Mapping of modifiable barriers and facilitators with interdisciplinary chronic obstructive pulmonary disease (COPD) guidelines concordance within hospitals to the Theoretical Domains Framework: a mixed methods systematic review protocol

Article


Issac, Hancy, Moloney, Clint, Taylor, Melissa and Lea, Jackie. 2020. "Mapping of modifiable barriers and facilitators with interdisciplinary chronic obstructive pulmonary disease (COPD) guidelines concordance within hospitals to the Theoretical Domains Framework: a mixed methods systematic review protocol." BMJ Open. 10 (7). https://doi.org/10.1136/bmjopen-2019-036060
Article Title

Mapping of modifiable barriers and facilitators with interdisciplinary chronic obstructive pulmonary disease (COPD) guidelines concordance within hospitals to the Theoretical Domains Framework: a mixed methods systematic review protocol

ERA Journal ID200230
Article CategoryArticle
AuthorsIssac, Hancy (Author), Moloney, Clint (Author), Taylor, Melissa (Author) and Lea, Jackie (Author)
Journal TitleBMJ Open
Journal Citation10 (7)
Article Numbere036060
Number of Pages7
Year2020
PublisherBMJ
Place of PublicationUnited Kingdom
ISSN2044-6055
Digital Object Identifier (DOI)https://doi.org/10.1136/bmjopen-2019-036060
Web Address (URL)https://bmjopen.bmj.com/content/10/7/e036060
Abstract

Introduction Multifarious chronic obstructive pulmonary disease (COPD) guidelines have been published by local, national and global respiratory societies. These guidelines subsume holistic evidence based on recommendations to diagnose, treat, prevent and manage acute exacerbation with COPD. Despite the existing comprehensive recommendations, readmission rates and hospitalisations have increased in the last decade. Evidence to date has reported suboptimal clinical guidelines concordance. Acute exacerbations of COPD (AECOPD) is a common hospital presentation due to varied causes such as infective exacerbations, worsening disease condition, medication non-adherence, lack of education and incomprehensive discharge planning. AECOPD directly and indirectly causes economic burden, disrupts health-related quality of life (HRQol), hasten lung function decline and increases overall morbidity and mortality. COPD being a multimodal chronic disease, consistent interdisciplinary interventions from the time of admission to discharge may reduce readmissions and enhance HRQol among these patients and their families.
Methods and analysis This protocol adheres to the Joanna Briggs Institute methodology for mixed methods systematic reviews and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews reporting guidelines. Qualitative, quantitative and mixed methods studies will append this study to explore determinants of COPD guidelines concordance. Comprehensive three-tier search strategies will be used to search nine databases (COCHRANE, EBSCO HOST, MEDLINE, SCIENCE DIRECT, JBI, SCOPUS, WEB OF SCIENCE, WILEY and DARE) in May 2020. Two independent reviewers will screen abstracts and full-text articles in consonance with inclusion criteria. The convergent integrative method narrative review will contribute a deeper understanding of any discrepancies found in the existing evidence. Quality of the studies will be reported and Theoretical Domains Framework (TDF) will be used as a priori to synthesis data. Identified barriers, facilitators and corresponding clinical behavioural change solutions will be categorised using TDF indicators to provide future research and implementation recommendations.

KeywordsCOPD, TDF systematic review protocol, chronic airways disease, emphysema, protocols and guidelines, quality in health care
ANZSRC Field of Research 2020420501. Acute care
Byline AffiliationsSchool of Nursing and Midwifery
Open access urlhttps://bmjopen.bmj.com/content/bmjopen/10/7/e036060.full.pdf
Institution of OriginUniversity of Southern Queensland
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Moloney, Clint. 2011. Behavioural intention and user acceptance of research evidence for Queensland nurses: provision of solutions from the clinician. PhD Thesis Doctor of Philosophy. University of Southern Queensland.
A qualitative evaluation of the effectiveness of videoconferencing to support the training of orthopaedic registrars
Scott, Annette, Gururajan, Raj, Moloney, Clint and Gururajan, Vijaya. 2006. "A qualitative evaluation of the effectiveness of videoconferencing to support the training of orthopaedic registrars." Journal of Telemedicine and Telecare. 12 (3 (Supplement)), pp. 69-70. https://doi.org/10.1258/135763306779379969
The role of wireless technology in addressing sleeping disorders in aged care
Moloney, Clint. 2010. "The role of wireless technology in addressing sleeping disorders in aged care." Pease, Wayne, Cooper, Malcolm and Gururajan, Raj (ed.) Biomedical knowledge management: infrastructures and processes for e-health systems. Hershey, PA. United States. IGI Global. pp. 279-288
Perceived facilitators and inhibitors for the use of personal digital assistants (PDAs) by nurses: a systematic review
Moloney, Clint and Beccaria, Lisa Mara. 2009. "Perceived facilitators and inhibitors for the use of personal digital assistants (PDAs) by nurses: a systematic review." JBI Library of Systematic Reviews. 7 (33), pp. 1430-1491. https://doi.org/10.11124/01938924-200907330-00001
A systematic review of psychometric evidence and expert opinion regarding the assessment of faecal incontinence in older community-dwelling adults
Fallon, Anthony Bruce, Westaway, Julie and Moloney, Clint. 2008. "A systematic review of psychometric evidence and expert opinion regarding the assessment of faecal incontinence in older community-dwelling adults." International Journal of Evidence-Based Healthcare. 6 (2), pp. 225-259.
A discussion on the legal barriers in addressing sleeping disorders in aged care using wireless technology
Moloney, Clint and Gururajan, Raj. 2004. "A discussion on the legal barriers in addressing sleeping disorders in aged care using wireless technology." Conrick, Moya and Soar, Jeffrey (ed.) 1st Australian Aged and Community Care Informatics Conference (ACCIC'04). Brisbane, Australia 24 - 25 Aug 2004 Brunswick East, Australia.
Implementation of oral health recommendations into two residential aged care facilities in a regional Australian city
Fallon, Tony, Buikstra, Elizabeth, Cameron, Michelle, Hegney, Desley, Mackenzie, Debra, March, Judith, Moloney, Clint and Pitt, Jacinta. 2006. "Implementation of oral health recommendations into two residential aged care facilities in a regional Australian city." International Journal of Evidence-Based Healthcare. 4 (3), pp. 162-179. https://doi.org/10.1111/j.1479-6988.2006.00040.x
To what extent will the annual number of episodes of acute confusion within a medical unit be reduced following the introduction of high risk indicators and early intervention strategies
Moloney, Clint. 2005. To what extent will the annual number of episodes of acute confusion within a medical unit be reduced following the introduction of high risk indicators and early intervention strategies. Masters Thesis Master of Health Science. University of Southern Queensland.
Challenges for implementing wireless hand-held technology in health care: views from selected Queensland nurses
Gururajan, Raj, Moloney, Clint and Soar, Jeffrey. 2005. "Challenges for implementing wireless hand-held technology in health care: views from selected Queensland nurses." Journal of Telemedicine and Telecare. 11 (2 (Supplement)), pp. 37-38. https://doi.org/10.1258/135763305775124849
Out patient orthopaedic consultations via telehealth: a qualitative study
Gururajan, Raj, Gururajan, Vijaya, Moloney, Clint and Scott, Annette. 2005. "Out patient orthopaedic consultations via telehealth: a qualitative study." Beekhuyzen, Jenine, Von Hellens, Lisa, Guest, Karen, Morley, Morley and Collier, Toni (ed.) 2005 QualIT Challenges for Qualitative Research. Brisbane, Australia 23 - 25 Nov 2005 Brisbane, Australia.
Facilitators and inhibitors for wireless handheld technology: views from Queensland nurses
Gururajan, Raj and Moloney, Clint. 2005. "Facilitators and inhibitors for wireless handheld technology: views from Queensland nurses." Beekhuyzen, Jenine, Von Hellens, Lisa, Guest, Karen, Morley, Morley and Collier, Toni (ed.) 2005 QualIT Challenges for Qualitative Research. Brisbane, Australia 23 - 25 Nov 2005 Brisbane, Australia.
Adoption of wireless handheld technology: a case of Queensland healthcare
Gururajan, Raj, Hafeez-Baig, Abdul and Moloney, Clint. 2005. "Adoption of wireless handheld technology: a case of Queensland healthcare." Yeung, Jeff (ed.) 5th International Conference on Electronic Business: Enhancing Logistics & Supply Chain Competence Through E-Business (ICEB 2005). Hong Kong, China 05 - 09 Dec 2005 Hong Kong, China.
Drivers for wireless handheld technology: views from Queensland nurses
Gururajan, Raj, Moloney, Clint and Kerr, Don. 2005. "Drivers for wireless handheld technology: views from Queensland nurses." Shehadie, Elias (ed.) Australasian Business and Behavioural Sciences Association Conference 2005 (ABBSA 2005). Cairns, Australia 05 - 07 Aug 2005 Australia.
An investigation into the factors of adoption of wireless applications for data management by nurses
Gururajan, Raj, Kerr, Don, Moloney, Clint and Houghton, Luke. 2005. "An investigation into the factors of adoption of wireless applications for data management by nurses." Eldon, Li (ed.) APDSI 2005. Taipei, Taiwan 28 Jun - 02 Jul 2005 Taipei, Taiwan.