Transition care and the emergency department

Noori, Omar; Jackson, Melody Moore; Shetty, Amith; Medlow, Sharon; Steinbeck, Katharine

doi:10.1111/1742-6723.13393

Cited by 1 publication

(1 citation statement)

References 4 publications

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“…Too often adolescents are stigmatised and stereotyped in the general community as risk takers, irresponsible and generally difficult to engage. Unfortunately, this stigma is also present in health systems and services, as well as in research, where adolescents are often considered too challenging to work with [ 30 ]. The majority of adolescent healthcare, other than for non-communicable chronic disease, takes place in primary care and other community settings, Emergency Departments or in specialised services for high risk or marginalised youth, and for mental health, also reflected in the studies in this review.…”

Section: Discussionmentioning

confidence: 99%

Implementation science in adolescent healthcare research: an integrative review

Zolfaghari

Armaghanian

Waller

et al. 2022

BMC Health Serv Res

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Background Multiple theories, models and frameworks have been developed to assist implementation of evidence-based practice. However, to date there has been no review of implementation literature specific to adolescent healthcare. This integrative review therefore aimed to determine what implementation science theories, models and frameworks have been applied, what elements of these frameworks have been identified as influential in promoting the implementation and sustainability of service intervention, and to what extent, in what capacity and at what time points has the contribution of adolescent consumer perspectives on evidence implementation been considered. Methods An integrative design was used and reported based on a modified form of the PRISMA (2020) checklist. Seven databases were searched for English language primary research which included any implementation science theory, model or framework developed for/with adolescents or applied in relation to adolescent healthcare services within the past 10 years. Content and thematic analysis were applied with the Consolidated Framework for Implementation Research (CFIR) used to frame analysis of the barriers and facilitators to effective implementation of evidence-informed interventions within youth health settings. Results From 8717 citations, 13 papers reporting 12 studies were retained. Nine different implementation science theories, frameworks or approaches were applied; six of 12 studies used the CFIR, solely or with other models. All CFIR domains were represented as facilitators and barriers for implementation in included studies. However, there was little or no inclusion of adolescents in the development or review of these initiatives. Only three mentioned youth input, occurring in the pre-implementation or implementation stages. Conclusions The few studies found for this review highlight the internationally under-developed nature of this topic. Flagging the importance of the unique characteristics of this particular age group, and of the interventions and strategies to target it, the minimal input of adolescent consumers is cause for concern. Further research is clearly needed and must ensure that youth consumers are engaged from the start and consistently throughout; that their voice is prioritised and not tokenistic; that their contribution is taken seriously. Only then will age-appropriate evidence implementation enable innovations in youth health services to achieve the evidence-based outcomes they offer. Trial Registration PROSPERO 2020 CRD42020201142 https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=201142

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Section: Discussionmentioning

confidence: 99%