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Community nurses perspectives and experiences of the community based on the ground education programme for managing chronic oedema/legulcers: a focus group evaluation

Tessa Watts Orcid Logo

Swansea University Author: Tessa Watts Orcid Logo

Abstract

This report is a component of a larger study conducted by Swansea Centre for Health Economics, evaluating chronic oedema management in community settings. The aim of the project reported here was to evaluate the on the ground education programme from the perspective of community nursing staff who ca...

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Published: 2017
URI: https://cronfa.swan.ac.uk/Record/cronfa36006
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fullrecord <?xml version="1.0"?><rfc1807><datestamp>2018-01-19T09:43:43.3723344</datestamp><bib-version>v2</bib-version><id>36006</id><entry>2017-10-11</entry><title>Community nurses perspectives and experiences of the community based on the ground education programme for managing chronic oedema/legulcers: a focus group evaluation</title><swanseaauthors><author><sid>645eba17f8610ddff17b5022bc7f279c</sid><ORCID>0000-0002-1201-5192</ORCID><firstname>Tessa</firstname><surname>Watts</surname><name>Tessa Watts</name><active>true</active><ethesisStudent>false</ethesisStudent></author></swanseaauthors><date>2017-10-11</date><deptcode>FGMHL</deptcode><abstract>This report is a component of a larger study conducted by Swansea Centre for Health Economics, evaluating chronic oedema management in community settings. The aim of the project reported here was to evaluate the on the ground education programme from the perspective of community nursing staff who care for people with chronic oedema/ leg ulcers. The ultimate goal of the education programme was to enhance community nurses&#x2019; of chronic oedema/leg ulcer prevention and management. Chronic oedema/leg ulcers have an enduring and profound, impact on the life quality of those who are affected by these conditions. Community nurses spend a considerable proportion of their time caring for people with chronic oedema/ leg ulcers (Chamanga et al. 2014, Benson et al. 2016). Additionally the conditions place an enormous burden on the National Health Service. As financial austerity continues and the prevalence of these conditions is projected to increase, it is essential that innovative, sustainable solutions in terms of prevention and safe, effective management are found so that positive outcomes for patients and clinical efficiency are optimised. The on the ground education programme for chronic oedema/leg ulcers was conceived and developed by Lymphoedema Network Wales. The intervention was designed to deliver education and support within community nurses&#x2019; workplaces, thereby reducing the need for study leave and enabling them to:&#x2022;Effectively manage chronic oedema/leg ulcers through health technology applications with the right products being utilised at the right time;&#x2022;Deliver care safely, reducing waste, harm and variation in prescribed treatments which are ineffective;&#x2022;Reduce inefficient treatments and use of time.This evaluation was conducted over a short period of time at the end of 2016 and utilised a qualitative inductive approach. Data were generated from community nurses (n=12) within one University Health Board by means of focus group interviews (n=3). Participant anonymity was assured and has been preserved and promoted throughout this report. Every study will have methodological constraints and this small scale evaluation is no exception. The sample size is small, confined to one small area of Wales. Staff /caseload ratios were quite heterogeneous and covered disparate areas in terms of geography and the affluence-poverty nexus.The main findings indicated that the education programme had enhanced community nurses&#x2019; awareness, knowledge and understanding of chronic oedema management However, concerns were expressed about certain aspects of care promoted within the programme in terms of community nurses&#x2019; own professional practice and the conditions in which they operated. The community nurses did indicate that they thought by enhancing their knowledge base benefit might be conferred for patients in relation to the following: improved quality of life; self-efficacy and self-management. However, community nurses perceived that the magnitude of perceived benefit was variable and contingent on engagement with and support for self-management. Finally, while there was broad agreement that the underpinning idea of the intervention was positive, community nurses felt that there was considerable scope for improvement in terms of the intervention&#x2019;s development and implementation and that long term sustainability of practice change was contingent on the presence of a lymphoedema specialist embedded within the locality to work with and across the different teams engaged in chronic oedema/leg ulcer care.</abstract><type>ResearchReportExternalBody</type><journal/><publisher/><keywords/><publishedDay>31</publishedDay><publishedMonth>12</publishedMonth><publishedYear>2017</publishedYear><publishedDate>2017-12-31</publishedDate><doi/><url/><notes/><college>COLLEGE NANME</college><department>Medicine, Health and Life Science - Faculty</department><CollegeCode>COLLEGE CODE</CollegeCode><DepartmentCode>FGMHL</DepartmentCode><institution>Swansea University</institution><apcterm/><lastEdited>2018-01-19T09:43:43.3723344</lastEdited><Created>2017-10-11T10:08:16.2581362</Created><path><level id="1">Faculty of Medicine, Health and Life Sciences</level><level id="2">School of Health and Social Care - Nursing</level></path><authors><author><firstname>Tessa</firstname><surname>Watts</surname><orcid>0000-0002-1201-5192</orcid><order>1</order></author></authors><documents><document><filename>0036006-11102017100906.pdf</filename><originalFilename>CommuityNursesPerspectivesandExperiencesEtc-March2017.pdf</originalFilename><uploaded>2017-10-11T10:09:06.1800000</uploaded><type>Output</type><contentLength>857421</contentLength><contentType>application/pdf</contentType><version>Author's Original</version><cronfaStatus>true</cronfaStatus><embargoDate>2017-10-11T00:00:00.0000000</embargoDate><copyrightCorrect>true</copyrightCorrect><language>eng</language></document></documents><OutputDurs/></rfc1807>
spelling 2018-01-19T09:43:43.3723344 v2 36006 2017-10-11 Community nurses perspectives and experiences of the community based on the ground education programme for managing chronic oedema/legulcers: a focus group evaluation 645eba17f8610ddff17b5022bc7f279c 0000-0002-1201-5192 Tessa Watts Tessa Watts true false 2017-10-11 FGMHL This report is a component of a larger study conducted by Swansea Centre for Health Economics, evaluating chronic oedema management in community settings. The aim of the project reported here was to evaluate the on the ground education programme from the perspective of community nursing staff who care for people with chronic oedema/ leg ulcers. The ultimate goal of the education programme was to enhance community nurses’ of chronic oedema/leg ulcer prevention and management. Chronic oedema/leg ulcers have an enduring and profound, impact on the life quality of those who are affected by these conditions. Community nurses spend a considerable proportion of their time caring for people with chronic oedema/ leg ulcers (Chamanga et al. 2014, Benson et al. 2016). Additionally the conditions place an enormous burden on the National Health Service. As financial austerity continues and the prevalence of these conditions is projected to increase, it is essential that innovative, sustainable solutions in terms of prevention and safe, effective management are found so that positive outcomes for patients and clinical efficiency are optimised. The on the ground education programme for chronic oedema/leg ulcers was conceived and developed by Lymphoedema Network Wales. The intervention was designed to deliver education and support within community nurses’ workplaces, thereby reducing the need for study leave and enabling them to:•Effectively manage chronic oedema/leg ulcers through health technology applications with the right products being utilised at the right time;•Deliver care safely, reducing waste, harm and variation in prescribed treatments which are ineffective;•Reduce inefficient treatments and use of time.This evaluation was conducted over a short period of time at the end of 2016 and utilised a qualitative inductive approach. Data were generated from community nurses (n=12) within one University Health Board by means of focus group interviews (n=3). Participant anonymity was assured and has been preserved and promoted throughout this report. Every study will have methodological constraints and this small scale evaluation is no exception. The sample size is small, confined to one small area of Wales. Staff /caseload ratios were quite heterogeneous and covered disparate areas in terms of geography and the affluence-poverty nexus.The main findings indicated that the education programme had enhanced community nurses’ awareness, knowledge and understanding of chronic oedema management However, concerns were expressed about certain aspects of care promoted within the programme in terms of community nurses’ own professional practice and the conditions in which they operated. The community nurses did indicate that they thought by enhancing their knowledge base benefit might be conferred for patients in relation to the following: improved quality of life; self-efficacy and self-management. However, community nurses perceived that the magnitude of perceived benefit was variable and contingent on engagement with and support for self-management. Finally, while there was broad agreement that the underpinning idea of the intervention was positive, community nurses felt that there was considerable scope for improvement in terms of the intervention’s development and implementation and that long term sustainability of practice change was contingent on the presence of a lymphoedema specialist embedded within the locality to work with and across the different teams engaged in chronic oedema/leg ulcer care. ResearchReportExternalBody 31 12 2017 2017-12-31 COLLEGE NANME Medicine, Health and Life Science - Faculty COLLEGE CODE FGMHL Swansea University 2018-01-19T09:43:43.3723344 2017-10-11T10:08:16.2581362 Faculty of Medicine, Health and Life Sciences School of Health and Social Care - Nursing Tessa Watts 0000-0002-1201-5192 1 0036006-11102017100906.pdf CommuityNursesPerspectivesandExperiencesEtc-March2017.pdf 2017-10-11T10:09:06.1800000 Output 857421 application/pdf Author's Original true 2017-10-11T00:00:00.0000000 true eng
title Community nurses perspectives and experiences of the community based on the ground education programme for managing chronic oedema/legulcers: a focus group evaluation
spellingShingle Community nurses perspectives and experiences of the community based on the ground education programme for managing chronic oedema/legulcers: a focus group evaluation
Tessa Watts
title_short Community nurses perspectives and experiences of the community based on the ground education programme for managing chronic oedema/legulcers: a focus group evaluation
title_full Community nurses perspectives and experiences of the community based on the ground education programme for managing chronic oedema/legulcers: a focus group evaluation
title_fullStr Community nurses perspectives and experiences of the community based on the ground education programme for managing chronic oedema/legulcers: a focus group evaluation
title_full_unstemmed Community nurses perspectives and experiences of the community based on the ground education programme for managing chronic oedema/legulcers: a focus group evaluation
title_sort Community nurses perspectives and experiences of the community based on the ground education programme for managing chronic oedema/legulcers: a focus group evaluation
author_id_str_mv 645eba17f8610ddff17b5022bc7f279c
author_id_fullname_str_mv 645eba17f8610ddff17b5022bc7f279c_***_Tessa Watts
author Tessa Watts
author2 Tessa Watts
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publishDate 2017
institution Swansea University
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hierarchy_top_title Faculty of Medicine, Health and Life Sciences
hierarchy_parent_id facultyofmedicinehealthandlifesciences
hierarchy_parent_title Faculty of Medicine, Health and Life Sciences
department_str School of Health and Social Care - Nursing{{{_:::_}}}Faculty of Medicine, Health and Life Sciences{{{_:::_}}}School of Health and Social Care - Nursing
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description This report is a component of a larger study conducted by Swansea Centre for Health Economics, evaluating chronic oedema management in community settings. The aim of the project reported here was to evaluate the on the ground education programme from the perspective of community nursing staff who care for people with chronic oedema/ leg ulcers. The ultimate goal of the education programme was to enhance community nurses’ of chronic oedema/leg ulcer prevention and management. Chronic oedema/leg ulcers have an enduring and profound, impact on the life quality of those who are affected by these conditions. Community nurses spend a considerable proportion of their time caring for people with chronic oedema/ leg ulcers (Chamanga et al. 2014, Benson et al. 2016). Additionally the conditions place an enormous burden on the National Health Service. As financial austerity continues and the prevalence of these conditions is projected to increase, it is essential that innovative, sustainable solutions in terms of prevention and safe, effective management are found so that positive outcomes for patients and clinical efficiency are optimised. The on the ground education programme for chronic oedema/leg ulcers was conceived and developed by Lymphoedema Network Wales. The intervention was designed to deliver education and support within community nurses’ workplaces, thereby reducing the need for study leave and enabling them to:•Effectively manage chronic oedema/leg ulcers through health technology applications with the right products being utilised at the right time;•Deliver care safely, reducing waste, harm and variation in prescribed treatments which are ineffective;•Reduce inefficient treatments and use of time.This evaluation was conducted over a short period of time at the end of 2016 and utilised a qualitative inductive approach. Data were generated from community nurses (n=12) within one University Health Board by means of focus group interviews (n=3). Participant anonymity was assured and has been preserved and promoted throughout this report. Every study will have methodological constraints and this small scale evaluation is no exception. The sample size is small, confined to one small area of Wales. Staff /caseload ratios were quite heterogeneous and covered disparate areas in terms of geography and the affluence-poverty nexus.The main findings indicated that the education programme had enhanced community nurses’ awareness, knowledge and understanding of chronic oedema management However, concerns were expressed about certain aspects of care promoted within the programme in terms of community nurses’ own professional practice and the conditions in which they operated. The community nurses did indicate that they thought by enhancing their knowledge base benefit might be conferred for patients in relation to the following: improved quality of life; self-efficacy and self-management. However, community nurses perceived that the magnitude of perceived benefit was variable and contingent on engagement with and support for self-management. Finally, while there was broad agreement that the underpinning idea of the intervention was positive, community nurses felt that there was considerable scope for improvement in terms of the intervention’s development and implementation and that long term sustainability of practice change was contingent on the presence of a lymphoedema specialist embedded within the locality to work with and across the different teams engaged in chronic oedema/leg ulcer care.
published_date 2017-12-31T03:44:57Z
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