scholarly journals Perceived facilitators and barriers among physical therapists and orthopedic surgeons to pre-operative home-based exercise with one exercise-only in patients eligible for knee replacement: A qualitative interview study nested in the QUADX-1 trial

PLoS ONE ◽  
2020 ◽  
Vol 15 (10) ◽  
pp. e0241175
Author(s):  
Rasmus Skov Husted ◽  
Thomas Bandholm ◽  
Michael Skovdal Rathleff ◽  
Anders Troelsen ◽  
Jeanette Kirk
Keyword(s):  
Knee Replacement ◽  
Physical Therapists ◽  
Qualitative Interview ◽  
Interview Study ◽  
Orthopedic Surgeons ◽  
Home Based ◽  
Qualitative Interview Study ◽  
Facilitators And Barriers

scholarly journals Perceived facilitators and barriers among physical therapists and orthopedic surgeons to pre-operative home-based exercise with one exercise-only in patients with severe knee osteoarthritis: A qualitative interview study nested in the QUADX-1 trial

2020 ◽  
Author(s):  
Rasmus Skov Husted ◽  
Thomas Bandholm ◽  
Michael Skovdal Rathleff ◽  
Anders Troelsen ◽  
Jeanette Kirk
Keyword(s):  
Content Analysis ◽  
Surgical Treatment ◽  
Knee Osteoarthritis ◽  
Exercise Therapy ◽  
Physical Therapists ◽  
Professional Role ◽  
Orthopedic Surgeons ◽  
Home Based ◽  
Qualitative Interview Study ◽  
Facilitators And Barriers

AbstractAimClinical guidelines recommend non-surgical treatment before surgery is considered in patients eligible for knee replacement (KR). Surgical treatment is provided by orthopedic surgeons and exercise therapy is provided by physical therapists. This study aimed to investigate key stakeholder perspectives on pre-operative, home-based exercise therapy with one exercise-only in patients eligible for KR.MethodsThis qualitative study is embedded within the QUADX-1 randomized trial that investigates a model of coordinated non-surgical and surgical treatment for patients eligible for KR. Physical therapists and orthopedic surgeons working with patients with knee osteoarthritis in their daily clinical work were interviewed (one focus group and four single interviews) to explore their perceived facilitators and barriers related to pre-operative home-based exercise therapy with one exercise-only in patients eligible for KR. Interviews were analyzed using content analysis.ResultsFrom the content analysis three main themes emerged: 1) Physical therapists’ and orthopedic surgeons’ ambivalence in their professional roles, 2) Orthopedic surgeons view on exercise, and 3) Coordinated non-surgical and surgical care.ConclusionWe found that the pre-operative exercise intervention created ambivalence in the professional role of both the physical therapists and orthopedic surgeons. The physical therapists were skeptical towards over-simplified exercise therapy. The orthopedic surgeons were skeptical towards the potential lack of (long-term) effect of exercise therapy in patients eligible for KR. The consequence of these barriers and ambivalence in the professional role is important to consider when planning implementation of the model of coordinated non-surgical and surgical treatment.Trial registrationClinicalTrials.gov, ID: NCT02931058.

scholarly journals ‘I’m not Sherlock Holmes’: Suspicions, secrecy and silence of transplant professionals in the human organ trade

2019 ◽  
Vol 17 (6) ◽  
pp. 764-783
Author(s):  
Frederike Ambagtsheer ◽  
Linde Van Balen
Keyword(s):  
Qualitative Interview ◽  
Interview Study ◽  
Safe Distance ◽  
Sherlock Holmes ◽  
Human Organ ◽  
Qualitative Interview Study ◽  
Organ Trade ◽  
The Subject

This article presents the results of a qualitative interview study amongst 41 Dutch transplant professionals. The overarching aim was to acquire in-depth understanding of transplant professionals’ experiences with and attitudes towards patients who purchase kidneys. We found that transplant professionals occasionally treat patients who are suspected of kidney purchases abroad. However, they turn a blind eye to their patients’ suspected purchases. Secrecy and silence function as a tacit agreement between patients and their caregivers that keeps the subject of kidney purchase at a safe distance and allows transplant professionals to ignore its suspected occurrence. They thus participate in the building of walls of secrecy and silence in the organ trade.

scholarly journals Experiences of a National Early Warning Score (NEWS) intervention in care homes during the COVID-19 pandemic: a qualitative interview study

BMJ Open ◽  
2021 ◽  
Vol 11 (7) ◽  
pp. e045469
Author(s):  
Rachel Stocker ◽  
Siân Russell ◽  
Jennifer Liddle ◽  
Robert O Barker ◽  
Adam Remmer ◽  
...  
Keyword(s):  
Early Warning ◽  
Healthcare Professionals ◽  
Care Home ◽  
Qualitative Interview ◽  
Interview Study ◽  
Care Homes ◽  
Early Warning Score ◽  
Service Utilisation ◽  
Qualitative Interview Study ◽  
National Early Warning Score

BackgroundThe COVID-19 pandemic has taken a heavy toll on the care home sector, with residents accounting for up to half of all deaths in Europe. The response to acute illness in care homes plays a particularly important role in the care of residents during a pandemic. Digital recording of a National Early Warning Score (NEWS), which involves the measurement of physical observations, started in care homes in one area of England in 2016. Implementation of a NEWS intervention (including equipment, training and support) was accelerated early in the pandemic, despite limited evidence for its use in the care home setting.ObjectivesTo understand how a NEWS intervention has been used in care homes in one area of North-East England during the COVID-19 pandemic, and how it has influenced resident care, from the perspective of stakeholders involved in care delivery and commissioning.MethodsA qualitative interview study with care home (n=10) and National Health Service (n=7) staff. Data were analysed using thematic analysis.ResultsUse of the NEWS intervention in care homes in this area accelerated during the COVID-19 pandemic. Stakeholders felt that NEWS, and its associated education and support package, improved the response of care homes and healthcare professionals to deterioration in residents’ health during the pandemic. Healthcare professionals valued the ability to remotely monitor resident observations, which facilitated triage and treatment decisions. Care home staff felt empowered by NEWS, providing a common clinical language to communicate concerns with external services, acting as an adjunct to staff intuition of resident deterioration.ConclusionsThe NEWS intervention formed an important part of the care home response to COVID-19 in the study area. Positive staff perceptions now need to be supplemented with data on the impact on resident health and well-being, workload, and service utilisation, during the pandemic and beyond.

scholarly journals Meta-analysis, complexity, and heterogeneity: a qualitative interview study of researchers’ methodological values and practices

2016 ◽  
Vol 5 (1) ◽  
Author(s):  
Theo Lorenc ◽  
Lambert Felix ◽  
Mark Petticrew ◽  
G J Melendez-Torres ◽  
James Thomas ◽  
...  
Keyword(s):  
Meta Analysis ◽  
Qualitative Interview ◽  
Interview Study ◽  
Qualitative Interview Study
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