SACM - United Kingdom
Permanent URI for this collectionhttps://drepo.sdl.edu.sa/handle/20.500.14154/9667
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Item Restricted What are the barriers to the early integration of paediatric palliative care? A systematised review(Saudi Digital Library, 2023-12-03) Aljardahi, Rakan; Mcfeely, ClareBackground: Children with serious illnesses, such as cancers or congenital anomalies, require special care that alleviates the disease burden. Paediatric palliative care (PPC) is comprehensive, interdisciplinary care for patients and their families that begins once a life-threatening disease has been diagnosed. PPC’s early integration with curative treatments has been proven to relieve suffering and enhance both patients’ and families’ quality of life. Nonetheless, few paediatric patients access and receive these services. Aim: To identify and synthesise the barriers to PPC’s early integration. Methods: This systematised review is based on PRISMA guidelines. The Medline, Embase, PsychInfo and CINAHL databases were searched using controlled and non-controlled keywords and a variety of research strategies. This search was limited to peer-reviewed studies published in English between 2018 and 2023. Based on the inclusion criteria, Covidence software was used to screen, extract and assess the retrieved studies, which were evaluated using the CASP and MMAT checklists. Findings were synthesised using narrative synthesis with inductive thematic analysis. Results: Eight studies of medium to high quality met the inclusion criteria. Three main themes were identified: limited resources, the lack of a standardised referral process and fears associated with palliative care. Conclusion: Reflecting the insufficient attention the speciality receives, several modifiable barriers impede paediatric patients from accessing the early benefits of palliative care services. PPC requires financial support, community awareness and a clear referral process. Policymakers play an important role in supporting PPC, and researchers must work to explore policymakers’ perspectives on these barriers and find facilitators.32 0Item Restricted Barriers to communication between Mental Health Nurses and their patients: a systematic review of the literature(Saudi Digital Library, 2023-11-03) Alanazi, Shau; Hughes, ColinBackground: Effective communication between mental health nurses and patients is critical for positive health outcomes and patient satisfaction (Aryankhesal et al., 2019). Various barriers, however, can impede effective communication in this context. Understanding these barriers is key to enhancing communication and, ultimately, outcomes for patients (Martínez‐Martínez et al., 2019) via the delivering of high- quality mental healthcare. Objectives: This dissertation aimed to systematically review evidence on communication barriers between mental health nurses and patients. The specific objectives were as follows: 1) Explore the impact on care quality and patient outcomes due to poor communication; 2) Understand the causes and types of barriers; 3) Identify communication barriers from nurses' and patients' perspectives; 4) Assess proposed strategies to address barriers in order to improve patient outcomes. Search Strategy: A comprehensive search strategy was developed and executed across a number of major databases including MEDLINE, CINAHL, Cochrane Library, PsycINFO and EMBASE. Additional manual searching of reference lists of included studies supplemented the database search. The search was limited to studies written in English and published between 2013 and 2022 that examined various aspects of communication barriers, including causes, types, impacts, and strategies, specifically within the context of mental health nurse-patient interactions. Both qualitative and quantitative primary research, as well as reviews, were considered eligible for inclusion. Results: The systematic search and screening process identified six studies that met the eligibility criteria for final review and analysis. All six studies utilised qualitative 8 approaches with sample sizes ranging from 9 to 85 participants. The studies represented diverse geographic contexts, including Finland, USA, China, Iran, Canada, and Belgium. Three key themes were identified from the synthesised data via thematic analysis: 1) Communication barriers stemming from factors related to nurses, patients, and healthcare organisations; 2) Underlying causes encompassing stigma, language barriers, technology gaps, clinical environment, and workload; 3) Proposed strategies emphasising training programmes, optimising workloads, addressing personal biases, and addressing disparities in digital access to enhance communication. The review highlighted that prevailing communication barriers negatively impact therapeutic nurse-patient relationships and the overall quality of mental healthcare. Conclusion: The findings revealed that communication barriers in mental healthcare settings are multidimensional, arising from an interplay of personal, interpersonal, and organisational factors. Evidence-based training programmes, cultural competency building, workload adjustments and thoughtful technology integration could help attenuate existing barriers and enhance communication quality. Sustainable solutions, however, should be comprehensive rather than piecemeal or fragmented. This review makes a robust contribution to the empirical evidence regarding an important yet underexplored topic, with meaningful implications for enhancing clinical practice, education, and health policy. Future research could further build on these findings using quantitative, qualitative, or mixed methods approaches.33 0