The prevalence and effect of burnout on graduate healthcare students

Burnout is a growing epidemic among professional healthcare students. Unaddressed burnout has been shown to have psychological and performance related detriments. The purpose of this scoping literature review was to investigate the prevalence of burnout and its effects on the psychological, professional, empathetic ability, and academic acuity of graduate healthcare students. Inclusion criteria included English language papers published within the last 10 years and subjects in graduate healthcare professional programs. This search encompassed 8,214 articles. After title and abstract screening, 127 articles remained and were sorted into five domains of interest: etiology, professionalism, mental health, empathy, and academic performance. After duplicates were removed, 27 articles remained for the scoping review. Graduate level healthcare students had higher levels of burnout than age matched peers and the general population. The high prevalence of burnout within graduate healthcare students can have an effect on their mental health, empathy, and professional conduct. Understanding the occurrence and effects of burnout within graduate healthcare programs allows faculty and administration to plan curriculum, and provide information to students to understand, recognize, and create opportunities to decrease burnout in order to create long lasting quality clinicians

Anterior Cruciate Ligament Return to Sport after Injury Scale (ACL-RSI) Scores over Time After Anterior Cruciate Ligament Reconstruction: A Systematic Review with Meta-analysis

Background: Psychological readiness is an important consideration for athletes and clinicians when making return to sport decisions following anterior cruciate ligament reconstruction (ACLR). To improve our understanding of the extent of deficits in psychological readiness, a systematic review is necessary. Objective: To investigate psychological readiness (measured via the Anterior Cruciate Ligament-Return to Sport after Injury scale (ACL-RSI)) over time after ACL tear and understand if time between injury and surgery, age, and sex are associated with ACL-RSI scores. Methods: Seven databases were searched from the earliest date available to March 22, 2022. Articles reporting ACL-RSI scores after ACL tear were included. Risk of bias was assessed using the ROBINS-I, RoB-2, and RoBANS tools based on the study design. Evidence certainty was assessed for each analysis. Random-effects meta-analyses pooled ACL-RSI scores, stratified by time post-injury and based on treatment approach (i.e., early ACLR, delayed ACLR, and unclear approach). Results: A total of 83 studies were included in this review (78% high risk of bias). Evidence certainty was ‘weak’ or ‘limited’ for all analyses. Overall, ACL-RSI scores were higher at 3 to 6 months post-ACLR (mean = 61.5 [95% confidence interval (CI) 58.6, 64.4], I2 = 94%) compared to pre-ACLR (mean = 44.4 [95% CI 38.2, 50.7], I2 = 98%), remained relatively stable, until they reached the highest point 2 to 5 years after ACLR (mean = 70.7 [95% CI 63.0, 78.5], I2 = 98%). Meta-regression suggests shorter time from injury to surgery, male sex, and older age were associated with higher ACL-RSI scores only 3 to 6 months post-ACLR (heterogeneity explained R2 = 47.6%), and this reduced 1–2 years after ACLR (heterogeneity explained R2 = 27.0%). Conclusion: Psychological readiness to return to sport appears to improve early after ACL injury, with little subsequent improvement until ≥ 2-years after ACLR. Longer time from injury to surgery, female sex and older age might be negatively related to ACL-RSI scores 12–24 months after ACLR. Due to the weak evidence quality rating and the considerable importance of psychological readiness for long-term outcomes after ACL injury, there is an urgent need for well-designed studies that maximize internal validity and identify additional prognostic factors for psychological readiness at times critical for return to sport decisions. Registration: Open Science Framework (OSF), https://osf.io/2tezs/

Quality Assessment and Risk of Bias Tool Repository

A resource for finding and selecting a risk of bias or quality assessment tool for evidence synthesis projects. This project was created and is maintained by Duke University's Medical Center Library & Archives

Cyberincivility among Adolescents: A Systematic Review of Qualitative Evidence

The purpose of this qualitative review is to explore adolescents’ experiences and perspectives regarding cyberincivility

Exploring the Landscape of Palliative Care Provision for Black Patients with Hematologic Cancers: A Scoping Review.

A scoping review to identify and describe what is known about palliative care among Blacks with hematological malignancie

Patients\u27 perceptions with musculoskeletal disorders regarding their experience with healthcare providers and health services: an overview of reviews

Objectives: This overview of reviews aimed to identify (1) aspects of the patient experience when seeking care for musculoskeletal disorders from healthcare providers and the healthcare system, and (2) which mechanisms are used to measure aspects of the patient experience. Data sources: Four databases were searched from inception to December 20th, 2019. Review methods: Systematic or scoping reviews examining patient experience in seeking care for musculoskeletal from healthcare providers and the healthcare system were included. Independent authors screened and selected studies, extracted data, and assessed the methodological quality of the reviews. Patient experience concepts were compiled into five themes from a perspective of a) relational and b) functional aspects. A list of mechanisms used to capture the patient experience was also collected. Results: Thirty reviews were included (18 systematic and 12 scoping reviews). Relational aspects were reported in 29 reviews and functional aspects in 25 reviews. For relational aspects, the most prevalent themes were information needs (education and explanation on diseases, symptoms, and self-management strategies) and understanding patient expectations (respect and empathy). For functional aspects, the most prevalent themes were patient\u27s physical and environmental needs, (cleanliness, safety, and accessibility of clinics), and trusted expertise, (healthcare providers\u27 competence and clinical skills to provide holistic care). Interviews were the most frequent mechanism identified to collect patient experience. Conclusions: Measuring patient experience provides direct insights about the patient\u27s perspectives and may help to promote better patient-centered health services and increase the quality of care. Areas of improvement identified were interpersonal skills of healthcare providers and logistics of health delivery, which may lead to a more desirable patient-perceived experience and thus better overall healthcare outcomes

From screaming to screening: An evaluation of free systematic review software

Background: Systematic reviews are a popular publication type for researchers and are increasingly used as experiential learning tools in curricula.  Systematic review software helps to expedite reviews by organizing and streamlining parts of the review process and reducing data entry.  Despite the many benefits of this software, libraries may not be able to support the purchase of systematic review tools that can cost anywhere from the price of a journal to the price of an entire database.  This study analyzes the usability of free systematic review software for use by individual reviewers or review teams and in classroom settings. Methods: Using the Systematic Review Toolbox to identify systematic review software, librarians tested several types of systematic review software by performing sample reviews.  They performed a structured analysis of the software, looking at dimensions such as learning curve, data import/export, range of functions available, ease of screening, sorting capabilities, managing full text, collaboration, and scalability. Results: Results will be presented as a poster at MAC 2017. Conclusion: Though there are many types of free systematic review software available, several have design flaws that would preclude them from certain types of use or user. This poster will compare the systematic review tools and features available in each type of software for various types of users

Opportunities for LIS research and support services: A scoping review of bibliometric MeSH scholarship

LIS scoping review protoco