Evidence map›Paper›PMID 28652293›Full record

ArticleBMJ open2017

Improving the primary-secondary care interface in Scotland: a qualitative exploration of impact on clinicians of an educational complex intervention.

Rod Sampson, Ronald MacVicar, Philip Wilson

Abstract read
In one paragraph

Article in BMJ open, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
  2. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Rod SampsonGeneral Practitioner, Cairn Medical Practice, Inverness, Scotland.
Ronald MacVicarPostgraduate Dean, NHS Education for Scotland, North of Scotland Region, Scotland.
Philip WilsonProfessor of Primary Care and Rural Health, The Centre for Health Science, University of Aberdeen, Inverness, Scotland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo determine the impact on clinicians and any consequent influence on patient care of taking part in the bespoke interface-focused educational intervention.

designQualitative design.

settingPrimary and secondary care centres in NHS Highland health board area, Scotland.

participants33 urban-based clinicians (18 general practitioners and 15 hospital specialists) in NHS Highland, Scotland.

interventionAn interface-focused educational intervention was carried out in primary and secondary care centres in NHS Highland health board area, Scotland. Eligible clinicians were invited to take part in the intervention which involved facilitated small group work, and use of a bespoke educational module. Subsequent one-to-one interviews explored the impact of the intervention. A standard thematic analysis was used, comprising an iterative process based on grounded theory.

resultsKey themes that emerged included fresh insights (in relation to those individuals and processes across the interface), adoption of new behaviours (eg, being more empowered to directly contact a colleague, taking steps to reduce the others workload and changes in professional approach) and changes in terms of communication (including a desire to communicate more effectively, with use of different modes and methods).

conclusionThe study highlighted key areas that may serve as useful outcomes for a large-scale randomised trial. Addressing issues identified in the study may help to improve interface relationships and benefit patient care.

Indexed as

CommunicationInterprofessional RelationsFemaleGrounded TheoryHealth PersonnelHumansInterviews as TopicMalePrimary Health CareScotlandSecondary Health CareSurveys and QuestionnairesComplex interventionInterfacePatient care.Primary healthcareSecondary care

Identifiers

PMID28652293
PMCPMC5541474

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.