The efficacy of music as a non-pharmacological intervention in the endoscopy setting: a literature review

2020 ◽  
Vol 18 (Sup1) ◽  
pp. S16-S24
Author(s):  
Dale Ware ◽  
John Habron

Background: Music has been demonstrated to have therapeutic effects for relaxation and pain management in various healthcare settings. However, this practice has not been adopted in the UK in the endoscopy environment. Music as an intervention could potentially lower pain thresholds, promote anxiolysis, reduce sedation and enhance the patient experience. Aims: The study aimed to identify, analyse and discuss existing knowledge on the topic of music medicine as an intervention in the endoscopy setting and to expose gaps in previous research and form recommendations for future research. Methods: Iterative searching of electronic databases, hand searches and grey literature searches were employed, following inclusion/exclusion criteria to identify relevant studies. Studies were then thematically analysed and themes identified. Findings: The search identified 11 relevant studies, with emergent themes of anxiety, patient satisfaction, sedation/analgesia, choice of music and procedure times. Conclusions: This literature review showed that music is a safe therapeutic intervention. It has the potential to act as an anxiolytic, reducing amounts of sedation or even replacing sedation in some cases. Patient satisfaction and experience can be enhanced, reducing DNA rates and encouraging greater uptake of repeat procedures.

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Monika Jedynak ◽  
Wojciech Czakon ◽  
Aneta Kuźniarska ◽  
Karolina Mania

PurposeThe purpose of this paper is to identify the development of the digital transformation literature and to the systematic literature review methodology.Design/methodology/approachThe authors run a systematic literature review, followed by a rigorous thematic analysis of both academic and grey literature dataset, in order to develop a conceptual map of organizations' digital transformation. The authors aggregate the concepts and topics identified across the literature to find that they overwhelmingly tackle digital business models. At the same time, the authors identify a major blind spot resulting from ignoring the organization itself as a unit of analysis.FindingsThe findings show that developing a digital theory of the organization or the theory of digitally transformed organization is a major challenge to management researchers. The analysis exposed numerous research gaps that can be helpful for future research directions.Originality/valueDigital transformation research enjoys an increasingly rapid rise to recognition across many academic disciplines and strongly impacts the management domain. adopt the view that published documents reflect the collective understanding of a phenomenon. This paper contributes to filtering the digital transformation literature, clarify complex relation between digital transformations of organizations and identify the key blind points.


Author(s):  
Vincent M. Kiberu ◽  
Maurice Mars ◽  
Richard E. Scott

Background: Most developing countries, including Uganda, have embraced the use of e-Health and m-Health applications as a means to improve primary healthcare delivery and public health for their populace. In Uganda, the growth in the information and communications technology industry has benefited the rural communities and also created opportunities for new innovations, and their application into healthcare has reported positive results, especially in the areas of disease control and prevention through disease surveillance. However, most are mere proof-of-concepts, only demonstrated in use within a small context and lack sustainability. This study reviews the literature to understand e-Health’s current implementation status within Uganda and documents the barriers and opportunities to sustainable e-Health intervention programmes in Uganda.Methods: A structured literature review of e-Health in Uganda was undertaken between May and December 2015 and was complemented with hand searching and a document review of grey literature in the form of policy documents and reports obtained online or from the Ministry of Health’s Resource Centre.Results: The searches identified a total of 293 resources of which 48 articles met the inclusion criteria of being in English and describing e-Health implementation in Uganda. These were included in the study and were examined in detail.Conclusion: Uganda has trialled several e-Health and m-Health solutions to address healthcare challenges. Most were donor funded, operated in silos and lacked sustainability. Various barriers have been identified. Evidence has shown that e-Health implementations in Uganda have lacked prior planning stages that the literature notes as essential, for example strategy and need readiness assessment. Future research should address these shortcomings prior to introduction of e-Health innovations.


2022 ◽  
Vol 54 (8) ◽  
pp. 1-41
Author(s):  
Rafael Belchior ◽  
André Vasconcelos ◽  
Sérgio Guerreiro ◽  
Miguel Correia

Blockchain interoperability is emerging as one of the crucial features of blockchain technology, but the knowledge necessary for achieving it is fragmented. This fact makes it challenging for academics and the industry to achieve interoperability among blockchains seamlessly. Given this new domain’s novelty and potential, we conduct a literature review on blockchain interoperability by collecting 284 papers and 120 grey literature documents, constituting a corpus of 404 documents. From those 404 documents, we systematically analyzed and discussed 102 documents, including peer-reviewed papers and grey literature. Our review classifies studies in three categories: Public Connectors, Blockchain of Blockchains, and Hybrid Connectors. Each category is further divided into sub-categories based on defined criteria. We classify 67 existing solutions in one sub-category using the Blockchain Interoperability Framework, providing a holistic overview of blockchain interoperability. Our findings show that blockchain interoperability has a much broader spectrum than cryptocurrencies and cross-chain asset transfers. Finally, this article discusses supporting technologies, standards, use cases, open challenges, and future research directions, paving the way for research in the area.


2021 ◽  
Vol 35 (9) ◽  
pp. 265-280 ◽  
Author(s):  
Kristina Rosengren ◽  
Petra Brannefors ◽  
Eric Carlstrom

PurposeThis study aims to describe how person-centred care, as a concept, has been adopted into discourse in 23 European countries in relation to their healthcare systems (Beveridge, Bismarck, out of pocket).Design/methodology/approachA literature review inspired by the SPICE model, using both scientific studies (CINHAL, Medline, Scopus) and grey literature (Google), was conducted. A total of 1,194 documents from CINHAL (n = 139), Medline (n = 245), Scopus (n = 493) and Google (n = 317) were analysed for content and scope of person-centred care in each country. Countries were grouped based on healthcare systems.FindingsResults from descriptive statistics (percentage, range) revealed that person-centred care was most common in the United Kingdom (n = 481, 40.3%), Sweden (n = 231, 19.3%), the Netherlands (n = 80, 6.7%), Northern Ireland (n = 79, 6.6%) and Norway (n = 61, 5.1%) compared with Poland (0.6%), Hungary (0.5%), Greece (0.4%), Latvia (0.4%) and Serbia (0%). Based on healthcare systems, seven out of ten countries with the Beveridge model used person-centred care backed by scientific literature (n = 999), as opposed to the Bismarck model, which was mostly supported by grey literature (n = 190).Practical implicationsAdoption of the concept of person-centred care into discourse requires a systematic approach at the national (politicians), regional (guidelines) and local (specific healthcare settings) levels visualised by decision-making to establish a well-integrated phenomenon in Europe.Social implicationsEvidence-based knowledge as well as national regulations regarding person-centred care are important tools to motivate the adoption of person-centred care in clinical practice. This could be expressed by decision-making at the macro (law, mission) level, which guides the meso (policies) and micro (routines) levels to adopt the scope and content of person-centred care in clinical practice. However, healthcare systems (Beveridge, Bismarck and out-of-pocket) have different structures and missions owing to ethical approaches. The quality of healthcare supported by evidence-based knowledge enables the establishment of a well-integrated phenomenon in European healthcare.Originality/valueOur findings clarify those countries using the Beveridge healthcare model rank higher on accepting/adopting the concept of person-centered care in discourse. To adopt the concept of person-centred care in discourse requires a systematic approach at all levels in the organisation—from the national (politicians) and regional (guideline) to the local (specific healthcare settings) levels of healthcare.


2019 ◽  
Vol 45 (2) ◽  
pp. 88-94 ◽  
Author(s):  
Annette Thwaites ◽  
Anh B Tran ◽  
Sue Mann

ObjectivesProvision of immediate postnatal contraception, including long-acting reversible contraceptive (LARC) methods, is increasingly identified and endorsed as a key strategy for reducing unplanned and rapid repeat pregnancies. This literature review aims to evaluatethe views of women and healthcare professionals regarding the receipt, initiation or delivery of these services.MethodsDatabases (Embase, Medline, CINAHL, HMIC) were searched for relevant English language studies, from January2003 to December 2017. In addition, Evidence Search, Google Scholar and Scopus (citation search) were used to identify further literature. Other relevant websites were accessed for policies, guidance and supplementary grey literature.ResultsThere is clear guidance on how to deliver good-quality postnatal contraception to women, but the reality of service delivery in the UK does not currently meet these aspirations, and guidance on implementation is lacking. The available evidence on the provision of immediate postnatal contraception focuses more on clinical rather than patient-centred outcomes. Research on postnatal women’s views is limited to receptivity to LARC and contraception counselling rather than what influences their decision-making process at this time. Research on views of healthcare professionals highlights a range of key systemic barriers to implementation.ConclusionsWhile views of postnatal women and healthcare professionals are largely in support of immediate postnatal contraception provision, important challenges have been raised and present a need for national sharing of service commissioning and delivery models, resources and evaluation data. Provider attitudes and training needs across multidisciplinary groups also need to be assessed and addressed as collaborative working across a motivated, skilled and up-to-date network of healthcare professionals is viewed as key to successful service implementation.


2021 ◽  
Vol 13 (22) ◽  
pp. 12827
Author(s):  
Marcus Hübscher

Within the neoliberal context of today’s urbanism, a growing number of inner-city megaprojects aim to transform brownfield sites—accompanied by gentrification and tourism. However, there is no systematic review exploring the interplay between these phenomena. This paper aims to systemize the existing scientific contributions by means of a literature review. Using different databases, a total number of 797 scientific documents have been identified. After several screening steps, a final set of 66 studies was included in the review. I present an analysis from a quantitative and a qualitative perspective, exploring bibliometric aspects, concepts, methods, and relevant lines of discussion. The area studied is a relatively young and emerging field. Within the discussion, there is a strong dominance of countries located in the global north, with Spain, the UK, and the U.S. at the forefront. From a methodological point of view, qualitative and mixed methods are mostly applied. The discussion of megaprojects, gentrification, and tourism has an important descriptive focus, with main topics such as planning, justice, and motivations. There are considerable conceptual deficits, as one-quarter of the studies do not clearly explain their methods. Future research needs to find ways to enable knowledge transfer to planning practice.


2020 ◽  
Vol 71 (702) ◽  
pp. e39-e46
Author(s):  
Marina Soley-Bori ◽  
Mark Ashworth ◽  
Alessandra Bisquera ◽  
Hiten Dodhia ◽  
Rebecca Lynch ◽  
...  

BackgroundManaging multimorbidity is complex for both patients and healthcare systems. Patients with multimorbidity often use a variety of primary and secondary care services. Country-specific research exploring the healthcare utilisation and cost consequences of multimorbidity may inform future interventions and payment schemes in the UK.AimTo assess the relationship between multimorbidity, healthcare costs, and healthcare utilisation; and to determine how this relationship varies by disease combinations and healthcare components.Design and settingA systematic review.MethodThis systematic review followed the bidirectional citation searching to completion method. MEDLINE and grey literature were searched for UK studies since 2004. An iterative review of references and citations was completed. Authors from all articles selected were contacted and asked to check for completeness of UK evidence. The National Institutes of Health National Heart, Lung, and Blood Institute quality assessment tool was used to assess risk of bias. Data were extracted, findings synthesised, and study heterogeneity assessed; meta-analysis was conducted when possible.ResultsSeventeen studies were identified: seven predicting healthcare costs and 10 healthcare utilisation. Multimorbidity was found to be associated with increased total costs, hospital costs, care transition costs, primary care use, dental care use, emergency department use, and hospitalisations. Several studies demonstrated the high cost of depression and of hospitalisation associated with multimorbidity.ConclusionIn the UK, multimorbidity increases healthcare utilisation and costs of primary, secondary, and dental care. Future research is needed to examine whether integrated care schemes offer efficiencies in healthcare provision for multimorbidity.


2020 ◽  
Vol 18 (Sup8) ◽  
pp. S26-S35
Author(s):  
Ziyad Al-Dibouni ◽  
Andrew Poullis

Background Inflammatory bowel disease (IBD) affects more than 300 000 people in the UK alone. These patients will frequently require gastrointestinal (GI) endoscopic assessment and surveillance of their disease, which can cause pre-procedure anxiety. A better understanding of procedure-related anxiety can help develop measures to reduce it and improve patient experience. Aims A systematic literature review was conducted to identify the factors that are associated with pre-lower gastrointestinal endoscopy anxiety in inflammatory bowel disease (IBD) patients. Methods Electronic databases were searched for studies that evaluated anxiety with GI endoscopic procedures in IBD patients. Studies were independently reviewed by an author, extracting data and assessing quality. The main outcomes were the prevalence of pre-procedure anxiety, patient concerns, tolerance and interventions in IBD patients. Results In total, 77 studies were identified for inclusion. No studies specifically explored the prevalence and severity of anxiety in IBD patients. The studies that investigated pre-procedure anxiety identified that high levels were seen pre-procedure, with areas of anxiety-related concerns including bowel preparation, potential discomfort and the stigma of embarrassment. Conclusions Many patients undergoing GI endoscopic procedures experience anxiety. Improving the ways in which pre-procedure information is delivered can help in reducing this anxiety. However, the prevalence and severity of and best method of intervention for this anxiety in IBD patients are unclear, providing areas for further research.


2020 ◽  
Author(s):  
Lesley Kelly

<h4>Background</h4> <p>The United Kingdom (UK) public sector has spent more than £3.2bn on digital, data and technology services since 2012. The UK public sector borrowing year ending March 2018 was at £41bn. The debt at the end of February 2019 was at £1785bn (Office of National Statistics, 2019) and because of this spiralling debt, the UK government had to implement austerity. Therefore, there was a need to address solutions to help the government implement austerity. For example, the NHS Digital (NHSD) annual report and accounts 2017 to 2018 reported an increase in expenditure for permanent staff, software development, IT maintenance and IT support. It is evident there is an increase in expenditure compared to their 2016 to 2017 report. This provides scope for reduction in expenditure.</p> <h4>Objective</h4> <p>This literature review aims to investigate if DevOps has the potential to transform public sector IT delivery and provide value for money to the taxpayer by reducing expenditure in software development, IT maintenance and IT support. We will also be reviewing the maturity of DevOps in its current form and address the benefits and downsides from a public sector perspective.</p> <h4>Method</h4> <p>Our literature review will apply the Preferred Reporting Items for Systematic Reviews and Meta-Analysis Protocol (PRISMA-P). We will accomplish a two-part study and apply thematic organisation of our literature. We will use databases recommended by the University of Portsmouth Library. Grey Literature will be included, but we will exclude untrustworthy literature, social media, broadcasting, and press media. Only literature with confirmed validity will be included for further research.</p><br>


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