School of Nursing and Midwifery, Western Sydney University, Penrith, NSW, Australia.
School of Nursing, Midwifery and Paramedicine, Australian Catholic University, Blacktown, NSW, Australia.
Int J Qual Stud Health Well-being. 2024 Dec;19(1):2349438. doi: 10.1080/17482631.2024.2349438. Epub 2024 May 6.
This article outlines the use of a co-design methodological approach aimed at optimizing perioperative care experiences for ethnically diverse older adults and their family carers. The research involved three phases. In Phase 1, the foundation was established with the formation of a Core Advisory Group comprising key informants, including health consumers. This initial phase focused on forming relationships and conducting a literature review to inform subsequent stages of the research. Phase 2 progressed to data collection, where a qualitative survey on perioperative experiences was conducted. Semi-structured interviews were held with patients, their family carers, and perioperative staff. Phase 3 advanced the co-design process through a workshop involving patients, family carers, perioperative staff, and key stakeholders. Workshop participants collaborated on potential practice changes, proposing strategies for future clinical implementation. While data analysis and reporting for Phases 2 and 3 are forthcoming, the continued involvement of the Core Advisory Group ensures ongoing consensus-building on health consumer needs. This methodology article adopts a prospective stance, with findings to be presented in subsequent scholarly works. Use of this methodology will help to determine how the use of a co-design approach may impact the development of culturally responsive perioperative nursing care for those from ethnically diverse communities.
本文概述了一种共同设计方法学方法的使用,旨在优化种族多样化的老年患者及其家属在围手术期的护理体验。该研究包括三个阶段。在第一阶段,通过形成一个由关键信息提供者(包括卫生消费者)组成的核心顾问小组,为研究的后续阶段奠定了基础。该初始阶段的重点是建立关系并进行文献综述,以了解研究的后续阶段。第二阶段推进数据收集,对围手术期的经验进行了定性调查。与患者、他们的家属和围手术期工作人员进行了半结构化访谈。第三阶段通过涉及患者、家属、围手术期工作人员和主要利益相关者的研讨会推进共同设计过程。研讨会参与者共同探讨了潜在的实践改变,并提出了未来临床实施的策略。虽然第二和第三阶段的数据分析和报告即将进行,但核心顾问小组的持续参与确保了对卫生消费者需求的持续共识建设。本方法学文章采用前瞻性立场,研究结果将在后续的学术作品中呈现。这种方法的使用将有助于确定共同设计方法的使用如何可能影响为来自不同文化背景的社区的人开发对文化敏感的围手术期护理。