acute care settings because of the COVID-19 pandemic have negative consequences. The objective of this scoping review is to identify impacts of restricted visitation policies in acute care settings, and describe perspectives and mitigation approaches among patients, families, and healthcare professionals. Methods We searched Medline, Embase, PsycINFO, Healthstar, CINAHL, Cochrane Central Register of Controlled Trials on January 01/2021, unrestricted, for published primary research records reporting any study design. We included secondary (e.g., reviews) and non-research records (e.g., commentaries), and performed manual searches in web-based resources. We excluded records that did not report primary data. Two reviewers independently abstracted data in duplicate. Results Of 7810 citations, we included 155 records. Sixty-six records (43%) were primary research; 29 (44%) case reports or case series, and 26 (39%) cohort studies; 21 (14%) were literature reviews and 8 (5%) were expert recommendations; 54 (35%) were commentary, editorial, or opinion pieces. Restricted visitation policies impacted coping and daily function (n = 31, 20%) and mental health outcomes (n = 29, 19%) of patients, families, and healthcare professionals. Participants described a need for coping and support (n = 107, 69%), connection and communication (n = 107, 69%), and awareness of state of well-being (n = 101, 65%). Eighty-seven approaches to mitigate impact of restricted visitation were identified, targeting families (n = 61, 70%), patients (n = 51, 59%), and healthcare professionals (n = 40, 46%). Conclusions Patients, families, and healthcare professionals were impacted by restricted visitation polices in acute care settings during COVID-19. The consequences of this approach on patients and families are understudied and warrant evaluation of approaches to mitigate their impact. Future pandemic policy development should include the perspectives of patients, families, and healthcare professionals. Trial registration: The review was registered on PROSPERO (CRD42020221662) and a protocol peer-reviewed prior to data extraction.

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Methods used to attribute costs avoided from pharmacist interventions in acute care: A scoping review

American Journal of Health-System Pharmacy ◽

10.1093/ajhp/zxab214 ◽

2021 ◽

Author(s):

Sujita W Narayan ◽

Ivo Abraham ◽

Brian L Erstad ◽

Curtis E Haas ◽

Arthur Sanders ◽

...

Keyword(s):

Acute Care ◽

Scoping Review ◽

Pharmacy Practice ◽

Economic Implications ◽

Medline Search ◽

Cost Avoidance ◽

Harmful Consequence ◽

Pharmacist Interventions ◽

Acute Care Settings ◽

Human Participants

Abstract Purpose Cost-avoidance studies are common in pharmacy practice literature. This scoping review summarizes, critiques, and identifies current limitations of the methods that have been used to determine cost avoidance associated with pharmacists’ interventions in acute care settings. Methods An Embase and MEDLINE search was conducted to identify studies that estimated cost avoidance from pharmacist interventions in acute care settings. We included studies with human participants and articles published in English from July 2010 to January 2021, with the intent of summarizing the evidence most relevant to contemporary practice. Results The database search retrieved 129 articles, of which 39 were included. Among these publications, less than half (18 of 39) mentioned whether the researchers assigned a probability for the occurrence of a harmful consequence in the absence of an intervention; thus, a 100% probability of a harmful consequence was assumed. Eleven of the 39 articles identified the specific harm that would occur in the absence of intervention. No clear methods of estimating cost avoidance could be identified for 7 studies. Among all 39 included articles, only 1 attributed both a probability to the potential harm and identified the cost specific to that harm. Conclusion Cost-avoidance studies of pharmacists’ interventions in acute care settings over the last decade have common flaws and provide estimates that are likely to be inflated. There is a need for guidance on consistent methodology for such investigations for reporting of results and to confirm the validity of their economic implications.

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Cognitive Impairment and Length of Stay in Acute Care Hospitals: A Scoping Review of the Literature

Canadian Journal on Aging / La Revue canadienne du vieillissement ◽

10.1017/s0714980820000355 ◽

2021 ◽

pp. 1-19

Author(s):

Jonathan Plante ◽

Karine Latulippe ◽

Edeltraut Kröger ◽

Dominique Giroux ◽

Martine Marcotte ◽

...

Keyword(s):

Cognitive Impairment ◽

Length Of Stay ◽

Acute Care ◽

Scoping Review ◽

Research Question ◽

Positive Association ◽

Well Being ◽

Future Research ◽

Care Hospital ◽

The Impact

Abstract Older persons experiencing a longer length of stay (LOS) or delayed discharge (DD) may see a decline in their health and well-being, generating significant costs. This review aimed to identify evidence on the impact of cognitive impairment (CI) on acute care hospital LOS/DD. A scoping review of studies examining the association between CI and LOS/DD was performed. We searched six databases; two reviewers independently screened references until November 2019. A narrative synthesis was used to answer the research question; 58 studies were included of which 33 found a positive association between CI and LOS or DD, 8 studies had mixed results, 3 found an inverse relationship, and 14 showed an indirect link between CI-related syndromes and LOS/DD. Thus, cognitive impairment seemed to be frequently associated with increased LOS/DD. Future research should consider CI together with other risks for LOS/DD and also focus on explaining the association between the two.

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The Unique Environmental Influences of Acute Care Settings on Patient and Physician Well-Being: A Call to Action

Journal of Emergency Medicine ◽

10.1016/j.jemermed.2017.08.092 ◽

2018 ◽

Vol 54 (1) ◽

pp. e19-e21 ◽

Cited By ~ 5

Author(s):

Bernard P. Chang ◽

George Gallos ◽

Lauren Wasson ◽

Donald Edmondson

Keyword(s):

Acute Care ◽

Environmental Influences ◽

Well Being ◽

Call To Action ◽

Acute Care Settings

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The dynamics of appraisal: a review of 20 years of research using the Fortitude Questionnaire

South African Journal of Psychology ◽

10.1177/0081246320957489 ◽

2020 ◽

pp. 008124632095748

Author(s):

Tyrone Brian Pretorius ◽

Anita Padmanabhanunni

Keyword(s):

Scoping Review ◽

Protective Factor ◽

Intervention Studies ◽

Social Supports ◽

Cognitive Appraisals ◽

Well Being ◽

Inclusion Criteria ◽

Scoping Reviews ◽

High Risk Populations ◽

Psychological Strength

Fortitude refers to the psychological strength to manage adversity and stay well. It is derived from adaptive cognitive appraisals of self, family, and social supports and has consistently been identified as a protective factor in psychological well-being. This study undertakes a scoping review of empirical research on the Fortitude Questionnaire, which was developed to assess levels of fortitude. The aims of the study were to categorize and catalogue studies that have used the Fortitude Questionnaire, identify the variables that have been linked to the scale, and determine the extent to which prior research has replicated the Fortitude Questionnaire’s psychometric properties. Arksey and O’Malley’s five-stage framework for scoping reviews was followed to review studies published between January 1999 and March 2020. A total of 51 studies met the inclusion criteria. The scoping review found that the Fortitude Questionnaire has been used in different contexts and among various sample groups across the lifespan, including vulnerable and high-risk populations. The scale has demonstrated sound reliability and studies have confirmed its factor structure. The scale has also been used as an independent, dependent, and intervening variable. Fortitude has been linked to positive and negative indicators of well-being, and intervention studies have indicated that fortitude is amenable to change. The findings of this scoping review provide a foundation for the development of appraisal restructuring programmes and interventions.

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P082: Correlation between serum and blood gas: a review on the accuracy of electrolyte readings obtained blood gases

CJEM ◽

10.1017/cem.2016.258 ◽

2016 ◽

Vol 18 (S1) ◽

pp. S106-S106

Author(s):

J. Lindgren ◽

S. Dowling

Keyword(s):

Literature Review ◽

Patient Care ◽

Acute Care ◽

Point Of Care ◽

Blood Gases ◽

Validity And Reliability ◽

Physiological Level ◽

High Acuity ◽

Acute Care Settings ◽

Sodium And Potassium

Introduction: In the Emergency Department (ED), increasing time pressures and acuity require physicians to have access to quick and reliable data to guide patient care decisions. Blood gases (BGs) allow quick access to key information, and are used frequently in the ED. Our objective was to review the literature on reliability and accuracy of electrolyte measurements obtained from BGs in high acuity settings. Methods: A comprehensive literature review was conducted in September of 2015. The search strategy, done in conjunction with a medical librarian, identified studies that assessed the accuracy of BGs when compared to traditional laboratory serum measurements. Prior to the review we determined sodium and potassium would be the area of focus. Eligibility parameters for the studies included samples from acute care areas - the ED and ICU - and a comparison of BG and serum values taken simultaneously from the patient. Results: Our review included 12 studies, 9 in adult and 3 in pediatrics. There were approximately 1,135 patients included, consisting of 851 adult and 284 pediatric cases. The results were mixed; 9 studies agreed that sodium and potassium readings from BGs were accurate enough to guide acute care decisions, 5 did not. Furthermore, important questions were raised regarding the varying accuracy of BGs depending on what physiological level the electrolytes were at during the time of collection, i.e. at critical vs non-critical levels. Conclusion: This is the first literature review to examine the existing evidence on the accuracy of BGs in acute care environments. Given the variability in the results, a larger study needs to be done to determine the validity and reliability of blood gases for electrolytes in acute care settings. Only by ensuring the accuracy of data collected via point-of-care BGs can the most informed decisions be made surrounding patient care in acute care settings.

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Symptom management theory applied to nursing care: scoping review

Revista Brasileira de Enfermagem ◽

10.1590/0034-7167-2020-1004 ◽

2021 ◽

Vol 74 (3) ◽

Author(s):

Lara Adrianne Garcia Paiano da Silva ◽

Vagner José Lopes ◽

Nen Nalú Alves das Mercês

Keyword(s):

Nursing Care ◽

Scoping Review ◽

Symptom Management ◽

Research Question ◽

Management Strategies ◽

Management Theory ◽

Symptom Experience ◽

Inclusion Criteria ◽

Health And Disease ◽

Definition Of

ABSTRACT Objectives: to identify publications about the applicability of the Symptom Management Theory in nursing care to pediatric, adolescent, adult and elderly patients. Methods: scoping review following the steps: definition of the objective, research question and inclusion criteria; search, selection and analysis of publications; synthesis of results. The search occurred in the VHL, SciELO, CAPES and PubMed Journals Portal bases, contemplating publications between 1994 and July 2020. Results: out of 3,286 studies, ten were selected, published between 2008 and 2019. They described the relationships between the participants and the domains (person, environment, health and disease), components (symptom experience, management strategies, results) and presented strategies for symptom management. Conclusions: the Symptom Management Theory was considered applicable to the participants of the studies and to nursing care. It was concluded that understanding the interaction of these elements is essential to plan actions aimed at controlling symptoms effectively.

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Father's Experience on the Incident of Newborn Death: A Scoping Review

Childhood Stunting, Wasting, and Obesity, as the Critical Global Health Issues: Forging Cross-Sectoral Solutions ◽

10.26911/the7thicph.03.63 ◽

2020 ◽

Author(s):

Dwi Reza Wahyuni ◽

◽

Keyword(s):

Scoping Review ◽

Health Professionals ◽

Critical Appraisal ◽

Research Question ◽

Well Being ◽

Developed Countries ◽

Library Science ◽

Population Exposure ◽

Coping Behaviors ◽

Inclusion Criteria

ABSTRACT Background: The death of a child is a painful experience for parents. The distress of bereaved fathers remained inadequately understood since most of the existing studies had concentrated mainly on the mothers’ experience. This scoping review aimed to investigate the fathers’ experience on the incident of newborn death. Subjects and Method: A scoping review method was conducted in eight stages including (1) Identification of study problems; (2) Determining priority problem and study question; (3) Determining framework; (4) Literature searching; (5) Article selection; (6) Critical appraisal; (7) Data extraction; and (8) Mapping. The research question was identified using population, exposure, and outcome(s) (PEOS) framework. The search included PubMed, Wiley Online Library, Science Direct, ProQuest, EBSCO, gray literature through the Google Scholar search engine databases. The inclusion criteria were English-language and primary studied full-text articles published between 2010 and 2019. A total of 307 articles were obtained by the searched database. After the review process, seven articles were eligible for this review. The data were reported by the PRISMA flow chart. Results: A total of 307 articles were obtained by the searched databases. After screening, 55,052 articles were excluded because of 54,847 articles with irrelevant topics, 22 book review articles, and 183 duplicate articles. Of the remaining 88 articles, only 18 articles met the inclusion criteria. After conducting critical appraisal, a total of six articles from developed countries (Australia, Sweden, Spain, and Columbia) with qualitative studies was selected to further review. This review emphasized three main topics about experiences of fathers after the death of the newborn, namely psychological conditions and coping behaviors of fathers, and supportive care from health professionals. Conclusion: Further support and care of health professionals need to focus on fathers’ experience of grief following newborn death, especially on their physical and mental well-being. Keywords: newborn death, father experience, health professionals, coping behaviors Correspondence: Dwi Reza Wahyuni. Universitas ‘Aisyiyah Yogyakarta. Jl. Ringroad Barat No. 63, Mlangi Nogotirto, Gamping, Sleman, Yogyakarta. Email: [email protected]. Mobile: +6282211318785. DOI: https://doi.org/10.26911/the7thicph.03.63

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