Please use this identifier to cite or link to this item:
http://hdl.handle.net/1942/37400
Title: | How to implement geriatric co-management in your hospital? Insights from the G-COACH feasibility study | Authors: | Van Grootven, Bastiaan Jeuris, Anthony Jonckers, Maren Devriendt, Els de Casterle, Bernadette Dierckx Dubois, Christophe Fagard, Katleen Herregods, Marie-Christine Hornikx, Miek MEURIS, Marc Rex, Steffen Tournoy, Jos Milisen, Koen Flamaing, Johan DESCHODT, Mieke |
Issue Date: | 2022 | Publisher: | BMC | Source: | BMC Geriatrics, 22 (1) (Art N° 386) | Abstract: | Background: Geriatric co-management is advocated to manage frail patients in the hospital, but there is no guidance on how to implement such programmes in practice. This paper reports our experiences with implementing the'Geriatric CO-mAnagement for Cardiology patients in the Hospital' (G-COACH) programme. We investigated if G-COACH was feasible to perform after the initial adoption, investigated how well the implementation strategy was able to achieve the implementation targets, determined how patients experienced receiving G-COACH, and determined how healthcare professionals experienced the implementation of G-COACH. Methods: A feasibility study of the G-COACH programme was performed using a one-group experimental study design. G-COACH was previously implemented on two cardiac care units. Patients and healthcare professionals participating in the G-COACH programme were recruited for this evaluation. The feasibility of the programme was investigated by observing the reach, fidelity and dose using registrations in the electronic patient record and by interviewing patients. The success of the implementation reaching its targets was evaluated using a survey that was completed by 48 healthcare professionals. The experiences of 111 patients were recorded during structured survey interviews. The experiences of healthcare professionals with the implementation process was recorded during 6 semi-structured interviews and 4 focus groups discussions (n = 27). Results: The programme reached 91% in a sample of 151 patients with a mean age of 84 years. There was a high fidelity for the major components of the programme: documentation of geriatric risks (98%), co-management by specialist geriatrics nurse (95%), early rehabilitation (80%), and early discharge planning (74%), except for co-management by the geriatrician (32%). Both patients and healthcare professionals rated G-COACH as acceptable (95 and 94%) and feasible (96 and 74%). The healthcare professionals experienced staffing, competing roles and tasks of the geriatrics nurse and leadership support as important determinants for implementation. Conclusions: The implementation strategy resulted in the successful initiation of the G-COACH programme. G-COACH was perceived as acceptable and feasible. Fidelity was influenced by context factors. Further investigation of the sustainability of the programme is needed. | Notes: | Deschodt, M (corresponding author), Katholieke Univ Leuven, Dept Publ Hlth & Primary Care, Leuven, Belgium.; Deschodt, M (corresponding author), Univ Hosp Leuven, Competence Ctr Nursing, Leuven, Belgium.; Deschodt, M (corresponding author), Gerontol & Geriatr, UZ Herestr 49,Box 7003 35, B-3000 Leuven, Belgium. mieke.deschodt@kuleuven.be |
Keywords: | Implementation;Geriatric;Co-management;Cardiovascular;Geriatric assessment;Nursing;Health services for the aged;Frail;Hospital | Document URI: | http://hdl.handle.net/1942/37400 | ISSN: | 1471-2318 | e-ISSN: | 1471-2318 | DOI: | 10.1186/s12877-022-03051-1 | ISI #: | WOS:000789808800001 | Rights: | © The Author(s) 2022. Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visithttp://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativeco mmons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data | Category: | A1 | Type: | Journal Contribution |
Appears in Collections: | Research publications |
Files in This Item:
File | Description | Size | Format | |
---|---|---|---|---|
How to implement geriatric co-management in your hospital_ Insights from the G-COACH feasibility study.pdf | Published version | 1.92 MB | Adobe PDF | View/Open |
Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.