Clinical practice guidelines: perspectives of clinicians in Queensland public hospitals

Scott, Ian A; Buckmaster, Nicholas D; Harvey, Kathy

doi:10.1046/j.1445-5994.2003.00366.x

Cited by 33 publications

(31 citation statements)

References 15 publications

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“…This finding is of concern but is consistent with one previous study of physiotherapists [30] yet lower than that reported in another study of physiotherapists (over 90% used clinical practice guidelines) [34], lower than a study of allied health professionals (75% used clinical practice guidelines) [36], and lower than a study of health professionals in public hospitals (about 66% used clinical practice guidelines) [43]. The respondents in our study were significantly more likely to use clinical practice guidelines when they perceived that EBP assisted in decisions about patient care.…”

Section: Discussionsupporting

confidence: 87%

A survey of Australian chiropractors’ attitudes and beliefs about evidence-based practice and their use of research literature and clinical practice guidelines

et al. 2013

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BackgroundResearch into chiropractors’ use of evidence in clinical practice appears limited to a single small qualitative study. The paucity of research in this area suggests that it is timely to undertake a more extensive study to build a more detailed understanding of the factors that influence chiropractors’ adoption of evidence-based practice (EBP) principles. This study aimed to identify Australian chiropractors’ attitudes and beliefs towards EBP in clinical practice, and also examine their use of research literature and clinical practice guidelines.MethodsWe used an online questionnaire about attitudes, beliefs and behaviours towards the use of EBP in clinical practice that had been developed to survey physiotherapists and modified it to ensure that it was relevant to chiropractic practice. We endeavoured to survey all registered Australian chiropractors (n = 4378) via email invitation distributed by Australian chiropractic professional organisations and the Chiropractic Board of Australia. Logistic regression analyses were conducted to examine univariate associations between responses to items measuring attitudes and beliefs with items measuring: age; years since registration; attention to literature; and use of clinical practice guidelines.ResultsQuestionnaires were returned by 584 respondents (response rate approximately 13%). The respondents’ perceptions of EBP were generally positive: most agreed that the application of EBP is necessary (77.9%), literature and research findings are useful (80.2%), EBP helps them make decisions about patient care (66.5%), and expressed an interest in learning or improving EBP skills (74.9%). Almost half of the respondents (45.1%) read between two to five articles a month. Close to half of the respondents (44.7%) used literature in the process of clinical decision making two to five times each month. About half of the respondents (52.4%) agreed that they used clinical practice guidelines, and around half (54.4%) agreed that they were able to incorporate patient preferences with clinical practice guidelines. The most common factor associated with increased research uptake was the perception that EBP helps make decisions about patient care.ConclusionsMost Australian chiropractors hold positive attitudes towards EBP, thought EBP was useful, and were interested in improving EBP skills. However, despite the favourable inclination towards EBP, many Australian chiropractors did not use clinical practice guidelines. Our findings should be interpreted cautiously due to the low response rate.

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Section: Discussionsupporting

confidence: 87%

A survey of Australian chiropractors’ attitudes and beliefs about evidence-based practice and their use of research literature and clinical practice guidelines

et al. 2013

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“…[42][43][44] Lack of time to stay informed about guidelines has also been identified elsewhere as an important barrier to adherence. [45][46][47] Consistent with previous data, the perception that guidelines can increase malpractice liability was held by a substantial number of the respondents. 44,48 As in other studies that compared the attitudes toward practice guidelines among nurses and physicians, 35,[49][50][51][52] nurses and other healthcare professionals in this study reported more positive attitudes than physicians did, and those working in pediatric ICUs were more likely to have more positive attitude scores than were those employed in other types of ICUs.…”

Section: Discussionsupporting

confidence: 84%

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

Pogorzelska

Larson

2008

Dimensions of Critical Care Nursing

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Although studies on the implementation and adherence to specific practice guidelines have been proliferating, research examining the attitude of healthcare workers toward practice guidelines in general has been lacking. This study is a secondary analysis of data collected from 39 volunteer hospitals participating in the National Nosocomial Infection Surveillance System on attitudes of intensive care unit staff regarding practice guidelines in general. Age, profession, type of intensive care unit, and race were identified as significant predictors of attitude scores in this study. Understanding the differences in perceived barriers is important for the adherence to practice guidelines.

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“…studies have demonstrated practice variation in the management of cellulitis 18,19 and have called for practice guidelines. 19,20 The Eron/Passos 6,7 classification system was not a useful discriminator of length of stay in our patient population. When applied to our cohort, most of our patients were Class II.…”

Section: Discussionmentioning

confidence: 89%

Lower limb cellulitis: features associated with length of hospital stay

Morpeth

Chambers

Gallagher

et al. 2006

Journal of Infection

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Clinical practice guidelines: perspectives of clinicians in Queensland public hospitals

Cited by 33 publications

References 15 publications

A survey of Australian chiropractors’ attitudes and beliefs about evidence-based practice and their use of research literature and clinical practice guidelines

A survey of Australian chiropractors’ attitudes and beliefs about evidence-based practice and their use of research literature and clinical practice guidelines

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

Lower limb cellulitis: features associated with length of hospital stay

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