Integrative Literature Research Articles

Bridging the gap: Implementation science, knowledge translation, and innovation for advancing maternal health sustainable development goals

Background: Maternal health remains a critical global concern, with sustainable development goal 3 aiming to reduce the maternal mortality ratio and ensure universal access to reproductive healthcare by 2030. According to a 2023 report, a woman dies from preventable causes related to pregnancy and childbirth every 2 minutes, and almost 70% of maternal deaths occur in sub-Saharan Africa. The reduction of maternal mortality and promotion of maternal health and well-being are complex tasks. Objective: To understand how a synergistic approach integrating complex interventions’ research, implementation science principles, knowledge translation, and innovative solutions can be leveraged to achieve sustainable improvements in maternal health outcomes in different contexts. Methods: This study employed sequential and iterative critical interpretive synthesis (CIS), integrative literature (ILR) review with multiscale analysis of extant literature on maternal health starting with the landmark Lancet series on “Maternal Survival” 2006 (5 papers); 2016 “Maternal Health” series (6 papers); the 2023 Series – “Maternal health in Perinatal period and Beyond” (4 papers); and health sector strategic plans. Results: Despite knowledge that healthcare is a complex adaptive system (CAS), whereas interventions for maternal health are considered complex interventions, the predominant implementation approaches assume a linear cause-effect approach, leading to the observed stagnation in maternal health. Conclusion: The effectiveness of complex interventions and their success in reaching relevant populations is critically influenced by their implementation in each context. A linear understanding of evidence translation, from ‘bench to bedside’, is naïve. This is because those who deliver, manage, and receive healthcare, negotiate multiple forms and sources of evidence, which complement and compete within a complex system of institutional logics.

The Role of Age at Migration in Socio-Cultural Integration: Testing Mediating Mechanisms among Recent Refugees

AbstractAlthough age (at migration) is an important factor to influence the socio-cultural integration process of refugees, we know fairly little about exactly how ageing does so. We consider intergroup contact and identification as member of the host city as socio-cultural integration and take the case of recent refugees in the Netherlands to propose and test two mechanisms; language comprehension and health. Using data from 764 recent refugees from the Bridge survey we employ structural equation modelling to test these mechanisms simultaneously for the two measures of socio-cultural integration. Language comprehension mediates the relationship between age and intergroup contact, while health mediates between age and identification. We conclude that a more careful consideration of age in integration literature is necessary, as up till now it has too often been used as a proxy for an array of (social) phenomena. The findings add to better understanding older refugees’ challenges in socio-cultural integration.

Identifying the Core Indicators of Migrant and Refugee Children’s Integration Using the Delphi Method: A Multi-Input Strategy for Definition of Consensus

This paper presents the Delphi methodology employed to select a final dashboard of 30 indicators on the socio-educative inclusion of refugee and migrant children in Europe. Firstly, a procedure for identifying Key Performance Indicators (KPIs) was carried out, including a specialized scientific literature review, the mapping of previous indicators, and qualitative workshops with key stakeholders at micro, meso, and macro levels in six countries. Then, a Delphi design was implemented to assess, rate, and provide meaningful qualitative improvements to a pool of pre-selected indicators. The Delphi methodology involved a group of international experts on the matters of inclusive education or migration, researchers, NGOs, and public officers. As an alternative to traditional "benchmark-based" consensus, we introduced the use of a) the CARA model and b) an alternative multi-input and mixed-method consensus-building procedure. The results provided a significant contribution to qualitative methods on the one hand and to migration and integration literature on the other. The methodological innovations, the diversity of experts' perspectives involved in the process, and the structured nature of the method constituted significant advantages to improve the robustness of the Delphi methodology for selecting and validating indicators. Future research involving a Delphi methodology can benefit from applying the present procedure.

LITERATURE REVIEW OF MIGRATION, RELIGION AND INTEGRATION AMONG IMMIGRANTS IN THE 21ST CENTURY

This study provides an analysis of migration, religion and integration literature in a twofold approach: first, the development in volume and the internationalization of the field are analysed. Second, development is analysed in terms of topical focus within migration studies over the recent decades of the 21st century. To capture volume, internationalisation, and topic focus, my analysis involves topic modelling of the landscape of migration studies. Given that there exist different research motives surrounding the subject of migration, previous literature indicates a linear growth path towards an increasingly diversified and fragmented field. Although previous literature indicates an increase in migration studies the problems of migration, in reality, are yet far from being solved. Moreover, the analysis reveals that there is a shift between various topics within the migration field as opposed to a growth of diversification of topics. This means that there is less linkage between studies tackling a specific topic as studies have taken independent directions. Lastly, this literature review study reveals that fragmentation in migration studies has no consistent trend and in contrast, there is a recent connectedness between related topics of migration.<p> </p><p><strong> Article visualizations:</strong></p><p><img src="/-counters-/edu_01/0958/a.php" alt="Hit counter" /></p>

The Cycle of Cultural Integration: Toward Hermeneutical Justice in the Integration of Psychology and Theology

We draw from Miranda Fricker’s theory of epistemic injustice in evaluating the impact of limited cultural diversity within the integration literature. Since culture and social location are frameworks that help us make meaning of the world, failing to actively engage culture in integration is to perpetuate hermeneutical injustice. In this paper, we propose: (1) a theoretical model for actively engaging culture in the integration of psychology and theology, called the Cycle of Cultural Integration (CCI), and (2) practical ways for educators and students to incorporate generational and cultural wisdom that has been embedded among communities of color into interdisciplinary work between psychology and Christian theology.

Pressure Injury Prevention and Management: A Gap Analysis Using Key Stakeholder Engagement.

PURPOSE:The purpose of this study was to examine pressure injury prevention and management (PIPM) practices in an academic acute care setting. Specific aims were to (1) develop and examine key stakeholder engagement regarding PIPM practices, (2) develop a valid/reliable gap analysis instrument, and (3) conduct a gap analysis of current PIPM practices.DESIGN:Mixed-methods convergent design and participatory action research.SUBJECTS AND SETTING:A nurse-led council (Council) of key stakeholders from a large academic university healthcare setting was developed. The gap analysis was conducted in a southern gulf coast level I trauma academic acute care hospital in the Southeastern United States.METHODS:A multidisciplinary key stakeholder Council with 27 members was developed to accomplish study aims using the participatory action research approach to train, promote, and foster key stakeholder engagement in all aspects of the research process. The Pressure Injury Prevention Gap Analysis Instrument (PIPGAI) was developed and psychometrically tested. A gap analysis of PIPM practices across a level I trauma academic acute care hospital was conducted using the PIPGAI.RESULTS:The PIPGAI was developed using 2019 Pressure Ulcer/Injury Clinical Practice Guideline recommendations, an integrative literature review/appraisal, a concept map, and Council input. The overall PIPGAI content validity index of 0.95 demonstrated excellent content validity. The individual item content validity index scores ranged from 0.62 to1.0. Low-scoring items (0.62-0.75) were deleted or revised. Interrater reliability was demonstrated by percentage of agreement (62%-79%). Using a modified Delphi approach, items of disagreement were summarized and discussed until 100% consensus was achieved. A gap analysis of PIPM practices was conducted resulting in a cumulative score of 267/553 (48%), indicating gaps in PIPM practices. Fifty (73%) items had content present; 37 of 58 (64%) items had minimal detail, and 36 of 58 (62%) items were difficult or required notable effort to accomplish. Fifty items (63%) had a total score of 4 or less and were identified as a gap (range: 0-7).CONCLUSIONS:The main outcome of this study was an innovative and evidence-based gap analysis process. The study provides (1) a model for key stakeholder engagement, (2) a valid/reliable gap analysis instrument, and (3) a method to evaluate PIPM practices.

COVID19: uncovering interindividual variability for tailoring appropriate therapeutic interventions

The severity of SARS-CoV2 infection, Covid19 disease, should account for the diversity of human individual immunoinflammatory responses. Serum immunological markers during Covid19 illness may lead to individualized therapeutics with better outcomes. Efficient treatment for Covid19 may require: 1) early disease detection, 2) combineddrug therapy for 3) targeting the virus replication cycle, and 4) individualized drug treatment for specific immunoinflammatory human profile responses administered in a 5) timely manner. Covid19 is unlikely to be the last emergent human disease with fast pandemic potential. Gathering knowledge on the individual human host profilesof immunoinflammatory responses is an opportunity that could lead us to understand individual differences in response to infection at the individual and population level, paving the way to faster, more efficient strategies to tackle upcoming infectious diseases. This is a position paper based on an integrative non-exhaustive literature revision.

Clinical supervision: A mechanism to support person-centred practice? An integrative review of the literature.

To explore whether clinical supervision has an influence on person-centred practice. The ability to deliver person-centred care and the ability to engage in reflective practice are two key skills expected of nurses. Person-centred care shifts nurses thinking from the patient's disease state to their personhood. Clinical supervision has been proposed as a place to explore person-centred care. Person-centred practice extends person-centredness to enhance healthful relationships between care providers, services users and their significant others. An integrative literature was conducted with the key words 'clinical supervision' and 'person-centredness' within CINAHL, Medline, PsychInfo and Google Scholar. The PRISMA statement was used to report the identification, selection, appraisal and synthesis of articles and PRISMA diagram reports the selection process. The Mixed Methods Appraisal Tool was used to appraise the articles, followed by a thematic analysis. The Template for Intervention Description and Replication was used to explore the concept of clinical supervision. Twelve articles met the inclusion criteria. Person-centredness and clinical supervision are not universally defined concepts. Clinical supervision in this context was mainly an adjunct to educative programmes. Clinical supervision has a positive influence on participants' person-centred attributes, but the influence on others is less clear. The clinical supervisor's qualities are pivotal to supervisions' success. Clinical supervision is a common reflective strategy used to explore nursing practice, yet as a strategy to enhance person-centred practices, is under-researched. Participants can experience person-centredness when their supervisor has person-centred attributes, an important aspect in delivering person-centred care. This review identified a gap in the literature between two common nursing concepts 'clinical supervision' and 'person-centred care/practices'. There is a need to conduct further research into the combination of these concepts to seek ways to embed person-centredness into health care and everyday nursing practice.

Occupational cancer illness in Brazil: an integrative literature review

Occupational cancer illness in Brazil: an integrative literature review

Antidiscrimination Meets Integration Policies: Exploring New Diversity-Related Challenges in Europe

Contemporary European societies are increasingly diverse. Migration both within and to Europe has contributed over the past decades to the rise of new religious, racial, ethnic, social, cultural and economic inequality. Such transformations have raised questions about the (multi-level) governance of diversity in Europe, thus determining new challenges for both scholars and policy-makers. Whilst the debate around diversity stemming from migration has become a major topic in urban studies, political science and sociology in Europe, Critical Race Studies and Intersectionality have become central in US approaches to understanding inequality and social injustice. Among the fields where ‘managing diversity’ has become particularly pressing, methodological issues on how to best approach minorities that suffer from multiple discrimination represent some of the hottest subjects of concern. Stemming from the interest in putting into dialogue the existing American scholarship on CRT and anti-discrimination with the European focus on migrant integration, this paper explores the issue of integration in relation to intersectionality by merging the two frames. In doing so, it provides some observations about the complementarity of a racial justice approach for facing the new diversity-related challenges in European polity. In particular, it illustrates how Critical Race Studies can contribute to the analysis of inequality in Europe while drawing on the integration literature.

Patient participation in shared decision-making in palliative care - an integrative review.

Shared decision-making is a process where the decisions regarding patients' care are done in collaboration with the patient, the patient's family and a healthcare professional or an interdisciplinary team. Shared decision-making is considered to be a part of patient centred care, and it enables patient autonomy which is a cornerstone of palliative care. In the past, research on the experiences of palliative care patients' participation in shared decision-making involving a nurse has been limited as the focus has mainly been on specific medical interventions, rather than holistic palliative care. To synthesise research findings on patient participation in shared decision-making in palliative care. An integrative literature review. The literature search was conducted by searching computerised databases (CINAHL, PubMed, PsychINFO and COCHRANE). The search resulted in 12 articles. The quality of the included articles was evaluated with JBI checklist, and the data analysis was done using inductive content analysis. Reporting was done according to a PRISMA checklist. Patients do participate in shared decision-making and desire to participate in everyday nursing care decisions, treatment-related medical decisions and end-of-life decisions. The prerequisites for patient participation in shared decision-making are interdisciplinary teamwork, open communication, good patient-healthcare professional relationship, a favourable environment and mutual information. Palliative care patients do participate and desire to participate in decisions that cover a much broader range of topics than just medical interventions and this should be addressed in future research and in practise. The main responsibility for successful patient participation in shared decision-making lies with the healthcare professionals and the organisations providing palliative care. There is a need to conduct more research from the patient's perspective and explore the meaning of participating in shared decision-making from the patient's point of view.

Revisão bibliométrica sobre fusão e aquisição de empresas no Brasil

Objetivo do estudo: Analisar a produção acadêmica sobre Fusões e Aquisições (FA), em língua portuguesa no Brasil, por meio de uma revisão bibliométrica e integrativa, dada a importância dessas estratégias para o crescimento de empresas e o elevado número de ocorrências no país.Método: Pesquisa exploratória, com revisão bibliométrica e de literatura integrativa em 68 artigos publicados de 2000 a 2018, encontrados na base Spell e no Portal de Periódicos da Capes. Originalidade/relevância: Mesmo com o interesse e a importância das estratégias de FA para as empresas e a economia do país, não foram encontradas revisões bibliométricas ou integrativas sobre o tema, diferentemente do cenário internacional, em que há trabalhos sobre o panorama das pesquisas e interesses de estudos.Principais resultados: Pesquisadores de diversas regiões estudam o tema sem a mesma intensidade de ocorrência das FA no país. Há certo grau de concentração de autores, periódicos e instituições, porém inconstantes no período estudado. Ao utilizar os programas Atlas TI® e VOSviewer®, foram encontrados quatro agrupamentos – Economia/Finanças, Estratégia, Gestão do Processo de FA e Cultura – que refletem as principais linhas temáticas e estão coerentes com a análise de cocitação que apontou o uso de referências internacionais/nacionais na perspectiva financeira, estratégica e de gestão. Destaca-se que apenas artigos mais recentes (2015-2018) citam outros autores, principalmente internacionais. Contribuições teóricas: Apresentação de panorama integrativo das pesquisas de FA no Brasil, em língua portuguesa, com trajetória do tema, características, lacunas e assuntos ausentes, proposição de agenda de estudos, com vistas a pesquisas mais robustas e compreensão mais plural e interdisciplinar da temática.

Quality indicators in telephone nursing - An integrative review.

AimThe aim of this study was to identify factors that indicate quality in telephone nursing.DesignAn integrative literature review.MethodA literature search was performed in October 2018, in the PubMed, CINAHL, Cochrane Library, Academic Search, PsycINFO, Scopus and Web of Science databases. A total of 30 included were included and data that corresponded to the study's aim were extracted and categorized along the three areas of quality as described by Donabedian (Milbank Quarterly, 83, 691), namely structure, process and outcome.ResultsThe analysis revealed ten factors indicating quality in telephone nursing (TN): availability and simplicity of the service, sustainable working conditions, specialist education and TN experience, healthcare resources and organization, good communication, person‐centredness, competence, correct and safe care, efficiency and satisfaction. TN services need to target all ten factors to ensure that the care given is of high quality and able to meet today's requirements for the service.

Systems analysis of avascular necrosis of femoral head using integrative data analysis and literature mining delineates pathways associated with disease

Avascular necrosis of femoral head (AVNFH) is a debilitating disease, which affects the middle aged population. Though the disease is managed using bisphosphonate, it eventually leads to total hip replacement due to collapse of femoral head. Studies regarding the association of single nucleotide polymorphisms with AVNFH, transcriptomics, proteomics, metabolomics, biophysical, ultrastructural and histopathology have been carried out. Functional validation of SNPs was carried out using literature. An integrated systems analysis using the available datasets might help to gain further insights into the disease process. We have carried out an analysis of transcriptomic data from GEO-database, SNPs associated with AVNFH, proteomic and metabolomic data collected from literature. Based on deficiency of vitamins in AVNFH, an enzyme-cofactor network was generated. The datasets are analyzed using ClueGO and the genes are binned into pathways. Metabolomic datasets are analyzed using MetaboAnalyst. Centrality analysis using CytoNCA on the data sets showed cystathionine beta synthase and methylmalonyl-CoA-mutase to be common to 3 out of 4 datasets. Further, the genes common to at least two data sets were analyzed using DisGeNET, which showed their involvement with various diseases, most of which were risk factors associated with AVNFH. Our analysis shows elevated homocysteine, hypoxia, coagulation, Osteoclast differentiation and endochondral ossification as the major pathways associated with disease which correlated with histopathology, IHC, MRI, Micro-Raman spectroscopy etc. The analysis shows AVNFH to be a multi-systemic disease and provides molecular signatures that are characteristic to the disease process.

Self-Perceptions of the Risk of Discrimination and Social Exclusion: Assessing the Six-year Aftermath of the National Strategy for Roma Integration in Bulgaria

ABSTRACT The research hypothesis of this paper stems from the argument that the Bulgarian authorities and the broader audiences decode Roma integration through the prism of an inequalities-poverty-social exclusion framework, meaning that the growth of ‘being integrated’ is viewed as a gradual decrease of the value of indicators related to social exclusion and a steady rise in indicators of well-being. In elaborating their argument, the authors consult the recent ‘integration literature’ and then theoreticize the Bulgarian NRIS and the change of ‘integration’ vocabulary over time. A representative sociological survey is deployed as an empirical foundation for proving, or disputing, that the effects and consequences of the NRIS can be assessed based on the presented data. The explored data represent the self-assessment of individual exposures to the risk of discrimination and social exclusion in access to healthcare, employment and public services alongside the progress of NRIS. In addition, a baseline from an earlier period is used to visualize the course of social processes.

Middle Range Theory for the Nursing Diagnosis of Dysfunctional Ventilatory Weaning Response

To propose a middle range theory (MRT) that establishes the theoretical basis for the nursing diagnosis dysfunctional ventilatory weaning response (DVWR) (00034). Integrative literature review. The MRT includes the main concepts, pictorial diagrams, propositions, and causal relationships for use in clinical practice. The MRT developed for the DVWR allowed us to list 13 clinical antecedent and 21 consequent findings related to this nursing diagnosis that occurs when ventilatory weaning fails. The clinical indicators and causal relationships described in the MRT may serve as a basis for nurses to understand the dysfunctional weaning process.

Hybrid Strategy—Interference or Integration? How Corporate Communication Impacts Consumers’ Memory and Company Evaluation

ABSTRACTThis study investigates whether hybrid strategy would be more effective than corporate social responsibility (CSR) strategy in boosting CSR information recall and company evaluation. Informed by the corporate ability (CA)-CSR-hybrid communication strategy typology, the associative network theory, and memory interference and integration literature, this study conducted a 2 (prior corporate associations) × 2 (subsequent corporate communication strategies) between-subjects experiment. Findings showed that hybrid (vs. CSR) strategy was more effective in generating CSR information recall when a company had previously established CA associations but did not outperform CSR strategy when the company had no previous CA associations.

Lipid Related Genes Altered in NASH Connect Inflammation in Liver Pathogenesis Progression to HCC: A Canonical Pathway.

Nonalcoholic steatohepatitis (NASH) is becoming a public health problem worldwide. While the number of research studies on NASH progression rises every year, sometime their findings are controversial. To identify the most important and commonly described findings related to NASH progression, we used an original bioinformatics, integrative, text-mining approach that combines PubMed database querying and available gene expression omnibus dataset. We have identified a signature of 25 genes that are commonly found to be dysregulated during steatosis progression to NASH and cancer. These genes are implicated in lipid metabolism, insulin resistance, inflammation, and cancer. They are functionally connected, forming the basis necessary for steatosis progression to NASH and further progression to hepatocellular carcinoma (HCC). We also show that five of the identified genes have genome alterations present in HCC patients. The patients with these genes associated to genome alteration are associated with a poor prognosis. In conclusion, using an integrative literature- and data-mining approach, we have identified and described a canonical pathway underlying progression of NASH. Other parameters (e.g., polymorphisms) can be added to this pathway that also contribute to the progression of the disease to cancer. This work improved our understanding of the molecular basis of NASH progression and will help to develop new therapeutic approaches.

Participation as a methodological and ethical issue in child protection research

PurposeThe purpose of this paper is to explore how children have been involved in research activities in recent international child protection research and what kinds of ethical and methodological decisions are made by researchers regarding children’s participation.Design/methodology/approachIn the paper, the complexity of children’s participation in research activities is analysed through an integrative literature review.FindingsChildren’s right to self-determination and the right to make informed decisions were the most challenging ethical principles to implement in practice. The study shows that researchers usually decide on the research design, and child welfare professionals and parents assess the eligibility of the children as research subjects.Originality/valueMore ethical reflection and critical discussion on the rights that adults, both parents and professionals, have in deciding the involvement of children in research activities is required.

Democracy promotion in EU enlargement negotiations: more interaction, less hierarchy

ABSTRACTIn the integration literature, the relationship of the European Union (EU) as a donor and the (potential) candidates for EU membership as recipients of democracy promotion is described as asymmetrical. The donor is portrayed to have full whereas recipients have moderate or even no leverage over democratic reform what brings a hierarchical notion of active donors versus passive recipients into the analysis. Taking the local turn into consideration, however, this contribution argues that democracy promotion, is better conceptualized as a dynamic interplay between external and domestic actors. It reveals the toolbox of instruments that both sides dispose of, traces the dynamic use of these instruments, and systematizes the structural and behavioural factors that constrain the negotiation interplay. A case study of negotiations over public administration reform in Croatia in the context of EU enlargement shows that domestic actors dispose of leverage that counterweights external leverage and mitigates the implied hierarchy.