Medwave (Jul 2020)
A systematic review of the preventive practices for psychosocial risks in Ibero-American health centers
Abstract
Objective To identify preventive practices for psychosocial risks in Ibero-American health centers, including gaps in evidence, and to synthesize effectiveness according to dimensions and level of intervention. Methods Design: a global evidence mapping type systematic review. Data sources: Cochrane Central Register of Controlled Trials, Health Systems Evidence, The Campbell Collaboration, PubMed, BioMed Central, CINAHL, EMBASE, Lilacs, and Health Evidence Portal. Review methods: Ad hoc descriptors were used to identify randomized controlled trials and other types of studies. The search was done between January 2003 and March 2020, limited to the English, Portuguese, and Spanish. The PRISMA-P protocol was applied to register the synthesis of the included studies. The quality of the evidence was evaluated according to the GRADE protocol and by three external evaluators. Results A total of 8959 studies were identified, and, after screening and eligibility assessment, 18 studies were included in the systematic review, involving 1777 workers from 176 health centers in Spain, Portugal, Mexico, Nicaragua, Colombia, Brazil, Peru, and Argentina. Half of the included studies are randomized controlled trials; 37.2% of the included studies were deemed of moderate quality, while 18.7% were of high quality. Conclusions Preventive practices with strong evidence correspond to policies that improve the working conditions of night hospital work. We found low-quality evidence in six preventive dimensions for the practices based on multi-component interventions. We found evidence gaps in five domains of preventive interventions for psychosocial risks.
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