None listed
Conditions
Brief summary
The overall aim of this project is to identify perceived and actual barriers and facilitators to the provision of guideline-concordant care for people with chronic obstructive pulmonary disease in the hospital setting and the community setting, There is a particular interest to understand the experience and perceptions of people with chronic obstructive pulmonary disease and the health professionals that help them manage their condition, with relation to best practice guidelines and technology and outreach nursing services. The information gathered through these interviews will help identify potential strategies to improve motivation to access and use guidelines in practice. This project is a qualitative investigation using semi-structured interviews. The responses gathered from the interviews will be triangulated with quantitative data through use of questionnaires. Once the data is collected it will be analysed to identify themes and patterns which will help to understand the problem and identify potential solutions.
Interventions
Identifying the views of health professional and patients about best practice care for people with Chronic Obstructive Pulmonary Disease (COPD) in the hospital and outpatient setting.
The evidence base to reduce mortality and optimise COPD management, is consistently developing and high quality national and international Clinical Practice Guidelines (CPGs) have been developed to assist facilitation of integration this knowledge into practice, However studies highlight that up to 40% of patients
Identifying the views of health professional and patients about best practice care for people with Chronic Obstructive Pulmonary Disease (COPD) in the hospital and outpatient setting. The evidence base to reduce mortality and optimise COPD management, is consistently developing and high quality national and international Clinical Practice Guidelines (CPGs) have been developed to assist facilitation of integration this knowledge into practice, However studies highlight that up to 40% of patients do not receive guideline concordant care. This issue with guideline uptake in practice is interesting given that CPGs improve quality of care by standardising practice according to high level available evidence. Hence there is a need to consider other potential strategies, including the use of respiratory nurses that will improve delivery of these guideline recommended management strategies.issue it is important to explore themes relating to barriers and facilitators to guideline concordant care and the role of using nurses more actively to facilitate this, from the perspective of both health professionals and patients. Materials used in the intervention for people with COPD: questionnaire for demographic information, COPD Assessment Test via http://www.catestonline.org, Chronic Respiratory Questionnaire (CRQ) licence obtained from McMaster University, 41 question moderator guide. Materials used in the intervention for health professionals: questionnaire for demographic information, 7 point Likert scale questionnaire on COPD management and a 42 question moderator guide. All moderator guides are performed by semi-structured interview and based on the Theoretical Domains Framework. This project is a qualitative investigation using semi-structured interviews. This will be combined with quantitative methods and between-individual comparisons for triangulation of data. Interviews for people with COPD will be held at the Basil Hetzel Institute/ Level 4 TQEH Respiratory Medicine Unit (according to room availability). Interviews will run for approximately 1 hour. Interviews with health professionals will be held at a mutually agreeable time and location that is convenient for the participant. Interviews are expected to run for approximately 1 hour Two researchers (a Research Officer/PhD Candidate and a Respiratory Nurse Consultant with experience in acute and outpatient COPD management and whom has experience and training in interview techniques) will conduct the interview sessions,The researchers will initially be observed by a research Supervisor to ensure competency in performing the semi-structured interview. One interviewer will be dedicated to questioning and the second interviewer in charge of transcribing the discussion and taking note of any participant behavioural cues that may supplement their responses during the session. All sessions will be audio recorded to support the transcription process, although participants may be contacted at a later date to validate the content if required.
Sponsors
The University of Adelaide
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
People with COPD who have experienced a COPD related hospital admission in the past 12 months. If data saturation is not met for the outpatient focussed component of this study, this pool will be supplemented by people with a confirmed diagnosis of COPD who are known to the Respiratory Nursing Service of TQEH – noting that these individuals also often admit or present to hospital with an exacerbation of COPD. Inclusion Criteria: Clinical diagnosis of COPD per guidelines or doctor diagnosed, resides in metropolitan Adelaide, hospital admission for COPD in the last 12 months, known to the Respiratory Nursing Service (TQEH) Health Professionals: Inclusion criteria: Is currently working on a hospital ward admitting COPD patients (e.g. general or respiratory), is currently working as a specialist respiratory nurse managing people with COPD , has treated COPD patients regularly for >12 months in the last 5 years•, has worked as a doctor in the general medicine specialty, has worked as a doctor in the thoracic specialty, or has worked as a junior medical officer with at least one rotation through a general medical (dealing with people with COPD) or respiratory ward
Exclusion criteria
Exclusion Criteria for both Health professionals and for people with COPD: Unable to consent, aged < 18 years old, non-English speaking, cognitive deficit e.g. dementia
Outcome results
None listed