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Methodological complexities associated with systematic review of healing relationships
Barbara Findlay1, Katherine Smith, Cindy C Crawford
1Samueli Institute, Alexandria, Virginia, USA.
Alternative Therapies in Health and Medicine
|October 2, 2010
Summary
This systematic review found significant challenges in evaluating hospital healing programs due to diverse methodologies and lack of standardized definitions. More rigorous research is needed to assess the return on investment for healing relationship initiatives.
Area of Science:
- Medical Research
- Healthcare Management
- Evidence-Based Practice
Background:
- Growing recognition of healing and healing relationships in medicine.
- Need for evidence-based approaches and systematic reviews in healing initiatives.
- Healthcare leaders face challenges finding rigorous literature reviews for hospital healing programs.
Purpose of the Study:
- To conduct a systematic review on the return on investment (ROI) of hospital programs enhancing healing relationships.
Main Methods:
- Comprehensive literature search across multiple electronic databases.
- Evaluation of study relevance and methodological quality.
- Inclusion of studies evaluating hospital-based "healing relationships" programs.
Main Results:
- 80 studies were included, showing broad heterogeneity in aims, populations, outcomes, and methods.
- Only 10 studies were categorized as methodologically strong.
- Significant variation in measurement tools and evaluation approaches was observed.
Conclusions:
- Challenges in synthesizing knowledge include undefined "healing" terminology and interdisciplinary literature.
- Lack of standardized methods for rigorous hospital program evaluation hinders progress.
- Qualitative review identified professional, social, cultural, and historical influences shaping the evidence base.
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