Division of Hospital Medicine, University of Colorado - Anschutz Medical Campus, Aurora, Colorado, USA
College of Nursing, University of Colorado - Anschutz Medical Campus, Aurora, Colorado, USA.
BMJ Open. 2022 Jun 13;12(6):e052334. doi: 10.1136/bmjopen-2021-052334.
There is growing emphasis on the importance of both the cognitive and behavioural phenomenon of attention for clinicians engaged in patient care. Aspects of attention such as cognitive load, distraction and task switching have been studied in various settings with different methodologies. Using the protocol described here, we aim to systematically review the medical literature in order to map the concept of attention and to synthesise diverse concepts and methods under the broader category of research focused on 'attention'.
Following the methodology described by the Joanna Briggs Institute and Arksey and O'Malley, our scoping review conducts an iterative search of Cumulative Index of Nursing and Allied Health Literature (CINAHL), Medline (PubMed) and EMBASE (Ovid). An initial limited search based on key concepts and terminology will generate relevant articles which in turn will be mined for additional keywords and index terms to guide a formal literature search. Our multidisciplinary team will extract data into a matrix, including a small random sample of the same studies (to ensure concordance), and present the results in a descriptive narrative format.
As a secondary analysis, our study does not require ethics approval, and we will ensure that included studies have appropriate approval. We anticipate results will identify diverse ways of conceptualising clinician attention and will provide a foundation for developing additional metrics and study methods to optimise attention in the clinical environment. We will disseminate results through journals and conferences and coordinate with colleagues doing work in adjacent fields.
越来越多的临床医生开始关注认知和行为注意力现象的重要性。在不同的环境中，使用不同的方法，已经研究了注意力的各个方面，如认知负荷、分心和任务切换。使用这里描述的方案，我们旨在系统地审查医学文献，以便绘制注意力的概念图，并将注意力集中在“注意力”这一广泛类别下的各种概念和方法进行综合。
根据 Joanna Briggs 研究所和 Arksey 和 O'Malley 的方法，我们的范围综述对 Cumulative Index of Nursing and Allied Health Literature（CINAHL）、Medline（PubMed）和 EMBASE（Ovid）进行迭代搜索。基于关键概念和术语的初步有限搜索将生成相关文章，这些文章反过来又将被挖掘出更多的关键字和索引词，以指导正式的文献搜索。我们的多学科团队将把数据提取到一个矩阵中，包括对相同研究的一个小随机样本（以确保一致性），并以描述性叙述格式呈现结果。
作为二次分析，我们的研究不需要伦理批准，我们将确保所包括的研究具有适当的批准。我们预计结果将确定临床医生注意力的不同概念化方式，并为开发额外的指标和研究方法以优化临床环境中的注意力提供基础。我们将通过期刊和会议传播结果，并与相邻领域的同事协调。
