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Interprofessional perspectives on care for patients with low anterior resection syndrome : a qualitative study

Eva Pape (UGent) , Dora Van Haver, An Lievrouw (UGent) , Yves Van Nieuwenhove (UGent) , Dirk Van de Putte (UGent) , Johan Van Ongeval, Sofie Rogge, Ann Van Hecke (UGent) , Elsie Decoene (UGent) , Pieter Deseyne, et al.
(2022) COLORECTAL DISEASE. 24(9). p.1032-1039
Author
Organization
Abstract
Aim: Many patients are confronted with low anterior resection syndrome after rectal surgery. The perspectives of both healthcare professionals and patients on the impact of bowel problems may differ. This study aimed to explore experiences of healthcare professionals on how to provide, organise and optimise care for patients with low anterior resection syndrome from an interprofessional perspective. Method: An explorative qualitative design was used. Healthcare professionals were recruited in October 2018 in one general teaching hospital and one university hospital. 21 healthcare professionals from different professions caring for patients with low anterior resection syndrome were included in three focus group interviews. Results: Healthcare professionals confirmed a lack of focus on patients who are confronted with low anterior resection syndrome and stated a need for a standardised approach of care. Additionally, three levels for care optimization emerged from the data: information before surgery with strong emphasis on the timing of informing, counselling of patients when confronted with low anterior resection syndrome and organisation of care. Conclusions: Healthcare professionals find it important to adopt the moment and amount of information to the coping mechanism and timing of the trajectory. Counselling and follow-up of patients with LARS should be organised proactively and should not remain restricted to pharmacological and nutritional advice. A possible strategy is to develop and implement late effects nurse-led clinics coordinated by the clinical nurse specialist.
Keywords
Gastroenterology, guidance, healthcare professionals, low anterior resection syndrome, qualitative research, rectal cancer, COLORECTAL-CANCER SURVIVORS, RECTAL-CANCER, FUNCTIONAL OUTCOMES, FOLLOW-UP, EXPERIENCES, EXCISION, NEEDS

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MLA
Pape, Eva, et al. “Interprofessional Perspectives on Care for Patients with Low Anterior Resection Syndrome : A Qualitative Study.” COLORECTAL DISEASE, vol. 24, no. 9, 2022, pp. 1032–39, doi:10.1111/codi.16145.
APA
Pape, E., Van Haver, D., Lievrouw, A., Van Nieuwenhove, Y., Van de Putte, D., Van Ongeval, J., … The Belgian LARS collaborative group, [missing]. (2022). Interprofessional perspectives on care for patients with low anterior resection syndrome : a qualitative study. COLORECTAL DISEASE, 24(9), 1032–1039. https://doi.org/10.1111/codi.16145
Chicago author-date
Pape, Eva, Dora Van Haver, An Lievrouw, Yves Van Nieuwenhove, Dirk Van de Putte, Johan Van Ongeval, Sofie Rogge, et al. 2022. “Interprofessional Perspectives on Care for Patients with Low Anterior Resection Syndrome : A Qualitative Study.” COLORECTAL DISEASE 24 (9): 1032–39. https://doi.org/10.1111/codi.16145.
Chicago author-date (all authors)
Pape, Eva, Dora Van Haver, An Lievrouw, Yves Van Nieuwenhove, Dirk Van de Putte, Johan Van Ongeval, Sofie Rogge, Ann Van Hecke, Elsie Decoene, Pieter Deseyne, Karen Geboes, Piet Pattyn, Gabriëlle van Ramshorst, Isabel Vlerick, EVELIEN DEBRUYNE, Kjell Fierens, Lise-Marie Kinnaer, Sofie Verhaeghe, and [missing] The Belgian LARS collaborative group. 2022. “Interprofessional Perspectives on Care for Patients with Low Anterior Resection Syndrome : A Qualitative Study.” COLORECTAL DISEASE 24 (9): 1032–1039. doi:10.1111/codi.16145.
Vancouver
1.
Pape E, Van Haver D, Lievrouw A, Van Nieuwenhove Y, Van de Putte D, Van Ongeval J, et al. Interprofessional perspectives on care for patients with low anterior resection syndrome : a qualitative study. COLORECTAL DISEASE. 2022;24(9):1032–9.
IEEE
[1]
E. Pape et al., “Interprofessional perspectives on care for patients with low anterior resection syndrome : a qualitative study,” COLORECTAL DISEASE, vol. 24, no. 9, pp. 1032–1039, 2022.
@article{8749824,
  abstract     = {{Aim: Many patients are confronted with low anterior resection syndrome after rectal surgery. The perspectives of both healthcare professionals and patients on the impact of bowel problems may differ. This study aimed to explore experiences of healthcare professionals on how to provide, organise and optimise care for patients with low anterior resection syndrome from an interprofessional perspective.
Method: An explorative qualitative design was used. Healthcare professionals were recruited in October 2018 in one general teaching hospital and one university hospital. 21 healthcare professionals from different professions caring for patients with low anterior resection syndrome were included in three focus group interviews.
Results: Healthcare professionals confirmed a lack of focus on patients who are confronted with low anterior resection syndrome and stated a need for a standardised approach of care. Additionally, three levels for care optimization emerged from the data: information before surgery with strong emphasis on the timing of informing, counselling of patients when confronted with low anterior resection syndrome and organisation of care.
Conclusions: Healthcare professionals find it important to adopt the moment and amount of information to the coping mechanism and timing of the trajectory. Counselling and follow-up of patients with LARS should be organised proactively and should not remain restricted to pharmacological and nutritional advice. A possible strategy is to develop and implement late effects nurse-led clinics coordinated by the clinical nurse specialist.}},
  author       = {{Pape, Eva and Van Haver, Dora and Lievrouw, An and Van Nieuwenhove, Yves and Van de Putte, Dirk and Van Ongeval, Johan and Rogge, Sofie and Van Hecke, Ann and Decoene, Elsie and Deseyne, Pieter and Geboes, Karen and Pattyn, Piet and van Ramshorst, Gabriëlle and Vlerick, Isabel and DEBRUYNE, EVELIEN and Fierens, Kjell and Kinnaer, Lise-Marie and Verhaeghe, Sofie and The Belgian LARS collaborative group, [missing]}},
  issn         = {{1462-8910}},
  journal      = {{COLORECTAL DISEASE}},
  keywords     = {{Gastroenterology,guidance,healthcare professionals,low anterior resection syndrome,qualitative research,rectal cancer,COLORECTAL-CANCER SURVIVORS,RECTAL-CANCER,FUNCTIONAL OUTCOMES,FOLLOW-UP,EXPERIENCES,EXCISION,NEEDS}},
  language     = {{eng}},
  number       = {{9}},
  pages        = {{1032--1039}},
  title        = {{Interprofessional perspectives on care for patients with low anterior resection syndrome : a qualitative study}},
  url          = {{http://doi.org/10.1111/codi.16145}},
  volume       = {{24}},
  year         = {{2022}},
}
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