Leaps in the dark: 60 years of Nursing Studies at the University of Edinburgh

Kelly, Daniel; Pollock, Linda; Rodgers, Sheila; Fawcett, Tonks N; Smith, Pam

doi:10.1111/jan.13186

Cited by 2 publications

(1 citation statement)

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“…Individualized support by nurses including PE support, SE support and possibly DOT might also be a beneficial intervention in low-incidence countries. An important finding from our Europe-wide survey among policy makers and nurse representatives also was that appointing a TB nurse to coordinate TB patient support (TB case management) may be considered a best practice in European low-incidence countries [ 71 ]. A systematic review on SE support and PE support of various forms found that most studies were conducted in in high-incidence settings, and that both SE and PE support improved treatment results [ 16 ].…”

Section: Discussionmentioning

confidence: 99%

Patient support for tuberculosis patients in low-incidence countries: A systematic review

et al. 2018

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BackgroundPatient support during tuberculosis treatment is expected to be more often available and more customized in low tuberculosis incidence, high-resource settings than in lower-resource settings. The aim of this systematic review is to provide an overview of tuberculosis patient support interventions implemented in low-incidence countries and an evaluation of their effects on treatment-related outcomes as well as their acceptability by patients and providers.MethodsPubMed, Social Science Citation Index and Cumulative Index to Nursing and Allied Health and Literature were searched for the period 01.2006–05.2016 on publications describing tuberculosis patient support interventions in low-incidence countries (<20 patients per 100,000 population).ResultsThrough our search strategy, 1875 unique publications were identified. Forty publications were included: 17 evaluated patient support quantitatively, 9 qualitatively and 14 only described the patient support. Nineteen publications assessed treatment supervision options only, 21 assessed (combinations of) treatment supervision, socio-economic, psycho-emotional, health-educational and other support. Of eight studies quantitatively evaluating the effects of support with a control group, four showed positive effects: two out of three that used combinations of patient support and two out of five that compared treatment supervision options. Heterogeneity of interventions precluded pooling of results. Qualitative and descriptive studies showed that patients appreciated individualized support including treatment supervision, psycho-emotional and socio-economic support; and digital health interventions.ConclusionOur review shows that a variety of patient support interventions is implemented in low-incidence countries. Although only a few interventions were evaluated quantitatively, we identified potential best practices. The scarcity of evidence on effectiveness, however, indicates the need for further research to evaluate potential best practices.

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Section: Discussionmentioning

confidence: 99%