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Objective: This review will identify and map existing evidence on current approaches to determining decision-making capacity in older adults. It will provide a summary of available evidence and policies and identify gaps in research.
Introduction: Assessment of decision-making capacity is emerging as an important issue in society and healthcare. It is considered an ethically challenging area of clinical practice, and issues with implementation have been identified internationally. With the aging population increasing globally, approaches to assess and support decision-making are becoming more pertinent.
Inclusion Criteria: This scoping review will consider studies on assessment approaches and procedures that are used to evaluate the decision-making capacity of older adults, aged 60 years and over. It will include those with age-related cognitive impairment, dementia, and neurodegenerative conditions. Quantitative, qualitative, and mixed-methods studies along with gray literature, including expert opinions, policies reports, and practice guides, will be included.
Methods: The JBI scoping review methodological framework will be used. The review will also be conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews (PRISMA-ScR) checklist for scoping reviews. The following major healthcare databases will be searched: MEDLINE, PsycINFO, Embase, CINAHL, Cochrane Databases, Web of Science, and Scopus. The search will cover studies published in English from January 2000 to the present date. Titles and abstracts will be screened against inclusion criteria. Data will be extracted using a form developed for this review. A stakeholder consultation meeting will be held to provide feedback on the findings.
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http://dx.doi.org/10.11124/JBISRIR-D-19-00068 | DOI Listing |
Int J Health Care Qual Assur
September 2025
Department of Electrical and Computer Engineering, Graduate University of Advanced Technology, Kerman, Iran.
Purpose: Neonatal mortality is a significant global health issue, particularly in low- and middle-income countries. This study aims to identify and understand the factors contributing to high neonatal mortality rates in the cities of Kerman and Bam, Iran, to develop effective strategies for improvement.
Design/methodology/approach: We employed systems dynamics to develop Causal Loop Diagrams that capture qualitative interactions among determinants of neonatal mortality.
Semin Vasc Surg
September 2025
University of Wisconsin, 600 Highland Ave Madison, WI 53792.
Vascular surgeons are often responsible for navigating treatment decisions when caring for older adults. Care for these patients is informed by the surgeon's assessment of the patient's decision-making capacity, use of advance care planning, and understanding of futility. Having difficult conversations with patients and their families is supported by strategies that promote empathic communication and shared decision making with older adults with serious illness due to, and associated with, vascular disease.
View Article and Find Full Text PDFJOSPT Methods
June 2025
Department of Physical Therapy, Steinhardt School of Culture, Education, and Human Development, New York University, New York, NY.
ChatGPT has been increasingly used in clinical practice, education, and research. In orthopedic research, ChatGPT's accuracy in clinical decision-making has been a major concern, with results ranging from 33% to 80% accuracy. Inaccuracies from ChatGPT can be harmful to clinicians, trainees, or patients when responses appear plausible, are trusted, and acted upon.
View Article and Find Full Text PDFF1000Res
September 2025
Department of Business Administration, World University of Bangladesh, Dhaka, 1230, Bangladesh.
Supply chain risk management is crucial for the consumer products industry, given its susceptibility to uncertainties and risks. This research investigates the relationship between supply chain risks and performance within this sector, based on a sample of 385 entrepreneurs from Small Medium Sized enterprises (SMEs) in the consumer goods industry across ASEAN countries. Supply chain performance, defined as the ability to meet end-customer demands, involves ensuring commodity availability, on-time deliveries, and maintaining sufficient inventory and capacity across organizational boundaries, from raw materials to the final consumer.
View Article and Find Full Text PDFAdv Med Educ Pract
August 2025
Department of Public Health, Faculty of Medicine, Padjadjaran University, Bandung, West Java, Indonesia.
Background: Currently, midwifery education is confronted with a variety of obstacles, such as inadequate resources and conventional learning methods that are less effective in enhancing the clinical skills of students. Technological advancements and the rapid evolution of maternal and neonatal health services necessitate the transformation of midwifery education to a competency-based curriculum and outcome-based assessment paradigm. Artificial intelligence (AI) and deep learning have the potential to provide adaptive, personalized, and precise learning in this context.
View Article and Find Full Text PDF