Clinical Practice Guidelines

Graham, Brent

doi:10.1016/j.hcl.2014.04.007

Cited by 17 publications

(7 citation statements)

References 11 publications

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“…A lack of simplicity and clarity (being indispensable for the implementation into everyday life) is characteristic for the recommendations currently available, be it from ESPGHAN, DGKJ or D–A–CH. Often, there are mainly three reasons why guidelines are not followed by the general population: first, a lack of sufficient information with respect to significance and meaning of the published guidelines, second, the lack of clarity and simplicity of the guidelines, and third, both resulting in a lack of motivation to follow the guidelines [ 61 ].…”

Section: Discussionmentioning

confidence: 99%

No improvement in vitamin D status in German infants and adolescents between 2009 and 2014 despite public recommendations to increase vitamin D intake in 2012

Kunz

Hower²,

Knoll

et al. 2018

Eur J Nutr

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Section: Discussionmentioning

confidence: 99%

No improvement in vitamin D status in German infants and adolescents between 2009 and 2014 despite public recommendations to increase vitamin D intake in 2012

Kunz

Hower²,

Knoll

et al. 2018

Eur J Nutr

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“…The Educore intervention is complex in its nature [15]. It is directed towards patients with poorly controlled HBP and involves the visualization of risk via the "low risk Systematic Coronary Risk Evaluation (SCORE) table" [16], and through impacting images highlighting CVR. Information pamphlets were also provided that contained their SCORE table score, along with advice for maintaining good cardiovascular health. "…”

Section: Interventionmentioning

confidence: 99%

A primary healthcare information intervention for communicating cardiovascular risk to patients with poorly controlled hypertension: The Education and Coronary Risk Evaluation (Educore) study—A pragmatic, cluster-randomized trial

Escortell-Mayor¹,

Cura-González

Ojeda-Ruiz

et al. 2020

PLoS ONE

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“…The evidence for supporting the different strategies that have been used to overcome these challenges is not adequately compelling [10], as these approaches have neither been successful nor received adequate support from different actors. Although CPGs are basically developed based on accurate methods and principles to reach an accommodation among healthcare providers, they are mostly implemented incompletely owing to the complexities and role of technical and specialized processes and human perspectives in providing clinical care [11]. Approaches are therefore required to be proposed to effectively apply CPGs and monitor their implementation [12].…”

Section: Challenges Of Healthcare Organizations In Implementing Cpgsmentioning

confidence: 99%

Soft systems methodology for implementing clinical practice guidelines in a general hospital: a study protocol

Soltani¹,

Heyrani²,

Fakhr‐Movahedi³

et al. 2021

Preprint

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Background: Adhering to Clinical Practice Guidelines (CPGs) serves as the driving force behind making decisions based on the best evidence and making efforts for improving the quality of patient care and outcomes. In 2010, promoting the quality of clinical care through implementing CPGs was turned into a priority health policy in Iran as in many other countries. Despite requiring Iranian hospitals to implement CPGs in January 2017, the concept and implementation method of CPGs remained to be clarified. This action research focuses on acquiring an in-depth understanding of how to define and implement CPGs in a selected general hospital in Iran.Methods: This study employs Soft Systems Methodology (SSM) as a commonly-used approach for tackling complex problems with social, political and human dimensions. Given the inherent roles of technical processes, organizational culture, and personnel’ perspectives in providing clinical care, implementing CPGs was considered a complex problem situation, and conceptualized by use of a purposeful activity model. We will conduct semi-structured in-depth interviews and hold group discussions with different stakeholders to enquire into the situation. Moreover, we will use SSM tools and techniques to identify the main areas of changes, and select necessary measures to facilitate the implementation of CPGs. Flexible qualitative methods of data collection and analysis are utilized throughout the study.Discussion: Applying SSM in implementing CPGs can generate knowledge by recognizing hyper-complexity in healthcare setting, adopting an attitude of inquiry, and fostering dynamic changes in diverse and numerous worldviews of professionals in the accommodation process. This knowledge can provide a model for the successful implementation of CPGs at a macro-system level and facilitate the persuasion process at the hospital mesosystem level. More importantly, adopting SSM can create iterative learning loops over time and thus help the actors of clinical microsystems face future healthcare complexities.

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Clinical Practice Guidelines

Cited by 17 publications

References 11 publications

No improvement in vitamin D status in German infants and adolescents between 2009 and 2014 despite public recommendations to increase vitamin D intake in 2012

No improvement in vitamin D status in German infants and adolescents between 2009 and 2014 despite public recommendations to increase vitamin D intake in 2012

A primary healthcare information intervention for communicating cardiovascular risk to patients with poorly controlled hypertension: The Education and Coronary Risk Evaluation (Educore) study—A pragmatic, cluster-randomized trial

Soft systems methodology for implementing clinical practice guidelines in a general hospital: a study protocol

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