Abstract
BackgroundBehavior change is not simple, and the introduction of guidelines or protocols does not mean that they will be followed. As such, implementation strategies are vital for the uptake and sustainability of changes in medical protocols. Medical or mental emergencies may be life-threatening, especially in children due to their unique physiological needs. In emergency departments (EDs), where timely decisions are often made, practice change requires thoughtful considerations regarding the best approaches to implementation. As there are many studies reporting on a wide variety of implementation strategies in the emergency management of children in EDs, we aim to identify and map the characteristics of these studies.MethodsWe will conduct a scoping review to identify various implementation strategies in the emergency management of children using the Arksey and O’Malley framework. We will search MEDLINE (Ovid), Embase (Ovid), Cochrane Central (Wiley), and CINAHL (Ebsco), from inception to May 29, 2019, for implementation studies among the pediatric population (≤ 21 years) in a pediatric emergency setting. Two pairs of reviewers will independently select studies for inclusion and extract the data. We will perform a descriptive, narrative analysis of the characteristics of the identified implementation strategies.DiscussionWe will present specific characteristics and outcome measures of all included studies in a tabular form. The results of this review are expected to help identify and characterize successful implementation strategies in the emergency management of children in EDs.Systematic review registrationOpen Science Framework https://osf.io/h6jv2
Highlights
Behavior change is not simple, and the introduction of guidelines or protocols does not mean that they will be followed
Study eligibility criteria This review will focus on studies conducted in an emergency management setting, reporting evidence used on individuals expected to be under pediatric care (e.g., 21 years and below [13], who were managed in an emergency setting)
To the best of our knowledge, this will be the first systematic scoping review identifying the implementation strategies in the emergency management of children. This scoping review will provide an evidence base map of various implementation strategies that have been used in the emergency management of children and, more importantly, characterize successful implementation strategies
Summary
Behavior change is not simple, and the introduction of guidelines or protocols does not mean that they will be followed. Implementation strategies are methods or techniques used to enhance the uptake and sustainability of a program or practice [6] They can be categorized into the following classes: (1) dissemination strategies (including developing messages and materials, distribution of evidence-based information), (2) implementation process strategies, (3) integration strategies, and (4) capacity building and scale-up strategies [7]. These strategies can interact with one another within a framework, or be used independently, to promote research uptake [7]
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