Review Of Grey Literature Research Articles

Exploring methodologies and frameworks for best practice transfer at the primary care level

Abstract Background In Feb 2023, the EU’s Joint Action on the transfer of best praCtices In pRimary CarE (CIRCE-JA) was launched with the objective of effectively transferring and implementing six best practices (BPs) among Member States (MS). Transferability from one primary care (PC) setting to another can be challenging given organizational, legal, cultural, social, economic, and environmental factors, requiring robust a methodological framework to guide the transfer process. A scoping review was conducted to identify conceptual models and methodological frameworks for context-relevant and evidence-informed BP transfer in PC settings. Methods The study aimed to identify models or frameworks to guide BP transfer in PC settings, whilst maximizing transferability. The JBI methodology was used, and an extensive search was conducted in PubMed (time limit: Jan ‘13-May ‘23). All publications of original research, systematic reviews, and text and opinion papers in English were eligible for inclusion. Key exclusion criteria were set, i.e., intervention type, level of care and reporting quality. The search was supplemented by gray literature review. Results From a total of 369 publications, 9 met eligibility criteria, reporting on 10 conceptual and methodological models/framework largely varying. These included transfer models applicable to all BPs as well as elements specific to some BPs, i.e., addressing integration, patient-centered care, care coordination, and health promotion. Strengths and weaknesses were identified for all. Conclusions Transferability of health interventions is complex, requiring systematic consideration of setting and intervention characteristics to inform and support local adaptation, implementation, and decision-making. Key elements identified can support the CIRCE-JA BP transfer and are largely relevant for further BP transfer across PC settings in EU MS, incl. for local adaptation, stakeholder engagement and effective implementation monitoring. Key messages • Innovative BPs are successfully deployed in many EU MS. To best support transformation for strong EU primary care and resilient health systems, it is important to ensure evidence-informed BP transfer. • This review reports on the selection of appropriate frameworks and models, and key elements thereof, to allow successful transfer of CIRCE-JA BPs and other BP transfer across PC settings in Europe.

AAL for independent aging: Practical guidelines for smart living environment development

Abstract Background Active Assisted Living (AAL) refers to the use of IoT devices to support quality of life, independence, and healthier living for care recipients. AAL-enabled smart homes have particular potential to help older adults reach their health and independent living goals, but there is a dearth of guidance on practical implementation. Additionally, different technology companies have each developed their own practices, leading to confusion and inconsistency. The objective of this work is to explore requirements for use of AAL in smart living environments for older adults, providing suggestions for best practice for AAL use considering their unique circumstances. Methods A review of academic and grey literature was performed to identify existing best practices and gaps for development of AAL-enabled environments. A technology review was also performed on 156 unique devices to understand the AAL tech ecosystem. Results Little guidance exists regarding designing smart living environments for older adults, though it exists for the two elements separately. The distinguishing elements are how AAL may connect the older adult to their care network, how the home may accommodate changing health needs, and older adults’ unique vulnerability. Furthermore, a large issue is a lack of interoperability and communication, which must be addressed in order to make AAL systems as low-effort and aligned with older adults’ preferences as possible. Conclusions As both tech and older adults’ needs evolve, key requirements of AAL-enabled smart living environments are robust data sharing pathways, planning for modifiability, and protecting the privacy of residents. The findings of this work will be used to identify opportunities for AAL standards development. Key messages • AAL-enabled smart homes must be able to accommodate an older adults’ shifting care needs and preferences over time. • It is necessary to establish how AAL smart home data may be shared with and used by care partners and providers.

Strategies and tactics to reduce the impact of healthcare on climate change: systematic review

ObjectiveTo review the international literature and assess the ways healthcare systems are mitigating and can mitigate their carbon footprint, which is currently estimated to be more than 4.4% of global...

Proposed Nutrition Competencies for Medical Students and Physician Trainees: A Consensus Statement.

In 2022, the US House of Representatives passed a bipartisan resolution (House of Representatives Resolution 1118 at the 117th Congress [2021-2022]) calling for meaningful nutrition education for medical trainees. This was prompted by increasing health care spending attributed to the growing prevalence of nutrition-related diseases and the substantial federal funding via Medicare that supports graduate medical education. In March 2023, medical education professional organizations agreed to identify nutrition competencies for medical education. To recommend nutrition competencies for inclusion in medical education to improve patient and population health. The research team conducted a rapid literature review to identify existing nutrition-related competencies published between July 2013 and July 2023. Additional competencies were identified from learning objectives in selected nutrition, culinary medicine, and teaching kitchen curricula; dietetic core competencies; and research team-generated de novo competencies. An expert panel of 22 nutrition subject matter experts and 15 residency program directors participated in a modified Delphi process and completed 4 rounds of voting to reach consensus on recommended nutrition competencies, the level of medical education at which they should be included, and recommendations for monitoring implementation and evaluation of these competencies. A total of 15 articles met inclusion criteria for competency extraction and yielded 187 competencies. Through review of gray literature and other sources, researchers identified 167 additional competencies for a total of 354 competencies. These competencies were compiled and refined prior to voting. After 4 rounds of voting, 36 competencies were identified for recommendation: 30 at both undergraduate and graduate levels, 2 at the undergraduate level only, and 4 at the graduate level only. Competencies fell into the following nutrition-related themes: foundational nutrition knowledge, assessment and diagnosis, communication skills, public health, collaborative support and treatment for specific conditions, and indications for referral. A total of 36 panelists (97%) recommended nutrition competencies be assessed as part of licensing and board certification examinations. These competencies represent a US-based effort to use a modified Delphi process to establish consensus on nutrition competencies for medical students and physician trainees. These competencies will require an iterative process of institutional prioritization, refinement, and inclusion in current and future educational curricula as well as licensure and certification examinations.

Upscaling cargo bike sharing in cities: A comparative case study

Urban mobility transitions are essential to mitigate climate change and improve the quality of life in cities. Cargo bikes (CBs) show promise in replacing motorised vehicles due to their lower carbon intensity, space efficiency, and ability to reduce air and noise pollution. CB sharing relieves users from purchase and maintenance costs. However, it is mainly adopted by individuals with high environmental awareness. Barriers to CB sharing stem from the urban infrastructure, individual mobility choices, and the design of CB sharing organisations (CBSOs). This article analyses upscaling pathways for CB sharing, i.e., increasing their use by a broader audience and reshaping the urban mobility regime. It delivers a comparative case study analysis of two CBSOs: Grätzlrad, Vienna, and LastenVelo e.V., Freiburg. Data was collected through academic and grey literature review and 15 semi-structured interviews with CB sharing stakeholders and experts. The analytical framework is informed by strategic niche management, viewing CB sharing as a niche innovation in the urban mobility regime. The article enhances understanding of CB sharing, the interaction of CBSOs with key actors, and their scalability. CBSOs should increase the availability of shared CBs while reducing the organisational effort required from users. New ways of CB sharing, e.g., integration in shared mobility hubs, should be explored. Municipal actors play a crucial role in upscaling and ensuring that CB sharing reaches a diverse user base. The findings are useful for academia, practitioners and policymakers working with CB sharing and other sustainable urban mobility solutions.

Lobbying in the Sunlight: A Scoping Review of Frameworks to Measure the Accessibility of Lobbying Disclosures

Background: While anyone can lobby governments, most lobbying is driven by commercial interests. Due to limited government disclosures, it is often challenging to get a clear picture of who is lobbying whom or why. To help make lobbying more visible to the public, we set out to develop a framework of key criteria for best practice government lobbying disclosures. Methods: We undertook a systematic scoping review of peer-reviewed and grey literature to identify frameworks for measuring or evaluating lobbying transparency. We screened the titles and abstracts of 1727 peer-reviewed and 184 grey literature articles, assessing 230 articles for eligibility. Following screening, we included 15 frameworks from six peer-reviewed and nine grey literature articles in our review. To create our framework of lobbying disclosures, we thematically coded the 15 included frameworks and used an iterative process to synthesise categories. Results: The 15 frameworks covered more than only lobbying disclosures, with the most common other theme about enforcement and compliance. Most frameworks were developed to evaluate lobbying transparency in particular jurisdictions, with the United States the most common. Of the 15 frameworks analysed, those developed by non-governmental organizations focused mainly on improving lobbying regulations, while most peer-reviewed studies developed frameworks to measure, compare and evaluate lobbying regulations. We developed a Framework fOr Comprehensive and Accessible Lobbying (FOCAL). It comprised eight primary categories (scope, timeliness, openness, descriptors, revolving door, relationships, financials and contact log) covering 50 total indicators. Conclusion: Government transparency plays a crucial role in facilitating access to information about commercial political activities like lobbying. Our framework (FOCAL) offers a template for policy makers to develop or strengthen regulations to improve lobbying transparency so commercial political influence strategies are more visible and subject to public scrutiny. This is an important step towards rebalancing influence toward the public interest.

Beyond Academia: A case for reviews of gray literature for science-policy processes and applied research

Gray literature is increasingly considered to complement evidence and knowledge from peer-reviewed literature for science-policy processes and applied research. On the one hand, science-policy assessments need to consider a diversity of worldviews, knowledge types and values from a variety of sectors and actor groups, and synthesize policy-relevant findings that are salient, legitimate and credible. On the other hand, practitioners and scholars conducting applied research are affected by the time lag and biases of academic publication processes. Gray literature holds diverse perspectives informative for science-policy processes as well as practical evidence unfiltered by commercial publication processes. However, its heterogeneity has made it challenging to access through conventional means for a literature review. This paper details one endeavor within the Values Assessment of the Intergovernmental Science-Policy Platform on Biodiversity and Ecosystem Services (IPBES) to review gray literature using Google’s Programmable Search Engine. In the absence of a standardized approach, we build on the limited experiential knowledge base for reviewing gray literature and report on the potential applicability of our strategy for future reviews. Gray literature review results contrast findings of our parallel review of academic literature, underlining the importance of mobilizing different knowledge bases in science-policy assessments, evidence-based practices, and applied research.

Conceptualizing community data governance for race-related, population data: a scoping review and key informant interviews

ObjectiveThere is growing recognition of the importance of community data governance to build accountability of research institutions to communities. Our organization, a steward of health and administrative population-level data, has previously implemented community governance structures for Indigenous data. This scoping initiative explores development and implementation of an additional community governance structure for race-related data. ApproachWe conducted a scoping review of peer-reviewed and grey literature to identify existing practices of community data governance. We also conducted key informant interviews with thirteen racialized community stakeholders, who addressed open-ended questions on potential co-design processes as well as governance mandates, scopes, barriers, and facilitators. ResultsThe scoping review identified eight community data governance examples. Two of these pertained to race-related data, while the remaining six pertained to other data that identified “community” geographically, by disease condition, life stage, and/or economic circumstance. Governance structures were diverse, ranging from one-time crowd-design of a data-sharing agreement to quarterly meetings of a governing board to review project-level data requests. Key informant interviews provided four themes to guide implementation in the context of our organization: exploring organizational readiness, considering who should be involved, defining the scope and mandate, and drafting an approach and process. ConclusionWe are committed to implementing a community governance structure for race-related, population-level data. However, there are limited examples of similar structures in the existing literature. ImplicationsThe identified examples and the advice of community stakeholders will guide co-design of a preliminary structure, scope, and mandate for community governance of race-related, population-level data.

The Accuracy of Dental Implant Placement With Different Methods of Computer-Assisted Implant Surgery: A Network Meta-Analysis of Clinical Studies.

Computer-assisted implant surgery (CAIS) has been introduced as a tool to aid in reaching a more accurate implant position. The aim of this network meta-analysis was to compare all the available CAIS techniques and obtain collective evidence on the method that offers the highest accuracy compared to freehand implant placement. Database search was done in PubMed, Scopus, and Cochrane library in addition to extensive search in the gray literature and related systematic reviews, aiming to find clinical studies that compared any CAIS technique with another, or with freehand implant placement. The outcomes evaluated were angle, platform, and apex deviation. The search process ended on March 18, 2024. Thirty-three studies were included. All CAIS techniques (static with partial or full guidance, dynamic with partial or full guidance, the combination of static and dynamic CAIS) showed significantly less deviation than freehand implant placement, except for the static CAIS with guidance for the pilot drill only. The combination of static and dynamic CAIS ranked best among all other methods. Based on the GRADE system, the certainty of evidence in the outcomes of the meta-analysis was judged as low or moderate. The current study demonstrates that computer-assisted implant surgery provides significantly higher accuracy in implant placement, with the combination of static and dynamic CAIS being the most precise. Nevertheless, future studies are needed, considering the different types, locations, and extents of edentulism in the analyzed investigations, as well as the necessity of obtaining stronger evidence. PROSPERIO number: CRD42023482030.

Water fetching and musculoskeletal health across the life-course in Sub-Saharan Africa: A scoping review.

The world is experiencing a global water crisis and Sub-Saharan Africa (SSA) is expected to be a hotspot for increasing global water scarcity in years to come. Water is quintessentially a gendered issue; indeed, sociocultural norms hold women responsible for household water collection, requiring them to travel far distances while carrying water. This paper reports the findings of a scoping review of peer-reviewed and grey literature that examines the relationship between water fetching and the musculoskeletal (MSK) health of women in SSA. The work is informed by a gendered life-course perspective, and the authors follow the PRISMA-ScR guidelines. Results indicate a bidirectional relationship between water fetching and poor MSK health as chronic and acute incidences of water carrying are highly related to MSK pain and dysfunction. This has negative implications for the overall health and wellbeing of women and their households. Gaps in the literature are identified, including the experiences of elderly people and people with various vulnerabilities. Recommendations from the literature are compiled to outline potential avenues of future research and innovation to better support the MSK health of water fetchers in SSA.

Success rate of Hall Technique for restoring carious primary molars - systematic review and meta-analysis.

The overall pooled success rate of the Hall Technique (HT) in various types of studies has not been investigated. The present study aims to evaluate the success rate of HT to restore carious primary molars. A systematic search was carried out in the MEDLINE/PubMed, Excerpta Medica Database (EMBASE), Scopus, Web of Science, and LIVIVO electronic databases, as well as the ProQuest database for grey literature review. A search was carried out up to September 2023 for studies meeting the eligibility criteria: Randomised Clinical Trials (RCTs) and Non-Randomised Studies of Interventions (NRSIs); children with primary molars treated using HT; and reporting success for at least 1-month post-treatment. Single-arm meta-analysis assessed the pooled proportion (95% CI) of HT success rates. Risk of bias and certainty of evidence using the GRADE approach were assessed. Searching identified 665 studies, with 25 (15 RCTs and 10 NRSIs) meeting the eligibility criteria. In meta-analyses of RCTs, the pooled proportion success rate was 98% (95% CI: 97-99%) at 12-month follow-up. For NRSIs, the pooled proportion success rate was 95% (95% CI: 91-100%) up to 89 months. HT presents a high success rate, even though the primary studies had "low" to "high" risk of bias and demonstrated "moderate" to "low" certainty of evidence. One of the main reasons for downgrading was related to blinding, which was generally unfeasible due to visibly different restorative materials. The systematic review protocol was registered in PROSPERO (ID: CRD42021204415).

How Is Health System Resilience Being Assessed? A Scoping Review

Background: It is commonly argued that resilient health systems ensure the well-being of populations even under critical conditions, whereas poorly resilient ones may be disrupted and collapse. We aimed to examine how health system resilience can be assessed as this issue is still under debate. Methods: We conducted a scoping review of peer-reviewed and grey literature published up to March 2022, following the JBI guidance. CAIRN, DOAJ, E-Journals, Global Health Google Scholar, MedRxiv, OAIster, PubMed, reliefWeb, ScienceDirect, SmartResilience, SSRN, and WHO library were searched. Search strategy was based on key words from the research question and validated by an experienced librarian. We included full reports in English and French, whose primary focus was the health system, and that proposed or reported on the use of approaches for assessing health system resilience. Three independent reviewers did the selection and charting of reports. Extraction of information from the 34 reports that met the inclusion criteria followed predefined charting items. Results: Various definitions of the concept of health system resilience and diverging conceptual bases were found for the assessment of resilience, pointing at the lack of conceptual maturity. Three assessment approaches emerged from this review: (1) the system mapping approach which looks at health system core functions, (2) the capacity-based approach which focuses on the main characteristics of resilience, and (3) the strategy-based approach which examines resilience strategies. None of these approaches gives a full picture of resilience. They can be complementary; hence they are increasingly used in combination. Conclusion: This review identified three approaches to assessing health system resilience. The absence of a common understanding of what health system resilience represents still undermines its operationalisation and assessment. There is need for further testing and learning from empirical studies on the specific or integrated use of these frameworks.

Are Preference and Tolerance Measured With the PRETIE-Q (Preference for and Tolerance of the Intensity of Exercise Questionnaire) Relevant Constructs for Understanding Exercise Intensity in Physical Activity? A Scoping Review

Individual preference and tolerance can be seen as relevant traits for the understanding of the relationship between exercise intensity and behavioral outcomes. To better understand that relationship, this scoping review aimed to analyze preference for, and tolerance of, exercise intensity constructs in physical activity settings by verifying the contextual utility and feasibility of the subscales in the multiple settings of their application, the interpretation of the subscales, associations with other variables, and the reported limitations of the subscales’ use. The search was conducted through PubMed, SPORTDiscus, PsycINFO, and B-on databases. Inclusion criteria were healthy individuals including athletes, experimental and nonexperimental studies written in English based on the assessment of subjective intensity in exercise; studies including the variables tolerance and/or preference. Exclusion criteria were instrument validation studies with no concurrent data, gray literature, and systematic reviews. Thirty-six studies published between 2005 and 2022 were analyzed. Results indicate that both constructs appear to be useful and feasible in various physical activity settings. No relevant limitations were reported for its use. Preference and tolerance constructs assessed with the PRETIE-Q (Preference for and Tolerance of the Intensity of Exercise Questionnaire) seem to offer a simple but useful understanding of the individual relation with exercise intensity in several physical activity–related outcomes.

Veterans in Care Homes: An International Scoping Review to Inform UK Policy and Practice

Context: In contrast to the mental and physical health needs of veterans, veterans’ social care needs remain relatively neglected by policymakers and researchers. Objective: To inform UK veterans policy and practice by drawing together the expectedly limited international research base on veterans in care homes. Method: An international scoping review of peer-reviewed and grey research literature was conducted, informed by Levac et al.’s (2010) six-stage process. Findings: Thirty-three papers were found to meet the inclusion/exclusion criteria. The papers’ contents typically fell into one or more of the following themes: social connection, care preferences and autonomy, and military-related physical and mental health needs. Limitations: Very little (n = 1) UK-situated research was found, with the majority of retrieved papers (n = 24) being US-based, impeding transferability and relevancy of the findings to a UK context. Implications: Veterans’ social care needs were found to be a largely underexplored area of research, especially in the UK. There is a pressing need for UK veterans’ policymakers to redress existing imbalances in the focus of policy and research by raising the status and importance of the social care needs of UK veterans, as has been achieved on the mental and physical health fronts.

Sustainable practices in the organization of sporting events in protected and unprotected natural areas: a scoping review

ABSTRACT Purpose: The aim of this study is to comprehensively understand and analyze the main characteristics of sustainable practices in sporting events organized in protected and unprotected natural areas (PNA and UNA). Methodology: employing the scoping review guidelines outlined by the Joanna Briggs Institute (JBI), this research adhered to the Preferred Reporting Items for Systematic Reviews (PRISMA) framework. The search encompassed two major databases, Scopus and Web of Science, alongside a thorough review of gray literature, extending up to the year 2022. A total of 49 records were analyzed considering two dimensions: (i) comprehensive document characteristics and (ii) document attributes by natural area. Results: (i) a preponderance of research papers compared to gray literature (ii) a prevalence of studies within the environmental domain, (iii) European dominance in the literature, (iv) a particular focus on activities such as trail running and mountain biking, and (v) highlights a significant shift in how sustainability is studied, with new study topics emerging in recent years. Practical implications: These findings can be useful for sports event organizers. Research contributions: Our research identifies sustainable management trends in natural areas, outlines gaps, and provides a framework for enhancing sustainability in natural area sports events through future research.

Women’s experiences of needing abortion care whilst incarcerated: a systematic review of the international literature

Incarcerated women are confined in institutions designed to punish. These sites often ignore the complex mental and physical health needs of people who are incarcerated. Despite the World Health Organization stressing the need for access to reproductive healthcare in carceral institutions, stigma surrounding abortion care and health inequalities create contextually specific issues for incarcerated people seeking to access these services. There is also a dearth of research conducted directly with incarcerated women, trans men and non-binary people to examine their experiences of abortion. A systematic review of international peer-reviewed and grey literature was completed to summarise existing evidence from research conducted on the experiences of needing abortion care whilst incarcerated. Various experiences were identified including: conditions of confinement shaping abortion decisions; bureaucratic obstacles to accessing abortion services; incarcerated women, carceral staff and carceral healthcare staff’s lack of understanding of abortion rights and procedures; and a scarcity of support and empathy, including experiences of stigmatisation and lack of confidentiality. There exists a significant gap in research examining the experiences of incarcerated people who may need an abortion, emphasising the need for international collaboration and advocacy to address systemic issues that extend beyond local contexts.

Zinc-Air Hearing Aid Batteries: An Analysis of Functional Performance.

The aim of this study was to evaluate the performance of three disposable hearing aid battery brands available in Wales. Hearing-impaired individuals who utilise hearing aids rely on the functionality of their devices, which is often contingent upon the quality and longevity of disposable batteries. A grey literature review foregrounded the battery standards. The "real-life" use of batteries was supplemented through laboratory testing. Parameters relating to performance quality were used to quantify an overall service life of five PR44- and four PR48-size batteries per manufacturer. The literature review signalled a large gap in hearing aid battery consumption research. All battery brands underperformed compared to their specifications but met IEC standards. Revisions to battery consumption test conditions should reflect new technological features and refine expectations of real-life use. It was possible to statistically identify the best performing hearing aid battery brand.

Health system description and assessment: a scoping review of templates for systematic analyses

BackgroundUnderstanding and comparing health systems is key for cross-country learning and health system strengthening. Templates help to develop standardised and coherent descriptions and assessments of health systems, which then allow meaningful analyses and comparisons. Our scoping review aims to provide an overview of existing templates, their content and the way data is presented.Main bodyBased on the WHO building blocks framework, we defined templates as having (1) an overall framework, (2) a list of indicators or topics, and (3) instructions for authors, while covering (4) the design of the health system, (5) an assessment of health system performance, and (6) should cover the entire health system. We conducted a scoping review of grey literature published between 2000 and 2023 to identify templates. The content of the identified templates was screened, analyzed and compared. We found 12 documents that met our inclusion criteria. The building block `health financing´ is covered in all 12 templates; and many templates cover ´service delivery´ and ´health workforce’. Health system performance is frequently assessed with regard to ‘access and coverage’, ‘quality and safety’, and ‘financial protection’. Most templates do not cover ‘responsiveness’ and ‘efficiency’. Seven templates combine quantitative and qualitative data, three are mostly quantitative, and two are primarily qualitative. Templates cover data and information that is mostly relevant for specific groups of countries, e.g. a particular geographical region, or for high or for low and middle-income countries (LMICs). Templates for LMICs rely more on survey-based indicators than administrative data.ConclusionsThis is the first scoping review of templates for standardized descriptions of health systems and assessments of their performance. The implications are that (1) templates can help analyze health systems across countries while accounting for context; (2) template-guided analyses of health systems could underpin national health policies, strategies, and plans; (3) organizations developing templates could learn from approaches of other templates; and (4) more research is needed on how to improve templates to better achieve their goals. Our findings provide an overview and help identify the most important aspects and topics to look at when comparing and analyzing health systems, and how data are commonly presented. The templates were created by organizations with different agendas and target audiences, and with different end products in mind. Comprehensive health systems analyses and comparisons require production of quantitative indicators and complementing them with qualitative information to build a holistic picture.Clinical Trial Registration: Not applicable.

Creative and cultural hub sustainability: from theory to practice

ABSTRACT The ‘Cultural and Creative Hub’ (CCH), serves as platform playing a key role in supporting the socio-economic development of the cultural and creative industries. With diverse manifestations – from regions to independent legal entities – it plays a pivotal role in fostering innovation and supporting inclusive and sustainable economic growth. The scattered information on CCHs globally necessitates a systematic approach to define their activities and economic sustainability comprehensively. This paper aims to validate the practices of cultural and creative hubs: questions regarding their objectives, main activities, and therefore their economic sustainability are explored through an extensive global research initiative, analyzing 587 active hubs in various geographic areas. The study integrates systematic and grey literature reviews, leveraging data from hub networks like the British Council and the European Creative Hubs Network. This research seeks to enhance awareness of cultural and creative hubs through a scientific evaluation of their models and activities, fostering sustainable business practices, cultural diversity, and inclusiveness in the cultural and creative sectors.

Challenges, improvements, and opportunities market with the liberalization of the residential electricity market

Numerous countries have adopted electricity market liberalization for residential consumers. Although the benefits of the free market are notorious, when this opening refers to the residential consumer, a bigger debate about such benefits is necessary, in addition to the carefully planned implementation. Hence, this paper sought to shed more light on the main barriers a country faces in opening the retail market, the technological and market improvements required to successfully implement the retail market for the residential class, and the market opportunities the opening promotes to stakeholders. Extensive systematic literature and grey literature reviews revealed 16 barriers, 17 improvements, and 12 opportunities, which were analyzed, discussed, and grouped into four primary barriers, five primary market improvements, and five primary opportunities. These insights provide a solid foundation for developing practical and applicable recommendations for energy stakeholders and policymakers to promote effective improvements, appropriate strategies, and sound policy in the context of the retail market for residential electricity.