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Elliott D, Blencowe NS, Cousins S, et al. Using qualitative research methods to understand how surgical procedures and devices are introduced into NHS hospitals: the Lotus study protocol. BMJ Open. 2021;11(12):e049234doi: 10.1136/bmjopen-2021-049234.
Elliott, D., Blencowe, N. S., Cousins, S., Zahra, J., Skilton, A., Mathews, J., Paramasivan, S., Hoffmann, C., McNair, A. G., Ochieng, C., Richards, H., Hossaini, S., Scroggie, D. L., Main, B., Potter, S., Avery, K., Donovan, J., & Blazeby, J. M. (2021). Using qualitative research methods to understand how surgical procedures and devices are introduced into NHS hospitals: the Lotus study protocol. BMJ open, 11(12), e049234. https://doi.org/10.1136/bmjopen-2021-049234
Elliott, Daisy, et al. "Using qualitative research methods to understand how surgical procedures and devices are introduced into NHS hospitals: the Lotus study protocol." BMJ open vol. 11,12 (2021): e049234. doi: https://doi.org/10.1136/bmjopen-2021-049234
Elliott D, Blencowe NS, Cousins S, Zahra J, Skilton A, Mathews J, Paramasivan S, Hoffmann C, McNair AG, Ochieng C, Richards H, Hossaini S, Scroggie DL, Main B, Potter S, Avery K, Donovan J, Blazeby JM. Using qualitative research methods to understand how surgical procedures and devices are introduced into NHS hospitals: the Lotus study protocol. BMJ Open. 2021 Dec 03;11(12):e049234. doi: 10.1136/bmjopen-2021-049234. PMID: 34862280.
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BMJ Open. 2021 Dec 03;11(12):e049234. doi: 10.1136/bmjopen-2021-049234.

Using qualitative research methods to understand how surgical procedures and devices are introduced into NHS hospitals: the Lotus study protocol.

BMJ open

Daisy Elliott, Natalie S Blencowe, Sian Cousins, Jesmond Zahra, Anni Skilton, Johnny Mathews, Sangeetha Paramasivan, Christin Hoffmann, Angus Gk McNair, Cynthia Ochieng, Hollie Richards, Sina Hossaini, Darren L Scroggie, Barry Main, Shelley Potter, Kerry Avery, Jenny Donovan, Jane M Blazeby

Affiliations

  1. National Institute for Health Research Bristol Biomedical Research Centre, Surgical Innovation Theme, Centre for Surgical Research, University of Bristol, Bristol, UK [email protected].
  2. National Institute for Health Research Bristol Biomedical Research Centre, Surgical Innovation Theme, Centre for Surgical Research, University of Bristol, Bristol, UK.
  3. University Hospitals Bristol and Weston NHS Foundation Trust, Bristol, UK.
  4. North Bristol NHS Trust, Bristol, UK.
  5. Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, UK.

PMID: 34862280 DOI: 10.1136/bmjopen-2021-049234

Abstract

INTRODUCTION: The development of innovative invasive procedures and devices are essential to improving outcomes in healthcare. However, how these are introduced into practice has not been studied in detail. The Lotus study will follow a wide range of 'case studies' of new procedures and/or devices being introduced into NHS trusts to explore what information is communicated to patients, how procedures are modified over time and how outcomes are selected and reported.

METHODS AND ANALYSIS: This qualitative study will use ethnographic approaches to investigate how new invasive procedures and/or devices are introduced. Consultations in which the innovation is discussed will be audio-recorded to understand information provision practice. To understand if and how procedures evolve, they will be video recorded and non-participant observations will be conducted. Post-operative interviews will be conducted with the innovating team and patients who are eligible for the intervention. Audio-recordings will be audio-recorded, transcribed verbatim and analysed thematically using constant comparison techniques. Video-recordings will be reviewed to deconstruct procedures into key components and document how the procedure evolves. Comparisons will be made between the different data sources.

ETHICS AND DISSEMINATION: The study protocol has Health Research Authority (HRA) and Health and Care Research Wales approval (Ref 18/SW/0277). Results will be disseminated at appropriate conferences and will be published in peer-reviewed journals. The findings of this study will provide a better understanding of how innovative invasive procedures and/or devices are introduced into practice.

© Author(s) (or their employer(s)) 2021. Re-use permitted under CC BY. Published by BMJ.

Keywords: qualitative research; quality in health care; surgery

Conflict of interest statement

Competing interests: None declared.

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