BACKGROUND Behavior change is not simple, and the introduction of guidelines or protocols does not mean that they will be followed. As such, implementation strategies are vital for the uptake and sustainability of changes in medical protocols. Medical or mental emergencies may be life-threatening, especially in children due to their unique physiological needs. In emergency departments (EDs), where timely decisions are often made, practice change requires thoughtful considerations regarding the best approaches to implementation. As there are many studies reporting on a wide variety of implementation strategies in the emergency management of children in EDs, we aim to identify and map the characteristics of these studies. METHODS We will conduct a scoping review to identify various implementation strategies in the emergency management of children using the Arksey and O'Malley framework. We will search MEDLINE (Ovid), Embase (Ovid), Cochrane Central (Wiley), and CINAHL (Ebsco), from inception to May 29, 2019, for implementation studies among the pediatric population (≤ 21 years) in a pediatric emergency setting. Two pairs of reviewers will independently select studies for inclusion and extract the data. We will perform a descriptive, narrative analysis of the characteristics of the identified implementation strategies. DISCUSSION We will present specific characteristics and outcome measures of all included studies in a tabular form. The results of this review are expected to help identify and characterize successful implementation strategies in the emergency management of children in EDs. SYSTEMATIC REVIEW REGISTRATION Open Science Framework https://osf.io/h6jv2.

中文翻译：

---

儿童应急管理的实施策略：范围审查协议。

背景 行为改变并不简单，指南或协议的引入并不意味着它们会被遵循。因此，实施策略对于医疗协议变化的吸收和可持续性至关重要。医疗或精神紧急情况可能会危及生命，尤其是儿童，因为他们有独特的生理需求。在经常做出及时决定的急诊科 (ED) 中，实践改变需要对最佳实施方法进行深思熟虑的考虑。由于有许多研究报告了急诊科儿童应急管理中的各种实施策略，我们旨在确定和绘制这些研究的特征。方法 我们将使用 Arksey 和 O'Malley 框架进行范围审查，以确定儿童应急管理中的各种实施策略。我们将搜索 MEDLINE (Ovid)、Embase (Ovid)、Cochrane Central (Wiley) 和 CINAHL (Ebsco)，从开始到 2019 年 5 月 29 日，在儿科急诊环境中的儿科人群（≤21 岁）中进行实施研究. 两对审稿人将独立选择纳入研究并提取数据。我们将对已确定的实施策略的特征进行描述性的叙述性分析。讨论 我们将以表格的形式展示所有纳入研究的具体特征和结果测量。预计本次审查的结果将有助于确定和描述急诊科儿童应急管理中成功的实施策略。系统审查注册开放科学框架 https://osf.io/h6jv2。