Systematic Review Of Qualitative Studies Research Articles

Integrating shared decision-making, expressing preferences and active participation of older adults in primary care nursing: a systematic review of qualitative studies and qualitative meta-synthesis

ObjectivesTo systematically synthesise the results of primary qualitative studies on how community-dwelling older adults experience shared decision-making processes, express preferences and actively participate in care.DesignSystematic review of qualitative studies and...

Experiences of healthcare personnel with death in the neonatal intensive care unit: a systematic review of qualitative studies

ObjectiveTo synthesise evidence from qualitative studies on the experiences of healthcare personnel (HCP) in the neonatal intensive care unit (NICU) caring for dying neonates.MethodsWe conducted a systematic search, in accordance...

Living with foot and ankle disorders in rheumatic and musculoskeletal diseases: A systematic review of qualitative studies to inform the work of the OMERACT Foot and Ankle Working Group

ObjectivesThis study aimed to determine outcome domains of importance to patients living with foot and ankle disorders in rheumatic and musculoskeletal diseases (RMDs), by exploring the symptoms and impact of these disorders reported in existing qualitative studies. MethodsSix databases were searched from inception to March 2022. Studies were included if they used qualitative interview or focus group methods, were published in English, and involved participants living with RMDs (inflammatory arthritis, osteoarthritis, crystal arthropathies, connective tissue diseases, and musculoskeletal conditions in the absence of systemic disease) who had experienced foot and ankle problems. Quality was assessed using the Critical Appraisal Skills Programme qualitative tool and confidence in the findings was assessed using the Grading of Recommendations Assessment, Development and Evaluation Confidence in the Evidence from Reviews of Qualitative research (GRADE-CERQual) approach. All data from the results section of included studies were extracted, coded and synthesised to develop themes. ResultsOf 1,443 records screened, 34 studies were included, with a total of 503 participants. Studies included participants with rheumatoid arthritis (n = 18), osteoarthritis (n = 5), gout (n = 3), psoriatic arthritis (n = 1), lupus (n = 1), posterior tibial tendon dysfunction (n = 1), plantar heel pain (n = 1), Achilles tendonitis (n = 1), and a mixed population (n = 3), who live with foot and ankle disorders. Seven descriptive themes were generated from the thematic synthesis: pain, change in appearance, activity limitations, social isolation, work disruption, financial burden and emotional impact. Descriptive themes were inductively analysed further to construct analytical themes relating to potential outcome domains of importance to patients. Foot or ankle pain was the predominant symptom experienced by patients across all RMDs explored in this review. Based on grading of the evidence, we had moderate confidence that most of the review findings represented the experiences of patients with foot and ankle disorders in RMDs. ConclusionsFindings indicate that foot and ankle disorders impact on multiple areas of patients’ lives, and patients’ experiences are similar regardless of the RMD. This study will inform the development of a core domain set for future foot and ankle research and are also useful for clinicians, helping to focus clinical appointments and measurement of outcomes within clinical practice.

Health-care leaders’ experiences of the competencies required for crisis management during COVID-19: a systematic review of qualitative studies

PurposeThis paper aims to synthesize health-care leaders’ experiences of the competencies required for crisis management.Design/methodology/approachThe systematic review followed the joanna briggs institute (JBI) guidance for systematic reviews of qualitative evidence. The search strategy included free text words and medical subject headings and peer-reviewed qualitative studies published in English, Finnish and Swedish and was not limited by year or country of publication. The databases searched in March 2022 were Scopus, PubMed, CINAHL, ABI/INFORM and the Finnish database Medic. Gray literature was searched using MedNar and EBSCO Open Dissertations. Studies were screened by title and abstract (n = 9,014) and full text (n = 43), and their quality was assessed by two independent reviewers. Eight studies were included. The data was analyzed using meta-aggregation.FindingsFifty-one findings (themes and subthemes) were extracted, and 11 categories were created based on their similarities. Five synthesized findings were developed: the competence to comprehend the operational environment; the competence to stay resilient amidst change; the competence to adapt to and manage change; the competence to manage and take care of staff; and the competence to co-operate and communicate with diverse stakeholders.Originality/valueThis systematic review produced novel information about health-care leaders’ experiences of the competencies required for crisis management during COVID-19. This study complements the field of research into crisis management in health care by introducing five original and unique competency clusters required for crisis management during the acute phase of COVID-19.

Types of Voluntary Work and Influence of Participation for Older Volunteers: A Systematic Review of Qualitative Studies

ABSTRACT This systematic review synthesized findings on socio-demographic characteristics of older adults who engaged in formal volunteering, types of voluntary work for engagement, and the outcomes resulting from different types of voluntary work participation. Studies published in peer-reviewed journals were identified from six electronic databases. Studies were included if they: (1) involved a study sample of adults aged 65 and older or had a mean age of 65 , (2) reported any type of formal voluntary work at any setting, and (3) reported at least one influence of voluntary work on volunteers. Older adults who were female, married, retired, and have a higher education, fair health, and more volunteering experience participated in voluntary work. The majority of older volunteers preferred to volunteer in a community setting, and they most commonly participated in healthcare or social care related voluntary work. The older volunteers perceived positive influences mostly related to health-relatedoutcomes or helping knowledge and skills.

Patients' experiences of patient-centred care in hospital setting: A systematic review of qualitative studies.

Patient-centred care (PCC) has been proposed as an appropriate approach for addressing current shifts in healthcare needs. Although the importance of PCC is generally recognised, PCC is poorly understood by patients in the hospital settings. To identify patients' experiences of PCC in hospital settings. This systematic review followed the Joanna Briggs Institute's (JBI) guidance for systematic reviews of qualitative evidence and the PRISMA checklist for reporting systematic reviews. The search strategy included peer-reviewed qualitative studies published after 2010 in English or Finnish. The databases searched were SCOPUS, MEDLINE, CINAHL and Medic. Unpublished studies and grey literature were searched in MedNar. Ten qualitative studies were included, and their quality was assessed by two independent reviewers using JBI quality assessment criteria. The data were analysed using thematic analysis. Studies were included if they had explored adult patient experiences of PCC in hospital settings. A thematic analysis produced 14 subthemes which were grouped into five analytical themes: the presence of the professional, patient involvement in care, receiving information, the patient-professional relationship and being seen as a person. This review suggests that the implementation and provision of PCC in hospitals is incomplete and patients' involvement in their own care should be in the focus of PCC. The majority of patients experienced receiving PCC, but others did not. The need for improvement of patient involvement was strongly emphasised. Patients highlighted the importance of professionals being present and spending time with patients. Patients felt well-informed about their care but expressed the need for better communication. Meaningful patient-professional relationships were brokered by professionals demonstrating genuine care and respecting the patient as an individual. To improve the implementation of PCC, patient experiences should be considered in the development of relevant hospital care strategies. In addition, more training in PCC and patient-professional communication should be provided to health care professionals.

Caregivers’ fear of older care recipients falling: A systematic review of qualitative studies

ObjectiveThis qualitative systematic review aimed to describe informal caregivers’ and health personnel's experiences of the FOF (fear of falling) of older adults under their care. MethodsA systematic search of databases included not only the PubMed, Embase, CINAHL, PsycINFO, Web of Science, and Cochrane Library but also the Chinese databases of CNKI, WanFang, and Vip. The Critical Appraisal Skills Programme (CASP) tool was used to assess the quality of the included studies. ResultsIn total, 17 studies were included in the systematic evaluation. Four themes were identified, and an evidence model was developed that includes multiple attributions of FOF, management strategies for fall prevention, dynamic challenges and adaptation, and external support and unmet needs. ConclusionsThe fear of falling felt by informal caregivers and health personnel is mainly affected by internal factors in older adults, and harms the health of older adults through overprotective behavior. Thus, there is an urgent need of external support to improve the quality of life and promote the healthy aging of older adults.

Stress and older people

British Journal of Community NursingVol. 28, No. 4 EditorialStress and older peoplePatricia RobinsonPatricia RobinsonE-mail Address: [email protected]Senior Lecturer, Independent Prescribing Team, School of Sport and Health Sciences, University of Brighton; Board Member of the British Journal of Community NursingSearch for more papers by this authorPatricia RobinsonPublished Online:29 Mar 2023https://doi.org/10.12968/bjcn.2023.28.4.161AboutSectionsView articleView Full TextPDF/EPUB ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareShare onFacebookTwitterLinked InEmail View article References Age UK. Your mind matters: Thinking about your mental health. 2022. https://www.ageuk.org.uk/globalassets/age-uk/documents/information-guides/ageukig56_your_mind_matters_inf.pdf (accessed 3 March 2023) Google ScholarFrost R, Beattie A, Bhanu C, Walters K, Ben-Shlomo Y. Management of depression and referral of older people to psychological therapies: a systematic review of qualitative studies. Br J Gen Pract. 2019;69(680):e171-e181. https://doi.org/10.3399/bjgp19x701297 Crossref, Medline, Google ScholarGaggero A, Fernandez-Perez A, Jiménez-Rubio D. Effect of the COVID-19 pandemic on depression in older adults: a panel data analysis. Health Policy. 2022;126(9):865-871. https://doi.org/10.1016/j.healthpol.2022.07.001 Crossref, Medline, Google ScholarGould RL, Coulson MC, Howard RJ. Cognitive behavioral therapy for depression in older people: a meta-analysis and meta-regression of randomized controlled trials. J Am Geriatr Soc. 2012;60(10):1817-1830. https://doi.org/10.1111/j.1532-5415.2012.04166.x Crossref, Medline, Google ScholarLakra DC, Ng R, Levy BR. Increased longevity from viewing retirement positively. Ageing Soc. 2012;32(8):1418-1427. https://doi.org/10.1017/S0144686X11000985 Crossref, Google ScholarMcManus E, Haroon H, Duncan NW, Elliott R, Muhlert N. The effects of stress across the lifespan on the brain, cognition and mental health: a UK biobank study. Neurobiol Stress. 2022;18:100447. https://doi.org/10.1016/j.ynstr.2022.100447 Crossref, Medline, Google ScholarMental Health Foundation. How to manage and reduce stress. 2016. https://www.mentalhealth.org.uk/explore-mental-health/publications/how-manage-and-reduce-stress (accessed 3 March 2023) Google ScholarMoult A, Burroughs H, Kingstone T, Chew-Graham CA. How older adults self-manage distress - does the internet have a role? A qualitative study. BMC Fam Pract. 2018;191:185. https://doi.org/10.1186/s12875-018-0874-7 Crossref, Medline, Google ScholarNational Institute for Health and Care Excellence. Generalised anxiety disorder and panic disorder in adults: management. 2019. https://www.nice.org.uk/guidance/cg113 (accessed 2 March 2023) Google ScholarNHS Digital. Psychological therapies: annual report on the use of IAPT services 2017—18. 2018. https://digital.nhs.uk/data-and-information/publications/statistical/psychological-therapies-annual-reports-on-the-use-of-iapt-services/annual-report-2017—18/content.old (accessed 2 March 2023) Google ScholarWetherell JL, Hershey T, Hickman S et al. Mindfulness-based stress reduction for Older Adults With Stress Disorders and Neurocognitive Difficulties: A Randomized Controlled Trial. J Clin Psychiatry. 2017;78(7):e734-e743. https://doi.org/10.4088/jcp.16m10947 Crossref, Medline, Google ScholarWorld Health Organization. Mental health of older adults. 2017. https://www.who.int/news-room/fact-sheets/detail/mental-health-of-older-adults (accessed 2 March 2023) Google ScholarWorld Health Organization. COVID-19 pandemic triggers 25% increase in prevalence of anxiety and depression worldwide. 2022. https://www.who.int/news/item/02-03-2022-covid-19-pandemic-triggers-25-increase-in-prevalence-of-anxiety-and-depression-worldwide (accessed 2 March 2023) Google ScholarYoung LA, Baime MJ. Mindfulness-based stress reduction: effect on emotional distress in older adults. Complement Health Pract Rev. 2010;15(2):59-64. https://doi.org/10.1177/1533210110387687 Crossref, Google Scholar FiguresReferencesRelatedDetails 2 April 2023Volume 28Issue 4ISSN (print): 1462-4753ISSN (online): 2052-2215 Metrics History Published online 29 March 2023 Published in print 2 April 2023 Information© MA Healthcare LimitedPDF download

Barriers and facilitators to improving patient safety learning systems: a systematic review of qualitative studies and meta-synthesis

BackgroundThe implementation and continuous improvement of patient safety learning systems (PSLS) is a principal strategy for mitigating preventable harm to patients. Although substantial efforts have sought to improve these systems,...

Hospice Patients’ End-of-Life Dreams and Visions: A Systematic Review of Qualitative Studies

When conscious, about 50% to 60% of hospice patients report a "visitation" by someone who is not there while they dream or are awake: a phenomenon known as End-of-Life Dreams and Visions (ELDVs). Since the dying process is frequently complicated by delirium, ELDVs risk being misidentified as such by professionals and caregivers. To observe these phenomena from patients' perspectives, we conducted a systematic review to aggregate and synthesize the findings from the qualitative studies about ELDVs of patients assisted in hospices to indicate future directions for research and care. MEDLINE/PubMed, Embase, CINAHL, PsycINFO, Scopus, and Web of Science databases were searched, yielding 293 documents after duplicates were removed. Six qualitative articles reporting on five unique studies conducted in hospice settings were included in the meta-synthesis. We generated three main categories: i) typologies of ELDVs reported, ii) emotional consequences, and iii) intersubjective meaning-making. The ELDVs reported were experiences that remained intimate and unsocialized and thus preventing participants from defining a shared sense in their relationships. Training healthcare professionals to recognize ELDVs and take advantage of them in the care relationship is desirable. We also encourage the patient's family members to listen and understand ELDVs when they occur actively. For caregivers to know how to interpret these phenomena may provide them with additional strategies for supporting, reassuring, and strengthening their relationships with their loved ones. The review allowed us to inform healthcare professionals and caregivers about how to help patients share their emotional and identity-related experiences and meaning-making in end-of-life.

Understanding patient experience of distal tibia or ankle fracture: a qualitative systematic review

To systematically review qualitative studies of patients with distal tibia or ankle fracture, and explore their experience of injury and recovery. We undertook a systematic review of qualitative studies. Five databases were searched from inception to 1 February 2022. All titles and abstracts were screened, and a subset were independently assessed. Methodological quality was appraised using the Critical Appraisal Skills Programme (CASP) checklist. The GRADE-CERQual checklist was used to assign confidence ratings. Thematic synthesis was used to analyze data with the identification of codes which were drawn together to form subthemes and then themes. From 2,682 records, 15 studies were reviewed in full and four included in the review. A total of 72 patients were included across the four studies (47 female; mean age 50 years (17 to 80)). Methodological quality was high for all studies, and the GRADE-CERQual checklist provided confidence that the findings were an adequate representation of patient experience of distal tibia or ankle fracture. A central concept of 'being the same but different' conveyed the substantial disruption to patients' self-identity caused by their injury. Patient experience of 'being the same but different' was expressed through three interrelated themes, with seven subthemes: i) being proactive where persistence, doing things differently and keeping busy prevailed; ii) living with change including symptoms, and living differently due to challenges at work and leisure; and iii) striving for normality, adapting while lacking in confidence, and feeling fearful and concerned about the future. Ankle injuries were disruptive, draining, and impacted on patients' wellbeing. Substantial short- and longer-term challenges were experienced during recovery. Rehabilitation and psychosocial treatment strategies may help to ameliorate these challenges. Patients may benefit from clinicians being cognisant of patient experience when assessing, treating, and discussing expectations and outcomes with patients.

O.20.2 - Experiences of empathy training in healthcare: a systematic review of qualitative studies: Presenter(s): Rachel Winter, University of Leicester, United Kingdom; Navin Leanage, University of Leicester, United Kingdom

O.20.2 - Experiences of empathy training in healthcare: a systematic review of qualitative studies: Presenter(s): Rachel Winter, University of Leicester, United Kingdom; Navin Leanage, University of Leicester, United Kingdom

Step 3: Critically Appraising Evidence: Systematic Review or Metasynthesis of Qualitative Studies.

Critical appraisal of the evidence is the third step in the evidence-based practice (EBP) process. Many questions in nursing cannot be answered using quantitative methods. We often desire a better understanding of people's lived experiences. In the NICU, these questions may be related to the experiences of families or staff. Qualitative research can provide a deeper understanding of lived experiences. This column, the fifth in a multipart series describing the critical appraisal process focuses on the critical appraisal of a systematic review of qualitative studies.

What's the Alternative?: CONSIDERING THE PATIENT PERSPECTIVE OF ALTERNATIVE CARDIAC REHABILITATION PROGRAMMING.

What's the Alternative?: CONSIDERING THE PATIENT PERSPECTIVE OF ALTERNATIVE CARDIAC REHABILITATION PROGRAMMING.

Perspectives and Experiences of Self-monitoring of Blood Pressure Among Patients With Hypertension: A Systematic Review of Qualitative Studies.

Self-monitoring of blood pressure is a key strategy in managing hypertension but may be challenging and burdensome for patients. The aim of the study was to describe the perspectives and experiences of self-monitoring of blood pressure in patients with hypertension. MEDLINE, Embase, PsycINFO, and CINAHL were searched from database inception to March 2022. We used thematic synthesis to analyze the data. Thirty-five studies involving 872 patients aged 18-95 years were included. Four themes were identified: enabling autonomy and empowerment of own health (allowing access to comprehensive and accurate data, bolstering motivation for lifestyle changes, encouraging diligence in medication taking, gaining interest in self-management, and increasing awareness of health status); providing reassurance and convenience (instilling a sense of security, readiness for troubleshooting, and reducing the frequency of clinical appointments); triggering confusion and stress (anxiety and panic over "bad" numbers, constant reminder of illness identity, disregarded by clinicians, lack of confidence in interpreting and responding to results, redundancy of continuous monitoring, and uncertainties around targets and frequency of measures, concerns of unreliability); financial and operational burden of device (vulnerability preventing use, or unsustainable cost). Inadequate knowledge about the benefits of lowering blood pressure, home blood pressure monitoring, blood pressure goals, and interpretation of blood pressure values, limited access to home blood pressure monitoring devices, and psychological burden with home blood pressure monitoring limit home blood pressure monitoring.

Father involvement during early childhood: A systematic review of qualitative studies

AbstractObjectiveIn this research, we analyze and integrate the qualitative empirical studies of father involvement, specifically examining his involvement in the multiple functions and dimensions of care during early childhood.BackgroundFather involvement is a relevant social and scientific topic given the changes in fathers' role in contemporary families. Fatherhood involving presence, affection, support, nurturance, as well as prioritizing child's needs, seems to be a perspective dominantly shared by parents. However, studies tend to focus on intact White middle‐class families, neglecting other backgrounds and family configurations, which may be easily examined through qualitative approaches.MethodA database search was performed using a combination of relevant keywords in the title, abstract, and keywords.ResultsInitially, 1,102 records were identified, with 58 manuscripts being assessed for eligibility. Finally, 16 articles were included. The analysis of the corpus identified three main themes: (a) the definition of father involvement and the description of main dimensions in which he was involved, (b) main challenges and facilitators of father involvement, and (c) the influence of intergenerational values on it.ConclusionsFindings provide insights about the multiple dimensions and roles related to father involvement, and they open new avenues for future research.ImplicationsThe results reflected the state of the art about father involvement in qualitative research. Suggestions are made to reinforce fathers' full involvement in childcare, at personal and social levels.

Recovery beyond functional restoration: a systematic review of qualitative studies of the embodied experiences of people who have survived a stroke

ObjectiveTo synthesise the qualitative evidence of embodied experiences of people who have survived a stroke, the experiences of making sense of oneself, others and the world in the poststroke bodies.DesignQualitative...

How Lesbian, Gay, and Bisexual Teachers Experience Physical Education—A Systematic Review of Qualitative Studies

Research on sexual diversity in physical education (PE) focuses primarily on students and rarely on teachers. Against this background, this study takes a look at teachers and explores the question of how lesbian, gay, and bisexual (LGB) teachers experience PE. Our study was conceived as a systematic literature review of qualitative studies published between 1990 and 2022. The processual study selection was carried out according to PRISMA. A total of nine studies were identified that met our inclusion criteria. We analyzed and compared the findings of these studies. On an overarching level, our analysis shows that the identified studies predominantly focus on the challenges and problems associated with the sexuality of LGB teachers. Furthermore, our analysis shows that the PE teachers interviewed in the studies perceive and anticipate school as a homophobic context. From the teachers’ perspective, PE is a special subject that they experience as particularly risky due to their sexuality. Against the backdrop of these experiences, many PE teachers use protective strategies, which mainly consist of hiding their own sexuality and ignoring the perceived homophobia. In the end, research implications are discussed, highlighting the need for ongoing research on LGB PE teachers.

Barriers and facilitators of childhood obesity prevention policies: A systematic review and meta-synthesis.

Childhood obesity is one of the worldwide considerable public health challenges and many factors can play a role in its management. Therefore, this article examined the facilitators and barriers of childhood obesity prevention (COP) policies. This systematic review of qualitative studies was conducted via a search of the SCOPUS, PubMed, and Google Scholar databases between 1 January 2010 and 11 February 2022 and examined factors that influence the implementation of COP policies at a community approach. The parents' reluctance to engage in COP activities, lack of sufficient knowledge, and financial problems were the most reported barriers at the individual level. In addition, the beliefs about COP at the sociocultural level and limited funding and resources, time limitations in stakeholders at the implementation level, and lack of policy support at the structural level were the most frequently reported barriers. Further, effective communication between stakeholders and parents and school staff at the sociocultural level and flexibility of the intervention, delivery of healthy food programs in schools, low-cost and appropriate resources, and the availability of appropriate facilities are the most frequently reported facilitators in the structural level. Individual, sociocultural, and structural level-related barriers and facilitators influence the implementation of COP policies. Most of the barriers and facilitators in this systematic review were related to the structural level.

Development of a core outcome set for use in adult primary glioma phase III interventional trials: A mixed methods study.

Glioma interventional studies should collect data aligned with patient priorities, enabling treatment benefit assessment and informed decision-making. This requires effective data synthesis and meta-analyses, underpinned by consistent trial outcome measurement, analysis, and reporting. Development of a core outcome set (COS) may contribute to a solution. A 5-stage process was used to develop a COS for glioma trials from the UK perspective. Outcome lists were generated in stages 1: a trial registry review and systematic review of qualitative studies and 2: interviews with glioma patients and caregivers. In stage 3, the outcome lists were de-duplicated with accessible terminology, in stage 4 outcomes were rated via a 2-round Delphi process, and stage 5 comprised a consensus meeting to finalize the COS. Patient-reportable COS outcomes were identified. In Delphi round 1, 96 participants rated 35 outcomes identified in stages 1 and 2, to which a further 10 were added. Participants (77/96) rated the resulting 45 outcomes in round 2. Of these, 22 outcomes met a priori threshold for inclusion in the COS. After further review, a COS consisting of 19 outcomes grouped into 7 outcome domains (survival, adverse events, activities of daily living, health-related quality of life, seizure activity, cognitive function, and physical function) was finalized by 13 participants at the consensus meeting. A COS for glioma trials was developed, comprising 7 outcome domains. Additional research will identify appropriate measurement tools and further validate this COS.