State of the Art Dashboards for Reflective Practice Based on Clinical Indicator Data: A Scoping Review (Preprint)

2021 ◽  
Author(s):  
Bernard Bucalon ◽  
Kerri Brown ◽  
Tim Shaw ◽  
Judy Kay
Keyword(s):  
Reflective Practice ◽  
Professional Learning ◽  
Scoping Review ◽  
User Satisfaction ◽  
Clinical Indicators ◽  
Clinical Indicator ◽  
Surgical Data ◽  
Indicator Data ◽  
The Impact

BACKGROUND There is an increasing interest to use routinely collected electronic health data to support reflective practice and long-term professional learning. Studies have evaluated the impact of dashboards on clinician decision-making, task completion time, user satisfaction, and adherence to clinical guidelines. OBJECTIVE The scoping review will summarize the literature on dashboards based on patient administrative, medical, and surgical data for clinicians to support reflective practice. METHODS A scoping review was conducted using the Arksey and O’Malley framework. A search was conducted in five electronic databases (MEDLINE, EMBASE, Scopus, ACM Digital Library, Web of Science) to identify studies that meet the inclusion criteria. Study selection and characterization were performed by two independent reviewers. One reviewer extracted the data that was analyzed descriptively to map the available evidence. RESULTS A total of 18 dashboards from eight countries were assessed. Purposes for the dashboards were designed for performance improvement (n=10), to support quality and safety initiatives (n=6), and management and operations (n=4). Data visualizations were primarily designed for team use (n=12) rather than individual clinicians (n=4). Evaluation methods varied between asking the clinicians directly (n=11), observing user behavior through clinical indicator and usage log data (n=14), and usability testing (n=4). The studies reported high scores from standard usability questionnaires, favorable surveys, and interview feedback. Improvements to underlying clinical indicators were observed in seven of nine studies, while two studies reported no significant changes to performance. CONCLUSIONS This scoping review maps the current landscape of literature on dashboards based on routinely collected clinical indicator data. While there were common data visualization techniques and clinical indicators used across studies, there was diversity in the design of the dashboards and their evaluation. There was a lack of detail in design processes documented for reproducibility. We identified a lack of interface features to support clinicians to make sense of and reflect on their performance data for long-term professional learning.

Mandatory Reporting and Adolescent Sexual Assault

2021 ◽  
pp. 152483802110302
Author(s):  
Caroline Bailey ◽  
Jessica Shaw ◽  
Abril Harris
Keyword(s):  
Sexual Assault ◽  
Sexual Violence ◽  
Key Words ◽  
Scoping Review ◽  
Well Being ◽  
Mandatory Reporting ◽  
Age Group ◽  
Long Term Consequences ◽  
The Impact

Adolescents experience alarmingly high rates of sexual violence, higher than any other age-group. This is concerning as sexual violence can have detrimental effects on teens’ personal and relational well-being, causing long-term consequences for the survivor. Still, adolescents are hesitant to report the assault or seek out services and resources. When an adolescent survivor does seek out services, they may interact with a provider who is a mandatory reporter. This scoping review sought to synthesize the current U.S.-based research on the role, challenges, and impact of mandatory reporting (MR) in the context of adolescent sexual assault. Database searches using key words related to MR, sexual assault, and adolescence identified 29 peer-reviewed articles. However, none of these articles reported on empirical investigations of the phenomenon of interest and instead consisted of case studies, commentaries, and position papers. The scoping review was expanded to provide a lay of the land of what we know about the intersection of adolescent sexual assault and MR. Results of the review indicate that though implemented broadly, MR policies vary between individuals, organizations, and states and have historically been challenging to implement due to this variation, conflicts with other laws, tension between these policies and providers’ values, and other factors. Based on the available literature, the impact of MR in the context of adolescent sexual assault is unknown. There is a critical need for research and evaluation on the implementation and impact of MR policies, especially in the context of adolescents and sexual violence.

A Scoping Review on the Long-Term Outcomes in Persons with Adult-Acquired Burn Injuries

2019 ◽  
Vol 41 (3) ◽  
pp. 472-502
Author(s):  
Stephanie R Cimino ◽  
Jorge N Rios ◽  
Matthew Godleski ◽  
Sander L Hitzig
Keyword(s):  
Community Participation ◽  
Scoping Review ◽  
The United States ◽  
Community Dwelling ◽  
Burn Injuries ◽  
Computer Assisted ◽  
Long Term Outcomes ◽  
Burn Survivors ◽  
The Impact

Abstract Adult-acquired burn injuries are a life-altering event that can lead to debilitating functional or psychological impairments. With advancements in health care resulting in decreased mortality rates, survivors of burn injuries can expect to live longer. This warrants a shift in focus to better understand what happens to adults once they are discharged from the hospital into the community. Therefore, the purpose of this scoping review was to map the literature regarding the long-term outcomes of community-dwelling adult-acquired burn survivors. A computer-assisted literature search was conducted on literature from January 1, 2000 to August 31, 2018 utilizing four large databases (MEDLINE, EMBASE, CINHAL, and PsycINFO). Articles were included if they had a minimum of five individuals with a burn injury as a result of an accidental injury who were at least 18 years of age at the time of injury. Fifty-four articles were found suitable for inclusion in this review. The majority of studies were conducted in the United States and were longitudinal in design. Four themes were apparent from the articles: postburn complications, psychosocial outcomes, quality of life, and community participation. Data are lacking with respect to outcomes more than 5 years postburn as well as qualitative research. Furthermore, more literature is needed to understand the impact of postburn complications, coping strategies, and posttraumatic growth as well as barriers to community participation. Overall, there is an emerging body of literature that describes the long-term outcomes of adult-acquired burn survivors up to 5 years postburn.

Matching ICD-9-CM Codes to Clinical Indicators — Is it the Way to Go?

1997 ◽  
Vol 27 (4) ◽  
pp. 168-170
Author(s):  
Rachel Portelli ◽  
Jenny Brosi ◽  
Brian Collopy
Keyword(s):  
Health Care ◽  
Data Collection ◽  
Performance Monitoring ◽  
Clinical Indicators ◽  
Evaluation Program ◽  
Clinical Indicator ◽  
National Centre ◽  
Australian Council ◽  
Indicator Data ◽  
Care Evaluation

In early 1997, the Australian Council on Healthcare Standards (ACHS) Care Evaluation Program (CEP) collaborated with the National Centre for Classification in Health (NCCH) to determine the feasibility of matching ICD-9-CM codes with a selected number of clinical indicators developed by CEP. While the results of this activity were encouraging, CEP is hesitant in advocating the use of ICD-9-CM as the complete answer to the data collection ‘burden’ experienced by health care organisations collecting clinical indicator data.1 CEP is concerned that obtaining clinical indicator data through ICD-9-CM coding alone may limit clinician participation in quality activities, narrow the focus of performance monitoring to one department, potentially compromise the intent of the indicators, and encourage a culture of ‘near enough is good enough’. This paper examines the limitations of ICD-9-CM coding as the sole means of extracting clinical indicator data.

scholarly journals Nurse leaders’ perceptions of the impact of their participation in a reflective practice program

2018 ◽  
Vol 9 (4) ◽  
pp. 38
Author(s):  
Mélanie Lavoie-Tremblay ◽  
Guylaine Cyr ◽  
Gilbert Primeau ◽  
Thalia Aube
Keyword(s):  
Professional Development ◽  
Reflective Practice ◽  
Leadership Skills ◽  
Development Program ◽  
Nurse Leaders ◽  
Nursing Leaders ◽  
Development Tool ◽  
Clinical Nursing ◽  
The Impact

Since 2003, a university healthcare centre in Quebec (Canada) has offered its nursing leaders access to a long-term professional development program focusing on skills in Reflective Practice (RP). This program is based on teaching nursing leaders to interpret and reframe difficult, emotionally-charged situations they encounter on a regular basis, so they can improve their interpersonal interactions with their colleagues, patients, and patients’ families. This article describes the results of a qualitative study conducted in 2018 with 18 nursing leaders who participated for at least three years in the RP program. Participants were asked to describe their understanding of the RP approach, key learnings from the program, and parts of the training they found most valuable. They were also asked to define or share the program’s impact on their professional practice and leadership skills. It was found that the participants view RP as a useful tool for understanding and improving their interactions with others, and that it had led to concrete improvements in their interpersonal and leadership skills. Several of the positive changes described by participants are rarely described in other studies about the use of RP as a professional development tool in a clinical nursing setting.  The results suggest that when nurse leaders have participated for several years in an RP program, they experience different benefits than front-line staff with less long-term participation.

The impact of surviving bowel cancer on occupation: A scoping review

2020 ◽  
Vol 83 (5) ◽  
pp. 297-315 ◽  
Author(s):  
Elizabeth Martin ◽  
Clare Hocking ◽  
Margaret Sandham
Keyword(s):  
Occupational Therapy ◽  
Scoping Review ◽  
Grey Literature ◽  
Management Strategies ◽  
Social Activity ◽  
Bowel Cancer ◽  
Loss Of Function ◽  
Long Term Effects ◽  
The Impact

Introduction The number of people surviving bowel cancer is increasing globally, with many of those affected living with long-term psychological and physical sequelae that potentially disrupt occupations. Method A scoping review – guided by Arksey and O’Malley’s methodological framework – was conducted to provide an overview of what is known about the impact of having had bowel cancer on occupations, and to reveal the potential role of occupational therapy. A systematic search of four databases and a grey literature repository generated 244 results. Applying inclusion and exclusion criteria, 33 items addressing bowel cancer and occupations were selected and thematically analysed. Results Researchers have identified six domains of occupation that are impacted by bowel cancer (social activity, physical activity, sexual activity, employment and role functioning, physical functioning, and self-care) but survivors report a distinct lack of health professional support after completion of medical treatment and being left to devise self-management strategies to accommodate the long-term effects of their cancer. Conclusion The sequelae of bowel cancer can have a significant impact on occupational participation. There is scope for increasing and improving occupational therapy input to assist people with cancer-related loss of function to re-engage in valued occupations and improve wellbeing.

scholarly journals Intensive care units follow-up: a scoping review protocol

BMJ Open ◽  
2020 ◽  
Vol 10 (11) ◽  
pp. e037725
Author(s):  
Danielle Prevedello ◽  
Marco Fiore ◽  
Jacques Creteur ◽  
J C Preiser
Keyword(s):  
Quality Of Life ◽  
Intensive Care ◽  
Scoping Review ◽  
Grey Literature ◽  
Icu Discharge ◽  
Scoping Reviews ◽  
The Impact

IntroductionIncreasing numbers of patients are surviving critical illness, leading to growing concern about the potential impact of the long-term consequences of intensive care on patients, families and society as a whole. These long-term effects are together known as postintensive care syndrome and their presence can be evaluated at intensive care unit (ICU) follow-up consultations. However, the services provided by these consultations vary across hospitals and units, in part because there is no validated standard model to evaluate patients and their quality of life after ICU discharge. We describe a protocol for a scoping review focusing on models of ICU follow-up and the impact of such strategies on improving patient quality of life.Methods and analysisIn this scoping review, we will search the literature systematically using electronic databases (MEDLINE - from database inception to June 15th 2020) and a grey literature search. We will involve stakeholders as recommended by the Joanna Briggs Institute approach developed by Peters et al. The research will be conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews guidelines.Ethics and disseminationThis study does not require ethics approval, because data will be obtained through a review of published primary studies. The results of our evaluation will be published in a peer-reviewed journal and will also be disseminated through presentations at national and international conferences.

scholarly journals Impact of maternal prenatal stress by glucocorticoids on metabolic and cardiovascular outcomes in their offspring: A systematic scoping review

PLoS ONE ◽  
2021 ◽  
Vol 16 (1) ◽  
pp. e0245386
Author(s):  
Claudia Eberle ◽  
Teresa Fasig ◽  
Franziska Brüseke ◽  
Stefanie Stichling
Keyword(s):  
Risk Factor ◽  
Hpa Axis ◽  
Scoping Review ◽  
Research Work ◽  
In Utero ◽  
Cardiovascular Outcomes ◽  
Maternal Risk ◽  
Metabolic Outcomes ◽  
The Impact

Background “Stress” is an emerging problem in our society, health care system as well as patient care, worldwide. Especially by focusing on pre-gestational, gestational but also lactation phases “stress” is to be considered as an own trans-generational risk factor which is associated with adverse metabolic as well cardiovascular outcomes in mothers and their children. Hence, the maternal hypothalamic-pituitary-adrenotrophic (HPA) axis may be stimulated by various “stress” mechanisms as well as risk factors leading to an adverse in utero environment, e.g. by excess exposure of glucocorticoids, contributing to cardio-metabolic disorders in mothers and their offspring. Objective To review the evidence of in utero programming by focusing on the impact of maternal “stress”, on adverse cardio-metabolic outcomes on their offspring later in life, by identifying underlying (patho-) physiological mechanisms (1) as well as adverse short and long-term cardio-metabolic outcomes (2). Methods We conducted a systematic scoping review to identify publications systematically including reviews, interventional, observational, experimental studies as well as human and animal model studies. MEDLINE (PubMed) and EMBASE databases and reference lists were searched. Peer-reviewed articles from January 2000 until August 2020 were included. Results Overall, n = 2.634 citations were identified, n = 45 eligible studies were included and synthesized according to their key findings. In brief, maternal hypothalamic-pituitary-adrenotrophic (HPA) axis might play a key role modifying in utero milieu leading to cardio-metabolic diseases in the offspring later in life. However, maternal risk factor “stress”, is clearly linked to adverse cardio-metabolic offspring outcomes, postnatally, such as obesity, hyperglycemia, insulin resistance, diabetes mellitus (DM), Metabolic Syndrome (MetS), cardiovascular disease (CD), hypertension, restricted fetal growth as well as reduced birth, adrenal, and pancreas weights. Conclusions Women who experienced “stress” as risk factor, as well as their offspring, clearly have a higher risk of adverse short- as well as long-term cardio-metabolic outcomes. Future research work is needed to understand complex transgenerational mechanisms.

scholarly journals Living with Long Term Conditions from the Perspective of Family Caregivers. A Scoping Review and Narrative Synthesis

2021 ◽  
Vol 18 (14) ◽  
pp. 7294
Author(s):  
Patricia Marín-Maicas ◽  
Silvia Corchón ◽  
Leire Ambrosio ◽  
Mari Carmen Portillo
Keyword(s):  
Family Caregivers ◽  
Scoping Review ◽  
Self Management ◽  
Narrative Synthesis ◽  
Long Term Conditions ◽  
Family Perspective ◽  
The Family ◽  
The Impact ◽  
Different Levels

(1) Background: When living with one or more long term conditions (LTCs), both the patient and the family experience the impact of the condition at different levels. The family’s needs and perceptions should be considered in the process of caring for people with LTCs. The aim of this review is to understand “the process of living with LTCs” from a family perspective. (2) Methods: A scoping review and narrative synthesis were conducted using a systematic methodology in MEDLINE, CINAHL, Web of Science and PsycINFO, in English and Spanish, including evidence from 2018. (3) Results: A total of 28 articles were included in the review. Acceptance, coping, self-management, integration, and adjustment were key attributes in the process of living with LTCs from the perspective of family caregivers that interrelated in a dynamic way through different mechanisms: being aware of the changing situation, personal networks, information and education, personal conditions, attitude to life and communication. (4) Conclusions: The five attributes that comprise living with LTCs from the perspective of the family caregiver are closely connected of to those of patients living with LTCs; however, self-management and integration have a different meaning and application.

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