Systematic Review Of Qualitative Literature Research Articles

Framework for Multistakeholder Patient Registries in the Field of Rare Diseases: Focus on Neurogenetic Diseases.

Progress in genetic diagnosis and orphan drug legislation has opened doors to new therapies in rare neurogenetic diseases (RNDs). Innovative therapies such as gene therapy can improve patients' quality of life but come with academic, regulatory, and financial challenges. Registries can play a pivotal role in generating evidence to tackle these, but their development requires multidisciplinary knowledge and expertise. This study aims to develop a practical framework for creating and implementing patient registries addressing common challenges and maximizing their impact on care, research, drug development, and regulatory decision making with a focus on RNDs. A comprehensive 3-step literature and qualitative research approach was used to develop the framework. A qualitative systematic literature review was conducted, extracting guidance and practices leading to the draft framework. Subsequently, we interviewed representatives of 5 established international RND registries to add learnings from hands-on experiences to the framework. Expert input on the draft framework was sought in digital multistakeholder focus groups to refine the framework. The literature search; interviews with 5 registries; and focus groups with patient representatives (n = 4), clinicians (n = 6), regulators, health technology assessment (HTA) bodies and payers (n = 7), industry representatives (n = 7), and data/information technology (IT) specialists (n = 5) informed development of the framework. It covers the interests of different stakeholders, purposes for data utilization, data aspects, IT infrastructure, governance, and financing of rare disease registries. Key principles include that data should be rapidly accessible, independent, and trustworthy. Governance should involve multiple stakeholders. In addition, data should be highly descriptive, machine-readable, and accessible through a shared infrastructure and not spread over multiple isolated repositories. Sustainable and independent financing of registries is deemed important but remains challenging because of a lack of widely supported funding models. The proposed framework will guide stakeholders in establishing or improving rare disease registries that fulfill requirements of academics and patients as well as regulators, HTA bodies, and commercial parties. There is a need for more clarity regarding quality requirements for registries in regulatory and HTA context. In addition, independent financing models for registries should be developed, as well as well-defined policies on technical uniformity in health data.

Primary healthcare practitioners’ perspectives on trauma-informed primary care: a systematic review

BackgroundExposure to domestic and family violence is a pervasive form of complex trauma and a major global public health problem. At the frontline of the health system, primary healthcare practitioners are uniquely placed to support individuals with experiences of trauma, yet their views on trauma-informed primary care are not well understood. This systematic review of qualitative literature sought to explore primary healthcare practitioners’ perspectives on trauma-informed primary care.MethodsEight databases were searched up to July 2023. Studies were included if they consisted of empirical qualitative data, were conducted in general practice or equivalent generalist primary healthcare settings, and included the perspectives of primary healthcare practitioners where they could be distinguished from other participants in the analysis. Thematic synthesis was used for analysis.Results13 papers met inclusion criteria, representing primary care settings from the United States, Canada, Australia, and Norway. Three key themes were developed: Changing the paradigm, Building trust, and Navigating the emotional load. Findings shed light on how primary healthcare practitioners perceive and strive to practise trauma-informed primary healthcare and the challenges of navigating complex, trauma-related work in the primary care environment.ConclusionsThis review supports the need for recognition of the value of primary care in supporting patients with histories of trauma and violence, the development of interventions to mitigate the emotional load worn by primary healthcare practitioners, and further work to develop a deep and consistent understanding of what trauma-informed primary care encompasses.

A Literature Review on the Theme of Female Music in the Accompanying Marriage Songs in Jiahe County, China

The accompanying marriage songs in Jiahe County (hereinafter referred to as JHAMS) are rare female music examples in Chinese folk wedding rituals. They are particularly precious and special for Chinese music research, which does not pay much attention to gender research. This paper uses a qualitative systematic literature review method to search, screen, classify, analyse, and compare the existing gender research literature on JHAMS. It is found that the proportion is only 10.53%, and the research topics are mainly "female psychology" and "female roles." It can be seen that further increasing and deepening the gender research on JHAMS has important exploratory significance and academic value.

Factors influencing multiple non-utilized healthcare appointments from patients' and healthcare providers' perspectives: a qualitative systematic review of the global literature.

The term "non-utilised appointments" emerged in 2019 but lacks a clear definition. We focus on multiple non-utilised appointments due to recent advances in understanding 'missingness' in UK healthcare. Studies on missed appointments show conflicting results regarding interventions like text messaging due to oversight of occasional versus repeated missed appointments. Understanding patient and healthcare-related factors in multiple non-utilised appointments is crucial for improving interventions and patient engagement. To identify factors influencing multiple non-utilised appointments from patients' and healthcare providers' perspectives. A systematic review of qualitative research identifying factors that influence multiple non-utilised appointments across diverse global health care settings. The review employed a qualitative systematic approach, encompassing diverse papers from multiple databases, irrespective of patient or healthcare provider age, location, or setting. Data analysis followed Thomas and Harden's thematic synthesis method. Themes are presented in alignment with both the health service and patient perspective aspects of the Levesque access model. Ten thousand and eighty-six records were retrieved. Five studies met the inclusion criteria and were analysed. Six key themes influenced appointment utilisation. Healthcare system determinants highlighted provider-patient relationship and professionalism, and healthcare organisation factors role in appointments utilisation. Patient experience and decision-making explored personal factors. Additionally, communication, support, and engagement delved into challenges with communication and language, family and social support, and socio-familial barriers to appointment utilisation. Health and well-being factors encompassed medical conditions, mental and emotional factors, and psychosocial determinants affecting appointment utilisation. Moreover, financial constraints and socioeconomic factors were identified as significant contributors. Lastly, healthcare access and barriers addressed transportation challenges, accessibility issues, and geographical barriers impacting healthcare access. The analysis reveals complex factors influencing multiple non-utilised appointments. Strong provider-patient relationships improve care accessibility. Flexible scheduling and patient-centred approaches are pivotal, alongside addressing workplace discrimination. Tailored healthcare services and overcoming geographical barriers are essential. Ensuring safety, accessibility, and communication, while supporting vulnerable groups and mental health needs, are necessary. Equitable access to services and alternative transportation solutions are essential for comprehensive healthcare delivery. PROSPERO CRD42023429465.

A Systematic Review of Teachers’ Perceptions and Beliefs Towards Gender Issues in Mathematics Learning

There is still very little concern especially, regarding teacher's perceptions towards gender differences and their influences in mathematics learning. Teachers are prominent factors in mathematics learning and the importance of perceptions and beliefs of teachers towards gendering, their long-term influences and their differential impacts on males and females cannot be ignored. The purpose of this study is to synthesize existing researches related to teachers' perceptions and beliefs towards gender in learning Mathematics. A qualitative systematic review of related literature of teachers’ perceptions and beliefs towards gendering in learning mathematics is conducted. The qualitative review has followed the PRISMA protocol that was outlined by Moher et al. Total of 10 articles (six quantitative, four qualitative including a systematic literature review) are chosen for inclusion for this study. Thematic analysis suggested by Braun and Clarke is used as a method to draw findings and conclusions by generating themes within the information. The thematic findings of the study are associated with the major themes that are related to teachers' perceptions and beliefs towards gender in mathematics learning. The findings are based on the major themes: participation and motivation; behaviors and performance; abilities and ICT use; teaching methods, curriculum and practices and career choices. Hence, the importance of exploring teachers' perceptions and beliefs towards gender issues in mathematics learning has been acknowledged in this study. The study has claimed that gender parity can be achieved when mathematics teachers believe that students (both boys and girls) are valuable potentials and they praise them for their effort and achievements to develop confidentiality in mathematical thinking and problem-solving abilities. Recommendations to the concerned stakeholders to enhance equity in mathematics learning are proposed in this study.

A scientometric analysis of drone-based structural health monitoring and new technologies

Critical global challenges, such as climate change and the insufficient availability of resources, mean that it is a pivotal time to make cities more intelligent, efficient, and sustainable in a drive towards a net-zero carbon future. This requires intelligent, interactive, and responsive structural health monitoring (SHM) to assure the longevity and safety of ageing infrastructure. Drones have the potential to revolutionise SHM. Drone-based SHM (as a potential fly-by technique) involves equipping drones with various sensors, or using inbuilt sensors, to capture data and images of structures from different angles and perspectives. The data is then processed and analysed to facilitate accurate assessment of the structure’s health and early diagnosis of damage. Although the use of fly-by is relatively new, the speedy advances in various technologies that could be integrated with it, such as computer vision with artificial intelligence, deep learning, and links to digital twins, put these systems on the verge of a potential breakthrough. This paper provides an overview of fly-by SHM technique using both scientometric and qualitative systematic literature review processes, in order to provide a distinct understanding of the state of the art of research. As an original contribution, our research identified four main clusters of research within the field of fly-by SHM: (1) the application of UAV-enabled vision-based monitoring; (2) the integration of drones, advanced sensor technologies, and artificial intelligence; (3) drone-based SHM integrating modal analysis, energy harvesting, and deep learning; and (4) automation and robotics in drone-based SHM. The paper highlights the integration of new technologies such as artificial intelligence, machine learning, and sensors with the fly-by technique for SHM, identifies the gaps in current fly-by SHM research, and suggests new directions for research.

Knowledge-implementation processes in crop protection literature

ABSTRACT Purpose The purpose of this paper is to explore how new research on crop protection practices is communicated to end-users by investigating which knowledge-implementation processes are recommended in crop protection literature. Design/methodology/approach This analysis is completed through a qualitative systematic review of literature on knowledge-implementation in crop protection where six knowledge-implementation processes are identified from 65 articles: information and communication technologies (ICT), management models and approaches, education platforms and events, advisory and extension services, networks, and collaborative approaches. We place special emphasis on the gaps and trends around networks and collaborative processes, building on communication theory research. Findings While many articles discussed multiple knowledge-implementation processes, it was found that most of the processes discussed aligned with a transmission communication model and the traditional agricultural knowledge and innovation system. While 11 articles described networks and 22 articles described collaborative processes in line with a constitutive model of communication, these tended to provide limited advice on how these processes could be achieved in practice, identifying a need for further investigation of how multilateral communication can be used to better crop protection practice. Practical Implications These findings can help facilitate better communication between researchers and farmers, promoting processes that include farmers and other actors as sources of knowledge and improving the efficiency and effectiveness of crop protection practices. Theoretical implications This study enhances the understanding of knowledge-implementation in agriculture, emphasizing the need to draw on multiple forms of communication to address the knowledge-to-action gap. Originality/Value There is limited research that examines the knowledge-to-action gap in agriculture, particularly in relation to crop-protection practices. As a review study, this manuscript provides an overview of how this topic is described in the field.

Navigating educational trajectories and transitions: A qualitative systematic literature review on international STEM doctoral students

AbstractTo date, much of the research on international science, technology, engineering, and mathematics (STEM) doctoral students has focused either on international academic mobility or on students' acculturation and adjustment challenges and coping mechanisms in foreign academic contexts. In comparison, very little attention has been paid to Asian doctoral students and their personal experiences from a life course perspective.Based on a qualitative literature review, this article sheds light on the experiences of Asian doctoral students in STEM (science, technology, engineering, and mathematics) disciplines within a life-course theoretical approach, paying particular attention to their agency, socialisation, and educational trajectories and transitions. The process of migration/mobility and transition between academic institutions requires a reassessment of cognitive patterns, behaviours, learning mechanisms, and the exercise of agency and response. The findings highlight how the complex dynamics between agency, socialisation, cultural norms and values, economic factors, academic performance, and institutional parameters influence the educational trajectories and transitions of Asian STEM doctoral students abroad. The result contributes to a synthesis of research findings that could inform doctoral education policy.

Drivers of inappropriate use of antimicrobials in South Asia: A systematic review of qualitative literature.

Antimicrobial resistance is a global public health crisis. Effective antimicrobial stewardship requires an understanding of the factors and context that contribute to inappropriate use of antimicrobials. The goal of this qualitative systematic review was to synthesize themes across levels of the social ecological framework that drive inappropriate use of antimicrobials in South Asia. In September 2023, we conducted a systematic search using the electronic databases PubMed and Embase. Search terms, identified a priori, were related to research methods, topic, and geographic location. We identified 165 articles from the initial search and 8 upon reference review (n = 173); after removing duplicates and preprints (n = 12) and excluding those that did not meet eligibility criteria (n = 115), 46 articles were included in the review. We assessed methodological quality using the qualitative Critical Appraisal Skills Program checklist. The studies represented 6 countries in South Asia, and included data from patients, health care providers, community members, and policy makers. For each manuscript, we wrote a summary memo to extract the factors that impede antimicrobial stewardship. We coded memos using NVivo software; codes were organized by levels of the social ecological framework. Barriers were identified at multiple levels including the patient (self-treatment with antimicrobials; perceived value of antimicrobials), the provider (antimicrobials as a universal therapy; gaps in knowledge and skills; financial or reputational incentives), the clinical setting (lack of resources; poor regulation of the facility), the community (access to formal health care; informal drug vendors; social norms), and policy (absence of a regulatory framework; poor implementation of existing policies). This study is the first to succinctly identify a range of norms, behaviors, and policy contexts driving inappropriate use of antimicrobials in South Asia, emphasizing the importance of working across multiple sectors to design and implement approaches specific to the region.

Examining Climate Justice in Urban Public Space Adaptation: A Thematic Synthesis of the Literature

Evaluating processes and outcomes of climate change adaptation enables learning to facilitate climate-resilient pathways and prevent potentially unjust outcomes. This study focuses on adaptation interventions in the public space whose design and management have implications for environmental, social, cultural, and climate justice. There is a mismatch between the language and scale of scientific research and the site-level operational character of these interventions. This makes it difficult to bridge theory and practice and assess climate justice in public space adaptation interventions. To bridge this gap, we develop a qualitative systematic review and analysis of current scientific literature proposing climate justice evaluation parameters applicable to public space adaptation interventions and explore possible avenues for developing more effective assessment frameworks. Results show five key themes critical to assess climate justice in adaptation interventions in public space: project impact distribution, project governance and knowledge inclusion, project communication and transparency, space perception and use, and recognition and repair of structural drivers of vulnerability. Each theme raises challenges, opportunities, and potential avenues to address the assessment of public space design in terms of climate justice. Our results are key for scientists, urban practitioners, and policymakers interested in understanding how evaluating climate justice in public space adaptation interventions can help identify potential failures, provide ways to learn from experience, and facilitate urban climate-resilient pathways.

Strategies and Public Policies for Economic Recovery Post-Pandemic: The Role of Taxation According to Qualitative Studies

This qualitative synthesis investigates the role of taxation in post-pandemic economic recovery, aiming to provide insights into effective policy strategies. Drawing upon a systematic review of qualitative literature from diverse disciplines such as economics, public policy, and taxation theory, the study explores the multifaceted nature of taxation's impact on recovery trajectories. Methodologically, the research employs thematic analysis to identify key themes and patterns emerging from the literature. The findings highlight taxation's critical role as a revenue-generating mechanism for governments facing fiscal deficits post-pandemic. Moreover, the study elucidates taxation's redistributive function in mitigating income inequality and promoting social cohesion through progressive tax policies. Tax incentives emerge as crucial tools for stimulating investment and innovation, fostering economic dynamism amidst recovery efforts. However, caution is advised against onerous tax regimes that may impede economic growth. Overall, the research underscores the importance of adopting a balanced and forward-thinking approach to tax policy design, considering the diverse needs and challenges facing economies in the aftermath of the pandemic.

Integrating “old” truths and “new” evidence to address people's evolving career counselling needs

The article examines the link between career counselling waves, helping models, theoretical foundations, and interventions. An adapted qualitative systematic literature review was conducted to facilitate examination of people's evolving career counselling needs during changes in the workplace with a view to recommend strategies to innovate career counselling in the (post-)post-modern era. Articles for review were selected if they dealt with transformative shifts in the occupational world and workers' lifestyles The articles were then analysed in the context of shifts in career counselling approaches during the past 120. years Key findings indicate a need for advocating a dynamic blend of tradition and innovation, integrating accepted but outdated practices of career counselling. They also point to recent research outcomes in career counselling highlighting the implementation of career counselling in future workplaces aimed at helping people understand the need for work-life transformation, social justice, and ethical behaviour. Findings call for innovation and renewal in career counselling for bridging the gap between traditional wisdom and contemporary realities and for offering transformational career trajectories to promote success and fulfilment in the ever-evolving world of work.

Smartphone use by older people in German-speaking countries: A qualitative systematic literature review

Smartphone use by older people in German-speaking countries: A qualitative systematic literature review

Nurses' experiences of competence in lifestyle counselling with adult patients in healthcare settings: A qualitative systematic literature review.

To identify and synthesise nurses' experiences of competence in lifestyle counselling with adult patients in healthcare settings. Modifiable lifestyle risk behaviours contribute to an increased prevalence of chronic diseases worldwide. Lifestyle counselling is part of nurses' role which enables them to make a significant contribution to patients' long-term health in various healthcare contexts, but requires particular competence. Qualitative systematic literature review and meta-aggregation. The review was guided by Joanna Briggs Institute's methodology for conducting synthesis of qualitative studies. PRISMA-checklist guided the review process. Relevant original studies were search from databases (CINAHL, PubMed, Scopus, Medic and Psych Articles, Ebscho Open Dissertations and Web of Science). After researcher consensus was reached and quality of the studies evaluated, 20 studies were subjected to meta-aggregation. From 20 studies meeting the inclusion criteria, 75 findings were extracted and categorised into 13 groups based on their meaning, resulting in the identification of 5 synthesised findings for competence description: Supporting healthy lifestyle adherence, creating interactive and patient-centred counselling situations, acquiring competence through clinical experience and continuous self-improvement, collaborating with other professionals and patients, planning lifestyle counselling and managing work across various stages of the patient's disease care path. The review provides an evidence base that can be used to support nurses' competence in lifestyle counselling when working with adult patients in healthcare settings. Lifestyle counselling competence is a complex and rather abstract phenomenon. The review identified, analysed and synthesised the evidence derived from nurses' experience which shows that lifestyle counselling competence is a multidimensional entity which relates to many other competencies within nurses' work. Recognising the competencies of nurses in lifestyle counselling for adult patients can stimulate nurses' motivation. The acquisition of these competencies can have a positive impact on patients' lives and their health. No Patient or Public Contribution. The research may enhance nurses' competence in lifestyle counselling, leading to improved health outcomes, better adherence to recommendations and overall well-being. It may also drive the development of interventions, improving healthcare delivery in lifestyle counselling. The review was undertaken and reported using the PRISMA guidelines. Blinded for the review.

Feedback in the Very Young Learner EFL Classroom: A Review Study

This review article contributes to addressing an urgent issue in today's globalised world. English has become the world lingua franca and many countries are seeking to equip their workforce with English competence so as to engage fully in international social, economic and academic fora. This often entails lowering the age at which children start to learn English in school, which places a heavy responsibility on the educational system in countries, such as Saudi Arabia, where English is a foreign language, i.e., not widely used in day-to-day life in the country outside the English classroom. Yet many aspects of teaching young learners a foreign language at age six onwards have not been extensively investigated. One of these is the key issue of how the teacher should best give feedback to children of that age. Feedback is widely regarded as the key to learning, but not all its types are necessarily effective. Furthermore, most research has been on older children and adults. The present study therefore uses the method of qualitative systematic literature review to assemble and analyse existing research and theory with the aim to extract guidelines for feedback by teachers in foreign language classrooms with very young learners. It is found that attention should be given not only to negative, corrective feedback on the language used, which is often the focus of teacher attention. A case is made for the place and value of positive feedback and feedback of communicative and emotional types. Even in corrective feedback it is often better to use partial rather than total correction, so as to give the child space to self-correct.

Risk Factors and Environmental Preventive Actions for Aspergillosis in Patients with Hematological Malignancies.

(1) Background: Aspergillus spp. is a widely distributed filamentous fungus in the environment due to its high sporulation capacity. Currently, invasive aspergillosis (IA) is the most common invasive fungal infection in patients with hematologic malignancies, with high rates of mortality and morbidity. The multifactorial nature of the disease requires appropriate risk stratification to enable the most appropriate preventive measures to be adapted and implemented according to the characteristics of the patient. In this sense, the present research aims to identify recent risk factors and environmental control measures against invasive aspergillosis to establish preventive actions to reduce the incidence of invasive aspergillosis in hospitals. (2) Methods: We conducted a qualitative systematic review of the scientific literature on environmental risk factors and preventive measures for invasive aspergillosis in patients with hematologic malignancies. The Medline, Cochrane, and Scopus databases were consulted, following the PRISMA and STROBE guidelines. (3) Results: Adequate implementation of environmental control measures is presented as the most efficient intervention in terms of prevention to decrease the incidence of invasive aspergillosis in hospitals. Neutropenia, fungal contamination, insufficient environmental control measures in hospital and home settings, length of hospital stay, and anemia, are identified as independent risk factors. We show that HEPA, LAF, and Plasmair® systems are suitable methods to reduce the concentration of airborne fungal spores. Antifungal prophylaxis did not significantly influence IA reduction in our study. (4) Conclusions: Proper professional training and environmental control measures in hospitals are essential for the prevention of invasive aspergillosis. We should optimize risk stratification for patients with hematologic malignancies. Antifungal prophylaxis should be complementary to environmental control measures and should never be substituted for the latter. Studies should also be undertaken to evaluate the efficiency of environmental control measures against IA at patients' homes.

Managerial Finance Tactics in the Era of Enhanced Regulation Following Financial Scandals

Purpose: This study examines the impact of enhanced regulation on managerial finance tactics following significant financial scandals. It aims to explore how financial managers navigate increased regulatory scrutiny and integrate ethical considerations into their strategic decision-making processes. Research Design and Methodology: Employing a qualitative systematic literature review, this research synthesizes insights from academic journals, books, and reputable sources. The study uses thematic analysis to identify key themes, patterns, and gaps related to managerial finance practices in a regulated environment. Findings and Discussion: The findings reveal that financial scandals have led to stricter regulatory frameworks, compelling financial managers to prioritize compliance and ethical conduct. Integrating advanced technologies like blockchain and AI has enhanced regulatory compliance processes, while a culture of integrity and transparency within financial institutions has become crucial for rebuilding stakeholder trust. These strategies are essential for mitigating regulatory risks and ensuring long-term organizational stability. Implications: The research underscores the necessity for financial institutions to adopt proactive compliance strategies and foster a culture of ethical conduct. Policymakers and practitioners are encouraged to leverage technological innovations to streamline compliance processes and maintain regulatory adherence. Future research should focus on the effectiveness of specific compliance strategies and the interplay between regulatory frameworks, technological advancements, and ethical considerations in managerial finance.

Mapping of Measurement Accounting Conservatism and Research Opportunity -A Systematic Review

This paper reviews the field of accounting conservatism measurement and the development of research on accounting conservatism measurement, so it is useful to develop insight into the emerging accounting conservatism measurement and outline future research opportunities. This is because research on accounting conservatism uses various measurements. The research method used is a qualitative method systematic literature review approach based on 22 research articles for the period 1999-2022. The research method includes attribute dimensions, data collection techniques and data analysis. The results found that there are three bases for measuring accounting conservatism, namely: accrual-based, market value-based and combined accrual and market value-based. Until now, the use of combined accrual and market value-based measurement dominates, compared to accrual and market value-based. This study found the most widely used accounting conservatism measurement and accounting conservatism measurement trends, while previous studies have not provided an explanation of this. So that future research can analyze why these measurements were used by previous researchers. This research can contribute to the science of financial accounting, especially related to the topic of accounting conservatism. Keywords: accounting conservatism, measurement, accrual basis, market value basis.

A comparative systematic literature review between Indonesia and Malaysia Halal tourism studies (2010-2022)

Indonesia and Malaysia publish halal tourist studies and are concerned about promoting the market. This qualitative systematic literature review study uses PRISMA to identify, accept, and reject studies. The study authors had to be from Indonesia and Malaysia, and it had to be on halal tourism in those countries. A total of 216 studies were collected using the Scopus database, leaving 79 studies consisting of 61 Indonesian studies and 18 Malaysian studies that met the selection criteria. The results of the assessment and comparison of the 79 studies that were successfully collected show that the earliest Malaysian halal travel study was published in 2011 and reached the peak of the study trend in 2020, while the earliest Indonesian halal travel study was published in 2017 and reached the peak of the study trend in 2021. The study framework that is most widely used by studies of the two countries is Customer Behavior. The Malaysian halal tourism study theme is dominated by the hospitality study theme, while the Indonesian halal tourism study is dominated by the tourist behavior theme. In addition, it was found that there are many themes in Indonesian halal tourism studies that have not been found in Malaysian halal tourism studies, such as themes of local Islamic wisdom, halal tourism technology, regulations, and studies on tourism development in a destination. In Indonesian halal tourism research, Kalimantan is not mentioned. These themes can be opportunities for future and development of halal tourism studies.

Independent and effective care – district nurses’ experiences of prescribing drugs: A systematic qualitative literature review

Numerous countries in the world have chosen to allow district nurses to prescribe drugs to streamline the primary care process. This qualitative, systematic literature study aimed to examine district nurses’ experience of prescribing within primary care. The search followed the PRISMA-P search strategy, and the quality assessment of the nine articles was completed using the review template for assessing studies with qualitative methodology, using GRADE CERQual. The databases CINAHL, Pubmed, PsycINFO, and Scopus were used. The result shows that district nurses experience prescribing as crucial for being able to meet patient needs through holistic and person-centered care. Being able to sufficiently and efficiently meet patient needs contributed to increased job satisfaction and professional pride in district nurses. However, district nurses need more collegial support and training in prescribing. The additional burden that the ability to prescribe poses needs to be addressed to prevent limitations in the prescription rights of district nurses. Through an extended prescription right, district nurses can contribute to a more efficient care system that can meet future demand for healthcare services in primary care.