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Research
Funke Akiboye
University Hospital Southampton NHS Foundation Trust
Corresponding Author
ORCiD: https://orcid.org/0000-0002-7632-5587
License:
This work is licensed under a CC BY 4.0 License. Read Full License
Aims
To examine the factors affecting implementation of an empowerment tool for patients with diabetes in two surgical groups within a single district general hospital
Background
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.
Findings
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.
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.
Keywords
Focus groups, facilitators and barriers, implementation, diabetes, empowerment, passport
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A new preprint design is coming!
We have improved readability, clarity, accessibility, and opportunities for engagement.
This is a preprint, a preliminary version of a manuscript that has not completed peer review at a journal. Research Square does not conduct peer review prior to posting preprints. The posting of a preprint on this server should not be interpreted as an endorsement of its validity or suitability for dissemination as established information or for guiding clinical practice.
Research
Funke Akiboye
University Hospital Southampton NHS Foundation Trust
Corresponding Author
ORCiD: https://orcid.org/0000-0002-7632-5587
Badges
Prescreen
This manuscript passed our Prescreen assessment
Complete author information
Appropriate declaration statements
Potential risks to human health
Prescreen
History
CURRENT STATUS: Posted
Version 1
Posted 29 May, 2020
No community comments so far
Metrics
Comments: 0
PDF Downloads: ...
HTML Views: ...
Subject Areas
Environmental Policy
License:
This work is licensed under a CC BY 4.0 License. Read Full License
Aims
To examine the factors affecting implementation of an empowerment tool for patients with diabetes in two surgical groups within a single district general hospital
Background
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.
Findings
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.
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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