Nebojša Oravec1, Rakesh C Arora1,2, Brian Bjorklund3, April Gregora3, Caroline Monnin4, Todd A Duhamel5,6, David E Kent2, Annette S H Schultz7,8, Anna M Chudyk9,10. 1. Department of Surgery, Rady Faculty of Health Sciences, Max Rady College of Medicine, University of Manitoba, AE101-820 Sherbrook Street, Winnipeg, MB, R3A 1R9, Canada. 2. Cardiac Sciences Program, CR 1005-St. Boniface Hospital, 369 Taché Avenue, Winnipeg, MB, R2H 2A6, Canada. 3. Enhanced Recovery Protocols for Cardiac Surgery Patient Researcher Group, St. Boniface Hospital, 369 Taché Avenue, Winnipeg, MB, R2H 2A6, Canada. 4. Neil John Maclean Health Sciences Library, University of Manitoba, 727 McDermot Avenue, Winnipeg, R3E 3P5, Canada. 5. Faculty of Kinesiology and Recreation Management, 208 Active Living Centre, University of Manitoba, Winnipeg, MB, R3T 2N2, Canada. 6. Institute of Cardiovascular Sciences, St. Boniface General Hospital Albrechtsen Research Centre, 351 Taché Avenue, Winnipeg, MB, R2H 2A6, Canada. 7. College of Nursing, Rady Faculty of Health Sciences, University of Manitoba, 89 Curry Place, Winnipeg, MB, R3T 2 N2, Canada. 8. Health Services & Structural Determinants of Health Research, St. Boniface Research Centre, Winnipeg, Canada. 9. Health Services & Structural Determinants of Health Research, St. Boniface Research Centre, Winnipeg, Canada. anna.chudyk@umanitoba.ca. 10. Department of Family Medicine, Rady Faculty of Health Sciences, University of Manitoba, 454-6 - 753 McDermot Avenue, Winnipeg, MB, R3E 0 T6, Canada. anna.chudyk@umanitoba.ca.
Abstract
BACKGROUND: Cardiac surgery is becoming increasingly common in older, more vulnerable adults. A focus on timely and complete medical and functional recovery has led to the development of enhanced recovery protocols (ERPs) for a number of surgical procedures and subspecialties, including cardiac surgery (ERAS® Cardiac). An element that is often overlooked in the development and implementation of ERPs is the involvement of key stakeholder groups, including surgery patients and caregivers (e.g., family and/or friends). The aim of this study is to describe a protocol for a scoping review of cardiac patient and caregiver preferences and outcomes relevant to cardiac surgery ERPs. METHODS: Using Arksey and O'Malley's et al six-stage framework for scoping review methodologies with adaptions from Levac et al. (Represent Interv: 1-18, 2012), a scoping review of existing literature describing patient- and caregiver-identified preferences and outcomes as they relate to care received in the perioperative period of cardiac surgery will be undertaken. The search for relevant articles will be conducted using electronic databases (i.e., the Cochrane Library, Medline, PsycINFO, Scopus, and Embase), as well as through a search of the grey literature (e.g., CPG Infobase, Heart and Stroke Foundation, ProQuest Theses and Dissertations, Google Advanced, and Prospero). Published and unpublished full-text articles written in English, published after the year 2000, and that relate to the research question will be included. Central to the design of this scoping review is our collaboration with two patient partners who possess lived experience as cardiac surgery patients. DISCUSSION: This review will identify strategies that can be integrated into ERPs for cardiac surgery which align with patient- and caregiver-defined values. Broadly, it is our goal to demonstrate the added value of patient engagement in research to aid in the success of system change processes.
BACKGROUND: Cardiac surgery is becoming increasingly common in older, more vulnerable adults. A focus on timely and complete medical and functional recovery has led to the development of enhanced recovery protocols (ERPs) for a number of surgical procedures and subspecialties, including cardiac surgery (ERAS® Cardiac). An element that is often overlooked in the development and implementation of ERPs is the involvement of key stakeholder groups, including surgery patients and caregivers (e.g., family and/or friends). The aim of this study is to describe a protocol for a scoping review of cardiac patient and caregiver preferences and outcomes relevant to cardiac surgery ERPs. METHODS: Using Arksey and O'Malley's et al six-stage framework for scoping review methodologies with adaptions from Levac et al. (Represent Interv: 1-18, 2012), a scoping review of existing literature describing patient- and caregiver-identified preferences and outcomes as they relate to care received in the perioperative period of cardiac surgery will be undertaken. The search for relevant articles will be conducted using electronic databases (i.e., the Cochrane Library, Medline, PsycINFO, Scopus, and Embase), as well as through a search of the grey literature (e.g., CPG Infobase, Heart and Stroke Foundation, ProQuest Theses and Dissertations, Google Advanced, and Prospero). Published and unpublished full-text articles written in English, published after the year 2000, and that relate to the research question will be included. Central to the design of this scoping review is our collaboration with two patient partners who possess lived experience as cardiac surgery patients. DISCUSSION: This review will identify strategies that can be integrated into ERPs for cardiac surgery which align with patient- and caregiver-defined values. Broadly, it is our goal to demonstrate the added value of patient engagement in research to aid in the success of system change processes.
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