Clinical significance of premature ventricular contraction among adult patients: protocol for a scoping review

Abstract Background Premature ventricular contractions (PVCs) are one of the most common arrhythmias detected from electrocardiographic (ECG) monitoring. PVCs were thought to cause lethal arrhythmias and thus were closely monitored and treated. However, in current practice, PVCs generally do not required treatment. There is also concern that PVCs contribute to excessive alarms and lead to alarm fatigue. Practice guidelines for in-hospital monitoring state that monitoring for PVCs may be indicated on some patients but do not recommend continuous ECG monitoring. Despite these recommendations, PVC monitoring practices remain part of routine care, especially in the intensive care unit, for worry of missing potentially significant arrhythmia events. A thorough scoping review of the literature regarding the clinical significance of PVC is imperative, precisely to map out the evidence on the diagnostic and prognostic values of PVCs and to identify research gaps on this issue. Methods The primary question of this review is “what is the clinical significance of PVCs in adults?” Preparation of this scoping review will use the PRISMA-P statement. A scoping review framework by Arksey and O’Malley will be adopted. In identifying relevant studies, the Population-Concept-Context (PCC) framework by the Joanna Briggs Institute will be used. A search strategy will be developed, and four major electronic databases will be searched: CINAHL, Embase, PubMed, and Web of Science Core Collection. Manual searches will also be conducted. The study selection process will adopt the 2009 PRISMA flow diagram. EndNote X8 will be used to manage citations, as well as for duplicates screening in addition to Microsoft Excel 2016. Two independent reviewers will assess potential studies in detail against inclusion criteria. A standardized data extraction form will be developed. Finally, critical appraisal will be conducted using a tool adapted from the Quality Appraisal Checklist by the National Institute for Health Care Excellence (NICE). Discussion We believe this scoping review will provide a general foundation of evidence on the potential significance of PVCs concerning its diagnostic and prognostic value among the adult patient population. The findings will allow us to map out research gaps on this topic that could shape future research and ultimately clinical practice. Scoping review registration This scoping review has been registered in the Open Science Framework (OSF), DOI: https://doi.org/10.17605/OSF.IO/GAVT2.

Download Full-text

Video-based interviewing in medicine: protocol for a scoping review

Systematic Reviews ◽

10.1186/s13643-020-01484-6 ◽

2020 ◽

Vol 9 (1) ◽

Author(s):

Rajajee Selvam ◽

Richard Hu ◽

Reilly Musselman ◽

Isabelle Raiche ◽

Husein Moloo

Keyword(s):

Current Literature ◽

Scoping Review ◽

Selection Process ◽

Grey Literature ◽

Previous Literature ◽

Flow Diagram ◽

Future Research ◽

Face To Face ◽

Interview Process ◽

Level Of Training

Abstract Background Careers in healthcare involve an extensive interview process as transitions are made from one level of training to the next. For physicians, interviews mark the gateway from entrance into medical school, acceptance into residency, fellowships, and subsequent job opportunities. Previous literature outlining the costs associated with face-to-face interviews and concerns regarding the climate crisis has triggered an interest in video-based interviews. Barriers to transitioning away from in-person interviews include concerns regarding lack of rapport between applicants and interviewers, and applicants being less able to represent themselves. In a new era ushered in by COVID where many of us have utilized virtual meetings more than any prior time both personally and for work, we wanted to consolidate the current literature on the use of video-based interviews in healthcare and summarize the findings. Methods A scoping review will be conducted to explore the benefits and limitations of video-based interviews for both applicants and interviewers within healthcare fields, as well as the perceived barriers associated with transitioning away from face-to-face interviews. The scoping review methodology outlined by Arksey and O’Malley will be implemented. The search strategy developed by the authors in collaboration with an academic health sciences librarian will be conducted across four electronic databases (Embase, MEDLINE, Cochrane Central, and PsycInfo) and supplemented by a review of the grey literature and reference lists of included studies. The study selection process will be documented using the PRISMA flow diagram, and reasons for exclusion following full-text review will be recorded. The extracted data will be analyzed using quantitative and qualitative analysis. Discussion Despite previous literature on the costs associated with face-to-face interviews, there has been hesitancy with transitioning to video-based interviews due to concerns of lack of rapport between applicants and interviewers, and applicants being less able to represent themselves. While these limitations have been explored in previous studies, a succinct review of the current literature to guide the effective restructuring of the interview process is lacking. With our scoping review, we hope to fill this gap in the literature to better understand barriers to transitioning from face-to-face interviews and directions for future research.

Download Full-text

Video-Based Interviewing in Medicine: Protocol for a Scoping Review

10.21203/rs.3.rs-26283/v1 ◽

2020 ◽

Author(s):

Rajajee Selvam ◽

Richard Hu ◽

Reilly Musselman ◽

Isabelle Raiche ◽

Husein Moloo

Keyword(s):

Current Literature ◽

Scoping Review ◽

Selection Process ◽

Grey Literature ◽

Previous Literature ◽

Flow Diagram ◽

Future Research ◽

Face To Face ◽

Interview Process ◽

Level Of Training

Abstract Background: Careers in healthcare involve an extensive interview process as transitions are made from one level of training to the next. For physicians, interviews mark the gateway from entrance into medical school, acceptance into residency, fellowships, and subsequent job opportunities. Previous literature outlining the costs associated with face-to-face interviews and concerns regarding the climate crisis has triggered an interest in video-based interviews. Barriers to transitioning away from in person interviews include concerns regarding lack of rapport between applicants and interviewers, and applicants being less able to represent themselves. In a new era ushered in by COVID where many of us have utilized virtual meetings more than any prior time both personally and for work, we wanted to consolidate the current literature on the use of video-based interviews in healthcare and summarize the findings. Methods: A scoping review will be conducted to explore the benefits and limitations of video-based interviews for both applicants and interviewers within healthcare fields, as well as the perceived barriers associated with transitioning away from face-to-face interviews. The scoping review methodology outlined by Arksey and O’Malley will be implemented. The search strategy developed by the authors in collaboration with an academic health sciences librarian will be conducted across four electronic databases (Embase, Medline, Cochrane Central, and PsycInfo) and supplemented by review of the grey literature and reference lists of included studies. The study selection process will be documented using the PRISMA flow diagram, and reasons for exclusion following full text review will be recorded. The extracted data will be analyzed using quantitative and qualitative analysis. Discussion: Despite previous literature on the costs associated with face-to-face interviews, there has been hesitancy with transitioning to video-based interviews due to concerns of lack of rapport between applicants and interviewers, and applicants being less able to represent themselves. While these limitations have been explored in previous studies, a succinct review of the current literature to guide effective restructuring of the interview process is lacking. With our scoping review, we hope to fill this gap in the literature to better understand barriers to transitioning from face-to-face interviews and directions for future research.

Download Full-text

Exploration of recovery of people living with severe mental illness (SMI) in low/middle-income countries (LMICs): a scoping review

BMJ Open ◽

10.1136/bmjopen-2020-045005 ◽

2021 ◽

Vol 11 (3) ◽

pp. e045005

Author(s):

Fadia Gamieldien ◽

Roshan Galvaan ◽

Bronwyn Myers ◽

Zarina Syed ◽

Katherine Sorsdahl

Keyword(s):

Mental Illness ◽

Severe Mental Illness ◽

Scoping Review ◽

Data Extraction ◽

Flow Diagram ◽

Personal Recovery ◽

Middle Income ◽

Middle Income Countries ◽

Provider Perspectives ◽

Low Middle Income Countries

ObjectiveTo examine the literature on how recovery of people with severe mental illness (SMI) is conceptualised in low/middle-income countries (LMICs), and in particular what factors are thought to facilitate recovery.DesignScoping review.Data sources and eligibilityWe searched 14 electronic databases, hand searched citations and consulted with experts during the period May–December 2019. Eligible studies were independently screened for inclusion and exclusion by two reviewers. Unresolved discrepancies were referred to a third reviewer.Data extraction and synthesisAll bibliographical data and study characteristics were extracted using a data charting form. Selected studies were analysed through a thematic analysis emerging from extracted data.ResultsThe Preferred Reporting Items for Systematic Reviews and Meta-Analyses flow diagram offers a summary of the results: 4201 titles, 1530 abstracts and 109 full-text articles were screened. Ten articles were selected for inclusion: two from Turkey, two from India, and one each from China, Swaziland, Indonesia, Egypt, South Africa and Vietnam. Although most studies used qualitative methods, data collection and sampling methods were heterogeneous. One study reported on service provider perspectives while the rest provided perspectives from a combination of service users and caregivers. Three themes emerged from the data analysis. First, studies frame recovery as a personal journey occurring along a continuum. Second, there was an emphasis on social relationships as a facilitator of recovery. Third, spirituality emerged as both a facilitator and an indicator of recovery. These themes were not mutually exclusive and some overlap exists.ConclusionAlthough there were commonalities with how high-income countries describe recovery, we also found differences in conceptualisation. These differences in how recovery was understood reflect the importance of framing the personal recovery concept in relation to local needs and contextual issues found in LMICs. This review highlighted the current sparse evidence base and the need to better understand recovery from SMI in LMICs.

Download Full-text

Virtual Reality in Medical Students’ Education: A Scoping Review (Preprint)

10.2196/preprints.34860 ◽

2021 ◽

Author(s):

Haowen Jiang ◽

Sunitha Vimalesvaran ◽

Jeremy King Wang ◽

Kee Boon Lim ◽

Sreenivasulu Reddy Mogali ◽

...

Keyword(s):

Medical Education ◽

Virtual Reality ◽

Virtual Worlds ◽

Scoping Review ◽

Data Extraction ◽

3D Models ◽

Bibliographic Databases ◽

Future Research ◽

Psychomotor Skills ◽

Group Setting

BACKGROUND Virtual reality (VR) is a digital education modality that produces a virtual manifestation of the real world and it has been increasingly used in medical education. As VR encompasses different modalities, tools and applications, there is a need to explore how VR has been employed in medical education. OBJECTIVE The objective of this scoping review is to map existing research on the use of VR in undergraduate medical education and to identify areas of future research METHODS We performed a search of 4 bibliographic databases in December 2020, with data extracted using a standardized data extraction form. The data was narratively synthesized and reported in line with the PRISMA-ScR guidelines. RESULTS Of 114 included studies, 69 studies (61%) reported the use of commercially available surgical VR simulators. Other VR modalities included 3D models (15 [14%]) and virtual worlds (20 [18%]), mainly used for anatomy education. Most of the VR modalities included were semi-immersive (68 [60%]) and of high interactivity (79 [70%]). There is limited evidence on the use of more novel VR modalities such as mobile VR and virtual dissection tables (8 [7%]), as well as the use of VR for training of non-surgical and non-psychomotor skills (20 [18%]) or in group setting (16 [14%]). Only 3 studies reported the use conceptual frameworks or theories in the design of VR. CONCLUSIONS Despite extensive research available on VR in medical education, there continues to be important gaps in the evidence. Future studies should explore the use of VR for the development of non-psychomotor skills and in areas other than surgery and anatomy.

Download Full-text

Complex Lifestyle and Psychological Intervention in Knee Osteoarthritis: Scoping Review of Randomized Controlled Trials

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph182312757 ◽

2021 ◽

Vol 18 (23) ◽

pp. 12757

Author(s):

Bryan Yijia Tan ◽

Tivona Thach ◽

Yasmin Lynda Munro ◽

Soren Thorgaard Skou ◽

Julian Thumboo ◽

...

Keyword(s):

Knee Osteoarthritis ◽

Scoping Review ◽

Psychological Intervention ◽

Care Delivery ◽

Data Extraction ◽

Psychosocial Interventions ◽

Current Evidence ◽

Future Research ◽

Controlled Trials ◽

Knee Oa

Knee osteoarthritis (OA) causes pain, disability and poor quality of life in the elderly. The primary aim was to identify and map out the current evidence for randomised controlled trials (RCTs) on complex lifestyle and psychosocial interventions for knee OA. The secondary aim was to outline different components of complex lifestyle and psychosocial interventions. Our scoping review searched five databases from 2000 to 2021 where complex lifestyle or psychosocial interventions for patients with knee OA were compared to other interventions. Screening and data extraction were performed by two review authors independently and discrepancies resolved through consensus and in parallel with a third reviewer. A total of 38 articles were selected: 9 studied the effectiveness of psychological interventions; 11 were on self-management and lifestyle interventions; 18 looked at multifaceted interventions. This review highlights the substantial variation in knee OA interventions and the overall lack of quality in the current literature. Potential areas of future research, including identifying prognostic social factors, stratified care models, transdisciplinary care delivery and technology augmented interventions, have been identified. Further high-quality RCTs utilizing process evaluations and economic evaluation in accordance with the MRC guidelines are critical for the development of evidence-based knee OA programs globally.

Download Full-text

Exploration of implementation, financial and technical considerations within allied health professional (AHP) telehealth consultation guidance: a scoping review including UK AHP professional bodies’ guidance

BMJ Open ◽

10.1136/bmjopen-2021-055823 ◽

2021 ◽

Vol 11 (12) ◽

pp. e055823

Author(s):

Enza Leone ◽

Nicola Eddison ◽

Aoife Healy ◽

Carolyn Royse ◽

Nachiappan Chockalingam

Keyword(s):

Scoping Review ◽

Allied Health ◽

Data Extraction ◽

Collaborative Work ◽

Occupational Therapists ◽

Legal Aspects ◽

Future Research ◽

Allied Health Professionals ◽

Study Selection ◽

The Uk

ObjectivesThe COVID-19 pandemic has resulted in a shift to remote consultations, but telehealth consultation guidelines are lacking or inconsistent. Therefore, a scoping review was performed to chart the information in the articles exploring telehealth for the UK allied health professionals (AHPs) and compare them with the UK AHP professional bodies’ guidelines.DesignScoping review following Aksey and O’ Malley methodological framework.Data sourcesCINHAL and MEDLINE were searched from inception to March 2021 using terms related to ‘telehealth’, ‘guidelines’ and ‘AHPs’. Additionally, the UK AHP professional bodies were contacted requesting their guidelines.Study selectionArticles exploring telehealth for patient consultations, written in English and published in peer-reviewed journal or guidelines available from UK AHP professional bodies/their websites were considered eligible for review.Data extractionOne reviewer extracted data concerning three overarching domains: implementation, financial and technological considerations.Results2632 articles were identified through database searches with 21 articles eligible for review. Eight guidelines were obtained from the UK AHP professional bodies with a total of 29 included articles/guidelines. Most articles were published in the last two years; there was variety in telehealth terminology, and most were developed for occupational therapists, physiotherapists and speech and language therapists. Information was lacking about the assessment of telehealth use and effectiveness, barriers and limitations, the logistical management, the family’s and caregiver’s roles and the costs. There was lack of clarity on the AHPs’ registration requirements, costs and coverage, and legal aspects.ConclusionThis study identified gaps in current guidelines, which showed similarities as well as discrepancies with the guidance for non-AHP healthcare professionals and revealed that the existing guidelines do not adequately support AHPs delivering telehealth consultations. Future research and collaborative work across AHP groups and the world’s leading health institutions are suggested to establish common guidelines that will improve AHP telehealth services.

Download Full-text

Functionalized Nanoparticles Activated by Photodynamic Therapy as an Antimicrobial Strategy in Endodontics: A Scoping Review

Antibiotics ◽

10.3390/antibiotics10091064 ◽

2021 ◽

Vol 10 (9) ◽

pp. 1064

Author(s):

Pablo Betancourt ◽

Nadia Brocal ◽

Eulàlia Sans-Serramitjana ◽

Carlos Zaror

Keyword(s):

Photodynamic Therapy ◽

Scoping Review ◽

Selection Process ◽

Data Extraction ◽

Cochrane Library ◽

Qualitative Synthesis ◽

Promising Alternative ◽

Root Canals ◽

Low Cytotoxicity

The eradication of endodontic pathogens continues to be the focus of the search for new root canal system (RCS) disinfection strategies. This scoping review provides a comprehensive synthesis of antimicrobial photodynamic therapy (aPDT) using nanoparticles (NPs) as an alternative to optimize RCS disinfection. A systematic search up to March 2021 was carried out using the MEDLINE, EMBASE, Scopus, Lilacs, Central Cochrane Library, and BBO databases. We included studies focused on evaluating the activation of NPs by aPDT in inoculated root canals of human or animal teeth or bacterial cultures in the laboratory. The selection process and data extraction were carried out by two researchers independently. A qualitative synthesis of the results was performed. A total of seventeen studies were included, of which twelve showed a substantial antibacterial efficacy, two assessed the substantivity of the disinfection effect, and three showed low cytotoxicity. No adverse effects were reported. The use of functionalized NPs with photosensitizer molecules in aPDT has been shown to be effective in reducing the bacteria count, making it a promising alternative in endodontic disinfection. Further studies are needed to assess the development of this therapy in in vivo conditions, with detailed information about the laser parameters used to allow the development of safe and standardized protocols.

Download Full-text

Type and use of digital technology in learning health systems: a scoping review protocol

BMJ Open ◽

10.1136/bmjopen-2018-026204 ◽

2019 ◽

Vol 9 (5) ◽

pp. e026204

Author(s):

Lysanne Lessard ◽

Agnes Grudniewicz ◽

Antoine Sauré ◽

Agnieszka Szczotka ◽

James King ◽

...

Keyword(s):

Health Systems ◽

Scoping Review ◽

Digital Technology ◽

Technology Use ◽

Data Extraction ◽

Grey Literature ◽

Future Research ◽

Efficiency And Effectiveness ◽

Ethical Approval ◽

Review Protocol

IntroductionHealth systems in North America and Europe have been criticised for their lack of safety, efficiency and effectiveness despite rising healthcare costs. In response, healthcare leaders and researchers have articulated the need to transform current health systems into continuously and rapidly learning health systems (LHSs). While digital technology has been envisioned as providing the transformational power for LHSs by generating timely evidence and supporting best care practices, it remains to be ascertained if it is indeed playing this role in current LHS initiatives. This paper presents a protocol for a scoping review that aims at providing a comprehensive understanding of how and to what extent digital technology is used within LHSs. Results will help to identify gaps in the literature as a means to guide future research on this topic.Methods and analysisMultiple databases and grey literature will be searched with terms related to learning health systems. Records selection will be done in duplicate by two reviewers applying pre-defined inclusion and exclusion criteria. Data extraction from selected records will be done by two reviewers using a piloted data charting form. Results will be synthesised through a descriptive numerical summary and a mapping of digital technology use onto types of LHSs and phases of learning within LHSs.Ethics and disseminationEthical approval is not required for this scoping review. Preliminary results will be shared with stakeholders to account for their perspectives when drawing conclusions. Final results will be disseminated through presentations at relevant conferences and publications in peer-reviewed journals.

Download Full-text

Mental Imagery in Volleyball Settings: A Scoping Review

Journal of Imagery Research in Sport and Physical Activity ◽

10.1515/jirspa-2018-0012 ◽

2019 ◽

Vol 14 (1) ◽

Author(s):

Joana Ribeiro ◽

Cláudia Dias ◽

Valter Cardoso Barbosa Filho ◽

José Cruz ◽

António Fonseca

Keyword(s):

Mental Imagery ◽

Scoping Review ◽

Training Programs ◽

Selection Process ◽

Future Research ◽

Psychological Skills ◽

Cross Sectional ◽

Imagery Training ◽

Certification Programs ◽

Volleyball Players

Abstract This article presents a scoping review of the published literature on mental imagery in the context of volleyball. Four online databases and one peer-reviewed journals were searched, based on the inclusion criteria. Publication information, procedures and research methods, sample characteristics, sport type and type of mental imagery were analyzed. The selection process found 52 studies, and results showed that from 1987 to 2018 the mental images, along with other psychological skills, have gained popularity in volleyball settings. The examined studies used cross-sectional and experimental approaches, and the analysis was assessed by quantitative data and/ or mental imagery training programs (with relaxation and scripts), mainly focusing on the isolated analysis of the mental imagery construct, and evaluating its use. The studies included both male and female participants, but only 11% were volleyball players. Additionally, the focus was on adolescents and young adult athletes, mostly from high school/ university or international/ elite levels. However, just two studies examined athletes under the age of 16. Considering the present study’s results, limitations, and its implications for practice (e. g. to provide the coach certification programs with specific mental imagery contents), future research directions were highlighted, such as improve mental imagery training programs for children and youth volleyball players.

Download Full-text

Impact of transition programmes for students and new graduate nurses on workplace bullying, violence, stress and resilience: a scoping review protocol

BMJ Open ◽

10.1136/bmjopen-2020-038893 ◽

2020 ◽

Vol 10 (10) ◽

pp. e038893

Author(s):

Khadijah Ali Alshawush ◽

Nutmeg Hallett ◽

Caroline Bradbury-Jones

Keyword(s):

Scoping Review ◽

Workplace Violence ◽

Workplace Bullying ◽

Current Knowledge ◽

Selection Process ◽

Data Extraction ◽

Cost Effective ◽

Graduate Nurses ◽

New Graduate Nurses ◽

New Graduate

IntroductionThe shortage of nurses is projected to grow, and the number of new graduate nurses (NGNs) who are predicted to replace expert nurses has increased. Meanwhile, those NGNs leaving their job within the first year, give various reasons for leaving, including workplace bullying and violence. In response, some hospitals and universities have developed nurse transition programmes such as nurse residency programmes and nurse internship programmes to attract NGNs and to assist in their changing status from education to practice. Although these programmes have been successful in decreasing the turnover rate for new nurses and are cost-effective, their impact on workplace bullying and violence has not been systematically reviewed and is yet to be determined. A scoping review will be conducted to address this gap. The aim is to identify current knowledge regarding the content of transition programmes and their impact in supporting NGNs dealing with workplace violence, bullying and stress.Methods and analysisArksey and O’Malley’s scoping framework and the Joanna Briggs Institute scoping review guidance will guide the methodology process of the review. Published studies, with no date limit, will be identified through the electronic databases (CINAHL, Scopus, MEDLINE, Web of Science, ASSIA, PsycINFO, Embase, PROSPERO and ProQuest Dissertation) and reference lists. Primary key terms will be ‘novice nurse’, ‘new graduate nurses’ and ‘transition programmes’. Two reviewers, guided by standardised procedures, will perform the study selection process independently. Data from the selected studies will be extracted using a data extraction form. Thematic analysis (for qualitative papers) and descriptive summary of the results (for quantitative papers) will be performed.Ethics and disseminationEthical approval is not required for this review. Findings will be used to inform future study designs to evaluate the transition programmes and disseminated via peer-reviewed journals and conferences.

Download Full-text