Dean Sue, Barratt Julian
Same Day Emergency Care, United Lincolnshire Hospitals NHS Trust, Boston, UK
The Centre for Advancing Practice, Health Education England - East Midlands, Nottingham, UK.
BMJ Open. 2023 Oct 4;13(10):e071890. doi: 10.1136/bmjopen-2023-071890.
Same day emergency care (SDEC) is a new model of care, which has emerged over the past 5 years, building on prior ambulatory care services. The National Health Service (NHS) England National Strategy for SDEC suggests SDEC can meet local health needs by providing alternatives to emergency department attendance or hospital admission, for people with an urgent healthcare need, beyond the limited scope of an urgent treatment centre. This review focuses on acute medical SDEC, as medical patients represent a significant proportion of emergency admissions. The planned scoping review aims to map the existing evidence base.
This is a protocol for a scoping review to be conducted in accordance with the format of the Joanna Briggs Institute (JBI) methodology for scoping reviews. The databases to be searched will include EMBASE, MEDLINE and CINAHL, via EBSCOhost. Sources of unpublished studies, policies and grey literature will include Google Scholar, the Cochrane Library, TRIP database, ProQuest Dissertations and Theses Open, and the Health Management Information Consortium. Papers relating to acute medicine adult patients attending NHS SDEC services in the UK will be included. International papers will be excluded, as will those over 5 years old, and those where full text is not available. The results of the search and study inclusion/exclusion process will be reported and presented in a Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) flow diagram. Data will be extracted from papers included in the scoping review by two reviewers, using a JBI data extraction tool. Any differences of opinion will be discussed until consensus is reached. If needed, a third reviewer will be asked to join the review team to achieve consensus. Data and themes extracted will be summarised and presented in tables. A narrative thematic summary will accompany the presented results, describing how the results relate to the review objective. Literature gaps will be identified and recommendations for future research made.
There is no requirement for ethical approval for this scoping review. On completion, it will be published in a peer-reviewed academic journal and presented at a conference.
当日急诊护理（SDEC）是一种新型护理模式，在过去5年中出现，基于先前的门诊护理服务发展而来。英国国家医疗服务体系（NHS）的SDEC国家战略表明，SDEC可以通过为有紧急医疗需求的人提供替代急诊就诊或住院的方式，满足当地的健康需求，其适用范围超出了紧急治疗中心的有限范畴。本综述聚焦于急性内科SDEC，因为内科患者在急诊入院患者中占很大比例。本次计划开展的范围综述旨在梳理现有证据基础。
这是一项范围综述方案，将按照乔安娜·布里格斯研究所（JBI）范围综述方法的格式进行。将通过EBSCOhost检索的数据库包括EMBASE、MEDLINE和CINAHL。未发表研究、政策和灰色文献的来源将包括谷歌学术、考克兰图书馆、TRIP数据库、ProQuest学位论文与开放获取论文库以及健康管理信息联盟。将纳入与在英国NHS的SDEC服务中就诊的成年急性内科患者相关的论文。国际论文、发表超过5年的论文以及无法获取全文的论文将被排除。检索结果和研究纳入/排除过程将在系统评价与Meta分析的首选报告项目（PRISMA）流程图中报告和呈现。两名评审员将使用JBI数据提取工具从范围综述纳入的论文中提取数据。任何意见分歧都将进行讨论，直至达成共识。如有必要，将邀请第三名评审员加入评审团队以达成共识。提取的数据和主题将进行总结并以表格形式呈现。呈现结果时将附带叙述性主题摘要，描述结果与综述目标的相关性。将识别文献空白并提出未来研究建议。
本次范围综述无需伦理批准。完成后，将在同行评审学术期刊上发表，并在会议上展示。
