Acceptability, Appropriateness and Feasibility of a Nurse-Led Integrated Care Intervention for Patients with Severe Exacerbation of COPD from the Healthcare Professional’s Perspective – A Mixed Method Study

Figures & data

Figure 1 Explanatory Sequential Mixed Method Design.

Table 1 Definition of Acceptability, Appropriateness and Feasibility By Proctor et al¹¹

Term	Definition
Acceptability	The perception among implementation stakeholders that a given treatment, service, practice, or innovation is agreeable, palatable, or satisfactory
Appropriateness	The perceived fit, relevance, or compatibility of the innovation or evidence-based practice for a given practice setting, provider, or consumer; and/or perceived fit of the innovation to address a particular issue
Feasibility	The extent to which a new treatment or an innovation can be successfully used or carried out within a given agency or setting or problem

Table 2 Invited and Participating Healthcare Professionals of the Group interviews and the Online Questionnaire

	Group Interviews			Online Questionnaire
	Invited	Participants Group 1 (Case 1)	Participants Group 2 (Case 2)	Invited Hospital-Internal	Hospital-Internal Participants (Case 3)	Invited Hospital-External	Hospital-External Participants (Case 4)
Nurses	4	1	1	4	3	3	2
Advanced practice nurses	2	1	1	2	2	0	0
Pneumologists and resident physicians	8	2	0	8	6	1	0
General practitioner	0	0	0	0	0	2	1
Social Service	1	1	0	1	1	0	0
Nutritionist	1	0	0	1	1	0	0
Physiotherapists	2	1	1	2	2	1	1
Psychiatrist	1	0	0	1	0	1	0
Total	19	6	3	19	15	8	4

Figure 2 Results of the Aim, IAM and FIM (% of Answers per Scale).

Table 3 Qualitative Index

Level 1 Main Categories	Level 2 Subcategories
1. Acceptability	Focus on continuity of care Knowing the intervention Compensate increased workload Interprofessional collaboration Perceived positive attitudes in patients
2. Appropriateness	Meet the individuality of patients Develop expertise
3. Feasibility	Have sufficient staff resources Integrating new processes into the daily routine Consider patient situation during hospitalization

Proctor E, Silmere H, Raghavan R, et al. Outcomes for implementation research: conceptual distinctions, measurement challenges, and research agenda. Adm Policy Ment Health Ment. 2011;38(2):65–76. doi:10.1007/s10488-010-0319-7

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