JBI evidence synthesis最新文献

{"title":"Caregivers' experiences and perceptions on caring for children and adolescents with type 2 diabetes mellitus: a qualitative systematic review protocol.","authors":"Ratchanok Phonyiam, Nareemarn Neelapaichit, Tippawan Srichalerm, Chiao-Hsin Teng","doi":"10.11124/JBIES-25-00357","DOIUrl":"https://doi.org/10.11124/JBIES-25-00357","url":null,"abstract":"<p><strong>Objective: </strong>The objective of this review is to synthesize existing qualitative evidence on the experiences and perceptions of caregivers caring for children and adolescents with type 2 diabetes mellitus (T2D).</p><p><strong>Introduction: </strong>The rising number of new cases of T2D in children and adolescents highlights the urgent need for effective management strategies. Caregivers of these children face significant challenges in providing care and managing the condition.</p><p><strong>Eligibility criteria: </strong>This review will include caregivers of children and adolescents with T2D, regardless of age, gender, social status, or marital status. It will consider studies that explore caregivers' experiences and perceptions of caring for children and adolescents with T2D in home, school, and community settings, as well as those addressing treatment adjustments and peer responses within the school environment. Caregivers of children and adolescents with other types of diabetes, such as type 1 diabetes mellitus (T1D), will be excluded.</p><p><strong>Methods: </strong>This qualitative systematic review will follow JBI methodology. We will search both published and unpublished studies in Embase (Ovid), MEDLINE (PubMed), CINAHL (EBSCOhost), Cochrane Library (CENTRAL), LILACS (BVS), PsycINFO (Ovid), Web of Science Core Collection, and Scopus without date limitations. Sources of unpublished studies and gray literature include Google Scholar and the Open Access Theses and Dissertations (OATD). Two independent reviewers will assess methodological validity. The standardized JBI data extraction tool will be used for data extraction. Data will be synthesized using meta-aggregation, and a certainty of findings will be determined using the ConQual approach.</p><p><strong>Review registration: </strong>PROSPERO CRD420251116139.</p>","PeriodicalId":36399,"journal":{"name":"JBI evidence synthesis","volume":" ","pages":""},"PeriodicalIF":4.5,"publicationDate":"2026-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147843752","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevalence of tuberculosis infection among pregnant women: a systematic review protocol.","authors":"Prisana Mandeville, Jan M Nick, Fayette Truax, Safiye Sahin, Gurmeet Sehgal","doi":"10.11124/JBIES-25-00114","DOIUrl":"https://doi.org/10.11124/JBIES-25-00114","url":null,"abstract":"<p><strong>Objective: </strong>This systematic review aims to investigate the global pooled prevalence of tuberculosis (TB) infection among pregnant women.</p><p><strong>Introduction: </strong>TB infection affects 25% of the global population and poses a significant public health challenge, particularly among pregnant women who are at higher risk of progressing to TB disease.</p><p><strong>Eligibility criteria: </strong>Studies will include pregnant women with TB infection, as identified by a tuberculin skin test or interferon-gamma release assay, irrespective of coexisting immunocompromizing conditions. Eligible sources will comprise cross-sectional and cohort studies, and surveillance reports from any geographic setting. Studies focusing on TB disease, lacking prevalence data, or presenting mixed data that cannot be disaggregated for the target population will be excluded.</p><p><strong>Methods: </strong>This proposed systematic review will follow the PERSyst group guidance for systematic reviews of prevalence. A 3-step search strategy will be applied, covering 2014 to 2025, with no language restrictions. Databases include CINAHL (EBSCOhost), Embase (Elsevier), Google Scholar, PubMed, LILACS, and Web of Science, while sources of gray literature will be international and professional organizations' websites. Study selection will follow a 3-step process, including critical appraisal for methodological quality. Standardized data extraction tools will be used. Two independent reviewers will handle each step, with conflicts resolved by consensus or with a third reviewer. Narrative synthesis will be conducted and, where feasible, a random-effects meta-analysis will be performed to estimate pooled TB infection prevalence with 95% CIs. Heterogeneity will be assessed using the I2 statistic, acknowledging that substantial heterogeneity is common in prevalence meta-analyses.</p><p><strong>Review registration: </strong>PROSPERO CRD420251026181.</p>","PeriodicalId":36399,"journal":{"name":"JBI evidence synthesis","volume":" ","pages":""},"PeriodicalIF":4.5,"publicationDate":"2026-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147843785","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Predictive models for patients treated with or evaluated for peritoneal dialysis: a scoping review protocol.","authors":"Jakub Ruszkowski, Sudha Ramakrishnan, Julia Strzelec, Weronika Roztkowska, Alicja M Dębska-Ślizień, Monika Lichodziejewska-Niemierko","doi":"10.11124/JBIES-25-00478","DOIUrl":"https://doi.org/10.11124/JBIES-25-00478","url":null,"abstract":"<p><strong>Objective: </strong>This scoping review will map available research regarding predictive models for clinical and patient-reported outcomes in patients receiving or considered for peritoneal dialysis.</p><p><strong>Introduction: </strong>Chronic kidney disease affects over 840 million people worldwide, with peritoneal dialysis offering a home-based kidney replacement therapy. Although evidence demonstrates equivalent long-term survival between dialysis modalities, the individual patient prognosis may favor a particular modality, making personalized outcome prediction essential. Available research evidence is not reflected in guideline recommendations, with clinicians relying on clinical experience rather than evidence-based prediction models. An evaluation is required of prediction models to identify validated tools and guide their clinical implementation.</p><p><strong>Eligibility criteria: </strong>This review will include patients receiving peritoneal dialysis or considered for initiation, with no restrictions regarding age, modality, or chronicity of disease. The scope will encompass the development, validation, and evaluation of clinical models utilizing multiple predictors for peritoneal dialysis-relevant outcomes. Any health care setting will be included, with no geographic or language restrictions.</p><p><strong>Methods: </strong>MEDLINE (via Ovid), Embase, Web of Science Core Collection, and Scopus will be searched, complemented by citation tracking and gray literature searches. Two independent reviewers will conduct title/abstract screening and full-text assessment using predefined criteria. Data extraction will be performed using standardized forms combining CHARMS, TRIPOD+AI, PROBAST, and PROGRESS-Plus. Data synthesis will follow a descriptive quantitative analysis and narrative synthesis, with outcomes categorized using the Standardised Outcomes in Nephrology-Peritoneal Dialysis framework. The analysis will combine outcome mapping, predictor database development, model validation assessment, clinical accessibility evaluation, and population gap identification.</p><p><strong>Review registration: </strong>OSF https://osf.io/7dmaq/.</p>","PeriodicalId":36399,"journal":{"name":"JBI evidence synthesis","volume":" ","pages":""},"PeriodicalIF":4.5,"publicationDate":"2026-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147843839","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Peer clinical supervision in nursing practice: a scoping review protocol.","authors":"José Alves, Rita Arantes, Francisco Canhoto, Hugo Barreto, Rui Pereira, Ana Paula Macedo","doi":"10.11124/JBIES-25-00394","DOIUrl":"https://doi.org/10.11124/JBIES-25-00394","url":null,"abstract":"<p><strong>Objective: </strong>This scoping review will aim to map and summarize the available evidence on peer clinical supervision among nurses in clinical practice settings, identifying its purposes, models, outcomes, and implementation contexts.</p><p><strong>Introduction: </strong>Peer clinical supervision is increasingly recognized as a valuable approach to promote reflective practice, professional development, and emotional support among nurses. Although interest in this form of supervision is growing, the available evidence is fragmented, with variations in its definitions, structures, and reported outcomes across clinical settings. To date, no comprehensive review has systematically examined how peer clinical supervision is conceptualized, implemented, and evaluated in nursing practice.</p><p><strong>Eligibility criteria: </strong>This review will include studies on peer clinical supervision involving nurses in clinical practice, across all study designs and evidence sources. Studies limited to nursing students, educational settings, or hierarchical models of supervision will be excluded.</p><p><strong>Methods: </strong>A comprehensive search will be conducted in major international databases, including PubMed, CINAHL, Scopus, Web of Science Core Collection, MedicLatina, ProQuest Nursing & Allied Health Source, and the Cochrane Library, as well as selected sources of gray literature. The search will include all available studies, with no restrictions on date or language. Two reviewers will independently screen and select studies according to the eligibility criteria, and relevant data will be extracted and charted. The evidence will be analyzed and presented using descriptive synthesis, supported by tabular and narrative summaries to map key concepts, contexts, outcomes, and gaps in the literature.</p><p><strong>Review registration: </strong>OSF https://osf.io/jzupy.</p>","PeriodicalId":36399,"journal":{"name":"JBI evidence synthesis","volume":" ","pages":""},"PeriodicalIF":4.5,"publicationDate":"2026-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147843762","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Models and frameworks of reflective clinical supervision for midwives: a scoping review.","authors":"Annabel Tafe, Sue Kruske, Pamela Res McCalman, Sascha Kowalenko, Jyai Allen","doi":"10.11124/JBIES-25-00157","DOIUrl":"https://doi.org/10.11124/JBIES-25-00157","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Objective: &lt;/strong&gt;The objective of this review was to map the extent of literature on models and frameworks of reflective clinical supervision for midwives that embed concepts of cultural safety and trauma-informed practice, identifying key characteristics and knowledge gaps to guide future research.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Introduction: &lt;/strong&gt;Reflective clinical supervision is gaining momentum as a potential strategy to support the well-being of midwives and improve quality of care. However, it is not routinely offered by maternity services, and evidence of established practice models is scarce. Additionally, a culturally safe midwifery workforce is a global priority, as culturally unsafe care contributes to poorer outcomes for First Nations mothers and babies. However, it is not known how models of reflective clinical supervision embed cultural safety and trauma-informed principles, particularly for midwives caring for First Nations women.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Eligibility criteria: &lt;/strong&gt;This scoping review considered peer-reviewed original literature and gray literature that described models or frameworks of reflective clinical supervision for midwives. The context of the search was global midwifery practice; therefore, no geographical or date limitations were applied. Eligible settings included all systems in which midwives operate.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;A scoping review was conducted in accordance with the JBI methodological guidance and reported in line with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR). A search strategy was adapted for each database and information source including APA PsycINFO (EBSCOhost), CINAHL (EBSCOhost), MEDLINE (EBSCOhost) and Cochrane Library. Sources of unpublished studies and gray literature searched included ProQuest Dissertations and Theses, Google and Google Scholar, and targeted searching of relevant government and health service websites. The search did not apply date or geographical limitations. The search was conducted between October 11, 2024, and November 18, 2024. After a pilot test of the screening process, data were extracted and analyzed using basic inductive qualitative content analysis. Data are presented narratively and in tabular and figure formats.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;Nineteen sources were included in the scoping review consisting of both primary research and clinical practice guidelines published between 2005 and 2024. Much of the literature originated from Australia (n=9) and the remainder from England, Ireland, New Zealand, Scotland, and Wales. Ten different models and frameworks of reflective clinical supervision used in midwifery were described, with no one-size-fits-all model of reflective clinical supervision identified. This scoping review identified 6 key characteristics of effective midwifery models of reflective clinical supervision: functions, guided reflection, safe reflective environment, s","PeriodicalId":36399,"journal":{"name":"JBI evidence synthesis","volume":" ","pages":""},"PeriodicalIF":4.5,"publicationDate":"2026-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147843814","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Perspectives and experiences of South Asian youth seeking mental health services: a qualitative systematic review protocol.","authors":"Bindia D Darshan, Tishani Thiviyakumar, Sandra Halliday, Kim Sears, Kednapa Thavorn, Kevin Woo","doi":"10.11124/JBIES-25-00314","DOIUrl":"https://doi.org/10.11124/JBIES-25-00314","url":null,"abstract":"<p><strong>Objective: </strong>The objective of this review is to describe the perspectives and experiences of South Asian youth in seeking help for their mental health.</p><p><strong>Introduction: </strong>The mental health of South Asian youth is a serious health concern. South Asian youth experience elevated mental health challenges and are less likely to seek mental health services than other ethnic populations. No systematic review to date has examined their perspectives and experiences with seeking help for their mental health.</p><p><strong>Eligibility criteria: </strong>This review will include the perspectives and experiences of South Asian youth aged 17 to 29 in seeking help for their mental health in hospital, community, or post-secondary educational settings.</p><p><strong>Methods: </strong>This review will be conducted according to JBI methodology for systematic reviews of qualitative evidence. A preliminary search was conducted in MEDLINE (Ovid) and a full search strategy was developed for MEDLINE (Ovid), CINAHL (EBSCOhost), PsycINFO (Ovid), Embase (Ovid), and Google Scholar. The JBI approach to study selection, critical appraisal, data extraction, data synthesis, and assessment of confidence will be used. Two reviewers will pilot test the screening criteria and data extraction protocol.</p><p><strong>Review registration: </strong>PROSPERO CRD420251066857.</p>","PeriodicalId":36399,"journal":{"name":"JBI evidence synthesis","volume":" ","pages":""},"PeriodicalIF":4.5,"publicationDate":"2026-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147843783","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevalence and incidence of pressure injury in adult patients receiving non-invasive ventilation for acute respiratory failure: a systematic review and meta-analysis protocol.","authors":"Francesca Moretto, Teresa Esposito, Eduardo Rocca, Lorenza Scotti, Erika Bassi, Paolo Gardois, Alberto Dal Molin, Francesco Musso, Luca Grillenzoni, Claudia Crimi, Cesare Gregoretti, Giulia Sartori, Ernesto Crisafulli, Paolo Navalesi, Gianmaria Cammarota, Andrea Cortegiani, Rosanna Vaschetto","doi":"10.11124/JBIES-25-00320","DOIUrl":"https://doi.org/10.11124/JBIES-25-00320","url":null,"abstract":"<p><strong>Objective: </strong>This systematic review aims to assess the prevalence and incidence of pressure injury associated with non-invasive ventilation (NIV) in adult patients treated for acute respiratory failure (ARF).</p><p><strong>Introduction: </strong>Facial pressure sores are a common complication of NIV, impairing skin integrity, patient comfort, and therapy efficacy. However, the ranges of incidence and prevalence reported in the literature are very wide.</p><p><strong>Eligibility criteria: </strong>This review will include analytical observational and experimental studies reporting prevalence and/or incidence of pressure sores in adults treated with NIV for hypoxemic or hypercapnic ARF using oronasal, full-face, or hybrid masks. Any study or study arm testing interventions to reduce pressure sores will be excluded. Studies on pediatric patients and adult patients treated with other interfaces (ie, helmets) will also be excluded.</p><p><strong>Methods: </strong>This systematic review will be conducted in accordance with the JBI and PERSyst methodology for systematic reviews of prevalence and incidence. Searches will be conducted in PubMed, Cochrane Library, Web of Science, Embase, national health-agency surveillance systems, Centers for Disease Control and Prevention data, gray literature, and clinical trial registers to identify unpublished studies. No language limitations will be applied provided an English abstract is available. Two reviewers will independently select studies, and data will be extracted using a customized form. Narrative synthesis will be conducted and, where appropriate, pooled prevalence and incidence proportion will be calculated using the DerSimonian and Laird method. Methodological quality will be assessed using JBI's Critical Appraisal Tool for Prevalence and Incidence Studies.</p><p><strong>Review registration: </strong>PROSPERO CRD42024604191.</p>","PeriodicalId":36399,"journal":{"name":"JBI evidence synthesis","volume":" ","pages":""},"PeriodicalIF":4.5,"publicationDate":"2026-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147843808","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of dashboard utilization in the emergency department on the quality of health care: a mixed methods systematic review protocol.","authors":"Happy Indah Kusumawati, I Made Moh Yanuar Saifudin, Bayu Fandhi Achmad, Syahirul Alim, Luluk Lusiantoro, Martina Sinta Kristanti, Adi Utarini","doi":"10.11124/JBIES-25-00191","DOIUrl":"https://doi.org/10.11124/JBIES-25-00191","url":null,"abstract":"<p><strong>Objective: </strong>This review will synthesize the current studies related to the impact of dashboard utilization in the emergency department (ED) on the quality of health care. The purpose of the study is to present consolidated evidence to inform health providers and policy makers about the effectiveness of ED dashboard usage in improving aspects of the quality dimension.</p><p><strong>Introduction: </strong>Coordination, decision-making, and medication require timely information supported by an effective information system and management in the ED. The ED dashboard, known as the visual display of the data management system, benefits both clinicians and patients; however, the impact of dashboard utilization on the quality of health care in the ED remains unclear.</p><p><strong>Eligibility criteria: </strong>This review will focus on quantitative, qualitative, and mixed method studies. The participants in this review will include health care providers and managers who use the dashboard, as well as patients as the beneficiaries of the application of the ED dashboard. The quantitative component will consider quality-of-care dimensions including safety, effective, patient-centered, timely, efficient and equity, usability, and situational awareness. The qualitative component will consider the user's perspective.</p><p><strong>Methods: </strong>JBI's convergent segregated approach for mixed method systematic reviews will be followed. Six databases, including PubMed, MEDLINE (Ovid), Web of Science, Scopus, CINAHL Plus, and Embase.com, will be searched for relevant studies. Methodological quality will be assessed using the JBI tools. No date limit for searching will be used.</p><p><strong>Review registration: </strong>PROSPERO CRD42024527492.</p>","PeriodicalId":36399,"journal":{"name":"JBI evidence synthesis","volume":" ","pages":""},"PeriodicalIF":4.5,"publicationDate":"2026-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147783710","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Hospital initiatives to involve patients and carers in recognizing clinical deterioration and escalating concerns: a scoping review including considerations for culturally and linguistically diverse populations.","authors":"Sarah Rooney, Gavin D Leslie, Huaqiong Zhou, Eileen Boyle, Fenella J Gill","doi":"10.11124/JBIES-25-00050","DOIUrl":"https://doi.org/10.11124/JBIES-25-00050","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Aim: &lt;/strong&gt;The objective of this review was to identify and describe what is reported on hospital initiatives to involve patients and carers in recognizing and escalating clinical deterioration concerns, including the considerations within these initiatives to involve people from culturally and linguistically diverse (CALD) backgrounds.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Introduction: &lt;/strong&gt;Engaging patients and their carers in recognizing clinical deterioration and escalating concerns is increasingly accepted as a strategy to improve patient safety in hospitals. As initiatives to support this engagement have developed, the involvement of patients and carers from CALD backgrounds has not been comprehensively considered. An exploration of what has been reported in the literature to involve the CALD community is an important first step to inform ongoing research in this area of patient safety.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Eligibility criteria: &lt;/strong&gt;Published and gray literature describing hospital initiatives to involve patients and carers in recognizing clinical deterioration and escalating concerns were considered.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;A scoping review of the literature was conducted following JBI methodological guidance and reported using the Preferred Reporting Items for Systematic Reviews and Meta-Analysis extension for Scoping Reviews. A 4-step search strategy explored evidence from databases and search engines, gray literature, and reference lists from 2005 until April 2024. The databases searched were MEDLINE (Ovid), CINAHL Ultimate (EBSCOhost), ProQuest Central, JBI Evidence-based Practice Database (Ovid), and Informit. Google, Google Scholar, and ProQuest Dissertations and Theses were also searched, including a targeted search of related Australian and New Zealand government initiatives. After screening potential evidence sources, data were extracted, mapped, and analyzed using thematic analysis. Analyzed data were then presented in tables with an accompanying narrative summary, linking the results of the review to the objectives and questions.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;A total of 45 sources were selected for inclusion, including primary research, conference proceedings, and gray literature. The largest number of sources came from Australia and the United States, with an almost even spread of adult and pediatric settings. Nineteen initiatives to involve patients and carers in recognizing clinical deterioration and escalating concerns were identified and grouped into 5 types: i) escalation to the primary care team; ii) an activation process to summon help either from an independent rapid response team or a separate person or team to triage the level of response required; iii) patient and carer education; iv) a standardized communication bundle; and v) wellness or concern scoring measures. Initiatives were commonly supported by structured patient information delivery and followed a stepped approach involving escalation to the primary care","PeriodicalId":36399,"journal":{"name":"JBI evidence synthesis","volume":" ","pages":""},"PeriodicalIF":4.5,"publicationDate":"2026-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147783712","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Facilitators and barriers to accessing mental health care services and social supports among perinatal refugee women: a qualitative systematic review.","authors":"Shahin Kassam, Joyce O'Mahony, Lenora Marcellus","doi":"10.11124/JBIES-25-00175","DOIUrl":"https://doi.org/10.11124/JBIES-25-00175","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Objective: &lt;/strong&gt;The objective of this review was to identify and synthesize qualitative evidence on the lived experiences of facilitators and barriers to accessing mental health care services and social supports among perinatal refugee women.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Introduction: &lt;/strong&gt;Perinatal refugee women experience multiple intersecting personal, social, and environmental factors that can influence their mental health and emotional well-being. Understanding the facilitators and barriers to accessing mental health care services will provide a clearer understanding of their experiences to inform health care practices, programs, and policies.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Eligibility criteria: &lt;/strong&gt;This review appraised published qualitative research that explored perinatal refugee women's experiences of accessing mental health care services and social supports. Non-English articles and studies that did not explicitly state participants' migration status as refugees were excluded.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;Searches for published studies located in CINAHL plus, PsycINFO, PubMed, Web of Science, and the Social Sciences Citation Index occurred in May 2022 and were updated in June 2024. ProQuest Dissertations and Theses Database was searched for unpublished literature such as theses, dissertations, and publicly available information consisting of peer-reviewed qualitative studies. Sources of evidence published in English between January 2011 and June 2024 were assessed for inclusion. Study selection involved 2 independent reviewers screening titles and abstracts against the eligibility criteria. The reviewers critically appraised the methodological quality and rigor and extracted study findings. Data synthesis involved assigning categories to findings, which were aggregated into synthesized findings and graded using the ConQual approach.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;Forty-one articles were included in the review yielding 159 findings that were grouped into 6 categories. The categories were aggregated to form 2 synthesized findings: i) Women are impacted by unique and interconnected social determinants of migrant health in accessing mental health services and social supports, and ii) Women experienced characteristics of mental health services as both facilitators and barriers to access. Confidence levels for each synthesized finding were rated as low according to ConQual.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusions: &lt;/strong&gt;Experiences of diverse forms of stigma as well as literacy, migration status, and racial discrimination were expressed as significant barriers to accessing mental health services among perinatal refugee women. Additional barriers described by women included not being given opportunities to express their mental and emotional well-being, fear of sociocultural consequences from pursuing mental health services, and fear of deportation. Cultural navigators, faith-based organizations, and neighbors with similar cultural backgrounds were raised as ","PeriodicalId":36399,"journal":{"name":"JBI evidence synthesis","volume":" ","pages":""},"PeriodicalIF":4.5,"publicationDate":"2026-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147783720","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}