Partnering with patients to design a prehabilitation program for optimizing the patient experience through general surgery

The objective of this study was to explore patients’ experiences when preparing for and undergoing general surgery at a large tertiary hospital. Findings aimed to inform the development of a prehabilitation program to empower patients to optimize their recovery and enhance their experience of genera...

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Autores principales:	Jacqueline Francis-Coad, Dale Edgar, Caroline Bulsara, Alix Barrett-Lennard, Kristine Owen, David Fletcher, Fiona Wood, Anne-Marie Hill
Formato:	article
Lenguaje:	EN
Publicado:	The Beryl Institute 2021
Materias:	patient experience partnership patient voice patient engagement patient journey health behavior change recovery quality of care Medicine (General) R5-920 Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/19c04381d9b343a6a2a5cd5583dfa2ce
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spelling	oai:doaj.org-article:19c04381d9b343a6a2a5cd5583dfa2ce2021-11-15T04:33:47ZPartnering with patients to design a prehabilitation program for optimizing the patient experience through general surgery2372-0247https://doaj.org/article/19c04381d9b343a6a2a5cd5583dfa2ce2021-04-01T00:00:00Zhttps://pxjournal.org/journal/vol8/iss1/16https://doaj.org/toc/2372-0247The objective of this study was to explore patients’ experiences when preparing for and undergoing general surgery at a large tertiary hospital. Findings aimed to inform the development of a prehabilitation program to empower patients to optimize their recovery and enhance their experience of general surgery.<strong> </strong>A qualitative exploratory research approach was utilized. Patients (>18 years) attending for elective general surgery between May and July 2018 were invited to participate. Four focus groups (n=18) and an interview were conducted to reach saturation. Deductive content analysis was used to map responses against theoretical determinants of health behavior change.<strong> </strong>Patients described their overall experience of general surgery as positive but provided key insights about the surgical journey that impacted their capability, opportunity and motivation to optimally engage and address their recovery. Interaction and information from health professionals, understanding expectations, timely access to treatment and support of family members greatly enhanced their experience. Lack of personalized exercise and nutrition prescriptions, access to shared patient experiences of the surgical journey and not being asked about personal goals were key inhibitors. Patients also expressed feelings of frustration and anxiety regarding hospital procedures, including repetitive gathering of information and poor communication across departments. Patients’ experiences of the surgical journey identified gaps that impacted their capability, opportunity and motivation to effectively prepare and rehabilitate, that could be addressed by a multimodal prehabilitation program. Intervention options at patient and policy level were identified for trial to enhance the patient experience of general surgery. <strong>Experience Framework</strong> This article is associated with the Patient, Family & Community Engagement lens of The Beryl Institute Experience Framework (<a href="https://www.theberylinstitute.org/ExperienceFramework">https://www.theberylinstitute.org/ExperienceFramework</a>). <ul> <li><a href="https://www.theberylinstitute.org/page/PXSEARCH#resource-list-all/?view_28_page=1&view_28_filters=%5B%7B%22field%22%3A%22field_38%22%2C%22operator%22%3A%22in%22%2C%22value%22%3A%5B%22PXJ%20Article%22%5D%7D%2C%7B%22field%22%3A%22field_20%22%2C%22operator%22%3A%22is%22%2C%22value%22%3A%5B%22%22%5D%7D%2C%7B%22field%22%3A%22field_40%22%2C%22operator%22%3A%22is%22%2C%22value%22%3A%5B%22%22%2C%22Patient%2C%20Family%20%26%20Community%20Engagement%22%5D%7D%2C%7B%22field%22%3A%22field_41%22%2C%22operator%22%3A%22is%22%2C%22value%22%3A%5B%22%22%5D%7D%5D">Access other PXJ articles</a> related to this lens.</li> <li><a href="https://www.theberylinstitute.org/page/Ecosystem-PatientFamilyCommunityEngagement">Access other resources</a> related to this lens.</li> </ul>Jacqueline Francis-CoadDale EdgarCaroline BulsaraAlix Barrett-LennardKristine OwenDavid FletcherFiona WoodAnne-Marie HillThe Beryl Institutearticlepatient experiencepartnershippatient voicepatient engagementpatient journeyhealth behavior changerecoveryquality of careMedicine (General)R5-920Public aspects of medicineRA1-1270ENPatient Experience Journal (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	patient experience partnership patient voice patient engagement patient journey health behavior change recovery quality of care Medicine (General) R5-920 Public aspects of medicine RA1-1270
spellingShingle	patient experience partnership patient voice patient engagement patient journey health behavior change recovery quality of care Medicine (General) R5-920 Public aspects of medicine RA1-1270 Jacqueline Francis-Coad Dale Edgar Caroline Bulsara Alix Barrett-Lennard Kristine Owen David Fletcher Fiona Wood Anne-Marie Hill Partnering with patients to design a prehabilitation program for optimizing the patient experience through general surgery
description	The objective of this study was to explore patients’ experiences when preparing for and undergoing general surgery at a large tertiary hospital. Findings aimed to inform the development of a prehabilitation program to empower patients to optimize their recovery and enhance their experience of general surgery.<strong> </strong>A qualitative exploratory research approach was utilized. Patients (>18 years) attending for elective general surgery between May and July 2018 were invited to participate. Four focus groups (n=18) and an interview were conducted to reach saturation. Deductive content analysis was used to map responses against theoretical determinants of health behavior change.<strong> </strong>Patients described their overall experience of general surgery as positive but provided key insights about the surgical journey that impacted their capability, opportunity and motivation to optimally engage and address their recovery. Interaction and information from health professionals, understanding expectations, timely access to treatment and support of family members greatly enhanced their experience. Lack of personalized exercise and nutrition prescriptions, access to shared patient experiences of the surgical journey and not being asked about personal goals were key inhibitors. Patients also expressed feelings of frustration and anxiety regarding hospital procedures, including repetitive gathering of information and poor communication across departments. Patients’ experiences of the surgical journey identified gaps that impacted their capability, opportunity and motivation to effectively prepare and rehabilitate, that could be addressed by a multimodal prehabilitation program. Intervention options at patient and policy level were identified for trial to enhance the patient experience of general surgery. <strong>Experience Framework</strong> This article is associated with the Patient, Family & Community Engagement lens of The Beryl Institute Experience Framework (<a href="https://www.theberylinstitute.org/ExperienceFramework">https://www.theberylinstitute.org/ExperienceFramework</a>). <ul> <li><a href="https://www.theberylinstitute.org/page/PXSEARCH#resource-list-all/?view_28_page=1&view_28_filters=%5B%7B%22field%22%3A%22field_38%22%2C%22operator%22%3A%22in%22%2C%22value%22%3A%5B%22PXJ%20Article%22%5D%7D%2C%7B%22field%22%3A%22field_20%22%2C%22operator%22%3A%22is%22%2C%22value%22%3A%5B%22%22%5D%7D%2C%7B%22field%22%3A%22field_40%22%2C%22operator%22%3A%22is%22%2C%22value%22%3A%5B%22%22%2C%22Patient%2C%20Family%20%26%20Community%20Engagement%22%5D%7D%2C%7B%22field%22%3A%22field_41%22%2C%22operator%22%3A%22is%22%2C%22value%22%3A%5B%22%22%5D%7D%5D">Access other PXJ articles</a> related to this lens.</li> <li><a href="https://www.theberylinstitute.org/page/Ecosystem-PatientFamilyCommunityEngagement">Access other resources</a> related to this lens.</li> </ul>
format	article
author	Jacqueline Francis-Coad Dale Edgar Caroline Bulsara Alix Barrett-Lennard Kristine Owen David Fletcher Fiona Wood Anne-Marie Hill
author_facet	Jacqueline Francis-Coad Dale Edgar Caroline Bulsara Alix Barrett-Lennard Kristine Owen David Fletcher Fiona Wood Anne-Marie Hill
author_sort	Jacqueline Francis-Coad
title	Partnering with patients to design a prehabilitation program for optimizing the patient experience through general surgery
title_short	Partnering with patients to design a prehabilitation program for optimizing the patient experience through general surgery
title_full	Partnering with patients to design a prehabilitation program for optimizing the patient experience through general surgery
title_fullStr	Partnering with patients to design a prehabilitation program for optimizing the patient experience through general surgery
title_full_unstemmed	Partnering with patients to design a prehabilitation program for optimizing the patient experience through general surgery
title_sort	partnering with patients to design a prehabilitation program for optimizing the patient experience through general surgery
publisher	The Beryl Institute
publishDate	2021
url	https://doaj.org/article/19c04381d9b343a6a2a5cd5583dfa2ce
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Partnering with patients to design a prehabilitation program for optimizing the patient experience through general surgery

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