Gillian Li Gek Phua, Jasmine Lerk Juan Owyong, Ian Tze Yong Leong, Suzanne Goh, Nagavalli Somasundaram, Eileen Yi Ling Poon, Anupama Roy Chowdhury, Simon Yew Kuang Ong, Crystal Lim, Vengadasalam Murugam, Eng Koon Ong, Stephen Mason, Ruaridh Hill, Lalit Kumar Radha Krishna
A systematic scoping review of group reflection in medical education
BMC medical education
heart failure estimated global prevalence 643 million cases average age person living heart failure 752 years approximately 20 residents living nursing homes longterm residential care environment individuals report living heart failure residents living heart failure nursing home environments often frail reduced quality life higher rates rehospitalisation mortality greater complications heart failure management nursing home staff often lack knowledge skills required provide necessary care living heart failure interventions improving heart failure management nursing homes proven effective yet lack understanding regarding interventions optimising care provision aim review synthesise current evidence educational interventions optimise care provided people heart failure nursing homes scoping review four databases searched medline cinahl web science embase relevant reference lists searched manually additional records studies nursing home staff resident outcomes associated changes care provision ie resident quality life staff knowledge heart failure included results charting data process collated themes intervention outcomes changes practice implementation process evaluation seven papers deemed eligible inclusion studies n6 comprised nursing home staff one comprised residents study aims improve heart failure knowledge interprofessional communication heart failure assessment management positive changes staff outcomes observed improvements knowledge selfefficacy confidence providing care reported difference reported concerning nursing home resident outcomes interprofessional communication staff ability conduct heart failure assessments improved postintervention changes practice mixed issues around sustainability reported nursing home staff highlighted appreciation towards receiving education recommending videos images humour could improve intervention content paucity evidence around educational interventions support residents living heart failure nursing homes however available evidence suggests educational interventions nursing homes may improve care improving staff selfefficacy confidence providing care heart failure knowledge interprofessional communication complexity implementing educational interventions nursing home setting must considered development process improve implementation effectiveness sustainability