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Following a standardised pathway: Healthcare professionals' perspectives on person-centred care within ERAS for patients with colorectal cancer Passed

Wednesday May 15, 2024 14:30 - 15:13 Poster Arena

Presenter: Åsa Petersson

Track: Posters, Evaluation of Interventions

Poster can be found in location 110.

Background: Enhanced Recovery After Surgery (ERAS) is used within the care of colorectal cancer to optimize recovery and participation (1). Despite this, the healthcare professionals describe a discrepancy between following standardized processes and achieving person-centred care (2, 3). Previous research has mainly focused on the clinical benefits of ERAS and person-centred care (4,5), while studies exploring health care professional’s perceptions of person-centeredness in standardized colorectal cancer care are sparse. Aim: To describe healthcare professionals’ perceptions of person-centred care for patients with colorectal cancer, within the standardized pathway of ERAS. Design: Qualitative descriptive design was used. Methods: The study was conducted in a hospital, south of Sweden from January to February 2020. Data were collected by using focus groups interviews, four focus groups interviews were held including 22 health care professionals. Data were analysed using deductive content analysis according to Hsieh and Shannon (6). Results: The findings, presented in three themes, Framework in the healthcare system, Facing differences in participation and Interacting with the person beyond the illness. The themes reflect the healthcare professionals’ perceptions of conditions for person- centred care within ERAS. The main findings were related to the interactions between healthcare professionals and patients, and the impact of a traditional hierarchical culture. Conclusion: A mismatch was found between ERAS and the fundamentals of nursing practice. The healthcare professionals strived to create an interprofessional environment with conditions for person- centred care, despite obstacles such as the structure of care and absence of organizational support. To achieve person- centred care, the relationship between healthcare professionals’ and patient should be balanced, and the different perspectives must be respected and treated as equal. ERAS and person- centred care can be combined but cannot be seen as a straight path of clinical intentions, but rather as a multidimensional network leading to a mutual goal.  

Language

English

Seminar type

Poster

Conference

GCPCC

Authors

Åsa Petersson, Kristina Schildmeijer, Amanda Hellström, Jeanette Assarsson

Lecturers

Åsa Petersson Presenter

Specialist Nurse in Surgical Care, PhD-student
Linneuniveritetet

Worked as a nurse since 2000, and became Specialist Nurse in Surgical Care 2011,
was accepted as a PhD student in 2021, and now works part-time in clinical surgery and part-time at Linnaeus University, with the project: "Strengthened patient participation in colorectal cancer care – person-centred approaches within standardized care pathways".
This means that clinical practice can be studied, obstacles can be identified and improvement can be implemented directly in the
everyday clinical practice, from a person-centered perspective.
In my profession, I strive to further develop nursing in an evidence-based and person-centered way, as well as to lead colleagues in an inspiring and joyful spirit.