Evidence map›Paper›PMID 34758992›Full record

ArticleBMJ open2021

Use of environmental scans in health services delivery research: a scoping review.

Patricia Charlton, Terri Kean, Rebecca H Liu, Daniel A Nagel, Rima Azar, Shelley Doucet, Alison Luke, William Montelpare, Kim Mears, Leah Boulos

Abstract readScoping Review
In one paragraph

Article in BMJ open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 62 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
62citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

62 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. Article
  6. Laryngectomy Education and Training Resources: An Environmental Scan of Resources.Journal of cancer education : the official journal of the American Association for Cancer Education · 2026
    Review
  7. Article
  8. A national atlas to improve the study of Canadians living with long COVID (post-COVID-19 condition).Canadian journal of public health = Revue canadienne de sante publique · 2026
    Article
  9. Article
  10. Article
  11. Review
  12. Review
  13. Article
  14. Article
  15. Article
  16. An environmental scan and qualitative inquiry of cancer patient navigation services in North Carolina.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    Article
  17. Review
  18. Review
  19. Article
  20. Article

2 more citing papers are in PubMed but not listed here.

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

10 authors.

Patricia CharltonAdjunct Faculty, Faculty of Nursing, University of Prince Edward Island, Charlottetown, Prince Edward Island, Canada pcharlton@upei.ca.ORCID 0000-0002-4397-1419
Terri KeanFaculty of Nursing, University of Prince Edward Island, Charlottetown, Prince Edward Island, Canada.ORCID 0000-0002-0211-3055
Rebecca H LiuWomen's College Hospital Institute for Health System Solutions and Virtual Care, Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada.ORCID 0000-0002-3946-4035
Daniel A NagelCollege of Nursing, University of Manitoba Faculty of Health Sciences, Winnipeg, Manitoba, Canada.ORCID 0000-0002-8089-589X
Rima AzarPsychobiology of Stress and Health Lab, Psychology Department, Mount Allison University, Sackville, New Brunswick, Canada.
Shelley DoucetDepartment of Nursing and Health Sciences, University of New Brunswick, Saint John, New Brunswick, Canada.ORCID 0000-0003-4420-8199
Alison LukeDepartment of Nursing and Health Sciences, University of New Brunswick, Saint John, New Brunswick, Canada.ORCID 0000-0002-2800-579X
William MontelpareDepartment of Applied Human Sciences, Faculty of Science, University of Prince Edward Island, Charlottetown, Prince Edward Island, Canada.ORCID 0000-0002-4167-4613
Kim MearsRobertson Library, University of Prince Edward Island, Charlottetown, Prince Edward Island, Canada.
Leah BoulosMaritime SPOR SUPPORT Unit, Halifax, Nova Scotia, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo examine the extent and nature of evidence on the use of the environmental scan (ES) in the health services delivery literature.

designScoping review.

methodsThis scoping review followed the five-stage scoping review methodology outlined by Khalil

resultsNinety-six studies were included in the scoping review. Researchers conducted ESs for many purposes, the most common being to examine the current state of programmes, services or policies. Recommendations were informed by ESs in 20% of studies. Most common data collection methods were literature review (71%), key informant or semistructured interviews (46%) and surveys (35%). Over half (53%) of the studies used a combination of passive (looking at information eg, literature, policies, guidelines) and active (looking for information eg, surveys, interviews) approaches to data collection. Person sources of data (eg, healthcare stakeholders, community representatives) and non-person sources of data (eg, documents, electronic databases, the web) were drawn on to a similar extent. The thematic analysis of the definitions/descriptions yielded several themes including instrument of discovery, knowledge synthesis, forward-looking and decision making. Research gaps identified included absence of a standard definition, inconsistencies in terminology and lack of guiding frameworks in the health services delivery context.

conclusionESs were conducted to gather evidence and to help inform decision making on a range of policy and health services delivery issues across the continuum of care. Consistency in terminology, a consensus definition and more guidance on ES design may help provide structure for researchers and other stakeholders, and ultimately advance ES as a methodological approach. A working definition of ES in a health services delivery context is presented.

Indexed as

Delivery of Health CareHealth Services ResearchHealth ServicesHumansKnowledgeResearch Personnelhealth policypublic healthstatistics & research methods

Identifiers

PMID34758992
PMCPMC8587593

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.