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Evans C, Hassanein ZM, Bains M, Bennett C, Bjerrum M, Edgley A, Edwards D, Porritt K, Salmond S. Addressing equity, diversity, and inclusion in JBI qualitative systematic reviews: a methodological scoping review. JBI Evid Synth 2024:02174543-990000000-00348. [PMID: 39224923 DOI: 10.11124/jbies-24-00025] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 09/04/2024]
Abstract
OBJECTIVE The objective of this methodological scoping review was to investigate ways in which qualitative review teams are addressing equity, diversity, and inclusion (EDI) in the process of conducting and reporting qualitative systematic reviews that use JBI guidelines. INTRODUCTION To promote health equity, there is a need for evidence synthesis processes and practices to develop approaches that incorporate EDI. Some guidance is available to guide equity-focused review methods and reporting, but this is primarily oriented to quantitative systematic reviews. There is currently limited knowledge about how review teams are addressing EDI within qualitative evidence syntheses. INCLUSION CRITERIA This review included English-language qualitative systematic reviews, published in 2022, that used all the steps outlined in JBI guidance for qualitative reviews. METHODS A 1-year sample of published reviews was identified from a search undertaken on March 17, 2023, of 2 health care databases: MEDLINE (Ovid) and CINAHL (EBSCOhost). Data extraction followed a framework approach, using an adapted preexisting equity template. This included attention to i) the reporting of a range of characteristics associated with EDI, ii) search approaches, and iii) analytical approaches (including reflexivity, intersectionality, and knowledge user engagement). Data were analyzed using descriptive statistics and narrative summary. RESULTS Forty-three reviews met the inclusion criteria. The majority of reviews (n=30) framed their questions and aims in a generic/universal (rather than EDI-focused) way. Six reviews justified their population focus in terms of an EDI-related issue. Only one review included a knowledge user. The sociodemographic and other key characteristics of the samples in underpinning studies were poorly reported, making it hard to discern EDI-related issues or to undertake EDI-related analyses. Thirteen of the reviews included non-English-language evidence sources, and 31 reviews included gray literature sources. Ten reviews demonstrated an element of intersectional or otherwise critical approaches within their analyses of categories and synthesized findings (whereby issues of power and/or representation were explicitly considered). Only 8 reviews included discussions of review team composition and reflexivity within the review process. CONCLUSIONS This EDI-focused methodological enquiry has highlighted some limitations within current qualitative evidence synthesis practice. Without closer attention to EDI, there is a danger that systematic reviews may simply serve to amplify, rather than illuminate, existing gaps, silences, and inequitable knowledge claims based on dominant representations. This review sets out a range of suggestions to help qualitative evidence synthesis teams to more systematically embed EDI within their methods and practices. REVIEW REGISTRATION Open Science Framework https://osf.io/wy5kv/.
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Affiliation(s)
- Catrin Evans
- The Nottingham Centre for Evidence-based Healthcare: A JBI Centre of Excellence, School of Health Sciences, University of Nottingham, Nottingham, UK
| | - Zeinab M Hassanein
- The Nottingham Centre for Evidence-based Healthcare: A JBI Centre of Excellence, School of Health Sciences, University of Nottingham, Nottingham, UK
- Public Health and Community Medicine Department, Faculty of Medicine, Assiut University, Asyut, Egypt
| | - Manpreet Bains
- Nottingham Centre of Epidemiology and Public Health, School of Medicine, University of Nottingham, Nottingham, UK
| | - Clare Bennett
- The Wales Centre For Evidence Based Care: A JBI Centre of Excellence, School of Healthcare Sciences, Cardiff University, Cardiff, Wales, UK
| | - Merete Bjerrum
- Danish Centre of Systematic Reviews: A JBI Centre of Excellence, The Centre of Clinical Guidelines - Danish National Clearing House, Department of Clinical Medicine, Aalborg University, Aalborg, Denmark
| | - Alison Edgley
- The Nottingham Centre for Evidence-based Healthcare: A JBI Centre of Excellence, School of Health Sciences, University of Nottingham, Nottingham, UK
| | - Deborah Edwards
- The Wales Centre For Evidence Based Care: A JBI Centre of Excellence, School of Healthcare Sciences, Cardiff University, Cardiff, Wales, UK
| | - Kylie Porritt
- JBI, Faculty of Health and Medicine Sciences, The University of Adelaide, Adelaide, SA, Australia
| | - Susan Salmond
- The Northeast Institute for Evidence Synthesis and Translation: A JBI Centre of Excellence, School of Nursing, Rutgers, The State University of New Jersey, Newark, NJ, USA
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Casaleiro T, Martins H, Caldeira S. Promoting Spiritual Coping of Family Caregivers of an Adult Relative with Severe Mental Illness: Development and Test of a Nursing Intervention. Healthcare (Basel) 2024; 12:1247. [PMID: 38998782 PMCID: PMC11241127 DOI: 10.3390/healthcare12131247] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/10/2024] [Revised: 06/04/2024] [Accepted: 06/17/2024] [Indexed: 07/14/2024] Open
Abstract
Severe mental illness disrupts daily functioning, burdening family caregivers, who often adopt spiritual coping strategies. With comprehensive skills, mental health nurses can promote well-being and mental health. The aim is to develop and test the nursing intervention "promoting spiritual coping" in the family caregivers of home-dwelling people with mental illness. This study was conducted in two distinct stages. Initially, the intervention was developed according to the first phase of the Framework for Developing and Evaluating Complex Interventions. Secondly, the intervention protocol was tested in a mixed-method pilot study. An intervention protocol was developed and tested on ten family caregivers. The intervention comprised three sessions, and before-and-after assessments were conducted. Significant improvements were observed in the outcomes, with caregivers expressing that discussing spirituality and religiosity benefited them. This intervention prioritized the therapeutic relationship of the nurses and family caregivers. The intervention "promoting spiritual coping" was created and evaluated as a suitable approach for mental health nurses to use in a psychotherapeutic context with family caregivers of individuals with mental illness.
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Affiliation(s)
- Tiago Casaleiro
- Faculty of Health Sciences and Nursing, Centre for Interdisciplinary Research in Health, Universidade Católica Portuguesa,1649-023 Lisbon, Portugal
- Escola Superior de Enfermagem São Francisco das Misericórdias, Grupo Autónoma, 1169-023 Lisbon, Portugal
| | - Helga Martins
- Faculty of Health Sciences and Nursing, Centre for Interdisciplinary Research in Health, Universidade Católica Portuguesa,1649-023 Lisbon, Portugal
- Escola Superior de Saúde, Instituto Politécnico de Beja, 7800-111 Beja, Portugal
- Postdoctoral Program Integral Human Development, Católica Doctoral School, 1649-023 Lisbon, Portugal
| | - Sílvia Caldeira
- Faculty of Health Sciences and Nursing, Centre for Interdisciplinary Research in Health, Universidade Católica Portuguesa,1649-023 Lisbon, Portugal
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Jiang YL, Yin F, Lv ZY, Hou H, Yang BX, Liu Q, Fu SY, Zhang JN, Wang XQ. Effect of the Caregivers-to-Caregivers Training Programme on informed caregivers of persons with mental disorders: A pilot study. Int J Soc Psychiatry 2024; 70:289-297. [PMID: 37947259 DOI: 10.1177/00207640231207572] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/12/2023]
Abstract
OBJECTIVE Many people with mental disorders are cared for by informed caregivers, but they usually have limited care-related training and lack caregiving capacity and support networks. In order to provide professional training and social support for informed caregivers, we designed the Caregivers-to-Caregivers Training Programme (C2C) and performed a pilot study to assess its effect. METHODS Caregivers of persons with mental disorders who participated in the C2C were asked to participate in a quasi-experimental study to assess their knowledge and skills development, self-care ability, trainer engagement, and training content. A total of 800 participants completed self-designed evaluation questionnaires and two open-ended questions to gather suggestions and feedback. Assessments were carried out at pretest (baseline), post-test, and at 2-month follow-up. Results were analyzed using one-way repeated measures analysis of variance (ANOVA) and pairwise comparison method. RESULTS At post-test, 667 assessments were considered valid and 515 were deemed valid at 2-month follow-up. One-way repeated-measures ANOVA showed that the main effect of the scores on knowledge and skills development and self-care ability from baseline to 2-month follow-up was significant (p < .001). Results of pairwise comparison method showed that the scores on each item of knowledge and skills development and self-care ability at post-test and at 2-month follow up were higher than those at baseline (p < .001). The scores on items of trainer engagement and training content were all above average (4/5). The open-ended questions resulted in 678 comments indicating that participants gained significant support from other caregivers and healthcare professionals in the alliance and wanted more and continuously updated material. CONCLUSION This study demonstrated that C2C effectively improved the development of caregivers' knowledge, skills, and their self-care ability. Available social support for caregivers was better than average, including professional support and peer support.
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Affiliation(s)
- Yu Lei Jiang
- Center for Wise Information Technology of Mental Health Nursing Research, School of Nursing, Wuhan University, Wuhan, China
| | - Feng Yin
- Caregivers Alliance Limited, Singapore
| | - Zi Yao Lv
- Center for Wise Information Technology of Mental Health Nursing Research, School of Nursing, Wuhan University, Wuhan, China
| | - Hao Hou
- Center for Wise Information Technology of Mental Health Nursing Research, School of Nursing, Wuhan University, Wuhan, China
- School of Public health, Wuhan University, Wuhan, China
| | - Bing Xiang Yang
- Center for Wise Information Technology of Mental Health Nursing Research, School of Nursing, Wuhan University, Wuhan, China
- Population and Health Research Center, Wuhan University, Wuhan, China
- Department of Psychiatry, Renmin Hospital of Wuhan University, Wuhan, China
| | - Qian Liu
- Center for Wise Information Technology of Mental Health Nursing Research, School of Nursing, Wuhan University, Wuhan, China
- Population and Health Research Center, Wuhan University, Wuhan, China
| | - Shi-Yu Fu
- Center for Wise Information Technology of Mental Health Nursing Research, School of Nursing, Wuhan University, Wuhan, China
| | - Jia-Ning Zhang
- Center for Wise Information Technology of Mental Health Nursing Research, School of Nursing, Wuhan University, Wuhan, China
| | - Xiao Qin Wang
- Center for Wise Information Technology of Mental Health Nursing Research, School of Nursing, Wuhan University, Wuhan, China
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Rohmi F, Yusuf A, Fitriasari R, Agustinus H. What Benefits Might a Family Expect From Using Spiritual Coping Mechanisms When Providing Care for People With Schizophrenia? Literature Review. SAGE Open Nurs 2023; 9:23779608231214935. [PMID: 38046565 PMCID: PMC10693209 DOI: 10.1177/23779608231214935] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/14/2023] [Revised: 09/28/2023] [Accepted: 10/29/2023] [Indexed: 12/05/2023] Open
Abstract
Introduction Caring for people with schizophrenia has consequences, one of which is stressors during care. Families as caregivers often using coping strategies that involve relationships with self, others, or the transcendent/God or nature and also may include religious/spiritual practices. Objectives This literature review aims to identify the benefit of using spiritual coping as used by a family schizophrenia caregiver. The variable is spiritual coping. Methods This literature review method used PRISMA methodology for systematic reviews. Search was conducted in March 2017, updated in August 2022 and submitted in April 2023 for the publication process, limited to English by using electronic databases: Scopus, ScienceDirect, Sage, ProQuest, and PubMed. Results Fifteen studies were included in this review. Two synthesized findings emerged: spiritual coping strategies used by family caregivers give positive effects for family. Conclusion When the stress or crisis phase is experienced while caring for people with schizophrenia, the family who acts as a caregiver reveals the meaning of life they have and that they feel hopelessness and helplessness. In an effort to overcome the family's burden as caregivers, they often use spiritual coping, which is important to increase the caregiver's wellbeing.
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Affiliation(s)
- Faizatur Rohmi
- Faculty Nursing, Universitas Airlangga, Surabaya, Indonesia
- Faculty Nursing, Sekolah Tinggi Ilmu Kesehatan Kepanjen, Malang, Indonesia
| | - Ah Yusuf
- Faculty of Nursing, Airlangga University, Surabaya, Indonesia
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Zhang Y. The effect of incontinence on depression among older adults: a longitudinal study in China. Public Health 2022; 212:58-65. [DOI: 10.1016/j.puhe.2022.08.018] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/03/2022] [Revised: 07/09/2022] [Accepted: 08/30/2022] [Indexed: 11/11/2022]
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Chávez Sosa JV, Mego Gonzales FM, Aliaga Ramirez ZE, Cajachagua Castro M, Huancahuire-Vega S. Depression Associated with Caregiver Quality of Life in Post-COVID-19 Patients in Two Regions of Peru. Healthcare (Basel) 2022; 10:1219. [PMID: 35885746 PMCID: PMC9323236 DOI: 10.3390/healthcare10071219] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/16/2022] [Revised: 06/27/2022] [Accepted: 06/28/2022] [Indexed: 12/19/2022] Open
Abstract
Due to COVID-19, the workload experienced by caregivers has increased markedly which has led them to experience fatigue, anxiety and depression. This study aims to determine the relationship between quality of life and depression in caregivers of post-COVID-19 patients in two regions of Peru. In a cross-sectional analytical study, the sample was non-probabilistic and by snowball, and consisted of 730 caregivers, to whom the questionnaires "Modified Betty Ferell Quality of Life" and the "Beck Depression Inventory" were applied. It was determined that being a male caregiver (OR: 2.119; 95% CI: 1.332-3.369) was associated with a good quality of life. On the other hand, caregivers who had children (OR: 0.391; 95% CI: 0.227-0.675), were vaccinated against COVID-19 (OR: 0.432; 95% CI: 0.250-0.744), were immediate family members (OR: 0.298; 95% CI: 0.117-0.761) and had high depression (OR: 0.189; 95% CI: 0.073-0.490) were associated with poor quality of life. The results of this study allow us to conclude the association between depression and poor quality of life in caregivers of these patients so it is necessary to monitor the mental health of caregivers, and to develop adaptation strategies to pandemic conditions.
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Affiliation(s)
- Janett V. Chávez Sosa
- Escuela Profesional de Enfermería, Universidad Peruana Unión (UPeU), Lima 15464, Peru; (J.V.C.S.); (F.M.M.G.); (Z.E.A.R.); (M.C.C.)
| | - Flor M. Mego Gonzales
- Escuela Profesional de Enfermería, Universidad Peruana Unión (UPeU), Lima 15464, Peru; (J.V.C.S.); (F.M.M.G.); (Z.E.A.R.); (M.C.C.)
| | - Zoila E. Aliaga Ramirez
- Escuela Profesional de Enfermería, Universidad Peruana Unión (UPeU), Lima 15464, Peru; (J.V.C.S.); (F.M.M.G.); (Z.E.A.R.); (M.C.C.)
| | - Mayela Cajachagua Castro
- Escuela Profesional de Enfermería, Universidad Peruana Unión (UPeU), Lima 15464, Peru; (J.V.C.S.); (F.M.M.G.); (Z.E.A.R.); (M.C.C.)
| | - Salomón Huancahuire-Vega
- Escuela Profesional de Medicina, Universidad Peruana Unión (UPeU), Lima 15464, Peru
- Dirección General de Investigación, Universidad Peruana Unión (UPeU), Lima 15464, Peru
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