From hospital to home following a lower limb amputation: A focus group study of healthcare professionals’ views and experiences with transitioning

Abstract

IntroductionPatients undergoing major lower limb amputation often have multiple comorbidities, requiring care from numerous healthcare professionals (HCPs). Furthermore, they may experience physical, medical and practical challenges post-amputation. Patients with complex needs are particularly vulnerable during care transitions and may benefit from integrated care models. AimThis study aimed to explore HCPs’ views and experiences regarding the transition process after implementing an integrated care model for patients with lower limb amputation. MethodsWe conducted two focus groups with 13 HCPs from a Danish hospital and three surrounding districts; all working in the Safe Journey programme. The interviews were analysed using thematic analysis. ResultsThree themes were created: 1) becoming a team across sectors, 2) continuity of care as a driver for patient safety and 3) challenges in achieving safe transitions. The Safe Journey programme facilitated the construction of an interdisciplinary team, cross-sectoral communication and professional relations, increasing HCPs’ sense of improved patient safety and care continuity. However, HCPs experienced an increased workload, including coordination and at-home patient visits. ConclusionsHCPs found the Safe Journey programme to be valuable for patients undergoing major lower limb amputation and promotive of cross-sectoral professional relations, communication, continuity and patient safety. However, the programme was time- and resource-consuming compared to conventional models.