scholarly journals Evaluating Implementation of The Diabetes Perioperative Passport: A Qualitative Focus Group Study

2020 ◽  
Author(s):  
Funke Akiboye ◽  
Emma Page ◽  
Krish Nirantharakumar ◽  
Gerry Rayman ◽  
Antje Lindenmeyer
Keyword(s):  
Focus Group ◽  
Focus Groups ◽  
Elective Surgery ◽  
District General Hospital ◽  
Working Environment ◽  
Practical Implementation ◽  
Care Needs ◽  
Focus Group Study ◽  
Factors Affecting ◽  
Implementation Tool

Abstract Aims To examine the factors affecting implementation of an empowerment tool for patients with diabetes in two surgical groups within a single district general hospitalBackground A perioperative passport was developed to improve care of people with diabetes undergoing elective surgery by equipping patients with a hand-held summary of their care needs. Two surgical groups were approached to be involved in developing and piloting this novel technology with contrasting results. Design A qualitative study using focus groups to examine factors affecting staff engagement in implementing the diabetes perioperative passport.Methods Two focus group were conducted in 2017 with pre-operative nurses in the departments of orthopaedics and general surgery of an NHS trust (N= 8). Audio-taped group discussions were transcribed, and the data coded and analysed to identify themes.Results The general surgical nurse group generally supported each other’s views and comments. They were enthused about the passport throughout. In contrast, the orthopaedic specialist nurse group had initial reservations about implementing the passport, but as the focus group unfolded, they moved from sharing individual views to finding commonalities and became more engaged and motivated to use the passport. Conclusion Focus groups are a practical and efficient tool to conduct within the usual working environment of an NHS hospital. In addition to capturing information about the challenges to implementation they may serve as a crucial implementation tool where evidence-based practice has not been adopted. Impact This is the first study carried out in the NHS setting highlighting the benefit of focus groups as a practical implementation tool.

scholarly journals Evaluating Implementation of the Diabetes Perioperative Passport: A qualitative focus group study

2020 ◽  
Author(s):  
Funke Akiboye ◽  
Emma Page ◽  
Krish Nirantharakumar ◽  
Gerry Rayman ◽  
Antje Lindenmeyer
Keyword(s):  
Focus Group ◽  
Focus Groups ◽  
Elective Surgery ◽  
District General Hospital ◽  
Working Environment ◽  
Practical Implementation ◽  
Care Needs ◽  
Focus Group Study ◽  
Factors Affecting ◽  
Implementation Tool

Abstract Background and AimsA perioperative passport was developed to improve care of people with diabetes undergoing elective surgery by equipping patients with a hand-held summary of their care needs. Two surgical nursing groups were approached to be involved in developing and piloting this novel technology with contrasting results.This study aims to examine the factors affecting implementation of an empowerment tool for patients with diabetes among nursing staff in two surgical groups within a single district general hospitalDesignA qualitative study using focus groups to examine factors affecting staff engagement in implementing the diabetes perioperative passport.MethodsTwo focus group were conducted in 2017 with pre-operative assessment nurses in the departments of orthopaedics and general surgery of an NHS trust (N= 8). Audio-taped group discussions were transcribed, and the data coded and analysed to identify themesFindingsThe general surgical nurse group generally supported each other’s views and comments. They were enthused about the passport throughout. In contrast, the orthopaedic specialist nurse group had initial reservations about implementing the passport, but as the focus group unfolded, they moved from sharing individual views to finding commonalities and became more engaged and motivated to use the passport.ConclusionFocus groups are a practical and efficient tool to conduct within the usual working environment of an NHS hospital. In addition to capturing information about the challenges to implementation they may serve as a crucial implementation tool where evidence-based practice has not been adopted.ImpactThis is the first study carried out in the NHS setting highlighting the benefit of focus groups as a practical implementation tool.

scholarly journals Evaluating Implementation of the Diabetes Perioperative Passport: A qualitative focus group study

2020 ◽  
Author(s):  
Funke Akiboye ◽  
Emma Page ◽  
Krish Nirantharakumar ◽  
Gerry Rayman ◽  
Antje Lindenmeyer
Keyword(s):  
Focus Group ◽  
Focus Groups ◽  
Elective Surgery ◽  
Small Body ◽  
Implementation Process ◽  
Working Environment ◽  
Practical Implementation ◽  
Care Needs ◽  
Factors Affecting ◽  
Implementation Tool

Abstract AimsTo examine the factors affecting implementation of an empowerment tool for patients with diabetes in two surgical groups within a single district general hospitalBackgroundA perioperative passport was developed to improve care of people with diabetes undergoing elective surgery by equipping patients with a hand-held summary of their care needs. Two surgical groups were approached to be involved in developing and piloting this novel technology with contrasting results. DesignA qualitative study using focus groups to examine factors affecting staff engagement in implementing the diabetes perioperative passport.MethodsTwo focus group were conducted in 2017 with pre-operative nurses in the departments of orthopaedics and general surgery of an NHS trust (N= 8). Audio-taped group discussions were transcribed, and the data coded and analysed to identify themes.FindingsThe general surgical nurse group generally supported each other’s views and comments. They were enthused about the passport throughout. In contrast, the orthopaedic specialist nurse group had initial reservations about implementing the passport, but as the focus group unfolded, they moved from sharing individual views to finding commonalities and became more engaged and motivated to use the passport. ConclusionFocus groups are a practical and efficient tool to conduct within the usual working environment of an NHS hospital. In addition to capturing information about the challenges to implementation they may serve as a crucial implementation tool where evidence-based practice has not been adopted. ImpactThis is the first study carried out in the NHS setting highlighting the benefit of focus groups as a practical implementation tool. Contributions to literature· Diabetes is managed in the outpatient setting with care focusing on education and patient empowerment.· Barriers for implementation of empowerment tools have not been fully explored.· This study suggests the implementation of empowerment tools may pose an additional challenge to more specialist groups.· It demonstrates that focus groups are practical and efficient and may also have utility in the implementation process beyond identifying the barriers to embedding a new technology. · These findings contribute to the small body of evidence on the implementation of empowerment tools and highlight the benefit of focus groups as a useful tool in the implementation process.

scholarly journals Developing a recovery-focused therapy for older people with bipolar disorder: a qualitative focus group study

BMJ Open ◽  
2021 ◽  
Vol 11 (8) ◽  
pp. e049829
Author(s):  
Elizabeth Tyler ◽  
Fiona Lobban ◽  
Rita Long ◽  
Steven H Jones
Keyword(s):  
Older Adults ◽  
Bipolar Disorder ◽  
Focus Group ◽  
Older People ◽  
Focus Groups ◽  
Later Life ◽  
Focus Group Study ◽  
Age Related ◽  
Health Related ◽  
Age Related Changes

ObjectivesAs awareness of bipolar disorder (BD) increases and the world experiences a rapid ageing of the population, the number of people living with BD in later life is expected to rise substantially. There is no current evidence base for the effectiveness of psychological interventions for older adults with BD. This focus group study explored a number of topics to inform the development and delivery of a recovery-focused therapy (RfT) for older adults with BD.DesignA qualitative focus group study.SettingThree focus groups were conducted at a university in the North West of England.ParticipantsEight people took part in the focus groups; six older adults with BD, one carer and one friend.ResultsParticipant’s responses clustered into six themes: (1) health-related and age-related changes in later life, (2) the experience of BD in later life, (3) managing and coping with BD in later life, (4) recovery in later life, (5) seeking helping in the future and (6) adapting RfT for older people.ConclusionsParticipants reported a range of health-related and age-related changes and strategies to manage their BD. Participants held mixed views about using the term ‘recovery’ in later life. Participants were in agreement that certain adaptations were needed for delivering RfT for older adults, based on their experience of living with BD in later life. The data collected as part of the focus groups have led to a number of recommendations for delivering RfT for older adults with BD in a randomised controlled trial (Clinical Trial Registration: ISRCTN13875321).

Factors affecting non-aeronautic revenue in Indian airports: A focus group study of Indian PPP Airports

2020 ◽  
Vol 1 (1) ◽  
pp. 1
Author(s):  
Tarun Dhingra ◽  
Mahim Sagar ◽  
Akhil Damodaran ◽  
Pushpendra Pratap Singh ◽  
Deep Shree
Keyword(s):  
Focus Group ◽  
Focus Group Study ◽  
Factors Affecting

scholarly journals Use of the Flugelman index for identifying patients who are difficult to discharge from the hospital

2013 ◽  
pp. 103-108
Author(s):  
Chiara Bozzano ◽  
Ilario Lancini ◽  
Elena Mei ◽  
Maida Lucarini ◽  
Roberta Mastriforti ◽  
...  
Keyword(s):  
Internal Medicine ◽  
Hospital Stay ◽  
Discharge Planning ◽  
District General Hospital ◽  
Feeding Problems ◽  
Care Needs ◽  
Socioeconomic Condition ◽  
Factors Affecting ◽  
Effective Discharge ◽  
Medical Wards

Introduction: To evaluate the use of multidimensional assessment based on the Fluegelman Index (FI) to identify internal medicine patients who are likely to be difficult to discharge from the hospital. Materials and methods: Have been evaluated all patients admitted to the medical wards of the District General Hospital of Arezzo from September 1 to October 31, 2007. We collected data on age, sex, socioeconomic condition, cause of admission, comorbidity score preadmission functional status (Barthel Index), incontinence, feeding problems, length of hospitalization, condition at discharge, and type of discharge. The FI cut off for difficult discharge was > 17. Results: Of the 413 patients (mean age 80 + 11.37 years; percentage of women, 56.1%) included in the study, 109 (26.39%) had Flugelman Index > 17. These patients were significantly older than the patients with lower FIs (85 + 9.35 vs 78 + 11.58 years, p < 0.001), more likely to be admitted for pneumonia (22% vs. 4.9% of those with lower FIs; p < 0,001). They also had more comorbidity, loss of autonomy, cognitive impairment, social frailty, and nursing care needs. The subgroup with FIs>17 had significantly higher in-hospital mortality (30.28% vs 6.25%, p < 0.001), longer hospital stay (13 vs. 10 days, p < 0.05), and higher rates of discharge to nursing homes. Conclusions: Evaluation of internal medicine patients with the Flugelman Index may be helpful for identifying more critical patients likely to require longer hospitalization and to detect factors affecting the hospital stay. This information can be useful for more effective discharge planning.

Investigating the Attitudes of Health-Care Professionals towards the Use of Integrated Care Pathways in a District General Hospital: A Thematic Analysis of Focus Group Discussion

2005 ◽  
Vol 9 (2) ◽  
pp. 57-66 ◽  
Author(s):  
Tanya Claridge ◽  
Dianne Parker ◽  
Gary Cook
Keyword(s):  
Health Care ◽  
Focus Group ◽  
Focus Group Discussion ◽  
Thematic Analysis ◽  
Health Care Professionals ◽  
Group Discussion ◽  
District General Hospital ◽  
Survey Questionnaire ◽  
Focus Group Study ◽  
Integrated Care Pathways

Context: Integrated care pathways (ICPs) are an increasingly common approach to the standardization and integration of health-care practice in the NHS. They delineate interdisciplinary critical decision points and evidence-based daily treatment regimens for patients in specific disease groups. ICP champions assert that they have the potential to decrease medical errors, increase the accuracy of data capture, increase the efficiency of personnel and ultimately improve the quality of patient care. Despite the theoretical benefits of ICP use, there was anecdotal evidence of staff unease and audit evidence of variable compliance with ICPs at a district general hospital (DGH). Objective: This focus group study was one of the three interdependent methodologies used to investigate the attitudes of health-care professionals towards ICPs in a DGH. It was anticipated that thematic analysis of the focus group discussion would facilitate further the interpretation of qualitative data already analysed in a previous phase of the project, and inform the development of a survey questionnaire investigating the attitudes of the health-care professionals towards ICPs. Design: Ten focus groups comprising on average, six health-care professionals were conducted. The staff involved included doctors, nurses, professions allied to medicine, a member of the Community Health Council and non-clinical managers. The focus groups included staff with a range of seniority and speciality. Results: Analysis of the data achieved facilitated the confirmation and identification of themes underpinning the focus group discussion. These are reported here and illustrated by representative quotations. Conclusion: The focus group study provided a valuable insight into the attitudes regarding ICPs of over 60 health-care professionals. The themes identified were used to facilitate the development of a survey questionnaire to explore them in a quantifiable way. Focus group methodology proved to be a useful way to explore emerging issues in depth, and to observe areas of disagreement among staff.

Does the design of extra-care housing meet the needs of the residents? A focus group study

2011 ◽  
Vol 32 (7) ◽  
pp. 1193-1214 ◽  
Author(s):  
SARAH BARNES ◽  
JUDITH TORRINGTON ◽  
ROBIN DARTON ◽  
JACQUETTA HOLDER ◽  
ALAN LEWIS ◽  
...  
Keyword(s):  
Focus Group ◽  
Independent Living ◽  
Building Design ◽  
Care Needs ◽  
Focus Group Study ◽  
Study Objective ◽  
Size Type ◽  
And Storage ◽  
Extra Care Housing

ABSTRACTThe study objective was to explore the views of residents and relatives concerning the physical design of extra-care housing. Five focus groups were conducted with residents in four extra-care schemes in England. One focus group was carried out with relatives of residents from a fifth scheme. Schemes were purposively sampled to represent size, type, and resident tenure. Data were analysed thematically using NVivo 8. Two over-arching themes emerged from the data: how the building supports the lifestyle and how the building design affects usability. Provision of activities and access to amenities were more restrictive for residents with disabilities. Independent living was compromised by building elements that did not take account of reduced physical ability. Other barriers to independence included poor kitchen design and problems doing laundry. Movement around the schemes was difficult and standards of space and storage provision were inadequate. The buildings were too hot, too brightly lit and poorly ventilated. Accessible external areas enabled residents to connect with the outside world. The study concluded that, while the design of extra-care housing meets the needs of residents who are relatively fit and healthy, those with physical frailties and/or cognitive impairment can find the building restrictive resulting in marginalisation. Design across the dependency spectrum is key in meeting the needs of residents. Inclusive, flexible design is required to benefit residents who are ageing in situ and have varying care needs.

scholarly journals Adult smokers’ perceptions of cigarette pack inserts promoting cessation: a focus group study

2017 ◽  
Vol 27 (1) ◽  
pp. 72-77 ◽  
Author(s):  
Crawford Moodie
Keyword(s):  
Focus Group ◽  
Focus Groups ◽  
Educational Material ◽  
Promotional Material ◽  
Focus Group Study ◽  
Stop Smoking ◽  
Cigarette Pack ◽  
The Government ◽  
Cigarette Packs ◽  
Do So

IntroductionTobacco companies have a long tradition of including promotional material within cigarette packs, such as cigarette cards and coupons. Only in Canada are they required, by the government, to include educational material within cigarette packs, in the form of inserts highlighting the benefits of quitting or providing tips on how to do so.MethodsTwenty focus groups were conducted in Glasgow and Edinburgh in 2015, with smokers (n=120) segmented by age (16–17, 18–24, 25–35, 36–50, >50), gender and social grade, to explore perceptions of the inserts used in Canada.ResultsThe consensus was that these inserts would capture attention and be read due to their novelty and visibility before reaching the cigarettes, and as they can be removed from the pack. While they may be ignored or discarded, and rotation was considered necessary, they were generally thought to prolong the health message. The positive style of messaging was described as refreshing, educational, encouraging, reassuring and inspirational and thought to increase message engagement. It was regarded as more sympathetic than command-style messaging, offering smokers ‘a bit of hope’. The inserts were often considered preferable to the on-pack warnings, although it was felt that both were needed. Some participants suggested that inserts could encourage them to stop smoking, and they were generally viewed as having the potential to alter the behaviour of others, particularly younger people, would-be smokers and those wanting to quit.ConclusionsInserts are an inexpensive means of communication and offer regulators a simple way of supplementing on-pack warnings.

scholarly journals Aesthetically Designing Video-Call Technology With Care Home Residents: A Focus Group Study

2021 ◽  
Vol 12 ◽  
Author(s):  
Sonam Zamir ◽  
Felicity Allman ◽  
Catherine Hagan Hennessy ◽  
Adrian Haffner Taylor ◽  
Ray Brian Jones
Keyword(s):  
Focus Group ◽  
Older People ◽  
Focus Groups ◽  
New Technologies ◽  
Low Cost ◽  
Care Home ◽  
Framework Analysis ◽  
Focus Group Study ◽  
People With Dementia ◽  
Technological Intervention

BackgroundVideo-calls have proven to be useful for older care home residents in improving socialization and reducing loneliness. Nonetheless, to facilitate the acceptability and usability of a new technological intervention, especially among people with dementia, there is a need for user-led design improvements. The current study conducted focus groups with an embedded activity with older people to allow for a person-centered design of a video-call intervention.MethodsTwenty-eight residents across four care homes in the South West of England participated in focus groups to aesthetically personalize and ‘dress-up’ the equipment used in a video-call intervention. Each care home was provided with a ‘Skype on Wheels’ (SoW) device, a wheelable ‘chassis’ comprising an iPad or tablet for access to Skype, and a telephone handset. During the focus group, residents were encouraged to participate in an activity using colorful materials to ‘dress-up’ SoW. Comments before, during and after the ‘dress up’ activity were audio recorded. Framework analysis was used to analyze the focus group data.ResultsOlder people, including seven with dementia were able to interact with and implement design changes to SoW through aesthetic personalization. Themes arising from the data included estrangement, anthropomorphism, reminiscence, personalization, need for socialization versus fear of socialization and attitudes toward technology. After this brief exposure to SoW, residents expressed the likelihood of using video-calls for socialization in the future.ConclusionCare home residents enjoy engaging with new technologies when given the opportunity to interact with it, to personalize it and to understand its purpose. Low cost aesthetic personalization of technologies can improve their acceptability, usability, and implementation within complex care environments.

scholarly journals Medical students' perception of simulation-based assessment in emergency and paediatric medicine: a focus group study.

2020 ◽  
Author(s):  
Anne-Laure Philippon ◽  
Jennifer Truchot ◽  
Nathalie De Suremain ◽  
Marie-Christine Renaud ◽  
Arnaud Petit ◽  
...  
Keyword(s):  
Emergency Medicine ◽  
Medical Students ◽  
Focus Group ◽  
Focus Groups ◽  
Assessment Method ◽  
Undergraduate Medical Students ◽  
Focus Group Study ◽  
High Quality ◽  
High Stakes ◽  
Simulation Based

Abstract Background Simulation-based assessment is scarcely used for undergraduate medical students. We created a simulation-based assessment to validate medical students’ technical and psychometrics’ skills, during their emergency medicine and pediatric curriculum. The aim of our study was to collect medical students’ perception on this novel assessment.Methods This is a qualitative study that includes 9 focus groups among the 215 students who participated in either a pediatric or an emergency medicine simulation-based-course. These sessions ended by an assessment on a manikin. Among the 40 students who were randomly selected to participate in the focus groups, 30 agreed to participate. Data were analyzed using grounded theory and, data were coded the by two independent investigators.Results Seven major and two minor themes emerged from the focus groups. The importance of being certified by simulation to be more self-confident in hospital clerkships, the perception of simulation-based assessment as a high quality assessment, the contribution of the simulation-based assessment to change students’ practices and enhance their engagement in their curriculum and a disappointment because simulation-based assessment didn’t help student for the faculty high stakes assessments. Some students also found that simulation-based assessment was a stressful and unfair exercise. The last discussion was about practical issues of the assessment such as this normative way, and about the importance of the feedback.Conclusion The students reported positive aspects of the simulation-based assessment method such as helpful for their hospital clerkship, change of their practices and way of learning. However they also reported that it might be a biased and a stressful assessment method.

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