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AimTo explore patients’ and healthcare professionals’ experiences of patients’ surgical pathways in a perioperative setting.BackgroundElective surgical pathways have improved over the past decades due to fast‐track programmes, but patients desire more personalised and coordinated care and treatment. There is little knowledge of how healthcare professionals’ collaboration and communication affect patients’ pathways.DesignThe overall framework was complex intervention method. A phenomenological‐hermeneutic approach was used for data analyses. COREQ checklist was used as a guideline to secure accurate and complete reporting of the study.MethodsField observations (120 hr) and semi‐structured interviews (24 patients) were undertaken during 2016–2017. Healthcare professionals involved in the pathways were interviewed: (a) 13 single interviews and (b) 13 focus group interviews (37 healthcare professionals) were conducted. The Consolidated Criteria for Reporting Qualitative Research checklist was used.ResultsPatients asked for individualised information adapted to their life and illness experiences. Furthermore, healthcare professionals need access to a quick overview of individual patients and their perioperative pathway in the electronic patient journal (EPJ). Agreements made with patients did not always reach the right receiver, there was poor interpersonal communication and the complex teamwork between many healthcare professionals made pathways incoherent and uncoordinated. Healthcare professionals who had the time to talk about other subjects than the disease with smiles and good humour gave patients a feeling of security.ConclusionPatients wanted to be treated as individuals, but often they received standard treatment. Healthcare professionals had the intention of treating patients individually, but the EPJ and information provided to patients were not easy to access.Relevance to clinical practiceVisible information about the patient's whole pathway could improve healthcare professionals’ care and treatment. In addition, systematic feedback from patients’ could make it possible to adjust information, care and treatment to achieve a more coherent pathway. Particular attention needs to be paid to how electronic healthcare systems can underpin relational coordination in pathways.
AimTo explore patients’ and healthcare professionals’ experiences of patients’ surgical pathways in a perioperative setting.BackgroundElective surgical pathways have improved over the past decades due to fast‐track programmes, but patients desire more personalised and coordinated care and treatment. There is little knowledge of how healthcare professionals’ collaboration and communication affect patients’ pathways.DesignThe overall framework was complex intervention method. A phenomenological‐hermeneutic approach was used for data analyses. COREQ checklist was used as a guideline to secure accurate and complete reporting of the study.MethodsField observations (120 hr) and semi‐structured interviews (24 patients) were undertaken during 2016–2017. Healthcare professionals involved in the pathways were interviewed: (a) 13 single interviews and (b) 13 focus group interviews (37 healthcare professionals) were conducted. The Consolidated Criteria for Reporting Qualitative Research checklist was used.ResultsPatients asked for individualised information adapted to their life and illness experiences. Furthermore, healthcare professionals need access to a quick overview of individual patients and their perioperative pathway in the electronic patient journal (EPJ). Agreements made with patients did not always reach the right receiver, there was poor interpersonal communication and the complex teamwork between many healthcare professionals made pathways incoherent and uncoordinated. Healthcare professionals who had the time to talk about other subjects than the disease with smiles and good humour gave patients a feeling of security.ConclusionPatients wanted to be treated as individuals, but often they received standard treatment. Healthcare professionals had the intention of treating patients individually, but the EPJ and information provided to patients were not easy to access.Relevance to clinical practiceVisible information about the patient's whole pathway could improve healthcare professionals’ care and treatment. In addition, systematic feedback from patients’ could make it possible to adjust information, care and treatment to achieve a more coherent pathway. Particular attention needs to be paid to how electronic healthcare systems can underpin relational coordination in pathways.
Considerable variations in procedures, hospital stay and rates of recovery have been recorded within specific surgical procedures at Danish hospitals. The aim of this paper is to report on a national initiative in Denmark to improve the quality of surgical care by implementation of clinical guidelines based on the principles of fast-track surgery-i.e. patient information, surgical stress reduction, effective analgesia, early mobilisation and rapid return to normal eating. Fast-track surgery was introduced systematically in Denmark by the establishment of the Unit of Perioperative Nursing (UPN) in 2004. The unit was responsible for guideline construction and implementation using the 'workshop practice method': establishing a website, creating a knowledge centre, coordinating implementation agents, and arranging national workshops and conferences. The UPN has promoted implementation of fast-track regimes in all surgical departments in Denmark. We recommend the workshop-practice method for implementation of new procedures in other areas of patient care.
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