scholarly journals Knowledge, Attitudes and Barriers Pain Management by Nurses in Iran: Systematic Review

2020 ◽  
pp. 360-369
Author(s):  
Asma Tarjoman [email protected]

Introduction: Pain is a phenomenon that may be experience d every human being. Pain is one of the symptoms of the disease that has negative effects on patients and causes challenges in medical personnel. the aim of the presentsystematic review was to determine the knowledge, attitude, and pain management status in Iranian nurses. Methodology: This is a systematic review carried out according to systematic review articles checklist (PRISMA). The search was conducted by two researchers separately. In case of inconsistency, the search was examined by a third person. In this study, articles that met the inclusion criteria and published between 2000 to June 2019, were included. The search process was carried outin Iranian and international databases. Data were reported in usinga descriptive method using Excel 2007 software. Result: According to result 180 articles were extracted in the initial search, of which 50 were excluded from the study, and finally 17 articles entered the data extraction phase. The extracted articles were classified into 4 dimensions of knowledge, attitude, and practice in pain management, nurses'understanding of pain management, nurses' problems in pain relief, and the extent of pain management implementation and assessment, which are described as follows. Conclusion: Nurses' knowledge, attitude, and managementregarding painmanagementis not in an excellent condition and many studies in Iran should include educational interventions for nurses to help improve their knowledge, attitude, and pain management.  

Author(s):  
Ebrahim Khalighi ◽  
Askar Soufinia ◽  
Lale Solaimanizadeh ◽  
Milad Borji ◽  
Asma Tarjoman ◽  
...  

Introduction: Pain is a phenomenon that may be experience d every human being. Pain is one of the symptoms of the disease that has negative effects on patients and causes challenges in medical personnel. The aim of the present systematic review was to determine the knowledge, attitude, and pain management status in Iranian nurses. Methodology: This is a systematic review carried out according to systematic review articles checklist (PRISMA). The search was conducted by two researchers separately. In case of inconsistency, the search was examined by a third researchers. In this study, articles that met the inclusion criteria and published between 2000 to June 2019, were included. The search process was carried out in Iranian and international databases. Data were reported in usinga descriptive method using Excel 2007 software. Result: According to result 180 articles were extracted in the initial search, of which 50 were excluded from the study, and finally        19 articles entered the data extraction phase. The extracted articles were classified into 4 dimensions of knowledge, attitude, and practice in pain management, nurses'understanding of pain management, nurses' problems in pain relief, and the extent of pain management implementation and assessment, which are described as follows. Conclusion: Nurses' knowledge, attitude, and managementregarding painmanagementis not in an excellent condition and many studies in Iran should include educational interventions for nurses to help improve their knowledge, attitude, and pain management. Citation: Khalighi E, Soufinia A, Solaimanizadeh L, Borji M, Tarjoman A, Soltany B, Hydaryian H. Knowledge, attitudes and barriers pain management by nurses in Iran: A systematic review. Anaesth pain & intensive care 2019;23(4):__ Received: 8 September 2019; Reviewed: 24, 30 September 2019; 6, 7 November 2019; Revised: 5 November 2019; Accepted: 12 November 2019


2021 ◽  
pp. 152483802110302
Author(s):  
Vanesa Pérez-Martínez ◽  
Jorge Marcos-Marcos ◽  
Ariadna Cerdán-Torregrosa ◽  
Erica Briones-Vozmediano ◽  
Belen Sanz-Barbero ◽  
...  

Background: Hegemonic masculinity has been recognized as contributing to the perpetration of different forms of gender-based violence (GBV). Abandoning hegemonic masculinities and promoting positive masculinities are both strategies used by interventions that foreground a “gender-transformative approach.” Preventing GBV among young people could be strengthened by engaging young men. In this article, we aim to systematically review the primary characteristics, methodological quality, and results of published evaluation studies of educational interventions that aim to prevent different forms of GBV through addressing hegemonic masculinities among young people. Main body: We conducted a systematic review of available literature (2008–2019) using Medline (PubMed), Scopus, Web of Science, PsycInfo, the CINAHL Complete Database, and ERIC as well as Google scholar. The Template for Intervention Description and Replication was used for data extraction, and the quality of the selected studies was analyzed using the Mixed Method Appraisal Tool. More than half of the studies were conducted in Africa ( n = 10/15) and many were randomized controlled trials ( n = 8/15). Most of the studies with quantitative and qualitative methodologies ( n = 12/15) reported a decrease in physical GBV and/or sexual violence perpetration/victimization ( n = 6/15). Longitudinal studies reported consistent results over time. Conclusions: Our results highlight the importance of using a gender-transformative approach in educational interventions to engage young people in critical thinking about hegemonic masculinity and to prevent GBV.


2014 ◽  
Vol 19 (2) ◽  
pp. 46-55 ◽  
Author(s):  
Amanda Osório Ayres de Freitas ◽  
Mariana Marquezan ◽  
Matilde da Cunha Gonçalves Nojima ◽  
Daniela Sales Alviano ◽  
Lucianne Cople Maia

Objective: To investigate whether there is scientific evidence to support the hypothesis that the presence of orthodontic fixed appliances influences the oral microbiota. Methods: The search for articles was conducted in PubMed; ISI Web of Knowledge and Ovid databases, including articles published in English until May 17th, 2012. They should report human observational studies presenting the following keywords: "fixed orthodontic appliance" AND "microbiological colonization"; OR "periodontal pathogens"; OR "Streptococcus"; OR "Lactobacillus"; OR "Candida"; OR "Tannerella forsythia"; OR "Treponema denticola"; OR "Fusobacterium nucleatum"; OR "Actimomyces actinomycetemcomitans"; OR "Prevotella intermedia", OR "Prevotella nigrescens"; OR "Porphyromonas gingivalis". Articles were previously selected by title and abstract. Articles that met the inclusion criteria were analyzed and classified as having low, moderate or high methodology quality. A new detailed checklist for quality assessment was developed based on the information required for applicable data extraction for reviews. The study design, sample, follow-up period, collection and microbial analysis methods, statistical treatment, results and discussion were assessed. Results: The initial search retrieved 305 articles of which 33 articles were selected by title and abstract. After full-text reading, 8 articles met the inclusion criteria, out of which 4 articles were classified as having low and 4 as moderate methodological quality. The moderate methodological quality studies were included in the systematic review. Conclusions: The literature revealed moderate evidence that the presence of fixed appliances influences the quantity and quality of oral microbiota.


2018 ◽  
Vol 36 (4) ◽  
pp. 378-386 ◽  
Author(s):  
Pauline Williams ◽  
Peter Murchie ◽  
Maggie E Cruickshank ◽  
Christine M Bond ◽  
Christopher D Burton

Abstract Background Urgent suspected cancer referral guidelines recommend that women with gynaecological cancer symptoms should have a pelvic examination (PE) prior to referral. We do not know to what extent GPs comply, their competency at PE, or if PE shortens the diagnostic interval. Objectives We conducted a systematic review of the use, quality and effectiveness of PE in primary care for women with suspected gynaecological cancer. Method PRISMA guidelines were followed. Three databases were searched using four terms: PE, primary care, competency and gynaecological cancer. Citation lists of all identified papers were screened independently for eligibility by two reviewers. Data extraction was performed in duplicate and independently. Paper quality was assessed using the relevant Critical Appraisal Skills Programme checklist. Emergent themes and contrasting issues were explored in a narrative ecological synthesis. Main Findings Twenty papers met the inclusion criteria. 52% or less of women with suspicious symptoms had a PE. No papers directly explored GPs’ competence at performing PE. Pre-referral PE was associated with reduced diagnostic delay and earlier stage diagnosis. Ecological synthesis demonstrated a complex interplay between patient and practitioner factors and the environment in which examination is performed. Presenting symptoms are commonly misattributed by patients and practitioners resulting in misdiagnosis and lack of PE. Conclusion We do not know if pre-referral PE leads to better outcomes for patients. PE is often not performed for women with gynaecological cancer symptoms, and evidence that it may result in earlier stage of diagnosis is weak. More research is needed.


BMJ Open ◽  
2022 ◽  
Vol 12 (1) ◽  
pp. e050979
Author(s):  
Karen Macpherson ◽  
Kay Cooper ◽  
Jenny Harbour ◽  
Dawn Mahal ◽  
Charis Miller ◽  
...  

ObjectiveTo explore the experiences of people living with long COVID and how they perceive the healthcare services available to them.DesignQualitative systematic review.Data sourcesElectronic literature searches of websites, bibliographic databases and discussion forums, including PubMed LitCovid, Proquest COVID, EPPI Centre living systematic map of evidence, medRxiv, bioRxiv, Medline, Psychinfo and Web of Science Core Collection were conducted to identify qualitative literature published in English up to 13 January 2021.Inclusion criteriaPapers reporting qualitative or mixed-methods studies that focused on the experiences of long COVID and/or perceptions of accessing healthcare by people with long COVID. Title/abstract and full-text screening were conducted by two reviewers independently, with conflicts resolved by discussion or a third reviewer.Quality appraisalTwo reviewers independently appraised included studies using the qualitative CASP (Critical Appraisal Skills Programme) checklist. Conflicts were resolved by discussion or a third reviewer.Data extraction and synthesisThematic synthesis, involving line-by-line reading, generation of concepts, descriptive and analytical themes, was conducted by the review team with regular discussion.ResultsFive studies published in 2020 met the inclusion criteria, two international surveys and three qualitative studies from the UK. Sample sizes varied from 24 (interview study) to 3762 (survey). Participants were predominantly young white females recruited from social media or online support groups. Three analytical themes were generated: (1) symptoms and self-directed management of long COVID; (2) emotional aspects of living with long COVID and (3) healthcare experiences associated with long COVID.ConclusionsPeople experience long COVID as a heterogeneous condition, with a variety of physical and emotional consequences. It appears that greater knowledge of long COVID is required by a number of stakeholders and that the design of emerging long COVID services or adaptation of existing services for long COVID patients should take account of patients’ experiences in their design.


2018 ◽  
Vol 61 (1) ◽  
pp. 40-51 ◽  
Author(s):  
Dhanshree R. Gunjawate ◽  
Rohit Ravi ◽  
Rajashekhar Bellur

Purpose Singers are vocal athletes having specific demands from their voice and require special consideration during voice evaluation. Presently, there is a lack of standards for acoustic evaluation in them. The aim of the present study was to systematically review the available literature on the acoustic analysis of voice in singers. Method A systematic review of studies on acoustic analysis of voice in singers (PubMed/MEDLINE, CINAHL, Scopus, ProQuest, Cochrane, Ovid, Science Direct, and Shodhganga) was carried out. Key words based on PIO (population–investigation–outcome) were used to develop search strings. Titles and abstracts were screened independently, and appropriate studies were read in full for data extraction. Results Of the 895 studies, 26 studies met the inclusion criteria. Great variability was noted in the instruments and task used. Different acoustic measures were employed, such as fundamental frequency, perturbation, cepstral, spectral, dysphonia severity index, singing power ratio, and so forth. Conclusion Overall, a great heterogeneity was noted regarding population, tasks, instruments, and parameters. There is a lack of standardized criteria for the evaluation of singing voice. In order to implement acoustic analysis as a part of comprehensive voice evaluation exclusively for singers, there is a certain need for methodical sound studies.


2020 ◽  
Author(s):  
Natsu Sasaki ◽  
Naonori Yasuma ◽  
Erika Obikane ◽  
Zui Narita ◽  
Junpei Sekiya ◽  
...  

Abstract Background This systematic review aimed to evaluate randomized controlled trials (RCTs) to examine the effect of maternal and infant sleep intervention during women’s pregnancy for the purpose of preventing perinatal depression. Method A systematic search (from inception – January 28 th , 2019) for RCTs using five electronic databases—the Cochrane Controlled Register of Trials (CENTRAL), Embase, PubMed, PsycINFO and Ichushi Web (Japan Medical Abstracts Society)—was conducted. Twelve investigators independently conducted initial screenings based on title and abstract, and then two researchers performed full-text reviews one by one. A meta-analysis would be conducted if at least three studies were found. However, only two articles that met inclusion criteria, and narrative data synthesis was conducted for these two articles. The study protocol has been registered at PROSPERO (CRD42019119999). Result A total of 13,644 studies were initially searched. After removing duplicates, 10,537 studies were screened, and finally, two studies met the inclusion criteria. In both studies, the intervention was a one-time face-to-face session during pregnancy to deliver the behavioral knowledge and skills for optimizing sleep hygiene for both infant and mother. Effectiveness of the intervention in improving maternal mood was not significant in one study. In the other, there was a significant difference in maternal mood between the intervention and control group. No mood comparison was made between baseline and post-intervention. Conclusion This study found limited evidence to support the effectiveness of sleep intervention for all pregnant women, which means “universal intervention”, to protect maternal mental health. Further well-designed RCTs are needed to confirm these findings.


2019 ◽  
Vol 27 (4) ◽  
pp. 336-345 ◽  
Author(s):  
Zoe Edwards ◽  
Lucy Ziegler ◽  
Cheryl Craigs ◽  
Alison Blenkinsopp ◽  
Michael I. Bennett

BMJ Open ◽  
2020 ◽  
Vol 10 (9) ◽  
pp. e035148
Author(s):  
Ayden I Scheim ◽  
Nazlee Maghsoudi ◽  
Zack Marshall ◽  
Siobhan Churchill ◽  
Carolyn Ziegler ◽  
...  

ObjectivesTo review the metrics and findings of studies evaluating effects of drug decriminalisation or legal regulation on drug availability, use or related health and social harms globally.DesignSystematic review with narrative synthesis.Data sourcesWe searched MEDLINE, Embase, PsycINFO, Web of Science and six additional databases for publications from 1 January 1970 through 4 October 2018.Inclusion criteriaPeer-reviewed articles or published abstracts in any language with quantitative data on drug availability, use or related health and social harms collected before and after implementation of de jure drug decriminalisation or legal regulation.Data extraction and synthesisTwo independent reviewers screened titles, abstracts and articles for inclusion. Extraction and quality appraisal (modified Downs and Black checklist) were performed by one reviewer and checked by a second, with discrepancies resolved by a third. We coded study-level outcome measures into metric groupings and categorised the estimated direction of association between the legal change and outcomes of interest.ResultsWe screened 4860 titles and 221 full-texts and included 114 articles. Most (n=104, 91.2%) were from the USA, evaluated cannabis reform (n=109, 95.6%) and focussed on legal regulation (n=96, 84.2%). 224 study outcome measures were categorised into 32 metrics, most commonly prevalence (39.5% of studies), frequency (14.0%) or perceived harmfulness (10.5%) of use of the decriminalised or regulated drug; or use of tobacco, alcohol or other drugs (12.3%). Across all substance use metrics, legal reform was most often not associated with changes in use.ConclusionsStudies evaluating drug decriminalisation and legal regulation are concentrated in the USA and on cannabis legalisation. Despite the range of outcomes potentially impacted by drug law reform, extant research is narrowly focussed, with a particular emphasis on the prevalence of use. Metrics in drug law reform evaluations require improved alignment with relevant health and social outcomes.


2015 ◽  
Vol 8 (3) ◽  
pp. 210 ◽  
Author(s):  
Fateme Monjazebi ◽  
Asghar Dalvandi ◽  
Abbas Ebadi ◽  
Hamid Reza Khankeh ◽  
Mehdi Rahgozar ◽  
...  

<p><strong>CONTEXT: </strong>Activity of daily living (ADL) is an important predictor of mortality in patients with chronic obstructive pulmonary disease (COPD). Increasing ADL is important in patients with COPD and assessment of ADL is one of the best ways to evaluate the status of COPD patients.</p> <p><strong>OBJECTIVES: </strong>The objective of this systematic review was to provide an overview of the psychometric properties of paper and pencil instruments measuring ADL in patients with COPD.</p> <p><strong>DATA SOURCES:</strong> English papers published from 1980 to 2014 regarding ADL in patients with COPD were searched in  Web of Science, MEDLINE, Google Scholar, Cochrane, PubMed, ProQuest, and CINAHL databases using the following keywords: “COPD”, “ADL”, “activities of daily living”, “daily activities”, “instrument”, “questionnaire”, “paper-and-pencil instruments”, and “measure”. Following the Internet search, manual search was also done to find article references.</p> <p><strong>STUDY SELECTION:</strong> A total of 186 articles were found. Of those, 31 met the inclusion criteria. Full texts of articles meeting the inclusion criteria were studied. Consensus-based standards for the selection of health measurement instruments<strong>"</strong>(COSMIN) were used to assess the quality of the studies.</p> <p><strong>DATA EXTRACTION:</strong> Data extraction form based on research aims developed by researchers and<strong> </strong>psychometric experts, with 17 questions was used.</p> <p><strong>RESULTS: </strong>In these articles, 14 pen and paper instruments were identified for examining ADL in patients with COPD; of which, 4 dealt directly with ADL while 9 assessed other criteria i.e. dyspnea as ADL indicator. The majority of instruments only dealt with two main dimensions of ADL: Basic Activities of Daily Living (BADL) and Instrumental Activities of Daily Living (IADL), and did not consider Advanced Activities of Daily Living (AADL), which is influenced by cultural and motivational factors.</p> <p><strong>CONCLUSION:</strong> Despite several ADL instruments identified, complete psychometric processes have only been done in a few of them. Selection of the appropriate instrument should focus on the aim of the study and the target construct.</p>


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