Add wos sample results library

02-data/intermediate/wos_sample/2bb33674c6159b5fac783118713c3006-karimi-shahanjarini/info.yaml

@@ -0,0 +1,281 @@
+abstract: 'Background
+
+  Having nurses take on tasks that are typically conducted by doctors
+
+  (doctor-nurse substitution, a form of `task-shifting'') may help to
+
+  address doctor shortages and reduce doctors'' workload and human resource
+
+  costs. A Cochrane Review of effectiveness studies suggested that
+
+  nurse-led care probably leads to similar healthcare outcomes as care
+
+  delivered by doctors. This finding highlights the need to explore the
+
+  factors that affect the implementation of strategies to substitute
+
+  doctors with nurses in primary care. In our qualitative evidence
+
+  synthesis (QES), we focused on studies of nurses taking on tasks that
+
+  are typically conducted by doctors working in primary care, including
+
+  substituting doctors with nurses or expanding nurses'' roles.
+
+  Objectives
+
+  (1) To identify factors influencing implementation of interventions to
+
+  substitute doctors with nurses in primary care. (2) To explore how our
+
+  synthesis findings related to, and helped to explain, the findings of
+
+  the Cochrane intervention review of the effectiveness of substituting
+
+  doctors with nurses. (3) To identify hypotheses for subgroup analyses
+
+  for future updates of the Cochrane intervention review.
+
+  Search methods
+
+  We searchedCINAHL and PubMed, contacted experts in the field, scanned
+
+  the reference lists of relevant studies and conducted forward citation
+
+  searches for key articles in the Social Science Citation Index and
+
+  Science Citation Index databases, and `related article'' searches in
+
+  PubMed.
+
+  Selection criteria
+
+  We constructed a maximum variation sample (exploring variables such as
+
+  country level of development, aspects of care covered and the types of
+
+  participants) from studies that had collected and analysed qualitative
+
+  data related to the factors influencing implementation of doctor-nurse
+
+  substitution and the expansion of nurses'' tasks in community or primary
+
+  care worldwide. We included perspectives of doctors, nurses, patients
+
+  and their families/carers, policymakers, programme managers, other
+
+  health workers and any others directly involved in or affected by the
+
+  substitution. We excluded studies that collected data using qualitative
+
+  methods but did not analyse the data qualitatively.
+
+  Data collection and analysis
+
+  We identified factors influencing implementation of doctor-nurse
+
+  substitution strategies using a framework thematic synthesis approach.
+
+  Two review authors independently assessed the methodological strengths
+
+  and limitations of included studies using a modified Critical Appraisal
+
+  Skills Programme (CASP) tool. We assessed confidence in the evidence for
+
+  the QES findings using the GRADE-CERQual approach. We integrated our
+
+  findings with the evidence fromthe effectiveness review of doctor-nurse
+
+  substitution using amatrixmodel. Finally, we identified hypotheses for
+
+  subgroup analyses for updates of the review of effectiveness.
+
+  Main results
+
+  We included 66 studies (69 papers), 11 from low-or middle-income
+
+  countries and 55 from high-income countries. These studies found several
+
+  factors that appeared to influence the implementation of doctor-nurse
+
+  substitution strategies. The following factors were based on findings
+
+  that we assessed as moderate or high confidence. Patients in many
+
+  studies knew little about nurses'' roles and the difference between
+
+  nurse-led and doctor-led care. They also had mixed views about the type
+
+  of tasks that nurses should deliver. They preferred doctors when the
+
+  tasks were more ` medical'' but accepted nurses for preventive care and
+
+  follow-ups. Doctors in most studies also preferred that nurses performed
+
+  only ` non-medical'' tasks. Nurses were comfortable with, and believed
+
+  they were competent to deliver a wide range of tasks, but particularly
+
+  emphasised tasks that were more health promotive/ preventive in nature.
+
+  Patients in most studies thought that nurses were more easily accessible
+
+  than doctors. Doctors and nurses also saw nurse-doctor substitution and
+
+  collaboration as a way of increasing people''s access to care, and
+
+  improving the quality and continuity of care. Nurses thought that close
+
+  doctor-nurse relationships and doctor''s trust in and acceptance of
+
+  nurses was important for shaping their roles. But nurses working alone
+
+  sometimes found it difficult to communicate with doctors. Nurses felt
+
+  they had gained new skills when taking on new tasks. But nurses wanted
+
+  more and better training. They thought this would increase their skills,
+
+  job satisfaction and motivation, and would make them more independent.
+
+  Nurses taking on doctors'' tasks saw this as an opportunity to develop
+
+  personally, to gain more respect and to improve the quality of care they
+
+  could offer to patients. Better working conditions and financial
+
+  incentives also motivated nurses to take on new tasks. Doctors valued
+
+  collaborating with nurses when this reduced their own workload. Doctors
+
+  and nurses pointed to the importance of having access to resources, such
+
+  as enough staff, equipment and supplies; good referral systems;
+
+  experienced leaders; clear roles; and adequate training and supervision.
+
+  But they often had problems with these issues. They also pointed to the
+
+  huge number of documents they needed to complete when tasks were moved
+
+  from doctors to nurses.
+
+  Authors'' conclusions
+
+  Patients, doctors and nurses may accept the use of nurses to deliver
+
+  services that are usually delivered by doctors. But this is likely to
+
+  depend on the type of services. Nurses taking on extra tasks want
+
+  respect and collaboration from doctors; as well as proper resources;
+
+  good referral systems; experienced leaders; clear roles; and adequate
+
+  incentives, training and supervision. However, these needs are not
+
+  always met.'
+affiliation: 'Shakibazadeh, E (Corresponding Author), Univ Tehran Med Sci, Dept Hlth
+  Educ \& Hlth Promot, Tehran, Iran.
+
+  Karimi-Shahanjarini, Akram, Hamadan Univ Med Sci, Dept Publ Hlth, Hamadan, Iran.
+
+  Karimi-Shahanjarini, Akram, Hamadan Univ Med Sci, Social Determinants Hlth Res Ctr,
+  Hamadan, Iran.
+
+  Shakibazadeh, Elham, Univ Tehran Med Sci, Dept Hlth Educ \& Hlth Promot, Tehran,
+  Iran.
+
+  Rashidian, Arash, Univ Tehran Med Sci, Sch Publ Hlth, Dept Hlth Management \& Econ,
+  Tehran, Iran.
+
+  Hajimiri, Khadijeh, Zanjan Univ Med Sci, Sch Publ Hlth, Dept Hlth Educ \& Hlth Promot,
+  Zanjan, Iran.
+
+  Glenton, Claire; Lewin, Simon, Norwegian Inst Publ Hlth, Oslo, Norway.
+
+  Noyes, Jane, Bangor Univ, Ctr Hlth Related Res, Bangor, Gwynedd, Wales.
+
+  Lewin, Simon, South African Med Res Council, Hlth Syst Res Unit, Tygerberg, South
+  Africa.
+
+  Laurant, Miranda, Radboud Univ Nijmegen, Med Ctr, IQ Healthcare, Radboud Inst Hlth
+  Sci, Nijmegen, Netherlands.
+
+  Laurant, Miranda, HAN Univ Appl Sci, Inst Nursing Studies, Nijmegen, Netherlands.
+
+  Colvin, Christopher J., Univ Cape Town, Sch Publ Hlth \& Family Med, Div Social
+  \& Behav Sci, Cape Town, South Africa.'
+article-number: CD010412
+author: Karimi-Shahanjarini, Akram and Shakibazadeh, Elham and Rashidian, Arash and
+  Hajimiri, Khadijeh and Glenton, Claire and Noyes, Jane and Lewin, Simon and Laurant,
+  Miranda and Colvin, Christopher J.
+author-email: shakibazadeh@tums.ac.ir
+author_list:
+- family: Karimi-Shahanjarini
+  given: Akram
+- family: Shakibazadeh
+  given: Elham
+- family: Rashidian
+  given: Arash
+- family: Hajimiri
+  given: Khadijeh
+- family: Glenton
+  given: Claire
+- family: Noyes
+  given: Jane
+- family: Lewin
+  given: Simon
+- family: Laurant
+  given: Miranda
+- family: Colvin
+  given: Christopher J.
+da: '2023-09-28'
+doi: 10.1002/14651858.CD010412.pub2
+eissn: 1361-6137
+files: []
+issn: 1469-493X
+journal: COCHRANE DATABASE OF SYSTEMATIC REVIEWS
+keywords-plus: 'PRIMARY-HEALTH-CARE; RANDOMIZED CONTROLLED-TRIAL; ADVANCED PRACTICE
+
+  NURSES; MENTAL-HEALTH; GENERAL-PRACTICE; PATIENTS EXPERIENCES;
+
+  SELF-MANAGEMENT; DIABETES CARE; NURSING ROLES; TELEPHONE CONSULTATION'
+language: English
+number: '4'
+number-of-cited-references: '231'
+orcid-numbers: 'Colvin, Christopher/0000-0002-8930-7863
+
+  Glenton, Claire/0000-0002-7558-7737
+
+  Karimi, Akram/0000-0002-2453-1389
+
+  Shakibazadeh, Elham/0000-0002-1320-2133
+
+  Laurant, Miranda/0000-0002-8826-3352'
+papis_id: ba970c8fdbfb4b734ff25635f4fdbc04
+ref: Karimishahanjarini2019barriersfacilitators
+researcherid-numbers: 'Colvin, Christopher/AAB-8276-2019
+
+  Colvin, Christopher/AAQ-1607-2021
+
+  Glenton, Claire/GSE-3606-2022
+
+  Karimi, Akram/AAA-5080-2021
+
+  Shakibazadeh, Elham/X-6430-2018
+
+  Rashidian, Arash/E-5061-2011
+
+  Laurant, Miranda/H-6488-2015'
+tags:
+- review
+times-cited: '54'
+title: 'Barriers and facilitators to the implementation of doctornurse substitution
+  strategies in primary care: a qualitative evidence synthesis'
+type: Review
+unique-id: WOS:000466276500002
+usage-count-last-180-days: '3'
+usage-count-since-2013: '35'
+web-of-science-categories: Medicine, General \& Internal
+year: '2019'