Evidence map›Paper›PMID 39920055›Full record

ArticleBMJ open2025

Sustainability of healthcare system improvements, programmes and interventions in acute care settings: protocol for a mixed methods systematic review.

Victoria Ramsden, Elizabeth McInnes, Peter Wilson, Franz E Babl, Lisa Kuhn, Julie Cowie, Pauline Campbell, Sandy Middleton, Catherine Wilson, Nicola Straiton and 1 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMJ open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. 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

11 authors.

Victoria RamsdenNursing Research Institute, St Vincent's Health Network Sydney St Vincent's Hospital Melbourne, Australian Catholic University, Australian Catholic University, Darlinghurst, New South Wales, Australia.ORCID http://orcid.org/0000-0002-4376-4508
Elizabeth McInnesNursing Research Institute, St Vincent's Health Network Sydney St Vincent's Hospital Melbourne, Australian Catholic University, Australian Catholic University, Darlinghurst, New South Wales, Australia.
Peter WilsonHealthy Brain and Mind Research Centre, Australian Catholic University, Fitzroy, Victoria, Australia.
Franz E BablClinical Sciences, Murdoch Children's Research Institute, Parkville, Victoria, Australia.ORCID http://orcid.org/0000-0002-1107-2187
Lisa KuhnSchool of Nursing, Midwifery and Paramedicine, Australian Catholic University, Fitzroy, Victoria, Australia.
Julie CowieYunus Centre for Social Business and Health, Glasgow Caledonian University, Glasgow, UK.ORCID http://orcid.org/0000-0002-4653-1283
Pauline CampbellDepartment of Nursing and Community Health, School of Health and Life Sciences, Glasgow Caledonian University, Glasgow, UK.ORCID http://orcid.org/0000-0002-5879-5526
Sandy MiddletonNursing Research Institute, St Vincent's Health Network Sydney St Vincent's Hospital Melbourne, Australian Catholic University, Australian Catholic University, Darlinghurst, New South Wales, Australia.ORCID http://orcid.org/0000-0002-7201-4394
Catherine WilsonClinical Sciences, Murdoch Children's Research Institute, Parkville, Victoria, Australia.
Nicola StraitonNursing Research Institute, St Vincent's Health Network Sydney St Vincent's Hospital Melbourne, Australian Catholic University, Australian Catholic University, Darlinghurst, New South Wales, Australia.
Emma TavenderClinical Sciences, Murdoch Children's Research Institute, Parkville, Victoria, Australia Emma.Tavender@mcri.edu.au.ORCID http://orcid.org/0000-0002-7230-712X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionSustaining evidence-based care is challenging in all clinical settings. Acute care settings have a unique set of contextual factors that may impact sustainability (eg, fast-paced, regular staff turnover). Much of the previous research explores sustainability across undifferentiated healthcare settings making it difficult to determine factors that influence sustainability in acute care settings. The aim of this review is to identify facilitators and barriers that influence the delivery of sustained healthcare interventions (eg, integration of clinical guidelines) within adult and paediatric hospital-based acute care settings. METHODS AND ANALYSIS: A mixed methods systematic review updating Cowie ETHICS AND DISSEMINATION: No primary data will be collected so formal ethical approval is not required. Findings will be disseminated through peer-reviewed publications, presented at international conferences and on social media. PROSPERO REGISTRATION NUMBER: PROSPERO CRD42024547535.

Indexed as

Delivery of Health CareQuality ImprovementHumansProgram EvaluationResearch DesignSystematic Reviews as TopicDelivery of Health Care, IntegratedEmergency DepartmentsImplementation ScienceQuality ImprovementQuality in healthcareSystematic Review

Identifiers

PMID39920055
PMCPMC11808872

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.