scholarly journals Prevalence and Predictors of Burnout in Midwives: A Systematic Review and Meta-Analysis

2020 ◽  
Vol 17 (2) ◽  
pp. 641 ◽  
Author(s):  
Nora Suleiman-Martos ◽  
Luis Albendín-García ◽  
José L. Gómez-Urquiza ◽  
Keyla Vargas-Román ◽  
Lucia Ramirez-Baena ◽  
...  
Keyword(s):  
Systematic Review ◽  
Meta Analysis ◽  
Burnout Syndrome ◽  
Personal Factors ◽  
Physical And Mental Health ◽  
Negative Effects ◽  
Related Factors ◽  
Work Related ◽  
Scarcity Of Resources

The prevalence of burnout in midwives has been briefly studied. Given the negative effects of burnout syndrome in the physical and mental health, and also related to the quality of care provided, rates of absenteeism and sick leave; identifying related factors for the syndrome are needed. The aim was to determine the prevalence, levels, and factors related to the burnout syndrome, measured with the Copenhagen Burnout Inventory in midwives. A systematic review and meta-analysis were selected from CINAHL, LILACS, ProQuest, PsycINFO, PubMed, SciELO, and Scopus databases, with the search equation “burnout AND (midwife OR midwives OR nurses midwives)”. Fourteen articles were found with a total of 8959 midwives. Most of the studies showed moderate levels of personal burnout. The prevalence obtained was 50% (95% CI = 38–63) for personal burnout; 40% (95% CI = 32–49) for work-related burnout; and 10% (95% CI = 7–13) for client-related burnout. Midwives’ age, less experience, and living alone constitute the main related factors, as well as, the scarcity of resources, work environment, and the care model used. Most midwives present personal and work-related burnout, which indicates a high risk of developing burnout. Personal factors and working conditions should be taken into account when assessing burnout risk profiles of midwives.

scholarly journals Prevalence, Related Factors, and Levels of Burnout Syndrome Among Nurses Working in Gynecology and Obstetrics Services: A Systematic Review and Meta-Analysis

2019 ◽  
Vol 16 (14) ◽  
pp. 2585 ◽  
Author(s):  
Emilia I. De la Fuente-Solana ◽  
Nora Suleiman-Martos ◽  
Laura Pradas-Hernández ◽  
Jose L. Gomez-Urquiza ◽  
Guillermo A. Cañadas-De la Fuente ◽  
...  
Keyword(s):  
Systematic Review ◽  
Latin American ◽  
Meta Analysis ◽  
Personal Accomplishment ◽  
Burnout Syndrome ◽  
Obstetrics And Gynecology ◽  
Related Factors ◽  
Number Of Children ◽  
Work Related ◽  
Gynecology And Obstetrics

Background: Although burnout levels and the corresponding risk factors have been studied in many nursing services, to date no meta-analytical studies have been undertaken of obstetrics and gynecology units to examine the heterogeneity of burnout in this environment and the variables associated with it. In the present paper, we aim to determine the prevalence, levels, and related factors of burnout syndrome among nurses working in gynecology and obstetrics services. Methods: A systematic review and meta-analysis of the literature were carried out using the following sources: CINAHL (Cumulative Index of Nursing and Allied Health Literature), LILACS (Latin American and Caribbean Health Sciences Literature), Medline, ProQuest (Proquest Health and Medical Complete), SciELO (Scientific Electronic Library Online), and Scopus. Results: Fourteen relevant studies were identified, including, for this meta-analysis, n = 464 nurses. The following prevalence values were obtained: emotional exhaustion 29% (95% CI: 11–52%), depersonalization 19% (95% CI: 6–38%), and low personal accomplishment 44% (95% CI: 18–71%). The burnout variables considered were sociodemographic (age, marital status, number of children, gender), work-related (duration of the workday, nurse-patient ratio, experience or number of miscarriages/abortions), and psychological (anxiety, stress, and verbal violence). Conclusion: Nurses working in obstetrics and gynecology units present high levels of burnout syndrome. In over 33% of the study sample, at least two of the burnout dimensions considered are apparent.

scholarly journals Prognostic factors for chronic post-surgical pain after lung or pleural surgery: a protocol for a systematic review and meta-analysis

BMJ Open ◽  
2021 ◽  
Vol 11 (6) ◽  
pp. e051554
Author(s):  
Pascal Richard David Clephas ◽  
Sanne Elisabeth Hoeks ◽  
Marialena Trivella ◽  
Christian S Guay ◽  
Preet Mohinder Singh ◽  
...  
Keyword(s):  
Systematic Review ◽  
Prognostic Factors ◽  
Prognostic Factor ◽  
Meta Analysis ◽  
Case Series ◽  
Related Factors ◽  
Surgical Pain ◽  
Literature Reviews ◽  
Chronic Post Surgical Pain

IntroductionChronic post-surgical pain (CPSP) after lung or pleural surgery is a common complication and associated with a decrease in quality of life, long-term use of pain medication and substantial economic costs. An abundant number of primary prognostic factor studies are published each year, but findings are often inconsistent, methods heterogeneous and the methodological quality questionable. Systematic reviews and meta-analyses are therefore needed to summarise the evidence.Methods and analysisThe reporting of this protocol adheres to the Preferred Reporting Items for Systematic Review and Meta-Analysis Protocols (PRISMA-P) checklist. We will include retrospective and prospective studies with a follow-up of at least 3 months reporting patient-related factors and surgery-related factors for any adult population. Randomised controlled trials will be included if they report on prognostic factors for CPSP after lung or pleural surgery. We will exclude case series, case reports, literature reviews, studies that do not report results for lung or pleural surgery separately and studies that modified the treatment or prognostic factor based on pain during the observation period. MEDLINE, Scopus, Web of Science, Embase, Cochrane, CINAHL, Google Scholar and relevant literature reviews will be searched. Independent pairs of two reviewers will assess studies in two stages based on the PICOTS criteria. We will use the Quality in Prognostic Studies tool for the quality assessment and the CHARMS-PF checklist for the data extraction of the included studies. The analyses will all be conducted separately for each identified prognostic factor. We will analyse adjusted and unadjusted estimated measures separately. When possible, evidence will be summarised with a meta-analysis and otherwise narratively. We will quantify heterogeneity by calculating the Q and I2 statistics. The heterogeneity will be further explored with meta-regression and subgroup analyses based on clinical knowledge. The quality of the evidence obtained will be evaluated according to the Grades of Recommendation Assessment, Development and Evaluation guideline 28.Ethics and disseminationEthical approval will not be necessary, as all data are already in the public domain. Results will be published in a peer-reviewed scientific journal.PROSPERO registration numberCRD42021227888.

scholarly journals Related factors of quality of life of type 2 diabetes patients: a systematic review and meta-analysis

2018 ◽  
Vol 16 (1) ◽  
Author(s):  
Xiyue Jing ◽  
Jiageng Chen ◽  
Yanan Dong ◽  
Duolan Han ◽  
Haozuo Zhao ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Systematic Review ◽  
Type 2 Diabetes ◽  
Meta Analysis ◽  
Related Factors ◽  
Diabetes Patients

scholarly journals Psychological Impacts of the New Ways of Working (NWW): A Systematic Review

2020 ◽  
Vol 17 (14) ◽  
pp. 5080 ◽  
Author(s):  
Yasuhiro Kotera ◽  
Katia Correa Vione
Keyword(s):  
Systematic Review ◽  
Meta Analysis ◽  
Knowledge Work ◽  
Psychological Outcomes ◽  
High Productivity ◽  
New Ways Of Working ◽  
Work Related ◽  
Psychological Impacts ◽  
Employee Needs

Digitalization of knowledge work is essential for today’s organizations, responding to diversified employee needs. Many organizations are already implementing some form of flexibility to help workers perform work and non-work duties, while maintaining high productivity. While these changes in workplaces, “New Ways of Working (NWW)”, have been discussed in the literature, a systematic appraisal of evidence of NWW has not been conducted. Relating to poor work-related mental health worldwide, this systematic review analyzed the psychological impacts of NWW, and the quality and quantity of NWW research. Following the preferred reporting items for systematic reviews and meta-analysis (PRISMA) guidelines, NWW studies targeting psychological outcomes were evaluated. Initial literature search on ProQuest, PsycINFO, Science Direct, and Google Scholar retrieved 308 titles, from which seven articles fulfilled all inclusion criteria. Our appraisal revealed that NWW research evaluated diverse psychological outcomes. While NWW can help workers’ engagement, work-related flow, and connectivity among staff, NWW can also increase blurred work-home boundary, fatigue, and mental demands. The quality of NWW research was overall medium, needing more rigorous studies. Our findings can inform decision-makers in the workplace to effectively implement NWW, and researchers to improve the quality and the usefulness of future NWW studies.

scholarly journals Effectiveness of Interventions on Early Neurodevelopment of Preterm Infants: A Systematic Review and Meta-Analysis

2020 ◽  
Author(s):  
Marilyn Aita ◽  
Gwenaëlle De Clifford-Faugère ◽  
Andréane Lavallée ◽  
Nancy Feeley ◽  
Robyn Stremler ◽  
...  
Keyword(s):  
Systematic Review ◽  
Preterm Infants ◽  
Systematic Reviews ◽  
Standard Care ◽  
Data Extraction ◽  
Meta Analysis ◽  
Primary Objective ◽  
Related Factors ◽  
Quality Of Evidence

Abstract Background : As preterm infants’ neurodevelopment is shaped by NICU-related factors during their hospitalization, it is essential to evaluate which interventions are more beneficial for their neurodevelopment at this specific time. The primary objective of this systematic review and meta-analysis was to evaluate the effectiveness of interventions initiated during NICU hospitalization on preterm infants’ early neurodevelopment during their hospitalization and up to two weeks corrected age (CA). Methods: This systematic review referred to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses [PRISMA] guidelines and was registered in PROSPERO (CRD42017047072). We searched CINAHL, MEDLINE, PubMed, EMBASE (OVID), Cochrane Systematic Reviews, CENTRAL, and Web of Science from 2002 to February 2020. Two independent reviewers performed the study selection, data extraction, assessment of risks of bias and quality of evidence. Results: Findings of 12 studies involving 901 preterm infants were synthesized. We combined three studies in a meta-analysis showing that compared to standard care, NIDCAP intervention is effective in improving preterm infants’ neurobehavioral and neurological development at two weeks CA. We also combined two other studies in a meta-analysis indicating that parental participation did not significantly improve preterm infants’ neurobehavioral development during NICU hospitalization. For all other interventions (i.e., developmental care, sensory stimulation, music and physical therapy), the synthesis of results shows that compared to standard care or other types of comparators, the effectiveness was either controversial or partially effective. Conclusions: The overall quality of evidence was rated low to very low. Future studies are needed to identify interventions that are the most effective in promoting preterm infants’ neurodevelopment during NICU hospitalization or close to term age. Interventions should be appropriately designed to allow comparison with previous studies and a combination of different instruments could provide a more global assessment of preterm infants’ neurodevelopment and thus allow for comparisons across studies. Systematic Review Protocol Registration: Prospero CRD42017047072

scholarly journals Health needs of refugee children identified on arrival in reception countries: a systematic review and meta-analysis

2019 ◽  
Vol 3 (1) ◽  
pp. e000516 ◽  
Author(s):  
Albertine Baauw ◽  
Joana Kist-van Holthe ◽  
Bridget Slattery ◽  
Martijn Heymans ◽  
Mai Chinapaw ◽  
...  
Keyword(s):  
Systematic Review ◽  
Child Health ◽  
Meta Analysis ◽  
Latent Tuberculosis ◽  
Population Based ◽  
Health Needs ◽  
Refugee Children ◽  
Personal Factors ◽  
Physical And Mental Health ◽  
Health Assessments

BackgroundThe worldwide number of refugees has considerably increased due to ongoing wars, national instability, political persecution and food insecurity. In Europe, about one-third of all refugees are children, an increasing number of which are travelling alone. There are often no systematic medical health assessments for these refugee children on entry in reception countries despite the fact that they are recognised as an at-risk population due to increased burden of physical and mental health conditions. We aimed to perform a systematic review of the literature to describe the health status of refugee children on entering reception countries.MethodsA systematic search of published literature was conducted using the terms refugee, immigrant or migrant, medical or health, and screening.ResultsOf the 3487 potentially relevant papers, 53 population-based studies were included in this review. This systematic review showed that refugee children exhibit high estimated prevalence rates for anaemia (14%), haemoglobinopathies (4%), chronic hepatitis B (3%), latent tuberculosis infection (11%) and vitamin D deficiency (45%) on entry in reception countries. Approximately one-third of refugee children had intestinal infection. Nutritional problems ranged from wasting and stunting to obesity.ConclusionsRefugee children entering reception countries should receive comprehensive health assessments based on the outcomes of this systematic review, national budgets, cost-effectiveness and personal factors of the refugees. The health assessment should be tailored to individual child health needs depending on preflight, flight and postarrival conditions.A paradigm shift that places focus on child health and development will help this vulnerable group of children integrate into their new environments.PROSPEROregistrationnumber122561.

scholarly journals Effectiveness of interventions on early neurodevelopment of preterm infants: a systematic review and meta-analysis

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Marilyn Aita ◽  
Gwenaëlle De Clifford Faugère ◽  
Andréane Lavallée ◽  
Nancy Feeley ◽  
Robyn Stremler ◽  
...  
Keyword(s):  
Systematic Review ◽  
Preterm Infants ◽  
Systematic Reviews ◽  
Standard Care ◽  
Data Extraction ◽  
Meta Analysis ◽  
Sensory Stimulation ◽  
Related Factors ◽  
Quality Of Evidence

Abstract Background As preterm infants’ neurodevelopment is shaped by NICU-related factors during their hospitalization, it is essential to evaluate which interventions are more beneficial for their neurodevelopment at this specific time. The objective of this systematic review and meta-analysis was to evaluate the effectiveness of interventions initiated during NICU hospitalization on preterm infants’ early neurodevelopment during their hospitalization and up to two weeks corrected age (CA). Methods This systematic review referred to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses [PRISMA] guidelines and was registered in PROSPERO (CRD42017047072). We searched CINAHL, MEDLINE, PubMed, EMBASE (OVID), Cochrane Systematic Reviews, CENTRAL, and Web of Science from 2002 to February 2020 and included randomized controlled/clinical trials conducted with preterm infants born between 24 and 366/7 weeks of gestation. All types of interventions instigated during NICU hospitalization were included. Two independent reviewers performed the study selection, data extraction, assessment of risks of bias and quality of evidence. Results Findings of 12 studies involving 901 preterm infants were synthesized. We combined three studies in a meta-analysis showing that compared to standard care, the NIDCAP intervention is effective in improving preterm infants’ neurobehavioral and neurological development at two weeks CA. We also combined two other studies in a meta-analysis indicating that parental participation did not significantly improve preterm infants’ neurobehavioral development during NICU hospitalization. For all other interventions (i.e., developmental care, sensory stimulation, music and physical therapy), the synthesis of results shows that compared to standard care or other types of comparators, the effectiveness was either controversial or partially effective. Conclusions The overall quality of evidence was rated low to very low. Future studies are needed to identify interventions that are the most effective in promoting preterm infants’ early neurodevelopment during NICU hospitalization or close to term age. Interventions should be appropriately designed to allow comparison with previous studies and a combination of different instruments could provide a more global assessment of preterm infants’ neurodevelopment and thus allow for comparisons across studies. Trial registration Prospero CRD42017047072.

scholarly journals Prevalence of dysphagia in multiple sclerosis and its related factors; systematic review and meta-analysis

2019 ◽  
Author(s):  
Alireza Aghaz ◽  
Alireza Alidad ◽  
Ehsan Hemmati ◽  
Hussein Jadidi ◽  
Leila Ghelichi
Keyword(s):  
Multiple Sclerosis ◽  
Systematic Review ◽  
Evaluation Method ◽  
Meta Analysis ◽  
Related Factors ◽  
Cross Sectional ◽  
Prospective Cohort Studies ◽  
Analysis Phase ◽  
Global Epidemiology

Background: Dysphagia is the most prevalent sign of multiple sclerosis (MS) which can reduce the quality of life and augment mortality in the final stages of MS. We presented a systematic review to estimate the prevalence of dysphagia in general and separately for each evaluation method (subjective and objective), and to analyze the causes of this rampant disease. Methods: Cross-sectional and prospective cohort studies were reviewed and scientific  proofs were evaluated consistent with the pre-specified levels of certainty. Results: Twenty-two articles entered the meta-analysis phase; the estimation of the general prevalence of dysphagia in MS-affected patients was 43.33% related to all the 22 studies. Moreover, the estimate of the prevalence via the subjective (16 studies) and objective (6 studies) methods were 37.21% and 58.47%, respectively. Conclusion: This study obtained the prevalence rate of dysphagia in patients affected by MS globally, yet there was infinite statistical society and limited methodological quality. Thus, more extensive studies are required for a better understanding of the global epidemiology regarding dysphagia in MS.

scholarly journals Work-relatedness of inguinal hernia: a systematic review including meta-analysis and GRADE

Hernia ◽  
2020 ◽  
Vol 24 (5) ◽  
pp. 943-950
Author(s):  
P. P. F. M. Kuijer ◽  
D. Hondebrink ◽  
C. T. J. Hulshof ◽  
H. F. Van der Molen
Keyword(s):  
Risk Factors ◽  
Systematic Review ◽  
Inguinal Hernia ◽  
Meta Analysis ◽  
Inclusion Criteria ◽  
Work Related ◽  
Related Risk ◽  
Medical Causation ◽  
Physically Demanding Work

Abstract Purpose Clinicians need to know whether inguinal hernia (IH) can be attributed to work to answer questions regarding prevention and medical causation. This review describes whether work-related risk factors are associated with IH. Methods A systematic review was performed in Medline via PubMed until February 3rd, 2020. Inclusion criteria were that IH was diagnosed by a clinician, and workers exposed to work-related risk factors were compared to workers less exposed or not at all. A quality assessment and a meta-analysis using Cochrane’s RevMan 5.3 were performed, including GRADE for quality of evidence. Results The search resulted in 540 references. Fourteen studies fulfilled the inclusion criteria, of which three were included in a meta-analysis, all three being of high quality, including 621 workers diagnosed with IH. The meta-analysis revealed significant associations with physically demanding work (OR 2.30, 95% CI 1.56–3.40). Two prospective studies, including 382 and 22,926 cases revealed associations that this was true for male workers with a lateral IH that reported standing or walking for more than six hours per workday (OR 1.45, 95% CI 1.12–1.88) or lifting cumulative loads of more than 4000 kg per workday (OR 1.32, 95% CI 1.27–1.38). The level of certainty for the latter two work-related risk factors was moderate and high according to GRADE. Conclusion Lateral IH among males is associated with work-related risk factors depending on the level of exposure to the time standing/walking per workday, or the amount of load lifted per workday.

scholarly journals Prevalence, Risk Factors and Burnout Levels in Intensive Care Unit Nurses: A Systematic Review and Meta-Analysis

2021 ◽  
Vol 18 (21) ◽  
pp. 11432
Author(s):  
Santiago Ramírez-Elvira ◽  
José L. Romero-Béjar ◽  
Nora Suleiman-Martos ◽  
José L. Gómez-Urquiza ◽  
Carolina Monsalve-Reyes ◽  
...  
Keyword(s):  
Systematic Review ◽  
Intensive Care Unit ◽  
Intensive Care ◽  
Emotional Exhaustion ◽  
Meta Analysis ◽  
Poor Performance ◽  
Personal Accomplishment ◽  
Burnout Syndrome ◽  
Personality Factors ◽  
Related Factors

Nursing is considered to be an at-risk profession of burnout due to daily exposure to difficult situations such as death and pain care. In addition, some units such as the intensive care unit (ICU), can be stressful due to high levels of morbidity and mortality and ethical dilemmas. Burnout causes a deterioration in quality of care, increasing the risk of mortality in patients due to poor performance and errors in the healthcare environment. The aim of this study was to analyse the levels, prevalence and related factors of burnout in ICU nurses. A systematic review and meta-analysis were carried out in the Medline, Scopus and CINAHL databases. Fifteen articles were found for the systematic review and four for the meta-analysis. With a sample of n = 1986 nurses, the meta-analytic estimate prevalence for high emotional exhaustion was 31% (95% CI, 8–59%), for high depersonalization was 18% (95% CI, 8–30%), and for low personal accomplishment was 46% (95% CI, 20–74%). Within the dimensions of burnout, emotional exhaustion had a significant relationship with depression and personality factors. Both sociodemographic factors (being younger, single marital status, and having less professional experience in ICU) and working conditions (workload and working longer hours) influence the risk of burnout syndrome.

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