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Providing capacity in glaucoma care using trained and accredited optometrists: A qualitative evaluation
Introduction The role of optometrists in glaucoma within primary and secondary care has been well described. Whilst many studies examined safety and clinical effectiveness, there is a paucity of qualitative research evaluating enablers and barriers for optometrists delivering glaucoma care. The aims...
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Published in: | Eye (London) 2024-04, Vol.38 (5), p.994-1004 |
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description | Introduction
The role of optometrists in glaucoma within primary and secondary care has been well described. Whilst many studies examined safety and clinical effectiveness, there is a paucity of qualitative research evaluating enablers and barriers for optometrists delivering glaucoma care. The aims of this study are to investigate qualitatively, and from a multi-stakeholder perspective whether optometric glaucoma care is accepted as an effective alternative to traditional models and what contextual factors impact upon their success.
Methods
Patients were recruited from clinics at Manchester Royal Eye Hospital and nationally via a Glaucoma UK registrant database. Optometrists, ophthalmologists, and other stakeholders involved in glaucoma services were recruited via direct contact and through an optometry educational event. Interviews and focus groups were recorded and transcribed anonymously, then analysed using the framework method and NVivo 12.
Results
Interviews and focus groups were conducted with 38 participants including 14 optometrists and 6 ophthalmologists (from all 4 UK nations), and 15 patients and 3 commissioners/other stakeholders. Themes emerging related to: enablers and drivers; challenges and barriers; training; laser; professional practice; the role of other health professionals; commissioning; COVID-19; and patient experience.
Conclusion
Success in developing glaucoma services with optometrists and other health professionals is reliant on multi-stakeholder input, investment in technology and training, inter-professional respect and appropriate time and funding to set up and deliver services. The multi-stakeholder perspective affirms there is notable support for developing glaucoma services delivered by optometrists in primary and secondary care, with caveats around training, appropriate case selection and clinical responsibility. |
doi_str_mv | 10.1038/s41433-023-02820-5 |
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fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_10966092</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2986723696</sourcerecordid><originalsourceid>FETCH-LOGICAL-c426t-2d96f517e40327d60a954e75f82ac68e4e9ec8fe27944fbf1d4adac173297ca63</originalsourceid><addsrcrecordid>eNp9UU1rFTEUDaLYZ_UPuJABN25G8_3hRkrxCwrtQsFdSDN3xpSZ5DXJPOi_N89Xq-3CxSW5OeeenMtB6CXBbwlm-l3hhDPWY7ovTXEvHqEN4Ur2ggv-GG2wEbinlP44Qs9KucK4gQo_RUdMY6KwMRs0XeS0C0OIU-fd1vlQb7oQu2l2q0-La48ZurXs8ZpdiDB0LrbyPsMQamvTtqYFag6llvfdSXe9ujlUV8MOOti5eW3XFJ-jJ6ObC7y4PY_R908fv51-6c_OP389PTnrPaey9nQwchREAceMqkFiZwQHJUZNnZcaOBjwegSqDOfj5UgG7gbniWLUKO8kO0YfDrrb9XKBwUNstme7zWFx-cYmF-x9JIafdko7S7CREhvaFN7cKuR0vUKpdgnFwzy7CGktlmojqDCE6kZ9_YB6ldYc236WGi0VZdLsLdEDy-dUSobxzg3Bdh-kPQRpW5D2d5BWtKFX_-5xN_InuUZgB0JpUJwg__37P7K_APmJq2Q</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2986723696</pqid></control><display><type>article</type><title>Providing capacity in glaucoma care using trained and accredited optometrists: A qualitative evaluation</title><source>Springer Nature</source><creator>Gunn, Patrick J. G. ; Read, Simon ; Dickinson, Christine ; Fenerty, Cecilia H. ; Harper, Robert A.</creator><creatorcontrib>Gunn, Patrick J. G. ; Read, Simon ; Dickinson, Christine ; Fenerty, Cecilia H. ; Harper, Robert A.</creatorcontrib><description>Introduction
The role of optometrists in glaucoma within primary and secondary care has been well described. Whilst many studies examined safety and clinical effectiveness, there is a paucity of qualitative research evaluating enablers and barriers for optometrists delivering glaucoma care. The aims of this study are to investigate qualitatively, and from a multi-stakeholder perspective whether optometric glaucoma care is accepted as an effective alternative to traditional models and what contextual factors impact upon their success.
Methods
Patients were recruited from clinics at Manchester Royal Eye Hospital and nationally via a Glaucoma UK registrant database. Optometrists, ophthalmologists, and other stakeholders involved in glaucoma services were recruited via direct contact and through an optometry educational event. Interviews and focus groups were recorded and transcribed anonymously, then analysed using the framework method and NVivo 12.
Results
Interviews and focus groups were conducted with 38 participants including 14 optometrists and 6 ophthalmologists (from all 4 UK nations), and 15 patients and 3 commissioners/other stakeholders. Themes emerging related to: enablers and drivers; challenges and barriers; training; laser; professional practice; the role of other health professionals; commissioning; COVID-19; and patient experience.
Conclusion
Success in developing glaucoma services with optometrists and other health professionals is reliant on multi-stakeholder input, investment in technology and training, inter-professional respect and appropriate time and funding to set up and deliver services. The multi-stakeholder perspective affirms there is notable support for developing glaucoma services delivered by optometrists in primary and secondary care, with caveats around training, appropriate case selection and clinical responsibility.</description><identifier>ISSN: 0950-222X</identifier><identifier>EISSN: 1476-5454</identifier><identifier>DOI: 10.1038/s41433-023-02820-5</identifier><identifier>PMID: 38017099</identifier><language>eng</language><publisher>London: Nature Publishing Group UK</publisher><subject>692/1537 ; 692/700/478 ; COVID-19 ; Focus groups ; Glaucoma ; Hospitals ; Humans ; Laboratory Medicine ; Medical personnel ; Medicine ; Medicine & Public Health ; Ophthalmology ; Optometrists ; Optometry - methods ; Patients ; Pharmaceutical Sciences/Technology ; Professionals ; Qualitative Research ; Stakeholders ; Surgery ; Surgical Oncology ; Training</subject><ispartof>Eye (London), 2024-04, Vol.38 (5), p.994-1004</ispartof><rights>The Author(s) 2023</rights><rights>2023. The Author(s).</rights><rights>The Author(s) 2023. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c426t-2d96f517e40327d60a954e75f82ac68e4e9ec8fe27944fbf1d4adac173297ca63</cites><orcidid>0000-0001-5437-2553 ; 0000-0002-0631-9405</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,780,784,885,27922,27923</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38017099$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Gunn, Patrick J. G.</creatorcontrib><creatorcontrib>Read, Simon</creatorcontrib><creatorcontrib>Dickinson, Christine</creatorcontrib><creatorcontrib>Fenerty, Cecilia H.</creatorcontrib><creatorcontrib>Harper, Robert A.</creatorcontrib><title>Providing capacity in glaucoma care using trained and accredited optometrists: A qualitative evaluation</title><title>Eye (London)</title><addtitle>Eye</addtitle><addtitle>Eye (Lond)</addtitle><description>Introduction
The role of optometrists in glaucoma within primary and secondary care has been well described. Whilst many studies examined safety and clinical effectiveness, there is a paucity of qualitative research evaluating enablers and barriers for optometrists delivering glaucoma care. The aims of this study are to investigate qualitatively, and from a multi-stakeholder perspective whether optometric glaucoma care is accepted as an effective alternative to traditional models and what contextual factors impact upon their success.
Methods
Patients were recruited from clinics at Manchester Royal Eye Hospital and nationally via a Glaucoma UK registrant database. Optometrists, ophthalmologists, and other stakeholders involved in glaucoma services were recruited via direct contact and through an optometry educational event. Interviews and focus groups were recorded and transcribed anonymously, then analysed using the framework method and NVivo 12.
Results
Interviews and focus groups were conducted with 38 participants including 14 optometrists and 6 ophthalmologists (from all 4 UK nations), and 15 patients and 3 commissioners/other stakeholders. Themes emerging related to: enablers and drivers; challenges and barriers; training; laser; professional practice; the role of other health professionals; commissioning; COVID-19; and patient experience.
Conclusion
Success in developing glaucoma services with optometrists and other health professionals is reliant on multi-stakeholder input, investment in technology and training, inter-professional respect and appropriate time and funding to set up and deliver services. The multi-stakeholder perspective affirms there is notable support for developing glaucoma services delivered by optometrists in primary and secondary care, with caveats around training, appropriate case selection and clinical responsibility.</description><subject>692/1537</subject><subject>692/700/478</subject><subject>COVID-19</subject><subject>Focus groups</subject><subject>Glaucoma</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Laboratory Medicine</subject><subject>Medical personnel</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Ophthalmology</subject><subject>Optometrists</subject><subject>Optometry - methods</subject><subject>Patients</subject><subject>Pharmaceutical Sciences/Technology</subject><subject>Professionals</subject><subject>Qualitative Research</subject><subject>Stakeholders</subject><subject>Surgery</subject><subject>Surgical Oncology</subject><subject>Training</subject><issn>0950-222X</issn><issn>1476-5454</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><recordid>eNp9UU1rFTEUDaLYZ_UPuJABN25G8_3hRkrxCwrtQsFdSDN3xpSZ5DXJPOi_N89Xq-3CxSW5OeeenMtB6CXBbwlm-l3hhDPWY7ovTXEvHqEN4Ur2ggv-GG2wEbinlP44Qs9KucK4gQo_RUdMY6KwMRs0XeS0C0OIU-fd1vlQb7oQu2l2q0-La48ZurXs8ZpdiDB0LrbyPsMQamvTtqYFag6llvfdSXe9ujlUV8MOOti5eW3XFJ-jJ6ObC7y4PY_R908fv51-6c_OP389PTnrPaey9nQwchREAceMqkFiZwQHJUZNnZcaOBjwegSqDOfj5UgG7gbniWLUKO8kO0YfDrrb9XKBwUNstme7zWFx-cYmF-x9JIafdko7S7CREhvaFN7cKuR0vUKpdgnFwzy7CGktlmojqDCE6kZ9_YB6ldYc236WGi0VZdLsLdEDy-dUSobxzg3Bdh-kPQRpW5D2d5BWtKFX_-5xN_InuUZgB0JpUJwg__37P7K_APmJq2Q</recordid><startdate>20240401</startdate><enddate>20240401</enddate><creator>Gunn, Patrick J. G.</creator><creator>Read, Simon</creator><creator>Dickinson, Christine</creator><creator>Fenerty, Cecilia H.</creator><creator>Harper, Robert A.</creator><general>Nature Publishing Group UK</general><general>Nature Publishing Group</general><scope>C6C</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7TK</scope><scope>K9.</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0001-5437-2553</orcidid><orcidid>https://orcid.org/0000-0002-0631-9405</orcidid></search><sort><creationdate>20240401</creationdate><title>Providing capacity in glaucoma care using trained and accredited optometrists: A qualitative evaluation</title><author>Gunn, Patrick J. G. ; Read, Simon ; Dickinson, Christine ; Fenerty, Cecilia H. ; Harper, Robert A.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c426t-2d96f517e40327d60a954e75f82ac68e4e9ec8fe27944fbf1d4adac173297ca63</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>692/1537</topic><topic>692/700/478</topic><topic>COVID-19</topic><topic>Focus groups</topic><topic>Glaucoma</topic><topic>Hospitals</topic><topic>Humans</topic><topic>Laboratory Medicine</topic><topic>Medical personnel</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Ophthalmology</topic><topic>Optometrists</topic><topic>Optometry - methods</topic><topic>Patients</topic><topic>Pharmaceutical Sciences/Technology</topic><topic>Professionals</topic><topic>Qualitative Research</topic><topic>Stakeholders</topic><topic>Surgery</topic><topic>Surgical Oncology</topic><topic>Training</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Gunn, Patrick J. G.</creatorcontrib><creatorcontrib>Read, Simon</creatorcontrib><creatorcontrib>Dickinson, Christine</creatorcontrib><creatorcontrib>Fenerty, Cecilia H.</creatorcontrib><creatorcontrib>Harper, Robert A.</creatorcontrib><collection>Springer Open Access</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Neurosciences Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Eye (London)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Gunn, Patrick J. G.</au><au>Read, Simon</au><au>Dickinson, Christine</au><au>Fenerty, Cecilia H.</au><au>Harper, Robert A.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Providing capacity in glaucoma care using trained and accredited optometrists: A qualitative evaluation</atitle><jtitle>Eye (London)</jtitle><stitle>Eye</stitle><addtitle>Eye (Lond)</addtitle><date>2024-04-01</date><risdate>2024</risdate><volume>38</volume><issue>5</issue><spage>994</spage><epage>1004</epage><pages>994-1004</pages><issn>0950-222X</issn><eissn>1476-5454</eissn><abstract>Introduction
The role of optometrists in glaucoma within primary and secondary care has been well described. Whilst many studies examined safety and clinical effectiveness, there is a paucity of qualitative research evaluating enablers and barriers for optometrists delivering glaucoma care. The aims of this study are to investigate qualitatively, and from a multi-stakeholder perspective whether optometric glaucoma care is accepted as an effective alternative to traditional models and what contextual factors impact upon their success.
Methods
Patients were recruited from clinics at Manchester Royal Eye Hospital and nationally via a Glaucoma UK registrant database. Optometrists, ophthalmologists, and other stakeholders involved in glaucoma services were recruited via direct contact and through an optometry educational event. Interviews and focus groups were recorded and transcribed anonymously, then analysed using the framework method and NVivo 12.
Results
Interviews and focus groups were conducted with 38 participants including 14 optometrists and 6 ophthalmologists (from all 4 UK nations), and 15 patients and 3 commissioners/other stakeholders. Themes emerging related to: enablers and drivers; challenges and barriers; training; laser; professional practice; the role of other health professionals; commissioning; COVID-19; and patient experience.
Conclusion
Success in developing glaucoma services with optometrists and other health professionals is reliant on multi-stakeholder input, investment in technology and training, inter-professional respect and appropriate time and funding to set up and deliver services. The multi-stakeholder perspective affirms there is notable support for developing glaucoma services delivered by optometrists in primary and secondary care, with caveats around training, appropriate case selection and clinical responsibility.</abstract><cop>London</cop><pub>Nature Publishing Group UK</pub><pmid>38017099</pmid><doi>10.1038/s41433-023-02820-5</doi><tpages>11</tpages><orcidid>https://orcid.org/0000-0001-5437-2553</orcidid><orcidid>https://orcid.org/0000-0002-0631-9405</orcidid><oa>free_for_read</oa></addata></record> |
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subjects | 692/1537 692/700/478 COVID-19 Focus groups Glaucoma Hospitals Humans Laboratory Medicine Medical personnel Medicine Medicine & Public Health Ophthalmology Optometrists Optometry - methods Patients Pharmaceutical Sciences/Technology Professionals Qualitative Research Stakeholders Surgery Surgical Oncology Training |
title | Providing capacity in glaucoma care using trained and accredited optometrists: A qualitative evaluation |
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