Lodge Margot Elizabeth, Dhesi Jugdeep, Andrew Nadine Elizabeth, Srikanth Velandai, Ayton Darshini Rebecca, Moran Chris
National Centre for Healthy Ageing, Melbourne, Victoria, Australia.
Peninsula Clinical School, Central Clinical School, Monash University, Melbourne, Victoria, Australia.
Australas J Ageing. 2025 Mar;44(1):e13376. doi: 10.1111/ajag.13376. Epub 2024 Oct 4.
This study aimed to translate previous implementation science research describing the implementation of perioperative medicine for older people undergoing surgery (POPS) services into a format that is comprehensible and relevant to clinical leaders contemplating implementing a POPS service.
We conducted a multistage expert end-user review process to design a POPS implementation guide. Our expert research team created a draft POPS service implementation guide using previous implementation science research that described the core elements and implementation of a POPS service. Next, we invited multidisciplinary (allied health, anaesthetics, geriatric medicine, nursing and surgery) clinical leaders in perioperative medicine (n = 12) from five contextually different health services to review the guide. These clinical leaders then participated in two rounds of review and refinement of the implementation guide.
The first draft of the POPS service implementation guide was reviewed by clinical leaders (n = 4) with participants querying implementation science-based language and concepts, the format of the guide and its practical use. We revised the guide accordingly, and the next draft was reviewed by the second group of clinical leaders (n = 8). Feedback from the second group review was supportive of the guide's comprehensibility and relevance, and only minor changes were made to the final version of the POPS service implementation guide.
We used an implementation science-based approach to create a POPS service implementation guide that is comprehensible and relevant to clinical leaders in perioperative care. The next steps are to use the guide and assess its utility to support implementation of a POPS service.
本研究旨在将先前关于为接受手术的老年人实施围手术期医学服务（POPS）的实施科学研究转化为一种易于理解且与考虑实施POPS服务的临床领导者相关的形式。
我们开展了一个多阶段的专家最终用户评审过程，以设计一份POPS实施指南。我们的专家研究团队利用先前描述POPS服务核心要素和实施情况的实施科学研究，创建了一份POPS服务实施指南草案。接下来，我们邀请了来自五个背景不同的医疗服务机构的围手术期医学领域的多学科（联合健康、麻醉学、老年医学、护理学和外科学）临床领导者（n = 12）对该指南进行评审。这些临床领导者随后参与了两轮对实施指南的评审和完善。
POPS服务实施指南的初稿由临床领导者（n = 4）进行评审，参与者对基于实施科学的语言和概念、指南的格式及其实际用途提出了疑问。我们据此对指南进行了修订，下一稿由第二批临床领导者（n = 8）进行评审。第二批评审的反馈支持该指南的可理解性和相关性，对POPS服务实施指南的最终版本仅做了微小修改。
我们采用基于实施科学的方法创建了一份POPS服务实施指南，该指南对于围手术期护理的临床领导者而言易于理解且具有相关性。下一步是使用该指南并评估其在支持POPS服务实施方面的效用。
