38978 research outputs found
Sort by
Paramedic Recognition and Clinical Decision-Making in Suspected Malignant Hypercalcaemia, a systematic scoping review.
No full textInstitutional Isomorphism in Hospital Contexts: A Scoping Review and Conceptual Synthesis of Its Interrelationships and Effects
No full textThis scoping review aims to map and synthesize the academic literature on the application of institutional isomorphism in hospital organizations. The review focuses on coercive, normative, and mimetic pressures, as well as their interrelationships with legitimacy, quality management, accreditation, innovation, governance, and organizational change in hospital contexts. The study follows PRISMA-ScR guidelines and seeks to develop an integrated conceptual framework to explain how institutional pressures shape convergence, adaptation, and variation across healthcare organizations
O Papel do Enfermeiro Especialista em Saúde Materna e Obstétrica na Prevenção da Depressão Pós-parto
No full text
Access to general health care among people with disability in the Western Pacific: a scoping review of quantitative evidence
No full textObjective: The objective of this scoping review is to compare access to general health care services for people with disability and people without disability in countries of the World Health Organization Western Pacific Region (WPRO).
Introduction: Inequalities in access to health care for people with disability are well documented globally, yet the extent of these disparities within the Western Pacific Region remains unclear. Existing evidence suggests persistent gaps in coverage, quality, and affordability of general health services for people with disability, warranting a comprehensive mapping of current research in this diverse region.
Inclusion criteria: This review will include studies involving people with disability of any age or gender, defined in accordance with the UNCRPD and ICF, including those identified through diagnoses, impairment types, or functioning measures. People without disability will form the comparison group. Eligible studies must examine access to general healthcare, measured through coverage, utilisation, quality, or affordability, within any WPRO country, and report comparative outcomes between people with and without disability. Studies limited to mild impairments, editorials, commentaries, protocols, conference abstracts, and grey literature will be excluded.
Methods: A three-step search strategy will be used to identify published studies. An initial limited search of MEDLINE (PubMed) and CINAHL was conducted in December 2025, followed by a comprehensive search of EMBASE (Ovid), MEDLINE (Ovid), Global Health (Ovid), CINAHL and Web of Science. Searches will be restricted to English-language studies published since 2015. Following duplicate removal, titles and abstracts will be screened independently by two reviewers in Covidence, with full texts assessed against the inclusion criteria and reasons for exclusion recorded. Data extraction will be performed in duplicate using a piloted tool capturing participant characteristics, disability measurement, health service use, and comparative outcomes. Extracted data will be summarised in tables and charts, accompanied by a narrative synthesis, with results organised by type of disability and access measure. The review will follow the JBI methodology for scoping reviews, and study selection will be reported using a PRISMA flow diagram
Nurse-Led Mental Health Care Interventions for Adult Patients to Reduce Emergency Department Visits and Hospital Readmissions: A Scoping Review Protocol
No full textObjective: To map and characterise the available evidence on nurse-led mental health care interventions aimed at reducing emergency department (ED) visits and hospital readmissions among adult patients, including intervention types, implementation contexts, barriers and facilitators, and reported outcomes.
Introduction: Emergency department overcrowding is a persistent global health system challenge associated with delayed care, poorer patient outcomes, and increased strain on healthcare staff. Mental health presentations represent a substantial proportion of ED utilisation and are frequently linked to repeat visits and hospital readmissions. Nurse-led models of care, including expanded scope roles and specialised clinical services, have been proposed as potential strategies to improve care delivery and system flow. Although evidence suggests nurses can effectively substitute for or complement physician roles in various settings, the range and characteristics of nurse-led mental health interventions targeting ED utilisation have not been comprehensively mapped. This scoping review aims to examine the breadth of literature addressing nurse-led interventions designed to reduce ED visits and hospital readmissions among adults with mental health needs.
Inclusion criteria: The population comprises studies reporting nurse-led mental health care interventions for adult patients aged 18 or above, associated with mental health and behaviours of concern. Papers with mixed age ranges, including those below 18 years of age, will be included if either the data can be separated by age or where the majority of participants are aged 18 or above. Specialist maternity, neonatal and paediatric services will be excluded. The concept of interest is nurse-led, adult mental health care interventions delivered in emergency departments that target the visit duration and/or frequency and/or timing of inadvertent hospital readmissions. The context is limited to hospital and hospital emergency department settings, whether acute tertiary referral or any variation of the acute service delivery model, including specialist mental health hospitals. No limits will be set in terms of cultural, socioeconomic or geographic context.
Methods: This scoping review will follow the methodology of the Joanna Briggs Institute and reporting guidance from the PRISMA Extension for Scoping Reviews (PRISMA ScR). Searches will be conducted in PubMed, PsycINFO, CINAHL, Scopus, and Web of Science, supplemented by grey literature and reference list screening.
Eligible sources will include experimental, quasi-experimental, observational, qualitative, mixed-methods studies, and relevant reviews or policy documents describing nurse-led mental health interventions in hospital ED contexts involving adults (≥18 years). Two independent reviewers will screen citations, extract data using a piloted extraction tool, and resolve disagreements through discussion or a third reviewer. Data will be summarised using descriptive statistics, tables, and inductive qualitative categorisation.
Keywords: Nurse-led care; Mental health services; Emergency service, hospital; Hospital readmission; Adul
The Core-Modulation Architecture (CMA) : A structural research program on layered cognition, theory generation, and AI interaction
No full textThis project presents a 14-paper structural research program developing the Core-Modulation Architecture (CMA), a layered framework for describing human cognition, communication, and AI interaction.
The framework distinguishes Core processing (constraint preservation and structural coherence) from empathic modulation (affective calibration and social interface adjustment). Using the developmental architecture of large language models as an external reference point, the series examines theory generation, communication breakdown, AI interaction, and social phenomena including love and charisma.
Papers a–c are under peer review at Cognitive Systems Research. Papers d–n are preprints
Testing TwIVI in a Developing Unequal Country: The Peruvian Case
No full textThis study offers a thorough psychometric assessment of the Twenty-Item Values Inventory (TwIVI) in Peru, a developing nation marked by significant socioeconomic inequalities. Data were gathered from two socially contrasting samples: a nationwide adult sample and a sample of students from an elite private university