Patients as partners in Enhanced Recovery after Surgery: A qualitative patient-led study. Gillis, C., Gill, M., Marlett, N., Mackean, G., Germann, K., Gilmour, L., Nelson, G., Wasylak, T., Nguyen, S., Araujo, E., Zelinsky, S., & Gramlich, L. BMJ Open, BMJ Publishing Group, 6, 2017. ![Patients as partners in Enhanced Recovery after Surgery: A qualitative patient-led study [pdf]](https://bibbase.org/img/filetypes/pdf.svg "pdf")
Paper ![Patients as partners in Enhanced Recovery after Surgery: A qualitative patient-led study [link]](https://bibbase.org/img/filetypes/link.svg "link")
Website doi abstract bibtex Objectives Explore the experience of patients undergoing colorectal surgery within an Enhanced Recovery After Surgery (ERAS) programme. Use these experiential data to inform the development of a framework to support ongoing, meaningful patient engagement in ERAS. Design Qualitative patient-led study using focus groups and narrative interviews. Data were analysed iteratively using a Participatory Grounded Theory approach. Setting Five tertiary care centres in Alberta, Canada, following the ERAS programme. Participants Twenty-seven patients who had undergone colorectal surgery in the last 12 months were recruited through purposive sampling. Seven patients participated in a codesign focus group to set and prioritise the research direction. Narrative interviews were conducted with 20 patients. Results Patients perceived that an ERAS programme should not be limited to the perioperative period, but should encompass the journey from diagnosis to recovery. Practical recommendations to improve the patient experience across the surgical continuum, and enhance patient engagement within ERAS included: (1) fully explain every protocol, and the purpose of the protocol, both before surgery and while in-hospital, so that patients can become knowledgeable partners in their recovery; (2) extend ERAS guidelines to the presurgery phase, so that patients can be ready emotionally, psychologically and physically for surgery; (3) extend ERAS guidelines to the recovery period at home to avoid stressful situations for patients and families; (4) consider activating a programme where experienced patients can provide peer support; (5) one size does not fit all; personalised adaptations within the standardised pathway are required. Drawing upon these data, and through consultation with ERAS Alberta stakeholders, the ERAS team developed a matrix to guide sustained patient involvement and action throughout the surgical care continuum at three levels: individual, unit and ERAS system. Conclusion This patient-led study generated new insights into the needs of ERAS patients and informed the development of a framework to improve patient experiences and outcomes.
@article{
title = {Patients as partners in Enhanced Recovery after Surgery: A qualitative patient-led study},
type = {article},
year = {2017},
keywords = {Colorectal surgery,Quality in healthcare},
volume = {7},
websites = {https://pubmed.ncbi.nlm.nih.gov/28647727/},
month = {6},
publisher = {BMJ Publishing Group},
day = {1},
id = {43fb09fc-36cf-3715-bbea-f27413387b6f},
created = {2020-10-08T17:43:40.924Z},
accessed = {2020-10-08},
file_attached = {true},
profile_id = {86547d07-1cc0-383b-9ce2-f92f7669d97d},
group_id = {b341668a-8f3d-35d8-a220-ea63383761b6},
last_modified = {2020-10-14T16:12:58.680Z},
read = {false},
starred = {false},
authored = {false},
confirmed = {true},
hidden = {false},
private_publication = {false},
abstract = {Objectives Explore the experience of patients undergoing colorectal surgery within an Enhanced Recovery After Surgery (ERAS) programme. Use these experiential data to inform the development of a framework to support ongoing, meaningful patient engagement in ERAS. Design Qualitative patient-led study using focus groups and narrative interviews. Data were analysed iteratively using a Participatory Grounded Theory approach. Setting Five tertiary care centres in Alberta, Canada, following the ERAS programme. Participants Twenty-seven patients who had undergone colorectal surgery in the last 12 months were recruited through purposive sampling. Seven patients participated in a codesign focus group to set and prioritise the research direction. Narrative interviews were conducted with 20 patients. Results Patients perceived that an ERAS programme should not be limited to the perioperative period, but should encompass the journey from diagnosis to recovery. Practical recommendations to improve the patient experience across the surgical continuum, and enhance patient engagement within ERAS included: (1) fully explain every protocol, and the purpose of the protocol, both before surgery and while in-hospital, so that patients can become knowledgeable partners in their recovery; (2) extend ERAS guidelines to the presurgery phase, so that patients can be ready emotionally, psychologically and physically for surgery; (3) extend ERAS guidelines to the recovery period at home to avoid stressful situations for patients and families; (4) consider activating a programme where experienced patients can provide peer support; (5) one size does not fit all; personalised adaptations within the standardised pathway are required. Drawing upon these data, and through consultation with ERAS Alberta stakeholders, the ERAS team developed a matrix to guide sustained patient involvement and action throughout the surgical care continuum at three levels: individual, unit and ERAS system. Conclusion This patient-led study generated new insights into the needs of ERAS patients and informed the development of a framework to improve patient experiences and outcomes.},
bibtype = {article},
author = {Gillis, Chelsia and Gill, Marlyn and Marlett, Nancy and Mackean, Gail and Germann, Kathy and Gilmour, Loreen and Nelson, Gregg and Wasylak, Tracy and Nguyen, Susan and Araujo, Edamil and Zelinsky, Sandra and Gramlich, Leah},
doi = {10.1136/bmjopen-2017-017002},
journal = {BMJ Open},
number = {6}
}
Downloads: 0
{"_id":"oupcmcynT2hqYnwWR","bibbaseid":"gillis-gill-marlett-mackean-germann-gilmour-nelson-wasylak-etal-patientsaspartnersinenhancedrecoveryaftersurgeryaqualitativepatientledstudy-2017","authorIDs":[],"author_short":["Gillis, C.","Gill, M.","Marlett, N.","Mackean, G.","Germann, K.","Gilmour, L.","Nelson, G.","Wasylak, T.","Nguyen, S.","Araujo, E.","Zelinsky, S.","Gramlich, L."],"bibdata":{"title":"Patients as partners in Enhanced Recovery after Surgery: A qualitative patient-led study","type":"article","year":"2017","keywords":"Colorectal surgery,Quality in healthcare","volume":"7","websites":"https://pubmed.ncbi.nlm.nih.gov/28647727/","month":"6","publisher":"BMJ Publishing Group","day":"1","id":"43fb09fc-36cf-3715-bbea-f27413387b6f","created":"2020-10-08T17:43:40.924Z","accessed":"2020-10-08","file_attached":"true","profile_id":"86547d07-1cc0-383b-9ce2-f92f7669d97d","group_id":"b341668a-8f3d-35d8-a220-ea63383761b6","last_modified":"2020-10-14T16:12:58.680Z","read":false,"starred":false,"authored":false,"confirmed":"true","hidden":false,"private_publication":false,"abstract":"Objectives Explore the experience of patients undergoing colorectal surgery within an Enhanced Recovery After Surgery (ERAS) programme. Use these experiential data to inform the development of a framework to support ongoing, meaningful patient engagement in ERAS. Design Qualitative patient-led study using focus groups and narrative interviews. Data were analysed iteratively using a Participatory Grounded Theory approach. Setting Five tertiary care centres in Alberta, Canada, following the ERAS programme. Participants Twenty-seven patients who had undergone colorectal surgery in the last 12 months were recruited through purposive sampling. Seven patients participated in a codesign focus group to set and prioritise the research direction. Narrative interviews were conducted with 20 patients. Results Patients perceived that an ERAS programme should not be limited to the perioperative period, but should encompass the journey from diagnosis to recovery. Practical recommendations to improve the patient experience across the surgical continuum, and enhance patient engagement within ERAS included: (1) fully explain every protocol, and the purpose of the protocol, both before surgery and while in-hospital, so that patients can become knowledgeable partners in their recovery; (2) extend ERAS guidelines to the presurgery phase, so that patients can be ready emotionally, psychologically and physically for surgery; (3) extend ERAS guidelines to the recovery period at home to avoid stressful situations for patients and families; (4) consider activating a programme where experienced patients can provide peer support; (5) one size does not fit all; personalised adaptations within the standardised pathway are required. Drawing upon these data, and through consultation with ERAS Alberta stakeholders, the ERAS team developed a matrix to guide sustained patient involvement and action throughout the surgical care continuum at three levels: individual, unit and ERAS system. Conclusion This patient-led study generated new insights into the needs of ERAS patients and informed the development of a framework to improve patient experiences and outcomes.","bibtype":"article","author":"Gillis, Chelsia and Gill, Marlyn and Marlett, Nancy and Mackean, Gail and Germann, Kathy and Gilmour, Loreen and Nelson, Gregg and Wasylak, Tracy and Nguyen, Susan and Araujo, Edamil and Zelinsky, Sandra and Gramlich, Leah","doi":"10.1136/bmjopen-2017-017002","journal":"BMJ Open","number":"6","bibtex":"@article{\n title = {Patients as partners in Enhanced Recovery after Surgery: A qualitative patient-led study},\n type = {article},\n year = {2017},\n keywords = {Colorectal surgery,Quality in healthcare},\n volume = {7},\n websites = {https://pubmed.ncbi.nlm.nih.gov/28647727/},\n month = {6},\n publisher = {BMJ Publishing Group},\n day = {1},\n id = {43fb09fc-36cf-3715-bbea-f27413387b6f},\n created = {2020-10-08T17:43:40.924Z},\n accessed = {2020-10-08},\n file_attached = {true},\n profile_id = {86547d07-1cc0-383b-9ce2-f92f7669d97d},\n group_id = {b341668a-8f3d-35d8-a220-ea63383761b6},\n last_modified = {2020-10-14T16:12:58.680Z},\n read = {false},\n starred = {false},\n authored = {false},\n confirmed = {true},\n hidden = {false},\n private_publication = {false},\n abstract = {Objectives Explore the experience of patients undergoing colorectal surgery within an Enhanced Recovery After Surgery (ERAS) programme. Use these experiential data to inform the development of a framework to support ongoing, meaningful patient engagement in ERAS. Design Qualitative patient-led study using focus groups and narrative interviews. Data were analysed iteratively using a Participatory Grounded Theory approach. Setting Five tertiary care centres in Alberta, Canada, following the ERAS programme. Participants Twenty-seven patients who had undergone colorectal surgery in the last 12 months were recruited through purposive sampling. Seven patients participated in a codesign focus group to set and prioritise the research direction. Narrative interviews were conducted with 20 patients. Results Patients perceived that an ERAS programme should not be limited to the perioperative period, but should encompass the journey from diagnosis to recovery. Practical recommendations to improve the patient experience across the surgical continuum, and enhance patient engagement within ERAS included: (1) fully explain every protocol, and the purpose of the protocol, both before surgery and while in-hospital, so that patients can become knowledgeable partners in their recovery; (2) extend ERAS guidelines to the presurgery phase, so that patients can be ready emotionally, psychologically and physically for surgery; (3) extend ERAS guidelines to the recovery period at home to avoid stressful situations for patients and families; (4) consider activating a programme where experienced patients can provide peer support; (5) one size does not fit all; personalised adaptations within the standardised pathway are required. Drawing upon these data, and through consultation with ERAS Alberta stakeholders, the ERAS team developed a matrix to guide sustained patient involvement and action throughout the surgical care continuum at three levels: individual, unit and ERAS system. Conclusion This patient-led study generated new insights into the needs of ERAS patients and informed the development of a framework to improve patient experiences and outcomes.},\n bibtype = {article},\n author = {Gillis, Chelsia and Gill, Marlyn and Marlett, Nancy and Mackean, Gail and Germann, Kathy and Gilmour, Loreen and Nelson, Gregg and Wasylak, Tracy and Nguyen, Susan and Araujo, Edamil and Zelinsky, Sandra and Gramlich, Leah},\n doi = {10.1136/bmjopen-2017-017002},\n journal = {BMJ Open},\n number = {6}\n}","author_short":["Gillis, C.","Gill, M.","Marlett, N.","Mackean, G.","Germann, K.","Gilmour, L.","Nelson, G.","Wasylak, T.","Nguyen, S.","Araujo, E.","Zelinsky, S.","Gramlich, L."],"urls":{"Paper":"https://bibbase.org/service/mendeley/86547d07-1cc0-383b-9ce2-f92f7669d97d/file/3bb92bf8-4fc8-d1d5-3c96-f464169995c1/full_text.pdf.pdf","Website":"https://pubmed.ncbi.nlm.nih.gov/28647727/"},"biburl":"https://bibbase.org/service/mendeley/86547d07-1cc0-383b-9ce2-f92f7669d97d","bibbaseid":"gillis-gill-marlett-mackean-germann-gilmour-nelson-wasylak-etal-patientsaspartnersinenhancedrecoveryaftersurgeryaqualitativepatientledstudy-2017","role":"author","keyword":["Colorectal surgery","Quality in healthcare"],"metadata":{"authorlinks":{}},"downloads":0},"bibtype":"article","creationDate":"2020-11-13T15:18:05.113Z","downloads":0,"keywords":["colorectal surgery","quality in healthcare"],"search_terms":["patients","partners","enhanced","recovery","surgery","qualitative","patient","led","study","gillis","gill","marlett","mackean","germann","gilmour","nelson","wasylak","nguyen","araujo","zelinsky","gramlich"],"title":"Patients as partners in Enhanced Recovery after Surgery: A qualitative patient-led study","year":2017,"biburl":"https://bibbase.org/service/mendeley/86547d07-1cc0-383b-9ce2-f92f7669d97d","dataSources":["hnW3iP5DTbZrBofFP","ya2CyA73rpZseyrZ8","2252seNhipfTmjEBQ"]}