scholarly journals Narrative literature review and gap analysis of diabetes services in a community setting

2021 ◽  
Author(s):  
◽  
Jennifer Shaw

The goal of this project was to outline best practices regarding the organization of diabetes care and services in the community in relation to the local context of services in Squamish, BC, Canada to create a foundation for future quality improvement work. The theoretical framework of personcentered care is essential to chronic disease management and underpins this work. The methods include: 1) A narrative literature review consisting of a database search, and 2) A gap analysis consisting of local data and an environmental scan. The Chronic Care Model is an evidence-based integrated care framework used to organize the findings of the narrative literature review and the gap analysis and to frame the recommendations (Clement et al., 2018). Based on the findings, evidence-based recommendations were created specific to the context of diabetes care in Squamish, BC creating the opportunity for meaningful future quality improvement work.

2021 ◽  
pp. 1-13
Author(s):  
Faith Thomas ◽  
Bob Morgan

BACKGROUND: When linking the employment rate, retention rate, and the cost of turnover, the data suggest educators, rehabilitation counselors, and employment providers need to teach people with disabilities job retention skills to improve employment outcomes. OBJECTIVE: The purpose of this narrative literature review was to (a) identify evidence-based job retention interventions for people with disabilities and (b) identify specific skills which may be beneficial to teach to adults with disabilities in postsecondary education, adult education or employment services to improve the employment retention outcomes. METHODS: A systematic review of peer-reviewed quantitative research published from 1994 –June 2019 resulted in 6 articles meeting the inclusion criteria. RESULTS: Four intervention strategies showed statistically significant improvement in job retention for people with disabilities. The first strategy was developing and applying individuals’ self-determination/self-advocacy skills in discussing accommodations and resolving work-related challenges. Other intervention strategies with statistically significant impacts on job retention included social skills, learning how to manage medications, and receiving natural supports on the job. CONCLUSIONS: Implementation of job retention interventions may result in valuable skill sets for people with disabilities. Discrete intervention strategies and skill sets were found in the review of literature. A replication of studies with participants from diverse socio-economic backgrounds is needed to fully understand the potential of these job retention intervention strategies to improve employment outcomes for individuals with disabilities.


2020 ◽  
Vol 40 (7) ◽  
pp. 902-911 ◽  
Author(s):  
Malihe Nourollahpour Shiadeh ◽  
Elena Cassinerio ◽  
Maryam Modarres ◽  
Armin Zareiyan ◽  
Zeinab Hamzehgardeshi ◽  
...  

Societies ◽  
2021 ◽  
Vol 11 (3) ◽  
pp. 70
Author(s):  
Costas S. Constantinou ◽  
Andrew Timothy Ng ◽  
Chase Beverley Becker ◽  
Parmida Enayati Zadeh ◽  
Alexia Papageorgiou

This paper presents the results of a narrative literature review on the use of interpreters in medical education. A careful search strategy was based on keywords and inclusion and exclusion criteria, and used the databases PubMed, Medline Ovid, Google Scholar, Scopus, CINAHL, and EBSCO. The search strategy resulted in 20 articles, which reflected the research aim and were reviewed on the basis of an interpretive approach. They were then critically appraised in accordance with the “critical assessment skills programme” guidelines. Results showed that the use of interpreters in medical education as part of the curriculum is scarce, but students have been trained in how to work with interpreters when interviewing patients to fully develop their skills. The study highlights the importance of integrating the use of interpreters in medical curricula, proposes a framework for achieving this, and suggests pertinent research questions for enriching cultural competence.


Author(s):  
Sahar Mihandoust ◽  
Rutali Joshi ◽  
Anjali Joseph ◽  
Kapil Chalil Madathil ◽  
Cheryl J. Dye ◽  
...  

2021 ◽  
Vol 8 ◽  
pp. 238212052110187
Author(s):  
Marco Grech

Background: Burnout among postgraduate medical trainees is common. It is a syndrome characterised by emotional exhaustion, depersonalisation and reduced personal accomplishment. Burnout is seen as an organisational problem rather than the result of an individual’s ability to cope with the stress at work. The educational environment can play a pivotal role in the prevention of burnout among postgraduate medical trainees. This narrative literature review is aimed at assessing the effect of the educational environment on burnout in postgraduate doctors-in-training. Methods: A search of the databases Medline and PscyInfo for articles published between 2015 and 2020 was performed with the key words ‘burnout’ and ‘educational environment’ or ‘clinical learning environment’ or ‘postgraduate medical education’ or ‘learning environment’. Results: A total of 27 studies were identified and reviewed by the author. The prevalence of burnout reported varied widely between studies, ranging from 10% to 62%. Many of the factors that contribute to burnout form part of the educational environment, for example, hours worked, mistreatment, harassment and perceptions of injustice. Residency itself is a stressful period wherein trainees have to balance their responsibilities towards their patients with their responsibilities at home, all while furthering their studies and taking on new responsibilities. Interventions to prevent burnout and tackle existing burnout are multiple but very little solid evidence exists to attest to their efficacy. More research is needed to identify the most effective ways to deal with burnout in postgraduate medical trainees.


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