Sarah Køberl , Katja Schrøder , Dorte Dall-Hansen , Charlotte Abrahamsen
{"title":"下肢截肢后从医院到家:医疗保健专业人员对过渡的看法和经验的焦点小组研究","authors":"Sarah Køberl , Katja Schrøder , Dorte Dall-Hansen , Charlotte Abrahamsen","doi":"10.1016/j.ijotn.2023.101003","DOIUrl":null,"url":null,"abstract":"<div><h3>Introduction</h3><p>Patients undergoing major lower limb amputation often have multiple comorbidities, requiring care from numerous healthcare professionals (HCPs). Furthermore, they may experience physical, medical and practical challenges post-amputation. Patients with complex needs are particularly vulnerable during care transitions and may benefit from integrated care models.</p></div><div><h3>Aim</h3><p>This study aimed to explore HCPs’ views and experiences regarding the transition process after implementing an integrated care model for patients with lower limb amputation.</p></div><div><h3>Methods</h3><p>We conducted two focus groups with 13 HCPs from a Danish hospital and three surrounding districts; all working in the <em>Safe Journey</em> programme. The interviews were analysed using thematic analysis.</p></div><div><h3>Results</h3><p>Three themes were created: 1) becoming a team across sectors, 2) continuity of care as a driver for patient safety and 3) challenges in achieving safe transitions. The <em>Safe Journey</em> programme facilitated the construction of an interdisciplinary team, cross-sectoral communication and professional relations, increasing HCPs’ sense of improved patient safety and care continuity. However, HCPs experienced an increased workload, including coordination and at-home patient visits.</p></div><div><h3>Conclusions</h3><p>HCPs found the <em>Safe Journey</em> programme to be valuable for patients undergoing major lower limb amputation and promotive of cross-sectoral professional relations, communication, continuity and patient safety. However, the programme was time- and resource-consuming compared to conventional models.</p></div>","PeriodicalId":45099,"journal":{"name":"International Journal of Orthopaedic and Trauma Nursing","volume":null,"pages":null},"PeriodicalIF":1.5000,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"From hospital to home following a lower limb amputation: A focus group study of healthcare professionals’ views and experiences with transitioning\",\"authors\":\"Sarah Køberl , Katja Schrøder , Dorte Dall-Hansen , Charlotte Abrahamsen\",\"doi\":\"10.1016/j.ijotn.2023.101003\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Introduction</h3><p>Patients undergoing major lower limb amputation often have multiple comorbidities, requiring care from numerous healthcare professionals (HCPs). Furthermore, they may experience physical, medical and practical challenges post-amputation. Patients with complex needs are particularly vulnerable during care transitions and may benefit from integrated care models.</p></div><div><h3>Aim</h3><p>This study aimed to explore HCPs’ views and experiences regarding the transition process after implementing an integrated care model for patients with lower limb amputation.</p></div><div><h3>Methods</h3><p>We conducted two focus groups with 13 HCPs from a Danish hospital and three surrounding districts; all working in the <em>Safe Journey</em> programme. The interviews were analysed using thematic analysis.</p></div><div><h3>Results</h3><p>Three themes were created: 1) becoming a team across sectors, 2) continuity of care as a driver for patient safety and 3) challenges in achieving safe transitions. The <em>Safe Journey</em> programme facilitated the construction of an interdisciplinary team, cross-sectoral communication and professional relations, increasing HCPs’ sense of improved patient safety and care continuity. However, HCPs experienced an increased workload, including coordination and at-home patient visits.</p></div><div><h3>Conclusions</h3><p>HCPs found the <em>Safe Journey</em> programme to be valuable for patients undergoing major lower limb amputation and promotive of cross-sectoral professional relations, communication, continuity and patient safety. However, the programme was time- and resource-consuming compared to conventional models.</p></div>\",\"PeriodicalId\":45099,\"journal\":{\"name\":\"International Journal of Orthopaedic and Trauma Nursing\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":1.5000,\"publicationDate\":\"2023-05-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"International Journal of Orthopaedic and Trauma Nursing\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S1878124123000072\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"NURSING\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"International Journal of Orthopaedic and Trauma Nursing","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1878124123000072","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"NURSING","Score":null,"Total":0}
From hospital to home following a lower limb amputation: A focus group study of healthcare professionals’ views and experiences with transitioning
Introduction
Patients undergoing major lower limb amputation often have multiple comorbidities, requiring care from numerous healthcare professionals (HCPs). Furthermore, they may experience physical, medical and practical challenges post-amputation. Patients with complex needs are particularly vulnerable during care transitions and may benefit from integrated care models.
Aim
This study aimed to explore HCPs’ views and experiences regarding the transition process after implementing an integrated care model for patients with lower limb amputation.
Methods
We conducted two focus groups with 13 HCPs from a Danish hospital and three surrounding districts; all working in the Safe Journey programme. The interviews were analysed using thematic analysis.
Results
Three themes were created: 1) becoming a team across sectors, 2) continuity of care as a driver for patient safety and 3) challenges in achieving safe transitions. The Safe Journey programme facilitated the construction of an interdisciplinary team, cross-sectoral communication and professional relations, increasing HCPs’ sense of improved patient safety and care continuity. However, HCPs experienced an increased workload, including coordination and at-home patient visits.
Conclusions
HCPs found the Safe Journey programme to be valuable for patients undergoing major lower limb amputation and promotive of cross-sectoral professional relations, communication, continuity and patient safety. However, the programme was time- and resource-consuming compared to conventional models.