Using qualitative research methods to understand how surgical procedures and devices are introduced into NHS hospitals: the Lotus study protocol

Introduction The development of innovative invasive procedures and devices are essential to improving outcomes in healthcare. However, how these are introduced into practice has not been studied in detail. The Lotus study will follow a wide range of ‘case studies’ of new procedures and/or devices be...

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Main Authors: Jane M Blazeby, Natalie S Blencowe, Anni Skilton, Jenny Donovan, Kerry Avery, Sian Cousins, Daisy Elliott, Hollie Richards, Jesmond Zahra, Sangeetha Paramasivan, Johnny Mathews, Barry Main, Shelley Potter, Cynthia Ochieng, Christin Hoffmann, Angus GK McNair, Sina Hossaini, Darren L Scroggie
Format: Article
Language:English
Published: BMJ Publishing Group 2021-12-01
Series:BMJ Open
Online Access:https://bmjopen.bmj.com/content/11/12/e049234.full
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author Jane M Blazeby
Natalie S Blencowe
Anni Skilton
Jenny Donovan
Kerry Avery
Sian Cousins
Daisy Elliott
Hollie Richards
Jesmond Zahra
Sangeetha Paramasivan
Johnny Mathews
Barry Main
Shelley Potter
Cynthia Ochieng
Christin Hoffmann
Angus GK McNair
Sina Hossaini
Darren L Scroggie
author_facet Jane M Blazeby
Natalie S Blencowe
Anni Skilton
Jenny Donovan
Kerry Avery
Sian Cousins
Daisy Elliott
Hollie Richards
Jesmond Zahra
Sangeetha Paramasivan
Johnny Mathews
Barry Main
Shelley Potter
Cynthia Ochieng
Christin Hoffmann
Angus GK McNair
Sina Hossaini
Darren L Scroggie
author_sort Jane M Blazeby
collection DOAJ
description Introduction The development of innovative invasive procedures and devices are essential to improving outcomes in healthcare. However, how these are introduced into practice has not been studied in detail. The Lotus study will follow a wide range of ‘case studies’ of new procedures and/or devices being introduced into NHS trusts to explore what information is communicated to patients, how procedures are modified over time and how outcomes are selected and reported.Methods and analysis This qualitative study will use ethnographic approaches to investigate how new invasive procedures and/or devices are introduced. Consultations in which the innovation is discussed will be audio-recorded to understand information provision practice. To understand if and how procedures evolve, they will be video recorded and non-participant observations will be conducted. Post-operative interviews will be conducted with the innovating team and patients who are eligible for the intervention. Audio-recordings will be audio-recorded, transcribed verbatim and analysed thematically using constant comparison techniques. Video-recordings will be reviewed to deconstruct procedures into key components and document how the procedure evolves. Comparisons will be made between the different data sources.Ethics and dissemination The study protocol has Health Research Authority (HRA) and Health and Care Research Wales approval (Ref 18/SW/0277). Results will be disseminated at appropriate conferences and will be published in peer-reviewed journals. The findings of this study will provide a better understanding of how innovative invasive procedures and/or devices are introduced into practice.
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spelling doaj-art-58ac2a39bf8445f29bc7b14cf90be9082025-08-20T02:21:52ZengBMJ Publishing GroupBMJ Open2044-60552021-12-01111210.1136/bmjopen-2021-049234Using qualitative research methods to understand how surgical procedures and devices are introduced into NHS hospitals: the Lotus study protocolJane M Blazeby0Natalie S Blencowe1Anni Skilton2Jenny Donovan3Kerry Avery4Sian Cousins5Daisy Elliott6Hollie Richards7Jesmond Zahra8Sangeetha Paramasivan9Johnny Mathews10Barry Main11Shelley Potter12Cynthia Ochieng13Christin Hoffmann14Angus GK McNair15Sina Hossaini16Darren L Scroggie17National Institute for Health and Care Research Bristol Biomedical Research Centre, Bristol Centre for Surgical Research, Bristol Medical School: Population Health Sciences, University of Bristol, Bristol, UKNational Institute for Health and Care Research Bristol Biomedical Research Centre, Bristol Centre for Surgical Research, Bristol Medical School, Population Health Sciences, University of Bristol, Bristol, UKNational Institute for Health Research Bristol Biomedical Research Centre, Surgical Innovation Theme, Centre for Surgical Research, University of Bristol, Bristol, UKPopulation Health Sciences, Bristol Medical School, University of Bristol, Bristol, UKNational Institute for Health and Care Research Bristol Biomedical Research Centre, Bristol Centre for Surgical Research, Bristol Medical School, Population Health Sciences, University of Bristol, Bristol, UKNational Institute for Health Research Bristol Biomedical Research Centre Surgical and Orthopaedic Innovation Theme, Bristol Centre for Surgical Research, Bristol Medical School, University of Bristol Medical School, Bristol, UKNational Institute for Health and Care Research Bristol Biomedical Research Centre, Bristol Centre for Surgical Research, Bristol Medical School, Population Health Sciences, University of Bristol, Bristol, UKPopulation Health Sciences, University of Bristol, Bristol, UKPopulation Health Sciences, University of Bristol, Bristol, UKPopulation Health Sciences, University of Bristol, Bristol, UKPopulation Health Sciences, University of Bristol, Bristol, UK1 Bristol Dental School, Faculty of Health Sciences, University of Bristol, Bristol, UKPopulation Health Sciences, University of Bristol Medical School, Bristol, UKNational Institute for Health Research Bristol Biomedical Research Centre, Surgical Innovation Theme, Centre for Surgical Research, University of Bristol, Bristol, UKNational Institute for Health and Care Research Bristol Biomedical Research Centre, Bristol Centre for Surgical Research, Bristol Medical School, Population Health Sciences, University of Bristol, Bristol, UKCentre for Surgical Research, Bristol Medical School: Population Health Sciences, University of Bristol, Bristol, Avon, UKNational Institute for Health Research Bristol Biomedical Research Centre, Surgical Innovation Theme, Centre for Surgical Research, University of Bristol, Bristol, UKNational Institute for Health Research Bristol Biomedical Research Centre Surgical and Orthopaedic Innovation Theme, Bristol Centre for Surgical Research, Bristol Medical School, University of Bristol Medical School, Bristol, UKIntroduction The development of innovative invasive procedures and devices are essential to improving outcomes in healthcare. However, how these are introduced into practice has not been studied in detail. The Lotus study will follow a wide range of ‘case studies’ of new procedures and/or devices being introduced into NHS trusts to explore what information is communicated to patients, how procedures are modified over time and how outcomes are selected and reported.Methods and analysis This qualitative study will use ethnographic approaches to investigate how new invasive procedures and/or devices are introduced. Consultations in which the innovation is discussed will be audio-recorded to understand information provision practice. To understand if and how procedures evolve, they will be video recorded and non-participant observations will be conducted. Post-operative interviews will be conducted with the innovating team and patients who are eligible for the intervention. Audio-recordings will be audio-recorded, transcribed verbatim and analysed thematically using constant comparison techniques. Video-recordings will be reviewed to deconstruct procedures into key components and document how the procedure evolves. Comparisons will be made between the different data sources.Ethics and dissemination The study protocol has Health Research Authority (HRA) and Health and Care Research Wales approval (Ref 18/SW/0277). Results will be disseminated at appropriate conferences and will be published in peer-reviewed journals. The findings of this study will provide a better understanding of how innovative invasive procedures and/or devices are introduced into practice.https://bmjopen.bmj.com/content/11/12/e049234.full
spellingShingle Jane M Blazeby
Natalie S Blencowe
Anni Skilton
Jenny Donovan
Kerry Avery
Sian Cousins
Daisy Elliott
Hollie Richards
Jesmond Zahra
Sangeetha Paramasivan
Johnny Mathews
Barry Main
Shelley Potter
Cynthia Ochieng
Christin Hoffmann
Angus GK McNair
Sina Hossaini
Darren L Scroggie
Using qualitative research methods to understand how surgical procedures and devices are introduced into NHS hospitals: the Lotus study protocol
BMJ Open
title Using qualitative research methods to understand how surgical procedures and devices are introduced into NHS hospitals: the Lotus study protocol
title_full Using qualitative research methods to understand how surgical procedures and devices are introduced into NHS hospitals: the Lotus study protocol
title_fullStr Using qualitative research methods to understand how surgical procedures and devices are introduced into NHS hospitals: the Lotus study protocol
title_full_unstemmed Using qualitative research methods to understand how surgical procedures and devices are introduced into NHS hospitals: the Lotus study protocol
title_short Using qualitative research methods to understand how surgical procedures and devices are introduced into NHS hospitals: the Lotus study protocol
title_sort using qualitative research methods to understand how surgical procedures and devices are introduced into nhs hospitals the lotus study protocol
url https://bmjopen.bmj.com/content/11/12/e049234.full
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