434 results match your criteria: "Centre for Evidence-based Healthcare[Affiliation]"

The prevalence of viral hepatitis among people in prisons is higher than in the general population. Screening, treatment and vaccination programmes exist within prisons to reduce the incidence of hepatitis, although lower uptake has often been reported compared to similar programmes outside of prisons. We conducted a systematic review of qualitative evidence to explore the barriers and facilitators to hepatitis B and C reduction programmes in prisons from the perspectives of people in prison, custodial staff and prison healthcare staff.

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Objective: This scoping review aims to identify the clinical competency characteristics, in terms of knowledge, skills, and attitudes, of advanced practice nurses in primary care settings.

Introduction: Although much has been written about the competencies of advanced practice nurses, more detail about the skills, knowledge, and attitudes that inform their clinical competency in primary health care needs to be ascertained. This will promote the development, implementation, and evaluation of advanced nursing practice in contexts where it is unavailable.

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Article Synopsis
  • Chronic obstructive pulmonary disease (COPD) significantly affects patients and their families, and improving follow-up care, such as telephone follow-ups after hospital discharge, can help reduce readmissions and mortality rates.
  • A project in Gran Canaria, Spain, aimed to enhance primary care nurses' follow-up practices for discharged COPD patients, utilizing the JBI Evidence Implementation Framework to guide their approach.
  • The project identified barriers to best practices but showed improvements in discharge planning and follow-up compliance, although the 30-day readmission rate increased slightly while emergency room visits decreased, indicating mixed outcomes and a need for further educational strategies.
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Article Synopsis
  • The study emphasizes the importance of qualitative methodologies in Health Technology Assessment (HTA) to evaluate the feasibility, meaning, acceptance, and fairness of health technologies.* -
  • Researchers conducted a comprehensive mapping of qualitative evidence synthesis frameworks using various databases, identifying 31 relevant articles primarily from Europe involving HTA practitioners.* -
  • The results suggest that standardizing the incorporation of qualitative evidence in HTA is necessary for improving decision-making, pointing out key frameworks and tools like SPICE, thematic synthesis, and GRADE-CERQual.*
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The Use of Virtual Patients to Provide Feedback on Clinical Reasoning: A Systematic Review.

Acad Med

October 2024

E. Wilson is professor of public health, Nottingham Centre for Public Health and Epidemiology and Nottingham Centre for Evidence-Based Healthcare, University of Nottingham, Nottinghamshire, England.

Purpose: Virtual patients (VPs) are increasingly used in health care professions education to support clinical reasoning (CR) development. However, the extent to which feedback is given across CR components is unknown, and guidance is lacking on how VPs can optimize CR development. This systematic review sought to identify how VPs provide feedback on CR.

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Aims: This project aimed to improve physicians' adherence to evidence-based practices regarding the selection and administration of intra-articular knee injections for patients with osteoarthritis. The project also aimed to empower patients by increasing their awareness of these evidence-based practices.

Introduction: In the management of knee osteoarthritis, intra-articular injections are commonly used when initial treatments prove inadequate.

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Effectiveness of Educational Interventions to Develop Patient Safety Competencies in Undergraduate Nursing Students: A Systematic Review.

Nurse Educ

October 2024

Author Affiliations: Department of Nursing Sciences (Dr De Rezende), Bournemouth University, Bournemouth, UK; Health and Nursing Management Research Group (Drs Morais and Nicole), UFES, Federal University of Espírito Santo, São Mateus, Espírito Santo, Brazil; Seção de Auditoria em Goiás, Ministério da Saúde, Auditoria Geral do Sistema Único de Saúde (Ms Vitorio), Goiás, Goiánia, Brazil; Nursing School (Drs Quadrado, Dr Lourenção, and Modesto), Quality and Safety in Nursing and Health Services Research Group, USP, University of São Paulo, São Paulo, São Paulo State, Brazil; Quality and Safety in Nursing and Health Services Research Group (Dr Garzin), Centro Universitario São Camilo, São Paulo, São Paulo State, Brazil; and Nursing School (Dr Martins), The Brazilian Centre for Evidence-based Healthcare: A JBI Centre of Excellence, Quality and Safety in Nursing and Health Services Research Group USP, University of São Paulo, São Paulo, São Paulo State, Brazil.

Article Synopsis
  • - The review investigates how educational methods can enhance nursing students' understanding and skills related to patient safety competencies critical for improving care outcomes.
  • - From a total of 36 studies analyzed, various teaching methods showed either positive outcomes or no significant effect on developing patient safety knowledge among nursing students.
  • - The findings indicate that while some educational interventions can be beneficial, the overall effectiveness is inconsistent; hence, more research is required to determine the best approaches for teaching patient safety in nursing education.
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"How-to": scoping review?

J Clin Epidemiol

December 2024

Health Evidence Synthesis, Recommendations and Impact (HESRI), School of Public Health, The University of Adelaide, Adelaide, South Australia, Australia.

Background And Objective: Scoping reviews are a type of evidence synthesis that aims to identify and map the breadth of evidence available on a particular topic, field, concept, or issue, within or across a defined context or contexts. Scoping reviews can contribute to clinical practice guideline development, policy making, reduce research waste by eliminating duplication of research effort, and be a precursor to a systematic review or inform further primary research. This article aims to provide a brief introduction of how to conduct and report scoping reviews.

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Article Synopsis
  • * Recent efforts to stop smoking haven't been put into action yet, and it’s important to see what could happen if smoking rates stay the same or improve.
  • * Researchers used models to predict health outcomes by 2050 based on different scenarios of smoking rates, showing that cutting smoking could greatly improve health and life expectancy.
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Objective: The objective of this review will be to explore the paradigmatic perspectives of research on self-regulated learning in non-Western learners in health professions education.

Introduction: Studies show that there are significant cultural differences in self-regulated learning. However, a predominantly positivistic research paradigm, attempting to fit cross-cultural populations into pre-defined Western conceptualizations of self-regulated learning, has led to the disregard of these differences.

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Online peer-to-peer health communities for individuals affected by chronic kidney disease: a scoping review protocol.

JBI Evid Synth

January 2025

School of Medicine, Faculty of Medicine and Health Sciences, University of Nottingham, Nottingham, United Kingdom.

Objective: The objective of this scoping review is to identify and describe research exploring online peer-to-peer health communities for individuals affected by chronic kidney disease.

Introduction: The proliferation of online peer-to-peer health communities has created new opportunities for individuals affected by chronic kidney disease to come together for mutual social, emotional, and informational support.

Inclusion Criteria: This scoping review will include qualitative, quantitative, mixed methods, and evidence synthesis studies, as well as gray literature relating to online peer-to-peer health communities for individuals affected by chronic kidney disease.

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Background: Utilizing regional health data goes hand in hand with challenges: can they be used for health planning, are they applicable to the relevant topics? The study explores current data utilization and needs of stakeholders working in regional health services planning.

Methods: We conducted 16 semi-structured expert-interviews with stakeholders of regional health planning in Brandenburg, a federal state in the north-east of Germany, by telephone or online-meeting tools between 05/2022 and 03/2023. The data were analysed according to qualitative content analysis.

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Article Synopsis
  • Researchers studied strokes from 1990 to 2021 to understand how many people get them and how they are affected around the world.
  • In 2021, strokes caused about 7.3 million deaths and were a major cause of health problems, especially in specific regions like Southeast Asia and Oceania.
  • There are differences in stroke risks based on where people live and their age, and some areas actually saw more strokes happening since 2015.
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An exploration of available methods and tools to improve the efficiency of systematic review production: a scoping review.

BMC Med Res Methodol

September 2024

Cochrane Netherlands, Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht University, Utrecht, the Netherlands.

Background: Systematic reviews (SRs) are time-consuming and labor-intensive to perform. With the growing number of scientific publications, the SR development process becomes even more laborious. This is problematic because timely SR evidence is essential for decision-making in evidence-based healthcare and policymaking.

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Introduction: The efficient and effective management of gastrostomy patients should be based on best practices.

Objective: This project aimed to improve gastrostomy management in a semi-intensive care unit of a private hospital in São Paulo, Brazil.

Methods: This study followed the JBI Evidence Implementation Framework.

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Addressing equity, diversity, and inclusion in JBI qualitative systematic reviews: a methodological scoping review.

JBI Evid Synth

September 2024

The Northeast Institute for Evidence Synthesis and Translation: A JBI Centre of Excellence, School of Nursing, Rutgers, The State University of New Jersey, Newark, NJ, USA.

Article Synopsis
  • The review aimed to explore how qualitative systematic review teams are incorporating equity, diversity, and inclusion (EDI) in their methods using JBI guidelines.
  • It found that most of the 43 reviews analyzed did not focus on EDI in their questions, with only a few addressing EDI-related issues or including diverse knowledge users.
  • The study highlighted poor reporting of sociodemographic characteristics, making it difficult to analyze and discuss EDI-related matters within the reviewed literature.
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Objective: This scoping review aims to map studies that applied artificial intelligence (AI) tools to perform health technology assessment tasks in human health care. The review also aims to understand specific processes in which the AI tools were applied and to comprehend the technical characteristics of these tools.

Introduction: Health technology assessment is a complex, time-consuming, and labor-intensive endeavor.

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The revised JBI critical appraisal tool for the assessment of risk of bias for cohort studies.

JBI Evid Synth

August 2024

Health Evidence Synthesis, Recommendations and Impact (HESRI), School of Public Health, The University of Adelaide, Adelaide, SA, Australia.

Cohort studies are a robust analytical observational study design that explore the difference between two different cohorts on an outcome, differentiated by their exposure status. Despite being observational in nature, they are often included in systematic reviews of effectiveness, particularly when randomized controlled trials are limited or not feasible. Like all studies included in a systematic review, cohort studies must undergo a critical appraisal process to assess the extent to which a study has considered potential bias in its design, conduct, or analysis.

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The editorial highlights the fact that there is limited communication between healthcare providers and patients about complementary and integrative medicine (TCI) like Ayurveda. To address this, healthcare professionals need better education on Ayurveda. Additionally, international collaborations can enhance research and credible information, ensuring safe and effective patient care.

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Introduction: Unsupported attempts to quit smoking during pregnancy have a low success rate. Chances of quitting successfully are higher with an interpersonal treatment programme but there is low uptake of this in the United Kingdom (UK). Delivering a pregnancy-specific treatment programme digitally may provide an alternative treatment route.

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Background: Infection associated with the use of the External Ventricular Drainage (EVD) catheter in neurosurgery is linked to high morbidity and mortality, and various mechanisms are related to its occurrence. This systematic review aims to summarise and update the risk factors associated with EVD-related infection.

Method: Systematic review with meta-analysis, utilising grey literature and indexed databases.

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Background: While breast explantation combined with mastopexy is an increasingly common procedure, it does present certain technical difficulties. We present a technique of explantation mastopexy with the use of an extended lateral pedicle for auto-augmentation.

Methods: A consecutive series of 40 cases was retrospectively reviewed, with patient reported outcome questionnaire and photography at 3 and 12 months.

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Objectives: To assess the efficacy and safety of pharmacological interventions for preventing upper gastrointestinal (GI) bleeding in people admitted to intensive care units (ICUs).

Design And Setting: Systematic review and frequentist network meta-analysis using standard methodological procedures as recommended by Cochrane for screening of records, data extraction and analysis. The Grading of Recommendations Assessment, Development and Evaluation (GRADE) approach was used to assess the certainty of evidence.

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