KAJIAN LITERATUR: PERBANDINGAN EFEKTIVITAS TEKNIK WET TO DRY DRESSING DAN TEKNIK MOIST DRESSING PADA ULKUS DIABETIK [LITERATURE REVIEW: COMPARISON OF THE EFFECTIVENESS OF THE WET TO DRY DRESSING TECHNIQUE AND THE MOIST DRESSING TECHNIQUE IN DIABETIC ULCUS]

Diabetes Mellitus is a metabolic disorder characterized by hyperglycemia. The most common complication of DM is diabetic neuropathy which causes an increase in further complications, including diabetic ulcers and often leads to amputation. In Indonesia, about 15% of DM patients have diabetic ulcers, 30% have a risk of amputation and 32% mortality. There are several types of wound care techniques, but the most used are the wet to dry and moist techniques. This study aims to compare the effectiveness of diabetic ulcer treatment with wet to dry and moist techniques. The research method used is thematic analysis: a simplified approach, by searching for articles using the Google Scholar database, EBSCO, Science Direct, JSTOR. The data selection process uses the PRISMA Flow Diagram and the JBI Critical Appraisal Checklist. The keywords used were "Wet to dry dressing AND moist dressing AND diabetic ulcer stage III", and "wet to dry dressing AND moist dressing AND grade III diabetic ulcer". The results showed that the moist wound dressing technique was more effective than wet to dry dressing in the treatment of diabetic ulcers, in terms of cost, dressing change, absorbency, basic ingredients and ingredients, pain caused and duration of wound healing. This study recommends that future researchers can conduct quantitative research on diabetic ulcer patients using both treatment techniques.BAHASA INDONESIA ABSTRAK: Diabetes Melitus merupakan gangguan metabolik dengan karakteristik hiperglikemia. Komplikasi DM paling umum adalah neuropati diabetik yang menyebabkan peningkatan komplikasi selanjutnya, diantaranya luka ulkus diabetik dan tidak jarang berlanjut pada amputasi. Di Indonesia sekitar 15% penderita DM mengalami ulkus diabetik, 30% memiliki risiko amputasi dan 32% mortalitas. Terdapat beberapa jenis teknik perawatan luka, namun yang paling sering digunakan adalah teknik wet to dry dan moist. Tujuan penelitian untuk membandingkan efektivitas perawatan luka ulkus diabetik dengan teknik wet to dry dan teknik moist. Metode penelitian yang digunakan yaitu thematic analysis: a simplified approach, dengan pencarian artikel menggunakan database Google Scholar, EBSCO, Science Direct, JSTOR. Proses penyeleksian data menggunakan Flow Diagram PRISMA dan JBI Critical Appraisal Checklist. Kata kunci yang digunakan yaitu “Wet to dry dressing AND moist dressing AND diabetic ulcer stage III”, dan “balutan basah ke kering AND balutan lembab AND ulkus diabetik derajat III”. Hasil penelitian menunjukkan bahwa teknik moist wound dressing lebih efektif dari pada wet to dry dressing dalam perawatan luka ulkus diabetik, dilihat dari biaya, pergantian balutan, kemampuan menyerap, kandungan dan bahan dasar, nyeri yang ditimbulkan dan durasi penyembuhan luka. Penelitian ini merekomendasikan peneliti selanjutnya dapat melakukan penelitian kuantitatif pada pasien ulkus diabetik yang menggunakan kedua teknik perawatan.

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Narrative review: pengaruh terapi massage counterpressure terhadap pengurangan nyeri dalam persalinan

Jurnal Cakrawala Promkes ◽

10.12928/promkes.v3i2.4573 ◽

2021 ◽

Vol 3 (2) ◽

pp. 50

Author(s):

Hutari Puji Astuti ◽

Andari Wuri Astuti ◽

Dinar Agustin ◽

Hardiyanti Fitrah Awaliyah ◽

Gana Rendra Winarti ◽

...

Keyword(s):

Critical Appraisal ◽

Selection Process ◽

Scientific Evidence ◽

Narrative Review ◽

Labor Pain ◽

Google Scholar ◽

Pain Experience ◽

Gray Literature ◽

Fear And Anxiety ◽

Appraisal Tool

Labor often prompts unpleasant, fearful, or, further, traumaticexperiences due to the pain it entails. Scientific evidence suggests thatpain during labor can be managed using two methods; pharmacologicaland non-pharmacological. Pharmacology is a method of using drugs,whereas non-pharmacologic is without the administration of drugs. The nonpharmacologicalmethod is known as complementary and alternativetherapies, one practice is through massage. Massage frequentlyperformed to reduce labor pain is counterpressure. The purpose of thisstudy is to investigate the effect of counterpressure massage therapy asa measure to reduce labor pain. The method used is a narrative review.Article exploration was carried out in several databases, which arePubmed and Science Direct. In the case of Gray Literature, it wasaccessed via Google Scholar. Specific keywords were employed forliterature search and articles were selected by considering inclusion andexclusion criteria. The article selection process was elaboratedtransparently in the PRISMA Flowchart. From the article selectionprocedure, 14 articles were identified and fulfilled the criteria. Thus,articles were critically analyzed (Critical Appraisal) using the MixedMethod Appraisal Tool (MMAT). The review concludes thatcounterpressure is a massage performed by applying continuouspressure to the patient's sacral with the heel of the hand or fist of thehand. Counterpressure massage can be done in a straight stroke or smallcircular stroke. This technique is proven to be sufficient in relieving backpain during labor. The recommendation suggested is based on the 14articles reviews carried out that a common problem occurring in laboringwomen is physiological pain experience during childbirth so that it mayprovoke bad experiences for mothers, especially fear and anxiety thatmay lead to prolonged labor.Labor often prompts an unpleasant, fearful, or, further, traumatic experiences due to the pain it entails. Scientific evidence suggests that pain during labor can be managed using two methods; pharmacological and non-pharmacological. Pharmacology is a method of using drugs, whereas non-pharmacologic is without the administration of drugs. Non-pharmacological method is known as complementary and alternative therapies, one practice is through massage. Massage frequently performed to reduce labor pain is counterpressure. The purpose of this study is to investigate the effect of counterpressure massage therapy as a measure to reduce labor pain. The method used is a narrative review. Article exploration was carried out in several databases, which are Pubmed and Science Direct. In the case of Gray Literature, it was accessed via Google Scholar. Specific keywords were employed for literature search and articles were selected by considering inclusion and exclusion criteria. The article selection process was elaborated transparently in the PRISMA Flowchart. From the article selection procedure, 14 articles were identified and fulfilled the criteria. Thus, articles were critically analyzed (Critical Appraisal) using the Mixed Method Appraisal Tool (MMAT). The review concludes that counterpressure is a massage performed by applying continuous pressure to the patient's sacral with the heel of the hand or fist of the hand. Counterpressure massage can be done in a straight stroke or small circular stroke. This technique is proven to be sufficient in relieving back pain during labor. The recommendation suggested is based on the 14 articles reviews carried out that a common problem occurring in laboring women is physiological pain experience during childbirth so that it may provoke bad experiences for mothers, especially fear and anxiety that may lead to prolonged labor

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EFEKTIVITAS PERAWATAN ULKUS DIABETIKUM TERHADAP PENERIMAAN DIRI PASIEN DIABETES MELITUS TIPE II DI ASRI WOUND CARE CENTRE MEDAN

JUMANTIK (Jurnal Ilmiah Penelitian Kesehatan) ◽

10.30829/jumantik.v4i2.5590 ◽

2019 ◽

Vol 4 (2) ◽

pp. 178

Author(s):

Elis Anggeria ◽

Patimah Sari Siregar

Keyword(s):

Diabetes Mellitus ◽

Type Ii Diabetes ◽

Wound Care ◽

Type Ii Diabetes Mellitus ◽

P Value ◽

Type Ii ◽

Diabetic Ulcer ◽

Diabetic Ulcers ◽

Self Acceptance ◽

Ulcer Treatment

Diabetes mellitus (DM) is a group of metabolic diseases characterized by high levels of glucose in the blood (hyperglycemia) that occurs due to impaired insulin secretion, decreased insulin action, or a result of both. Self-acceptance is the ability and desire of individuals to live with all the characteristics themselves against diabetes mellitus. This study aims to determine the effectiveness of diabetic ulcer treatment on self-acceptance of Type II Diabetes Mellitus patients at Asri Wound Care Center Medan. This study uses quantitative research methods with a quasi-experimental design through the one-group pretest-posttest design approach. The population in the study as many as 20 people, with sampling techniques using saturated sampling, the research sample amounted to 20 people. This study uses a nonparametric statistical test that is paired t-test. The results of research on self-acceptance of patients with type II diabetes mellitus before treatment of diabetic ulcers showed that the majority of self-acceptance was not good, and the self-acceptance of patients after treatment of diabetic ulcers obtained the majority of good self-acceptance. The effectiveness of diabetic ulcer treatment on self-acceptance of type II diabetes mellitus patients obtained significance value p-value = 0.00 (p-value <0.05) then H0 was rejected. This means that there are differences in self-acceptance of type II Diabetes mellitus patients before and after diabetic ulcer treatment at Asri Wound Care Center Medan. Future researchers are expected to discuss more deeply about the factors that affect the self-acceptance of diabetes mellitus patients who are undergoing treatment for diabetic ulcers.

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Relation Between Tissue Iron Content and Polarization of Macrophages in Diabetic Ulcer and the Transitional Zone of Diabetic Ulcers with Major Amputation

The International Journal of Lower Extremity Wounds ◽

10.1177/15347346211037448 ◽

2021 ◽

pp. 153473462110374

Author(s):

Shirin Saberianpour ◽

Mohamad H. Saeed Modaghegh ◽

Mehdi Montazer ◽

Mohammad M. Kamyar ◽

Fatemeh Sadeghipour Kerman ◽

...

Keyword(s):

Hypoxia Inducible Factor ◽

Transitional Zone ◽

Major Amputation ◽

Blue Staining ◽

Control Group ◽

Diabetic Patients ◽

Tissue Preparation ◽

Diabetic Ulcer ◽

Diabetic Ulcers ◽

Tissue Iron

Most diabetic lower-limb amputations probably result from combinations of contributing causes rather than from unitary causes. Iron-induced damage might modulate the development of chronic diabetes complications. In this study, the relationship between tissue iron levels and polarization of macrophages in induction of angiogenesis was investigated in diabetic ulcer samples and the transitional zone of diabetic ulcers. Patients with diabetic ulcers who underwent amputation were included. The transitional zone of diabetic ulcers, from the same diabetic patients, was used as a control group. After tissue preparation, Perls Prussian blue staining and immunohistochemistry for CD11c, CD163, and CD68 markers were done. Vascular endothelial growth factor (VEGF), hypoxia-inducible factor (HIF), Tie2, and protein kinase B (also known as AKT) transcription of genes were measured by real-time polymerase chain reaction. For statistical analysis, we used independent samples t-test or its nonparametric equivalents, Mann–Whitney U test was used for quantitative variables, and chi-square (or Fisher's exact test) for qualitative variables. According to the results, the ratio of M2 to M1 macrophages was decreased in ulcers tissue compared to the transitional zone of diabetic ulcers. The expression of angiogenesis-related genes was increased due to hypoxia induction such as HIF and VEGF in ulcer tissue ( P < .0001), but the expression of vascular stability-related genes such as Tie2 was decreased ( P < .0001).In amputated diabetic ulcers, the polarization of macrophages is toward the classic type, but no connection was found in terms of tissue iron and help in the polarization of macrophages.

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The Relationship Between Discharge Planning and The Quality of Life of Patients with Diabetic Ulcer

INDONESIAN NURSING JOURNAL OF EDUCATION AND CLINIC (INJEC) ◽

10.24990/injec.v4i1.218 ◽

2019 ◽

Vol 4 (1) ◽

pp. 20

Author(s):

Candra Kusuma Negara ◽

Abd Basid ◽

Sri Erliani ◽

Inaya Turahman

Keyword(s):

Quality Of Life ◽

Diabetes Mellitus ◽

Planning Process ◽

Discharge Planning ◽

Diabetic Ulcer ◽

Diabetic Ulcers ◽

Ex Post ◽

Ex Post Facto ◽

Ex Post Facto Study

Introduction: Diabetic ulcer is one of the chronic complications of diabetes mellitus. Several studies in Indonesia reported that the mortality rate of gangrene ulcers in people with diabetes ranged from 17-32%, and diabetic ulcers affected the quality of life of sufferers. All patients hospitalized require discharge planning. From the explanation above, it can be concluded that Diabetes Mellitus is a degenerative disease that indeed requires hospitalization. The purpose of this study is to find out whether the Discharge planning process has a relationship with the quality of life of patients with Diabetic Ulcers. Methods: With the Ex post facto study design, 28 respondentwho were in accordance obtained measurements of discharge planning processes using interview methods and measurements on quality of life using the WHOQOL-BREEF questionnaire with spearman rank non parametric correlation analysis methods. Results: The results of the value are obtained: a = 0.05 with = rs table (0.707), RHO count (0.949)>rs table then categorized in the table Relationship Strengths correlation results obtained in this category is very strong / near perfect with the value 0.76- 1.00. Conclusions:This shows that there is a significant relationship with the strength of a very strong / near-perfect relationship according to the table.

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Perbandingan efektivitas asam perasetik dan feracrylum pada pola kuman ulkus diabetik

JURNAL BIOMEDIK (JBM) ◽

10.35790/jbm.8.1.2016.12335 ◽

2016 ◽

Vol 8 (1) ◽

Author(s):

Angelica M. J. Wagiu ◽

Richard M. Sumangkut ◽

Heber B. Sapan ◽

Louise A. J. Waworuntu

Keyword(s):

Peripheral Arterial Disease ◽

Proteus Mirabilis ◽

Peracetic Acid ◽

Arterial Disease ◽

Diabetic Patients ◽

Diabetic Ulcer ◽

Diabetic Ulcers ◽

Citrobacter Diversus ◽

Peripheral Arterial ◽

Topical Antimicrobial

Abstract: Diabetic ulcer is a condition of infection, ulceration, and or destruction of inner skin tissue related to neurological disorders and degrees of peripheral arterial disease (PAD) in diabetic patients. Diabetic ulcer is prone to infection due to decreased immune response, therefore, opportunistic microbes can become pathogens. Infection is sttill a serious problem in diabetic ulcer since the high cost and long duration of treatment lead to complicated neclected ulcer. This study aimed to obtain the present profile of microbes in diabetic ulcers and the effectivitveness of peracetic acid dan feracrylum in the treatment of diabetic ulcers. This was a descriptive analytical study. The ulcer degree was determined by using PEDIS criteria. Pus specimen was taken with a sterile technique using a transport media, cultured in the Baxtec machine, and the microbes were identified and further tested for sensitivity to peracetic acid dan feracrylum 1%. The results showed that of the 57 patients there were 36 females with a mean age of 58.77+ 9.077 years. Most of the patients (30 patients) had diabetic ulcers of 4th degree. The result of pus culture showed Gram negative Proteus mirabilis as the most frequent microbe (17.5%). The sensitivity test showed that 100% of 12 types of microbes, 83.3% of Citrobacter diversus, and 60% of Proteus mirabilis samples were sensitive to peracetic acid, meanwhile, all microbes were resistant to feracrylum 1% dan NaCl as controls,. Conclusion: Peracetic acid was more effective than feracrylum 1% as topical antimicrobial for diabetic ulcer.Keywords: diabetic ulcer, microbe, topical antimicrobial agentAbstrak: Ulkus diabetik adalah suatu kondisi adanya infeksi, ulserasi dan atau kerusakan jaringan kulit yang lebih dalam yang berhubungan dengan kelainan neurologik serta berbagai tingkatan peripheral arterial disease (PAD) pada penderita diabetes melitus (DM). Ulkus diabetik lebih mudah terinfeksi karena respons kekebalan tubuh penderita DM biasanya menurun, bahkan kuman oportunistik juga dapat menjadi patogen. Infeksi masih menjadi masalah yang paling serius dialami penderita ulkus diabetik oleh karena biaya pengobatan yang besar dan waktu perawatan yang lama sehingga ulkus sering dibiarkan terinfeksi dengan komplikasi tanpa perawatan adekuat. Penelitian ini bertujuan untuk memperoleh data terkini pola kuman penderita ulkus diabetik dan untuk mengetahui efektivitas asam perasetik dan feracrylum pada pola kuman ulkus diabetik. Jenis penelitian ini ialah deskriptif analitik. Derajat ulkus dinilai dengan kriteria PEDIS. Spesimen pus diambil secara steril dengan media transpor, ditanam dalam mesin Baxtec, kemudian dilakukan identifikasi kuman dan uji sensitivitas terhadap asam perasetik dan feracrylum 1%. Hasil penelitian memperlihatkan dari 57 penderita ulkus diabetik terbanyak ialah perempuan (36 penderita) dengan rerata usia 58,77+9,077 tahun. Sebagian besar ulkus diabetik (30 penderita) termasuk derajat 4. Hasil kultur memperlihatkan Proteus mirabilis (Gram negatif) yang tersering (17,5%). Hasil uji sensitivitas pola kuman memperlihatkan 100% sampel dari 12 jenis kuman, 83,3% dari Citrobacter diversus, dan 60% dari Proteus mirabilis sensitif terhadap asam perasetik, sedangkan terhadap feracrylum 1% dan NaCl sebagai kontrol, seluruh kuman telah resisten. Simpulan: Asam perasetik lebih efektif dibandingkan feracrylum 1% sebagai antimikroba topikal pada ulkus diabetik.Kata kunci: ulkus diabetik, mikroba, antimikroba topikal

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Adjusting to the unexpected

Journal of Management History ◽

10.1108/jmh-07-2014-0130 ◽

2015 ◽

Vol 21 (4) ◽

pp. 421-438

Author(s):

Ajay K. Jain ◽

Sherry Sullivan

Keyword(s):

Literature Review ◽

Citation Analysis ◽

Thematic Analysis ◽

Design Methodology ◽

Google Scholar ◽

High Quality ◽

Content Type ◽

Management History

Purpose – This study aims to provide a literature review of the 56 articles published in the Journal of Management History (JMH) from 2000 to 2004. Design/methodology/approach – The authors conducted a thematic analysis using the categories of person, topic or event to classify articles as well as a citation analysis using Google Scholar. Findings – The number of articles published from 2000 to 2004 was almost 50 per cent fewer than published in the previous five years, and citation rates were lower. Originality/value – Results suggest that high-quality articles focused on persons or topics are more likely to be published in the JMH.

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KUALITAS HIDUP LANJUT USIA YANG TINGGAL DI PANTI: STUDI LITERATUR

JURNAL KEPERAWATAN ◽

10.35790/jkp.v8i2.32322 ◽

2020 ◽

Vol 8 (2) ◽

pp. 58

Author(s):

Majesty Kowureng ◽

Kairupan Kairupan ◽

Ns. Kristamuliana

Keyword(s):

Quality Of Life ◽

Nursing Homes ◽

Elderly Population ◽

Critical Appraisal ◽

The Elderly ◽

Google Scholar ◽

Literature Study ◽

Physical Activity Interventions ◽

Elderly Living

Abstract : The increasing elderly population is a global phenomenon nowadays. Faced with this, the importance of ensuring the elderly is not only seen from a long life but also the quality of life of the elderly needs to be considered. Objective. The purpose of this literature study is to explain the quality of life and strategies to improve the quality of life of the elderly who live in nursing homes. Method. The method used to compile this literature study is by searching through an electronic database. Searching for articles is done by using the keywords Quality Of Life, Elderly, Nursing Homes, that are traced through Google Scholar, Pubmed, and Science Direct. The Joanna Briggs Institute (JBI) Critical Appraisal is used to assess and analyze the quality of the article methodology. Result. There were 723 articles published from 2015 to 2019 related to the quality of life of elderly living in nursing homes that were identified. However, of 723 articles, only 6 articles met with the review requirements. Six articles that meet the inclusion criteria are divided into two major themes, namely the quality of life of elderly living in nursing homes (4 studies) and interventions that affect improving the quality of life of elderly living in nursing homes (2 studies). Conclusion. This literature study concludes that the majority of elderly people living in nursing homes had a moderate quality of life and physical activity interventions and religious-spiritual interventions affected improving the quality of life in elderly nursing homes. Suggestion. The author suggests making modifications to the nursing care of the elderly who live in nursing homes that are adjusted to any changes that occur in the elderly needed to improve their quality of life.Keywords : Quality of Life, Elderly, Nursing Homes. Abstrak: Peningkatan populasi lanjut usia merupakan fenomena global saat ini. Menghadapi hal tersebut, pentingnya menjamin lanjut usia bukan hanya dilihat dari umur yang panjang, tetapi juga kualitas hidup lanjut usia perlu untuk diperhatikan. Tujuan penelitian ini untuk menjelaskan kualitas hidup dan strategi peningkatan kualitas hidup lanjut usia yang tinggal di panti. Metode yang digunakan untuk menyusun studi literatur ini adalah dengan mencari melalui database elektronik. Pencarian artikel dilakukan dengan menggunakan kata kunci Quality Of Life, Elderly, Nursing Homes, yang ditelusuri melalui Google Scholar, Pubmed, dan Science Direct. Menilai dan menganalisis kualitas metodologi dalam setiap studi menggunakan The Joanna Briggs Institute (JBI) Critical Appraisal. Hasil. Didapatkan 723 artikel terkait kualitas hidup lanjut usia yang tinggal di panti yang diidentifikasi dan dipublikasikan dari tahun 2015-2019. Dari 723 artikel hanya 6 artikel yang memenuhi syarat untuk dianalisis. Enam artikel yang memenuhi kriteria inklusi terbagi menjadi dua tema besar yaitu kualitas hidup lanjut usia yang tinggal di panti (4 studi) dan intervensi yang berpengaruh meningkatkan kualitas hidup lanjut usia yang tinggal di panti (2 studi). Kesimpulan. Dari studi literatur ini dapat disimpulkan bahwa sebagian besar lanjut usia yang tinggal di panti memiliki kualitas hidup pada tingkat sedang dan intervensi aktivitas fisik dan intervensi spiritual keagamaan berpengaruh pada peningkatan kualitas hidup lanjut usia yang tinggal di panti. Saran. Melakukan modifikasi pada asuhan keperawatan lanjut usia yang tinggal di panti yang disesuaikan dengan setiap perubahan yang terjadi pada lanjut usia sangat diperlukan demi meningkatkan kualitas hidup mereka.

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DESerting clients? A Study Investigating Evidence-based Measures Supporting the Long-term Employment of Neurodiverse Australians

Management and Labour Studies ◽

10.1177/0258042x19882519 ◽

2019 ◽

Vol 44 (4) ◽

pp. 455-466

Author(s):

Damian Mellifont

Keyword(s):

Thematic Analysis ◽

Good Practice ◽

Policy Issue ◽

Google Scholar ◽

Evidence Based ◽

Chi Square ◽

Employment Services ◽

Disability Employment ◽

Chi Square Analysis

Employment outcomes for Australians with disability are weak and worsening. Aiming to assist in better understanding and redressing this troubling policy issue, this investigative research aims to (a) determine as to whether or not a significant relationship exists between disability type (i.e., physical or psychiatric) and long-term employment; and (b) identify evidence-based measures that might assist to improve the long-term employment of neurodiverse disability employment services (DES) clients. Addressing the first of these aims, an IBM SPSS-based chi-square analysis was conducted utilizing disability employment data sourced from the Australian Government. Targeting the second aim, a literature search was conducted utilizing Google Scholar, and thematic analysis was, then, applied on the results of this enquiry. Results of the chi-square analysis reveal that a DES client’s disability type appears to be associated with whether or not they attain long-term employment. From the 79 possibly relevant articles obtained from the Google Scholar enquiry, 13 were deemed relevant after applying the inclusion criteria. Thematic analysis constructed themes of resourcing, personalized support and education. In addition to offering a good practice employment guide based upon these themes, the study concludes by challenging Australian policymakers to consider the kinds of DES provider results that might not warrant reward.

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

Systematic Reviews ◽

10.1186/s13643-019-1168-4 ◽

2019 ◽

Vol 8 (1) ◽

Cited By ~ 1

Author(s):

Sukardi Suba ◽

Michele M. Pelter

Keyword(s):

Clinical Significance ◽

Scoping Review ◽

Selection Process ◽

Data Extraction ◽

Premature Ventricular Contraction ◽

Flow Diagram ◽

Future Research ◽

Ecg Monitoring ◽

Research Gaps ◽

Premature Ventricular Contractions

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.

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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.

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