Quality of outpatient parenteral antimicrobial therapy (OPAT) care from the patient’s perspective: a qualitative study
| Autor: | Mirjam Tromp, Marlies E J L Hulscher, Bart Jan Kullberg, Jeroen Schouten, Marvin A H Berrevoets, Jaap ten Oever, Anke J M Oerlemans |
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| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: |
0301 basic medicine
Male Quality Assurance Health Care lnfectious Diseases and Global Health Radboud Institute for Molecular Life Sciences [Radboudumc 4] Psychological intervention 0302 clinical medicine Anti-Infective Agents Ambulatory Care Medicine Infusions Parenteral 030212 general & internal medicine opat Information provision Qualitative Research media_common Netherlands Aged 80 and over Patient Preference General Medicine Focus Groups Middle Aged Home Care Services Infectious Diseases Female Guideline Adherence Attitude to Health Adult outpatient parenteral antimicrobial therapy media_common.quotation_subject 030106 microbiology Healthcare improvement science Radboud Institute for Health Sciences [Radboudumc 18] Nonprobability sampling 03 medical and health sciences Nursing patient experiences patient-centeredness Humans Quality (business) Aged Health Services Needs and Demand Adult patients business.industry Research Perspective (graphical) Focus group lnfectious Diseases and Global Health Radboud Institute for Health Sciences [Radboudumc 4] Patient Participation business Qualitative research |
| Zdroj: | BMJ Open BMJ Open, 8, 11, pp. e024564 BMJ Open, 8, e024564 |
| ISSN: | 2044-6055 |
| Popis: | ObjectivesCurrent outpatient parenteral antimicrobial therapy (OPAT) guidelines recommend delivering patient-centred care. However, little is known about what patients define as good quality of OPAT care and what their needs and preferences are.The aim of this qualitative study is to explore the patients’ perspective on high-quality care, and to explore what patient-centred care means to adult OPAT patients.Design and settingThis is an explorative, descriptive study using qualitative methods. We conducted focus group interviews with 16 adult patients (5 female, 11 male) from 3 different hospitals, who received OPAT and 2 individual semistructured interviews with their informal caregivers in the Netherlands. We used purposive sampling to ensure diversity of participants. We used the eight Picker principles of patient-centredness to guide data collection and analysis.ResultsParticipants reported several elements considered as important for patient-centred OPAT care, like patient involvement in the decision-making process, a responsible OPAT lead, intensive collaboration between all disciplines involved, information provision and adherence to hygiene guidelines. Two central dimensions emerged as essential constituents of patient-centred OPAT care: freedom and safety. Both are heavily influenced by the behaviours of healthcare professionals and by organisational aspects beyond the direct influence of these professionals.ConclusionThis study provides insights into the needs and preferences of adult patients who receive OPAT care. Future interventions directed at the improvement of patient-centredness of OPAT care should focus on elements that enhance patients’ feelings of freedom and safety. |
| Databáze: | OpenAIRE |
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