Evidence map›Paper›PMID 38491431›Full record

ArticleBMC health services research2024

The implementation of a perioperative medicine for older people undergoing surgery service: a qualitative case study.

Margot E Lodge, Jugdeep Dhesi, David Jh Shipway, Philip Braude, Catherine Meilak, Judith Partridge, Nadine E Andrew, Velandai Srikanth, Darshini R Ayton, Chris Moran

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC health services research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.6field-weighted citation impact, top 16% of its field
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

3 citing papers in PubMed, 4 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
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

10 authors at 7 institutions in 2 countries.

Margot E LodgeNational Centre for Healthy Ageing, Melbourne, Australia.
Jugdeep DhesiGuy's and St Thomas' NHS Foundation Trust, London, UK.
David Jh ShipwayCLARITY (Collaborative Ageing Research) group, North Bristol NHS Trust, Bristol, UK.
Philip BraudeCLARITY (Collaborative Ageing Research) group, North Bristol NHS Trust, Bristol, UK.
Catherine MeilakEast Kent Hospitals University NHS Foundation Trust, Canterbury, UK.
Judith PartridgeGuy's and St Thomas' NHS Foundation Trust, London, UK.
Nadine E AndrewNational Centre for Healthy Ageing, Melbourne, Australia.
Velandai SrikanthNational Centre for Healthy Ageing, Melbourne, Australia.
Darshini R Ayton *National Centre for Healthy Ageing, Melbourne, Australia. darshini.ayton@monash.edu.
Chris Moran *National Centre for Healthy Ageing, Melbourne, Australia.
Peninsula Health · AUNorth Bristol NHS Trust · GBDepartment of Health and Aged Care · AUEast Kent Hospitals University NHS Foundation Trust · GBGuy's and St Thomas' NHS Foundation Trust · GBKing's College London · GBMonash University · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe international scale and spread of evidence-based perioperative medicine for older people undergoing surgery (POPS) services has not yet been fully realised. Implementation science provides a structured approach to understanding factors that act as barriers and facilitators to the implementation of POPS services. In this study, we aimed to identify factors that influence the implementation of POPS services in the UK.

methodsA qualitative case study at three UK health services was undertaken. The health services differed across contextual factors (population, workforce, size) and stages of POPS service implementation maturity. Semi-structured interviews with purposively sampled clinicians (perioperative medical, nursing, allied health, and pharmacy) and managers (n = 56) were conducted. Data were inductively coded, then thematically analysed using the Consolidated Framework for Implementation Research (CFIR).

resultsFourteen factors across all five CFIR domains were relevant to the implementation of POPS services. Key shared facilitators included stakeholders understanding the rationale of the POPS service, with support from their networks, POPS champions, and POPS clinical leads. We found substantial variation and flexibility in the way that health services responded to these shared facilitators and this was relevant to the implementation of POPS services.

conclusionsHealth services planning to implement a POPS service should use health service-specific strategies to respond flexibly to local factors that are acting as barriers or facilitators to implementation. To support implementation of a POPS service, we recommend health services prioritise understanding local networks, identifying POPS champions, and ensuring that stakeholders understand the rationale for the POPS service. Our study also provides a structure for future research to understand the factors associated with 'unsuccessful' implementation of a POPS service, which can inform ongoing efforts to implement evidence-based perioperative models of care for older people.

Indexed as

Perioperative MedicineAgedHumansQualitative ResearchImplementation scienceOlder peoplePerioperative careQualitative research

Identifiers

PMID38491431
PMCPMC10943911
OpenAlexW4392857142

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.