The psychological aspect of pain and symptom management in clinical practices: Scoping review

ObjectivesIn response to the newest WHO recommendations on routine antenatal care (ANC) for pregnant women and adolescent girls, this paper identifies the literature on existing ANC measures, presents a conceptual framework for quality ANC, maps existing measures to specific WHO recommendations, identifies gaps where new measures are needed to monitor the implementation and impact of routine ANC and prioritises measures for capture.MethodsWe conducted searches in four databases and five websites. Searches and application of inclusion/exclusion criteria followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses flow approach for scoping reviews. Data were extracted on measure information, methodology, methodological work and implementation. We adapted and refined a conceptual framework for routine ANC based on these measures.ResultsThis scoping review uncovered 58 resources describing 46 existing measures that align with WHO recommendations and good clinical practices for ANC. Of the 42 WHO-recommended ANC interventions and four good clinical practices included in this scoping review, only 14 WHO-recommended interventions and three established good clinical practices could potentially be measured immediately using existing measures. Recommendations addressing the integration of ANC with allied fields are likelier to have existing measures than recommendations that focus on maternal health. When mapped to our conceptual framework, existing measures prioritise content of care and health systems; measures for girls’ and women’s experiences of care are notably lacking. Available data sources for non-existent measures are currently limited.ConclusionOur research updates prior efforts to develop comprehensive measures of quality ANC and raises awareness of the need to better assess experiences of ANC. Given the inadequate number and distribution of existing ANC measures across the quality of care conceptual framework domains, new standardised measures are required to assess quality of routine ANC. Girls’ and women’s voices deserve greater acknowledgement when measuring the quality and delivery of ANC.

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Scoping review of symptoms in children with rare, progressive, life-threatening disorders

BMJ Supportive & Palliative Care ◽

10.1136/bmjspcare-2019-001943 ◽

2019 ◽

Vol 10 (1) ◽

pp. 91-104 ◽

Cited By ~ 3

Author(s):

Colleen Pawliuk ◽

Kim Widger ◽

Tammie Dewan ◽

Gina Brander ◽

Helen L Brown ◽

...

Keyword(s):

Sleep Disturbance ◽

Scoping Review ◽

Symptom Management ◽

Grey Literature ◽

Healthcare Providers ◽

Behavioural Problems ◽

Feeding Difficulties ◽

Childhood Conditions ◽

Motor Problems ◽

Cornelia De Lange

BackgroundQ3 conditions are progressive, metabolic, neurological or chromosomal childhood conditions without a cure. Children with these conditions face an unknown lifespan as well as unstable and uncomfortable symptoms. Clinicians and other healthcare professionals are challenged by a lack of evidence for symptom management for these conditions.AimsIn this scoping review, we systematically identified and mapped the existing literature on symptom management for children with Q3 conditions. We focused on the most common and distressing symptoms, namely alertness, behavioural problems, bowel incontinence, breathing difficulties, constipation, feeding difficulties, sleep disturbance, temperature regulation, tone and motor problems and urinary incontinence. For children with complex health conditions, good symptom management is pertinent to ensure the highest possible quality of life.MethodsScoping review. Electronic database searches in Ovid MEDLINE, Embase and CINAHL and a comprehensive grey literature search.ResultsWe included 292 studies in our final synthesis. The most commonly reported conditions in the studies were Rett syndrome (n=69), followed by Cornelia de Lange syndrome (n=25) and tuberous sclerosis (n=16). Tone and motor problems were the most commonly investigated symptom (n=141), followed by behavioural problems (n=82) and sleep disturbance (n=62).ConclusionThe evidence for symptom management in Q3 conditions is concentrated around a few conditions, and these studies may not be applicable to other conditions. The evidence is dispersed in the literature and difficult to access, which further challenges healthcare providers. More research needs to be done in these conditions to provide high-quality evidence for the care of these children.

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A Scoping Review of Dementia Symptom Management in Persons with Dementia Living in Home-Based Settings

Current Geriatrics Reports ◽

10.1007/s13670-019-00307-4 ◽

2019 ◽

Vol 8 (4) ◽

pp. 291-301 ◽

Cited By ~ 1

Author(s):

Catherine E. Schneider ◽

Alycia A. Bristol ◽

Abraham Brody

Keyword(s):

Scoping Review ◽

Symptom Management ◽

Home Based

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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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Low-value clinical practices in adult traumatic brain injury: an umbrella review protocol

BMJ Open ◽

10.1136/bmjopen-2019-031747 ◽

2019 ◽

Vol 9 (10) ◽

pp. e031747 ◽

Cited By ~ 2

Author(s):

Pier-Alexandre Tardif ◽

Lynne Moore ◽

François Lauzier ◽

Imen Farhat ◽

Patrick Archambault ◽

...

Keyword(s):

Traumatic Brain Injury ◽

Brain Injury ◽

Systematic Reviews ◽

Scoping Review ◽

Methodological Quality ◽

Healthcare Quality ◽

Cochrane Central Register ◽

Clinical Practices ◽

Umbrella Review

IntroductionTraumatic brain injury (TBI) leads to 50 000 deaths, 85 000 disabilities and costs $60 billion each year in the USA. Despite numerous interventions and treatment options, the outcomes of TBI have improved little over the last three decades. In a previous scoping review and expert consultation survey, we identified 13 potentially low-value clinical practices in acute TBI. The objective of this umbrella review is to synthesise the evidence on potentially low-value clinical practices in the care of acute TBI.Methods and analysisUsing umbrella review methodology, we will search Cochrane Central Register of Controlled Trials, Embase, Epistemonikos, International Prospective Register of Systematic Reviews (PROSPERO) and PubMed to identify systematic reviews evaluating the effect of potential intrahospital low-value practices using tailored population, intervention, comparator, outcome and study design questions based on the results of a previous scoping review. We will present data on the methodological quality of these reviews (Assessing the Methodological Quality of Systematic Reviews-2), reported effect sizes and strength of evidence (Grading of Recommendations, Assessment, Development and Evaluation).Ethics and disseminationEthics approval is not required as original data will not be collected. Knowledge users from five healthcare quality organisations and clinical associations are involved in the design and conduct of the study. Results will be disseminated in a peer-reviewed journal, at international scientific meetings and to clinical, healthcare quality and patient–partner associations. This work will support the development of metrics to measure the use of low-value practices, inform policy makers on potential targets for deimplementation and in the long term reduce the use of low-value clinical practices in acute TBI care.PROSPERO registration numberCRD42019132428.

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Towards understanding the de-adoption of low-value clinical practices: a scoping review

BMC Medicine ◽

10.1186/s12916-015-0488-z ◽

2015 ◽

Vol 13 (1) ◽

Cited By ~ 119

Author(s):

Daniel J. Niven ◽

Kelly J. Mrklas ◽

Jessalyn K. Holodinsky ◽

Sharon E. Straus ◽

Brenda R. Hemmelgarn ◽

...

Keyword(s):

Scoping Review ◽

Clinical Practices

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Bladder and bowel preferences of patients at the end of life: a scoping review

International Journal of Palliative Nursing ◽

10.12968/ijpn.2020.26.8.432 ◽

2020 ◽

Vol 26 (8) ◽

pp. 432-442

Author(s):

Nicholas Smith ◽

Saima Rajabali ◽

Kathleen F Hunter ◽

Thane Chambers ◽

Robin Fasinger ◽

...

Keyword(s):

End Of Life ◽

Scoping Review ◽

Patient Preferences ◽

Symptom Management ◽

Future Research ◽

Bowel Symptom ◽

Outcomes Of Care ◽

The Many ◽

Improving Patient Care ◽

Preferences For Care

Background: Following patient preferences at the end of life should improve outcomes of care, yet patient preferences regarding bladder and bowel care are not often accommodated, as they are not well known in the literature. Aims: This scoping review sought to identify bladder and bowel care preferences of patients at the end of life in published literature. Methods: Papers published in or after 1997 (in English) that focused on adult preferences for bladder and bowel care at the end of life were included. Findings: Scant literature exists on preferences for bladder and bowel care for adult patients at end of life. Further investigation is warranted to arrive at a better understanding of preferences regarding bladder and bowel symptom management. Conclusions: Future research should explore if prioritising the symptoms caused by incontinence, among the many symptoms experienced at the end of life, could be achieved through careful questioning and development of a standardised tool focused on improving patient care and incorporating patient preferences for care.

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Mitigating Burnout in an Oncological Unit: A Scoping Review

Frontiers in Public Health ◽

10.3389/fpubh.2021.677915 ◽

2021 ◽

Vol 9 ◽

Author(s):

Rasheed Omobolaji Alabi ◽

Päivi Hietanen ◽

Mohammed Elmusrati ◽

Omar Youssef ◽

Alhadi Almangush ◽

...

Keyword(s):

Job Satisfaction ◽

Scoping Review ◽

Positive Impact ◽

Quality Care ◽

Healthcare Providers ◽

Training Group ◽

Well Being ◽

Working Environment ◽

Clinical Practices ◽

Patients With Cancer

Objectives: The purpose of this study was to provide a scoping review on how to address and mitigate burnout in the profession of clinical oncology. Also, it examines how artificial intelligence (AI) can mitigate burnout in oncology.Methods: We searched Ovid Medline, PubMed, Scopus, and Web of Science, for articles that examine how to address burnout in oncology.Results: A total of 17 studies were found to examine how burnout in oncology can be mitigated. These interventions were either targeted at individuals (oncologists) or organizations where the oncologists work. The organizational interventions include educational (psychosocial and mindfulness-based course), art therapies and entertainment, team-based training, group meetings, motivational package and reward, effective leadership and policy change, and staff support. The individual interventions include equipping the oncologists with adequate training that include—communication skills, well-being and stress management, burnout education, financial independence, relaxation, self-efficacy, resilience, hobby adoption, and work-life balance for the oncologists. Similarly, AI is thought to be poised to offer the potential to mitigate burnout in oncology by enhancing the productivity and performance of the oncologists, reduce the workload and provide job satisfaction, and foster teamwork between the caregivers of patients with cancer.Discussion: Burnout is common among oncologists and can be elicited from different types of situations encountered in the process of caring for patients with cancer. Therefore, for these interventions to achieve the touted benefits, combinatorial strategies that combine other interventions may be viable for mitigating burnout in oncology. With the potential of AI to mitigate burnout, it is important for healthcare providers to facilitate its use in daily clinical practices.Conclusion: These combinatorial interventions can ensure job satisfaction, a supportive working environment, job retention for oncologists, and improved patient care. These interventions could be integrated systematically into routine cancer care for a positive impact on quality care, patient satisfaction, the overall success of the oncological ward, and the health organizations at large.

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Implementation Strategies to Support Evidence-Informed Symptom Management Among Outpatient Oncology Nurses: A Scoping Review Protocol

10.21203/rs.3.rs-929181/v1 ◽

2021 ◽

Author(s):

Kylie Teggart ◽

Denise Bryant-Lukosius ◽

Sarah E. Neil-Sztramko ◽

Rebecca Ganann

Keyword(s):

Scoping Review ◽

Symptom Management ◽

Grey Literature ◽

Implementation Strategies ◽

Oncology Nurses ◽

Care Providers ◽

Management Guidelines ◽

Factors Influencing ◽

Cancer Symptom Management ◽

Outpatient Settings

Abstract Introduction: Despite the availability of clinical practice guidelines for cancer symptom management, cancer care providers do not consistently utilize them in practice. Oncology nurses in outpatient settings are well-positioned to use established guidelines to inform symptom assessment and management; however, issues concerning inconsistent implementation persist. This scoping review aims to identify and describe the components of implementation strategies that have been used to enhance the adoption, implementation, and sustainability of symptom management guidelines among specialized and advanced oncology nurses in cancer-specific outpatient settings. Factors influencing guideline implementation will also be identified. Methods and analysis: This scoping review will follow Joanna Briggs Institute methodology. Electronic databases CINAHL, Embase, Emcare, MEDLINE(R), and grey literature sources will be searched for studies published in English since the year 2000. Primary studies and grey literature reports of any design that include specialized or advanced oncology nurses practicing in cancer-specific outpatient settings will be eligible. Sources describing implementation strategies to enhance the adoption, implementation, and sustainability of cancer symptom management guidelines and/or factors influencing implementation will be included. Two reviewers will independently screen for eligibility and extract data. Data extraction will be guided by the Consolidated Framework for Implementation Research (CFIR). Data will be analyzed descriptively and synthesized according to CFIR constructs. Results will be presented through tabular/diagrammatic formats and narrative summary. Ethics and dissemination: Ethics approval is not required for this scoping review. Planned knowledge translation activities include a national conference presentation, peer-reviewed publication, academic social media channels, and dissemination within local oncology nursing and patient networks.

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