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Item Employee change orientation (echo) framework: A meta-review and taxonomy(Cambridge University Press in association with Australian and New Zealand Academy of Management, 2025-10-01) Brazzale P; Cooper-Thomas H; Smollan RK; Haar JGiven the ubiquity of organizational change, it is fitting that considerable research has focused on employees’ responses to change, much of it collated in review articles. With the aim of integrating this diverse review literature and providing an employee-centric theorization, we provide a meta-review, a systematic review of reviews. We present the meta-construct of employee change orientation (EChO), which aggregates employee responses, attitudes, behaviors, and the associated psychological mechanisms related to organizational change. Our meta-review includes 50 scholarly reviews published between 2001 and June 2025, drawing on 1,606 primary studies. Through a synthesis of these reviews, we present the EChO framework and taxonomy. We identify areas for improvement, particularly for research design, and generate key insights for change practitioners working with employees experiencing change. Our meta-review contributes by clarifying well-researched areas, extending theorizing, and highlighting the need for further research to understand how employee responses to change influence outcomes.Item Client Perspectives of Family Therapy: A Qualitative Systematic Review(Wiley Periodicals LLC on behalf of American Association for Marriage and Family Therapy, 2025-07) Todd E; Pond R; Coomber KThis qualitative systematic review aimed to synthesize and discuss family members' perspectives of helpful and unhelpful factors in family therapy (FT) sessions, to benefit the application of FT interventions and training. Eleven studies met eligibility criteria and were critically appraised and thematically synthesized. Four themes resulted: therapist qualities contributing to the therapeutic alliance, practitioners' use of therapeutic techniques, intervention delivery, and family engagement with the process. Helpful factors included therapist warmth, kindness, and genuine care; therapist connecting with family in a sensitive, respectful, and nonjudgmental manner; effective use of therapeutic techniques that facilitated self-reflection, emotional expression, communication, and perspective-taking; therapy sessions conducted collaboratively with active family participation; focusing on family strengths and resources; and tailoring format to family needs. Unhelpful factors included participants sharing before ready, therapist siding with a family member, therapy process not matching family needs, and insufficient progress early on. Implications for practice and future research are discussed.Item The association of parental or caregiver alcohol use with child maltreatment: A systematic review and meta-analysis of longitudinal studies(John Wiley and Sons Ltd on behalf of Society for the Study of Addiction, 2025-04-29) Leung JYY; Parker K; Lin E-Y; Huckle TBackground and Aims: Caregiver alcohol use is a risk factor for child maltreatment, but a previous meta-analysis was limited to physical abuse only. We aimed to quantify the association of parental or caregiver alcohol use with child maltreatment and assess if this differs by incidence or recurrence of maltreatment and level of caregiver alcohol use. Methods: We undertook a systematic review and meta-analysis of longitudinal studies according to a registered protocol on PROSPERO (CRD42020211585). We searched the databases MEDLINE, PubMed, Scopus, PsycINFO, CINAHL and the Cochrane Library in November 2024. We included studies that reported the association of interest. We excluded studies that only assessed prenatal alcohol use or caregiver substance use, and studies that did not adjust for socio-economic position. Two reviewers independently screened the retrieved articles for relevance, extracted data from the included studies and assessed the methodological quality of studies using criteria adapted from the Newcastle-Ottawa scale. We performed meta-analyses using inverse variance weighting and random effects models. Results: We included seven studies on child maltreatment incidence and five on recurrence. All were cohort studies in high-income countries: three in Australia, one in Denmark, one in New Zealand, two in South Korea, one in the United Kingdom and four in the United States. The sample size ranged from 501 to 84 245 (median 4782). Caregiver alcohol-related diagnoses were associated with higher child maltreatment incidence [odds ratio (OR) = 2.32, 95% confidence interval (CI) = 1.10–4.89] and recurrence (OR = 1.92, 95% CI = 1.13–3.28) compared with caregivers without alcohol-related diagnoses. An association of any caregiver drinking with child maltreatment incidence could not be ruled out (OR = 1.22, 95% CI = 0.72–2.08). The review was limited by high heterogeneity and variable reporting of alcohol use and child maltreatment; however, we obtained similar results after sensitivity analysis and adjustment for reporting bias. Conclusions: Caregiver alcohol use may be an important risk factor for child maltreatment, adding to the growing body of evidence on alcohol's harm to others and calling for stronger actions to reduce alcohol harm.Item Do consumers care about environmentally sustainable attributes along the food supply chain? —A systematic literature review(AIMS Press, 2023-04-27) Yang W; Anh B; Le PThe agri-food market has shown a clear signal of "green" consumption that drives an increasing interest in studying consumers' willingness to pay (WTP) for food products with environmentally sustainable attributes, such as eco-friendly and carbon neutral. Whilst many existing studies have focused on a general idea of green attributes or on-farm practices that are regarded to be most relevant to the attributes, the agri-food industry has started to address consumers' concerns about the negative environmental impacts of agri-food production across the whole supply chain, including the processing, transportation, and consumption process. It is therefore the purpose of this study to conduct a systematic review of the existing literature on consumers' intentions of purchasing and WTP for food products with environmentally sustainable attributes, with a special interest in understanding the connections between consumer behaviours and different stages of the food supply chain. Results of the study revealed three main research gaps: the lack of clear definitions of environmentally sustainable attributes; ignorance of connections between the characteristics of environmentally sustainable attributes and different stages of the food supply chain; and lacking effective information processing among the key players along the supply chain, leading to inefficient communication between the supply and demand side. The findings of the study help form a conceptual framework for future studies to associate environmentally sustainable attributes to the whole food supply chain that helps the agri-food industry to effectively process market information, communicate with consumers, and satisfy the market demand.Item Effective burnout prevention strategies for counsellors and other therapists: a systematic review and meta-synthesis of qualitative studies(Informa UK Limited, trading as Taylor & Francis Group., 2024-10-03) Duncan S; Pond RTherapists are susceptible to burnout and need strategies to prevent it. This systematic review and meta-synthesis of qualitative literature examined what practicing therapists (including counsellors, psychotherapists, and psychologists) report being helpful in preventing and minimising burnout. A search by EBSCO Discovery Service across all major article databases and a complementary search using Google Scholar led to the identification of nine eligible studies (with 542 therapists). Studies were critically appraised, data were extracted, and findings synthesised using thematic analysis. Nine themes/helpful factors for preventing burnout in the therapeutic profession were identified: time off, leisure activities, exercise, perspective (having a particular mindset or attitude towards the role), support and connections, boundaries and balance, awareness/mindfulness of one’s internal state and the impact of work, spirituality/meditation, and professional growth and self-use of clinical approaches. Information about these strategies needs to be included and practised during therapist training programmes. Future research needs to investigate culturally preferred strategies for preventing burnout. Importantly, while practitioners are responsible for implementing self-care strategies for their well-being, it is critical that organisations take an active role in burnout prevention by putting policies in place, providing training to increase awareness of burnout, and supporting staff to manage pressures they face.Item Respiratory support in the emergency department a systematic review and meta-analysis(Wiley Periodicals LLC on behalf of Sigma Theta Tau International, 2024-03-22) O'Donnell J; Pirret A; Hoare K; Fenn R; McDonald EBACKGROUND: An estimated 20% of emergency department (ED) patients require respiratory support (RS). Evidence suggests that nasal high flow (NHF) reduces RS need. AIMS: This review compared NHF to conventional oxygen therapy (COT) or noninvasive ventilation (NIV) in adult ED patients. METHOD: The systematic review (SR) and meta-analysis (MA) methods reflect the Cochrane Collaboration methodology. Six databases were searched for randomized controlled trials (RCTs) comparing NHF to COT or NIV use in the ED. Three summary estimates were reported: (1) need to escalate care, (2) mortality, and (3) adverse events (AEs). RESULTS: This SR and MA included 18 RCTs (n = 1874 participants). Two of the five MA conclusions were statistically significant. Compared with COT, NHF reduced the risk of escalation by 45% (RR 0.55; 95% CI [0.33, 0.92], p = .02, NNT = 32); however, no statistically significant differences in risk of mortality (RR 1.02; 95% CI [0.68, 1.54]; p = .91) and AE (RR 0.98; 95% CI [0.61, 1.59]; p = .94) outcomes were found. Compared with NIV, NHF increased the risk of escalation by 60% (RR 1.60; 95% CI [1.10, 2.33]; p = .01); mortality risk was not statistically significant (RR 1.23, 95% CI [0.78, 1.95]; p = .37). LINKING EVIDENCE TO ACTION: Evidence-based decision-making regarding RS in the ED is challenging. ED clinicians have at times had to rely on non-ED evidence to support their practice. Compared with COT, NHF was seen to be superior and reduced the risk of escalation. Conversely, for this same outcome, NIV was superior to NHF. However, substantial clinical heterogeneity was seen in the NIV delivered. Research considering NHF versus NIV is needed. COVID-19 has exposed the research gaps and slowed the progress of ED research.Item Gender-Specific Design and Effectiveness of Non-Pharmacological Interventions against Cognitive Decline — Systematic Review and Meta-Analysis of Randomized Controlled Trials(Springer Nature Switzerland AG, 2023-01) Zülke AE; Riedel-Heller SG; Wittmann F; Pabst A; Röhr S; Luppa MBackground The number of people living with dementia worldwide is increasing rapidly. Preventive approaches constitute a promising strategy to counter the dementia epidemic, and growing numbers of lifestyle interventions are conducted around the globe. Gender differences with respect to modifiable risk factors for dementia have been reported, however, little is known about gender-specific effectiveness of lifestyle trials against cognitive decline and dementia. A systematic review and meta-analysis was conducted to assess evidence on gender-specific design and effectiveness of randomized controlled trials against cognitive decline. Methods Systematic literature searches were conducted in MEDLINE, PsycINFO, Web of Science, Cochrane Central and ALOIS. Studies assessing global and/or domain-specific cognitive function in older adults free from dementia were eligible for the systematic review. We assessed between-group effect sizes using random-effects meta-analysis. Methodological quality of included studies was assessed using the Scottish Intercollegiate Guidelines Network (SIGN)-checklist. Results The systematic review and meta-analysis included 34 and 31 studies, respectively. Effects of lifestyle-interventions on global cognition were non-significant overall (g =.27; 95% CI: −.01;.56) and in male subsamples (g = −.05; 95% CI: −.55;.45), and small for female subsamples (g =.38; 95% CI:.05;.72). Small beneficial effects were found for memory (overall: g =.38; 95% CI =.17;.59). Stratified by gender, significant effects were observed only in women (g =.39; 95% CI =.13;.65; men: g =.37; 95% CI:.00;.73). Aspects of gender in study design and conduct were discussed in a small minority of studies. Comparable results were observed for executive function and verbal fluency. Methodological quality was deemed high in 17.6% of studies, acceptable and low quality in 52.9% and 29.4%, respectively. Discussion We found evidence for small differences in the effectiveness of lifestyle interventions on global cognition and memory in favor of women. However, small numbers of trials 1) targeting men and 2) reporting gender-specific results for older adults with mild cognitive impairment warrant further attention. Assessing differences in modifiable risk factors for dementia in men and women and systematically addressing aspects of gender in trial conduction and recruitment in future studies might increase knowledge on gender-specific effectiveness of lifestyle trials against cognitive decline.Item A systematic review: Unfinished nursing care and the impact on the nurse outcomes of job satisfaction, burnout, intention-to-leave and turnover(John Wiley & Sons Ltd, 2022-08) Stemmer R; Bassi E; Ezra S; Harvey C; Jojo N; Meyer G; Özsaban A; Paterson C; Shifaza F; Turner MB; Bail KAim To investigate the association of unfinished nursing care on nurse outcomes. Design Systematic review in line with National Institute for Health and Care Excellence guideline. Data sources CINAHL, the Cochrane Library, Embase, Medline, ProQuest and Scopus databases were searched up until April 2020. Review Methods Two independent reviewers conducted each stage of the review process: screening eligibility, quality appraisal using Mixed Methods Appraisal Tool; and data extraction. Narrative synthesis compared measurements and outcomes. Results Nine hospital studies were included, and all but one were cross-sectional multicentre studies with a variety of sampling sizes (136–4169 nurses). Studies had low internal validity implying a high risk of bias. There was also a high potential for bias due to non-response. Only one study explicitly sought to examine nurse outcomes as a primary dependent variable, as most included nurse outcomes as mediating variables. Of the available data, unfinished nursing care was associated with: reduced job satisfaction (5/7 studies); burnout (1/3); and intention-to-leave (2/2). No association was found with turnover (2/2). Conclusion Unfinished nursing care remains a plausible mediator of negative nurse outcomes, but research is limited to single-country studies and self-reported outcome measures. Given challenges in the sector for nurse satisfaction, recruitment and retention, future research needs to focus on nurse outcomes as a specific aim of inquiry in relation to unfinished nursing care. Impact Unfinished nursing care has previously been demonstrated to be associated with staffing, education and work environments, with negative associations with patient outcomes (patient satisfaction, medication errors, infections, incidents and readmissions). This study offers new evidence that the impact of unfinished nursing care on nurses is under investigated. Policymakers can prioritize the funding of robust observational studies and quasi-experimental studies with a primary aim to understand the impact of unfinished nursing care on nurse outcomes to better inform health workforce sustainability.