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Please use this identifier to cite or link to this item: https://doi.org/10.21256/zhaw-29617
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dc.contributor.authorLehmann-Emele, Eva-
dc.contributor.authorJansky, Maximiliane-
dc.contributor.authorClapham, Sabina-
dc.contributor.authorde Wolf-Linder, Susanne-
dc.contributor.authorBausewein, Claudia-
dc.contributor.authorHodiamont, Farina-
dc.date.accessioned2024-01-19T08:01:19Z-
dc.date.available2024-01-19T08:01:19Z-
dc.date.issued2024-01-03-
dc.identifier.issn1472-684Xde_CH
dc.identifier.urihttps://digitalcollection.zhaw.ch/handle/11475/29617-
dc.description.abstractBackground: Standardised use of patient-centred outcome measures (PCOMs) improves aspects of quality of care. Normalization Process Theory (NPT) considers the social (inter-)actions of implementation processes operationalised through four constructs: coherence-building, cognitive participation, collective action and reflexive monitoring. The aim of the study was to identify barriers and enablers for the successful use of PCOMs in specialist palliative home care (SPHC) using NPT, to collect clinically meaningful and reliable data to improve patient outcomes. Methods: Qualitative study using semi-structured interviews with palliative care professionals from German SPHC teams who participated in a study using PCOMs. Data were analysed using Framework analysis, and contextualised within NPT. Results: Seventeen interviews across five teams were conducted. Some teams already had an understanding of what PCOMs are and how to use them, based on previous experience. In other teams, this understanding developed through the perception of the benefits (coherence). Participation and engagement depended on individuals and was decisive for coherence-building. The attitude of the management level also played a major role (cognitive participation). Integration of PCOMs into everyday clinical practice varied and depended on the manifestation of the first two constructs and other already established routines (collective action). In the context of appraisal, both positive (e.g. focus on patient) and negative aspects (e.g. additional work) of using PCOMs were mentioned (reflexive monitoring). Conclusions: Although benefits of using PCOMs were partly recognised, not all teams continued standardised use. Here, not only the social (inter-)actions, but also the influence of the context (working environment) were decisive. Future implementation strategies should consider integrating PCOMs in existing electronic patient records, education sessions supporting coherence-building, internal facilitators/local champions, and ensuring frequent data analyses as it is beneficial and increases the readiness of using PCOMs.de_CH
dc.language.isoende_CH
dc.publisherBioMed Centralde_CH
dc.relation.ispartofBMC Palliative Carede_CH
dc.rightshttps://creativecommons.org/licenses/by/4.0/de_CH
dc.subjectComplexityde_CH
dc.subjectImplementationde_CH
dc.subjectNormalization process theoryde_CH
dc.subjectPatient-centred outcome measurementde_CH
dc.subjectQualitative researchde_CH
dc.subjectQuality of carede_CH
dc.subjectSpecialist palliative home carede_CH
dc.subjectHumansde_CH
dc.subjectQualitative researchde_CH
dc.subjectAttitude of health personnelde_CH
dc.subjectOutcome assessment, health carede_CH
dc.subjectPalliative carede_CH
dc.subjectHome care servicesde_CH
dc.subjectGesundheitsversorgungde_CH
dc.subject.ddc362: Gesundheits- und Sozialdienstede_CH
dc.subject.ddc610.73: Pflegede_CH
dc.titleUsing normalization process theory to evaluate the use of patient-centred outcome measures in specialist palliative home care : a qualitative interview studyde_CH
dc.typeBeitrag in wissenschaftlicher Zeitschriftde_CH
dcterms.typeTextde_CH
zhaw.departementGesundheitde_CH
zhaw.organisationalunitInstitut für Pflege (IPF)de_CH
dc.identifier.doi10.1186/s12904-023-01329-8de_CH
dc.identifier.doi10.21256/zhaw-29617-
dc.identifier.pmid38166973de_CH
zhaw.funding.euNode_CH
zhaw.issue1de_CH
zhaw.originated.zhawYesde_CH
zhaw.publication.statuspublishedVersionde_CH
zhaw.volume23de_CH
zhaw.publication.reviewPeer review (Publikation)de_CH
zhaw.webfeedG: Gesundheit im Alterde_CH
zhaw.funding.zhawImplementation von Patienten-zentrierten Outcome Messinstrumenten (PROMs) im Palliative Zentrum am Kantonsspital Winterthurde_CH
zhaw.author.additionalNode_CH
zhaw.display.portraitYesde_CH
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Lehmann-Emele, E., Jansky, M., Clapham, S., de Wolf-Linder, S., Bausewein, C., & Hodiamont, F. (2024). Using normalization process theory to evaluate the use of patient-centred outcome measures in specialist palliative home care : a qualitative interview study. BMC Palliative Care, 23(1). https://doi.org/10.1186/s12904-023-01329-8
Lehmann-Emele, E. et al. (2024) ‘Using normalization process theory to evaluate the use of patient-centred outcome measures in specialist palliative home care : a qualitative interview study’, BMC Palliative Care, 23(1). Available at: https://doi.org/10.1186/s12904-023-01329-8.
E. Lehmann-Emele, M. Jansky, S. Clapham, S. de Wolf-Linder, C. Bausewein, and F. Hodiamont, “Using normalization process theory to evaluate the use of patient-centred outcome measures in specialist palliative home care : a qualitative interview study,” BMC Palliative Care, vol. 23, no. 1, Jan. 2024, doi: 10.1186/s12904-023-01329-8.
LEHMANN-EMELE, Eva, Maximiliane JANSKY, Sabina CLAPHAM, Susanne DE WOLF-LINDER, Claudia BAUSEWEIN und Farina HODIAMONT, 2024. Using normalization process theory to evaluate the use of patient-centred outcome measures in specialist palliative home care : a qualitative interview study. BMC Palliative Care. 3 Januar 2024. Bd. 23, Nr. 1. DOI 10.1186/s12904-023-01329-8
Lehmann-Emele, Eva, Maximiliane Jansky, Sabina Clapham, Susanne de Wolf-Linder, Claudia Bausewein, and Farina Hodiamont. 2024. “Using Normalization Process Theory to Evaluate the Use of Patient-Centred Outcome Measures in Specialist Palliative Home Care : A Qualitative Interview Study.” BMC Palliative Care 23 (1). https://doi.org/10.1186/s12904-023-01329-8.
Lehmann-Emele, Eva, et al. “Using Normalization Process Theory to Evaluate the Use of Patient-Centred Outcome Measures in Specialist Palliative Home Care : A Qualitative Interview Study.” BMC Palliative Care, vol. 23, no. 1, Jan. 2024, https://doi.org/10.1186/s12904-023-01329-8.


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