OBJECTIVE Improvement of surgical care is dependent upon evidence-based practices (EBPs), policies, procedures, and innovations. The objective of this study was to understand and synthesize the use of implementation science (IS) in surgical care. SUMMARY BACKGROUND DATA This article summarizes the existing literature to identify the frequency and types of EBPs selected for surgical care, IS frameworks that guided the published research, and prominent facilitators and barriers. METHODS A modified version of the Arksey and O'Malley framework and the Preferred Reporting Items for Systematic Reviews and Meta-analyses Extension for Scoping Reviews Checklist were used to provide the guidance and standards to conduct this scoping review. We queried: Ovid MEDLINE; American Psychological Association PsycINFO; Embase; Cumulated Index to Nursing and Allied Health Literature; Web of Science; and Google Scholar for manuscripts published January 2001 - June 2023. RESULTS The initial search found 3,674 citations of which 129 met inclusion criteria. The heterogeneity and volume of innovations within the surgical IS field were vast. The most frequent innovations were in peri-operative care, safety in surgery, and Enhanced Recovery After Surgery. Six constructs were identified as both major facilitators and barriers: support from leadership; surgeon and staff knowledge regarding EBPs; relationship/team building; environmental context; data; and resources. CONCLUSION Identifying these implementation factors used in the surgical field enables us to determine variables that support and inhibit the adoption and implementation of new practices, support practice change, enhance quality and equity of surgical care, and identify research gaps for future IS in surgical care.

中文翻译：

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在外科护理中使用实施科学：范围界定审查。


目标 外科护理的改进取决于循证实践 (EBP)、政策、程序和创新。本研究的目的是了解和综合实施科学 (IS) 在外科护理中的应用。摘要背景数据本文总结了现有文献，以确定选择用于外科护理的 EBP 的频率和类型、指导已发表研究的 IS 框架以及突出的促进因素和障碍。方法 使用 Arksey 和 O'Malley 框架的修改版本以及系统评价的首选报告项目和范围界定审核清单的荟萃分析扩展，为进行范围界定审核提供指导和标准。我们查询：Ovid MEDLINE；美国心理学会 PsycINFO；大使馆；护理和联合健康文献累积索引；科学网；和谷歌学术搜索 2001 年 1 月至 2023 年 6 月发表的手稿。 结果 初步搜索发现 3,674 次引用，其中 129 次符合纳入标准。外科 IS 领域的创新异质性和数量巨大。最常见的创新是围手术期护理、手术安全和术后加速康复。六种结构被确定为主要的促进因素和障碍：领导层的支持；外科医生和工作人员有关 EBP 的知识；关系/团队建设；环境背景；数据;和资源。结论 确定外科领域中使用的这些实施因素使我们能够确定支持和抑制新实践的采用和实施的变量，支持实践变革，提高外科护理的质量和公平性，并确定外科护理中未来 IS 的研究差距。