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SYSTEMATIC REVIEW PROTOCOLS

The patient experience of patient-centered communication with nurses in the hospital setting: a qualitative systematic review protocol

Newell, Stephanie Grad Cert Inn Entrep; Jordan, Zoe BA, MA, PhD

Author Information
JBI Database of Systematic Reviews and Implementation Reports: January 2015 - Volume 13 - Issue 1 - p 76-87
doi: 10.11124/jbisrir-2015-1072
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Abstract

Inclusion criteria

Types of participants

The review will consider studies that include adult patients who are 18 years of age and older who have been admitted as inpatients to a medical-surgical ward.

Studies and texts presenting adult inpatients to all other hospital wards settings will be excluded. Maternity, emergency department, operating room, palliative and psychiatric ward settings will be excluded. Emergency department settings are excluded as they may not include patients that are admitted to hospital. Operating room settings are excluded because of the variations in the level of consciousness that may occur to patients. Maternity, palliative care and psychiatric patients because of unique needs of care required by these patients. Studies that include patients with cognitive disorders will also be excluded.

Phenomena of interest

This review will consider studies that investigate patient experience of engaging and interacting with nurses at the bedside in the hospital setting and the meaningfulness of that experience.

Types of studies

This review will consider studies that focus on qualitative data including, but not limited to, designs such as phenomenology, grounded theory, ethnography, action research and feminist research.

In the absence of research studies, other text such as opinion papers and reports will be considered.

Search strategy

The search strategy aims to find both published and unpublished studies. A three-step search strategy will be used. An initial limited search of MEDLINE and CINAHL will be undertaken followed by analysis of the text words contained in the title and abstract, and of the index terms used to describe article. A second search using all identified keywords and index terms will then be undertaken across all included databases. Thirdly, the reference list of all identified reports and articles will be searched for additional studies.

Studies published in English will be considered for inclusion in this review. Studies published from 1998-2013 will be considered for inclusion in this review. The commencing year of 1998 has been selected as it is anticipated that most studies that describe and investigate the patient experience occur after this date. This decision is based on the emergence of literature on patient safety and patient-centered care that have been integral to the formation of evidence for patient engagement and participation in health care.

The databases to be searched include:

PubMed

CINAHL

Embase

Dissertation abstracts (digital dissertations)

Initial keywords to be used will be:

Hospital care or acute care or point of care

Nurse or nurses or nursing

Patients or inpatient

Interact or talk or communicate or communication or relations or empathy or bonding or listening or voice or interpersonal or personal or caring

Patient-centered or patient-focused

Assessment of methodological quality

Papers selected for retrieval will be assessed by two independent reviewers for quality, validity and appropriates of methodology and method prior to inclusion in the review. Standardized critical appraisal instruments from the Joanna Briggs Institute Qualitative Assessment and Review Instrument (JBI-QARI) (Appendix V) will be used. Any disagreements that arise between the reviewers will be resolved through discussion, or with a third reviewer.

Data collection

Data will be extracted from papers included in the review using the standardized data extraction tool from JBI-QARI (Appendix VI). The data extracted will include specific details about the phenomena of interest, populations, study methods and outcomes of significance to the review question and specific objectives.

Data synthesis

Qualitative research findings will, where possible be pooled using JBI-QARI. This will involve the aggregation or synthesis of findings to generate a set of statements that represent that aggregation, through assembling the findings rated according to their quality, and categorizing these findings on the basis of similarity in meaning. These categories will then be subjected to a meta-synthesis in order to produce a single comprehensive set of synthesized findings that can be used as a basis for evidence-based practice. Where textual pooling is not possible the findings will be presented in narrative form.

Conflicts of interest

No conflicts of interest

Acknowledgements

Dr Yifan Xue, Research Fellow, The Joanna Briggs Institute, Faculty of Health Sciences, The University of Adelaide

References

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                                            Appendix I: Appraisal instruments

                                            QARI appraisal instrument

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                                            Appendix II: Data extraction instruments

                                            QARI data extraction instrument

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                                            Keywords:

                                            Patient-centered care; patient-centered communication; bedside; hospital setting

                                            © 2015 by Lippincott williams & Wilkins, Inc.