Nurses' and physicians' perspectives on implementation barriers and facilitators in a transfer program for parents of adolescents with chronic illness.
Aim: To identify barriers and facilitators impacting the implementation of a comprehensive transfer program aimed at parents of adolescents with chronic illness in clinical practice. Design: A real‐time, qualitative process evaluation. Methods: Individual interviews were conducted with 10 nurses and...
| Publicado en: | Journal of Advanced Nursing (John Wiley & Sons, Inc.) Vol. 80; no. 8; pp. 3278 - 3298 |
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| Autores principales: | , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
John Wiley & Sons, Inc.
Aug2024
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=178428143&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 178428143 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 03092402 LVDY jtl: Journal of Advanced Nursing (John Wiley & Sons, Inc.) issn: 03092402 maglogo: N pubinfo: dt: Aug2024 vid: 80 iid: 8 pid: 52269 pub: John Wiley & Sons, Inc. artinfo: ui: 178428143 174706953 178428143 178428143 10.1111/jan.16026 178428143 ppf: 3278 ppct: 20 formats: tig: atl: Nurses' and physicians' perspectives on implementation barriers and facilitators in a transfer program for parents of adolescents with chronic illness. aug: au: Thomsen, Ena Lindhart Koppelhus, Johanne Cecilie Boisen, Kirsten Arntz Hanghøj, Signe Hansson, Helena Esbensen, Bente Appel affil: Department of Paediatrics and Adolescent Medicine, Center of Adolescent Medicine, Copenhagen University Hospital—Rigshospitalet, Copenhagen, Denmark sug: subj: Chronic Disease In Adolescence Parents Psychosocial Factors Transitional Programs Transitional Care Program Implementation Nurse Attitudes Physician Attitudes Parental Attitudes Human Funding Source Denmark Male Female Adolescence Qualitative Studies Collaboration Conceptual Framework Purposive Sample Nurses Physicians Continuity of Patient Care Interviews Data Analysis Software Thematic Analysis Parental Role Reflection Attitude of Health Personnel Implementation Science Adolescent Health Adolescent: 13-18 years Male Female ab: Aim: To identify barriers and facilitators impacting the implementation of a comprehensive transfer program aimed at parents of adolescents with chronic illness in clinical practice. Design: A real‐time, qualitative process evaluation. Methods: Individual interviews were conducted with 10 nurses and seven physicians from paediatric and adult outpatient clinics: Nephrology, hepatology, neurology, and rheumatology. Data were analysed through the lens of normalization process theory. Results: Themes were framed within the theory's four components. (1) Coherence: Healthcare professionals' views on their core tasks and on the parents' role influenced their perception of the program. (2) Cognitive participation: A named key worker, autonomy, and collaboration impacted healthcare professionals' involvement in the program. (3) Collective action: Department prioritization and understanding of the program's aim were key factors in its successful delivery. (4) Reflective monitoring: Participants experienced that the program helped parents during transfer but questioned if the program was needed by all families. Conclusion: We identified three barriers: Healthcare professionals' lack of understanding of the parental role during transfer, top‐down decisions among nurses, and physicians' uncertainty about their role in joint consultations. Facilitators: Healthcare professionals' understanding of the program's purpose and expected effect, the nurses' significant role as named keyworkers, and good collaboration across paediatric and adult departments. Implications for the Profession and/or Patient Care: Implementation strategies should be developed before implementing a transfer program in clinical practice. Impact: Implementing a parental transfer program in clinical practice can be challenging. Therefore, for successful implementation, it is crucial to identify barriers and facilitators.Barriers and facilitators exist at the personal, professional, and organizational levels, and it is important to understand them.The results of this qualitative study could support the implementation of transfer programs in other settings. Reporting Method: Consolidated criteria for reporting qualitative studies (COREQ). Patient or Public Contribution: No patient or public contribution. What does this paper contribute to the wider global clinical community?: Nurses' and physicians' experiences of ownership of the transfer program is essential for successful implementation.Clinics should appoint a named keyworker, preferably a nurse, as the driving force during the implementation of a transfer program.Nurses and physicians should receive training about the purpose, justification, and expected effect of a transfer program before implementation. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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