scholarly journals Caring Experience of Childbirth Primipara Undergone Emergency Cesarean Section: A Systematic Review

2019 ◽  
Vol 2 (1) ◽  
pp. 25
Author(s):  
Regina Vidya Trias Novita
Keyword(s):  
Systematic Review ◽  
Health Care ◽  
Cesarean Section ◽  
Health Care Professional ◽  
Qualitative Studies ◽  
Fear Of Death ◽  
Maternity Ward ◽  
Negative Experience ◽  
Quantitative Studies ◽  
Emergency Cesarean

Introduction: Childbirth is natural phenomenon. The statement ‘fear of death’ and ‘losing the child’ is manifest childbirth among the primipara (Nakano et al, 2012).  Childbirth among the primipara manifest by ‘fear of death’ and ‘losing the child’. Even the mother was happy met her baby, but negative feelings, such as fear, guilt, or anger could lead their memories of the birth (Ryding, 1998). The problems during childbirth process can be affected  both of the mother’s health and baby in the future. Even birth by EmCS,  women could be helped to have more positive chilbirth experiences (Ayers et al., 2006), by created positive athmosphere in maternity ward. There is need to explore caring experience among of primiparaous undergone EmCS, so health care professional understand how to empowerment mothers in  the emergency situation.Objectives :  To conduct a systemetic review of the literatur to explore caring experience of primipara childbirth with emergency cesarean section, to understand the factors internal contributing of caring and the factors hindering or enhancing by health care professional. Methods: A systematic review was performed to explore experience primipara and identify the strategies which measure health care professional delivered care before, during and after emergency emegergency cesarean section (EmCS). The search strategy included database ProQuest and grey literature using Google scholar. Caring experience of childbirth among the primipara were evaluate with explore their experience, expactation and contributing factors which influence physical and psychological the primiparaous mothers who get EmCS. Results : Seven qualitative and four quantitative studies were found. This systemtic shows same experiences primiparous mother EmCS in qualitative studies, the dominant feeling is ”fear”. The other expereinces are pain in high intensity, have negative expereince, losing the child, lose of control, disappointed, feelings of failure and alienation for their infant, and difficulties to breastfeed esspecialy in holding and childcare the baby when already at home.The results from qualitative studies are supported by quantitative studies showed mothers with EmCS significant fear of delivery and have a more negative experience of childbirth (P< 0.001) and 80% more higher negative experience. Care before, during and after should be guided by foundation that mothers are the central of chilbirth actions, that grant their have autonomy and empowerment in this situation. Conclusion: This systematic review identified the primiparous mothers’ experience EmCS.“Fear” is the dominant felling for mothers’ EmCS, mothers needed social support and caring very approprietly in this situation esspecially in maternity ward. Caring for mothers as nurses being fully present in this moment,  avoid lack of the communication and give a control to get comfortable and feeling treated with respect and as an individual, mothers’ experience more positively.The suggest for this study is to development instrument include before, during and after delivery with caring, control and communication both for mothers and nurses. 

Barriers in Case Managers’ Roles: A Qualitative Systematic Review

2017 ◽  
Vol 40 (10) ◽  
pp. 1522-1542 ◽  
Author(s):  
Jee Young Joo ◽  
Diane L. Huber
Keyword(s):  
Systematic Review ◽  
Health Care ◽  
Case Management ◽  
Health Care Providers ◽  
Management Practices ◽  
Case Managers ◽  
Qualitative Studies ◽  
Complex Case ◽  
Bibliographic Databases ◽  
Care Providers

The challenges faced by case managers when implementing case management have received little focus. Several qualitative studies have been published that may be able to shed light on those challenges. This study is a systematic review of qualitative literature to identify barriers case managers have when implementing case management. Five electronic bibliographic databases were systematically searched, and 10 qualitative studies were identified for inclusion in the review which were published from 2007 to 2016. Through thematic synthesis of findings, five themes were identified as barriers to case management implementation: unclear scope of practice, diverse and complex case management activities, insufficient training, poor collaboration with other health-care providers, and client relationship challenges. This review study suggested that standardized evidence-based practical protocols and certification programs may help overcome case managers’ barriers and improve case management practices. Health policymakers, case management associations, and health-care management researchers should develop educational and practical supports for case managers.

scholarly journals Tobacco-Nicotine Education and Training for Health-Care Professional Students and Practitioners: A Systematic Review

2017 ◽  
Vol 20 (5) ◽  
pp. 531-542 ◽  
Author(s):  
Lisa Ye ◽  
Catherine Goldie ◽  
Tanvi Sharma ◽  
Sheila John ◽  
Megan Bamford ◽  
...  
Keyword(s):  
Systematic Review ◽  
Health Care ◽  
Health Care Professional ◽  
Education And Training ◽  
Professional Students ◽  
And Training

scholarly journals Patient values and preferences regarding VTE disease: a systematic review to inform American Society of Hematology guidelines

2020 ◽  
Vol 4 (5) ◽  
pp. 953-968 ◽  
Author(s):  
Itziar Etxeandia-Ikobaltzeta ◽  
Yuan Zhang ◽  
Francesca Brundisini ◽  
Ivan D. Florez ◽  
Wojtek Wiercioch ◽  
...  
Keyword(s):  
Systematic Review ◽  
Health Outcomes ◽  
Qualitative Studies ◽  
Health State ◽  
Cochrane Central Register ◽  
Theory Approach ◽  
Relative Importance ◽  
Health States ◽  
Quantitative Studies ◽  
American Society

Abstract Values and preferences relate to the importance that patients place on health outcomes (eg, bleeding, having a deep venous thrombosis) and are essential when weighing benefits and harms in guideline recommendations. To inform the American Society of Hematology guidelines for management of venous thromboembolism (VTE) disease, we conducted a systematic review of patients’ values and preferences related to VTE. We searched Medline, Embase, Cochrane Central Register of Controlled Trials, PsycINFO, and the Cumulative Index to Nursing and Allied Health Literature from inception to April of 2018 (PROSPERO-CRD42018094003). We included quantitative and qualitative studies. We followed Grading of Recommendations Assessment, Development and Evaluation (GRADE) guidance for rating the certainty and presenting findings for quantitative research about the relative importance of health outcomes and a grounded theory approach for qualitative thematic synthesis. We identified 14 quantitative studies (2465 participants) describing the relative importance of VTE-related health states in a widely diverse population of patients, showing overall small to important impact on patients’ lives (certainty of the evidence from low to moderate). Additionally, evidence from 34 quantitative studies (6424 participants) and 15 qualitative studies (570 participants) revealed that patients put higher value on VTE risk reduction than on the potential harms of the treatment (certainty of evidence from low to moderate). Studies also suggested a clear preference for oral medication over subcutaneous medication (moderate certainty). The observed variability in health state values may be a result of differences in the approaches used to elicit them and the diversity of included populations rather than true variability in values. This finding highlights the necessity to explore the variability induced by different approaches to ascertain values.

scholarly journals Health Care Professionals’ Experiences of Patient-Professional Communication Over Patient Portals: Systematic Review of Qualitative Studies (Preprint)

2020 ◽  
Author(s):  
Elina Laukka ◽  
Moona Huhtakangas ◽  
Tarja Heponiemi ◽  
Sari Kujala ◽  
Anu-Marja Kaihlanen ◽  
...  
Keyword(s):  
Systematic Review ◽  
Health Care ◽  
Health Care Professionals ◽  
Negative Impact ◽  
Qualitative Studies ◽  
Professional Communication ◽  
Patient Portals ◽  
Patient Centeredness ◽  
Web Based ◽  
Negative Experiences

BACKGROUND The popularity of web-based patient-professional communication over patient portals is constantly increasing. Good patient-professional communication is a prerequisite for high-quality care and patient centeredness. Understanding health care professionals’ experiences of web-based patient-professional communication is important as they play a key role in engaging patients to use portals. More information is needed on how patient-professional communication could be supported by patient portals in health care. OBJECTIVE This systematic review of qualitative studies aims to identify how health care professionals experience web-based patient-professional communication over the patient portals. METHODS Abstract and full-text reviews were conducted by 2 reviewers independently. A total of 4 databases were used for the study: CINAHL (EBSCO), ProQuest (ABI/INFORM), Scopus, and PubMed. The inclusion criteria for the reviewed studies were as follows: the examination of health care professionals’ experiences, reciprocal communication between patients and health care professionals, peer-reviewed scientific articles, and studies published between 2010 and 2019. The Joanna Briggs Institute’s quality assessment criteria were used in the review process. A total of 13 included studies were analyzed using a thematic synthesis, which was conducted by 3 reviewers. RESULTS A total of 6 analytical themes concerning health care professionals’ experiences of web-based patient-professional communication were identified. The themes were related to health care professionals’ work, change in communication over patient portals, patients’ use of patient portals, the suitability of patient portals for communication, the convenience of patient portals for communication, and change in roles. CONCLUSIONS Health care professionals’ experiences contain both positive and negative insights into web-based patient-professional communication over patient portals. Most commonly, the positive experiences seem to be related to the patients and patient outcomes, such as having better patient engagement. Health care professionals also have negative experiences, for example, web-based patient-professional communication sometimes has deficiencies and has a negative impact on their workload. These negative experiences may be explained by the poor functionality of the patient portals and insufficient training and resources. To reduce health care professionals’ negative experiences of web-based patient-professional communication, their experiences should be taken into account by policy makers, health care organizations, and information technology enterprises when developing patient portals. In addition, more training regarding web-based patient-professional communication and patient portals should be provided to health care professionals.

scholarly journals The Secondary Use of Data to Support Medication Safety in the Hospital Setting: A Systematic Review and Narrative Synthesis

Pharmacy ◽  
2021 ◽  
Vol 9 (4) ◽  
pp. 198
Author(s):  
Navila Talib Chaudhry ◽  
Bryony Dean Franklin ◽  
Salmaan Mohammed ◽  
Jonathan Benn
Keyword(s):  
Systematic Review ◽  
Medication Safety ◽  
Qualitative Studies ◽  
Data Reuse ◽  
Electronic Prescribing ◽  
Narrative Synthesis ◽  
Secondary Use ◽  
Use Of Data ◽  
Quantitative Studies ◽  
Factors Influencing

Objectives: To conduct a systematic review and narrative synthesis of interventions based on secondary use of data (SUD) from electronic prescribing (EP) and electronic hospital pharmacy (EHP) systems and their effectiveness in secondary care, and to identify factors influencing SUD. Method: The search strategy had four facets: 1. Electronic databases, 2. Medication safety, 3. Hospitals and quality/safety, and 4. SUD. Searches were conducted within EMBASE, Medline, CINAHL, and International Pharmaceutical Abstracts. Empirical SUD intervention studies that aimed to improve medication safety and/or quality, and any studies providing insight into factors affecting SUD were included. Results: We identified nine quantitative studies of SUD interventions and five qualitative studies. SUD interventions were complex and fell into four categories, with ‘provision of feedback’ the most common. While heterogeneous, the majority of quantitative studies reported positive findings in improving medication safety but little detail was provided on the interventions implemented. The five qualitative studies collectively provide an overview of the SUD process, which typically comprised nine steps from data identification to analysis. Factors influencing the SUD process were electronic systems implementation and level of functionality, knowledge and skills of SUD users, organisational context, and policies around data reuse and security. Discussion and Conclusion: The majority of the SUD interventions were successful in improving medication safety, however, what contributes to this success needs further exploration. From synthesis of research evidence in this review, an integrative framework was developed to describe the processes, mechanisms, and barriers for effective SUD.

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