Construction d’un questionnaire de culture organisationnelle des services de médecine

Saillour-Glénisson, F.; Perret, F.; Michel, H.; Domecq, S.; Dubard, M.; Dumond, Jean-Paul; Halgand, Nathalie; Sibé, Matthieu

doi:10.1016/j.respe.2009.02.179

Cited by 2 publications

(3 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…These results match those observed in earlier studies and are consistent with the global trend of positive attitude among the medical and pharmacy students toward PGx utilization in clinical practice [7,12,23–27]. Previous studies reported that a negative attitude could be a barrier to implementing clinical practice guidelines [28]. Therefore, the overall positive attitude among study participants towards PGx is advantageous, and undoubtedly it could ease the implementation of PGx courses in universities and later actual implementation in clinical practice.…”

Section: Discussionsupporting

confidence: 91%

“…Previous studies reported that a negative attitude could be a barrier to implementing clinical practice guidelines [28]. Therefore, the overall positive attitude among study participants towards PGx is advantageous, and undoubtedly it could ease the implementation of PGx courses in universities and later actual implementation in clinical practice.…”

Section: Discussionmentioning

confidence: 95%

See 1 more Smart Citation

Pharmacogenetics: a perspective and preparedness of Pharm-D and medical students in Jordan

Zawiah

Yousef

Al-Ashwal

et al. 2021

Pharmacogenetics and Genomics

View full text Add to dashboard Cite

Background Pharmacogenetics (PGx) science has evolved significantly with a huge number of studies exploring the effect of genetic variants on interindividual variability of drug response. In this study, we assessed the knowledge, attitudes and preparedness of Pharm-D vs. medical students toward PGx. Method A paper-based cross-sectional survey was performed. A pilot-tested questionnaire consisting of 21 questions (demographics 5, knowledge 6, attitude 6, and preparedness 4) was administered to 900 healthcare students at different years of study. Descriptive and inferential analyses were used. Results Out of the 900 students approached, 852 (94.7%) completed the questionnaire. The overall students’ mean (SD) percentage knowledge score (PKS) was poor [46.7% (18.7)]. The mean (SD) attitude and preparedness scores for all students were 4.68 (1.32), and 1.9 (1.40), respectively, indicating overall positive attitudes, but low preparedness to apply PGx to clinical care. Pharm-D students’ overall PKS was significantly higher than medical students (P < 0.0001). However, there was no significant difference in terms of attitude and preparedness scores. Interestingly, as the year of study increased, the knowledge scores increased as well, with 6th-year students had the highest knowledge scores, while preparedness in applying PGx was higher among the junior students (the 3rd and 4th year of study). Conclusion Pharm-D and medical students have inadequate knowledge and low preparedness despite the overall positive attitude towards PGx. There is a need to raise knowledge and to enhance the level of preparedness of medical and Pharm-D students towards PGx and its applications in clinical practice.

show abstract

Section: Discussionsupporting

confidence: 91%

Section: Discussionmentioning

confidence: 95%

Pharmacogenetics: a perspective and preparedness of Pharm-D and medical students in Jordan

Zawiah

Yousef

Al-Ashwal

et al. 2021

Pharmacogenetics and Genomics

View full text Add to dashboard Cite

show abstract

“…Lack of motivation and consensus, and attitude towards the CPGs are some of the most frequently reported barriers towards implementation among clinicians. 19,20 This might explain why CPGs are not followed intentionally, but less is known about the situations in which the clinicians think that they follow the guidelines, but translate the content of them unintentionally. This study examines the underlying processes leading to this phenomenon of translation in order to understand why CPGs are sometimes understood differently when adopted in clinical practice.…”

Section: Introductionmentioning

confidence: 99%

Translation of clinical practice guidelines on lifestyle behavior in a psychiatric setting. A discourse analytical case study

Hjorth,

Thomsen,

Mainz

et al. 2024

Preprint

View full text Add to dashboard Cite

Introduction Implementation of clinical practice guidelines (CPGs) can be constrained by diverging guideline interpretations, leading to a discrepancy between the intended clinical practice and the clinical practice implemented. We examine how CPGs on lifestyle behavior for psychiatric inpatients are translated into clinical daily practice, and how this was affected by discourses surrounding the stakeholders. Methods We conducted a comparative case study within two psychiatric wards in Denmark, wherein a clinical practice guideline (CPG) addressing lifestyle behavior was implemented. The objective of the CPG was to strategically intervene in the prevalence of unhealthy lifestyle practices among inpatients. Critical discourse analysis and a perspective of translation formed the theoretical framework. We collected empirical material at two stakeholder levels; the CPG authors and clinicians. This included documents related to the CPGs, field observations and two focus group interviews with clinicians. Results The CPG were composed within a system-centered discourse where lifestyle intervention was considered relevant for all inpatients. The clinicians translated the CPGs within a person-centered discourse and a prioritization discourse, focusing on individual factors such as the patients' own wishes, surplus energy, and the status of the psychiatric treatment. Conclusion The findings show that implementation of guidelines in their original form cannot be anticipated, but will constitute translation based on social structures and their discourses. Unawareness of this phenomenon called translation may affect implementation and should be considered when CPGs are developed and launched. Future research should explore how discourses and social processes among patients influences implementation of CPGs.

show abstract

Construction d’un questionnaire de culture organisationnelle des services de médecine

Cited by 2 publications

References 0 publications

Pharmacogenetics: a perspective and preparedness of Pharm-D and medical students in Jordan

Pharmacogenetics: a perspective and preparedness of Pharm-D and medical students in Jordan

Translation of clinical practice guidelines on lifestyle behavior in a psychiatric setting. A discourse analytical case study

Contact Info

Product

Resources

About