Evidence map›Paper›PMID 33546684›Full record

ArticleBMC health services research2021

"What is the actual goal of the pathway?": examining emergency department physician and nurse perspectives on the implementation of a pediatric concussion pathway using the theoretical domains framework.

Anh Ly, Roger Zemek, Bruce Wright, Jennifer Zwicker, Kathryn Schneider, Angelo Mikrogianakis, Alf Conradi, David Johnson, Brenda Clark, Karen Barlow and 3 more

Registry-linked trialOpen access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC health services research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05095012 (Implementation of a Clinical Pathway for Paediatric Concussion in Acute Care Settings), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.8field-weighted citation impact, top 27% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05095012 nacompletednot on this map

Implementation of a Clinical Pathway for Paediatric Concussion in Acute Care Settings: Measuring Health Outcomes of the RECOVER Intervention Project

TypeinterventionalSponsorUniversity of CalgaryRan2018 to 2019Enrolled2,878ConditionsConcussion, Brain, Pediatric Disorder, Mild Traumatic Brain InjuryArmsPediatric Acute Care Concussion Clinical Pathway
3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 4 citations in OpenAlex.

  1. Trial
  2. Expanding concussion care in Canada: the role of chiropractors and policy implications.The Journal of the Canadian Chiropractic Association · 2024
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 6 institutions in 2 countries.

Anh LyDepartment of Psychology, University of Calgary, 2500 University Drive NW, Calgary, Alberta, T2N 1N4, Canada. lya@ucalgary.ca.ORCID http://orcid.org/0000-0002-7609-3819
Roger ZemekDepartment of Pediatrics, University of Ottawa, 75 Laurier Avenue East, Ottawa, Ontario, K1N 6N5, Canada.
Bruce WrightDepartment of Pediatrics, University of Alberta, 3-513 Edmonton Clinic Health Academy, Edmonton, Alberta, T6G 2R7, Canada.
Jennifer ZwickerUniversity of Calgary, School of Public Policy, 906 8th Avenue SW, Calgary, Alberta, T2P 1H9, Canada.
Kathryn SchneiderUniversity of Calgary, Faculty of Kinesiology, 2500 University Drive NW, Calgary, Alberta, T2N 1N4, Canada.
Angelo MikrogianakisDepartment of Pediatrics, McMaster University, 1280 Main Street, Hamilton, Ontario, L8S 4K1, Canada.
Alf ConradiDepartment of Pediatrics, University of Alberta, 4-539 Edmonton Clinic Health Academy, Edmonton, Alberta, T6G 2R7, Canada.
David JohnsonDepartment of Pediatrics, University of Calgary, 28 Oki Drive NW, Calgary, T3B 6A8, Canada.
Brenda ClarkDepartment of Pediatrics, University of Alberta, 10230 111 Avenue, Edmonton, Alberta, T5G 0B7, Canada.
Karen BarlowUniversity of Queensland, Child Health Research Centre, Brisbane, QLD, 4072, Australia.
Joseph BureyDepartment of Psychology, University of Windsor, 401 Sunset Avenue, Windsor, Ontario, N9B 3P4, Canada.
Ash KolstadUniversity of Calgary, Faculty of Kinesiology, 2500 University Drive NW, Calgary, Alberta, T2N 1N4, Canada.
Keith Owen YeatesDepartment of Psychology, University of Calgary, 2500 University Drive NW, Calgary, Alberta, T2N 1N4, Canada.
University of Calgary · CAUniversity of Alberta · CAMcMaster University · CAThe University of Queensland · AUUniversity of Ottawa · CAUniversity of Windsor · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMultiple evidence-based clinical practice guidelines (CPGs) exist to guide the management of concussion in children, but few have been translated into clinical pathways (CP), which operationalize guidelines into accessible and actionable algorithms that can be more readily implemented by health care providers. This study aimed to identify the clinical behaviours, attitudinal factors, and environmental contexts that potentially influence the implementation of a clinical pathway for pediatric concussion.

methodsSemi-structured interviews were conducted from October 2017 to January 2018 with 42 emergency department clinicians (17 physicians, 25 nurses) at five urban emergency departments in Alberta, Canada. A Theoretical Domains Framework (TDF)-informed interview guide contained open-ended questions intended to gather feedback on the proposed pathway developed for the study, as well as factors that could potentially influence its implementation.

resultsThe original 14 domains of the TDF were collapsed into 6 clusters based on significant overlap between domains in the issues discussed by clinicians: 1) knowledge, skills, and practice; 2) professional roles and identity; 3) attitudes, beliefs, and motivations; 4) goals and priorities; 5) local context and resources; and 6) engagement and collaboration. The 6 clusters identified in the interviews each reflect 2-4 predominant topics that can be condensed into six overarching themes regarding clinicians' views on the implementation of a concussion CP: 1) standardization in the midst of evolving research; 2) clarifying and communicating goals; 3) knowledge dissemination and alignment of information; 4) a team-oriented approach; 5) site engagement; and 6) streamlining clinical processes.

conclusionApplication of a comprehensive, evidence-based, and theory-driven framework in conjunction with an inductive thematic analysis approach enabled six themes to emerge as to how to successfullly implement a concussion CP.

Indexed as

MotivationPhysiciansAlbertaChildEmergency Service, HospitalGoalsHumansClinical pathwayEmergency careHealth outcomesImplementationPediatric concussionStandardizationTheoretical domains framework

Identifiers

PMID33546684
PMCPMC7863464
OpenAlexW3128401897

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.