Factores que influyen en el uso de los protocolos clínicos, según la opinión de los fisioterapeutas de los centros de salud de la región de Murcia

Abstract

RESUMEN Objetivos: averiguar los factores que influyen en el uso de los protocolos de fisioterapia en Atención Primaria según la opinión de los fisioterapeutas deTo the second question, the most mentioned suggestion has been to carry out consensus meetings to design protocols (13.7 %).Conclusions: physiotherapists assumed that the clinical protocols were used little and the key to using them more is to improve the organization and protocol document.

A Qualitative Application of the Diffusion of Innovations Theory to Examine Determinants of Guideline Adherence Among Physical Therapists

“…12 Physical therapists perceived several barriers to guideline implementation, including a lack of knowledge or skills and the need for substantial structural changes relating to practice organization, staff, and equipment. 12 The rather unfavorable attitude identified in our study, reflected by opinions about the characteristics of the guidelines in the persuasion stage, contrasts not only with the findings of a Dutch survey, 12 but also with the positive attitude toward evidencebased practice that was found in surveys in Spain, 41 the United States, 5 and Australia. 1 Such differences among countries in the attitudes of physical therapists might be attributable to differences in the contents of the various national guidelines, which may reflect either a more biomedically oriented culture (eg, United States) or a more biopsychosocially oriented culture (eg, the Netherlands), making them more or less acceptable for individual therapists.…”

“…Supplementary interviews, therefore, should take the organizational determinants into account as well. 41,[47][48][49] Third, the analysis revealed a new perceived characteristic of the guidelines in the persuasion stage, in addition to those predicted as being important by the original theory, namely the perceived credibility of the guidelines. Although empirical findings indicate that users want guidelines to be scientifically justifiable 50 and that the scientific evidence should be straightforward and not conflicting, 51 we came across only one framework of guideline adherence determinants that acknowledged that the potential adopters actually have to perceive them as credible, by identifying lack of agreement with the interpretation of evidence as a potential barrier.…”