Background
Methods
Study participants
CRISP development
CRC risk assessment
Clinical recommendations
Procedures
Analysis
Ethics approval and consent to participate
Results
Sample
Participants | Characteristics | n (%)a
|
---|---|---|
General practitioners | ||
Age, yearsb
| 50 (29, 62) | |
Gender, female | 7 (50.0) | |
Practice location, metropolitan | 10 (71.4) | |
Number of years in general practiceb
| 22 (1, 34) | |
Number of GPs working in practice:b
| ||
Full-time | 2 (0, 7) | |
Part-time | 5 (0, 14) | |
Hours worked in an average weekb
| 30 (12, 50) | |
Postgraduate qualifications, yes | 7 (50.0) | |
More than one qualification | 5 (71.4) | |
Practice nurses | ||
Age, yearsb
| 55 (48, 68) | |
Gender, female | 9 (100.0) | |
Practice location, metropolitan | 5 (55.6) | |
Number of years in general practiceb
| 35 (9, 40) | |
Hours worked in an average weekb
| 36 (30, 40) | |
Specialist qualifications, yes | 7 (77.8) | |
More than one specialization | 5 (71.4) | |
Practice managers | ||
Age, yearsb
| 50 (29, 58) | |
Gender, female | 6 (100.0) | |
Practice location, metropolitan | 4 (66.7) | |
Number of years in general practiceb
| 2 (1, 21) | |
Hours worked in an average weekb
| 40 (31, 46) | |
Specialist qualifications, yes | 2 (33.3) |
Results of the analysis using the four constructs of NPT
Coherence
So we use quite a few assessment tools in the practice and … obviously find them valuable. So, from that point of view, we’re not unfamiliar with using them and certainly wouldn’t be averse to using them across the board. [PM: 49 years, female]
…but don’t forget that little person; okay let’s make sure that’s not you. [GP: 50 years, female]
…there’s a whole lot of people and this is your chance out of them of cancer… [GP: 31 years, female]
…that’s just the tricky bit of saying [to the patient] that this is what’s [sic] the recommendation but we don’t always follow what recommendations are… [GP: 50 years, female]
Because once you go beyond that first degree relative, really the risk diminishes so significantly that getting all that extra data isn’t going to be that significant. [GP: 50 years, female]
Cognitive participation
Anything that gets people to have a think about their health is a good thing, anything at all. [PN: 48 years, female]
GP: Do you smoke?Patient: No.GP: Good man! [GP 53 years, male]
Collective action
… nurses … see the patient first a lot of the time and so they could go through these sorts of things… [PM: 48 years, female]
… I’ve got a 26-year-old patient that has …metastases everywhere …of course, everybody said it was her endometriosis… [GP: 50 years, female]
…Yeah. I just don’t think it will work in the waiting room…We might start getting asked questions at the front desk… That’s the thing, how do we answer? You know what I mean? [PM: 29 years, female]
…the doctors are very open to suggestion. If the practice nurses, management, or another doctor feels that this could be a really good idea for the doctors, it’s taken to the doctors’ meeting and overall feeling of shall we do this, shall we not is taken place…[PM: 42 years, female]
So I’m in a really big group practice… and … people would be really excited… [But it] would vary because some people don’t change their practice much at all… [GP: 33 years, female]
…this is a labyrinth!… especially having 3 pages for the 2nd degree relatives…[GP: 50 years, female]
Reflexive monitoring
… the capacity’s there. Yeah, and we certainly have things that we can do like that, but often we do nothing. … - it’s like ships in the night, so we can be here and not even say hi to each other all day sometimes…[PM: 55 years, female]