dc.contributor.author | Rattray, Megan | |
dc.contributor.author | Roberts, Shelley | |
dc.contributor.author | Desbrow, Ben | |
dc.contributor.author | Wullschleger, Martin | |
dc.contributor.author | Robertson, Tayla | |
dc.contributor.author | Hickman, Ingrid | |
dc.contributor.author | Marshall, Andrea P | |
dc.date.accessioned | 2019-07-11T03:01:46Z | |
dc.date.available | 2019-07-11T03:01:46Z | |
dc.date.issued | 2019 | |
dc.identifier.issn | 1472-6963 | |
dc.identifier.doi | 10.1186/s12913-019-4011-7 | |
dc.identifier.uri | http://hdl.handle.net/10072/384133 | |
dc.description.abstract | Background: Enhanced Recovery After Surgery (ERAS) guidelines recommend early oral feeding with nutritionally
adequate diets after surgery. However, studies have demonstrated variations in practice and poor adherence to
these recommendations among patients who have undergone colorectal surgery. Given doctors are responsible for
prescribing patients’ diets after surgery, this study explored factors which influenced medical staffs’ decision-making
regarding postoperative nutrition prescription to identify potential behaviour change interventions.
Methods: This qualitative study involved one-on-one, semi-structured interviews with medical staff involved in
prescribing nutrition for patients following colorectal surgery across two tertiary teaching hospitals. Purposive
sampling was used to recruit participants with varying years of clinical experience. The Theoretical Domains
Framework (TDF) underpinned the development of a semi-structured interview guide. Interviews were audio
recorded, with data transcribed verbatim before being thematically analysed. Emergent themes and sub-themes
were discussed by all investigators to ensure consensus of interpretation.
Results: Twenty-one medical staff were interviewed, including nine consultants, three fellows, four surgical trainees
and five junior medical doctors. Three overarching themes emerged from the data: (i) Prescription preferences are
influenced by perceptions, experience and training; (ii) Modifying prescription practices to align with patient-related
factors; and (iii) Peers influence prescription behaviours and attitudes towards nutrition.
Conclusions: Individual beliefs, patient-related factors and the social influence of peers (particularly seniors)
appeared to strongly influence medical staffs’ decision-making regarding postoperative nutrition prescription. As
such, a multi-faceted approach to behaviour change is required to target individual and organisational barriers to
enacting evidence-based feeding recommendations. | |
dc.description.peerreviewed | Yes | |
dc.language | English | |
dc.language.iso | eng | |
dc.publisher | BMC | |
dc.relation.ispartofpagefrom | 1 | |
dc.relation.ispartofpageto | 11 | |
dc.relation.ispartofissue | 178 | |
dc.relation.ispartofjournal | BMC HEALTH SERVICES RESEARCH | |
dc.relation.ispartofvolume | 19 | |
dc.subject.fieldofresearch | Nursing | |
dc.subject.fieldofresearch | Health services and systems | |
dc.subject.fieldofresearch | Public health | |
dc.subject.fieldofresearchcode | 4205 | |
dc.subject.fieldofresearchcode | 4203 | |
dc.subject.fieldofresearchcode | 4206 | |
dc.subject.keywords | Early oral feeding | |
dc.subject.keywords | Perioperative nutrition care | |
dc.subject.keywords | Postoperative nutrition care | |
dc.subject.keywords | Enhanced recovery after surgery | |
dc.title | A qualitative exploration of factors influencing medical staffs' decision-making around nutrition prescription after colorectal surgery | |
dc.type | Journal article | |
dc.type.description | C1 - Articles | |
dc.type.code | C - Journal Articles | |
dcterms.license | http://creativecommons.org/licenses/by/4.0/ | |
gro.rights.copyright | © The Author(s). 2019 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0
International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and
reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to
the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver
(http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. | |
gro.hasfulltext | Full Text | |
gro.griffith.author | Desbrow, Ben | |
gro.griffith.author | Marshall, Andrea | |
gro.griffith.author | Roberts, Shelley J. | |