scholarly journals A systematic review of educational resources for teaching patient handover skills to residents

2013 ◽  
Vol 4 (1) ◽  
pp. e96-e110 ◽  
Author(s):  
Mark F Masterson ◽  
Richdeep S Gill ◽  
Simon R Turner ◽  
Pankaj Shrichand ◽  
Meredith Giuliani
Keyword(s):  
Systematic Review ◽  
Patient Care ◽  
Healthcare Professionals ◽  
Role Playing ◽  
Educational Resources ◽  
Inclusion Criteria ◽  
Educational Method ◽  
Training Models ◽  
Effective Training ◽  
Patient Handover

Background: As physicians reduce their work hours, transfer of patient care becomes more common; this is a time of heightened risk to patients. Training in patient handover skills may reduce this risk. The objective of this study was to systematically review the literature regarding education models available to teach handovers skills to healthcare professionals. Methods: A systematic review was conducted to identify published educational resources on patient handover skills. Two investigators independently reviewed publications for inclusion/exclusion. A third reviewer resolved any disagreement. Included papers contained an educational resource for teaching handover skills to any health profession in any patient population. Papers were rated on a previously described 4 point scale for quality. Results: 1746 papers were identified, of which twelve met the inclusion criteria These studies presented information on educational curricula, simulation technologies and didactic sessions. The most common educational method was simulation or role-playing, which is better received by learners than didactic sessions. Teaching handover practices makes residents feel more confident in their handover, and residents receiving adequate handover are more comfortable with their duties.Conclusions: Although  data are limited, effective training models for handover skills have been described in the literature. Residents and other healthcare practitioners should receive training in handover to improve practitioner comfort and patient care. 

scholarly journals Defining end of life in dementia: A systematic review

2021 ◽  
pp. 026921632110254
Author(s):  
Bria Browne ◽  
Nuriye Kupeli ◽  
Kirsten J Moore ◽  
Elizabeth L Sampson ◽  
Nathan Davies
Keyword(s):  
Systematic Review ◽  
End Of Life ◽  
Healthcare Professionals ◽  
Functional Decline ◽  
Advanced Stage ◽  
Family Carers ◽  
Inclusion Criteria ◽  
Single Measure ◽  
People With Dementia ◽  
Limiting Condition

Background: Dementia is a life-limiting condition that affects 50 million people globally. Existing definitions of end of life do not account for the uncertain trajectory of dementia. People living with dementia may live in the advanced stage for several years, or even die before they reach the advanced stage of dementia. Aim: To identify how end of life in people with dementia is measured and conceptualised, and to identify the factors that contribute towards identifying end of life in people with dementia. Design: Systematic review and narrative synthesis. Data Sources: Electronic databases MEDLINE, EMBASE, PsychInfo and CINAHL, were searched in April 2020. Eligible studies included adults with any dementia diagnosis, family carers and healthcare professionals caring for people with dementia and a definition for end of life in dementia. Results: Thirty-three studies met the inclusion criteria. Various cut-off scores from validated tools, estimated prognoses and descriptive definitions were used to define end of life. Most studies used single measure tools which focused on cognition or function. There was no pattern across care settings in how end of life was defined. Healthcare professionals and family carers had difficulty recognising when people with dementia were approaching the end of life. Conclusion: End-of-life care and research that focuses only on cognitive and functional decline may fail to recognise the complexities and unmet needs relevant to dementia and end of life. Research and clinical practice should adopt a needs-based approach for people with dementia and not define end of life by stage of disease.

scholarly journals Can simulators be applied to improve cataract surgery training: a systematic review

2020 ◽  
Vol 5 (1) ◽  
pp. e000488
Author(s):  
Taha Muneer Ahmed ◽  
Badrul Hussain ◽  
M A Rehman Siddiqui
Keyword(s):  
Systematic Review ◽  
Cataract Surgery ◽  
Simulation Training ◽  
Cochrane Library ◽  
Inclusion Criteria ◽  
Training Tool ◽  
Surgery Training ◽  
Simulation Based ◽  
Effective Training

ObjectiveThe purpose of this paper was to conduct a systematic review of existing literature on simulation-based training of cataract surgery. Available literature was evaluated and projections on how current findings could be applied to cataract surgery training were summarised. The quality of included literature was also assessed.Methods and analysisThe PubMed, Embase and Cochrane Library databases were searched for articles pertaining to simulation training in cataract surgery on 18 November 2019. Selected articles were qualitatively analysed.ResultsA total of 165 articles were identified out of which 10 met inclusion criteria. Four studies reported construct validity of the EyeSi simulator. Six studies demonstrated improved surgical outcomes corresponding to training on the simulator. Quality assessment of included studies was satisfactory.ConclusionCurrent studies on simulation training in cataract surgery all point towards it being an effective training tool with low risk of study biases confounding this conclusion. As technology improves, surgical training must embrace and incorporate simulation technology in training.

scholarly journals Views of commissioners, managers and healthcare professionals on the NHS Health Check programme: a systematic review

BMJ Open ◽  
2017 ◽  
Vol 7 (11) ◽  
pp. e018606 ◽  
Author(s):  
Katie Mills ◽  
Emma Harte ◽  
Adam Martin ◽  
Calum MacLure ◽  
Simon J Griffin ◽  
...  
Keyword(s):  
Systematic Review ◽  
Healthcare Professionals ◽  
Health Management ◽  
Controlled Trial ◽  
Health Check ◽  
Public Access ◽  
Cochrane Library ◽  
Inclusion Criteria ◽  
The Impact ◽  
Nhs Health Check

ObjectiveTo synthesise data concerning the views of commissioners, managers and healthcare professionals towards the National Health Service (NHS) Health Check programme in general and the challenges faced when implementing it in practice.DesignA systematic review of surveys and interview studies with a descriptive analysis of quantitative data and thematic synthesis of qualitative data.Data sourcesAn electronic literature search of MEDLINE, Embase, Health Management Information Consortium, Cumulative Index of Nursing and Allied Health Literature, Global Health, PsycInfo, Web of Science, OpenGrey, the Cochrane Library, NHS Evidence, Google Scholar, Google, ClinicalTrials.gov and the International Standard Randomised Controlled Trial Number registry from 1 January 1996 to 9 November 2016 with no language restriction and manual screening of reference lists of all included papers.Inclusion criteriaPrimary research reporting views of commissioners, managers or healthcare professionals on the NHS Health Check programme and its implementation in practice.ResultsOf 18 524 citations, 15 articles met the inclusion criteria. There was evidence from both quantitative and qualitative studies that some commissioners and general practice (GP) healthcare professionals were enthusiastic about the programme, whereas others raised concerns around inequality of uptake, the evidence base and cost-effectiveness. In contrast, those working in pharmacies were all positive about programme benefits, citing opportunities for their business and staff. The main challenges to implementation were: difficulties with information technology and computer software, resistance to the programme from some GPs, the impact on workload and staffing, funding and training needs. Inadequate privacy was also a challenge in pharmacy and community settings, along with difficulty recruiting people eligible for Health Checks and poor public access to some venues.ConclusionsThe success of the NHS Health Check Programme relies on engagement by those responsible for its commissioning, management and delivery. Recognising and addressing the challenges identified in this review, in particular the concerns of GPs, are important for the future of the programme.

scholarly journals Longitudinal training models for entrusting students with independent patient care? – A systematic review

2021 ◽  
Author(s):  
Linda H. A. Bonnie ◽  
Gaston R. Cremers ◽  
Mana Nasori ◽  
Anneke W. M. Kramer ◽  
Nynke Dijk
Keyword(s):  
Systematic Review ◽  
Patient Care ◽  
Training Models

scholarly journals Cultural immersion in the education of healthcare professionals: a systematic review

2019 ◽  
Vol 16 ◽  
pp. 4 ◽  
Author(s):  
Marty J. Brock ◽  
Levi B. Fowler ◽  
Johnathan G. Freeman ◽  
Devan C. Richardson ◽  
Lisa J. Barnes
Keyword(s):  
Systematic Review ◽  
Cultural Sensitivity ◽  
Cultural Awareness ◽  
Culturally Diverse ◽  
Qualitative Methodology ◽  
Healthcare Professionals ◽  
Cultural Knowledge ◽  
Cultural Immersion ◽  
Cultural Learning ◽  
Educational Method

Purpose: With the ever-changing cultural makeup of society, the ability to deliver culturally appropriate healthcare is essential. An educational method aimed at increasing cultural knowledge and sensitivity in the education of healthcare professionals is cultural immersion, which creates opportunities for transformational learning through direct interactions with culturally diverse populations. The purpose of this systematic review was to examine the qualitative effects of cultural immersion experiences on graduate-level healthcare professional students. Methods: A search of the CINAHL (Cumulative Index to Nursing and Allied Health Literature) and ERIC (Education Resources Information Center) databases was performed, utilizing search terms including cultural immersion, cultural sensitivity, educational outcomes, and healthcare professionals. The search was limited to publications within the last 10 years. The articles were screened according to title, abstract, and full-text following the application of inclusion/exclusion criteria. Themes identified within each article were collected and categorized, using a qualitative methodology, into 5 overarching domains to assess the educational experiences. Studies were scored for quality using the qualitative portion of the McGill Mixed Methods Appraisal Tool–2011. Results: Nine studies incorporating a total of 94 participants with experiences in 14 culturally diverse environments revealing 47 individually identified themes were included in the review. The results indicated that all cultural immersion experiences stimulated increased cultural awareness and sensitivity. Conclusion: Cultural immersion experiences produced a positive, multi-domain effect on cultural learning in students of the health professions. The results of this review provide support for implementing cultural immersion experiences into the education of healthcare professionals with the goal of increasing cultural sensitivity.

scholarly journals The Impact of COVID-19 on Physician Burnout Globally: A Review

Healthcare ◽  
2020 ◽  
Vol 8 (4) ◽  
pp. 421 ◽  
Author(s):  
Shabbir Amanullah ◽  
Rashmi Ramesh Shankar
Keyword(s):  
Systematic Review ◽  
Health Professionals ◽  
Healthcare Professionals ◽  
Current Knowledge ◽  
Medical Professionals ◽  
Inclusion Criteria ◽  
Physician Burnout ◽  
Manual Search ◽  
Potential Factors ◽  
The Impact

Background: The current pandemic, COVID-19, has added to the already high levels of stress that medical professionals face globally. While most health professionals have had to shoulder the burden, physicians are not often recognized as being vulnerable and hence little attention is paid to morbidity and mortality within this group. Objective: To analyse and summarise the current knowledge on factors/potential factors contributing to burnout amongst healthcare professionals amidst the pandemic. This review also makes a few recommendations on how best to prepare intervention programmes for physicians. Methods: In August 2020, a systematic review was performed using the database Medline and Embase (OVID) to search for relevant papers on the impact of COVID-19 on physician burnout–the database was searched for terms such as “COVID-19 OR pandemic” AND “burnout” AND “healthcare professional OR physician”. A manual search was done for other relevant studies included in this review. Results: Five primary studies met the inclusion criteria. A further nine studies were included which evaluated the impact of occupational factors (n = 2), gender differences (n = 4) and increased workload/sleep deprivation (n = 3) on burnout prior to the pandemic. Additionally, five reviews were analysed to support our recommendations. Results from the studies generally showed that the introduction of COVID-19 has heightened existing challenges that physicians face such as increasing workload, which is directly correlated with increased burnout. However, exposure to COVID-19 does not necessarily correlate with increased burnout and is an area for more research. Conclusions: There is some evidence showing that techniques such as mindfulness may help relieve burnout. However, given the small number of studies focusing on physician burnout amidst a pandemic, conclusions should be taken with caution. More studies are needed to support these findings.

scholarly journals P04 Barriers and facilitators to medicines adherence in children: a systematic review

2020 ◽  
Vol 105 (9) ◽  
pp. e7.3-e8
Author(s):  
Mohammed Aldosari ◽  
Ana Oliveira ◽  
Sharon Conroy
Keyword(s):  
Systematic Review ◽  
Parental Education ◽  
Healthcare Professionals ◽  
Cochrane Collaboration ◽  
Barriers And Facilitators ◽  
Cochrane Library ◽  
Original Research ◽  
List Type ◽  
Inclusion Criteria ◽  
Good Communication

AimImproving adherence to medicines in children with chronic conditions may lead to significant economic and health benefits.1 To improve adherence, the multifactorial causes of poor adherence should be understood.1 A systematic review for barriers and facilitators to medicines adherence in children was conducted seven years ago.2 We updated this to identify barriers and facilitators to medicines adherence in children reported in the last ten years.MethodA systematic literature search was performed using PubMed, EMBASE, Medline, CINAHL, IPA and Cochrane library databases covering the period November 2008 to March 2019. Inclusion criteria were original research studies identifying barriers and/or facilitators of medicines adherence in children (aged 0–18 years) and included all countries and languages. Exclusion criteria included review articles, editorials, conference papers, reports and studies in adults only. As a reliability measure, 5% of titles and abstracts were assessed independently by a second researcher. Quality assessment was performed on all included studies using the STROBE checklist for observational studies and Cochrane collaboration tools for randomised controlled studies and was checked by a second researcher.ResultsOf 9,360 papers identified by the search, only 172 articles met the inclusion criteria. Most studies were conducted in the US (76), with 11 in the UK, six in Canada and the remaining 79 studies in various countries. Diseases studied included: HIV/AIDS (60), asthma (25), kidney or liver diseases and transplants (18), psychiatric disorders (12), inflammatory bowel disease (10), epilepsy (9) and others (38). Various tools were used to identify barriers and facilitators to medicines adherence. These included 131 studies which used individually designed questionnaires, 32 studies used validated questionnaires and the remaining 9 studies used patients’ medical data. Forgetfulness and fear of side effects were the most common reported barriers to medicines adherence. Others reported barriers to adherence included family conflict, weak patient-provider relationships, stigma and discrimination, drug regimen complexity and lack of support from families. Factors reported to facilitate high rates of adherence included the linking of medicine taking with daily life routines, using reminders to avoid forgetfulness, a higher level of caregivers and parental education and good communication between healthcare professionals, patients and parents.ConclusionThe main findings of this systematic review show that children faced many and varied barriers to medicines adherence with different diseases. Using reminders to avoid forgetfulness and good communication between healthcare professionals, patients and parents were the most common facilitators. To achieve optimal adherence, healthcare providers need to be aware of these barriers and to consider the most appropriate facilitators to encourage patients to take their medicines as prescribed.ReferencesBrown MT, Bussell JK. Medication adherence: WHO cares? Mayo Clin Proc 2011;86:304–14.Elliott RA, Watmough DE, Gray NJ, Conroy S, Lakhanpaul M, Pandya H, et al. Talking about medicines (TABS): a multi-method study to understand reasons for medicines non-adherence in children and young people with chronic illness, and to improve their contribution to managing their medicines. Natl Inst Heal Res 2012; 1–423.

scholarly journals Quality and Utility of Information Captured by Surveillance Systems Relevant to Antimicrobial Resistance (AMR): A Systematic Review

Antibiotics ◽  
2021 ◽  
Vol 10 (4) ◽  
pp. 431
Author(s):  
Mustafa Al-Haboubi ◽  
Rebecca E. Glover ◽  
Elizabeth Eastmure ◽  
Mark Petticrew ◽  
Nick Black ◽  
...  
Keyword(s):  
Systematic Review ◽  
Antimicrobial Resistance ◽  
Healthcare Professionals ◽  
Evidence Base ◽  
Health Surveillance ◽  
Ease Of Use ◽  
Surveillance Systems ◽  
Inclusion Criteria ◽  
Utility Of Information ◽  
Definition Of

Health surveillance systems are considered vital for combatting antimicrobial resistance (AMR); however, the evidence-base on the effectiveness of these systems in providing information that can be used by healthcare professionals, or the acceptability of these systems by users, has not been reviewed. A systematic review was conducted of a number of databases to synthesise the evidence. The review identified 43 studies that met the inclusion criteria, conducted in 18 countries and used 11 attributes in their assessment of surveillance systems. The majority of systems evaluated were for monitoring the incidence of tuberculosis. The studies found that most surveillance systems were underperforming in key attributes that relate to both effectiveness and acceptability. We identified that two features of systems (ease of use and users’ awareness of systems) were associated with greater acceptability and completeness of systems. We recommend prioritising these for the improvement of existing systems, as well as ensuring consistency in the definition of attributes studied, to allow a more consistent approach in evaluations of surveillance systems, and to facilitate the identification of the attributes that have the greatest impact on the utility of data produced.

scholarly journals Kebutuhan Keluarga Pasien diruang Perawatan Intensif

2020 ◽  
Vol 5 (2) ◽  
pp. 88-99
Author(s):  
Nurhidayatul Nadya ◽  
Gamya Tri Utami ◽  
Riri Novayelinda
Keyword(s):  
Systematic Review ◽  
South America ◽  
Patient Care ◽  
Educational Level ◽  
Information Needs ◽  
Psychological Impact ◽  
Inclusion Criteria ◽  
Search Result ◽  
The Family ◽  
Priority Needs

Background: Patient care in an intensive room affects patients and their family. The impacts experienced by the family are both in physical and psychological aspects. The psychological impact may get higher if the family’s needs in the room are not obtained. The study aims to determine the needs of the patient’s family in the intensive room. Methods:The design of this research is systematic review. There are some tools used to find related articles to the 2016-2020 period such as Google Scholar, Scient Direct, and PubMed. Results: The search result to obtained 8 articles that met the inclusion criteria. It can be seen that countries in Southeast Asia, Central Asia, and South America share a similar trend which is prioritizing assurance and information needs. The rest of them such as support and comfort are assumed less important although in some articles the order is different. Sociodemography aspects (gender, age, educational level, and spirituality) also influence the priority needs of the family. Conclusion: Even they have different cultural, but the need of family in intensive room have same priority. It’s need for assurance.

scholarly journals Telehealth and Telemedicine in response to selected critical coronavirus: A systematic review

2021 ◽  
Keyword(s):  
Systematic Review ◽  
Patient Care ◽  
Web Of Science ◽  
Healthcare Services ◽  
Inclusion Criteria ◽  
Human Coronavirus ◽  
Systematic Screening ◽  
Isi Web Of Science ◽  
Healthcare Burden

Background & Objectives: Due to the outbreak of COVID-19, applying telehealth and telemedicine to prevent the spread of disease is inevitable. Therefore, this study aimed to investigate the application of telehealth and telemedicine in the human coronavirus epidemic. Materials and Methods: The systematic search was conducted in Medline (through PubMed), Scopus, and ISI Web of Science to identify relevant studies published until June 10, 2020. Inclusion criteria included studies in which telemedicine and telehealth were utilized as healthcare services in COVID-19, SARS, or MERS epidemics. This review was performed according to PRISMA guidelines. Results: A total of 598 articles were identified after removing duplicates. After the systematic screening, 18 studies were met our criteria. The analysis showed that only one study was related to SARS, and the rest were on COVID-19 disease. Teleconsultation and televisit had a high percentage (55.6%) among other types of telemedicine services. The most mentioned obstacles were access to suitable technologies and lack of assessment or follow-up to achieve outcomes. Conclusion: The results showed that telehealth and telemedicine could have advantages such as preventing the spread of COVID-19, reducing the healthcare burden, and maintaining appropriate patient care. In addition to these benefits, several limitations and obstacles, including organizational, technological, and patient-related barriers, may be encountered, so it is better to consider the necessary arrangements before implementing telemedicine.

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