Facilitators of and barriers to buprenorphine initiation for people with opioid use disorder in the emergency department: protocol for a scoping review.
Facilitators of and barriers to buprenorphine initiation for people with opioid use disorder in the emergency department: protocol for a scoping review.
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DOI：
10.1136/bmjopen-2021-053207
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发表时间：
2021-09-27
期刊：
影响因子：
2.9
通讯作者：
Kalocsai C
中科院分区：
文献类型：
--
作者：
Bozinoff N;Soobiah C;Rodak T;Bucago C;Kingston K;Klaiman M;Poynter B;Samuels G;Schoenfeld E;Shelton D;Kalocsai C
丁丙诺啡-纳洛酮被推荐作为治疗阿片类药物使用障碍的一线药物。尽管丁丙诺啡在急诊科(ED)的启动是基于证据的，但实施障碍依然存在。对丁丙诺啡在ED中启动的促进者和障碍的全面审查和批判性分析尚未发表。我们的目标是(1)绘制丁丙诺啡诱导途径的文献图，并综合我们所知的丁丙诺啡在ED中的途径，以及(2)找出这篇文献中关于实施障碍和促进剂的差距。我们将进行范围审查，以全面搜索文献，绘制证据图，找出知识差距。审查将遵循系统审查的首选报告项目和范围界定审查的荟萃分析协议扩展，以及乔安娜·布里格斯研究所关于范围审查进行的指导。从1995年至今，我们将检索Medline、APA、JuncINFO、CINAHL、EMBASE和IBSS，检索范围仅限于英文和法语出版物。科维登斯的引文将由两名训练有素的审查员进行筛选。分歧将通过协商一致进行调解。将在《执行研究综合框架》和指导进一步解释的关键理论的指导下，采用归纳-演绎的混合方法综合数据。这项审查不需要道德方面的批准。一组初级知识用户，包括临床医生和有生活经验的人，将参与研究结果的传播，包括在同行评议的期刊上发表。结果将为未来的研究、附属医院目前的质量改进努力提供信息，并有助于创建更强大的急诊室应对不断升级的过量用药危机。
Buprenorphine–naloxone is recommended as a first-line agent for the treatment of opioid use disorder. Although initiation of buprenorphine in the emergency department (ED) is evidence based, barriers to implementation persist. A comprehensive review and critical analysis of both facilitators of and barriers to buprenorphine initiation in ED has yet to be published. Our objectives are (1) to map the implementation of buprenorphine induction pathway literature and synthesise what we know about buprenorphine pathways in EDs and (2) to identify gaps in this literature with respect to barriers and facilitators of implementation. We will conduct a scoping review to comprehensively search the literature, map the evidence and identify gaps in knowledge. The review will adhere to the Preferred Reporting Items for Systematic Reviews and Meta-analyses Protocols Extension for Scoping Reviews and guidance from the Joanna Briggs Institution for conduct of scoping reviews. We will search Medline, APA, PsycINFO, CINAHL, Embase and IBSS from 1995 to present and the search will be restricted to English and French language publications. Citations will be screened in Covidence by two trained reviewers. Discrepancies will be mediated by consensus. Data will be synthesised using a hybrid, inductive–deductive approach, informed by the Consolidated Framework for Implementation Research as well as critical theory to guide further interpretation. This review does not require ethics approval. A group of primary knowledge users, including clinicians and people with lived experience, will be involved in the dissemination of findings including publication in peer-reviewed journals. Results will inform future research, current quality improvement efforts in affiliated hospitals, and aide the creation of a more robust ED response to the escalating overdose crisis.
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DOI：
10.1186/1748-5908-4-50
发表时间：
2009-08-07
期刊：
Implementation science : IS
影响因子：
--
作者：
Damschroder LJ;Aron DC;Keith RE;Kirsh SR;Alexander JA;Lowery JC
通讯作者：
Lowery JC
影响因子：
13.8
作者：
Gomes T;Kitchen SA;Murray R
通讯作者：
Murray R
DOI：
10.9778/cmajo.20200169
发表时间：
2021-01
期刊：
CMAJ open
影响因子：
--
作者：
Moe J;Chong M;Zhao B;Scheuermeyer FX;Purssell R;Slaunwhite A
通讯作者：
Slaunwhite A
DOI：
10.1136/bmj.e5945
发表时间：
2012-10-03
期刊：
BMJ (Clinical research ed.)
影响因子：
--
作者：
MacArthur GJ;Minozzi S;Martin N;Vickerman P;Deren S;Bruneau J;Degenhardt L;Hickman M
通讯作者：
Hickman M
DOI：
10.1136/bmj.c5475
发表时间：
2010-10-26
期刊：
BMJ (Clinical research ed.)
影响因子：
--
作者：
Cornish, Rosie;Macleod, John;Hickman, Matt
通讯作者：
Hickman, Matt