IntroductionPatient-centred care can be facilitated by co-design, which refers to collaboration between healthcare professionals and consumers in producing and implementing healthcare. Systematic reviews on co-design have mainly focused on the effectiveness of co-produced healthcare interventions. Less attention has been directed towards the experiences of patients in co-designed interventions. This rapid review aims to explore patient experiences of co-designed rehabilitation interventions and inform rehabilitation decision-making.Methods and analysisA rapid review will expedite timely information on co-design experiences for stakeholders. Four electronic databases, including Cochrane CENTRAL, MEDLINE, Embase and CINAHL, will be searched for papers published from 1 January 2000 to 1 January 2022. The Cochrane Risk of Bias tool will be used for randomised trials. Critical appraisal checklists from The Joanna Briggs Institute shall evaluate the risk of bias of non-randomised trials and qualitative studies. A narrative synthesis will be provided for the quantitative studies. Thematic synthesis will be conducted on qualitative findings. The overall strength of the evidence will be measured using the Grading of Recommendations Assessment, Development and Evaluation (GRADE) framework for quantitative investigations and the GRADE-Confidence in Evidence from Reviews of Qualitative Research for qualitative studies. The results will be presented using narrative summaries, identified themes, summary tables, flow charts and quantitative statistical analyses.Ethics and disseminationEthics approval is not required for the review. The protocol and rapid review will be submitted to an online, open access and peer-reviewed journal for publication. The review findings will be rapidly translated to consumers, clinicians, healthcare leaders, organisations, researchers and policy makers via publications, evidence summaries, conferences, workshops, websites, social media and online events.PROSPERO registration numberCRD42021264547.
BackgroundCodesign strengthens partnerships between healthcare workers and patients. It also facilitates collaborations supporting the development, design and delivery of healthcare services. Prior rehabilitation reviews have focused mainly on the clinical and organisational outcomes of codesign with less focus on the lived experience of rehabilitation patients.ObjectiveTo explore patient experiences of codesigned hospital rehabilitation interventions.DesignRapid review and evidence synthesis of the literature.Data sourcesCINAHL, MEDLINE, Embase and Cochrane were searched from 1 January 2000 to 25 April 2022.Study selectionStudies reporting patient experiences of codesigned rehabilitation interventions in hospitals.Results4156 studies were screened, and 38 full-text studies were assessed for eligibility. Seven studies were included in the final rapid review. Five out of the seven studies involved neurological rehabilitation. All eligible studies used qualitative research methods. The main barriers to codesign were related to staffing and dedicated time allocated to face-to-face patient-therapist interactions. High-quality relationships between patients and their therapists were a facilitator of codesign. Thematic synthesis revealed that codesigned rehabilitation interventions can enable a meaningful experience for patients and facilitate tailoring of treatments to align with individual needs. Personalised rehabilitation increases patient involvement in rehabilitation planning, delivery and decision-making. It also promotes positive feelings of empowerment and hope.ConclusionThis rapid review supports the implementation of codesigned rehabilitation interventions to improve patient experiences in hospitals.PROSPERO registration numberCRD42021264547.
BackgroundHospital falls are a major global problem responsible for considerable morbidity, mortality, and healthcare costs. Clinical practice guidelines for hospital falls prevention, facilitate the implementation of falls prevention research into practice, through the provision of evidence-based recommendations to mitigate the risk of falls. The review aims to identify, synthesise, appraise, and compare published clinical practice guidelines on hospital falls prevention.Methods and analysisThe databases of MEDLINE, Embase, CINAHL, Cochrane CENTRAL, PEDro, Web of Science, Infobase of Clinical Practice Guidelines, and Epistemonikos will be searched for clinical practice guidelines published between 1993 and 2023. The quality of the guidelines will be evaluated using the Appraisal of Guidelines for Research and Evaluation Global Rating Scale and Recommendation EXcellence tools. A thematic synthesis will be performed on the content of the included clinical practice guidelines. The synthesis findings will be graded using the Grading of Recommendations Assessment, Development and Evaluation Confidence in Evidence from Reviews of Qualitative Research approach.Ethics and disseminationEthics approval is not required for the review. The review will be submitted for publication to a peer-reviewed journal.
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