Australian Institute of Health Innovation, Macquarie University, Sydney, New South Wales, Australia.
BMJ Open. 2019 Apr 1;9(4):e026028. doi: 10.1136/bmjopen-2018-026028.
It is notoriously challenging to implement evidence-based care and to update and improve healthcare practices. One reason for the difficulty is the complexity of healthcare and the powerful influence of context on implementation and improvement efforts. Thus, there is a need for multifaceted, flexible change methods that takes these complexities into consideration. One approach that has the potential in this regard is soft systems methodology (SSM). However, little is known about how SSM has been applied in healthcare settings, making it difficult to assess the usefulness of SSM for implementation science or improvement research. The aim of the proposed scoping review is to examine and map the use and outcomes of SSM in healthcare.
The review will adapt the framework outlined by Arksey and O'Malley (2005). Citations will be uncovered through a comprehensive database search of the peer-reviewed literature. Two reviewers will conduct a two-stage review and selection process where the titles/abstracts are examined followed by a screening of full texts of the selected citations. Reference lists of included citations will be snowballed to identify potential additional citations. Inclusion criteria are English language, peer-reviewed empirical papers focusing on the application of SSM in a healthcare setting. Both general information about the citations and information related to the objective of the review will be extracted from the included citations and entered into a data charting form. The extracted information will be reported in diagrams and tables and summarised to present a narrative account of the literature. The proposed review will provide information on the potential for using SSM to affect change in healthcare.
No primary data will be collected, and thus ethical permission is unnecessary. Dissemination of results include peer-reviewed publications and conference presentations.
将循证护理付诸实践并更新和改进医疗实践极具挑战性。之所以困难，一个原因是医疗保健的复杂性以及背景对实施和改进工作的强大影响。因此，需要多方面、灵活的变革方法来考虑这些复杂性。在这方面，有一种方法具有潜力，即软系统方法论（SSM）。然而，人们对 SSM 在医疗保健环境中的应用知之甚少，因此难以评估 SSM 在实施科学或改进研究方面的有用性。拟议的范围综述旨在检查和绘制 SSM 在医疗保健中的使用和结果。
该综述将采用 Arksey 和 O'Malley（2005 年）概述的框架。引文将通过对同行评审文献的全面数据库搜索来发现。两位审查员将进行两阶段审查和选择过程，其中检查标题/摘要，然后筛选选定引文的全文。纳入引文的参考文献将被滚雪球式地识别潜在的其他引文。纳入标准为英语，同行评审的实证论文，重点关注 SSM 在医疗保健环境中的应用。将从纳入的引文中提取有关引文的一般信息和与综述目的相关的信息，并将其输入到数据图表形式中。提取的信息将以图表和表格的形式报告，并进行总结，以呈现文献的叙述性描述。拟议的综述将提供有关使用 SSM 影响医疗保健变化的潜力的信息。
不会收集原始数据，因此不需要伦理许可。结果的传播包括同行评审的出版物和会议演讲。
