Assessment of Attitudes of Intensive Care Unit Staff Toward Clinical Practice Guidelines

Pogorzelska, Monika; Larson, Elaine

doi:10.1097/01.dcc.0000304673.29616.23

Cited by 19 publications

(17 citation statements)

References 57 publications

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“…Some studies have assessed the knowledge, attitude, and behaviour of ICU staff to specific practice guidelines or guidelines in general [11-13]. Relatively few studies have examined attitudes of physicians towards the use of quality indicators; we are aware of none that have addressed the intensive care setting [14-17].…”

Section: Introductionmentioning

confidence: 99%

Implementing quality indicators in intensive care units: exploring barriers to and facilitators of behaviour change

et al. 2010

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BackgroundQuality indicators are increasingly used in healthcare but there are various barriers hindering their routine use. To promote the use of quality indicators, an exploration of the barriers to and facilitating factors for their implementation among healthcare professionals and managers of intensive care units (ICUs) is advocated.MethodsAll intensivists, ICU nurses, and managers (n = 142) working at 54 Dutch ICUs who participated in training sessions to support future implementation of quality indicators completed a questionnaire on perceived barriers and facilitators. Three types of barriers related to knowledge, attitude, and behaviour were assessed using a five-point Likert scale (1 = strongly disagree to 5 = strongly agree).ResultsBehaviour-related barriers such as time constraints were most prominent (Mean Score, MS = 3.21), followed by barriers related to knowledge and attitude (MS = 3.62; MS = 4.12, respectively). Type of profession, age, and type of hospital were related to knowledge and behaviour. The facilitating factor perceived as most important by intensivists was administrative support (MS = 4.3; p = 0.02); for nurses, it was education (MS = 4.0; p = 0.01), and for managers, it was receiving feedback (MS = 4.5; p = 0.001).ConclusionsOur results demonstrate that healthcare professionals and managers are familiar with using quality indicators to improve care, and that they have positive attitudes towards the implementation of quality indicators. Despite these facts, it is necessary to lower the barriers related to behavioural factors. In addition, as the barriers and facilitating factors differ among professions, age groups, and settings, tailored strategies are needed to implement quality indicators in daily practice.

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Section: Introductionmentioning

confidence: 99%

Implementing quality indicators in intensive care units: exploring barriers to and facilitators of behaviour change

et al. 2010

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“…Meade and Ely [7] commented that protocols should not be viewed as cookbook medicine with regard to respiratory weaning protocols and should not be so rigid as to compromise patient safety and comfort. More than 20% of respondents in a recent survey of more than 1300 predominantly nursing clinicians agreed that practice "guidelines are too cookbook and prescriptive" [25]. Another study also found that nurses were afraid that protocols "were taking the thinking out of nursing" [26].…”

Section: Discussionmentioning

confidence: 99%

Multiprofessional survey of protocol use in the intensive care unit

LeBlanc

Kane‐Gill

Pohlman

et al. 2012

Journal of Critical Care

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“…To date, these aspects have been systematically reviewed in three main papers [4,10,11]. A number of later studies surveyed clinicians' knowledge about and attitudes towards CPG in general in different clinical settings: among general practitioners (GPs), [27-30] specialists, [28,31-34] and healthcare providers in Intensive Care Units [35-37]. Generally, most findings reported in these studies confirm that higher familiarity with the guidelines is related to more positive attitudes towards them and to more frequent reported use of CPGs.…”

Section: Discussionmentioning

confidence: 99%

Perceptions and attitudes of clinicians in Spain toward clinical practice guidelines and grading systems: a protocol for a qualitative study and a national survey

Kotzeva

Solà

Carrasco

et al. 2010

BMC Health Serv Res

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BackgroundClinical practice guidelines (CPGs) have become a very popular tool for decision making in healthcare. While there is some evidence that CPGs improve outcomes, there are numerous factors that influence their acceptability and use by healthcare providers. While evidence of clinicians' knowledge, perceptions and attitudes toward CPGs is extensive, results are still disperse and not conclusive. Our study will evaluate these issues in a large and representative sample of clinicians in Spain.Methods/DesignA mixed-method design combining qualitative and quantitative research techniques will evaluate general practitioners (GPs) and hospital-based specialists in Spain with the objective of exploring attitudes and perceptions about CPGs and evidence grading systems. The project will consist of two phases: during the first phase, group discussions will be carried out to gain insight into perceptions and attitudes of the participants, and during the second phase, this information will be completed by means of a survey, reaching a greater number of clinicians. We will explore these issues in GPs and hospital-based practitioners, with or without previous experience in guideline development.DiscussionOur study will identify and gain insight into the perceived problems and barriers of Spanish practitioners in relation to guideline knowledge and use. The study will also explore beliefs and attitudes of clinicians towards CPGs and evidence grading systems used to rate the quality of the evidence and the strength of recommendations. Our results will provide guidance to healthcare researchers and healthcare decision makers to improve the use of guidelines in Spain and elsewhere.

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Assessment of Attitudes of Intensive Care Unit Staff Toward Clinical Practice Guidelines

Cited by 19 publications

References 57 publications

Implementing quality indicators in intensive care units: exploring barriers to and facilitators of behaviour change

Implementing quality indicators in intensive care units: exploring barriers to and facilitators of behaviour change

Multiprofessional survey of protocol use in the intensive care unit

Perceptions and attitudes of clinicians in Spain toward clinical practice guidelines and grading systems: a protocol for a qualitative study and a national survey

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