Research priorities

研究重点
  • 文章类型: Journal Article
    UNASSIGNED: Cardiovascular (CV) disease is a major cause of morbidity and mortality for patients with glomerular disease. Despite the fact that mechanisms underpinning CV disease risk in this population are likely distinct from other forms of kidney disease, treatment and preventive strategies tend to be extrapolated from studies of patients with undifferentiated chronic kidney disease (CKD). There is an unmet need to delineate the pathophysiology of CV disease in patients with glomerular disease, establish unique risk factors, and identify novel therapeutic targets for disease prevention. The aims of this narrative review are to summarize the existing knowledge regarding the epidemiology, molecular mechanisms, and management of CV disease in patients with common glomerular disease, highlight the patient perspective, and propose specific areas for future study.
    UNASSIGNED: The literature for this narrative review was accessed using common research search engines, including PubMed, PubMed Central, Medline, and Google Scholar. Information for the patient perspective section was collected through iterative discussions with a patient partner.
    UNASSIGNED: We reviewed the epidemiology, molecular mechanisms of disease, management approaches, and the patient perspective in relation to CV disease in patients with glomerulopathies. Throughout, we have highlighted the current knowledge and have discussed future research approaches, both clinical and translational, while integrating the patient perspective.
    UNASSIGNED: Patients with glomerular disease have significant CV disease risk driven by multifactorial, molecular mechanisms originating from their glomerular disease but complicated by existing comorbidities, kidney disease, and medication side effects. The current approach to risk stratification and treatment relies heavily on existing data from CKD patients, but this may not always be appropriate given the unique pathophysiology and mechanisms associated with CV disease risk in patients with glomerular disease. We highlight the need for ongoing glomerular disease-focused studies aimed to better delineate CV disease risk, while integrating the patient perspective.
    UNASSIGNED: This is a narrative review and does not represent a comprehensive and systematic review of the literature.
    UNASSIGNED: Les maladies cardiovasculaires sont une cause majeure de morbidité et de mortalité chez les patients atteints d’une maladie glomérulaire. Bien que les mécanismes qui sous-tendent le risque de maladie cardiovasculaire dans cette population sont probablement distincts des autres formes de néphropathies, le traitement et les stratégies préventives ont tendance à être extrapolés à partir d’études portant sur des patients atteints d’insuffisance rénale chronique indifférenciée. Il existe ainsi un besoin de délimiter la physiopathologie des maladies cardiovasculaires chez les patients atteints d’une maladie glomérulaire, d’établir les facteurs de risque propres à la maladie glomérulaire et d’identifier de nouvelles cibles thérapeutiques pour la prévenir. Les objectifs de cette revue narrative sont de résumer les connaissances existantes concernant l’épidémiologie, les mécanismes moléculaires et la prise en charge des maladies cardiovasculaires chez les patients atteints d’une maladie glomérulaire commune, de mettre en évidence le point de vue des patients et de proposer des domaines précis pour de futures études.
    UNASSIGNED: La documentation a été consultée par le biais des moteurs de recherche courants, notamment PubMed, PubMed Central, Medline et Google Scholar. Les points de vue des patients ont été recueillis au moyen de discussions itératives avec un patient partenaire.
    UNASSIGNED: Nous avons examiné l’épidémiologie et les mécanismes moléculaires de la maladie, les approches de prise en charge et la perspective des patients en lien avec les maladies cardiovasculaires chez les patients atteints d’une maladie glomérulaire. Nous avons fait état des connaissances actuelles et discuté des approches à envisager pour les recherches futures, tant cliniques que translationnelles, tout en intégrant la perspective du patient.
    UNASSIGNED: Les patients atteints d’une maladie glomérulaire présentent un risque significatif de maladie cardiovasculaire associé à des mécanismes moléculaires multifactoriels provenant de la maladie glomérulaire elle-même. Ce risque est compliqué par les comorbidités existantes, la néphropathie et les effets secondaires des médicaments. L’approche actuelle de stratification du risque et de traitement repose en grande partie sur les données existantes pour les patients atteints d’insuffisance rénale chronique; cette approche pourrait ne pas toujours convenir, compte tenu de la physiopathologie unique et des mécanismes associés au risque de maladie cardiovasculaire chez les patients atteints d’une maladie glomérulaire. Nos résultats mettent en lumière le besoin d’études continues, axées sur les maladies glomérulaires, qui visent à mieux cerner le risque de maladies cardiovasculaires chez ces patients, tout en intègrant leur point de vue.
    UNASSIGNED: Il s’agit d’une revue narrative; cette étude ne constitue pas une revue exhaustive et systématique de la littérature.
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  • 文章类型: Systematic Review
    背景:关于老年人需求的证据有限,包括那些生活脆弱的人,为研究优先级设置提供信息。
    目的:本系统综述旨在确定居住在自己家中的社区老年人的研究重点范围,包括那些脆弱的人。
    方法:纳入的研究来自经济发达国家,旨在确定社区居住老年人的研究重点或未满足的需求。如果研究描述了与特定健康状况有关的优先事项,则将其排除在外。Medline,Embase,搜索了PsycInfo和CINAHL(2010年1月-2022年6月),灰色文学。评估研究质量,但并不排除基于质量的研究.使用了定制的数据提取表格,并进行了内容分析以综合发现。
    结果:纳入75份报告。七个明确旨在确定虚弱的老年人的优先事项或未满足的需求;68没有指定虚弱为特征。研究设计多种多样,包括优先级设置练习,调查,采访,焦点小组和文献综述。确定的优先事项和未满足的需求被组织成主题:预防和管理,改善医疗保健服务的提供,改善日常生活,满足照顾者的需求和提前规划。
    结论:许多优先领域是由老年人提出的,护理人员和健康/护理专业人员,但是很少有人明确地由虚弱的老年人确定。确定了定制的总体需求,协作提供护理和支持。
    结论:审查结果为希望将研究或服务提供重点放在对老年人重要领域的研究人员和卫生保健人员提供了宝贵的资源。
    There is limited evidence regarding the needs of older people, including those living with frailty, to inform research priority setting.
    This systematic review aimed to identify the range of research priorities of community-dwelling older people living in their own home, including those living with frailty.
    Included studies were from economically developed countries and designed to identify the priorities for research or unmet needs of community-dwelling older people. Studies were excluded if they described priorities relating to specific health conditions. Medline, Embase, PsycInfo and CINAHL were searched (January 2010-June 2022), alongside grey literature. Study quality was assessed, but studies were not excluded on the basis of quality. A bespoke data extraction form was used and content analysis undertaken to synthesise findings.
    Seventy-five reports were included. Seven explicitly aimed to identify the priorities or unmet needs of frail older people; 68 did not specify frailty as a characteristic. Study designs varied, including priority setting exercises, surveys, interviews, focus groups and literature reviews. Identified priorities and unmet needs were organised into themes: prevention and management, improving health and care service provision, improving daily life, meeting carers\' needs and planning ahead.
    Many priority areas were raised by older people, carers and health/care professionals, but few were identified explicitly by/for frail older people. An overarching need was identified for tailored, collaborative provision of care and support.
    Review findings provide a valuable resource for researchers and health/care staff wishing to focus their research or service provision on areas of importance for older people.
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  • 文章类型: Journal Article
    2022年9月,国际辐射防护委员会(ICRP)在埃斯托里尔组织了一次研讨会,葡萄牙,关于“放射防护系统的审查和修订:关注研究重点”。工作坊,这是欧洲辐射防护周的附带活动,提供了一个机会来评论ICRP最近发表的一篇关于支持辐射防护系统的研究领域的论文。总之,约有150人参加了研讨会。研讨会结束后,与ICRP有正式关系的30个组织中有16个提供了书面反馈。所有参与者和组织都遵循ICRP的观点,即各个领域的进一步研究将在短期内为改善系统提供额外的支持,中等,和长期。总的来说,有人强调,任何研究都应注重结果,因为它应改善对人民或环境的保护。与会者提到的许多研究主题与ICRP在上述论文中已经确定的主题一致。此外,表达了进一步的想法,例如,例如,在COVID-19大流行期间吸取的关于非放射性社会的经验教训,经济和环境影响,应该分析它们对加强辐射防护的有用性,当前的保护战略和当前辐射保护原则的应用可能需要适应军事情况,例如最近在乌克兰军事冲突或核武器爆炸期间观察到的情况。从更广泛的角度来看,讨论了辐射研究和辐射防护如何为联合国2015年宣布的可持续发展目标做出贡献。本文总结了研讨会期间表达的观点以及ICRP确定的主要带回家的信息。 .
    In September 2022, the International Commission on Radiological Protection (ICRP) organised a workshop in Estoril, Portugal, on the \'Review and Revision of the System of Radiological Protection: A Focus on Research Priorities\'. The workshop, which was a side event of the European Radiation Protection Week, offered an opportunity to comment on a recent paper published by ICRP on areas of research to support the System of Radiological Protection. Altogether, about 150 individuals participated in the workshop. After the workshop, 16 of the 30 organisations in formal relations with ICRP provided written feedback. All participants and organisations followed ICRP\'s view that further research in various areas will offer additional support in improving the System in the short, medium, and long term. In general, it was emphasised that any research should be outcome-focused in that it should improve protection of people or the environment. Many research topics mentioned by the participants were in line with those already identified by ICRP in the paper noted above. In addition, further ideas were expressed such as, for example, that lessons learned during the COVID-19 pandemic with regards to the non-radiological social, economic and environment impacts, should be analysed for their usefulness to enhance radiological protection, and that current protection strategies and application of current radiological protection principles may need to be adapted to military scenarios like those observed recently during the military conflict in the Ukraine or the detonation of a nuclear weapon. On a broader perspective, it was discussed how radiation research and radiological protection can contribute towards the Sustainable Development Goals announced by the United Nations in 2015. This paper summarises the views expressed during the workshop and the major take home messages identified by ICRP.
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  • 文章类型: Review
    目的:确定癌症护理研究的重点是影响癌症护理研究方向的核心。这项快速审查的目的是探索肿瘤护士在2019年至2022年之间为癌症护理提供确定的研究重点。
    方法:系统评价和荟萃分析的首选报告项目为快速评价的设计提供了信息。MEDLINE,CINAHL,pubmed,WebofScience,和Cochrane数据库搜索12月1日之间发表的研究,2018年9月30日,2022年。选择这个时间框架是为了说明最新的相关证据综合,以及COVID-19大流行所必需的癌症护理变化。使用多样化研究的质量评估工具来评估质量。
    结果:4项研究符合纳入标准。确定的许多研究重点都受到COVID-19大流行的影响。癌症护理研究的重点是技术在改善患者和护理人员症状和健康结果方面的作用。其他最普遍的研究重点是症状管理,文化敏感的姑息治疗和心理社会护理,早期/综合姑息治疗,金融毒性,与健康的社会决定因素相关的可改变的风险因素,公众和患者参与研究,和肿瘤科护士的健康状况和执业范围。
    结论:研究结果表明,有必要将癌症护理研究的战略计划转向癌症护理的数字化,以满足癌症患者及其护理人员的当前需求。然而,癌症护士职业倦怠,人员短缺和专科教育的差距将阻碍某些护理模式的实施。
    OBJECTIVE: Identifying cancer nursing research priorities is central to influencing the direction of cancer care research. The aim of this rapid review was to explore research priorities identified by oncology nurses for cancer care delivery between 2019 and 2022.
    METHODS: The Preferred Reporting Items for Systematic Reviews and Meta-Analysis informed the design of the rapid review. MEDLINE, CINAHL, PUBMED, Web of Science, and Cochrane databases were searched for studies published between December 1st, 2018, and September 30th, 2022. This timeframe was chosen to account for the latest relevant evidence synthesis, as well as changes in cancer care necessitated by the COVID-19 pandemic. The Quality Assessment of Diverse Studies tool was used to appraise quality.
    RESULTS: Four studies met the inclusion criteria. Many of the research priorities identified were influenced by the COVID-19 pandemic. The top cancer nursing research priority identified was the role of technology in improving patient and caregiver symptoms and health outcomes. Other most prevalent research priorities were focused on symptom management, culturally sensitive palliative and psychosocial care, early/integrated palliative care, financial toxicity, modifiable risk factors related to social determinants of health, public and patient involvement in research, and oncology nurses\' well-being and scope of practice.
    CONCLUSIONS: The findings indicate a need to steer a strategic programme of cancer nursing research towards digitalisation in cancer care to meet the current needs of people living with cancer and their caregivers. However, cancer nurses\' burnout, staff shortages and disparities in specialist education will hinder the implementation of certain models of care.
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  • 文章类型: Journal Article
    很少有资金来源明确支持全系统研究,以确定改善获取的机制,服务交付,自闭症过渡年龄青年和年轻人的结果和福祉。我们旨在整合通过五年联邦自闭症过渡研究项目(ATRP)合作协议产生的研究结果。这项最高的审查旨在:(1)绘制该联邦奖项产生的科学证据,(2)确定剩余的证据差距,以告知未来的自闭症过渡服务研究。我们使用范围审查方法评估了31项ATRP资助的已发表科学研究。我们绘制了研究特点,局部域,变量的社会生态水平,注重公平,并纳入自闭症参与者。我们评估了这些主题是如何在研究中解决的,以确定证据基础中的持续差距。与以前发表的评论和研究议程相比,我们发现研究参与者的表征有所改善,更广泛的社会生态相关性研究,以及多个结果域的检查。然而,我们还发现自闭症研究参与者的持续不足,使用多部门数据,和注重公平的研究。我们建议的自闭症过渡服务研究的优先事项,以促进健康的生活成果和福祉包括:继续分析人口水平的数据和改进的数据基础设施;开发针对边缘化群体的服务提供方法和干预措施;扩大研究范围,以改善与自闭症青年相关的复杂服务生态系统的绩效和协调;并加强自闭症研究参与者的作用。
    Few funding sources have explicitly supported systems-wide research to identify mechanisms for improving access, service delivery, outcomes and wellbeing for autistic transition-age youth and young adults. We aimed to integrate findings from research produced through a five-year federal Autism Transition Research Project (ATRP) cooperative agreement. This capstone review sought to: (1) map the body of scientific evidence that emerged from this federal award, and (2) identify remaining evidence gaps to inform future autism transition services research. We used scoping review methods to assess 31 ATRP-funded published scientific studies. We charted study characteristics, topical domains, socio-ecological levels of variables, focus on equity, and inclusion of autistic participants. We evaluated how these topics were addressed across studies to identify continued gaps in the evidence base. Compared to prior published reviews and research agendas, we found improvements in characterization of study participants, broader examination of socio-ecological correlates, and examination of multiple outcome domains. However, we also identified continued deficits in inclusion of autistic study participants, use of multisectoral data, and research with a strong focus on equity. Our recommended priorities for autism transition services research to facilitate healthy life outcomes and wellbeing included: continued analysis of population-level data and improved data infrastructure; development of service delivery methods and interventions that target marginalized groups; expanded research to inform improvements in the performance and coordination of complex service ecosystems that interface with autistic youth; and bolstering the roles of autistic research participants.
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  • 文章类型: Systematic Review
    背景:健康研究议程历来由研究人员领导;然而,他们的优先事项可能不一定与患者一致,护理人员和临床医生。研究优先级设置计划确定并优先考虑缺乏证据的主题。这在整形手术中尤其重要,缺乏高质量证据来明确回答许多常见临床问题的专业。研究优先事项直接研究活动和资金,因此,他们的选择过程必须具有代表性和透明度。本综述使用健康研究优先设置报告指南(REPRISE)评估了整形外科中的所有优先设置举措。
    方法:OVIDMedline,EMBASE,使用“研究优先级设置”和“整形和重建手术”的搜索词对CINAHL和JamesLindAlliance(JLA)存储库进行了搜索(开始-11/06/21)。进行了双作者筛选和数据提取,根据PRISMA。
    结果:在3899个重复引用中,17人被包括在内。大多数研究是在国家进行的(14/17),高收入(16/17)设置。与其他亚专科相比,更优先的设定举措侧重于烧伤(6/17)和手外科(4/17)。JLA(5/17)和定性(5/17)方法最多用于优先级排序,其次是德尔菲技术(3/17),其他调查(3/17)和混合方法(1/17)。少数包括患者(8/17)或多学科(8/17)利益相关者。很少报告实施研究重点(6/17)或衡量其影响(2/17)的战略。
    结论:低收入国家的利益相关者在整形外科的优先计划中代表性不足,尽管全球疾病负担。未来的研究应该招募更多的患者和多学科的利益相关者,达成有意义的共识。需要明确的实施战略,以最大限度地发挥影响。
    The health research agenda has historically been led by researchers; however, their priorities may not necessarily align with those of patients, caregivers and clinicians. Research priority setting initiatives identify and prioritise topics which lack evidence. This is particularly important in plastic surgery, a speciality lacking high-quality evidence to definitively answer many common clinical questions. Research priorities direct research activity and funding, so their selection process must be representative and transparent. This review appraised all priority setting initiatives in plastic surgery using the reporting guideline for priority setting of health research (REPRISE).
    OVID Medline, EMBASE, CINAHL and the James Lind Alliance (JLA) repository were searched (inception - 11/06/21) using search terms for \'research priority setting\' and \'plastic and reconstructive surgery\'. Dual-author screening and data extraction were conducted, according to PRISMA.
    Of 3899 de-duplicated citations, 17 were included. Most studies were conducted in national (14/17), high-income (16/17) settings. More priority setting initiatives focussed on burns (6/17) and hand surgery (4/17) than other subspecialties. The JLA (5/17) and qualitative (5/17) approaches were most used for prioritisation, followed by Delphi techniques (3/17), other surveys (3/17) and mixed methods (1/17). A minority included patient (8/17) or multi-disciplinary (8/17) stakeholders. Few reported strategies for implementing research priorities (6/17) or measuring their impact (2/17).
    Stakeholders from lower-income countries are underrepresented in priority setting initiatives for plastic surgery, despite the global burden of disease. Future studies should recruit more patient and multidisciplinary stakeholders, to achieve meaningful consensus. Clear implementation strategies are needed to maximise impact.
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  • 文章类型: Journal Article
    UNASSIGNED:制定国家精神健康和残疾研究议程可以通过精心设计的研究重点研究来支持。很少有低收入和中等收入国家(LMICs)进行过此类研究。
    UNASSIGNED:确定加纳的心理健康和残疾研究重点。
    未经评估:一项混合方法研究,包括快速审查,研究优先级排名调查,采用研究能力需求评估调查。调查的参与者包括从在线搜索和现有的心理健康民间社会组织/非政府组织数据库中确定的五个专家库。研究优先级排序分两个阶段完成,使用儿童和营养研究倡议(CHNRI)方法,在第二阶段确定近期和短期(0至5年)和中长期(>5年)的优先问题。这两项调查都是使用谷歌表格在线部署的。排名调查的分析涉及根据CHNRI标准计算总分并为研究问题生成排名。
    未经评估:共有68位专家(97%的响应率),生成了94个和92个短期和长期问题,分别。40位专家(58%的响应率)完成了排名阶段。排名前10位的研究问题包括:4个涉及卫生系统的问题;2个关于流行病学的问题;和4个关于干预措施的问题。所有研究问题都被认为是紧急的,应该在近期进行(0-5年)。研究人员进行残疾和心理健康研究的方法学能力薄弱。
    UNASSIGNED:我们的方法为加纳制定了心理健康和残疾研究优先事项的议程,并表明采用系统的方法来确定研究优先事项是可行的,其中包括背景和研究能力的关键参数。
    UNASSIGNED: Identification of national research agendas for mental health and disability can be supported by well-designed research priority-setting studies. Few low- and middle-income countries (LMICs) have undertaken such studies.
    UNASSIGNED: To identify mental health and disability research priorities in Ghana.
    UNASSIGNED: A mixed methods study comprising a rapid review, research priority ranking survey, and research capacity needs assessment survey was employed. Participants in the surveys included five expert pools identified from online search and existing database on mental health civil society organisations/non-governmental organisations. The research priority ranking was completed in two stages, using the Child and Nutrition Research Initiative (CHNRI) method to identify priority questions for immediate and short term (0 to 5 years) and medium to long term (>5 years) in stage two. Both surveys were deployed online using google forms. Analysis for the ranking survey involved computing total scores from the CHNRI criteria and generating ranks for the research questions.
    UNASSIGNED: A total of 68 experts (97% response rate), generated 94 and 92 questions for the short and long term, respectively. Forty experts (58% response rate) completed the ranking stage. The top 10 ranked research questions included: 4 questions addressing health systems; 2 questions on epidemiology; and 4 questions on interventions. All research questions were considered urgent and should be conducted in the immediate to short term (0-5 years). The methodological capacity of researchers to conduct disability and mental health research is weak.
    UNASSIGNED: Our approach has generated an agenda for mental health and disability research priorities for Ghana and demonstrated that it is feasible to employ a systematic methodology for research priority setting that includes key parameters of context and research capacity.
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  • 文章类型: Systematic Review
    定义明确,系统,以及确定卫生研究差距的透明过程,需要,和优先事项对于确保可用资金针对具有最大影响潜力的领域至关重要。
    本综述的目的是描述由研究资助组织进行或支持的方法,以确定健康研究的差距,需要,或优先事项。
    我们搜索了MEDLINE,PsycINFO,和WebofScience至2019年9月。合格的研究报告了确定健康研究差距的方法,需要,以及由研究资助组织进行或支持的优先事项。使用已发布的协议,我们提取了该方法的数据,标准,利益相关者的参与,评估,以及该方法是否已被复制(即,用于其他研究)。
    在10,832篇引文中,167项研究符合完整数据提取条件。超过一半的研究采用了确定需求和优先事项的方法,而大约四分之一的研究只专注于识别差距(7%),需求(6%),或仅优先事项(14%)。最常用的方法是召开讲习班或会议(37%),定量方法(32%),和詹姆斯·林德联盟的方法,多方利益相关者的研究需求和优先级设置过程(28%)。应用最广泛的标准是对利益相关者的重要性(72%),潜在价值(29%),可行性(18%)。利益相关者的参与在临床医生中最为突出(69%),研究人员(66%),以及患者和公众(59%)。利益相关者是通过利益相关者组织(51%),目的性(26%)和便利性抽样(11%)确定的。只有4%的研究评估了这些方法的有效性,37%的研究采用了可重复的方法,并在其他研究中使用。
    为了确保资金的最佳目标,以满足最大的需求领域并最大程度地实现成果,需要更强大的证据基础来确定用于识别研究差距的方法的有效性,需要,和优先事项。
    Well-defined, systematic, and transparent processes to identify health research gaps, needs, and priorities are vital to ensuring that available funds target areas with the greatest potential for impact.
    The purpose of this review is to characterize methods conducted or supported by research funding organizations to identify health research gaps, needs, or priorities.
    We searched MEDLINE, PsycINFO, and the Web of Science up to September 2019. Eligible studies reported on methods to identify health research gaps, needs, and priorities that had been conducted or supported by research funding organizations. Using a published protocol, we extracted data on the method, criteria, involvement of stakeholders, evaluations, and whether the method had been replicated (i.e., used in other studies).
    Among 10,832 citations, 167 studies were eligible for full data extraction. More than half of the studies employed methods to identify both needs and priorities, whereas about a quarter of studies focused singularly on identifying gaps (7%), needs (6%), or priorities (14%) only. The most frequently used methods were the convening of workshops or meetings (37%), quantitative methods (32%), and the James Lind Alliance approach, a multi-stakeholder research needs and priority setting process (28%). The most widely applied criteria were importance to stakeholders (72%), potential value (29%), and feasibility (18%). Stakeholder involvement was most prominent among clinicians (69%), researchers (66%), and patients and the public (59%). Stakeholders were identified through stakeholder organizations (51%) and purposive (26%) and convenience sampling (11%). Only 4% of studies evaluated the effectiveness of the methods and 37% employed methods that were reproducible and used in other studies.
    To ensure optimal targeting of funds to meet the greatest areas of need and maximize outcomes, a much more robust evidence base is needed to ascertain the effectiveness of methods used to identify research gaps, needs, and priorities.
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  • 文章类型: Journal Article
    背景:这项范围界定审查提供了对利益相关者迄今为止如何参与研究优先级设置的透彻分析。审查描述,合成,并评估研究优先设置项目不仅为健康领域-正如以前的审查所做的那样-而且在更广泛的范围内对任何研究领域都这样做。
    方法:在PubMed数据库中进行了全面的电子文献检索,Scopus,和WebofScience。反映了灰色文学的重要性,谷歌学者和相关网站也被筛选为合格的出版物。然后将计算方法用于研究选择。最终的纳入筛选是手动进行的。
    结果:范围审查涵盖了截至2020年底发布的731个研究优先级设置项目。总的来说,这些项目是在50个主题领域内进行的,从农业和环境到健康,再到社会工作和技术。关键学习包括几乎所有旨在确定健康领域研究重点的优先项目(93%),特别是护理和护理,癌症,儿科,和精神,行为和神经发育障碍。只有6%的项目与健康无关,1%的项目确定了健康与非健康领域之间的研究重点。随着时间的推移,30个不同的利益相关者团体参与了研究优先级的设置。最经常被要求确定研究重点的利益相关者是医生,病人,学者/研究人员,护士,专职医疗专业人员,家庭成员,朋友,和照顾者。近三分之二的项目在欧洲和北美进行。总的来说,只有9%的项目强调利益相关者在其目标和理由中的重要性,并积极参与其中。在大约四分之一的项目中,利益相关者在整个过程中审议了他们的研究重点。
    结论:通过绘制利益相关者参与研究优先级设置的复杂景观,这项审查指导未来努力有效地让利益相关者参与进来,包容性,透明地,这反过来可能会增加社会研究的整体价值。作为本评论的实际补充,创建了第一个全球研究优先级设置数据库:https://ois。lbg.AC.在/en/项目数据库。该数据库包含本次审查分析的所有项目,并不断更新最新发表的研究优先设置项目。
    在决定研究什么时,已经在研究过程开始时涉及利益相关者称为“研究优先级设置”。研究优先级的设定使研究更接近其利益相关者的需求和关注,特别是患者,家庭成员,朋友,照顾者和普通公民。通常需要绘制利益相关者参与研究优先级设置的复杂环境。我找到了731个项目,要求利益相关者确定研究的优先事项。这些项目围绕50个不同的主题领域进行,从农业和环境到健康,再到社会工作和技术。大多数项目确定了护理和护理的研究重点,癌症,儿科,和精神,行为和神经发育障碍。最经常被要求确定研究重点的利益相关者是医生,病人,学者/研究人员,护士,专职医疗专业人员,家庭成员,朋友,和照顾者。总的来说,所有项目中有一半明确提到让利益相关者参与很重要。大约四分之一的项目也积极参与患者和公众。在大约四分之一的项目中,利益相关者在整个过程中审议了他们的研究重点。由于研究人员仍然对让利益相关者参与研究优先级设置的好处持怀疑态度,未来对这一问题的研究是非常需要的。
    BACKGROUND: This scoping review provides a thorough analysis of how stakeholders have so far been involved in research priority setting. The review describes, synthesizes, and evaluates research priority setting projects not only for the field of health-as previous reviews have done-but does so on a much broader scale for any research area.
    METHODS: A comprehensive electronic literature search was conducted in the databases PubMed, Scopus, and Web of Science. Reflecting the importance of grey literature, Google Scholar and relevant websites were also screened for eligible publications. A computational approach was then used for the study selection. The final screening for inclusion was done manually.
    RESULTS: The scoping review encompasses 731 research priority setting projects published until the end of 2020. Overall, the projects were conducted within the realm of 50 subject areas ranging from agriculture and environment over health to social work and technology. Key learnings include that nearly all priority setting projects aimed to identify research priorities for the field of health (93%), particularly for nursing and care, cancer, pediatrics, and mental, behavioral and neurodevelopmental disorders. Only 6% of the projects were not health-related and 1% identified research priorities at the interface between health and a non-health area. Over time, 30 different stakeholder groups took part in research priority setting. The stakeholders most frequently asked to identify research priorities were doctors, patients, academics/researchers, nurses, allied healthcare professionals, family members, friends, and carers. Nearly two thirds of all projects have been conducted in Europe and North America. Overall, only 9% of the projects emphasized the importance of stakeholders in their goals and rationales and actively involved them. In around a quarter of the projects, stakeholders deliberated on their research priorities throughout the entire process.
    CONCLUSIONS: By mapping out the complex landscape of stakeholder involvement in research priority setting, this review guides future efforts to involve stakeholders effectively, inclusively, and transparently, which in turn may increase the overall value of research for society. As a practical addition to this review, the first worldwide research priority setting database was created: https://ois.lbg.ac.at/en/project-database . The database contains all the projects analyzed for this review and is constantly updated with the latest published research priority setting projects.
    Involving stakeholders already at the beginning of the research process when deciding what to research is called “research priority setting”. Research priority setting brings research closer to the needs and concerns of its stakeholders, particularly patients, family members, friends, carers and ordinary citizens. There is a general need to map out the complex landscape of stakeholder involvement in research priority setting. I found 731 projects that asked stakeholders to identify priorities for research. The projects were conducted along 50 different subject areas ranging from agriculture and environment over health to social work and technology. Most projects identified research priorities for nursing and care, cancer, pediatrics, and mental, behavioral and neurodevelopmental disorders. The stakeholders most frequently asked to identify research priorities were doctors, patients, academics/researchers, nurses, allied healthcare professionals, family members, friends, and carers. Overall, half of all projects explicitly mentioned that involving stakeholders is important. Around one quarter of all projects also actively involved patients and the public. In around one quarter of all projects, stakeholders deliberated on their priorities for research throughout the entire process. As researchers are still skeptical towards the benefits of involving stakeholders in research priority setting, future research on this matter is greatly needed.
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  • 文章类型: Journal Article
    肿瘤护理学会(ONS)成立了一个团队,以开发2019-2022年ONS研究议程的必要扩展,关注种族主义和癌症护理差距。
    使用多方法建立共识的方法来开发和完善研究重点。一个由肿瘤学护士科学家和具有健康差异专业知识的公平学者组成的小组对文献进行了快速回顾,咨询专家和肿瘤科护士,并审查了资助机构的优先事项。
    确定了文献中的关键空白,并将其用于开发肿瘤护理研究的优先领域。实践,和劳动力发展。
    这是一个由两部分组成的系列文章中的第一篇,讨论了肿瘤学护理中的结构性种族主义和健康不平等。在这篇文章中,提出了肿瘤护理研究的三个优先领域;在第二篇文章中,描述了改善癌症差异以及肿瘤学劳动力公平和多样性的策略.
    提出了研究重点,以告知未来的研究,这些研究将提供方法和工具,以增加健康公平性并减少肿瘤学护理实践中的结构性种族主义。研究,教育,政策,和宣传。
    The Oncology Nursing Society (ONS) formed a team to develop a necessary expansion of the 2019-2022 ONS Research Agenda, with a focus on racism and cancer care disparities.
    A multimethod consensus-building approach was used to develop and refine the research priorities. A panel of oncology nurse scientists and equity scholars with expertise in health disparities conducted a rapid review of the literature, consulted with experts and oncology nurses, and reviewed priorities from funding agencies.
    Critical gaps in the literature were identified and used to develop priority areas for oncology nursing research, practice, and workforce development.
    This is the first article in a two-part series that discusses structural racism and health inequities within oncology nursing. In this article, three priority areas for oncology nursing research are presented; in the second article, strategies to improve cancer disparities and equity and diversity in the oncology workforce are described.
    Research priorities are presented to inform future research that will provide methods and tools to increase health equity and reduce structural racism in oncology nursing practice, research, education, policy, and advocacy.
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