JBI evidence synthesis最新文献

{"title":"Outcomes associated with family presence at the bedside of critically ill children in the pediatric intensive care unit: a scoping review.","authors":"Nicole Fakhory, Kaleigh Lang, Molly Ryan, Laurie A Lee, Jamie A Seabrook, Martha Walls, Corey Slumkoski, Jennifer R Foster","doi":"10.11124/JBIES-23-00554","DOIUrl":"https://doi.org/10.11124/JBIES-23-00554","url":null,"abstract":"<p><strong>Objective: </strong>The objective of this review is to identify the outcomes of family presence in pediatric intensive care units (PICUs) that have been studied and reported in the literature.</p><p><strong>Introduction: </strong>PICU admission can be traumatic for children and their families. While family presence at the patient bedside is recommended to support family participation and engagement in care and is supported in recent family-centered care guidelines, it is not consistently optimized. To guide family presence research, a scoping review is needed to identify outcomes associated with family presence.</p><p><strong>Inclusion criteria: </strong>This review included quantitative, qualitative, and mixed methods studies published from 1960 to 2022 in any language that reported outcomes of family presence at the bedside in the PICU for patients, their family members, and PICU health care professionals (HCPs).</p><p><strong>Methods: </strong>Following JBI methodology for scoping reviews, we searched MEDLINE (Ovid), PsycINFO (EBSCOhost), CINAHL (EBSCOhost), Embase, as well as 16 sources of gray literature for studies that addressed outcomes of family presence at the bedside in the PICU as they relate to the key players. Two independent reviewers screened titles and abstracts, followed by full texts of selected records according to the inclusion criteria. A priori, we identified categories of outcomes (biologic, psychologic, social, caring behavior) and key groups (HCPs, patients, families) to which the outcomes may apply. Data were extracted by 2 independent reviewers using a data extraction tool developed by the study team. Data were presented in tabular format to address findings related to the review objectives.</p><p><strong>Results: </strong>We identified 12,411 records through database searches, backward reference chaining, and gray literature searching. We removed 3012 duplicates, excluded 9244 records at the title and abstract review, and excluded 92 reports after full-text review. We extracted data from 62 reports of which 12 were mixed methods, 25 were quantitative, and 25 were qualitative spanning from 1982 to 2022.Of 46 unique outcomes, 39 reports addressed 28 outcomes for family members (psychologic n=13, social n=8, biologic n=5, caring behavior n=2; most common was stress, n=11 reports). Twenty reports addressed 16 outcomes for patients (psychologic n=7, social n=0, biologic n=6, caring behavior n=2, and other outcomes n=1; most common was out-of-bed mobilization, n=4 reports). Eleven reports addressed 9 outcomes for HCPs (psychologic n=3, social n=2, biologic n=0, caring behavior n=3, and other outcomes n=1; most common was procedural performance, n=3). The most frequently studied biologic outcome was sleep (n=7 reports; family members n=6, patients n=1), psychologic outcome was stress (n=13 reports; family members n=11, HCPs n= 2), social outcomes were role changes (n=4 reports; family members n=3, HCPs n=1) and fi","PeriodicalId":36399,"journal":{"name":"JBI evidence synthesis","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143754965","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":"Virtual nursing care and hospital avoidance: a scoping review protocol.","authors":"Jarrod Clarke, Micah D J Peters, Lynette Cusack, Francis Donnelly","doi":"10.11124/JBIES-24-00407","DOIUrl":"https://doi.org/10.11124/JBIES-24-00407","url":null,"abstract":"<p><strong>Objective: </strong>This scoping review will describe the extent and range of the literature on virtual care technologies in the delivery of nursing care for the purpose of hospitalization avoidance.</p><p><strong>Introduction: </strong>There has been a recent and rapid uptake of virtual care technologies in nursing to help reduce the burden on hospitals and to provide care for people in place. The nursing workforce must be supported to use new technologies and adopt new working methods in the delivery of care. There is a need to understand and explore how virtual care technologies can be used by nurses to provide high-quality care through synthesis of the available literature.</p><p><strong>Inclusion criteria: </strong>This review will include primary research that examines virtual care technologies in the delivery of nursing care for the purpose of hospitalization avoidance. All care settings (primary care, aged care, etc.) will be examined and all virtual technologies will be considered, including telehealth, remote monitoring, and other digital health technologies.</p><p><strong>Methods: </strong>This review will use the JBI methodology for scoping reviews and report against the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRIMSA-ScR). Searches will be conducted in MEDLINE, Embase, Emcare, and PsycINFO (via Ovid); CINAHL (via EBSCOhost); and Scopus. Figures, tables, and accompanying narrative synthesis will be used to present the results, in line with the review questions. Studies will be mapped in terms of virtual care technologies used, patient group/condition serviced, the role of nurses in the delivery of care using virtual technologies, and the competencies that nurses require to effectively provide care using virtual technologies.</p><p><p>Details of this review project can be found in Open Science Framework: https://osf.io/5u6rj.</p>","PeriodicalId":36399,"journal":{"name":"JBI evidence synthesis","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143754969","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":"Oral appliance therapy for the management of obstructive sleep apnea in adults: an umbrella review.","authors":"Parvathy Ghosh, Chandrashekar Janakiram, Sapna Varma Nk, Sarika K, Ajith Vv","doi":"10.11124/JBIES-23-00539","DOIUrl":"https://doi.org/10.11124/JBIES-23-00539","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Objective: &lt;/strong&gt;The aim of this umbrella review was to assess the effectiveness of oral appliance therapy compared to continuous positive airway pressure (CPAP), surgery, inactive appliances/controls, exercise, or other conservative techniques in mitigating symptoms among adults diagnosed with obstructive sleep apnea.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Introduction: &lt;/strong&gt;Sleep-disordered breathing encompasses a spectrum of recurrent episodes of upper airway narrowing during sleep, marked by symptoms such as snoring, heightened upper airway resistance, or obstructive sleep apnea. The management of obstructive sleep apnea involves a range of conservative and surgical approaches. Among conservative methods, oral appliances are the preferred treatment for primary snoring, mild to moderate cases, and severe cases in patients who are intolerant to CPAP. While several systematic reviews have explored the effectiveness of oral appliance therapy for obstructive sleep apnea, there has been no comprehensive evaluation or synthesis of these reviews.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Inclusion criteria: &lt;/strong&gt;Systematic reviews, with or without meta-analysis, were examined to assess the effectiveness of various forms of oral appliances in treating obstructive sleep apnea. Polysomnography was employed as the method for evaluating the effectiveness of the appliance. The primary outcome of interest was the effectiveness of oral appliance therapy in reducing the apnea-hypopnea index. Secondary outcomes included the mean change in the respiratory arousal index, Epworth Sleepiness Scale scores, minimum oxygen saturation, sleep efficiency, rapid eye movement sleep, blood pressure, quality of life, patient preference, and adverse effects.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;A comprehensive search was conducted up to October 2023 in MEDLINE (Ovid), CINAHL (EBSCOhost), Scopus, Web of Science Core Collection, Epistemonikos, ProQuest Dissertations and Theses, Shodhganga, and the Cochrane Database of Systematic Reviews. Supplementary searches were manually performed using Google Scholar. The critical appraisal and data extraction processes were carried out independently by 2 reviewers. The extracted data were summarized using a tabular format accompanied by supporting text. The quality of evidence was evaluated utilizing the Grading of Recommendations Assessment, Development and Evaluation (GRADE) approach.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;This umbrella review incorporated 27 systematic reviews published between 2004 and 2022. The primary studies in these systematic reviews were published between 1996-2021. Of the 68 primary studies, 50 were published between 1996-2014 and 18 were published between 2015-2021. The corrected covered area index was 15.04%, indicating very high overlap between the primary studies included in the systematic reviews. All systematic reviews that compared oral appliances with CPAP consistently reported that CPAP was more efficacious, evidenced by a decrease in the apnea","PeriodicalId":36399,"journal":{"name":"JBI evidence synthesis","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143754959","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":"Oncology care humanization in adults: a scoping review protocol.","authors":"Ana Sofia Lopes, Ana Lúcia Ribeiro, Bárbara Lamas, Daniela Santos, Davide Fernandes, Rosa Silva, Paulo Marques","doi":"10.11124/JBIES-24-00295","DOIUrl":"https://doi.org/10.11124/JBIES-24-00295","url":null,"abstract":"<p><strong>Objective: </strong>The goal of this review is to identify and map health professionals' attitudes and behaviors that promote humanization of the care provided to adults with cancer, regardless of disease stage or treatment nature, in all health care provision contexts.</p><p><strong>Introduction: </strong>In the challenging context of oncology care, it becomes imperative to adopt a humanized care paradigm. This paradigm should foster a relationship of respect and compassion between health professionals and people, and its interventions should be sensitive to their values, culture, and human dignity.</p><p><strong>Inclusion criteria: </strong>Studies involving health professionals' attitudes and behaviors focused on promoting humanization of the health care provided to people with oncological diseases will be considered for this review.</p><p><strong>Methods: </strong>This review will follow the JBI methodology for scoping reviews. Publications will be identified via MEDLINE Complete, CINAHL Complete, MedicLatina, Psychology and Behavioral Sciences Collection, Scopus, and Web of Science. Additionally, backward and forward citation searches will be conducted, as will a thorough investigation of the gray literature. The studies identified will be screened by 2 independent reviewers based on their title and abstract, and then reviewed at the full-text level. The data will be extracted using a tool developed by the authors. The results will be summarized and presented in tables accompanied by a narrative summary.</p><p><strong>Review registration: </strong>Open Science Framework https://osf.io/56ev9/.</p>","PeriodicalId":36399,"journal":{"name":"JBI evidence synthesis","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143732139","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":"Non-pharmacological treatment for postural orthostatic tachycardia syndrome: a scoping review protocol.","authors":"Anna de Beer, Chaeyoon Han, Frank Sullivan","doi":"10.11124/JBIES-24-00253","DOIUrl":"https://doi.org/10.11124/JBIES-24-00253","url":null,"abstract":"<p><strong>Objective: </strong>The objective of the review is to systematically map the literature on non-pharmacological interventions for postural orthostatic tachycardia syndrome to identify and categorize interventions used, and highlight research gaps to guide future studies.</p><p><strong>Introduction: </strong>Postural orthostatic tachycardia syndrome is characterized by an excessive increase in heart rate upon standing and symptoms of orthostatic intolerance. Non-pharmacological interventions are first-line treatments; however, the breadth, characteristics, and gaps in the current evidence base have not been systematically mapped, making this scoping review necessary to guide future research directions.</p><p><strong>Inclusion criteria: </strong>Studies on non-drug, non-procedural, and non-invasive interventions for postural orthostatic tachycardia syndrome in both children and adults will be included. Both direct (affecting patients) and indirect (benefiting but not targeting patients) interventions in any setting will be considered. Original research, systematic reviews, meta-analyses, and gray literature will be included.</p><p><strong>Methods: </strong>A comprehensive search will be conducted across 6 databases (Ovid MEDLINE, Ovid Embase, Cochrane Library, CINAHL, Scopus, and Web of Science) and gray literature platforms. Searches will be limited to articles in English, Afrikaans, French, German, and Korean, with no restriction on publication date. Two reviewers will independently screen titles and abstracts, as well as full text, against the inclusion criteria. Data will be extracted using a standardized tool and presented to highlight key findings and research gaps. The initial data extraction form was developed after scanning the literature and will be iteratively refined as part of protocol development.</p><p><strong>Review registration: </strong>Open Science Framework https://osf.io/cg365.</p>","PeriodicalId":36399,"journal":{"name":"JBI evidence synthesis","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143721337","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":"Pediatric functional lung imaging and pulmonary function testing: a scoping review protocol.","authors":"Matthew Bruorton, Sarah Greenslade, Shagufta Perveen, Martin Donnelley, Antonia O'Connor, Jessica Phillips, David Parsons, Thomas Goddard, Kristin Carson-Chahhoud, Andrew Tai","doi":"10.11124/JBIES-24-00377","DOIUrl":"https://doi.org/10.11124/JBIES-24-00377","url":null,"abstract":"<p><strong>Objective: </strong>This scoping review aims to identify current and emerging functional lung imaging techniques that have been used in pediatric cohorts and how these techniques have been compared to pulmonary function tests.</p><p><strong>Introduction: </strong>Functional lung imaging enables the assessment of distribution of pulmonary parameters-including ventilation, perfusion, gas exchange, and biomechanics-to be mapped and quantified non-invasively throughout the lungs. In comparison to pulmonary function testing, functional lung imaging can provide additional clinically relevant information on the regional and spatial localization of lung disease. Pulmonary functional imaging has the potential to significantly benefit a pediatric cohort, giving clinicians an additional tool in assessing and managing pediatric lung disease.</p><p><strong>Inclusion criteria: </strong>Functional lung imaging techniques that have been investigated and compared or correlated with a pulmonary function test in pediatric cohorts will be identified and reviewed. Quantitative study designs and functional lung imaging techniques used in reviews and conference abstracts will be included if there is a comparative pulmonary function test. Gray literature will be screened for evidence of new and emerging technologies. Established author opinion will also be sought on new and emerging technologies in pediatric functional lung imaging.</p><p><strong>Methods: </strong>Key sources to be searched include MEDLINE, Embase, and CINAHL. Two reviewers will independently screen titles and abstracts against inclusion criteria. Extracted data will include details about the concept, context, study methods, and key information relevant to the study question. Data will be presented in tabular format, accompanied by a narrative synthesis.</p><p><p>Details of the review can be found in Open Science Framework: https://doi.org/10.17605/OSF.IO/SNUC6.</p>","PeriodicalId":36399,"journal":{"name":"JBI evidence synthesis","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143721424","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":"Effectiveness and safety of intranasal fentanyl for pain management in infants aged 0-6 months: a systematic review protocol.","authors":"Helen McCord, Melissa Rothfus, Tim Disher, Nadeana Norris, Karlee Jones, Laila Kristoffersen, Maria Syverud, Marsha Campbell-Yeo","doi":"10.11124/JBIES-24-00376","DOIUrl":"https://doi.org/10.11124/JBIES-24-00376","url":null,"abstract":"<p><strong>Objective: </strong>This review aims to assess and synthesize the existing literature on the effectiveness and safety of intranasal fentanyl versus no intervention, placebo, non-pharmacological, or pharmacological interventions for pain management in infants aged 0-6 months.</p><p><strong>Introduction: </strong>Pain management in infants, especially given their exposure to frequent painful procedures, is a crucial concern. The potential benefits of intranasal fentanyl are notable, but comprehensive guidelines for its use in infants is lacking.</p><p><strong>Inclusion criteria: </strong>This review will include experimental and non-experimental quantitative studies comparing intranasal fentanyl, at any dose/frequency, for pain management in infants aged 0-6 months, against comparators such as no intervention, placebo, or other pharmacological and non-pharmacological interventions. Procedures will include those considered to be tissue-breaking, needle-related, non-tissue-breaking, or any procedure deemed to be painful. The primary outcome will be pain intensity during procedures, chosen for its relevance in evaluating the effectiveness of intranasal fentanyl. Secondary outcomes will include pain response, recovery, frequency of repeated dosing, and safety. Studies in any language will be considered.</p><p><strong>Methods: </strong>This review will adhere to the JBI methodology for systematic reviews and the Preferred Reporting Items Form Systematic Review and Meta-Analysis Protocols (PRISMA) guidelines. A 3-step search strategy will be used to search databases (MEDLINE, Embase, CINAHL, Scopus) without date restrictions. The search results will be reported in a PRISMA flow diagram. Two independent reviewers will extract detailed data on participants, methods, interventions, and outcomes. Certainty will be assessed with JBI appraisal tools to evaluate study quality and bias risk. Data synthesis will combine findings using statistical models, or narrative summaries when meta-analysis is not feasible.</p><p><strong>Systematic review registration number: </strong>PROSPERO CRD42024551524.</p>","PeriodicalId":36399,"journal":{"name":"JBI evidence synthesis","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143701723","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":"Inpatient to outpatient care transition interventions for adults with mental health conditions: a scoping review protocol.","authors":"Hanna Burkhart, Selina Müller, Markus W Haun","doi":"10.11124/JBIES-24-00302","DOIUrl":"https://doi.org/10.11124/JBIES-24-00302","url":null,"abstract":"<p><strong>Objective: </strong>The aim of this scoping review is to provide an overview of the key characteristics of care transition interventions (CTIs) from inpatient to outpatient care for adults with mental disorders.</p><p><strong>Introduction: </strong>Many patients with mental health disorders experience treatment discontinuation during the transition from inpatient to outpatient mental health care, which is associated with high rates of rehospitalization and/or suicidal behavior. CTIs provide low-threshold support to facilitate patients' access and adherence to outpatient treatment and ultimately, decrease rehospitalization rates.</p><p><strong>Inclusion criteria: </strong>We will include quantitative and qualitative study designs as well as study protocols and systematic reviews on CTIs for adults with mental health disorders (except for neurocognitive disorders). The CTIs need to include the following features: (i) initial session still during inpatient treatment or within the first 4 weeks after treatment and (ii) at least 1 additional session after patient discharge. We will exclude (i) interventions aiming solely to improve symptom severity (eg, medication, psychotherapy), (ii) studies conducted in the context of forensic and/or prison mental health care and (iii) studies focusing primarily on return to work or the prevention of homelessness.</p><p><strong>Methods: </strong>We will search PubMed, CINAHL (EBSCOhost), Cochrane Central Register of Controlled Trials (CENTRAL), PsycINFO (EBSCOhost), Web of Science, OpenGrey, and ProQuest Dissertations & Theses for potentially relevant records. Two independent reviewers will conduct the initial title/abstract screening and full-text screening. Data will be extracted in a draft charting table and presented in a narrative synthesis accompanied by graphic visualizations and tables, in line with the review questions.</p><p><strong>Review registration: </strong>Open Science Framework 10.31234/osf.io/e9v7y.</p>","PeriodicalId":36399,"journal":{"name":"JBI evidence synthesis","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143664876","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":"Online peer support for people with dementia: a scoping review protocol.","authors":"Esther Vera Loseto-Gerritzen, Catherine Talbot, Orii McDermott, Martin Orrell, Neil S Coulson","doi":"10.11124/JBIES-24-00343","DOIUrl":"https://doi.org/10.11124/JBIES-24-00343","url":null,"abstract":"<p><strong>Objective: </strong>The objective of this scoping review is to gain insights into the different online peer support opportunities available for people with dementia.</p><p><strong>Introduction: </strong>People with dementia use a variety of online platforms for peer support, such as social networking sites or videoconferencing platforms. Online peer support can offer a variety of benefits, such as overcoming geographical barriers and the opportunity to choose a platform and mode of communication that suits a person's needs and preferences. However, there is currently no synthesis of the different online peer support opportunities available to people with dementia.</p><p><strong>Inclusion criteria: </strong>Participants in this review will include people living with a self-reported diagnosis of any form of dementia. The concept is peer support through online platforms, while the context is online peer support that is accessible in English.</p><p><strong>Methods: </strong>The review will be conducted according to the JBI methodology for scoping reviews. A 3-step strategy will be used to search 4 data sources: (1) scholarly and gray literature databases, (2) Google search engine, (3) social media and websites of dementia organizations, and (4) consultations with people with dementia and professionals. The review will be managed in Covidence and Excel. The study selection and data extraction will be conducted by 2 independent reviewers and a third reviewer will be consulted if needed. For the data extraction a draft data extraction instrument will be used, following the recommendations of JBI. Data will be extracted on platform, online peer support, and study characteristics. The findings will be presented in tables and a narrative summary.</p><p><strong>Details of this review project can be found in open science framework: </strong>https://doi.org/10.17605/OSF.IO/8JTQC.</p>","PeriodicalId":36399,"journal":{"name":"JBI evidence synthesis","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143658970","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":"Out-of-hospital care of postpartum hemorrhage: a scoping review.","authors":"Rachel Soh, Lucymarie Silvestri, Anna Pearce, James Pearce","doi":"10.11124/JBIES-24-00058","DOIUrl":"https://doi.org/10.11124/JBIES-24-00058","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Objective: &lt;/strong&gt;Given the paucity of information on managing out-of-hospital postpartum hemorrhage, this scoping review aimed to systematically map current literature on the scope, depth, and key concepts on the topic, as well as identify gaps and areas for further study.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Introduction: &lt;/strong&gt;Postpartum hemorrhage is characterized by blood loss after childbirth that endangers hemodynamic stability of the mother. It can cause rapid deterioration if not managed promptly and remains the leading cause of maternal morbidity and mortality worldwide, particularly in resource-limited, out-of-hospital settings; however, knowledge about its management is limited.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;The JBI scoping review methodology was utilized for this review. A comprehensive search strategy was employed across MEDLINE (Ovid), CINAHL Complete (EBSCOhost), Embase (Ovid), Scopus, Web of Science, as well as gray literature databases ProQuest Dissertations and Theses and EBSCOhost Open Dissertations. A Google search and a hand-search of relevant, peer-reviewed journals was also performed. Inclusion criteria were applied to identify appropriate literature. Studies that describe emergency out-of-hospital care of both primary and secondary postpartum hemorrhage in women regardless of age, ethnicity, parity, or comorbidities were considered. Of these, only those published in English after 1988 were included. Selection of sources for inclusion were then determined by 2 independent reviewers; discrepancies in outcomes were discussed with a third reviewer. The reference lists of all included sources were screened and authors were contacted before data were extracted and reported according to the Preferred Reporting Items for Systematic Reviews and Meta-Analysis extension for Scoping Reviews (PRISMA-ScR) reporting guideline.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;The search yielded 311 unique records, of which 43 were included in the synthesis. All the included studies were published literature, of which, the majority were primary studies and secondary reviews. A significant proportion of the included studies were published by authors from the United States, United Kingdom and Australia. Across the literature, care of patients with OOHBs is hinged on actively managing the third stage, involving pharmacological and mechanical measures to facilitate placenta delivery. When postpartum bleeding compromises hemodynamic stability of the mother, current practices include standard hemorrhage protocols alongside measures to reverse the cause of the hemorrhage. However, our findings indicate substantial inconsistencies in recognition and management of out-of-hospital postpartum hemorrhage. This can be attributed to variabilities in identification methods and interventions, gaps in practitioner knowledge and skillsets, lack of clinical practice guidelines, social determinants affecting health care access, and logistical challenges in providing timely medica","PeriodicalId":36399,"journal":{"name":"JBI evidence synthesis","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143625743","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}