MEDLINE (OVID) Search String

1

cerebrovascular disorders/ or exp basal ganglia cerebrovascular disease/ or exp brain ischemia/ or exp carotid artery diseases/ or exp cerebrovascular trauma/ or exp intracranial arterial diseases/ or exp intracranial arteriovenous malformations/ or exp intracranial embolism/ or exp intracranial thrombosis/ or exp intracranial hemorrhages/ or stroke/ or exp brain infarction/ or vasospasm, intracranial/ or vertebral artery dissection/

2

(stroke or cerebrovasc$ or brain vasc$ or cerebral vasc$ or cva$ or apoplex$).mp.

3

((brain$ or cerebr$ or cerebell$ or vertebrobasilar or hemispher$ or intracran$ or intracerebral or infratentorial or supratentorial or MCA or anterior circulation or posterior circulation or basal ganglia) adj5 (isch?emi$ or infarct$ or thrombo$ or emboli$)).mp.

4

((brain$ or cerebr$ or cerebell$ or intracerebral or intracran$ or parenchymal or intraventricular or infratentorial or supratentorial or basal gangli$) adj5 (haemorrhage$ or hemorrhage$ or haematoma$ or hematoma$ or bleed$)).mp.

5

1 OR 2 OR 3 OR 4

Stroke

6

Hospital units/ or Patient care team/

7

(stroke adj3 (unit$ or ward$ or hospital$ or centre$ or team$)).mp.

8

((organi?ed or structured) adj3 care).mp.

9

(rehabilitation adj3 (unit$ or ward$ or hospital$ or centre$ or team$)). mp.

10

(multidisciplinary adj3 (unit$ or ward$ or hospital$ or centre$ or team$)). mp.

11

((dedicated or discrete or comprehensive) adj5 (unit$ or ward$ or hospital$ or centre$ or team$)). mp.

12

((specialist or speciali?ed ) adj5 (nurs$ or staff$ or care or unit$ or ward$)).mp

13

(organi?ed adj3 (unit$ or ward$)).mp.

14

OR/ 6‐13

15

5 AND 14

Stroke unit

16

health educators/ or infection control practitioners/ or medical staff/ or nurses/ or nursing staff/ or medical staff, hospital/ or nursing staff, hospital/ or pharmacists/ or physicians/

17

occupational therapy/ or physical therapy specialty/ or speech‐language pathology/ or technology, radiologic/ or pharmacy/ or podiatry/ or licensed practical nurses/ or medical secretaries/ or nurses' aides/ or nutritionists/ or operating room technicians/ or pharmacists' aides/ or physical therapist assistants/ or physical therapists/ or physician assistants/ or audiology/ or social work/

18

(nurs$ or physiotherapy$ or physical therap$ or ot or occupational therap$ or pharmac$ or speech therap$ or speech pathology$ or speech$ language path$ or doctor$ or physician$ or neurologist$ or nutritionist$ or dietician$ or dietetic$ or social worker$).mp.

19

OR/ 16‐18

Professional staff

20

15 AND 19

Stroke unit professional staff

21

practice guidelines/ or practice guidelines as a topic/ or clinical protocols/

22

education, continuing/ or nurse education research/ or education, professional/

23

inservice training/ or competency‐based education/

24

(educat$ or Inform$) adj2 (program$ or intervene$ or meet$ or session$ or strateg$ or workshop$ or visit$).mp.

25

teaching materials /

26

(leaflet? or booklet? or poster? Or writ$ or print$) adj3 (inform$ Or educat$).mp.

27

OR/ 21– 26

Educational materials, educational meetings, outreach visits

28

mentors/

29

leadership/

30

((opinion or educat$ or influen$) adj1 leader$).mp.

31

OR/ 28‐ 30

Opinion leaders

32

patient‐centred care/

33

((patient$ or client$ or survivor$) adj2 (mediat$ or direct$)).mp.

34

OR/ 32‐33

Patient mediated interventions

35

Clinical audit/ or Medical audit/ or Nursing audit/

36

Benchmarking/

37

Guideline adherence/ or quality indicators, healthcare/

38

Process assessment health care/

39

Physician practice patterns/ or Nurses practice patterns/

40

((Audit$ or process assess$ or benchmark$) adj3 feedback)

41

OR/ 35‐ 40

Audit & feedback – 'instrumental knowledge use'

42

Reminder systems/

43

(remind$ or Prompt$).mp.

44

OR/ 42‐43

Reminders

45

Total quality management/

46

Quality improvement/

47

Evidence based practice/

48

Quality of healthcare/

49

Communication barriers/

50

(barrier$ or facilitat$) adj3 (best or recommend$ or evidence).mp.

51

(individual$ or tailor$) adj3 (best or recommend$ or evidence or implement$).mp.

52

OR/ 45‐ 51

Tailored interventions

53

Mass media/

54

Telecommunications/

55

Marketing/

56

Information dissemination/

57

Audio‐visual aides/

58

OR/53‐57

Mass media

59

Health services research/

60

((action or participat$) adj1 research$).mp.

61

OR/ 59‐60

Action research

62

Health knowledge, attitudes or practices/

63

Attitude of Health Personnel/

64

((attitude$ or knowledge) adj3 (staff or clinic$ or profession$ or nurs$ or physiotherapy$ or physical therap$ or ot or occupational therap$ or pharmac$ or speech therap$ or speech pathology$ or speech$language path$ or doctor$ or physician$ or neurologist$ or nutritionist$ or dietician$ or dietetic$ or social worker$)).mp.

65

OR/ 62‐ 64

Other outcomes ‐ "conceptual use of knowledge"

66

27 or 31 or 34 or 41 or 44 or 52 or 58 or 61 or 65

All EPOC professional interventions

67

Health Services Administration/ or "Organization and Administration"/ or Hospital administration/ or health facility administration/

68

Centralized hospital services/ or hospital restructuring/ or hospital shared services/

69

health planning organizations/ or health care coalitions/ or health planning councils/ or "state health planning and development agencies"/

70

Health policy/ or Health care reform/

71

clinical governance/ or "constitution and bylaws"/ or decision making, organizational/ or efficiency, organizational/

72

governing board/ or trustees/ or institutional management teams/

73

management audit/ or benchmarking/ or models, organizational/

74

organizational culture/ or organizational innovation/ or organizational objectives/

75

Capacity building/ or Program development/

76

"Diffusion of Innovation"/ or Knowledge Management/

77

Technology Transfer/ or Translational Research/

78

"organization & administration".fs.

79

organi?ational.ti,ab.

80

organi?ation$.hw.

81

(organi?ation? adj3 (change or changes or changing or collaborat$ or development or impact or influenc$ or infrastructure? or interprofession$ or inter‐profession$ or intervention? or multicomponent or multi‐component or multidisciplin$ or multi‐disciplin$ or multifacet$ or multi‐facet$ or multimodal$ or multi‐modal$ or policy or policies or strategy or strategies or strategic or structur$ or support$ or system?)).ti,ab.

82

policy.hw.

83

(policy or policies or (nurse adj4 managed) or (quality adj2 improvment) or (QI adj2 (initiative? or program$ or hospital$))).ti,ab.

84

(decentral$ or empower$ or governance or jurisdiction? or roster$ or stewardship? or structural or team$ or ((change? or changing) adj2 (direct$ or initiat$ or role or roles))).ti,ab.

85

(administrative or administrator?).ti.

86

((administrative or administrator?) adj4 (change or changes or changing or collaborat$ or development or impact or influenc$ or infrastructure? or interprofession$ or inter‐profession$ or intervention? or multicomponent or multi‐component or multidisciplin$ or multi‐disciplin$ or multifacet$ or multi‐facet$ or multimodal$ or multi‐modal$ or policy or policies or strategy or strategies or strategic or structur$ or support$ or system?)).ab.

87

(governance or jurisdiction? or roster$ or team$ or structural or organizational or self‐direct$ or (nurse adj2 (direct$ or initiat$))).ti,ab.

88

(stewardship or decentral$ or reform? or reforming).ti,ab.

89

OR 67‐88

Organisational/Admin Terms

90

career mobility/ or employee incentive plans/ or job description/ or personnel administration, hospital/ or personnel delegation/ or "personnel staffing and scheduling"/ or staff development/ or workload/ or workplace/

91

Professional Autonomy/ or Professional role/

92

((professional$ or clinician$) adj2 (autonomy or independence or self‐reliance)).ti,ab.

93

(professional adj2 development).ti,ab.

94

(advance$ or scope) adj3 (practice$).ti,ab.

95

OR/ 90‐94 [Personnel Management—organisational terms]

Personnel Management ‐ organisational terms

96

66 OR 89 OR 95

EPOC professional or organisational interventions]

97

20 AND 96

Limit to humans

Limit to RCTs, CRCTs, non‐randomised controlled trials, controlled before‐after studies, interrupted time series, repeat measures studies