Qualitative Evaluation of the Implementation of a Care Pathway for Colorectal Cancer Surgery

Author:

van Zelm Ruben12ORCID,Coeckelberghs Ellen1,Aeyels Daan1,Sermeus Walter12,Wolthuis Albert13,Panella Massimiliano24,Vanhaecht Kris123

Affiliation:

1. KU Leuven, Leuven, Belgium

2. European Pathway Association, Leuven, Belgium

3. University Hospital Leuven, Leuven, Belgium

4. University of Eastern Piemonte, Novarra, Italy

Abstract

Colorectal cancer care can be standardized by using enhanced recovery protocols. However, adherence to these protocols varies. Using Medical Research Council (MRC) guidance on process evaluations, we examined the experience of health care professionals in the implementation of a care pathway for colorectal surgery, by describing the intervention, context, implementation, mechanisms, and outcomes. Based on data from semi-structured interviews, we divided respondents into two groups: those who perceived positive outcomes of the implementation and those who perceived no effect. Respondents who perceived positive outcomes reported clinical leadership, use of feedback, positive effects of standardization, and teamwork as factors contributing to positive perceived outcomes. Respondents who perceived no effect reported a lack of organizational support, as well as challenging collaboration and standardization as mechanisms potentially explaining the poorer perception of outcomes. Multiple implementation activities were used, focusing on competence, behavior, or workplace. Our findings suggest that feedback is an important implementation activity.

Funder

Baxter Germany

Baxter Netherlands

Baxter SA

Baxter France

Baxter Belgium

Publisher

SAGE Publications

Subject

Public Health, Environmental and Occupational Health

Reference3 articles.

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