Protocol for a scoping review on the development of policy, guidelines and protocols within emergency medical services

Introduction: Emergency medical services (EMS) use a combination of policy, clinical practice guidelines and protocols to set out their expectations for service delivery and to inform patient care. While these are integral to how EMS now operate, relatively little is known about how they are developed, or the processes involved. Therefore, the aim of this scoping review is to understand what is known in the literature about the development of policy, guidelines and protocols within EMS. Methods: This scoping review will follow the Arksey and O’Malley (2005) methodological framework for scoping reviews. A search strategy has been developed using index term definitions, building from authors’ knowledge of the field. The following electronic databases will be searched from 2002 to 2021 for all types of publication: CINAHL, Medline, Academic Search Complete and PsycINFO, EMBASE, Nursing and Allied Health, the Cochrane library, NICE Evidence, Scopus, OpenGrey, EThOS, Google Scholar, Google search and key EMS journal websites. The results will be downloaded using EndNoteX9 reference management software and duplicates will be removed. Titles and abstracts of the results will be independently screened for their relevance to the research question, and the full text of each selected publication will be assessed against pre-determined inclusion and exclusion criteria to determine its eligibility. The reference list and forward citations will be searched for articles meeting the eligibility criteria. A second researcher will independently assess a 10% sample of results to allow for validation of this assessment. Data will be extracted and charted on the characteristics of the publications and the knowledge they contribute on the development of policy, guidelines or protocols. Accompanying narratives will be presented to identify themes and gaps in the available evidence. A critical appraisal will be undertaken of the included publications, where empirical research is presented.

[1]  M. McCaul,et al.  Guidance we can trust? The status and quality of prehospital clinical guidance in sub-Saharan Africa: A scoping review , 2020, African Journal of Emergency Medicine.

[2]  R. Endacott,et al.  UK ambulance service resuscitation management of pulseless electrical activity: a systematic review protocol of text and opinion , 2020, British paramedic journal.

[3]  L. Schoonhoven,et al.  Searching for Programme theories for a realist evaluation: a case study comparing an academic database search and a simple Google search , 2020, BMC Medical Research Methodology.

[4]  V. Goodwin,et al.  Scoping reviews. , 2019, Physiotherapy.

[5]  A. Hyder,et al.  Assessment of pre-hospital emergency medical services in low-income settings using a health systems approach , 2018, International Journal of Emergency Medicine.

[6]  Marko Ćurković,et al.  Bubble effect: including internet search engines in systematic reviews introduces selection bias and impedes scientific reproducibility , 2018, BMC Medical Research Methodology.

[7]  J. McGowan,et al.  PRISMA Extension for Scoping Reviews (PRISMA-ScR): Checklist and Explanation , 2018, Annals of Internal Medicine.

[8]  C. Martin-Gill,et al.  Implementing Prehospital Evidence-Based Guidelines: A Systematic Literature Review , 2018, Prehospital emergency care : official journal of the National Association of EMS Physicians and the National Association of State EMS Directors.

[9]  K. Oliver,et al.  Evidence-based policymaking is not like evidence-based medicine, so how far should you go to bridge the divide between evidence and policy? , 2017, Health Research Policy and Systems.

[10]  I. Scott,et al.  National Heart Foundation of Australia & Cardiac Society of Australia and New Zealand: Australian Clinical Guidelines for the Management of Acute Coronary Syndromes 2016. , 2016, Heart, lung & circulation.

[11]  D. Spaite,et al.  National Prehospital Evidence-Based Guidelines Strategy: A Summary for EMS Stakeholders , 2016, Prehospital emergency care : official journal of the National Association of EMS Physicians and the National Association of State EMS Directors.

[12]  Roger D. White,et al.  Part 7: Adult Advanced Cardiovascular Life Support: 2015 American Heart Association Guidelines Update for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. , 2015, Circulation.

[13]  Neal R Haddaway,et al.  The Role of Google Scholar in Evidence Reviews and Its Applicability to Grey Literature Searching , 2015, PloS one.

[14]  R. Ludwick,et al.  Book Review: Nurses Making Policy: From Bedside to Boardroom , 2015 .

[15]  Su Golder,et al.  Citation searching: a systematic review case study of multiple risk behaviour interventions , 2014, BMC Medical Research Methodology.

[16]  Joseph L. Wright,et al.  The Implementation and Evaluation of an Evidence-based Statewide Prehospital Pain Management Protocol Developed using the National Prehospital Evidence-based Guideline Model Process for Emergency Medical Services , 2014, Prehospital emergency care : official journal of the National Association of EMS Physicians and the National Association of State EMS Directors.

[17]  Peter S. Dayan,et al.  The Development of Evidence-based Prehospital Guidelines Using a GRADE-based Methodology , 2014, Prehospital emergency care : official journal of the National Association of EMS Physicians and the National Association of State EMS Directors.

[18]  Ethan M Balk,et al.  Data extraction from machine-translated versus original language randomized trial reports: a comparative study , 2013, Systematic Reviews.

[19]  P. Shekelle,et al.  Developing clinical practice guidelines: types of evidence and outcomes; values and economics, synthesis, grading, and presentation and deriving recommendations , 2012, Implementation Science.

[20]  J. Jensen,et al.  Towards National Evidence-Informed Practice Guidelines for Canadian EMS: Future Directions. , 2011, Healthcare policy = Politiques de sante.

[21]  Michelle E. Kho,et al.  AGREE II: advancing guideline development, reporting and evaluation in health care , 2010, Canadian Medical Association Journal.

[22]  T. Platt,et al.  Physician Medical Direction andClinical Performance at an Established Emergency Medical Services System , 2009, Prehospital emergency care : official journal of the National Association of EMS Physicians and the National Association of State EMS Directors.

[23]  H. Arksey,et al.  Scoping studies: towards a methodological framework , 2005 .

[24]  O. Ajetunmobi.  Critical appraisal of qualitative studies , 2002 .

[25]  D. Sackett,et al.  Evidence based medicine: what it is and what it isn't , 1996, BMJ.

[26]  D J Hunter,et al.  Evidence based policymaking , 1995, BMJ.

[27]  V. Bishop,et al.  Developing Clinical Practice , 2001 .

[28]  H. Hricak,et al.  Evidence-based medicine. , 1997, Singapore medical journal.