Implementing Anti-Racism Interventions in Healthcare Settings: A Scoping Review

Racism towards Black, Indigenous and people of colour continues to exist in the healthcare system. This leads to profound harm for people who use and work within these settings. This is a scoping review to identify anti-racism interventions in outpatient healthcare settings. Searching the peer-reviewed and grey literature, articles were screened for inclusion by at least two independent reviewers. Synthesizing the socio-ecological levels of interventions with inductively identifying themes, a conceptual model for implementing anti-racism interventions in healthcare settings is presented. In total, 37 peer-reviewed articles were included in the review, with 12 empirical studies and 25 theoretical or conceptual papers. Six grey literature documents were also included. Healthcare institutions need to incorporate an explicit, shared language of anti-racism. Anti-racism action should incorporate leadership buy-in and commitment with dedicated resources, support and funding; a multi-level approach beginning with policy and organizational interventions; transparent accountability mechanisms for sustainable change; long-term meaningful partnerships with Black, Indigenous, and people of colour (i.e., racialized communities); and ongoing, mandatory, tailored staff education and training. Decision-makers and staff in healthcare settings have a responsibility to take anti-racism action and may improve the success and sustainability of their efforts by incorporating the foundational principles and strategies identified in this paper.

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Urban health nexus with coronavirus disease 2019 (COVID-19) preparedness and response in Africa: Rapid scoping review of the early evidence

SAGE Open Medicine ◽

10.1177/2050312121994360 ◽

2021 ◽

Vol 9 ◽

pp. 205031212199436

Author(s):

Robert Kaba Alhassan ◽

Jerry John Nutor ◽

Aaron Asibi Abuosi ◽

Agani Afaya ◽

Solomon Salia Mohammed ◽

...

Keyword(s):

Urban Health ◽

Scoping Review ◽

Empirical Studies ◽

Grey Literature ◽

Spillover Effects ◽

Health Systems Strengthening ◽

World Health ◽

African Countries ◽

Response Strategies ◽

Early Evidence

Introduction: Severe acute respiratory syndrome coronavirus 2 also called coronavirus disease 2019 was first reported in the African continent on 14 February 2020 in Egypt. As at 18 December 2020, the continent reported 2,449,754 confirmed cases, 57,817 deaths and 2,073,214 recoveries. Urban cities in Africa have particularly suffered the brunt of coronavirus disease 2019 coupled with criticisms that the response strategies have largely been a ‘one-size-fits-all’ approach. This article reviewed early evidence on urban health nexus with coronavirus disease 2019 preparedness and response in Africa. Methods: A rapid scoping review of empirical and grey literature was done using data sources such as ScienceDirect, GoogleScholar, PubMed, HINARI and official websites of World Health Organization and Africa Centres for Disease Control and Prevention. A total of 26 full articles (empirical studies, reviews and commentaries) were synthesised and analysed qualitatively based on predefined inclusion criteria on publication relevance and quality. Results: Over 70% of the 26 articles reported on coronavirus disease 2019 response strategies across Africa; 27% of the articles reported on preparedness towards coronavirus disease 2019, while 38% reported on urbanisation nexus with coronavirus disease 2019; 40% of the publications were full-text empirical studies, while the remaining 60% were either commentaries, reviews or editorials. It was found that urban cities remain epicentres of coronavirus disease 2019 in Africa. Even though some successes have been recorded in Africa regarding coronavirus disease 2019 fight, the continent’s response strategies were largely found to be a ‘one-size-fits-all’ approach. Consequently, adoption of ‘Western elitist’ mitigating measures for coronavirus disease 2019 containment resulted in excesses and spillover effects on individuals, families and economies in Africa. Conclusion: Africa needs to increase commitment to health systems strengthening through context-specific interventions and prioritisation of pandemic preparedness over response. Likewise, improved economic resilience and proper urban planning will help African countries to respond better to future public health emergencies, as coronavirus disease 2019 cases continue to surge on the continent.

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Identifying approaches for synthesizing and summarizing information to support informed citizen deliberations in health policy: a scoping review

Journal of Health Services Research & Policy ◽

10.1177/1355819619872221 ◽

2019 ◽

Vol 25 (1) ◽

pp. 59-66 ◽

Cited By ~ 2

Author(s):

Michael G Wilson ◽

Aditya Nidumolu ◽

Inna Berditchevskaia ◽

Francois-Pierre Gauvin ◽

Julia Abelson ◽

...

Keyword(s):

Health Policy ◽

Scoping Review ◽

Empirical Studies ◽

Grey Literature ◽

Policy Issue ◽

Optimal Strategies ◽

Policy Issues ◽

Stakeholder Perspectives ◽

Literature Searches ◽

Citizen Deliberation

Objective Public deliberations are an increasingly popular tool to engage citizens in the development of health policies and programmes. However, limited research has been conducted on how to best synthesize and summarize information on health policy issues for citizens. To begin to address this gap, our aim was to map the literature on the preparation of information to support informed citizen deliberations related to health policy issues. Methods We conducted a scoping review where two reviewers screened the results of electronic database searches, grey literature searches and hand searches of organizational websites to identify empirical studies, scholarly commentaries, and publicly available organizational documents focused on synthesizing and summarizing information to inform citizen deliberation about health policy issues. Two reviewers categorized each included document according to themes/topics of deliberation, purpose of deliberation and the form of deliberation, and developed a summary of the key findings related to synthesizing and summarizing information to support informed citizen deliberations. Results There was limited reporting about whether and how information was synthesized. Evidence was typically organized based on the source used (e.g. by comparing the views of stakeholders or experts) or according to the areas that policymakers need to consider when making decisions (e.g. benefits, harms, costs and stakeholder perspectives related to policy options). Information was presented primarily through written materials (e.g. briefs and brochures), audiovisual resources (e.g. videos or presentations from stakeholders), but some interactive presentation approaches were also identified (e.g. through interactive arts-based approaches). Conclusions The choice and framing of information to inform citizen deliberations about health policy can strongly influence their understanding of a policy issue, and has the potential to impact the discussions and recommendations that emerge from deliberations. Our review confirmed that there remains a dearth of literature describing methods of the preparation of information to inform citizen deliberations about health policy issues. This highlights the need for further exploration of optimal strategies for citizen-friendly approaches to synthesizing and summarizing information for deliberations.

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Learning in action sports: A scoping review

European Physical Education Review ◽

10.1177/1356336x19851535 ◽

2019 ◽

Vol 26 (1) ◽

pp. 263-283

Author(s):

Eva Ellmer ◽

Steven Rynne ◽

Eimear Enright

Keyword(s):

Thematic Analysis ◽

Scoping Review ◽

Empirical Studies ◽

Grey Literature ◽

Empirical Literature ◽

Future Research ◽

Research Activity ◽

Action Sports ◽

Academic Field ◽

Research Questions

Action sports have increased in popularity, particularly over the past two decades. Research in the area has also proliferated, as multiple disciplinary perspectives and theoretical and conceptual frames have been applied to understanding and exploring a host of research questions concerning action sports culture, contexts and participants. However, despite this flurry of research activity, not much is known empirically about the learning of action sport participants, and few studies have focused specifically on learning in action sports. A scoping review was, therefore, conducted with the aim of synthesising the work that has been undertaken, and mapping future research agendas. Informed by Arksey and O’Malley’s six-stage framework, leading sports and education databases and Google Scholar were searched for empirical literature on learning in action sports published before July 2018. After the results were screened and relevant studies identified, data were extracted and analysed using a frequency and thematic analysis to form both a descriptive and thematic summary. A total of 78 empirical studies both from the peer-reviewed and grey literature were included in the scoping review. The frequency analysis concerned information on publication year, academic field, study design, study tools, sport and population. The thematic analysis led to the development of five main themes, addressing learning in social, physical, cultural, and cognitive/psychological contexts and via various forms of feedback. The majority of articles on learning in action sports were published from 2010 onward, suggesting a growing interest in the area. More theses/dissertations resulted in peer-reviewed publications; however, less than half of all reviewed journal articles were published in education/pedagogy journals. Theoretical and conceptual frameworks were rarely explicitly referenced and/or lacked clarity. There was consensus that learning in action sports is largely informal and self-regulated. With the increasing professionalisation of many action sports and their inclusion in international competition events and also in national curricula, an increase in more formalised learning is predicted. Finally, learning in action sports can be highly individualistic but only a few studies acknowledged this. A greater variety of research questions and methodologies, and more work across disciplinary boundaries will assist in the generation of new knowledge.

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Patient-centred care for addiction treatment: a scoping review protocol

BMJ Open ◽

10.1136/bmjopen-2018-024588 ◽

2018 ◽

Vol 8 (12) ◽

pp. e024588 ◽

Cited By ~ 6

Author(s):

Kirsten Marchand ◽

Scott Beaumont ◽

Jordan Westfall ◽

Scott MacDonald ◽

Scott Harrison ◽

...

Keyword(s):

Substance Use ◽

Scoping Review ◽

Addiction Treatment ◽

Grey Literature ◽

Healthcare Providers ◽

Open Science ◽

Patient Centred Care ◽

Healthcare Settings ◽

Problematic Substance Use ◽

Problematic Substance

IntroductionSubstance use disorders are chronic conditions that require a multidimensional treatment approach. Despite ongoing efforts to diversify such treatments, evidence continues to illuminate modest rates of treatment engagement and perceived barriers to treatment. Patient-centred care (PCC) is one approach that may strengthen the responsiveness of treatments for people with problematic substance use. The aim of this scoping review is to explore how the principles of PCC have been implemented and operationalised in healthcare settings for people with problematic substance use.Methods and analysisThis scoping review follows the iterative stages of the Arksey and O’Malley framework. Both empirical (from Medline, Embase, PsycINFO, CINAHL and ISI Web of Science) and grey literature references will be considered if they focused on populations with problematic substance use and described or measured PCC or one of its principles in a health-oriented context. Two reviewers will independently screen references in two successive stages of title/abstract screening and then full-text screening for references meeting title/abstract criteria. A descriptive overview, tabular and/or graphical summaries, and a directed content analysis will be carried out on extracted data. This scoping review has been registered with Open Science Framework (https://osf.io/5swvd/).Ethics and disseminationThis review will systematically examine the extent and nature of existing evidence of PCC in addiction research and clinical practice. Such evidence will contribute to the operationalisation of PCC for people with problematic substance use. A multidisciplinary team has been gathered to represent the needs of people with problematic substance use, healthcare providers and decision-makers. The team’s knowledge users will be engaged throughout this review and will participate in dissemination activities (eg, workshops, presentations, publications, reports).

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What does integrated care mean from an older person’s perspective? A scoping review

BMJ Open ◽

10.1136/bmjopen-2019-035157 ◽

2020 ◽

Vol 10 (1) ◽

pp. e035157

Author(s):

Michael T. Lawless ◽

Amy Marshall ◽

Manasi Murthy Mittinty ◽

Gillian Harvey

Keyword(s):

Older Adults ◽

Integrated Care ◽

Scoping Review ◽

Data Extraction ◽

Grey Literature ◽

Secondary Outcome ◽

Coordinated Care ◽

Healthcare Settings ◽

Care Relationships ◽

Integrated Or

ObjectiveTo systematically map and synthesise the literature on older adults’ perceptions and experiences of integrated care.SettingVarious healthcare settings, including primary care, hospitals, allied health practices and emergency departments.ParticipantsAdults aged ≥60 years.InterventionsIntegrated (or similarly coordinated) healthcare.Primary and secondary outcome measuresUsing scoping review methodology, four electronic databases (EMBASE, CINAHL, PubMed and ProQuest Dissertation and Theses) and the grey literature (Open Grey and Google Scholar) were searched to identify studies reporting on older adults’ experiences of integrated care. Studies reporting on empirical, interpretive and critical research using any type of methodology were included. Four independent reviewers performed study selection, data extraction and analysis.ResultsThe initial search retrieved 436 articles, of which 30 were included in this review. Patients expressed a desire for continuity, both in terms of care relationships and management, seamless transitions between care services and/or settings, and coordinated care that delivers quick access, effective treatment, self-care support, respect for patient preferences, and involves carers and families.ConclusionsParticipants across the studies desired accessible, efficient and coordinated care that caters to their needs and preferences, while keeping in mind their rights and safety. This review highlights the salience of the relational, informational and organisational aspects of care from an older person’s perspective. Findings are transferable and could be applied in various healthcare settings to derive patient-centred success measures that reflect the aspects of integrated care that are deemed important to older adults and their supporters.

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Protocol for a scoping review on the methods for engaging long-term care residents with dementia in research and guideline development

BMJ Open ◽

10.1136/bmjopen-2021-051602 ◽

2021 ◽

Vol 11 (8) ◽

pp. e051602

Author(s):

Caitlin McArthur ◽

Adria Quigley ◽

Rebecca Affoo ◽

Marie Earl ◽

Elaine Moody

Keyword(s):

Scoping Review ◽

Patient Engagement ◽

Long Term Care ◽

Guideline Development ◽

Research Question ◽

Grey Literature ◽

Optimal Strategies ◽

Term Care ◽

People With Dementia

IntroductionPatient engagement is important when developing health guidelines to ensure high-quality and patient-centred recommendations. However, patient engagement in research and guideline development remains suboptimal, particularly for vulnerable populations, including residents with dementia living in long-term care (LTC) who are often not included in research and guideline development because of perceived and actual challenges with their health, memory, concentration and communication. Optimal strategies and methods for engaging LTC residents with dementia in research and guideline development remain unknown.Methods and analysisWe will conduct a scoping review in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) extension to answer the research questions: (1) What methods have been used to engage LTC residents with dementia in research and guideline development? (2) What are the outcomes of resident engagement? (3) What are the barriers and facilitators to resident engagement? Systematic searches for peer-reviewed articles will be conducted in: Academic Search Premier (EBSCO), APA PsycINFO (EBSCO), CINAHL (EBSCO), Medline (OVID), Embase (Elsevier), Web of Science, and Cochrane Database and in grey literature. Two team members will screen articles and extract data. Results will be presented according to the research question they address. We will engage stakeholders including residents, family members, healthcare providers and representatives from relevant organisations throughout the study.Ethics and disseminationThe scoping review will synthesise what is known about resident engagement in research and guideline development. It may identify gaps in the literature about the optimal methods to engage residents in performing research and developing guidelines and reveal opportunities for new methods. The results will be helpful for researchers and policy-makers seeking to develop guidelines and researchers engaging in topics that reflect the priorities and experiences of people with dementia. Results of the scoping review will be disseminated via publication in a peer-reviewed journal and conference presentations, and a one-page lay summary will be shared with our engaged stakeholders.

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OP120 Rapid Qualitative Reviews: A Scoping Review Of Guidance And Examples

International Journal of Technology Assessment in Health Care ◽

10.1017/s0266462318001447 ◽

2018 ◽

Vol 34 (S1) ◽

pp. 45-45

Author(s):

Fiona Campbell ◽

Laura Weeks ◽

Andrew Booth ◽

David Kaunelis ◽

Andrea Smith

Keyword(s):

Qualitative Research ◽

Scoping Review ◽

Literature Search ◽

De Novo ◽

Evidence Synthesis ◽

Grey Literature ◽

Decision Makers ◽

Medical Subject Headings ◽

Patient Centered ◽

Guidance Documents

Introduction:Decision-makers are increasingly recognizing the usefulness of qualitative research to inform patient-centered policy decisions, and are accordingly increasingly demanding qualitative evidence as part of health technology assessment (HTA). In the context of tight HTA timelines, a new form of evidence synthesis has emerged—rapid qualitative reviews. The need for rapidity requires either an increase in resources or, more commonly, a compromise in rigor, yet guidance on appropriate compromises for qualitative reviews is lacking.Methods:In order to inform de novo guidance, we conducted a systematic scoping review to identify existing guidance and published examples of rapid qualitative reviews. We searched Medline and CINAHL using medical subject headings and keywords related to “rapid reviews” and “qualitative” research, and screened the 1,771 resultant citations independently in duplicate. Additionally, we searched the grey literature and solicited examples from our contacts and other evidence-synthesis organizations. We summarized included guidance and reviews using the Search, AppraisaL, Synthesis, Analysis (SALSA) framework to identify abbreviations in the review process.Results:We found no guidance documents specific to rapid qualitative reviews. We found one published peer-reviewed rapid qualitative review, and several more (>10; grey literature search in process) through our organizational contacts. While methods to abbreviate the process are poorly reported, an abbreviated literature search (years and databases searched) and the use of a single reviewer appear common.Conclusions:A number of agencies are producing rapid qualitative reviews, however our review identifies the urgent need to develop and explore methods for the synthesis of qualitative research that balance rapidity and rigor.

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The impact of surviving bowel cancer on occupation: A scoping review

British Journal of Occupational Therapy ◽

10.1177/0308022619891837 ◽

2020 ◽

Vol 83 (5) ◽

pp. 297-315 ◽

Cited By ~ 2

Author(s):

Elizabeth Martin ◽

Clare Hocking ◽

Margaret Sandham

Keyword(s):

Occupational Therapy ◽

Scoping Review ◽

Grey Literature ◽

Management Strategies ◽

Social Activity ◽

Bowel Cancer ◽

Loss Of Function ◽

Long Term Effects ◽

The Impact

Introduction The number of people surviving bowel cancer is increasing globally, with many of those affected living with long-term psychological and physical sequelae that potentially disrupt occupations. Method A scoping review – guided by Arksey and O’Malley’s methodological framework – was conducted to provide an overview of what is known about the impact of having had bowel cancer on occupations, and to reveal the potential role of occupational therapy. A systematic search of four databases and a grey literature repository generated 244 results. Applying inclusion and exclusion criteria, 33 items addressing bowel cancer and occupations were selected and thematically analysed. Results Researchers have identified six domains of occupation that are impacted by bowel cancer (social activity, physical activity, sexual activity, employment and role functioning, physical functioning, and self-care) but survivors report a distinct lack of health professional support after completion of medical treatment and being left to devise self-management strategies to accommodate the long-term effects of their cancer. Conclusion The sequelae of bowel cancer can have a significant impact on occupational participation. There is scope for increasing and improving occupational therapy input to assist people with cancer-related loss of function to re-engage in valued occupations and improve wellbeing.

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Intensive care units follow-up: a scoping review protocol

BMJ Open ◽

10.1136/bmjopen-2020-037725 ◽

2020 ◽

Vol 10 (11) ◽

pp. e037725

Author(s):

Danielle Prevedello ◽

Marco Fiore ◽

Jacques Creteur ◽

J C Preiser

Keyword(s):

Quality Of Life ◽

Intensive Care ◽

Scoping Review ◽

Grey Literature ◽

Icu Discharge ◽

Scoping Reviews ◽

The Impact

IntroductionIncreasing numbers of patients are surviving critical illness, leading to growing concern about the potential impact of the long-term consequences of intensive care on patients, families and society as a whole. These long-term effects are together known as postintensive care syndrome and their presence can be evaluated at intensive care unit (ICU) follow-up consultations. However, the services provided by these consultations vary across hospitals and units, in part because there is no validated standard model to evaluate patients and their quality of life after ICU discharge. We describe a protocol for a scoping review focusing on models of ICU follow-up and the impact of such strategies on improving patient quality of life.Methods and analysisIn this scoping review, we will search the literature systematically using electronic databases (MEDLINE - from database inception to June 15th 2020) and a grey literature search. We will involve stakeholders as recommended by the Joanna Briggs Institute approach developed by Peters et al. The research will be conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews guidelines.Ethics and disseminationThis study does not require ethics approval, because data will be obtained through a review of published primary studies. The results of our evaluation will be published in a peer-reviewed journal and will also be disseminated through presentations at national and international conferences.

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Urban health nexus with COVID-19 preparedness and response in Africa: rapid scoping review of the early evidence.

10.21203/rs.3.rs-79685/v1 ◽

2020 ◽

Author(s):

Robert Kaba Alhassan

Keyword(s):

Urban Health ◽

Scoping Review ◽

Empirical Studies ◽

Grey Literature ◽

Spillover Effects ◽

Health Systems Strengthening ◽

Economic Resilience ◽

African Countries ◽

Response Strategies ◽

Early Evidence

Abstract Background: Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) also called COVID-19 was first reported in the African continent on 14th February 2020, in Egypt. As at 24th August 2020, the continent reported a total of 1,189,526 cases; 27,798 deaths and 907,822 recoveries. Urban cities in African have suffered the brunt of COVID-19; meanwhile, response strategies by African countries have largely been condemned as “one-size-fit-all” approach.Objective: This paper synthesized and analyzed early evidence on the nexus between urban health and COVID-19 preparedness and response in Africa. Methods: Rapid scoping review of empirical and grey literature was done using data sources such as ScienceDirect, GoogleScholar, PubMed, HINARI and official websites of WHO and Africa CDC. Out of over 6,000 search output, 24 full articles, reviews and commentaries were finally synthesized analyzed qualitatively based on relevance and quality, guided by the PRISMA flow chart (2009).Results: Over 70% of the 24 articles reported on COVID-19 response strategies across Africa; 29% of the articles reported on preparedness towards COVID-19 while 41% reported on the nexus between urbanization and COVID-19; 37% of the publications were full text empirical studies while the remaining 63% were either commentaries, reviews or editorials. It was found that urban cities remain epicentres for COVID-19 in Africa. Even though some successes have been recorded in Africa in respect of the COVID-19 fight, the continent’s response strategies are largely a “one-size-fit all” approach. In effect, adoption of “Western elitist” mitigating measures for COVID-19 resulted in excesses and spillover effects on individuals, families and economies in Africa. Conclusion: Africa needs to increase commitment to health systems strengthening through context-specific interventions in addition to prioritization of pandemic preparedness over response. Likewise, improved economic resilience and proper urban planning will help African countries to respond better to future public health emergencies.

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