scholarly journals 10 / CLINICAL PRACTICE TOOLS FOR MULTIDIMENSIONAL UNMET HEALTHCARE NEEDS IN ADVANCED CANCER: A SYSTEMATIC LITERATURE REVIEW

Author(s):  
Ellie B. Schmidt
2014 ◽  
Vol 23 (3) ◽  
pp. 881-888 ◽  
Author(s):  
Sarika Hanchanale ◽  
Lucy Adkinson ◽  
Sunitha Daniel ◽  
Michelle Fleming ◽  
Stephen G Oxberry

2016 ◽  
Vol 18 (4) ◽  
pp. 457
Author(s):  
Alexandra Peltea ◽  
Florian Berghea ◽  
Tania Gudu ◽  
Ruxandra Ionescu

Objective: To identify and analyse existing data regarding knee ultrasound (US) feasibility in clinical practice. Material and methods: A systematic literature review was performed using the terms: (“knee”) AND (“ultrasound” OR “ultrasonography”) AND (“feasibility” OR “pilot” OR “proof of concept”). Feasibility studies regarding knee US or US aided maneuver involving knee joint, published during 2005-2015, were selected and evaluated against a complex framework constructed around mandatory key areas for feasibility studies: acceptability, demand, implementation, practicality, adaptation, integration and expansion. Results: One hundred and fifty-nine publications were identified, of which 9 were included in the final analysis: 6 dealt with the development and implementation of novel US scores, while the rest focused on implementing MSUS in clinical practice, evaluating the usefulness of articular cartilage US assessment and the feasibility of sonography for intra-articular knee injections, respectively. Six studies quantified feasibility as time spent for the evaluation, with only two addressing areassuch as acceptability, implementation and practicality, although none of these systematically assessed all feasibility domains. Conclusion: Knee US feasibility is still poorly addressed; the time required for US assessment is the main area addressed. This information gap should be properly addressed in future works, in order to ensure the right place for this technique. 


2016 ◽  
Vol 17 (1) ◽  
Author(s):  
B. Le Floch ◽  
H. Bastiaens ◽  
J. Y. Le Reste ◽  
H. Lingner ◽  
R. D. Hoffman ◽  
...  

2020 ◽  
pp. bmjspcare-2020-002495
Author(s):  
Ellie B Schmidt ◽  
David Blum ◽  
Franzisca Domeisen Benedetti ◽  
Mathias Schlögl ◽  
Florian Strasser

ContextThe unmet needs of patients with advanced disease are indicative of the patient centredness of healthcare. By tracking unmet needs in clinical practice, palliative interventions are aligned with patient priorities, and clinicians receive support in intervention delivery decisions for patients with overlapping, complex needs.ObjectiveIdentify tools used in everyday clinical practice for the purpose of identifying and addressing unmet healthcare needs for patients with advanced disease.MethodsWe conducted PubMed and Cumulative Index of Nursing and Allied Health Literature searches to include studies published between 1 January 2008 and 21 April 2020. Three concepts were used in constructing a search statement: (1) patient need, (2) validated instrument and (3) clinical practice. 2313 citations were reviewed according to predefined eligibility, exclusion and inclusion criteria. Data were collected from 17 tools in order to understand how instruments assess unmet need, who is involved in tool completion, the psychometric validation conducted, the tool’s relationship to delivering defined palliative interventions, and the number of palliative care domains covered.ResultsThe majority of the 17 tools assessed unmet healthcare needs and had been validated. However, most did not link directly to clinical intervention, nor did they facilitate interaction between clinicians and patients to ensure a patient-reported view of unmet needs. Half of the tools reviewed covered ≤3 dimensions of palliative care. Of the 17 tools evaluated, 4 were compared in depth, but all were determined to be insufficient for the specific clinical applications sought in this research.ConclusionA new, validated tool is needed to track unmet healthcare needs and guide interventions for patients with advanced disease.


2016 ◽  
Vol 25 (3) ◽  
Author(s):  
Cristina Maria Alves Marques-Vieira ◽  
Luís Manuel Mota de Sousa ◽  
Lisete Maria Ribeiro de Sousa ◽  
Sílvia Maria Alves Caldeira Berenger

ABSTRACT Walk is an activity that requires different skills and can be highly complex particularly for the elderly. The aim was to identify the defined characteristics and related factors of the nursing diagnosis impaired walking in elderly. A Systematic literature review, based on a search done between January and March 2014, in the electronic platforms EBSCO Host (r) , SCOPUS and ISI, and using the search strategy walk* OR gait AND Nurs*. A sample of 36 studies was obtained. A total of 17 defined characteristics and 34 related factors were identified. Among all, nine defined characteristics and 20 related factors are not listed in the diagnosis of NANDA International. This research identified new defined characteristics and related factors not listed in NANDA International. This study is a contribution to the development of the taxonomy of NANDA International, which should represent nursing knowledge, and this highlights some implications for clinical practice, education and further research.


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