دورية أكاديمية

Understanding how and why upskilling programmes for unregulated care providers can support health equity in underserved communities: a realist review protocol

التفاصيل البيبلوغرافية
العنوان: Understanding how and why upskilling programmes for unregulated care providers can support health equity in underserved communities: a realist review protocol
المؤلفون: Melanie Anderson, Saul Cobbing, Valeria E Rac, Nicole N Woods, Brian David Hodges, Samah Hassan, Patti Leake, Catharine Marie Gray, Nicola Bartley, Andrea Etherington, Munira Abdulwasi, Hei-Ching Kristy Cheung
المصدر: BMJ Open, Vol 13, Iss 8 (2023)
بيانات النشر: BMJ Publishing Group, 2023.
سنة النشر: 2023
المجموعة: LCC:Medicine
مصطلحات موضوعية: Medicine
الوصف: Introduction Foot ulcers are one of the most devastating complications of diabetes mellitus leading to leg amputations. In Canada, systematically marginalised and racialised populations are more prone to developing foot ulcers and at higher risk of limb amputations. Shortages of regulated healthcare have hindered efforts to provide foot care. Upskilling unregulated care providers (UCPs) to deliver foot screening seems a reasonable solution to reduce limb loss. UCPs can advocate for health equity and deliver appropriate care. There is a need, however, to understand how and why an educational intervention for UCPs providing foot screening for these high-risk groups may or may not work.Methods and analysis This realist review will follow the Realist And Meta-narrative Evidence Syntheses: Evolving Standards standards. First, we will develop an initial programme theory (PrT) based on exploratory searches and discussions with experts and stakeholders. Then, we will search MEDLINE, Embase, PsycINFO, ERIC, CINAHL and Scopus databases along with relevant sources of grey literature. The retrieved articles will be screened for studies focusing on planned educational interventions for UCPs related to diabetic foot assessment. Data regarding contexts, mechanisms and outcomes will be extracted and analysed using a realist analysis through an iterative process that includes data reviewing and consultation with our team. Finally, we will use these results to modify the initial PrT.Ethics and dissemination Ethical approval is not required for this review. The main output of this research will be an evidence-based PrT for upskilling programmes for UCPs. We will share our final PrT using text, tables and infographics to summarise our results and draw insights across papers/reports. For academic, clinical, social care and educational audiences, we will produce peer-reviewed journal articles, including those detailing the process and findings of the realist review and establishing our suggestions for effective upskilling programmes.PROSPERO registration number CRD42022369208.
نوع الوثيقة: article
وصف الملف: electronic resource
اللغة: English
تدمد: 2044-6055
Relation: https://bmjopen.bmj.com/content/13/8/e072570.full; https://doaj.org/toc/2044-6055
DOI: 10.1136/bmjopen-2023-072570
URL الوصول: https://doaj.org/article/8817548ad9a248d289de46e52fdbbcf8
رقم الأكسشن: edsdoj.8817548ad9a248d289de46e52fdbbcf8
قاعدة البيانات: Directory of Open Access Journals
الوصف
تدمد:20446055
DOI:10.1136/bmjopen-2023-072570