Current studentsExisting staffContact us
 

Healthcare Providers' Experiences With and Perspective on Delivering the Enhanced Recovery After Elective Caesarean Birth Pathway With Next‐Day Discharge: Qualitative Analysis

Simple item page
dc.contributor.authorDigenis, C.
dc.contributor.authorCusack, L.
dc.contributor.authorSalter, A.
dc.contributor.authorWinter, A.
dc.contributor.authorTurnbull, D.
dc.date.issued2024
dc.description.abstractAims: To understand the perspectives and experiences of healthcare providers who have experience working with an enhanced recovery care after elective caesarean birth pathway with next-day discharge and home midwifery. Design: This study applies a qualitative study design with a pragmatic realist approach. The realist framework was used while also taking a post-positivist philosophy. Methods: The work was conducted in South Australia, Australia between May and October 2019. Twenty-three semi-structured interviews were completed with 5 doctors and 18 midwives who had occupational experience working with the pathway. Interviews were analysed using following the six-phase qualitative thematic analysis process outlined by Braun and Clarke. COREQ guidelines were followed. Results: Four main themes and 11 sub-themes were identified. Main themes identified were as follows: The pathway is more than just early discharge; experiences with the process; staff engagement with the pathway; and the impact of the pathway within the health system. Conclusion: Healthcare providers generally accepted the pathway and found enhanced recovery care to be a positive and beneficial model of care. Staff identified five main challenges with implementing the pathway: early discharge; eligible women's automatic inclusion on the pathway; engaging women; change for staff and organisational constraints and procedures. Elements that support integration include the following: education for women; reassurance and communication with women and families; prepared care and supports including home midwifery; staff education and communication of the evidence; clear guidelines and protocols; defined staff roles; enough clinical time and clinical flexibility. Impact: Knowledge from staff in this study would be useful for other health services to consider when looking to deliver similar models of care. Patient or Public Contribution: The health service and health providers were involved with the initiation and development of the research aims and design.
dc.description.statementofresponsibilityChristianna Digenis, Lynette Cusack, Amy Salter, Amelia Winter, Deborah Turnbull
dc.identifier.citationJournal of Advanced Nursing, 2024; 81(7):1-13
dc.identifier.doi10.1111/jan.16647
dc.identifier.issn0309-2402
dc.identifier.issn0309-2402
dc.identifier.orcidDigenis, C. [0000-0001-9135-6376]
dc.identifier.orcidCusack, L. [0000-0003-1268-297X]
dc.identifier.orcidSalter, A. [0000-0002-2881-0684]
dc.identifier.orcidWinter, A. [0000-0002-1106-2085]
dc.identifier.orcidTurnbull, D. [0000-0002-7116-7073]
dc.identifier.urihttps://hdl.handle.net/2440/143570
dc.language.isoen
dc.publisherWiley
dc.rights© 2024 John Wiley & Sons Ltd.
dc.source.urihttps://doi.org/10.1111/jan.16647
dc.subjectcaesarean section; enhanced recovery; ERAS; healthcare provider; midwife; nurse; obstetrician; qualitative; staff
dc.titleHealthcare Providers' Experiences With and Perspective on Delivering the Enhanced Recovery After Elective Caesarean Birth Pathway With Next‐Day Discharge: Qualitative Analysis
dc.typeJournal article
pubs.publication-statusPublished online

Files

Collections

Research Outputs