Priorities for Cancer Research From the Viewpoints of Cancer Nurses and Cancer Patients: A Mixed-Method Systematic Review

BACKGROUND: Setting priorities in oncology is a useful way to produce a robust set of research questions that researchers can address. OBJECTIVE: The aim of this review was to describe cancer nurses and patients' main research priorities and describe their development over time. METHODS: A mixed-method systematic review was conducted for the period from 2000 to 2018 through a search of multiple databases. The methodological quality of the studies included was assessed using the Mixed-Methods Appraisal Tool, and the process of setting the health research priorities was assessed using Viergever's tool. Each study's top research priorities were extracted and summarized in categories. RESULTS: Fifteen studies were included: 13 addressed nurses' research priorities, and 2 focused on those of patients. The majority were Delphi and quantitative studies that were conducted in the United States and United Kingdom. The quality criteria score and the quality of the process were considered sufficiently good. The most important research priorities were categorized as disease control and management, patient-related issues, and professional dimensions and issues. Management of symptoms and pain, education, information, and communication were research priorities always present in the articles during the study period. CONCLUSION: Priorities change over time and depend on several factors; however, some have remained consistent for the last 18 years. Although there is increasing emphasis on including patients in establishing research priorities that inform cancer care, this involvement is still lacking. IMPLICATIONS FOR PRACTICE: Future studies should describe the primary cancer research priorities of nurses in collaboration with patients

Implementação do banco de ideias/caixa de sugestões/canteiro de ideias.

Projeto/Plano de Ação: 11.11.11.111

Remote mental health care interventions during the COVID-19 pandemic: an umbrella review

Mitigating the COVID-19 related disruptions in mental health care services is crucial in a time of increased mental health disorders. Numerous reviews have been conducted on the process of implementing technology- based mental health care during the pandemic. The research question of this umbrella review was to examine what the impact of COVID-19 was on access and delivery of mental health services and how mental health services have changed during the pandemic. A systematic search for systematic reviews and meta-analyses was conducted up to August 12, 2022, and 38 systematic reviews were identified. Main disruptions during COVID-19 were reduced access to outpatient mental health care and reduced admissions and earlier discharge from inpatient care. In response, synchronous telemental health tools such as videoconferencing were used to provide remote care similar to pre-COVID care, and to a lesser extent asynchronous virtual mental health tools such as apps. Implementation of synchronous tools were facilitated by time-efficiency and flexibility during the pandemic but there was a lack of accessibility for specific vulnerable populations. Main barriers among prac- titioners and patients to use digital mental health tools were poor technological literacy, particularly when preexisting inequalities existed, and beliefs about reduced therapeutic alliance particularly in case of severe mental disorders. Absence of organizational support for technological implementation of digital mental health interventions due to inadequate IT infrastructure, lack of funding, as well as lack of privacy and safety, chal- lenged implementation during COVID-19. Reviews were of low to moderate quality, covered heterogeneously designed primary studies and lacked findings of implementation in low- and middle-income countries. These gaps in the evidence were particularly prevalent in studies conducted early in the pandemic. This umbrella review shows that during the COVID-19 pandemic, practitioners and mental health care institutions mainly used synchronous telemental health tools, and to a lesser degree asynchronous tools to enable continued access to mental health care for patients. Numerous barriers to these tools were identified, and call for further improve- ments. In addition, more high quality research into comparative effectiveness and working mechanisms may improve scalability of mental health care in general and in future infectious disease outbreaks

Epífitos vasculares da floresta ombrófila densa de Santa Catarina.

Esse trabalho objetiva demonstrar a ocorrência dos epífitos vasculares da Floresta Ombrófila Densa de Santa Catarina

Riqueza de epífitos vasculares do Parque Nacional da Serra do Itajaí - Santa Catarina.

Este trabalho objetivou contribuir para a caracterização da comunidade epifítica vascular no Parque Nacional da Serra do Itajaí, Vale do Itajaí, Santa Catarina

Transferência de tecnologia em práticas promotoras de rendimento de grãos de milho em instituições de ensino agrotécnico do Rio Grande do Sul e Santa catarina, safra 2004/2005.

bitstream/CNPT-2010/40665/1/p-do47.pd