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- Critchley, Kim A, et al.
(author)
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Student experiences with an international public health exchange project
- 2009
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In: Nurse educator. - 0363-3624. ; 34:2, s. 69-74
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Journal article (peer-reviewed)abstract
- With growing interconnectivity of healthcare systems worldwide and increased immigration, inappropriate cultural and role assumptions are often seen when cultures clash within a country or when there is practice across country boundaries in times of disaster and during international travel. To increase students' multicultural awareness and work experiences abroad, the authors describe a 7-school, 5-country international student exchange project. The authors also share the students' evaluations of their experiences as they are challenged to erase boundaries and embrace nursing across countries. Participating faculty describe the process, challenges, and keys to success found in creating and living this international project. Students involved in the exchange process evaluate the learning opportunities and challenges and the joy of coming together as newfound colleagues and friends.
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| 3. |
- Mitchell, Eileen, et al.
(author)
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Neuropsychological rehabilitation interventions for people with an acquired brain injury and their caregivers. A protocol for a systematic review of economic evaluation
- 2020
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In: HRB Open Research. - : F1000 Research Ltd. - 2515-4826.
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Journal article (peer-reviewed)abstract
- Background: New emerging evidence has demonstrated the need for effective interventions to help people living with an acquired brain injury (ABI). Evidence on cost-effectiveness, which can help inform use of limited resources, is scarce in this area and therefore the purpose of this systematic review is to critically appraise and consolidate the current evidence on economic evaluations of ABI rehabilitation interventions.Methods: Systematic review methodology will be applied to identify, select and extract data from published economic evaluation studies (trial-based, non-trial based, simulation-based, decision model and trial-based model economic evaluations) of ABI treatment interventions in adults. A systematic literature search will be conducted on the following electronic databases: EMBASE, Econlit, CINAHL, Medline, Econlit, the National Health Service Economic Evaluation Database and PsyclNFO. This review will only include cost-effectiveness analysis studies (e.g., cost per life year gained), cost-benefit and cost minimisation analyses in which the designs were randomised controlled trials (RCTs), non-RCT studies, cost-utility analyses (e.g., cost per quality-adjusted life year (QALY) gained or cost per disability-adjusted life year averted), cohort studies, and modeling studies. Only studies that were published in English, associated with adults who have an ABI will be included. There will be no restrictions on perspective, sample size, country, follow-up duration or setting. The search strategy terms will include the following: acquired brain injury, brain*; cost*; or cost–benefit analysis*. Following data extraction, a narrative summary and tables will be used to summarize the characteristics and results of included studies.Discussion: The findings from this review will be beneficial to health policy decision makers when examining the evidence of economic evaluations in this field. In addition, it is anticipated that this review will identify gaps in the current economic literature to inform future-related research.
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| 4. |
- Mitchell, Eileen, et al.
(author)
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The Value of Nonpharmacological Interventions for People With an Acquired Brain Injury: : A Systematic Review of Economic Evaluations
- 2022
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In: Value in Health. - : Elsevier BV. - 1098-3015. ; 25:10, s. 1778-1790
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Research review (peer-reviewed)abstract
- Objectives: Acquired brain injury (ABI) has long-lasting effects, and patients and their families require continued care andsupport, often for the rest of their lives. For many individuals living with an ABI disorder, nonpharmacologicalrehabilitation treatment care has become increasingly important care component and relevant for informed healthcaredecision making. Our study aimed to appraise economic evidence on the cost-effectiveness of nonpharmacologicalinterventions for individuals living with an ABI.Methods: This systematic review was registered in PROSPERO (CRD42020187469), and a protocol article was subject to peerreview. Searches were conducted across several databases for articles published from inception to 2021. Study quality wasassessed according the Consolidated Health Economic Evaluation Reporting Standards checklist and Population, Intervention,Control, and Outcomes criteria.Results: Of the 3772 articles reviewed 41 publications met the inclusion criteria. There was a considerable heterogeneityin methodological approaches, target populations, study time frames, and perspectives and comparators used. Keepingthese issues in mind, we find that 4 multidisciplinary interventions studies concluded that fast-track specialized serviceswere cheaper and more cost-effective than usual care, with cost savings ranging from £253 to £6063. In 3neuropsychological studies, findings suggested that meditated therapy was more effective and saved money thanusual care. In 4 early supported discharge studies, interventions were dominant over usual care, with cost savingsranging from £142 to £1760.Conclusions: The cost-effectiveness evidence of different nonpharmacological rehabilitation treatments is scant. More robustevidence is needed to determine the value of these and other interventions across the ABI care pathway.
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