Groping around in the dark for adequate COPD management: a qualitative study on experiences in long-term care
Abstract Background Chronic obstructive pulmonary disease (COPD) is one of the most common and deadliest chronic diseases worldwide. Since COPD is a chronic and progressive disease, treatment is necessary throughout life. For people with COPD who cannot live independently, long-term care facilities...
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ftdoajarticles:oai:doaj.org/article:0256f9e74d7a4f71b45b14e593fe6c27 2023-05-15T17:45:07+02:00 Groping around in the dark for adequate COPD management: a qualitative study on experiences in long-term care Sara Lundell Ulla-Maija Pesola André Nyberg Karin Wadell 2020-11-01T00:00:00Z https://doi.org/10.1186/s12913-020-05875-2 https://doaj.org/article/0256f9e74d7a4f71b45b14e593fe6c27 EN eng BMC http://link.springer.com/article/10.1186/s12913-020-05875-2 https://doaj.org/toc/1472-6963 doi:10.1186/s12913-020-05875-2 1472-6963 https://doaj.org/article/0256f9e74d7a4f71b45b14e593fe6c27 BMC Health Services Research, Vol 20, Iss 1, Pp 1-10 (2020) Chronic obstructive pulmonary disease Municipality Qualitative content analysis Sweden Organisation Healthcare professionals Public aspects of medicine RA1-1270 article 2020 ftdoajarticles https://doi.org/10.1186/s12913-020-05875-2 2022-12-31T13:34:36Z Abstract Background Chronic obstructive pulmonary disease (COPD) is one of the most common and deadliest chronic diseases worldwide. Since COPD is a chronic and progressive disease, treatment is necessary throughout life. For people with COPD who cannot live independently, long-term care facilities are often required. However, knowledge is very limited about aspects of importance for effective COPD management in these settings in accordance with current treatment guidelines. The aim of this study was to explore aspects of importance in long-term care facilities for providing interventions according to treatment guidelines for people with COPD, from the perspective of healthcare professionals, in an effort to prove novel knowledge that could be used to facilitate implementation of treatment guidelines in these settings. Methods A qualitative study was performed in northern Sweden. In Sweden, municipalities are responsible for providing long-term care. Interviews with 36 healthcare professionals (nurses, physiotherapists, occupational therapists and dieticians) in municipal healthcare were conducted and analysed using qualitative content analysis with triangulation by the authors. Results The overarching theme that emerged from the analysis was Groping around in the dark for adequate COPD management. This represents healthcare professionals’ experiences of working with a complex diagnosis somewhat overlooked in the municipal healthcare, an underdog in the healthcare system. The groping around in the dark theme further represents the healthcare professionals’ lack of COPD-related competence, lack of interprofessional collaboration, and insufficient communication with the county council. The fragile group of people with COPD and their relatives were considered in need of support adapted to their context, but routines and resources for COPD management were limited. This lack of routines and resources also resulted in professionals being pragmatic and adopting short-term solutions without focusing on specific needs ... Article in Journal/Newspaper Northern Sweden Directory of Open Access Journals: DOAJ Articles BMC Health Services Research 20 1 |
institution |
Open Polar |
collection |
Directory of Open Access Journals: DOAJ Articles |
op_collection_id |
ftdoajarticles |
language |
English |
topic |
Chronic obstructive pulmonary disease Municipality Qualitative content analysis Sweden Organisation Healthcare professionals Public aspects of medicine RA1-1270 |
spellingShingle |
Chronic obstructive pulmonary disease Municipality Qualitative content analysis Sweden Organisation Healthcare professionals Public aspects of medicine RA1-1270 Sara Lundell Ulla-Maija Pesola André Nyberg Karin Wadell Groping around in the dark for adequate COPD management: a qualitative study on experiences in long-term care |
topic_facet |
Chronic obstructive pulmonary disease Municipality Qualitative content analysis Sweden Organisation Healthcare professionals Public aspects of medicine RA1-1270 |
description |
Abstract Background Chronic obstructive pulmonary disease (COPD) is one of the most common and deadliest chronic diseases worldwide. Since COPD is a chronic and progressive disease, treatment is necessary throughout life. For people with COPD who cannot live independently, long-term care facilities are often required. However, knowledge is very limited about aspects of importance for effective COPD management in these settings in accordance with current treatment guidelines. The aim of this study was to explore aspects of importance in long-term care facilities for providing interventions according to treatment guidelines for people with COPD, from the perspective of healthcare professionals, in an effort to prove novel knowledge that could be used to facilitate implementation of treatment guidelines in these settings. Methods A qualitative study was performed in northern Sweden. In Sweden, municipalities are responsible for providing long-term care. Interviews with 36 healthcare professionals (nurses, physiotherapists, occupational therapists and dieticians) in municipal healthcare were conducted and analysed using qualitative content analysis with triangulation by the authors. Results The overarching theme that emerged from the analysis was Groping around in the dark for adequate COPD management. This represents healthcare professionals’ experiences of working with a complex diagnosis somewhat overlooked in the municipal healthcare, an underdog in the healthcare system. The groping around in the dark theme further represents the healthcare professionals’ lack of COPD-related competence, lack of interprofessional collaboration, and insufficient communication with the county council. The fragile group of people with COPD and their relatives were considered in need of support adapted to their context, but routines and resources for COPD management were limited. This lack of routines and resources also resulted in professionals being pragmatic and adopting short-term solutions without focusing on specific needs ... |
format |
Article in Journal/Newspaper |
author |
Sara Lundell Ulla-Maija Pesola André Nyberg Karin Wadell |
author_facet |
Sara Lundell Ulla-Maija Pesola André Nyberg Karin Wadell |
author_sort |
Sara Lundell |
title |
Groping around in the dark for adequate COPD management: a qualitative study on experiences in long-term care |
title_short |
Groping around in the dark for adequate COPD management: a qualitative study on experiences in long-term care |
title_full |
Groping around in the dark for adequate COPD management: a qualitative study on experiences in long-term care |
title_fullStr |
Groping around in the dark for adequate COPD management: a qualitative study on experiences in long-term care |
title_full_unstemmed |
Groping around in the dark for adequate COPD management: a qualitative study on experiences in long-term care |
title_sort |
groping around in the dark for adequate copd management: a qualitative study on experiences in long-term care |
publisher |
BMC |
publishDate |
2020 |
url |
https://doi.org/10.1186/s12913-020-05875-2 https://doaj.org/article/0256f9e74d7a4f71b45b14e593fe6c27 |
genre |
Northern Sweden |
genre_facet |
Northern Sweden |
op_source |
BMC Health Services Research, Vol 20, Iss 1, Pp 1-10 (2020) |
op_relation |
http://link.springer.com/article/10.1186/s12913-020-05875-2 https://doaj.org/toc/1472-6963 doi:10.1186/s12913-020-05875-2 1472-6963 https://doaj.org/article/0256f9e74d7a4f71b45b14e593fe6c27 |
op_doi |
https://doi.org/10.1186/s12913-020-05875-2 |
container_title |
BMC Health Services Research |
container_volume |
20 |
container_issue |
1 |
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1766147874542845952 |