JBI evidence synthesis最新文献

{"title":"Textual evidence systematic reviews series paper 3: critical appraisal of evidence from narrative, opinion, and policy.","authors":"Alexa McArthur, Adam Cooper, Deborah Edwards, Jitka Klugarova, Hu Yan, Brittany V Barber, Emily E Gregg, Lori E Weeks, Zoe Jordan","doi":"10.11124/JBIES-24-00293","DOIUrl":"10.11124/JBIES-24-00293","url":null,"abstract":"<p><p>JBI has long held the view that an inclusive approach to the conceptualization of what counts as evidence is important to the evidence-based movement. JBI's approach for appraising textual evidence had encompassed all forms of text (narrative, opinion, and policy), with one general tool used to guide critical appraisal. The proliferation of textual evidence and increase in textual evidence reviews demonstrate the need to reconceptualize JBI's methodological approach to critically appraising textual evidence. The objective of this paper is to outline the updated methodological approach to systematic reviews of textual evidence, especially in relation to the development of 3 separate critical appraisal tools for narrative, expert opinion, and policy text. Using an adapted Delphi approach, the JBI Textual Evidence Methodology Group convened over several rounds of meetings and discussions with international experts to reach consensus on the reconceptualization of critical appraisal tools for textual evidence sources. Strategies to effectively interrogate the legitimacy and authenticity of sources were found to be dependent upon the type of textual evidence under review. Therefore, 3 separate critical appraisal tools for narrative, expert opinion, and policy text were developed. This paper provides an overview of the development of 3 separate critical appraisal tools, highlighting the complex nature of textual evidence data sources.</p>","PeriodicalId":36399,"journal":{"name":"JBI evidence synthesis","volume":" ","pages":"833-839"},"PeriodicalIF":1.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143190794","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":"Factors influencing direct breastfeeding of preterm infants in neonatal wards and the provision of breastfeeding support: a qualitative systematic review protocol.","authors":"Laura Crump, Guillaume Fontaine, Meagan Mooney, Sabine Calleja, Nancy Feeley, Sonia Semenic","doi":"10.11124/JBIES-24-00079","DOIUrl":"https://doi.org/10.11124/JBIES-24-00079","url":null,"abstract":"<p><strong>Objective: </strong>The objective of this review is to synthesize the qualitative evidence on factors that influence direct breastfeeding of preterm infants in neonatal wards and the provision of breastfeeding support.</p><p><strong>Introduction: </strong>Breastmilk is critical for the health of preterm neonates, and infants who directly feed at the breast are more likely to receive breastmilk exclusively for longer periods. Direct breastfeeding is associated with improved maternal coping and development of maternal identity. Preterm infants are significantly less likely to breastfeed than their term counterparts. An understanding of barriers and facilitators of direct breastfeeding and breastfeeding support in neonatal wards is lacking.</p><p><strong>Inclusion criteria: </strong>The proposed qualitative systematic review will include studies using qualitative methods and mixed methods, exploring the perceptions of breastfeeding parents, neonatal health care staff, and/or support people about the barriers and facilitators to direct breastfeeding (ie, suckling breastmilk directly from the parent's breast) among preterm infants (infants born at less than 37 weeks' gestation) admitted to a neonatal ward. Articles written in English or French will be considered.</p><p><strong>Methods: </strong>MEDLINE (Ovid), CINAHL (EBSCOhost), Embase (Ovid), PsycINFO (Ovid), Scopus, and the Cochrane Library will be searched, with no time restrictions applied. Two independent reviewers will screen and extract data using a tool developed for this purpose. The findings will be coded and pooled using the meta-aggregation approach. The findings will be mapped to specific domains of the Theoretical Domains Framework using an iteratively developed coding manual. Studies will be appraised using the JBI critical appraisal tool for qualitative research, and confidence in the overall findings will be assessed using the ConQual approach.</p><p><strong>Review registration: </strong>PROSPERO CRD42024557250.</p>","PeriodicalId":36399,"journal":{"name":"JBI evidence synthesis","volume":"23 5","pages":"1009-1019"},"PeriodicalIF":1.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144051100","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":"Factors that influence international nursing students' experiences and perceptions of their learning environments: a scoping review.","authors":"Fatch Welcome Kalembo, Sally Wilson, Terena Solomons, Irene Ngune, Eric Lim, Anna Bosco, Paul Kebble, John Taplin, Janie Brown","doi":"10.11124/JBIES-24-00353","DOIUrl":"https://doi.org/10.11124/JBIES-24-00353","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Objective: &lt;/strong&gt;The objective of this review was to explore factors that influence international undergraduate nursing students' experiences and perceptions of their learning environment.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Introduction: &lt;/strong&gt;In the past 2 decades, international student enrollment in tertiary education increased globally, with English-speaking countries such as Australia, Canada, the United Kingdom, and the United States attracting a significant majority of these students. Many of these international students are attracted to studies in health professions and related sciences, particularly nursing. Despite their economic and cultural contributions to the host country, international nursing students face numerous challenges that affect their learning experiences.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Inclusion criteria: &lt;/strong&gt;Peer-reviewed studies reporting on the factors that positively or negatively influenced international undergraduate nursing students' perceptions or experiences of their learning environment within the higher education sector, onshore in any country other than their own, were included. Studies of any research design and from any country were considered. Studies reporting on students whose educational preparation was vocational or led to registration to work under the supervision of registered nurses were excluded. Perceptions or experiences reported by educators, mentors, or clinical facilitators who supported international nursing students were also excluded.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;A search for relevant records was conducted in CINAHL (EBSCOhost), MEDLINE (Ovid), Embase (Ovid), Emcare (Ovid), PsycINFO (Ovid), Web of Science Core Collection, Scopus, and ScienceDirect. Databases were searched from 1995 onward for published studies on October 12, 2020, then subsequently updated on July 1, 2022, and March 15, 2024. Gray literature was searched using Google Scholar, CORE, and BASE. A data extraction tool developed by the reviewers was used to extract data from the included studies. The extracted data were analyzed through content analysis and simple qualitative synthesis based on the review questions. The findings are presented in narrative format, supported by mind maps and tables.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;A total of 1928 records was identified in the databases. Of these, 10 were duplicates. The titles and abstracts of the remaining 1918 records were screened, and 1876 records were excluded for not meeting the study inclusion criteria. Forty-two full-text reports were retrieved and assessed against the eligibility criteria. Of the 42 reports, 13 discrete studies met the criteria for inclusion in this review. Findings from the included studies showed that international student nurses faced language barriers, cultural challenges, and discrimination in academic and clinical settings, compounded by inadequate support and high academic demands, which affected their well-being. International student nurses employed strategies","PeriodicalId":36399,"journal":{"name":"JBI evidence synthesis","volume":"23 5","pages":"840-875"},"PeriodicalIF":1.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144038543","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":"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 and 2021. Of the 68 primary studies, 50 were published between 1996 and 2014 and 18 were published between 2015 and 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 ","PeriodicalId":36399,"journal":{"name":"JBI evidence synthesis","volume":" ","pages":"876-919"},"PeriodicalIF":1.5,"publicationDate":"2025-05-01","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":"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":"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 Core Collection, 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 were also performed. Inclusion criteria were applied to identify appropriate literature. Studies that described emergency out-of-hospital care of either primary or 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 was 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-Analyses 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 review. All the included studies were published literature, the majority of which were primary studies and secondary reviews. A significant proportion of the included studies were published by authors from the United States, the United Kingdom, and Australia. Across the literature, care of patients with out-of-hospital births includes actively managing the third stage of labor, 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 skill sets, lack of clinical practice guidelines, social determinants affecting health care access, and logistical","PeriodicalId":36399,"journal":{"name":"JBI evidence synthesis","volume":" ","pages":"920-948"},"PeriodicalIF":1.5,"publicationDate":"2025-05-01","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}

{"title":"Prevalence and incidence of zoonotic diseases in South Asia: a systematic review protocol.","authors":"Sajda Khatoon, Biswajit Mahapatra, Edakashwa Thubru, Paramita Bhattacharya, Nirmalya Mukherjee, Chanchal Bhattacharya, Ganesh Kondabattula, Omesh Bharti, Anil Sharma, Denny John","doi":"10.11124/JBIES-23-00337","DOIUrl":"https://doi.org/10.11124/JBIES-23-00337","url":null,"abstract":"<p><strong>Objective: </strong>This review aims to estimate the prevalence and incidence of zoonotic diseases from studies of populations from South Asia (Afghanistan, Bangladesh, Bhutan, India, Maldives, Nepal, Pakistan, and Sri Lanka).</p><p><strong>Introduction: </strong>South Asia is of notable importance in terms of the prevalence and incidence of endemic zoonoses, as well as its role as a focal point for emerging zoonotic diseases.</p><p><strong>Inclusion criteria: </strong>Studies reporting on populations residing in the 8 South Asian countries, irrespective of age/gender, will be considered. Primary outcomes will include studies estimating the prevalence and incidence of zoonotic diseases in South Asia. Secondary outcomes will include the burden of zoonotic diseases, including emergence and reemergence.</p><p><strong>Methods: </strong>Databases including PubMed, Embase (Ovid), Scopus, and Web of Science Core Collection, as well as government websites, reports of multilateral agencies, and gray literature will be searched. Titles/abstracts, full screening, and critical appraisal of included studies will be conducted by 2 independent reviewers with adjudication by a third author. JBI guidelines for prevalence and incidence studies will be used to extract data from included studies. Critical appraisal of included studies will be conducted using the standard JBI checklists. Where feasible, statistical meta-analysis will be conducted to report the proportional representation related to prevalence and incidence using forest plots, along with the 95% CI. Publication bias will be assessed using Egger's test and funnel plots, if possible. Subgroup and sensitivity analyses will be conducted using standard methods. Where statistical pooling is not possible, tables and figures will be used to present the results in a narrative synthesis.</p><p><strong>Review registration: </strong>PROSPERO CRD42023450289.</p>","PeriodicalId":36399,"journal":{"name":"JBI evidence synthesis","volume":"23 5","pages":"983-991"},"PeriodicalIF":1.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144062733","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 of alternative exercises in cardiac rehabilitation on program completion and outcomes in women with or at high risk of cardiovascular disease: a systematic review and meta-analysis.","authors":"Orathai Suebkinorn, Joyce S Ramos, Sherry L Grace, Lemlem G Gebremichael, Norma B Bulamu, Maria Alejadra Pinero de Plaza, Hila Ariela Dafny, Vincent Pearson, Lemma N Bulto, Roufei Trophy Chen, Siwanon Rattanakanokchai, Gabriela L M Ghisi, Tania Marin, Katie Nesbitt, Aarti Gulyani, Sonia Hines, Lance C Dalleck, Jeroen M Hendriks, Robyn A Clark, Alline Beleigoli","doi":"10.11124/JBIES-24-00457","DOIUrl":"https://doi.org/10.11124/JBIES-24-00457","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Objective: &lt;/strong&gt;This systematic review aimed to evaluate the effectiveness of alternative exercises within a cardiac rehabilitation (CR) program compared to traditional gym-based exercises or usual care. The focus was on CR completion and outcomes in women.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Introduction: &lt;/strong&gt;CR programs generally offer traditional gym-based exercises, including treadmill exercises, cycling on ergometers, and conventional resistance training. However, these exercises may not be suitable for all individuals, particularly women with chronic musculoskeletal conditions. Alternative exercises, such as yoga, Pilates, tai chi, Nordic walking, and dancing, have been suggested as safer and more enjoyable options, potentially increasing CR completion rates among women. However, the evidence on the effectiveness of alternative exercises in improving CR completion and other health outcomes for women remains limited.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Inclusion criteria: &lt;/strong&gt;This systematic review included randomized controlled trials evaluating the effects of alternative exercises in a CR program that recruited at least 50% women.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;The following databases were searched from inception to January 15, 2024: MEDLINE (Ovid), CINAHL (EBSCOhost), the Cochrane Central Register of Controlled Trials, Embase (Ovid), Emcare (Ovid), Scopus, Web of Science, LILACS, and PsycINFO (Ovid). Two reviewers independently assessed the methodological quality and certainty of evidence using the JBI critical appraisal instrument and Grading of Recommendations Assessment, Development and Evaluation (GRADE), respectively. Meta-analyses with random-effects models were conducted for data synthesis.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;Eight RCTs were included involving 398 women studied. Alternative exercises (yoga, tai chi, stepping exercises, Nordic walking, outdoor walking, and aerobic dance) had little to no effect on women's CR completion compared to usual care (risk ratio [RR] 1.02; 95%CI 0.87-1.20; 2 trials; 51 participants; I2=0%, very low certainty of evidence). These alternative exercises may result in improved systolic blood pressure, diastolic blood pressure, body weight, and 6-minute-walk test at ≤12 weeks follow-up. Alternative exercises had little to no effect on other health outcomes, including body mass index, lipid profiles, fasting blood sugar, hemoglobin A1c, peak oxygen uptake, quality of life, and depression symptoms at ≤12 weeks. When examining longer-term impacts, it appears offering these modalities had little to no effect on blood pressure (systolic and diastolic) at 24 weeks. The evidence supporting these findings was rated as very low certainty for each outcome.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusions: &lt;/strong&gt;Evidence on the effects of alternative exercises within CR on women's CR completion and health outcomes remains limited. This is primarily due to the small number of trials involving women and the very low certainty of evidence for each outc","PeriodicalId":36399,"journal":{"name":"JBI evidence synthesis","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143989134","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":"Safety of selective COX-2 inhibitors in tonsillectomy patients: a systematic review protocol.","authors":"Sophie Dunmall, Lucylynn Lizarondo, Romy Menghao Jia, Eng Hooi Ooi","doi":"10.11124/JBIES-24-00381","DOIUrl":"https://doi.org/10.11124/JBIES-24-00381","url":null,"abstract":"<p><strong>Objective: </strong>This review aims to assess the safety of selective COX-2 inhibitors in tonsillectomy patients.</p><p><strong>Introduction: </strong>Recovery after tonsillectomy is painful and requires robust multimodal analgesia to manage; however, there is a concern for bleeding risk with non-steroidal anti-inflammatory drugs (NSAIDs). Selective COX-2 inhibitors are theoretically safe due to minimal COX-1 anti-platelet effect; however, their safety as a subclass of medication in tonsillectomy patients has not been well established despite multiple published experimental studies.</p><p><strong>Inclusion criteria: </strong>The review will consider studies that assess patients of any age undergoing tonsillectomy or adenotonsillectomy, treated with an NSAID that is more selective for COX-2 than COX-1. The primary relevant outcome is the incidence of post-tonsillectomy bleeding.</p><p><strong>Methods: </strong>The review will follow the JBI methodology for systematic reviews of effectiveness. The search strategy will include searches of CINAHL, the Cochrane Library, Embase, MEDLINE, SciELO, and Web of Science. Studies will be assessed by 2 independent reviewers against inclusion criteria. Studies of any date, language, or methodological quality may be included for data extraction. The standard JBI methodology for critical appraisal will be used. Effect sizes will be expressed as odds ratios, and sub-group analyses will be used to identify and manage differences in study design and patient cohorts. The GRADE approach for grading certainty of evidence will be followed.</p><p><strong>Review registration: </strong>PROSPERO: CRD42024577071.</p>","PeriodicalId":36399,"journal":{"name":"JBI evidence synthesis","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144051088","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":"Tools used to assess methodological quality of primary mixed methods or multi-method studies: a scoping review protocol.","authors":"Cindy Stern, Heather Loveday, Christina Godfrey, Danielle Pollock, Quan Nha Hong, Kendra Rieger, Matthew Stephenson, Nisha Kurian, Jacopo Fiorini, Lucylynn Lizarondo","doi":"10.11124/JBIES-24-00569","DOIUrl":"https://doi.org/10.11124/JBIES-24-00569","url":null,"abstract":"<p><strong>Objective: </strong>The objective of this proposed scoping review is to identify the tools available to critically appraise and assess methodological quality; assess risk of bias of primary mixed methods or multi-method studies; and determine which studies have undergone any formal psychometric evaluation.</p><p><strong>Introduction: </strong>Currently, JBI does not have an appraisal tool for primary mixed methods or multi-methods studies and recommends reviewers use the JBI qualitative tool and the relevant quantitative tool (based on study design) together. While useful, this does not allow reviewers to consider elements specifically related to the nuances of primary mixed methods studies.</p><p><strong>Inclusion criteria: </strong>Any tool, checklist, scale, instrument, criteria, system, or framework that has been designed to assess the methodological quality of primary mixed methods or multi-methods studies will be of interest. Adapted or modified versions of tools will also be considered and any psychometric properties measured will be recorded. Published and unpublished primary studies, reviews, and textual evidence are eligible for inclusion in the review.</p><p><strong>Methods: </strong>The review will follow JBI methodology for scoping reviews and be reported in line with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR). The following databases and resources will be searched: CINAHL, PubMed, PsycINFO, Embase, Scopus, medRxiv, ProQuest Dissertations and Theses Global, and Google Scholar. Various websites will also be searched. No language limits will be placed. Screening, data extraction, and data analysis will be conducted by 2 reviewers independently. Descriptive statistics and basic content analysis will be used to convey the results of the review, supplemented by a narrative synthesis and presented in tabular and graphical form.</p><p><strong>Review registration: </strong>Open Science Framework: osf.io/da9th.</p>","PeriodicalId":36399,"journal":{"name":"JBI evidence synthesis","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144037652","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":"Midwifery students' perceptions and learning experiences during clinical practice: a qualitative systematic review.","authors":"Zhihui Yang, Fengyi Zhang, Xingwen Li, Dongmei Mao, Ruiqi Lu, Le Zhang, Xinyi Zhang, Rixuan Feng, Lili Zhang, Ning Wang","doi":"10.11124/JBIES-24-00165","DOIUrl":"https://doi.org/10.11124/JBIES-24-00165","url":null,"abstract":"<p><strong>Objectives: </strong>This systematic review aimed to investigate, critically appraise, and synthesize qualitative evidence related to midwifery student perceptions and learning experiences during clinical practice.</p><p><strong>Introduction: </strong>Midwifery students are expected to acquire strong competencies during pre-registration education. Clinical practice offers valuable opportunities for the students to develop essential practical capacities. Gaining insights into the perceptions and experiences of midwifery students in relation to their clinical practice is significant in devising effective strategies for clinical education. The literature shows a range of qualitative studies conducted to focus on these aspects. While a single study may not comprehensively capture all the experience. This review aggregated existing qualitative evidence to inform the development of more effective clinical education programs.</p><p><strong>Inclusion criteria: </strong>This review included studies that explored midwifery students' perceptions and experiences in relation to their clinical practice in any practical settings. The review focused on qualitative data of various designs including, but not limited to, phenomenology, grounded theory, ethnography, action research, and mixed-method research.</p><p><strong>Methods: </strong>A 3-stage search was conducted to include published and unpublished articles. Databases searched included PsycINFO (EBSCOhost), ProQuest Dissertation and Theses, CINAHL Complete (EBSCOhost), Science Direct, Cochrane Library, Embase, PubMed, Web of Science, and gray literature. Papers published in English were considered. Data were extracted using a standardized tool. Data synthesis adhered to the meta-aggregative approach to categorize findings. The categories were synthesized into a set of findings to inform midwifery practical education.</p><p><strong>Results: </strong>This review encompassed 32 qualitative studies. A total of 212 findings were extracted and classified into 21 distinct categories, which then generated 3 synthesized findings related to midwifery students' adaption to clinical environment, clinical teaching and mentorship, and student learning and development. The overall study quality, assessed using ConQual, was rated as moderate, with moderate dependability and high credibility.</p><p><strong>Conclusions: </strong>This review highlights a need for supporting midwifery students to access their practical learning experience in order to develop essential professional capabilities. Strategies may address key aspects with regards to building a positive clinical learning environment to support the students' adaption, identifying their specific learning needs, and applying effective mentoring strategies.</p>","PeriodicalId":36399,"journal":{"name":"JBI evidence synthesis","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144030925","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}