Integrative Literature Review Research Articles

Effectiveness of a Problem-Based Learning Approach in Clinical Teaching of The Undergraduate Nursing Students: An Integrative Literature Review

Aims: To explore the effectiveness of the PBL approach in the clinical teaching of undergraduate nursing students Methods: An integrative literature review was used to evaluate the effectiveness of PBL in integrating theory and practice among nursing students in clinical practice. The review searched research articles published in English from 2013 to 2023. Medical Subject Headings (MeSH) guidelines were used to identify relevant search terms, which included PBL. Articles that met the inclusion criteria entailed research articles published in peer-reviewed journals, written in English and the population of undergraduate nursing students. A matrix was developed that outlined (1) characteristics of the study population and (2) challenges affecting the implementation and effectiveness of PBL in clinical teaching. Results: The literature search revealed twenty-one (n=21) studies conducted in various countries. The studies highlighted positive experiences on the effectiveness of the PBL approach in the clinical teaching of undergraduate nursing students. Skills such as critical thinking, problem-solving, and patient diagnosis were attributed to using PBL in the simulation. Conclusion: This paper contributes to the body of knowledge on the effectiveness of the PBL approach in the clinical teaching of undergraduate nursing students. It also contributes to the body of knowledge on PBL in nursing education, particularly in South Africa.

Interprofessional Education Opportunities for Health Care Educators in the Practice Setting: An Integrative Review.

Health care educators in the practice setting are responsible for providing education to frontline staff and require knowledge and skills to interact with interprofessional health care providers and teach content in an effective way. Interprofessional education opportunities for health care educators in the practice setting may be helpful in preparing educators to meet the needs of frontline staff, yet the extant state of literature on this topic has not been recently synthesized. In this integrative review, we aimed to explore what is known about interprofessional education opportunities offered to health care educators who are responsible for educating other health care professionals in practice settings and assess how these education opportunities were described and evaluated in the literature. We conducted an integrative literature review following the methodology put forth by Toronto and Remington. Of the 3690 publications identified, 30 met our inclusion criteria. Overall, the publications lacked rigorous methodology. Education interventions varied in content, duration, and teaching strategies. Key findings were identified: (1) educator satisfaction and content relevance, (2) impact on knowledge, skills, and confidence, (3) impact on teaching practice, (4) impact on clinical practice, (5) impact on interprofessional competencies and attitudes, (6) challenges to implementing interprofessional education opportunities, and (7) facilitators to implementing interprofessional education opportunities. Although interprofessional education opportunities for health care educators in the practice setting may be beneficial to educators and the frontline staff they serve, more rigorous research is needed to understand how these opportunities can influence teaching and clinical practice.

What are the contrasting types of proactivity that manifest at work? A systematic literature review, content analysis, and future directions

PurposeThis study summarizes widely dispersed literature on proactivity at work in its many different forms and highlights contrasts between the various themes in detail.Design/methodology/approachThis study is based on systematic literature review of proactivity at work using 1708 peer reviewed articles published between 1969 and 2021 using R and Vos viewer software; a content analysis of the 100 most cited articles in proactivity research; and synthesis and integrative literature review to develop future research directions.FindingsThis study uncovers many interesting facets of knowledge, including proactivity-related themes that have emerged over 50 years of research, time-related publication trends, top journals, top authors, and the most commonly used keywords. The content analysis of the 100 most-cited articles revealed findings such as the role of each proactivity theme impacting academic discussions to date. For example, quantitative research appears to be more prevalent among the most cited articles compared to different types of qualitative research. Finally, future research directions building on our findings are provided.Originality/valueTo our knowledge, this work is the first attempt to contrast different types of proactivity at work as opposed to extant literature, which is either driven by the proactivity phenomenon or focuses on similarities rather than on contrasting aspects of the various forms of proactivity at work. Hence, the significance of this research extends beyond theoretical considerations and incorporates valuable practical elements.

A competency model for basic public health professionals in public health emergencies.

To develop and validate a comprehensive competency model for basic public health professionals to enhance their response to public health emergencies. Staff working in basic public health institutions such as the Centre for Disease Control, community health services and township health centres were selected as the study population. Through an integrative literature review, structured questionnaire survey (n = 1310), exploratory factor analysis and confirmatory factor analysis, we developed and validated a competency model. Exploratory factor analysis was utilized to extract common factors, and confirmatory factor analysis was employed to establish the model and ensure its robustness. Identified competencies by exploratory factor analysis encompass professional and technical skills, medical professionalism, specialized medical knowledge, cognitive and managerial aptitude, public health service competence, emergency response proficiency and physical and mental quality. The model displayed high validity, with a Kaiser-Meyer-Olkin score of 0.933, the χ2 value of Bartlett's test of sphericity was 4169.238 at 889 degrees of freedom (df) (p < 0.001) and the cumulative contribution rate was 60.7%. The confirmatory analysis yielded a final model fit (χ2/df = 2.461) with satisfactory adjusted fit indicators. This validated competency model provides a robust framework for selecting, training and evaluating basic public health professionals, potentially enhancing overall emergency response capabilities.

Marketing 5.0: Harnessing AI and Emerging Technologies to Shape the Future of Business

This integrative literature review (ILR) looks into the use of artificial intelligence (AI) technology in the French healthcare system, emphasizing personalized medicine and predictive health analytics. The study subject is the problematic integration of AI technologies, which is hampered by significant challenges, including data privacy concerns, system interoperability, ethical and legal issues, resistance to technological change, and the need for extensive training of healthcare professionals. These issues affect French healthcare professionals and politicians, who must overcome these challenges to utilize AI's potential fully. This research aims to investigate and assess the integration of AI into the French healthcare system, particularly in personalized medicine and predictive health analytics, to identify and address the obstacles and leverage the opportunities that improve patient care and operational efficiency. The ILR's guiding conceptual framework is based on three essential concepts: artificial intelligence, personalized medicine, and predictive healthcare analytics. The research methodology consists in thoroughly examining current literature, qualitative study of case studies, and interviews with industry professionals. The study's findings show that AI has tremendous potential to increase diagnostic precision and treatment accuracy in the French healthcare system. They highlight initiatives such as establishing specialized departments like "Intelligent Healthcare Services" and creating positions like "Intelligent Doctor". The conclusions address the potential implications of the findings for enhancing patient care and operational efficiency, as well as recommendations for further study and practice. These include performing longitudinal studies, looking into emerging data integrity solutions such as blockchain, and improving healthcare professional training programs. Ultimately, breaking down current obstacles and ensuring that AI technologies improve healthcare delivery and patient outcomes would make France a leader in AI-driven medical innovation.

Innovative Exercise for Nursing PhD Students: Addressing Biases During Integrative Literature Reviews.

Nursing PhD students face the difficulty of conducting integrative literature reviews that may lead to bias and lack of rigor particularly in the literature search, data evaluation, and data analysis stages. This article describes the development and use of an arts-based learning exercise to identify potential biases and improve on the critical and writing skills of students during the integrative literature review process. The exercise consisted of visits to the university's museum, moderated discussions with nursing faculty and the museum educator, visual analyses of artwork, building art portfolios, and writing assignments. The exercise was modified over 3 years based on student feedback. Students reported the exercise helped in critical and writing skills, in identifying areas of potential bias, and in enhancing the methodological rigor of the review process. Conducting literature reviews is integral in doctoral nursing education and this innovative exercise can facilitate this process. [J Nurs Educ. 2024;63(X):XXX-XXX.].

Protecting the play: An integrative review of cybersecurity in and for sports events

Although sport has become an important topic in management research, academics have not fully examined the area of cybersecurity and its strategic relevance in sports management, in particular in and for sports events. In the present study, we examined the relationship between sports and cybersecurity and conducted an integrative literature review that categorizes the research that has been published to date, based on technology-organisation-environment (TOE) framework. The findings show that the role of cybersecurity in and for sports events is a heavily under-researched area that provides an abundance of scientific opportunities. It is also one that deserves further attention, because cyber-attacks on sports events and associated organisations are increasing. Our integrative literature review offers a more structured understanding of this field of investigation and led to the development of a comprehensive research agenda at the intersection between sports management and information security. As one of the first studies to use a literature review that specifically focuses on cybersecurity in and for sports events, we advance the state-of-the-art scholarship in this critical space, and we take the first step to disseminate best practices in cybersecurity and sports management.

Nursing interventions for the proposed nursing diagnosis of puerperal fatigue: An integrative review.

The postpartum period is considered a phase of many physiological and hormonal changes that affect the individual. Fatigue is something present and can influence the postpartum woman in a negative way. In this way, the nurse has an essential role, and the nursing process can be used to establish an efficient care plan. To present the main nursing interventions and activities of the nursing diagnosis (ND) fatigue (00093) in individuals/people in the immediate postpartum period obtained through an integrative literature review and correlate with the proposed ND puerperal fatigue/excessive burden of fatigue in the postpartum period. Integrative literature review, carried out in the databases Cochrane, Scopus and Medical Literature Analysis and Retrieval System Online (MEDLINE), Web of Science (WoS), Virtual Health Library (VHL), and Cumulative Index to Nursing and Allied Health Literature (CINAHL), following rigorous methodological standards. Six articles were included that identified the main nursing interventions related to the proposed ND puerperal fatigue. The integrative review highlighted the main nursing interventions and activities, and this study will be the basis for the next stages of the validation process for the ND puerperal fatigue/excessive fatigue in the postpartum period. This work can help nurses in clinical practice establish an efficient care plan through the most accurate nursing interventions and thus improve the quality of nursing services.

Commentary on: Factors influencing foot care behaviour among patients with diabetes: An integrative literature review by Woo MWJ, CUI J (2023).

The review by Woo etal. reports on factors influencing behaviour in the care of the diabetic foot, wich are common in diabetic patients and have a high risk of infection and amputation. To improve patient's knowledge and education on foot care, this commentary proposes the Barrows cards as an innovative user-friendly educational method. Conclusion and implications for profession and patient care: adapting these cards to adult diabetic patients could prevent future complications, improving quality of life and reduce the risks associated with diabetes. No patient or public contribution.

Sustainable energy supply transition: the value of hydrogen for business customers

PurposeWhile some hydrogen (H2) products are available in the industrial market, new clean H2 applications are considered critical alternatives in decarbonization efforts. As suppliers need to understand how business customers conceive the value of hydrogen, this paper aims to investigate how the value of hydrogen is described in the published evidence and to identify or propose specific tools to assess its value.Design/methodology/approachAn integrative literature review is developed to synthesize studies on the value of hydrogen to identify the main value categories. Then, the authors create a novel guideline by linking three value dimensions: 1) the product-oriented value (including sustainability), 2) the elements of B2B value and 3) the concept of goal-oriented value.FindingsThis paper categorizes the aspects of value discussed so far in the literature, suggesting conceptualizing the value of H2 value-in-use based on economic, environmental, social and technological categories. The missing value categories from the marketing perspective are related to perceived value. A comprehensive guideline for assessing the value of H2 for business customers was developed to address that gap. The guideline can evaluate hydrogen from a multicategory perspective and compare new hydrogen products with alternatives.Originality/valueFirst, the authors present the value of hydrogen in the B2B marketing discussion. Second, the authors propose four hydrogen value categories based on the current state-of-the-art. Third, the authors developed the multicategory guideline for assessing the value of hydrogen products for business customers (VH2-BC).

Políticas educacionais e a implementação da Lei 11.645/2008:Impactos na educação afro-brasileira e indígena

The research evaluated the impacts of Law 11.645/2008, which makes it mandatory to include Afro-Brazilian and Indigenous History and Culture in the curricula of Brazilian schools. The objective was to analyze the effectiveness of the law in promoting a more inclusive and representative education. The methodology involved an integrative literature review, using relevant academic articles identified on the Google Scholar and SciELO platforms, focusing on recent studies on the implementation of the law. The results showed that Law 11.645/2008 has promoted a greater appreciation and inclusion of Afro-Brazilian and indigenous cultures in the school curriculum, helping to combat prejudice and offer a more complete view of national identity. However, the survey also highlighted significant challenges, such as resistance to change and a lack of adequate resources and teaching materials, which hinder full and effective implementation of the law. The conclusion is that, although Law 11.645/2008 represents an important advance for educational equity, it is necessary to continue facing the challenges and promoting improvements to achieve a truly inclusive and diverse education.

A importância da formação docente para a promoção da diversidade e inclusão nas escolas: Uma revisão integrativa de literatura

The objective of this research was to analyze the impact of teacher training on the promotion of diversity and inclusion in schools, addressing both initial and continuing teacher training. The methodology used consisted of an integrative literature review, using scientific articles selected through academic platforms such as Google Scholar and SciELO, focusing on recent publications on the subject. Data analysis revealed that initial teacher training often fails to adequately prepare educators to deal with diversity in classrooms, limiting itself to general theories and not incorporating specific inclusive practices. Continuing education, although important, is often not sufficient due to the lack of specific courses and the gap in initial training. The results indicate that in order to promote effective inclusive education, it is necessary to have a closer alignment between teacher training and the practical realities of the classrooms, in addition to the effective integration of topics related to diversity and inclusion in the curricula of training courses. It is concluded that the evolution of teacher training is crucial to enable teachers to face the challenges of school diversity and to promote an education that values and respects all students' identities and experiences.

Specialized nursing intervention on critically ill patient in the prevention of intubation-associated pneumonia: an integrative literature review.

Healthcare-associated infections are adverse events that affect people in critical condition, especially when hospitalized in an intensive care unit. The most prevalent is intubation-associated pneumonia (IAP), a nursing-care-sensitive area. This review aims to identify and analyze nursing interventions for preventing IAP. An integrative literature review was done using the Medline, CINAHL, Scopus and PubMed databases. After checking the eligibility of the studies and using Rayyan software, ten final documents were obtained for extraction and analysis. The results obtained suggest that the nursing interventions identified for the prevention of IAP are elevating the headboard to 30º; washing the teeth, mouth and mucous membranes with a toothbrush and then instilling chlorohexidine 0.12%-0.2% every 8/8 hr; monitoring the cuff pressure of the endotracheal tube (ETT) between 20-30 mm Hg; daily assessment of the need for sedation and ventilatory weaning and the use of ETT with drainage of subglottic secretions. The multimodal nursing interventions identified enable health gains to be made in preventing or reducing IAP. This area is sensitive to nursing care, positively impacting the patient, family, and organizations. Future research is suggested into the effectiveness of chlorohexidine compared to other oral hygiene products, as well as studies into the mortality rate associated with IAP, with and without ETT for subglottic aspiration.

POLÍTICAS PÚBLICAS HUMANITÁRIAS PORTUGUESAS: DA VISÃO DAS CONDICIONANTES À BREVE VISÃO DA PRÁTICA ASSOCIADA AOS COSTUMES

This article aims to an integrative literature review of humanitarian public policies in Portugal to understand how these policies are developed and implemented in the country. To this end, we will analyze the European Union and Portugal regulatory legislation, which encompasses the topic from different perspectives, to provide a sufficiently comprehensive view of the subject. Humanitarian public policies have been gaining prominence in the international scenario, especially given the frequency and intensity of natural disasters and humanitarian crises. In Portugal, these policies are influenced by such regulatory documents, from EU legislation to the Portuguese Constitution, encompassing relevant laws and culminating in the implementation of strategies, plans, and government programs with their humanitarian characteristics and approaches to resilience and humanitarian action determinants, permeating the practice of action related to the country's customs. The literature review conducted in this article seeks to contribute to the understanding of humanitarian public policies in Portugal and provide a general overview and support for academic debate on the subject.

IRON DEFICIENCY ANEMIA AS A RISK FACTOR FOR DENTAL PULP DISEASES: AN INTEGRATIVE REVIEW

Iron deficiency anemia is characterized by reduced blood capacity to transport oxygen due to insufficient iron, an essential component of hemoglobin. This condition can have various implications for oral health, including dental pulp health. The human body must balance physiological, nutritional, and environmental factors to maintain optimal functioning. Iron salts react with gingival crevicular fluid and subgingival bacterial metabolites, staining teeth. Iron supplements typically have a highly acidic pH compromising dental enamel microhardness and increasing the risk of cavities. However, the severity of the damage varies depending on supplement acidity, frequency, duration, and method of administration. This article aims to conduct a comprehensive literature search to investigate the association between iron deficiency anemia and oral health issues with pulp pathology aspects as the focus of the study. To sustain an integrative literature review, articles published in English from the databases PubMed, Wiley Library, Science Direct and Scholar Google were examined. Iron deficiency anemia is a contributing factor to the higher incidence of post-endodontic pain. Some studies indicate other results suggesting that iron has a cariostatic effect on dental decay.

Evaluation of the Efficiency of Neural Enolase (NSA) in the Diagnosis of Viral Encephalitis: A Medical Review

Encephalitis is an inflammation that occurs in the brain when a virus in some cases, bacteria attack it directly, and can also be triggered by other factors. It is an inflammatory process of the meninges, the membranes that cover the central nervous system. Enolase isoenzyme found in neuronal and neuroendocrine tissues. Its levels in tissues other than erythrocytes are negligible. Its measurement is useful for monitoring tumors of neuroendocrine origin, such as neuroblastoma, pheochromocytoma, medullary thyroid carcinoma, small cell lung carcinoma, melanoma, and some pancreatic tumors. NSE concentrations in cerebrospinal fluid (CSF) are often elevated in diseases that result in relatively rapid neuronal destruction. This review aims to evaluate the efficiency of neural enolase (NSA) in diagnosing viral encephalitis. The methodology used an integrative literature review and a synthesis process to develop the study, expand the understanding of knowledge, and achieve the expected results. The integrative literature review is a method that aims to synthesize results obtained in research on a topic or issue, in a systematic, ordered, and comprehensive way. It is called integrative because it provides broader information on a subject/problem, thus constituting a body of knowledge. To carry out the study, a search for scientific articles was carried out through the Virtual Health Library, in the SCIELO, LILACS, and PUBMED databases, using the terminologies registered in the Health Sciences descriptors, encephalitis, enolase, virus, and diagnosis.

Non-pharmacological management of wandering in persons with dementia: an integrative review.

Wandering behaviour affects a significant portion of dementia patients, ranging from 15% to 80%, presenting a serious safety concern and adding to caregivers' burden. Recent studies emphasise the effectiveness of non-pharmacological interventions over pharmacological ones due to their minimal side effects. Consequently, in current literature there has been a surge of interest in exploring non-pharmacological methods for managing wandering. This integrative literature review aims to deepen comprehension of wandering behaviour, presents recent studies on non-pharmacological approaches, and inspires further research in this field. Electronic data collection spanned from 2019 to 2024, sourcing 20 relevant articles from PubMed and Scopus databases using search terms such as 'dementia', 'Alzheimer's disease', 'wandering', and 'management'. A thematic analysis methodology was employed to identify non-pharmacological treatment themes for managing wandering. This approach involves scrutinising and synthesising themes within the dataset. Qualitative data analysis focused on significant phrases and keywords, grouping them to derive relevant themes. Recent literature extensively explores non-pharmacological methods for managing wandering. These include understanding behaviours, identifying and targeting high-risk groups, facilitating safe wandering, addressing environmental factors, promoting exercise and activity, and offering caregiver support. This study significantly advances understanding of wandering behaviour and highlights recent research on non-pharmacological interventions. The findings suggest the potential for providing safe and effective treatment to wandering dementia patients, thereby alleviating stress for both patients and caregivers.

THE INFLUENCE OF INTESTINAL MICROBIOTA ON DEPRESSIVE DISORDER: A literature review

The gut-brain axis and its bidirectional interaction have been associated with the gut microbiota and the development of mood disorders such as depression and anxiety. This axis modulates various key processes through the vagus nerve, including the production of microbial metabolites and immune mediators, leading to changes in neurotransmission, neuroinflammation, and behavior. In this sense, the aim of this study was to understand the relationship between gut microbiota and depressive disorder. O this end, an integrative literature review was conducted using scientific articles in Portuguese and English published between 2018 and 2023, employing the descriptors intestinal microbiota, gut-brain-microbiota axis, and depressive disorder. The search was carried out in the databases Pubmed, Science Direct, and Scielo. Eight articles were selected for analysis. The results demonstrated a connection between the brain, microbiota, and depressive disorder through the vagus nerve, enteric nervous system, and immune system pathways, as well as showing that the intake of probiotics and prebiotics improves dysbiosis and depressive symptoms. Thus, the findings suggest that interventions aimed at modulating the microbiota, such as supplementation with probiotics and prebiotics, may represent a promising approach in the complementary treatment of depression, acting both in correcting dysbiosis and improving depressive symptoms. These discoveries reinforce the ongoing need for research in this area to develop more effective and personalized therapeutic strategies for managing depressive disorder.

Strengthening the planning and design of Objective Structured Clinical Examinations.

Although Objective Structured Clinical Examinations (OSCEs) offer innovative, objective, and fair methods of clinical assessment, their quality is compromised by poor planning and design. This study aimed to describe the development and present evidence-based recommendations on strengthening the planning and design of OSCEs for a South African public College of Nursing. A South African public College of Nursing. Recommendations were developed based on synthesising two sets of qualitative data. Set 1 included two main themes with each of the four sub-themes related to barriers and facilitators towards quality in OSCE designs from 14 nurse educator interviews and 15 external moderator reports. Set 2 included 12 quality measures to be adopted in the quality design of OSCEs derived from an integrative literature review. The draft recommendations were reviewed by eight experts to be finalised. Seven recommendations were developed for strengthening OSCEs' planning and design, related to: (1) policy framework, standard operating procedures and stakeholder code of conduct; (2) blueprinting and mapping of the OSCE content; (3) developing a bank of OSCE stations; (4) scoring rubric and standard-setting method selection; (5) examiners and standardised patients' recruitment and training; (6) venue selection; and (7) station piloting. The seven developed recommendations can strengthen the quality of OSCEs in the South African public College of Nursing context. The developed recommendations can assist nurse educators in planning and designing to conduct quality OSCEs following piloting and implementation.

The Role of Competence and Commitment in Building Sustainable Organizational Performance of Public Sector: A Systematic Literture Review

This research highlights the evolution of employee competence, organizational commitment, and sustainable performance in public sector or public service organizations by analyzing key trends and key concepts. We also analyzed and mapped the knowledge structure of research themes. Furthermore, this paper aims to outline a specific research agenda for the research subject. This research employs a systematic, integrated literature review approach, conducting a systematic review of existing literature on employee competency, organizational commitment, and sustainable performance in public sector organizations or public services. The PRISMA statement guidelines were followed. We obtained a total of 91 inclusion documents from Semantic Scholar. Our results show that there is a relationship between employee competence, organizational commitment, and the sustainable performance of public sector organizations or public services. Understanding the role of employee competence and organizational commitment in improving the sustainable performance of public sector or public service organizations requires the use of robust research models and a thorough conceptualization of how these relationships can emerge. We propose a research model for the future research agenda that explores how organizational commitment mediates the role of employee competence in improving the sustainable performance of public sector organizations.