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Table 3 User experiences

From: Cost-effectiveness of a nurse-led intervention to optimise implementation of guideline-concordant continence care: Study protocol of the COCON study

Factors

Concepts

Health professionals’ experiences, barriers and facilitators & possible improvements with regard to:

Guideline related factors

Feasibility of the recommended guideline and the protocol derived from the guideline

- Guideline

- Protocol

- EHR

- Consults

- Collaboration with other continence professionals: Informing the woman’s GP after the consult by means of a letter, Advices for referrals, diagnostics and treatments

 

Compatibility of the protocol: the extent to which the recommended protocol is practical

likewise

Individual health professional factors

Competences (=skills, attitude and knowledge) needed: the extent to which the targeted health professionals have competences they need

- Competences needed

- Training/educational needs

- Learning experiences

 

Health professionals’ engagements and satisfaction with the intervention

- Involvement & Satisfaction (both rated on a 0–10 scale)

Patient factors

Patient behaviour: patient’s response to consults

- Patient’s response to consults, advices

- Factors that influence patient’s response to nurses’ care, e.g., financial issues

 

Patient motivation: the targeted healthcare professional’s (perceived) ability to motivate patients to adhere

- Motivating patients to adhere

 

Patient preferences: the targeted healthcare professional’s (perceived) ability to pay attention to patient preferences

- Paying attention to patient preferences

Professional interactions

Referral processes: processes for communication between the targeted healthcare professionals and targeted patients

- Nurse’s interaction with GPs

- Nurse’s interaction with community pharmacists

- Nurse’s interaction between GPs and community pharmacists

Incentives and resources

Financial incentives: the extent to which patients, individual health professionals and organisations have financial incentives or disincentives to adhere

- Financial issues that influenced adherence among patients, GPs and community pharmacists

 

Information system: the extent to which the EHR facilitates or hinders adherence

- EHR

Capacity for organisational change

Mandate, authority and accountability for making necessary changes

- Mandate for treatment change in participating women.

 

Regulations, rules, policies: the extent to which organisational regulations, rules or policies facilitate or hinder necessary changes.

- Regulations, rules and policies.

Social, political and legal factors

Payer or funder policies: the extent to which payer or funder policies may affect implementation of necessary changes

- Payer or funder policies facilitating or hindering implementation of necessary changes

 

Legislation: the extent to which legislation may affect implementation of necessary changes

- Legislation affecting implementation of necessary changes

  1. EHR Electronic Health Record, GP General Practitioner