Catherine Harris Abstract Technology and the complexity of the patient care can take the nurse's attention away from caring for the patient to caring for the technology.
This article has been cited by other articles in PMC. Abstract Background Screening for risk of functional decline in the elderly is increasingly important in ambulatory health care settings, to ensure that appropriate services are provided to reduce the risk of downstream decline.
These screening tools should have sound psychometric properties and clinical utility. Design An updated systematic literature review for 1 new screening tools published since the last review, conducted in and published inand 2 recent research into psychometric properties of the five tools identified in the previous review.
Methods A comprehensive review of multiple databases using the search terms from the Sutton et al review was conducted. The reference lists of included articles were hand-searched for additional articles, and the literature was evaluated with the appropriate critical appraisal tool.
Included screening tools should be designed for, or applicable to, hospital emergency departments. Six additional papers testing psychometric properties of four of the five previously reported screening tools were also found.
Conclusion Seven relevant screening tools are available with similar validity and reliability estimates. They consider similar constructs and have convincing evidence of applicability to a range of older populations, or different cultures.
Identification of Seniors at Risk, is the most frequently reported screening tool. The wider unanswered question is how, why, and where these functional decline screening tools are used; how valid the findings are on ill, stressed, older people in emergency departments; and how the findings are acted upon in terms of community intervention to slow functional decline.
The systematic review conducted by Sutton et al published in 1 is the first we know of that reported on screening tools to identify older individuals at risk of functional decline, specific to use in a hospital emergency department.
As the general population increases in age, there is a need for a valid and reliable tool that can quickly and accurately screen for functional decline. That review identified five tools: Methods Updated search approach The previous review 1 conducted library database searches that sought studies from to November and limited to English studies only.
The updated systematic review reported in this paper therefore sought studies published from November to Octoberlimited to English studies only. Search strategy Type of studies Any peer reviewed article was included if it reported on: Types of exposure Screening tools designed specifically to identify older people at risk of functional decline or reduced functional status at time of presentation to hospital were included in the report.
Types of comparator Any other screening tool s that identified older people at risk of functional decline or reduced functional status were included in the report. Type of outcomes Prediction of change in functional status. The full search strategy can be obtained from the authors on request.
The reference lists of the included articles were hand searched and any texts potentially matching the inclusion criteria were retrieved. Any disagreements or uncertainties regarding inclusion were resolved via discussion between the authors.
Critical appraisal Relevant articles were critically evaluated using critical appraisal tools appropriate for the study design.
The quality assessment of diagnostic accuracy studies QUADAS critical appraisal tool, 16 which is a validated tool specifically developed to appraise studies assessing the accuracy of diagnostic tools for systematic reviews, was used to appraise the articles on the development of a new tool See Table 1 for QUADAS scores.
Table 1 Psychometric properties of new tools found in this search Functional decline assessment tool Author, date, and critical appraisal score Population group and country.The purpose of this systematic review was to gather evidence from the literature on tools for measuring caring and the outcomes in order to make that body of knowledge easily accessible to the direct care nurse for implementation.
Sep 16, · A systematic review was undertaken of published critical appraisal tools sourced from papers located on electronic databases and the Internet. The tools were classified according to the study design for which they were intended.
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Systematic Reviews: Tools for Data A free web application that assists systematic review authors in performing literature screening. Systematic Review Data Repository (SRDR) From AHRQ, the Systematic Review Data Repository (SRDR) is a powerful and easy-to-use tool for the.
A systematic review attempts to collate all empirical evidence that fits pre-specified eligibility criteria in order to answer a specific research question. The key characteristics of a systematic review are: a clearly defined question with inclusion & exclusion criteria; rigorous & systematic.
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Many journals now require that literature reviews utilize materials recommend by PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses). PRISMA is an evidence-based minimum set of items for reporting in systematic reviews and meta-analyses.