Dhaliwal Bhavan, Goubran Doris, Fylyma Orest, Siwach Ina, Askin Nicole, Darbandi Maziar Fazel, Delisle Megan
University of Manitoba Max Rady College of Medicine, Winnipeg, Manitoba, Canada.
University of Manitoba, Winnipeg, Manitoba, Canada.
BMJ Open. 2025 Jan 14;15(1):e088977. doi: 10.1136/bmjopen-2024-088977.
Modern surgery incorporates many aspects of care, including preoperative workup, surgical management and multidisciplinary collaboration to achieve favourable outcomes and high patient satisfaction. Current literature identifies variability in surgical practice and quality of care. The objective of this study is to fill the gap in the literature by identifying modifiable surgeon behavioural factors influencing the quality of care and to identify interventions and policies that modify these factors.
This scoping review will be reported using Preferred Reporting Items for Systematic Reviews and Meta-analyses extension for scoping review guidelines. The protocol was drafted according to JBI Best Practice Guidance and Reporting Items for the Development of Scoping Review Protocols. A comprehensive search encompassing five databases (OVID Medline, OVID EMBASE, Cochrane Library (Central) and SCOPUS) was conducted. Search terms included 'surgeons', 'surgeon characteristics', 'quality of care' and 'outcomes' using AND, OR and ADJ2 Boolean operators. Studies describing interventions aimed at modifying behavioural surgeon factors influencing the quality of healthcare will be included. Studies describing institutional or system factors will be excluded. Searches were limited from 1 January 2000 to 1 January 2024 to capture modern surgery practices. Searches were peer reviewed as per Peer Review of Electronic Search Strategies 2015. Two independent reviewers will perform a title and abstract screening using DistillerSR and extract data on the participants, study methods, modifiable surgeon factors and interventions that modify these factors. The data will be qualitatively analysed using the COM-B Framework which describes how capability, motivation and opportunity constitute behaviour. We expect to compile a list of existing interventions aimed at modifying surgeon behaviours, analysing the success of existing interventions to improve patient outcomes and identifying modifiable surgeon factors that do not have interventions.
Ethics approval and patient consent are not required. The results will be submitted to a peer-reviewed journal for publication.
现代外科手术涵盖了护理的许多方面，包括术前检查、手术管理和多学科协作，以实现良好的治疗效果和较高的患者满意度。当前文献指出了手术实践和护理质量存在差异。本研究的目的是通过识别影响护理质量的可改变的外科医生行为因素来填补文献空白，并确定能够改变这些因素的干预措施和政策。
本综述将按照系统评价和Meta分析扩展版的首选报告项目（PRISMA-ScR）指南进行报告。该方案是根据循证卫生保健国际中心（JBI）最佳实践指南和范围综述方案制定报告项目起草的。我们对五个数据库（OVID Medline、OVID EMBASE、Cochrane图书馆（核心库）和SCOPUS）进行了全面检索。检索词包括“外科医生”“外科医生特征”“护理质量”和“治疗效果”，使用了AND、OR和ADJ2布尔运算符。将纳入描述旨在改变影响医疗保健质量的外科医生行为因素的干预措施的研究。将排除描述机构或系统因素的研究。检索范围限定在2000年1月1日至2024年1月1日，以涵盖现代手术实践。检索按照2015年电子检索策略同行评审进行同行评审。两名独立评审员将使用DistillerSR进行标题和摘要筛选，并提取关于参与者、研究方法、可改变的外科医生因素以及改变这些因素的干预措施的数据。将使用COM-B框架对数据进行定性分析，该框架描述了能力、动机和机会如何构成行为。我们期望编制一份旨在改变外科医生行为的现有干预措施清单，分析现有干预措施改善患者治疗效果的成功率，并识别尚无干预措施的可改变的外科医生因素。
无需伦理批准和患者同意。研究结果将提交给同行评审期刊发表。
