Carey Community Resources, Harrisdale, Western Australia, Australia
School of Nursing, Curtin University, Perth, Western Australia, Australia.
BMJ Open. 2022 Mar 16;12(3):e054807. doi: 10.1136/bmjopen-2021-054807.
The first 2000 days of a child's life (during pregnancy up to age 5 years) represent a critical period, in which early interventions reduce risk associated with developmental delay, disability and intergenerational disadvantage. The risk is exacerbated by barriers to specialised early intervention for children and families. This scoping review seeks to contribute to the evidence for sustaining integrated community-based specialist care in these earliest years of a child's life.
The Joanna Briggs Institute scoping review framework will be followed. Inclusion and exclusion criteria for screening of literature is predefined, guided by the criteria of population, concept and context. The review will identify models of care delivery, and will identify quality of care outcomes that have been measured, including evidence of reliability and validity. Sources of evidence will include CINAHL, Cochrane databases, Medline, PsycINFO and Scopus.
In a three-part study, evidence synthesis from the scoping review of the literature; mapping of existing specialist early years services in one community and a consumer consultation (Curtin University Human Research Ethics approval HRE2021-0546) in the same community will inform a model of integrated care that accounts for the context of the community it seeks to serve. Results will be disseminated by peer-reviewed publications and conference presentations, contributing to the evidence base for delivering sustainable community-based integrated care in the context of the first 2000 days. This protocol is specific to the scoping review.
儿童生命的头 2000 天（从怀孕到 5 岁）是一个关键时期，在此期间，早期干预可以降低与发育迟缓、残疾和代际劣势相关的风险。由于儿童和家庭获得专门早期干预的障碍，这种风险加剧了。本范围综述旨在为在儿童生命的最早几年维持综合社区专业护理提供证据。
将遵循 Joanna Briggs 研究所的范围综述框架。文献筛选的纳入和排除标准是预先确定的，以人群、概念和背景的标准为指导。综述将确定护理提供模式，并确定已测量的护理质量结果，包括可靠性和有效性的证据。证据来源将包括 CINAHL、Cochrane 数据库、Medline、PsycINFO 和 Scopus。
在一项三部分的研究中，文献范围综述的证据综合；对同一社区现有专业早期服务的映射以及同一社区的消费者咨询（科廷大学人类研究伦理批准 HRE2021-0546）将为综合护理模式提供信息，该模式考虑到了它试图服务的社区的背景。研究结果将通过同行评议的出版物和会议报告进行传播，为在头 2000 天的背景下提供可持续的社区综合护理提供证据基础。本方案专门针对范围综述。
