Barriers to self-monitoring implementation in the oral anticoagulated population: A qualitative study.
barriers
health policy
nursing
oral anticoagulant therapy
qualitative research
self-management
Journal
International journal of nursing practice
ISSN: 1440-172X
Titre abrégé: Int J Nurs Pract
Pays: Australia
ID NLM: 9613615
Informations de publication
Date de publication:
Feb 2023
Feb 2023
Historique:
revised:
31
05
2022
received:
25
03
2022
accepted:
25
07
2022
pubmed:
17
8
2022
medline:
4
2
2023
entrez:
16
8
2022
Statut:
ppublish
Résumé
This study aimed to explore and understand the barriers perceived by Italian nurses to adopting self-monitoring for managing oral anticoagulation in real-life settings. Barriers to self-monitoring implementation for managing oral anticoagulation have been poorly described. The study had a qualitative descriptive and exploratory design with a hybrid approach. A literature review was conducted to identify a priori barriers (deductive approach), while a small and semi-structured focus group discussion was performed to explore the contextual barriers experienced by Italian nurses (inductive approach). A classic content analysis technique was adopted. Data were collected in 2019. Two main categories were identified. Organizational barriers referred to the lack of inter-professional collaboration and health-care system strategies to provide clinical pathways for self-monitoring. Individual barriers encompassed professional characteristics (e.g. university background, professional knowledge, continuum education and accountability/responsibility) and patient characteristics (e.g. patient health literacy and knowledge, engagement/empowerment and educational programmes). Finally, unwarranted clinical variation in oral anticoagulation management arose as a barrier determined by organizational and individual elements. The results of this study pointed out an urgent public health issue in addressing barriers influencing self-monitoring practice and in sustaining care models that might enhance the quality improvement of self-monitoring for managing oral anticoagulation.
Sections du résumé
AIM
OBJECTIVE
This study aimed to explore and understand the barriers perceived by Italian nurses to adopting self-monitoring for managing oral anticoagulation in real-life settings.
BACKGROUND
BACKGROUND
Barriers to self-monitoring implementation for managing oral anticoagulation have been poorly described.
DESIGN
METHODS
The study had a qualitative descriptive and exploratory design with a hybrid approach.
METHODS
METHODS
A literature review was conducted to identify a priori barriers (deductive approach), while a small and semi-structured focus group discussion was performed to explore the contextual barriers experienced by Italian nurses (inductive approach). A classic content analysis technique was adopted. Data were collected in 2019.
FINDINGS
RESULTS
Two main categories were identified. Organizational barriers referred to the lack of inter-professional collaboration and health-care system strategies to provide clinical pathways for self-monitoring. Individual barriers encompassed professional characteristics (e.g. university background, professional knowledge, continuum education and accountability/responsibility) and patient characteristics (e.g. patient health literacy and knowledge, engagement/empowerment and educational programmes). Finally, unwarranted clinical variation in oral anticoagulation management arose as a barrier determined by organizational and individual elements.
CONCLUSIONS
CONCLUSIONS
The results of this study pointed out an urgent public health issue in addressing barriers influencing self-monitoring practice and in sustaining care models that might enhance the quality improvement of self-monitoring for managing oral anticoagulation.
Substances chimiques
Anticoagulants
0
Types de publication
Review
Journal Article
Langues
eng
Pagination
e13095Informations de copyright
© 2022 John Wiley & Sons Australia, Ltd.
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