HRB open researchPub Date : 2024-02-08eCollection Date: 2022-01-01DOI: 10.12688/hrbopenres.13609.2
Manjula Manikandan, Shalini Jagdeo, Fiona Weldon, Sarah Harrington, Rory O'Sullivan, Jennifer Fortune, Claire Kerr, Jennifer M Ryan
{"title":"Mapping health services for adults with cerebral palsy in Ireland: a pilot study.","authors":"Manjula Manikandan, Shalini Jagdeo, Fiona Weldon, Sarah Harrington, Rory O'Sullivan, Jennifer Fortune, Claire Kerr, Jennifer M Ryan","doi":"10.12688/hrbopenres.13609.2","DOIUrl":"10.12688/hrbopenres.13609.2","url":null,"abstract":"<p><strong>Background: </strong>Cerebral palsy (CP) is a common cause of physical disability in childhood. The majority of children with CP survive to adulthood. Once discharged from children's services, adults with CP find it challenging to navigate health services. The aim of this study was to pilot and refine a methodology to map services for adults with CP in Ireland.</p><p><strong>Methods: </strong>We used a multi-informant mapping methodology consisting of: 1. Defining health services; 2. Identifying informants; 3. Designing a survey; 4. Collecting data; 5. Data checking and analysis. We collected data on services from service users and service providers using an online survey. We verified data against information available online and by asking organisations to provide details about the service.</p><p><strong>Results: </strong>Fifteen service users and nine service providers completed the online survey. Data on 265 unique services at 32 organisations were provided. The most commonly provided services were physiotherapy (12%) and occupational therapy (11%). We confirmed the name of 89 services (34%) against online information. We received further details from eight organisations about 27 services. Specifically, we received details about the organisation name for 27 of the 265 services (10%), service name for 25 services (9%), service type for 25 services (9%), a website for 19 services (7%), and data on eligibility criteria and types of supports provided for between 25 or 26 services (9% or 10%).</p><p><strong>Conclusion: </strong>This pilot study highlighted the complexity of mapping services for adults with CP in Ireland. We recommend that an alternative methodology should be used to map services for adults with CP in Ireland.</p>","PeriodicalId":73254,"journal":{"name":"HRB open research","volume":"5 ","pages":"61"},"PeriodicalIF":0.0,"publicationDate":"2024-02-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10603314/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71415801","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
HRB open researchPub Date : 2024-02-02eCollection Date: 2023-01-01DOI: 10.12688/hrbopenres.13740.2
Martin McMahon, Louise Lynch, Andrew Wormald, Jessica Eustace-Cook, Mary McCarron, Philip McCallion, Valerie Smith
{"title":"Prevalence and incidence of cancer amongst adults with intellectual disability - a systematic review and meta-analysis protocol.","authors":"Martin McMahon, Louise Lynch, Andrew Wormald, Jessica Eustace-Cook, Mary McCarron, Philip McCallion, Valerie Smith","doi":"10.12688/hrbopenres.13740.2","DOIUrl":"10.12688/hrbopenres.13740.2","url":null,"abstract":"<p><strong>Background: </strong>People with intellectual disabilities have poorer health and die earlier than their peers without identified disabilities. This difference represents a significant inequality. Until recently, it was considered that cancer was less common in this population, mainly because they did not live long enough to develop age-related cancers. However, recent evidence has identified that people with intellectual disabilities may be at an increased risk of developing cancer but more likely to present for medical treatment at a later stage when cancer has spread. Nonetheless, the evidence is lacking and there is a need to understand the prevalence and incidence of cancer and subtypes of cancer in adults with intellectual disabilities.</p><p><strong>Methods: </strong>A systematic review and meta-analysis will be undertaken to investigate the prevalence and incidence of cancer and subtypes of cancer in adults with an intellectual disability. The JBI Systematic reviews of prevalence and incidence and the PRISMA-P (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines were followed to develop this protocol. Electronic databases will be searched using predefined search terms to identify relevant studies using the Condition Context Population (CoCoPop) framework. Eligible studies should be observational and have published baseline data that have estimated or presented data on the prevalence or incidence of cancer in adults with intellectual disabilities. To assess the methodological quality of studies included in this review a modified version of the JBI Critical Appraisal Checklist for Studies Reporting Prevalence Data will be used. Prevalence and incidence proportions will be analysed separately with individual study data being pooled using the DerSimonian-Laird proportion method and a random effects meta-analysis will be undertaken.</p><p><strong>Discussion: </strong>This review will advance the epidemiological evidence to identify where targeted cancer care interventions are needed to help reduce the inequalities that this population experiences.</p><p><strong>Systematic review registration: </strong>PROSPERO registration number: CRD42023423584.</p>","PeriodicalId":73254,"journal":{"name":"HRB open research","volume":"6 ","pages":"51"},"PeriodicalIF":0.0,"publicationDate":"2024-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10850849/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139708629","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
HRB open researchPub Date : 2024-01-31eCollection Date: 2022-01-01DOI: 10.12688/hrbopenres.13641.2
Johanna Pope, Paula Byrne, Declan Devane, Tina D Purnat, Maura Dowling
{"title":"Health misinformation: protocol for a hybrid concept analysis and development.","authors":"Johanna Pope, Paula Byrne, Declan Devane, Tina D Purnat, Maura Dowling","doi":"10.12688/hrbopenres.13641.2","DOIUrl":"10.12688/hrbopenres.13641.2","url":null,"abstract":"<p><strong>Background: </strong>Misinformation represents a serious and growing concern for public health and healthcare health; and has attracted much interest from researchers, media, and the public over recent years. Despite increased concern about the impacts of misinformation on health and wellbeing, however, the concept of health misinformation remains underdeveloped. In particular, there is a need to clarify how certain types of health information come to be designated as \"misinformation,\" what characteristics are associated with this classification, and how the concept of misinformation is applied in health contexts.</p><p><strong>Aim: </strong>Developing a shared understanding of what it means for health information to be \"misinformation\" is an important first step to accurately identifying at-risk groups, clarifying pathways of vulnerability, and agreeing goals for intervention. It will also help to ensure that misinformation interventions are accessible, acceptable, and of benefit to the populations to which they are directed. We will therefore examine the characteristics, measurement, and applications of misinformation in health contexts.</p><p><strong>Methods: </strong>We will undertake a hybrid concept analysis, following a framework from Schwartz-Barcott & Kim (2000). This framework comprises three phases: a theoretical phase, fieldwork phase, and final analysis phase. In the theoretical phase, a search of seven electronic citation databases (PsycInfo, socINDEX, JSTOR, CINAHL, Scopus, MEDLINE and PubMed Central via PubMed, and ScienceDirect) will be conducted in order to identify original research, review, and theoretical papers, published in English between 2016 and 2022, which examine \"health misinformation.\" Data from the literature will be synthesised using evolutionary concept analysis methods from Rodgers (2000). In the fieldwork phase, a purposive sampling strategy will be employed to recruit stakeholders for participation in semi-structured interviews. Interviews will be analysed using thematic analysis. The final phase will integrate findings from the theoretical and fieldwork analyses.</p>","PeriodicalId":73254,"journal":{"name":"HRB open research","volume":"5 ","pages":"70"},"PeriodicalIF":0.0,"publicationDate":"2024-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11621614/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142796398","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
HRB open researchPub Date : 2024-01-29eCollection Date: 2023-01-01DOI: 10.12688/hrbopenres.13773.2
B O'Donovan, A Malone, F Horgan, K Bennett
{"title":"A scoping review protocol of the rehabilitation needs of people with brain tumours.","authors":"B O'Donovan, A Malone, F Horgan, K Bennett","doi":"10.12688/hrbopenres.13773.2","DOIUrl":"10.12688/hrbopenres.13773.2","url":null,"abstract":"<p><strong>Background: </strong>Every year 480 people are diagnosed with a primary brain tumour in Ireland. Brain tumours can vary in type, location, treatment, and progression but neurological impairments are a consistent feature. Such neurological disability creates significant symptom burden that can seriously impact peoples' functional ability and quality of life. Rehabilitation can improve functional prognosis (motor and cognitive) and quality of life in people with brain tumours. However, research and experience consistently show that people with brain tumours can have difficulties accessing rehabilitation services. Our scoping review will investigate the research evidence concerning the rehabilitation needs of people with brain tumours.</p><p><strong>Methods: </strong>The scoping review will be conducted in line with Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) reporting guidelines. Relevant databases (PubMed, Embase, CINAHL+, PsychINFO, PEDro) and grey literature sources will be searched. Publications relating to international rehabilitation practices will be included. A data extraction table will be created to facilitate narrative synthesis of the results.</p><p><strong>Conclusions: </strong>This scoping review will examine the scope of the literature on the rehabilitation needs of people with brain tumours. The findings will inform a research project entitled \"Surgery, radiotherapy, chemotherapy, but now what? Exploring the rehabilitation needs of people with brain tumours in Ireland\". An article reporting the results of the scoping review will be submitted to a scientific journal and presented at relevant national and international conferences.</p>","PeriodicalId":73254,"journal":{"name":"HRB open research","volume":"6 ","pages":"45"},"PeriodicalIF":0.0,"publicationDate":"2024-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10831223/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139673790","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
HRB open researchPub Date : 2024-01-12eCollection Date: 2023-01-01DOI: 10.12688/hrbopenres.13669.2
Lucy Alpine, Emer Barrett, Julie Broderick, David Mockler, Anne O'Connor
{"title":"Education programmes on performance-based assessment for allied health and nursing clinical educators: A scoping review protocol.","authors":"Lucy Alpine, Emer Barrett, Julie Broderick, David Mockler, Anne O'Connor","doi":"10.12688/hrbopenres.13669.2","DOIUrl":"10.12688/hrbopenres.13669.2","url":null,"abstract":"<p><strong>Background: </strong>Performance-based assessment (PBA) is a complex process undertaken in the workplace by healthcare practitioners known as clinical educators, who assist universities in determining health professional students' readiness for independent practice. Preparing healthcare professionals for PBA is considered essential to ensuring the quality of the assessment process in the clinical learning environment. A preliminary search of the literature indicated a paucity of research guiding the development of education programmes that support practice educators to understand and implement PBA.</p><p><strong>Objective: </strong>The aim of this scoping review is to investigate and describe education programmes delivered to allied health and nursing clinical educators, to develop PBA knowledge and skills.</p><p><strong>Methods: </strong>This review will follow the Joanna Briggs Institute (JBI) methodology for conducting scoping reviews. Electronic databases relevant to this research topic will be searched including, EMBASE, ERIC, MEDLINE (Ovid), Web of Science and CINAHL and other targeted databases for grey literature. Studies that include PBA as the main focus or a component of the education programmes, of any format, delivered to clinical educators in allied health and nursing will be included. Studies may report the design and/or implementation and/or evaluation of PBA education programmes. Relevant English language publications will be sought from January 2000 to October 2022. Two reviewers will screen all titles and abstracts against the inclusion/exclusion criteria, and publications deemed relevant will be eligible for full text screening, confirming appropriateness for inclusion in the scoping review. Data will be charted to create a table of the results, supported a by narrative summary of the findings in line with the review objectives.</p>","PeriodicalId":73254,"journal":{"name":"HRB open research","volume":"6 ","pages":"11"},"PeriodicalIF":0.0,"publicationDate":"2024-01-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11791400/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143191483","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
HRB open researchPub Date : 2024-01-11eCollection Date: 2023-01-01DOI: 10.12688/hrbopenres.13742.2
Maria-Louise Carroll, Catherine Doody, Cliona O' Sullivan, Carla Perrotta, Brona M Fullen
{"title":"Co-Design of a website for women with pelvic organ prolapse: A study protocol.","authors":"Maria-Louise Carroll, Catherine Doody, Cliona O' Sullivan, Carla Perrotta, Brona M Fullen","doi":"10.12688/hrbopenres.13742.2","DOIUrl":"10.12688/hrbopenres.13742.2","url":null,"abstract":"<p><strong>Background: </strong>Despite high reported prevalence of pelvic organ prolapse (POP), women report difficulties accessing evidence-based and reliable information about the condition. Many rely on social media and other popular and highly visible internet platforms which have been found to contain poor quality information that is difficult for the average patient to understand. The aim of the study is to co-design an information website for premenopausal women with POP. The website design will be based on the Website Developmental Model for the Healthcare Consumer (WDMHC) framework.</p><p><strong>Methods: </strong>A four phase process will be utilised as per the WDMHC framework: 1) User, task and environmental analysis; 2) Functional and representational analysis; 3) Cognitive walkthrough, keystroke level model, heuristic testing; 4) Content based testing, expert testing and user-based testing.Ethics approval has been obtained (LS-23-19-Carroll-Ful). Two groups of stakeholders will be recruited (i) patient group (ii) healthcare professional (HCP) group. Patient participants will be recruited from an online pelvic floor dysfunction (PFD) support group (n=950 members). A website designer and HCP stakeholders involved in the multidisciplinary team caring for women with POP will be invited to participate.Both groups will participate in separate co-design online workshops. Focus group workshops will be video-recorded, transcribed and imported into NVivo. Themes and subthemes will be developed.The website will be designed and disseminated to all participants for feedback. Cognitive walkthrough and heuristic testing will be undertaken. Following this, necessary modifications will be made to the website. Participants will then complete a modified System Usability Scale (SUS) and the eHealth Impact Questionnaire, while five HCPs will complete the DISCERN instrument.</p><p><strong>Conclusion: </strong>This study will inform the design and testing of an information website for women with POP. The website design and content will be informed by patient and HCP stakeholder voices and the health literacy literature.</p>","PeriodicalId":73254,"journal":{"name":"HRB open research","volume":"6 ","pages":"37"},"PeriodicalIF":0.0,"publicationDate":"2024-01-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10576183/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41241795","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
HRB open researchPub Date : 2024-01-08DOI: 10.12688/hrbopenres.13818.1
Sarah-Jane Byrne, David J. Williams, Declan Patton, Paul Murphy, F. Horgan
{"title":"The emerging role of a Stroke Clinical Nurse Specialist (CNS) in Early Supported Discharged: Developing a pathway for stroke nursing for secondary prevention in the community. A scoping review protocol.","authors":"Sarah-Jane Byrne, David J. Williams, Declan Patton, Paul Murphy, F. Horgan","doi":"10.12688/hrbopenres.13818.1","DOIUrl":"https://doi.org/10.12688/hrbopenres.13818.1","url":null,"abstract":"Background Stroke represents a major source of mortality and morbidity globally. The role of a stroke Clinical Nurse Specialist (CNS) as an expert team member in early supported discharge (ESD) for stroke, is not well defined or described although it is well established in other models of after-hospital and out-reach specialist care in the community. A greater focus has been on patients receiving rehabilitation post-stroke, however there is a need for a more holistic approach to care which clinical nurse specialists can offer to patients as part of ESD. Nurses are often the cohesive point of contact for other after-hospital services, managing many aspects of secondary prevention. Objective The aim of this scoping review is to explore the evidence in relation to the role of the stroke nurse providing secondary prevention interventions to stroke patients in a community setting. Methods We will conduct a scoping review in accordance with the Arksey and O’Malley, 2005 1 scoping review framework and the PRISMA-ScR guidelines to map available literature on the role of the stroke nurse in post-stroke care of patients in the community. The Cochrane Central Register of Controlled Trials and Systematic literature searches including databases MEDLINE, EMBASE, CINAHL, google scholar and grey literature will be searched using keyword searches. Data will be charted and synthesised and a narrative synthesis will be conducted. Conclusions This scoping review will be used to identify gaps in the current literature and identify areas for future research in the role of the stroke nurse in ESD in relation to secondary prevention for stroke patients and inform the development of a pathway for stroke nursing in ESD.","PeriodicalId":73254,"journal":{"name":"HRB open research","volume":"34 19","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139446513","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}
HRB open researchPub Date : 2024-01-03DOI: 10.12688/hrbopenres.13823.1
Sinead Kavanagh, Jennifer A. Pallin, A. Doherty, Peter Lazzarini, Linda O'Keeffe, Claire M Buckley
{"title":"Prevalence and incidence of peripheral neuropathy, peripheral artery disease, foot disease, and lower extremity amputation in people with diabetes in Ireland; a systematic review protocol.","authors":"Sinead Kavanagh, Jennifer A. Pallin, A. Doherty, Peter Lazzarini, Linda O'Keeffe, Claire M Buckley","doi":"10.12688/hrbopenres.13823.1","DOIUrl":"https://doi.org/10.12688/hrbopenres.13823.1","url":null,"abstract":"Introduction Internationally, the prevalence of diabetes is increasing, and with this comes an increase in diabetes related complications. Diabetic foot disease is the most common lower extremity complication in people with diabetes, and is associated with major morbidity, mortality, and costs to health services. Despite this burden, the incidence and prevalence of diabetic foot disease is unknown in Ireland. This paper presents a protocol for a systematic review to examine the incidence and prevalence of diabetic foot disease in the Irish population. Methods A systematic review will be performed using the Preferred Reporting Items for Systematic Review and Meta-Analyses guidelines. Pubmed, EMBASE, and Lenus, the Irish Health Research repository, will be searched for publications in any language and without restrictions to date. Title, abstract, and full text screening will be carried out independently by two investigators. Publications reporting on the incidence or prevalence of peripheral neuropathy, peripheral artery disease, ulceration, or amputation in people with diabetes in Ireland, from a defined geographical catchment area of Ireland, will be included. Joanna Briggs Institute (JBI) Critical Appraisal tool will be used to assess included studies methodological quality. Results will be reported in line with the Preferred Reporting Items for Systematic Review and Meta-Analyses guidelines. Conclusion The results of this systematic review can be used to inform appropriate stakeholders on the incidence and prevalence of diabetic foot disease in Irish populations, enabling decision making around appropriate use of resources to help prevent, and improve management of this disease. Systematic review registration CRD42023472904","PeriodicalId":73254,"journal":{"name":"HRB open research","volume":"14 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139389263","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}
HRB open researchPub Date : 2023-12-28eCollection Date: 2022-01-01DOI: 10.12688/hrbopenres.13580.2
Catherine Waldron, John Hughes, Emma Wallace, Caitriona Cahir, K Bennett
{"title":"Contexts and mechanisms relevant to General Practitioner (GP) based interventions to reduce adverse drug events (ADE) in community dwelling older adults: a rapid realist review.","authors":"Catherine Waldron, John Hughes, Emma Wallace, Caitriona Cahir, K Bennett","doi":"10.12688/hrbopenres.13580.2","DOIUrl":"10.12688/hrbopenres.13580.2","url":null,"abstract":"<p><strong>Background: </strong>Older adults in Ireland are at increased risk of adverse drug events (ADE) due, in part, to increasing rates of polypharmacy. Interventions to reduce ADE in community dwelling older adults (CDOA) have had limited success, therefore, new approaches are required.A realist review uses a different lens to examine why and how interventions were supposed to work rather than if, they worked. A rapid realist review (RRR) is a more focused and accelerated version.The aim of this RRR is to identify and examine the contexts and mechanisms that play a role in the outcomes relevant to reducing ADE in CDOA in the GP setting that could inform the development of interventions in Ireland.</p><p><strong>Methods: </strong>Six candidate theories (CT) were developed, based on knowledge of the field and recent literature, in relation to how interventions are expected to work. These formed the search strategy. Eighty full texts from 633 abstracts were reviewed, of which 27 were included. Snowballing added a further five articles, relevant policy documents increased the total number to 45. Data were extracted relevant to the theories under iteratively developed sub-themes using NVivo software.</p><p><strong>Results: </strong>Of the six theories, three theories, relating to GP engagement in interventions, relevance of health policy documents for older adults, and shared decision-making, provided data to guide future interventions to reduce ADEs for CDOA in an Irish setting. There was insufficient data for two theories, a third was rejected as existing barriers in the Irish setting made it impractical to use.</p><p><strong>Conclusions: </strong>To improve the success of Irish GP based interventions to reduce ADEs for CDOA, interventions must be relevant and easily applied in practice, supported by national policy and be adequately resourced. Future research is required to test our theories within a newly developed intervention.</p>","PeriodicalId":73254,"journal":{"name":"HRB open research","volume":"5 ","pages":"53"},"PeriodicalIF":0.0,"publicationDate":"2023-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10811420/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139571615","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
HRB open researchPub Date : 2023-12-19DOI: 10.12688/hrbopenres.13671.2
L. Fitzharris, Emer McGowan, Julie Broderick
{"title":"Barriers and facilitators to refugees and asylum seekers accessing non hospital based care: A mixed methods systematic review protocol.","authors":"L. Fitzharris, Emer McGowan, Julie Broderick","doi":"10.12688/hrbopenres.13671.2","DOIUrl":"https://doi.org/10.12688/hrbopenres.13671.2","url":null,"abstract":"Context Social exclusion is characterised by and represents a form of disadvantage and marginalisation of vulnerable groups of people in society, who cannot fully participate in the normal activities of daily living. People who are socially excluded such as asylum seekers and refugees have complex healthcare needs and tend to present more to the acute hospital setting as emergency presentations. Little is known about barriers and facilitators experienced by this group to accessing nonhospital based care. Objectives This mixed methods systematic review, will critically examine the concept of barriers and facilitators for refugees and asylum seekers to accessing non hospital based care. Methods This methodological review will follow the Joanna Briggs Institute guidance for conducting mixed methods reviews. The following databases will be searched: Central Medline, PubMed, Embase, CINAHL, and the Cochrane Library. Relevant grey literature will be included. Title and abstract screening, followed by full-text screening will be undertaken independently by two reviewers. The Joanna Briggs Institute extraction tool will be adapted for data extraction. Discussion This mixed method review will comprehensively evaluate quantitative and qualitative data, synthesise both barriers and facilitators and follow a systematic approach through establishing use of mixed methods research across asylum seekers and refugees, and how they affect accessing non-hospital based care. It will explore conceptual models of access to healthcare and how they influence these factors.","PeriodicalId":73254,"journal":{"name":"HRB open research","volume":"1 11","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138959835","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}