Perioperative passport: empowering people with diabetes along their surgical journey

Page, E.; Akiboye, Funke; Jackson, Sue; Kerry, C.; Round, Rosamund; Rayman, Gerry

doi:10.1111/dme.13513

Cited by 9 publications

(23 citation statements)

References 4 publications

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“…In exploring the interaction of focus group participants the researchers also explain the key role of group cohesion in this process. "If participants manage to establish common ground they behave more as a small group (co-creating the narrative as they go along); if they do not…they will behave more as individuals" expressing private views (21). This again highlights the importance of the differences in structure of the groups and goes some way to explaining the place of story-telling in producing these changes in the OSN group during the focus group.…”

Section: Discussionmentioning

confidence: 97%

“…This discrepancy has been explored in a metaanalysis by Belzile et al, which notes that participant interaction can be neglected in the study design as a result of researcher perspective. The article goes further to offer strategies for analysing the interactions within individuals during focus groups (21). In exploring the interaction of focus group participants the researchers also explain the key role of group cohesion in this process.…”

Section: Discussionmentioning

confidence: 99%

“…When encountering health care professionals in the hospital setting, it is recognised that poor communication and disempowerment are issues frequently experienced by patients with diabetes (11).…”

Section: History Of Problemmentioning

confidence: 99%

“…The observation of the emerging narrative between focus group participants is thought to originate from the researcher's assumption that the participants co-construct meaning rather than participants sharing their pre-formed opinions. This approach is associated with more socially-orientated researchers (21).…”

Section: Re Ectionsmentioning

confidence: 99%

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

Akiboye

Page²,

Nirantharakumar

et al. 2020

Preprint

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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.

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Section: Discussionmentioning

confidence: 97%

Section: Discussionmentioning

confidence: 99%

Section: History Of Problemmentioning

confidence: 99%

Section: Re Ectionsmentioning

confidence: 99%

See 2 more Smart Citations

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

Akiboye

Page²,

Nirantharakumar

et al. 2020

Preprint

View full text Add to dashboard Cite

show abstract

“…Overview and feedback on the passport EP presented a brief overview of the challenges for the patient with diabetes in navigating the surgical pathway, highlighting the impetus for developing the passport. Patients' feedback on the passport was presented by PowerPoint; this has been reported separately (11). Participants were free to ask questions.…”

Section: Focus Groupsmentioning

confidence: 99%

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

Akiboye

Page²,

Nirantharakumar

et al. 2020

Preprint

View full text Add to dashboard Cite

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.

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Improving the outcomes for people with diabetes undergoing surgery: An observational study of the Improving the Peri-operative Pathway of People with Diabetes (IP3D) intervention

Rayman,

Page,

Hodgson

et al. 2024

Diabetes Research and Clinical Practice

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Perioperative passport: empowering people with diabetes along their surgical journey

Abstract: Our data indicate that the perioperative passport is effective in both informing and involving people in their diabetes care throughout the perioperative period.

Cited by 9 publications

References 4 publications

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

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

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

Improving the outcomes for people with diabetes undergoing surgery: An observational study of the Improving the Peri-operative Pathway of People with Diabetes (IP3D) intervention

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