scholarly journals Technology—supported guidance models stimulating the development of critical thinking in clinical practice: A mixed methods systematic review protocol (Preprint)

10.2196/25126 ◽  
2020 ◽  
Author(s):  
Jaroslav Zlamal ◽  
Edith Lillian Roth Gjevjon ◽  
Mariann Fossum ◽  
Marianne Trygg Solberg ◽  
Simen Alexander Steindal ◽  
...  
2021 ◽  
Vol 4 ◽  
pp. 1-21
Author(s):  
Vanessa Picker ◽  
Eleanor Carter ◽  
Mara Airoldi ◽  
James Ronicle ◽  
Rachel Wooldridge ◽  
...  

Background: Across a range of policy areas and geographies, governments and philanthropists are increasingly looking to adopt a social outcomes contracting (SOC) approach. Under this model, an agreement is made that a provider of services must achieve specific, measurable social and/or environmental outcomes and payments are only made when these outcomes have been achieved. Despite this growing interest, there is currently a paucity of evidence in relation to the tangible improvement in outcomes associated with the implementation of these approaches. Although promising, evidence suggests that there are risks (especially around managing perverse incentives).[1] The growing interest in SOC has been accompanied by research of specific programmes, policy domains or geographies, but there has not been a systematic attempt to synthetise this emerging evidence. To address this gap, this systematic review aims to surface the best evidence on when and where effects have been associated with SOC.  Methods: This mixed-methods systematic review protocol has been prepared using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Protocol (PRISMA-P) guidelines (Additional File 2) (Shamseer et al., 2010). The review aims to consult policymakers throughout the evidence synthesis process, by adopting a user-involved research process. This will include the establishment and involvement of a Policy Advisory Group (PAG). The PAG will consist of a large, diverse, international group of policy makers who are or have been actively involved in funding and shaping social outcomes contracts (Additional File 3). The following electronic databases will be searched: ABI/INFORM Global, Applied Social Sciences Index & Abstracts (ASSIA), Scopus, International Bibliography of the Social Sciences (IBSS), PAIS Index, PolicyFile Index, Proquest Dissertations and Theses, ProQuest Social Science, Social Services Abstracts, Web of Science, Worldwide Political Science Abstracts and PsycINFO. We will also conduct a comprehensive search of grey literature sources. Studies will be imported into Covidence and screened (after de-duplication) independently by two reviewers, using explicit inclusion/exclusion criteria. We will conduct risk of bias and quality assessment using recommended tools and we will extract data using a pre-piloted, standardised data extraction form. If meta-synthesis cannot be conducted for the effectiveness component, we will carry out a descriptive narrative synthesis of the quantitative evidence, categorised by type of intervention, type of outcome/s, population characteristics and/or policy sector. The qualitative studies will be synthesised using thematic content analysis (Thomas and Harden 2008). If possible, we will also analyse the available economic data to understand the costs and benefits associated with SOC. Finally, we will conduct a cross-study synthesis, which will involve bringing together the findings from the effectiveness review, economic review and qualitative review. We recognise that the proposed conventional effectiveness review method may lead to inconclusive or partial findings given the complexity of the intervention, the likely degree of heterogeneity and the under-developed evidence base. We see a traditional systematic review as an important foundation to describe the evidence landscape. We will use this formal review as a starting point and then explore more contextually rooted review work in future. Discussion: We will use the systematic review findings to produce accessible and reliable empirical insights on whether, when, and where (and if possible, how) SOC approaches deliver improved impact when compared to more conventional funding arrangements. The outputs will support policymakers to make informed decisions in relation to commissioning and funding approaches. Systematic   review   registration: This   systematic review was registered with the International Prospective Register of Systematic Reviews (PROSPERO), on 20th November 2020 and was last updated on 21 January 2021: (registration number PROSPERO CRD42020215207). [1] A perverse incentive in an outcomes-based contract is an incentive that has unintended and undesirable results. For instance, a poorly designed welfare-to-work scheme could create incentives for service providers to prioritise clients who are easier to help and to ‘park’ those who are harder to assist (NAO 2015).


2020 ◽  
Author(s):  
Jaroslav Zlamal ◽  
Edith Lillian Roth Gjevjon ◽  
Mariann Fossum ◽  
Marianne Trygg Solberg ◽  
Simen Alexander Steindal ◽  
...  

BACKGROUND Critical thinking is an essential skill that nursing students need to develop. Critical thinking is developed through guidance in clinical practice. Technological tools have opened new avenues for technology–supported guidance that stimulates the development of nursing students` critical thinking, but it is unclear which technology–supported guidance models are being used to stimulate the development of critical thinking and what are the challenges and facilitators of such guidance models. OBJECTIVE The aim of this study is synthesize the available knowledge on the use of technology–supported guidance models in nursing clinical practice that stimulates the development of critical thinking. METHODS Mixed methods systematic review by using a convergent integrated design following the Joanna Briggs Institute Manual for Evidence Synthesis. Articles will be selected by screening the titles and abstracts by a pair of authors. The methodological quality of articles will be assessed by a pair of authors, according to checklists for specific study designs. Data then will be extracted through a standardised Joanna Briggs Institute Mixed Methods Data Extraction Form Following a Convergent Integrated Approach. The thematic synthesis for data transformation and synthesis will be used. RESULTS Results of this review are expected in January 2021. CONCLUSIONS By combining evidence from studies with varied methodological approaches, it is expected that there will be a broader insight into the use of technology–supported guidance models in clinical practice, in nursing education, with focus on the development of nursing students` critical thinking. CLINICALTRIAL This protocol is not a protocol of clinical trial.


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