Cancer survivorship care and general practice: A qualitative study of roles of general practice team members in Australia

2021 ◽  
Author(s):  
Jennifer Fox ◽  
Carla Thamm ◽  
Geoff Mitchell ◽  
Jon Emery ◽  
Joel Rhee ◽  
...  
Keyword(s):  
General Practice ◽  
Qualitative Study ◽  
Cancer Survivorship ◽  
Survivorship Care ◽  
Team Members ◽  
Practice Team

scholarly journals Identifying factors influencing sustainability of innovations in cancer survivorship care: a qualitative study

BMJ Open ◽  
2021 ◽  
Vol 11 (2) ◽  
pp. e042503
Author(s):  
Robin Urquhart ◽  
Cynthia Kendell ◽  
Evelyn Cornelissen ◽  
Byron J Powell ◽  
Laura L Madden ◽  
...  
Keyword(s):  
Qualitative Study ◽  
Cancer Survivorship ◽  
System Level ◽  
Management Support ◽  
Survivorship Care ◽  
Positive Health ◽  
Implementation Outcomes ◽  
Factors Influencing ◽  
Canadian Provinces ◽  
Constant Comparative Analysis

ObjectivesMoving innovations into healthcare organisations to increase positive health outcomes remains a significant challenge. Even when knowledge and tools are adopted, they often fail to become integrated into the long-term routines of organisations. The objective of this study was to identify factors and processes influencing the sustainability of innovations in cancer survivorship care.DesignQualitative study using semistructured, in-depth interviews, informed by grounded theory. Data were collected and analysed concurrently using constant comparative analysis.Setting25 cancer survivorship innovations based in six Canadian provinces.ParticipantsTwenty-seven implementation leaders and relevant staff from across Canada involved in the implementation of innovations in cancer survivorship.ResultsThe findings were categorised according to determinants, processes and implementation outcomes, and whether a factor was necessary to sustainability, or important but not necessary. Seven determinants, six processes and three implementation outcomes were perceived to influence sustainability. The necessary determinants were (1) management support; (2) organisational and system-level priorities; and (3) key people and expertise. Necessary processes were (4) innovation adaptation; (5) stakeholder engagement; and (6) ongoing education and training. The only necessary implementation outcome was (7) widespread staff and organisational buy-in for the innovation.ConclusionsFactors influencing the sustainability of cancer survivorship innovations exist across multiple levels of the health system and are often interdependent. Study findings may be used by implementation teams to plan for sustainability from the beginning of innovation adoption initiatives.

scholarly journals A comparative assessment of two tools designed to support patient safety culture in UK general practice

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Ian Litchfield ◽  
Kate Marsden ◽  
Lucy Doos ◽  
Katherine Perryman ◽  
Anthony Avery ◽  
...  
Keyword(s):  
General Practice ◽  
Patient Safety ◽  
Focus Group ◽  
Safety Culture ◽  
Improve Patient Safety ◽  
Patient Safety Culture ◽  
Focus Group Discussions ◽  
Group Discussions ◽  
Staff Members ◽  
Practice Team

Abstract Background The NHS has recognised the importance of a high quality patient safety culture in the delivery of primary health care in the rapidly evolving environment of general practice. Two tools, PC-SafeQuest and MapSaf, were developed with the intention of assessing and improving patient safety culture in this setting. Both have been made widely available through their inclusion in the Royal College of General Practitioners’ Patient Safety Toolkit and our work offerss a timely exploration of the tools to inform practice staff as to how each might be usefully applied and in which circumstances. Here we present a comparative analysis of their content, and describe the perspectives of staff on their design, outputs and the feasibility of their sustained use. Methods We have used a content analysis to provide the context for the qualitative study of staff experiences of using the tools at a representative range of practices recruited from across the Midlands (UK). Data was collected through moderated focus groups using an identical topic guide. Results A total of nine practices used the PC-SafeQuest tool and four the MapSaf tool. A total of 159 staff completed the PC-SafeQuest tool 52 of whom took part in the subsequent focus group discussions, and 25 staff completed the MapSaf tool all of whom contributed to the focus group discussions. PC-SafeQuest was perceived as quick and easy to use with direct questions pertinent to the work of GP practices providing useful quantitative insight into important areas of safety culture. Though MaPSaF was more logistically challenging, it created a forum for synchronous cross- practice discussions raising awareness of perceptions of safety culture across the practice team. Conclusions Both tools were able to promote reflective and reflexive practice either in individual staff members or across the broader practice team and the oversight they granted provided useful direction for senior staff looking to improve patient safety. Because PC SafeQuest can be easily disseminated and independently completed it is logistically suited to larger practice organisations, whereas the MapSaf tool lends itself to smaller practices where assembling staff in a single workshop is more readily achieved.

Role of the nurse in the design, delivery, monitoring and coordination of cancer survivorship care plans: An integrative review

2021 ◽  
Author(s):  
Nerea Elizondo Rodriguez ◽  
Leire Ambrosio ◽  
Virginia La Rosa‐Salas ◽  
Marta Domingo‐Osle ◽  
Cristina Garcia‐Vivar
Keyword(s):  
Cancer Survivorship ◽  
Integrative Review ◽  
Survivorship Care Plans ◽  
Survivorship Care ◽  
Care Plans

scholarly journals What happens under the flag of direct observation, and how that matters: A qualitative study in general practice residency

2021 ◽  
pp. 1-8
Author(s):  
Chris B. T. Rietmeijer ◽  
Annette H. Blankenstein ◽  
Daniëlle Huisman ◽  
Henriëtte E. van der Horst ◽  
Anneke W. M. Kramer ◽  
...  
Keyword(s):  
General Practice ◽  
Qualitative Study ◽  
Direct Observation
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