In person and virtual process mapping experiences to capture and explore variability in clinical practice: application to genetic referral pathways across seven Australian hospital networks.
Morrow, A
Steinberg, J
Chan, P
Tiernan, G
Kennedy, E
Egoroff, N
Hilton, D
Sankey, L
Venchiarutti, R
Hayward, A
Pearn, A
McKay, S
Debono, D
Hogden, E
Taylor, N
- Publisher:
- OXFORD UNIV PRESS
- Publication Type:
- Journal Article
- Citation:
- Transl Behav Med, 2023, 13, (8), pp. 561-570
- Issue Date:
- 2023-08-11
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Full metadata record
Field | Value | Language |
---|---|---|
dc.contributor.author | Morrow, A | |
dc.contributor.author | Steinberg, J | |
dc.contributor.author | Chan, P | |
dc.contributor.author | Tiernan, G | |
dc.contributor.author | Kennedy, E | |
dc.contributor.author | Egoroff, N | |
dc.contributor.author | Hilton, D | |
dc.contributor.author | Sankey, L | |
dc.contributor.author | Venchiarutti, R | |
dc.contributor.author | Hayward, A | |
dc.contributor.author | Pearn, A | |
dc.contributor.author | McKay, S | |
dc.contributor.author |
Debono, D https://orcid.org/0000-0003-2095-156X |
|
dc.contributor.author | Hogden, E | |
dc.contributor.author | Taylor, N | |
dc.date.accessioned | 2024-01-15T06:10:25Z | |
dc.date.available | 2024-01-15T06:10:25Z | |
dc.date.issued | 2023-08-11 | |
dc.identifier.citation | Transl Behav Med, 2023, 13, (8), pp. 561-570 | |
dc.identifier.issn | 1869-6716 | |
dc.identifier.issn | 1613-9860 | |
dc.identifier.uri | http://hdl.handle.net/10453/174495 | |
dc.description.abstract | Genetic referral for Lynch syndrome (LS) exemplifies complex clinical pathways. Identifying target behaviours (TBs) for change and associated barriers requires structured group consultation activities with busy clinicians - consolidating implementation activities whilst retaining rigour is crucial. This study aimed to: i) use process mapping to gain in-depth understandings of site-specific LS testing and referral practices in Australian hospitals and support identification of TBs for change, ii) explore if barriers to identified TBs could be identified through process mapping focus-group data, and iii) demonstrate pandemic-induced transition from in-person to virtual group interactive process mapping methods. LS clinical stakeholders attended interactive in-person or virtual focus groups to develop site-specific "process maps" visually representing referral pathways. Content analysis of transcriptions informed site-specific process maps, then clinical audit data was compared to highlight TBs for change. TBs were reviewed in follow-up focus groups. Secondary thematic analysis explored barriers to identified TBs, coded against the Theoretical Domains Framework (TDF). The transition from in-person to pandemic-induced virtual group interactive process mapping methods was documented. Process mapping highlighted six key areas of clinical practice variation across sites and site-specific TBs for change were identified. Key barriers to identified TBs emerged, categorised to seven TDF domains. Process mapping revealed variations in clinical practices surrounding LS referral between sites. Incorporating qualitative perspectives enhances process mapping by facilitating identification of TBs for change and barriers, providing a pathway to developing targeted interventions. Virtual process mapping activities produced detailed data and enabled comprehensive map development. | |
dc.format | ||
dc.language | eng | |
dc.publisher | OXFORD UNIV PRESS | |
dc.relation.ispartof | Transl Behav Med | |
dc.relation.isbasedon | 10.1093/tbm/ibad009 | |
dc.rights | info:eu-repo/semantics/openAccess | |
dc.subject | 1103 Clinical Sciences, 1112 Oncology and Carcinogenesis | |
dc.subject.classification | 32 Biomedical and clinical sciences | |
dc.subject.classification | 42 Health sciences | |
dc.subject.classification | 52 Psychology | |
dc.subject.mesh | Humans | |
dc.subject.mesh | Australia | |
dc.subject.mesh | Hospitals | |
dc.subject.mesh | Referral and Consultation | |
dc.subject.mesh | Colorectal Neoplasms, Hereditary Nonpolyposis | |
dc.subject.mesh | Focus Groups | |
dc.subject.mesh | Humans | |
dc.subject.mesh | Colorectal Neoplasms, Hereditary Nonpolyposis | |
dc.subject.mesh | Focus Groups | |
dc.subject.mesh | Hospitals | |
dc.subject.mesh | Referral and Consultation | |
dc.subject.mesh | Australia | |
dc.subject.mesh | Humans | |
dc.subject.mesh | Australia | |
dc.subject.mesh | Hospitals | |
dc.subject.mesh | Referral and Consultation | |
dc.subject.mesh | Colorectal Neoplasms, Hereditary Nonpolyposis | |
dc.subject.mesh | Focus Groups | |
dc.title | In person and virtual process mapping experiences to capture and explore variability in clinical practice: application to genetic referral pathways across seven Australian hospital networks. | |
dc.type | Journal Article | |
utslib.citation.volume | 13 | |
utslib.location.activity | England | |
utslib.for | 1103 Clinical Sciences | |
utslib.for | 1112 Oncology and Carcinogenesis | |
pubs.organisational-group | /University of Technology Sydney | |
pubs.organisational-group | /University of Technology Sydney/Faculty of Health | |
pubs.organisational-group | /University of Technology Sydney/Faculty of Health/Public Health | |
utslib.copyright.status | open_access | * |
dc.date.updated | 2024-01-15T06:10:22Z | |
pubs.issue | 8 | |
pubs.publication-status | Published | |
pubs.volume | 13 | |
utslib.citation.issue | 8 |
Abstract:
Genetic referral for Lynch syndrome (LS) exemplifies complex clinical pathways. Identifying target behaviours (TBs) for change and associated barriers requires structured group consultation activities with busy clinicians - consolidating implementation activities whilst retaining rigour is crucial. This study aimed to: i) use process mapping to gain in-depth understandings of site-specific LS testing and referral practices in Australian hospitals and support identification of TBs for change, ii) explore if barriers to identified TBs could be identified through process mapping focus-group data, and iii) demonstrate pandemic-induced transition from in-person to virtual group interactive process mapping methods. LS clinical stakeholders attended interactive in-person or virtual focus groups to develop site-specific "process maps" visually representing referral pathways. Content analysis of transcriptions informed site-specific process maps, then clinical audit data was compared to highlight TBs for change. TBs were reviewed in follow-up focus groups. Secondary thematic analysis explored barriers to identified TBs, coded against the Theoretical Domains Framework (TDF). The transition from in-person to pandemic-induced virtual group interactive process mapping methods was documented. Process mapping highlighted six key areas of clinical practice variation across sites and site-specific TBs for change were identified. Key barriers to identified TBs emerged, categorised to seven TDF domains. Process mapping revealed variations in clinical practices surrounding LS referral between sites. Incorporating qualitative perspectives enhances process mapping by facilitating identification of TBs for change and barriers, providing a pathway to developing targeted interventions. Virtual process mapping activities produced detailed data and enabled comprehensive map development.
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