The European quality of care pathways (EQCP) study on the impact of care pathways on interprofessional teamwork in an acute hospital setting: study protocol: for a cluster randomised controlled trial and evaluation of implementation processes
<p>Abstract</p> <p>Background</p> <p>Although care pathways are often said to promote teamwork, high-level evidence that supports this statement is lacking. Furthermore, knowledge on conditions and facilitators for successful pathway implementation is scarce. The object...
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| Format: | Article |
| Language: | English |
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BMC
2012-05-01
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| Series: | Implementation Science |
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| Online Access: | http://www.implementationscience.com/content/7/1/47 |
| _version_ | 1811319760323870720 |
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| author | Deneckere Svin Euwema Martin Lodewijckx Cathy Panella Massimiliano Sermeus Walter Vanhaecht Kris |
| author_facet | Deneckere Svin Euwema Martin Lodewijckx Cathy Panella Massimiliano Sermeus Walter Vanhaecht Kris |
| author_sort | Deneckere Svin |
| collection | DOAJ |
| description | <p>Abstract</p> <p>Background</p> <p>Although care pathways are often said to promote teamwork, high-level evidence that supports this statement is lacking. Furthermore, knowledge on conditions and facilitators for successful pathway implementation is scarce. The objective of the European Quality of Care Pathway (EQCP) study is therefore to study the impact of care pathways on interprofessional teamwork and to build up understanding on the implementation process.</p> <p>Methods/design</p> <p>An international post-test-only cluster Randomised Controlled Trial (cRCT), combined with process evaluations, will be performed in Belgium, Ireland, Italy, and Portugal. Teams caring for proximal femur fracture (PFF) patients and patients hospitalized with an exacerbation of chronic obstructive pulmonary disease (COPD) will be randomised into an intervention and control group. The intervention group will implement a care pathway for PFF or COPD containing three active components: a formative evaluation of the actual teams’ performance, a set of evidence-based key interventions, and a training in care pathway-development. The control group will provide usual care. A set of team input, process and output indicators will be used as effect measures. The main outcome indicator will be relational coordination. Next to these, process measures during and after pathway development will be used to evaluate the implementation processes. In total, 132 teams have agreed to participate, of which 68 were randomly assigned to the intervention group and 64 to the control group. Based on power analysis, a sample of 475 team members per arm is required. To analyze results, multilevel analysis will be performed.</p> <p>Discussion</p> <p>Results from our study will enhance understanding on the active components of care pathways. Through this, preferred implementation strategies can be defined.</p> <p>Trail registration</p> <p>NCT01435538</p> |
| first_indexed | 2024-04-13T12:48:13Z |
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| institution | Directory Open Access Journal |
| issn | 1748-5908 |
| language | English |
| last_indexed | 2024-04-13T12:48:13Z |
| publishDate | 2012-05-01 |
| publisher | BMC |
| record_format | Article |
| series | Implementation Science |
| spelling | doaj.art-2a917e0ea63240dc89e14d03cbab56b92022-12-22T02:46:19ZengBMCImplementation Science1748-59082012-05-01714710.1186/1748-5908-7-47The European quality of care pathways (EQCP) study on the impact of care pathways on interprofessional teamwork in an acute hospital setting: study protocol: for a cluster randomised controlled trial and evaluation of implementation processesDeneckere SvinEuwema MartinLodewijckx CathyPanella MassimilianoSermeus WalterVanhaecht Kris<p>Abstract</p> <p>Background</p> <p>Although care pathways are often said to promote teamwork, high-level evidence that supports this statement is lacking. Furthermore, knowledge on conditions and facilitators for successful pathway implementation is scarce. The objective of the European Quality of Care Pathway (EQCP) study is therefore to study the impact of care pathways on interprofessional teamwork and to build up understanding on the implementation process.</p> <p>Methods/design</p> <p>An international post-test-only cluster Randomised Controlled Trial (cRCT), combined with process evaluations, will be performed in Belgium, Ireland, Italy, and Portugal. Teams caring for proximal femur fracture (PFF) patients and patients hospitalized with an exacerbation of chronic obstructive pulmonary disease (COPD) will be randomised into an intervention and control group. The intervention group will implement a care pathway for PFF or COPD containing three active components: a formative evaluation of the actual teams’ performance, a set of evidence-based key interventions, and a training in care pathway-development. The control group will provide usual care. A set of team input, process and output indicators will be used as effect measures. The main outcome indicator will be relational coordination. Next to these, process measures during and after pathway development will be used to evaluate the implementation processes. In total, 132 teams have agreed to participate, of which 68 were randomly assigned to the intervention group and 64 to the control group. Based on power analysis, a sample of 475 team members per arm is required. To analyze results, multilevel analysis will be performed.</p> <p>Discussion</p> <p>Results from our study will enhance understanding on the active components of care pathways. Through this, preferred implementation strategies can be defined.</p> <p>Trail registration</p> <p>NCT01435538</p>http://www.implementationscience.com/content/7/1/47Study protocolCare pathwaysInterprofessional teamworkCluster randomised controlled trialProcess evaluations |
| spellingShingle | Deneckere Svin Euwema Martin Lodewijckx Cathy Panella Massimiliano Sermeus Walter Vanhaecht Kris The European quality of care pathways (EQCP) study on the impact of care pathways on interprofessional teamwork in an acute hospital setting: study protocol: for a cluster randomised controlled trial and evaluation of implementation processes Implementation Science Study protocol Care pathways Interprofessional teamwork Cluster randomised controlled trial Process evaluations |
| title | The European quality of care pathways (EQCP) study on the impact of care pathways on interprofessional teamwork in an acute hospital setting: study protocol: for a cluster randomised controlled trial and evaluation of implementation processes |
| title_full | The European quality of care pathways (EQCP) study on the impact of care pathways on interprofessional teamwork in an acute hospital setting: study protocol: for a cluster randomised controlled trial and evaluation of implementation processes |
| title_fullStr | The European quality of care pathways (EQCP) study on the impact of care pathways on interprofessional teamwork in an acute hospital setting: study protocol: for a cluster randomised controlled trial and evaluation of implementation processes |
| title_full_unstemmed | The European quality of care pathways (EQCP) study on the impact of care pathways on interprofessional teamwork in an acute hospital setting: study protocol: for a cluster randomised controlled trial and evaluation of implementation processes |
| title_short | The European quality of care pathways (EQCP) study on the impact of care pathways on interprofessional teamwork in an acute hospital setting: study protocol: for a cluster randomised controlled trial and evaluation of implementation processes |
| title_sort | european quality of care pathways eqcp study on the impact of care pathways on interprofessional teamwork in an acute hospital setting study protocol for a cluster randomised controlled trial and evaluation of implementation processes |
| topic | Study protocol Care pathways Interprofessional teamwork Cluster randomised controlled trial Process evaluations |
| url | http://www.implementationscience.com/content/7/1/47 |
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