Collaborating with healthcare providers to understand their perspectives on a hospital-to-home warning signs intervention for rural transitional care: protocol of a multimethod descriptive study

Introduction This study builds on our prior research, which identified that older rural patients and families (1) view preparation for detecting and responding to worsening health conditions as their most pressing unmet transitional care (TC) need and (2) perceive an evidence-based intervention, pre...

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Main Authors: Mark W Skinner, Souraya Sidani, Mary T Fox, Jeffrey I Butler, Evelyne Durocher, Behdin Nowrouzi-Kia, Janet Yamada, Sherry Dahlke
Format: Article
Language:English
Published: BMJ Publishing Group 2020-04-01
Series:BMJ Open
Online Access:https://bmjopen.bmj.com/content/10/4/e034698.full
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author Mark W Skinner
Souraya Sidani
Mary T Fox
Jeffrey I Butler
Evelyne Durocher
Behdin Nowrouzi-Kia
Janet Yamada
Sherry Dahlke
author_facet Mark W Skinner
Souraya Sidani
Mary T Fox
Jeffrey I Butler
Evelyne Durocher
Behdin Nowrouzi-Kia
Janet Yamada
Sherry Dahlke
author_sort Mark W Skinner
collection DOAJ
description Introduction This study builds on our prior research, which identified that older rural patients and families (1) view preparation for detecting and responding to worsening health conditions as their most pressing unmet transitional care (TC) need and (2) perceive an evidence-based intervention, preparing them to detect and respond to warning signs of worsening health conditions, as highly likely to meet this need. Yet, what healthcare providers need to implement a warning signs intervention in rural TC is unclear. The objectives of this study are (1) to examine healthcare providers’ perspectives on the acceptability of a warning signs intervention and (2) to identify barriers and facilitators to healthcare providers’ provision of the intervention in rural communities.Methods and analysis This multimethod descriptive study uses a community-based, participatory research approach. We will examine healthcare providers’ perspectives on a warning signs intervention. A purposive, criterion-based sample of healthcare providers stratified by professional designation (three strata: nurses, physicians and allied healthcare professionals) in two regions (Southwestern and Northeastern Ontario, Canada) will (1) rate the acceptability of the intervention and (2) participate in small (n=4–6 healthcare providers), semistructured telephone focus group discussions on barriers and facilitators to delivering the intervention in rural communities. Two to three focus groups per stratum will be held in each region for a total of 12–18 focus groups. Data will be analysed using conventional qualitative content analysis and descriptive statistics.Ethics and dissemination Ethics approval was obtained from the Office of Research Ethics at York University and the Health Sciences North Research Ethics Board. Findings will be communicated through plain language summary and policy briefs, press releases, manuscripts and conferences.
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spelling doaj-art-cf23d6de60b84520a68b2aa72bba544f2025-08-20T02:30:34ZengBMJ Publishing GroupBMJ Open2044-60552020-04-0110410.1136/bmjopen-2019-034698Collaborating with healthcare providers to understand their perspectives on a hospital-to-home warning signs intervention for rural transitional care: protocol of a multimethod descriptive studyMark W Skinner0Souraya Sidani1Mary T Fox2Jeffrey I Butler3Evelyne Durocher4Behdin Nowrouzi-Kia5Janet Yamada6Sherry Dahlke7Trent School of the Environment, Trent University, Peterborough, Ontario, CanadaDaphne Cockwell School of Nursing, Ryerson University, Toronto, Ontario, CanadaSchool of Nursing, York University, Toronto, Ontario, CanadaSchool of Nursing, York University, Toronto, Ontario, CanadaSchool of Rehabilitation Science, McMaster University, Hamilton, Ontario, CanadaDepartment of Occupational Science and Occupational Therapy, University of Toronto, Toronto, Ontario, CanadaToronto Metropolitan University Daphne Cockwell School of Nursing, Toronto, Ontario, CanadaFaculty of Nursing, University of Alberta, Edmonton, Alberta, CanadaIntroduction This study builds on our prior research, which identified that older rural patients and families (1) view preparation for detecting and responding to worsening health conditions as their most pressing unmet transitional care (TC) need and (2) perceive an evidence-based intervention, preparing them to detect and respond to warning signs of worsening health conditions, as highly likely to meet this need. Yet, what healthcare providers need to implement a warning signs intervention in rural TC is unclear. The objectives of this study are (1) to examine healthcare providers’ perspectives on the acceptability of a warning signs intervention and (2) to identify barriers and facilitators to healthcare providers’ provision of the intervention in rural communities.Methods and analysis This multimethod descriptive study uses a community-based, participatory research approach. We will examine healthcare providers’ perspectives on a warning signs intervention. A purposive, criterion-based sample of healthcare providers stratified by professional designation (three strata: nurses, physicians and allied healthcare professionals) in two regions (Southwestern and Northeastern Ontario, Canada) will (1) rate the acceptability of the intervention and (2) participate in small (n=4–6 healthcare providers), semistructured telephone focus group discussions on barriers and facilitators to delivering the intervention in rural communities. Two to three focus groups per stratum will be held in each region for a total of 12–18 focus groups. Data will be analysed using conventional qualitative content analysis and descriptive statistics.Ethics and dissemination Ethics approval was obtained from the Office of Research Ethics at York University and the Health Sciences North Research Ethics Board. Findings will be communicated through plain language summary and policy briefs, press releases, manuscripts and conferences.https://bmjopen.bmj.com/content/10/4/e034698.full
spellingShingle Mark W Skinner
Souraya Sidani
Mary T Fox
Jeffrey I Butler
Evelyne Durocher
Behdin Nowrouzi-Kia
Janet Yamada
Sherry Dahlke
Collaborating with healthcare providers to understand their perspectives on a hospital-to-home warning signs intervention for rural transitional care: protocol of a multimethod descriptive study
BMJ Open
title Collaborating with healthcare providers to understand their perspectives on a hospital-to-home warning signs intervention for rural transitional care: protocol of a multimethod descriptive study
title_full Collaborating with healthcare providers to understand their perspectives on a hospital-to-home warning signs intervention for rural transitional care: protocol of a multimethod descriptive study
title_fullStr Collaborating with healthcare providers to understand their perspectives on a hospital-to-home warning signs intervention for rural transitional care: protocol of a multimethod descriptive study
title_full_unstemmed Collaborating with healthcare providers to understand their perspectives on a hospital-to-home warning signs intervention for rural transitional care: protocol of a multimethod descriptive study
title_short Collaborating with healthcare providers to understand their perspectives on a hospital-to-home warning signs intervention for rural transitional care: protocol of a multimethod descriptive study
title_sort collaborating with healthcare providers to understand their perspectives on a hospital to home warning signs intervention for rural transitional care protocol of a multimethod descriptive study
url https://bmjopen.bmj.com/content/10/4/e034698.full
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