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Table 5 Process: constructs with definitions, themes, and illustrative quotations

From: The implementation of a perioperative medicine for older people undergoing surgery service: a qualitative case study

Construct

POPS-specific definition

Theme

Illustrative quotation

Engaging

The process of attracting and involving individual clinicians and managers to implement and use the POPS service.

Engagement of individuals to implement and utilise POPS services is supported by a flexible and proactive approach to involving early adopters from a range of disciplines who see the benefits of the service.

“Several of my vascular [anaesthesia] colleagues … did POPS clinics and worked with [the now POPS clinical lead] when they were all trainees … training together builds that link from the start and you know who these people are and there’s a … relationship already in place.”

(Case 1, anaesthetist)

Champions

Individuals who believe in the POPS service, actively associate themselves with the POPS service and are dedicated to what is required to implement the POPS service.

POPS clinical leads are essential champions of the implementation of the POPS service

“[The] two consultants that run the service are quite young, ambitious, quite forward-thinking and I think that really helps, they’re quite ambitious to get geriatrics embedded in trauma and … into the [non-trauma] wards as well. I think their drive, having those very proactive consultants has helped.”

(Case 2, physiotherapist)

  1. POPS, perioperative medicine for older people undergoing surgery