Implementation of an evidence-based multidisciplinary post-operative lower extremity amputation protocol (LEAP): barriers, facilitators, and strategies.

ABSTRACT:

Background

People undergoing lower extremity amputations are often overlooked in healthcare. Limited clinician knowledge and skills challenge implementation of evidence-based clinical practice guidelines. Multidisciplinary lower extremity amputation protocols (LEAP) piloted in community and regional settings have improved outcomes and reduced hospital length-of-stay-but remain untested in larger settings. The purpose of this study was to identify barriers, facilitators, and strategies for implementing a multidisciplinary evidence-based LEAP for postoperative rehabilitation in a large urban quaternary medical center.

Methods

The planning phase study used the Theoretical Domain Framework (TDF) to develop and administer an anonymous survey. A purposive sample of 238 multidiscip

SUBMITTER: Beckley AA 

PROVIDER: S-EPMC12625262 | biostudies-literature | 2025 Nov

REPOSITORIES: biostudies-literature