Nurses Mental Health Process Care in School context with Adolescents: Mixed methods systematic review.Data from Secondary Research article submited IJNS

Published: 13 September 2021| Version 2 | DOI: 10.17632/ttf62npkk4.2


The authors' choice to conduct a Mixed Methods Systematic Review-MMRS, (Lizarondo et al., 2020) by integrated convergent approach (Pearson et al., 2014; JBI 2020; Aromataris & Munn, 2020), data extraction process is carried out simultaneously, whether the studies have a quantitative, qualitative or mixed design, providing for data transformation. Data transformation consists of converting quantitative data into qualitative data or vice versa, quantitative data into 'underlying' qualitative data (consisting of the transformation into textual descriptions of the quantitative results) in order to be combined and synthesised in the overall data summary. Each eligible study was subjected to methodological and critical appraisal in accordance with its methodology. The researchers decided to use the JBI methodological assessment tools, in accordance with the methodological framework adopted. These tools are available online, have international consensus and guarantee accuracy and reliability. Thus, the resources were used for the assessment of qualitative and mixed studies (Lockwood, Munn, & Porrit, 2017) and Quasi-experimental studies (Tufanaru, Munn, Aromataris, Campbell, & Hopp, 2020) and case series (Munn et al., 2020). Authors present: - Prisma Flow of Records: Fig.1 - Table 1. Studies Synthesis - Mixed Method Systematic Review - Table 2 and 3. Critical Appraisal Tools (CAT), Joanna Briggs Institute (JBI): Synthesis for each elegible studie - Table 4. Thematic Syntesis


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This process was carried out independently by two researchers. Eligible articles were imported into Mendeley (version 1.19.8) and duplicate references were identified and deleted. Subsequently, the two independent researchers read the titles and abstracts and based their decisions on the defined inclusion and exclusion criteria. From the sample of eligible full-text articles, all secondary studies were eliminated, as well as studies that included children but not adolescents, studies without reference to nurses working in schools and without reference to mental health. For data extraction stage the researchers developed an instrument based on the JBI Model (Lizarondo et al., 2020). This instrument, was developed to guide data extraction and considered the following items: type of study; sample; phenomenon of interest; the context; findings or results; conclusions and limitations. This review followed the suggested guidelines for data integration and synthesis. The literature indicates that there are several methods to perform integration, suggesting for the integrated convergent method the performance of thematic synthesis. This, uses coding, groups similar codes together and develops descriptive themes to generate an overall summary of the findings (Aromataris & Munn, 2020). In this sense, and using content analysis (which can be used with qualitative and quantitative data, that allows inference data), in the first phase the data relevant to the phenomenon under study were identified separately in each study and subjected to coding (coded textual descriptions). In the second phase, the data were gathered with similar coding of all studies and several themes emerged that configured the thematic synthesis into various categories and subcategories (Elo & Kyngäs, 2008; (Aromataris & Munn, 2020).


School Nursing, Child Mental Health, Children with Mental Health Challenges