98%
921
2 minutes
20
Background: Prehabilitation aims to optimize preoperative risk factors to better prepare the patient for the upcoming surgery. Nurses are an integral part of the multidisciplinary teams and are essential in promoting the effective implementation of prehabilitation. The aim of study was to explore factors affecting the implementation of prehabilitation from nurses' perspective.
Methods: In-depth interviews with semi-structured questions were conducted with sixteen nurses from December 2023 to January 2024. Data were analyzed through an inductive thematic analysis. The Consolidated Criteria for Reporting Qualitative Research (COREQ) checklist was used for reporting.
Results: Four themes with eight subthemes were identified: interprofessional collaboration (poor collaboration among multidisciplinary teams, lack of specialist nurse role), prehabilitation knowledge (limited prehabilitation training, the unstandardized prehabilitation pathway), organizational support (shortage of professional human resources, lack of hospital-level support), availability of equipment and facilities (medical equipment resource limitations, information technology support constraints).
Conclusion: This study enhanced our understanding of the challenges in delivering prehabilitation from the nurses' perspective. The findings provided insights into further improving the quality of the prehabilitation programme. Tailored interventions were needed to promote interprofessional collaboration, increase prehabilitation knowledge, enhance organizational support, and address the availability of equipment and facilities, all of which were crucial for the successful delivery of prehabilitation.
Trial Registration: Not applicable.
Download full-text PDF |
Source |
---|---|
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC12219941 | PMC |
http://dx.doi.org/10.1186/s12912-025-03466-2 | DOI Listing |
Nutr Clin Pract
August 2025
Faculty of Medicine and Health, Central Clinical School, The University of Sydney, Camperdown, New South Wales, Australia.
Attempts at behavior change have been shown to be more effective when interventions are based on evidence linked to an implementation framework. The Theoretical Domains Framework (TDF) and Behavior Change Wheel (BCW) provide a systematic way to map effective implementation strategies to address barriers and enablers to behavior change. This paper aims to outline the steps involved in designing and evaluating an intervention using the TDF and BCW, including (1) identifying barriers and enablers (TDF); (2) mapping barriers and enablers to the Capabilities, Opportunities, Motivation hub; and (3) identifying key interventions and specific strategies that are known to bring about behavior change.
View Article and Find Full Text PDFEur J Surg Oncol
August 2025
Department of Surgery, Máxima Medical Center, De Run 4600, Veldhoven, 5504 DB, the Netherlands.
Background: Prehabilitation is proven to be clinically effective, it has shown to decrease complication rate and length of hospital stay after colorectal cancer surgery. However, for broad implementation, information is needed on the financial impact of prehabilitation. This study evaluates the budget impact of a prehabilitation program for colorectal cancer surgery patients in the Netherlands.
View Article and Find Full Text PDFDiseases
July 2025
Fourth Department of Surgery, Medical School, Faculty of Health Sciences, Aristotle University of Thessaloniki, General Hospital "George Papanikolaou", 57010 Thessaloniki, Greece.
Background/objectives: Despite advancements in surgery, esophagectomy remains one of the most challenging and complex gastrointestinal surgical procedures, burdened by significant perioperative morbidity and mortality rates, as well as high financial costs. Recognizing the need for standardized care provided by a multidisciplinary healthcare team, the EUropean PErioperative MEdical Networking (EUPEMEN) initiative developed a dedicated protocol for perioperative care of patients undergoing esophagectomy, aiming to enhance recovery, reduce morbidity, and homogenize care delivery across European healthcare systems.
Methods: Developed through a multidisciplinary European collaboration of five partners, the protocol incorporates expert consensus and the latest scientific evidence.
Asia Pac J Clin Oncol
August 2025
Department of Physiotherapy, Podiatry and Prosthetics and Orthotics, Discipline of Physiotherapy, School of Allied Health, Human Services and Sport, La Trobe University, Bundoora, Australia.
Introduction: Few exercise-based oncology rehabilitation programs were available across Australia in 2015. Clinical guidelines have since recommended that exercise be included in standard cancer care. This study aimed to (1) identify and describe exercise-based oncology rehabilitation programs in Australia, (2) determine whether there have been changes in the number or content of programs since 2015, and (3) describe factors associated with program implementation.
View Article and Find Full Text PDFSupport Care Cancer
August 2025
Oxford Institute of Applied Health Research, Oxford Brookes University, Oxford, UK.
Purpose: Prehabilitation is a broad and evolving concept that is recommended to improve patient outcomes but is not offered routinely to patients undergoing surgery in centres across the UK. The purpose of this study was to combine existing evidence with expert opinion to establish consensus on the key priorities for prehabilitation interventions in patients undergoing surgery for upper gastrointestinal cancer.
Methods: A modified nominal group technique was utilised.