Key result
Structured information routines emerge as the most feasible intervention to improve recovery after complex EVAR.
Why the study?
Complex endovascular aortic repair involves tertiary surgical care with short in-hospital recovery, and patient and provider perspectives on improving recovery were needed.
What interventions can improve patient recovery after complex EVAR based on patient and healthcare professional experiences?
What interventions can improve patient recovery after complex EVAR based on patient and healthcare professional experiences?
Interventions facilitating communication, patient involvement, and support are relevant for improving recovery after complex EVAR, though feasibility depends on contextual factors.
May guide communication and involvement in complex EVAR recovery; leaves open prospective validation of routine impact.
OBJECTIVE: Complex endovascular aortic repair (EVAR) involves tertiary surgical care, with short in-hospital recovery. This study aimed to explore patients' and healthcare professionals' experiences of what can improve patient recovery after complex EVAR. METHODS: Three qualitative data collection stages building on each other were analysed with thematic analysis. Stages 1 and 2 separately explored patients' and healthcare professionals' experiences of what works well and what can be improved with current care. In stage 3, participants reviewed the relevance and feasibility of intervention suggestions. RESULTS: Three matching themes were identified in stages 1 and 2: Adequate information; Patient involvement; Continuity and follow-up. In stage 3: Individual care plan, Team meetings, and Contact nurse were all found relevant, while only Information routines was found both relevant and feasible. CONCLUSION: What patients and healthcare professionals experienced could improve patients recovery after complex EVAR seem universal for complex surgical patients, and relevant interventions were identified. However, the feasibility of person-centred interventions seem affected by various contextual factors, like current routines and availability of staff. PRACTICE IMPLICATIONS: Interventions that facilitate communication, both involving and supporting the patient, should be tested to strengthen patients' ability to self-care, and ensure access to care and support when needed.
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Haakseth et al. (2024) studied Complex endovascular aortic repair (EVAR) (n=30). Person-centred care interventions was evaluated on Experiences of what can improve patient recovery after complex EVAR. Patients and healthcare professionals identified adequate information, patient involvement, and continuity of care as key areas to improve recovery after complex EVAR, with structured information routines deemed the most feasible intervention.
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