Understanding the experiences of community based staff: A rapid review

This project is a rapid review to investigate the experiences of staff working in community based same day, urgent and emergency care services when making clinical decisions on the transfer of patients to hospital.

We will systematically search databases to identify relevant research. We will include studies:

1. In English language
2. Published following peer-review
3. Of any methodology and study design or research tradition
4. Conducted with staff delivering community-based same day, urgent and emergency care services (Population)
5. Focused on same day, urgent and emergency care services in the community, e.g. General Practice, community pharmacy, Urgent Treatment Centres, Urgent Community Response Services, and Ambulance Services (Context), and
6. Reporting on staff experiences related to making clinical decisions on transferring patients to hospital (Concept). We will exclude grey literature (e.g., conference abstracts and proceedings, dissertations and theses, etc.) as well as secondary sources of literature (e.g., book chapters, editorials, meta-analyses, systematic reviews, etc.)

Data will be extracted on staff experiences in relation to:

• Mental and physical health (e.g., anxiety symptomology, sickness leave)
• Performance and productivity (e.g., intention to leave, job satisfaction)
• Psychological well-being (e.g., life satisfaction, vitality), or
• Work-related demands (e.g., autonomy/control, role clarity)

We will also investigate staff perceptions in relation to service effectiveness, including avoidance of hospital admissions and quality of patient care.