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Article ; Online: Private practice dietetics: A scoping review of the literature.

Donnelly, Jennifer / Lane, Rebecca / Walsh, Louisa / Hughes, Roger

Nutrition & dietetics: the journal of the Dietitians Association of Australia

2024

Abstract: Aim: Private practice is one of the most rapidly growing, but under-researched employment sectors for graduate dietitians in Australia, limiting evidence-based workforce development. This scoping review examines existing international literature to gain ...

Abstract	Aim: Private practice is one of the most rapidly growing, but under-researched employment sectors for graduate dietitians in Australia, limiting evidence-based workforce development. This scoping review examines existing international literature to gain an understanding of the current private practice workforce size, distribution, demography and workforce development considerations, including competencies, supply and demand, remuneration and professional development activities. Methods: The databases MEDLINE, EMBASE, CINAHL, EMCARE, PsycInfo (Ovid) and grey literature were systematically searched in August 2023 using key search terms to identify studies for inclusion. Articles were included if they related to private practice dietetics and described an aspect of workforce. Original research, government and organisational reports, statements of practice and websites providing governmental or organisational statistics were included. A directed content analysis and qualitative constant comparison technique were used to deductively map intelligence sources against a workforce development framework. A gap analysis was also conducted to provide a focus for future workforce development research. Results: A total of 72 peer-reviewed and grey literature sources were included, with 65% of the studies being Australian-based publications. Private practice dietetics research interest has increased in the last decade. Despite a breadth of published sources, this review found little published data on workforce size, distribution, demography, supply, demand, continued professional development and remuneration, indicating a significant gap in the evidence base. Existing literature focuses on workforce challenges and barriers, the work of private practice dietitians, with limited exploration of competency requirements for graduate private practitioners. Conclusions: The literature on the private practice dietetics workforce is lacking worldwide, which constrains evidenced-based workforce development initiatives. Workforce development research across all workforce aspects is warranted to address current evidence gaps.
Language	English
Publishing date	2024-05-15
Publishing country	Australia
Document type	Journal Article ; Review
ZDB-ID	2082047-1
ISSN	1747-0080 ; 1446-6368
ISSN (online)	1747-0080
ISSN	1446-6368
DOI	10.1111/1747-0080.12877
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Exploring the barriers and enablers experienced by people with Cystic Fibrosis and their healthcare professionals in accessing, utilising and delivering maternity and Cystic Fibrosis care during the pre-conception to post-partum period: A mixed methods systematic review protocol.

Balfe, Jen / Donnelly, Jennifer / Tecklenborg, Sarah / Walsh, Aisling

HRB open research

2023 Volume 5, Page(s) 22

Abstract: Background Cystic Fibrosis (CF) is an autosomal recessive inherited multi-system disease that primarily affects the lungs and digestive system. New drug therapies and treatments are improving the lives of many people with CF. With improved life ... ...

Abstract	Background Cystic Fibrosis (CF) is an autosomal recessive inherited multi-system disease that primarily affects the lungs and digestive system. New drug therapies and treatments are improving the lives of many people with CF. With improved life expectancy and increased quality of life, many people with CF are now contemplating parenthood and becoming pregnant, an aspiration that decades ago was almost unheard of. Given this quickly evolving and more positive health landscape, it is vital to understand how people with CF experience the care they receive whilst accessing and utilising fertility and maternity services. It is also important to explore the experiences of healthcare professionals involved in providing care during this period. The overall aim of the mixed-methods systematic review will be to explore the barriers and enablers experienced by people with CF and the healthcare professionals involved in their care in the pre-conception to post-partum period. Methods The proposed review will be conducted in accordance with the Joanna Briggs Institute (JBI) methodology for convergent integrated mixed methods systematic reviews. A systematic search of Medline (Ebsco), Cinahl, Embase, APA PsychINFO and Cochrane Library from inception to February 2022 will be conducted. Quantitative, qualitative and mixed methods studies pertaining to the experience of pre-conception to post-partum care for people with CF and their healthcare professionals will be included. Two independent reviewers will screen titles, abstracts and full texts with disagreements being resolved by a third reviewer. Conclusion This review will help to determine the potential barriers and facilitators experienced by people with Cystic Fibrosis and the health care professionals involved in their care during the pre-conception to post-partum period. The results will be of benefit specifically to the CF population and their healthcare providers when planning further studies in the area of fertility and pregnancy for this population and when delivering care.
Language	English
Publishing date	2023-04-28
Publishing country	Ireland
Document type	Journal Article
ISSN	2515-4826
ISSN (online)	2515-4826
DOI	10.12688/hrbopenres.13500.2
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Article ; Online: The importance of collaboration in maternal medicine: A retrospective descriptive study of a maternal multidisciplinary team meeting.

McCarthy, Claire M / Geoghegan, Tony / Ni Ainle, Fionnuala / Donnelly, Jennifer C

International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics

2024

Abstract: Objective: In the present study we aimed to review the evolution and function of the maternal medicine multidisciplinary team (MMMDT) meeting of a maternal medicine service of a tertiary level stand-alone maternity hospital.: Methods: We conducted a ... ...

Abstract	Objective: In the present study we aimed to review the evolution and function of the maternal medicine multidisciplinary team (MMMDT) meeting of a maternal medicine service of a tertiary level stand-alone maternity hospital. Methods: We conducted a retrospective descriptive study of all minutes of MMMDT meetings from 2014 to 2020, with the aim of evaluating meeting characteristics and patient demographics. Results: There were 575 multidisciplinary team (MDT) discussions of 486 women during 43 meetings in the 7 year period. On average, 13 (range 3-23; SD = 5.28) women were discussed at each meeting, attended by 17 (range: 11-27; SD = 4.26) attendees. There were 18 women discussed during successive pregnancies. When analyzing the 2017-2020 data, preconceptual discussions made up 7.3% (n = 42) of patients discussed, with 5.7% (n = 33) being postnatal. The mean maternal age was 32.5 years (range 15-48 years) and women were most likely to be discussed in the mid-trimester period (21-24 weeks gestation). The top five primary specialities involved were hematology, neurology, rheumatology, neurosurgery and gastroenterology; however, 22 specialities were represented overall when classified by the primary medical condition. When examining the MDT input, hematology input was required in 144 patients (25.0%), radiology in 161 (28.0%) patients, and 117 in anesthesiology (20.3%). When examining the number of teams required to manage the patient, 80 women required the input of three specialities, with 16 women requiring the input of four specialities. Conclusion: We demonstrate the value and role of the MDT in the management of complex patients, providing a forum to discuss care in all phases of the obstetric journey.
Language	English
Publishing date	2024-05-10
Publishing country	United States
Document type	Journal Article
ZDB-ID	80149-5
ISSN	1879-3479 ; 0020-7292
ISSN (online)	1879-3479
ISSN	0020-7292
DOI	10.1002/ijgo.15608
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Article ; Online: Response to: "Are women equal? Considering impact of therapeutic abortion bans on science".

Áinle, Fionnuala Ní / Donnelly, Jennifer / Eogan, Maeve

Research and practice in thrombosis and haemostasis

2022 Volume 6, Issue 5, Page(s) e12754

Language	English
Publishing date	2022-07-08
Publishing country	United States
Document type	Journal Article
ISSN	2475-0379
ISSN (online)	2475-0379
DOI	10.1002/rth2.12754
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Article ; Online: A Lean Approach to Improve Medication Administration Safety by Reducing Distractions and Interruptions.

Kavanagh, Adam / Donnelly, Jennifer

Journal of nursing care quality

2020 Volume 35, Issue 4, Page(s) E58–E62

Abstract: Background: Medication errors are potentially avoidable incidents that can lead to harm. Medications are often administered under challenging conditions, which creates opportunities for distractions and interruptions.: Purpose: The aim of this study ... ...

Abstract	Background: Medication errors are potentially avoidable incidents that can lead to harm. Medications are often administered under challenging conditions, which creates opportunities for distractions and interruptions. Purpose: The aim of this study was to reduce the number of interruptions and distractions experienced by nurses during the medication administration process. Methods: A Lean approach was used to value stream map the process, devise solutions, and measure the impact of the change. Results: Sources of distraction and interruption were identified. Through collaboration the medication administration process was standardized, and a purpose-built medication administration room was developed. Frequency of interruptions and distractions from all sources was reduced. Conclusions: Value stream mapping the process enabled the identification of non-value-added activities that were threats to the integrity of the process. Standardizing the medication administration process and creating a safe space to facilitate the process successfully reduced interruptions and distractions from all sources.
MeSH term(s)	Attention ; Drug Therapy/nursing ; Humans ; Medication Errors/prevention & control ; Nursing Process ; Patient Safety ; Safety Management ; Total Quality Management
Language	English
Publishing date	2020-02-09
Publishing country	United States
Document type	Journal Article
ZDB-ID	1089089-0
ISSN	1550-5065 ; 1057-3631
ISSN (online)	1550-5065
ISSN	1057-3631
DOI	10.1097/NCQ.0000000000000473
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Article ; Online: Psychosocial factors and chronic spontaneous urticaria: a systematic review.

Donnelly, Jennifer / Ridge, Katie / O'Donovan, Roisin / Conlon, Niall / Dunne, Pádraic J

BMC psychology

2023 Volume 11, Issue 1, Page(s) 239

Abstract: Background: Psychosocial factors have been informally associated with Chronic Spontaneous Urticaria (CSU); however, the relationship between psychosocial factors and CSU remains relatively unexplored in the scientific literature.: Objective: This ... ...

Abstract	Background: Psychosocial factors have been informally associated with Chronic Spontaneous Urticaria (CSU); however, the relationship between psychosocial factors and CSU remains relatively unexplored in the scientific literature. Objective: This review aims to provide an evaluation of peer reviewed studies exploring psychosocial factors and CSU. Methods: A systematic search was performed over four databases identifying studies exploring psychosocial factors in relation to CSU published between the years 1995 and 2022. Results: Eighteen studies were included for narrative analysis, and 33 psychosocial factors were identified. These were split into two subgroups: psychosocial factors that were associated with CSU symptoms aggravation/onset (n = 20), and psychosocial factors expected to be impacted by CSU symptoms (n = 13). Conclusion: This review has highlighted a need for more research and interventions to support individuals with psychosocial factors involved in CSU.
MeSH term(s)	Humans ; Chronic Urticaria/psychology ; Psychology
Language	English
Publishing date	2023-08-19
Publishing country	England
Document type	Systematic Review ; Journal Article
ZDB-ID	2705921-2
ISSN	2050-7283 ; 2050-7283
ISSN (online)	2050-7283
ISSN	2050-7283
DOI	10.1186/s40359-023-01284-2
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Article ; Online: Management of Hemorrhage During Cesarean Delivery in a Patient With Vascular Ehlers-Danlos Syndrome: A Case Report.

Grant, Orna / Mulligan, Karen / Donnelly, Jennifer / Ní Áinle, Fionnuala / Mhuircheartaigh, Róisín Ní

A&A practice

2023 Volume 17, Issue 1, Page(s) e01655

Abstract: Parturients with vascular Ehlers-Danlos syndrome are at particular risk of hemorrhage, and there is little evidence to guide prevention or management of hemorrhage in these patients. We present the case of a patient with vascular Ehlers-Danlos syndrome ... ...

Abstract	Parturients with vascular Ehlers-Danlos syndrome are at particular risk of hemorrhage, and there is little evidence to guide prevention or management of hemorrhage in these patients. We present the case of a patient with vascular Ehlers-Danlos syndrome who had a cesarean delivery complicated by an intraoperative hemorrhage. Administration of desmopressin and tranexamic acid appeared to be of marked benefit in achieving hemostasis. To the best of our knowledge, this is the first report of the use of desmopressin during major obstetric hemorrhage in vascular Ehlers-Danlos syndrome.
MeSH term(s)	Pregnancy ; Female ; Humans ; Ehlers-Danlos Syndrome, Type IV ; Deamino Arginine Vasopressin/therapeutic use ; Ehlers-Danlos Syndrome/complications ; Ehlers-Danlos Syndrome/surgery ; Blood Loss, Surgical ; Cesarean Section
Chemical Substances	Deamino Arginine Vasopressin (ENR1LLB0FP)
Language	English
Publishing date	2023-01-11
Publishing country	United States
Document type	Case Reports ; Journal Article
ISSN	2575-3126
ISSN (online)	2575-3126
DOI	10.1213/XAA.0000000000001655
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Risky Business? A Year-Long Study of Adult Voluntary Admissions Who Leave Psychiatric in-Patient Care without Informing Staff.

Donnelly, Jennifer / Kavanagh, Adam / Donohue, Gráinne

Issues in mental health nursing

2020 Volume 41, Issue 9, Page(s) 840–845

Abstract: Patients leaving inpatient psychiatric care without informing staff can have serious consequences for patient welfare, their families and staff. Even in cases where there are no serious outcomes and patients return, treatment can be interrupted and staff ...

Abstract	Patients leaving inpatient psychiatric care without informing staff can have serious consequences for patient welfare, their families and staff. Even in cases where there are no serious outcomes and patients return, treatment can be interrupted and staff morale compromised. Given these potential deleterious effects, it is important to have an in-depth understanding of why people leave when they do. The aim of this study is to examine the profile of service-users who leave in-patient psychiatric care without notifying staff and to determine their reasons for doing so, what they did when they left the hospital setting and reasons for returning. This is a prospective descriptive study of service users leaving without notifying staff from a national mental health service in Ireland. It investigated the frequency, timing, and motivations of these absconding events among a sample of in-patients over a 12-month period. This year-long review identified 75 episodes of leaving without notifying staff, 55 of which met this studies criteria. 22% of episodes were from a locked unit, 58.2% were repeated episodes. 89% of service users returned to hospital following the episode and 11% were discharged against medical advice. Although no fatalities, three service users were seen in an emergency department as a result of activity during leave. Upon return from leave, all service users were reviewed and their care plans were updated where necessary.
MeSH term(s)	Adult ; Emergency Service, Hospital ; Humans ; Ireland ; Patient Admission ; Patient Discharge ; Prospective Studies
Language	English
Publishing date	2020-05-18
Publishing country	England
Document type	Journal Article
ZDB-ID	603180-8
ISSN	1096-4673 ; 0161-2840
ISSN (online)	1096-4673
ISSN	0161-2840
DOI	10.1080/01612840.2020.1725196
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Article ; Online: Vitamin E in Cancer Treatment: A Review of Clinical Applications in Randomized Control Trials.

Donnelly, Jennifer / Appathurai, Amanda / Yeoh, Hui-Ling / Driscoll, Kate / Faisal, Wasek

Nutrients

2022 Volume 14, Issue 20

Abstract: Vitamin E, along with other vitamins and micronutrients play a range of physiologic roles in the homeostasis of the body. Moreover, they also have postulated therapeutic roles that are often incompletely studied and understood. In this scoping review, we ...

Abstract	Vitamin E, along with other vitamins and micronutrients play a range of physiologic roles in the homeostasis of the body. Moreover, they also have postulated therapeutic roles that are often incompletely studied and understood. In this scoping review, we explored the recent randomized control trials (RCTs) of Vitamin E in the context of cancer, to investigate whether Vitamin E has a therapeutic role. We searched major bibliographic electronic databases to identify sixteen RCTs studying the role of Vitamin E in cancer management that have been published in the last ten years. These studies had different methodological qualities, including some that used Vitamin E in combination with other treatments. Furthermore, due to the heterogenous results, it is difficult to make a consensus statement on the effectiveness of Vitamin E in cancer therapeutics. In some cases, there were even suggestion of detriment with Vitamin E supplementation. Therefore, well designed, large, prospective RCTs are needed studying pure isoforms of Vitamin E to establish the safety and efficacy of this dietary supplement.
MeSH term(s)	Humans ; Dietary Supplements ; Micronutrients ; Neoplasms/drug therapy ; Vitamin E/therapeutic use ; Vitamins/therapeutic use ; Randomized Controlled Trials as Topic
Chemical Substances	Micronutrients ; Vitamin E (1406-18-4) ; Vitamins
Language	English
Publishing date	2022-10-16
Publishing country	Switzerland
Document type	Journal Article ; Review
ZDB-ID	2518386-2
ISSN	2072-6643 ; 2072-6643
ISSN (online)	2072-6643
ISSN	2072-6643
DOI	10.3390/nu14204329
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Article ; Online: Use of an aortic balloon to achieve uterine conservation in a case of placenta accreta spectrum: A case report.

Bartels, Helena C / Brophy, David P / Moriarty, John M / Geoghegan, Tony / McMahon, Gabriela / Donnelly, Jennifer / Thompson, Claire / Brennan, Donal J

Case reports in women's health

2023 Volume 37, Page(s) e00497

Abstract: Placenta accreta spectrum (PAS) is a rare complication of pregnancy associated with a high risk of massive haemorrhage and caesarean hysterectomy. This is a case report of abdominal aortic balloon occlusion, using intravascular ultrasound, to achieve ... ...

Abstract	Placenta accreta spectrum (PAS) is a rare complication of pregnancy associated with a high risk of massive haemorrhage and caesarean hysterectomy. This is a case report of abdominal aortic balloon occlusion, using intravascular ultrasound, to achieve uterine conservation in a case of severe PAS. The patient was a 34-year-old woman, G2P1, with one prior caesarean section. Antenatal imaging, consisting of transabdominal and transvaginal ultrasound, and magnetic resonance imaging, showed features of PAS. The risk of caesarean hysterectomy with PAS was explained, but the patient declared a desire to retain fertility. Following multi-disciplinary discussion, it was considered appropriate to attempt uterine conservation using en-bloc myometrial and placental resection. An elective caesarean delivery was performed at 36 weeks of gestation. An aortic balloon was inserted prior to surgery using intravascular ultrasound, which allowed for radiation-free, point-of-surgery, accurate balloon sizing, by measuring the aortic diameter, and correct placement of the balloon in the abdominal aorta below the renal vessels. Intraoperative findings confirmed PAS, and a myometrial resection was performed. There were no intraoperative complications. Estimated blood loss was 1000 mL and the patient had an uncomplicated postoperative course. This case demonstrates how the use of an intravascular intraoperative aortic balloon can facilitate uterine conservation in a case of severe PAS.
Language	English
Publishing date	2023-03-16
Publishing country	Netherlands
Document type	Case Reports
ZDB-ID	2800286-6
ISSN	2214-9112 ; 2214-9112
ISSN (online)	2214-9112
ISSN	2214-9112
DOI	10.1016/j.crwh.2023.e00497
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