Getting guidelines into practice: a literature review

Richens, Yana; Anderson, Elizabeth Garrett; Rycroft‐Malone, Jo; Morrell, Clare

doi:10.7748/ns.18.50.33.s52

Cited by 36 publications

(23 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…4 Evidencedbased practice guidelines for practice should have the following characteristics: plain wording, explicit recommendations based on the clinician's role, packaged together in a user-friendly format, relevant information that deals with a specific problem, and computer-based support systems that can provide timely and current information about practice and management issues. 13 Organizational Change Strategies In planning organizational change, leaders need to clearly define the problem and goals in measurable terms, identify strategies to address the barriers and motivators for change, and consider all stakeholders and organizational parameters. Stakeholders include individual practitioners, patient or groups of patients for whom the change is intended, the shared environment in which the change will occur, the organization in which the change will occur, the financial situation, and the political circumstances at the time of the change.…”

Section: Barriers To Ebpmentioning

confidence: 99%

Organizational Readiness for Evidence-Based Practice

Gale

Schaffer

2009

JONA: The Journal of Nursing Administration

View full text Add to dashboard Cite

show abstract

Section: Barriers To Ebpmentioning

confidence: 99%

Organizational Readiness for Evidence-Based Practice

Gale

Schaffer

2009

JONA: The Journal of Nursing Administration

View full text Add to dashboard Cite

show abstract

“…clinical information) systems [11]. Computer-based decision support reminders for the implementation of guidelines have been found to improve clinical performance across a number of studies [12] and have been generally effective in changing health care professionals' behaviour [13,14]. In particular, computer interventions which use reminders and automatic prompts have been found to be most successful [15].…”

Section: Introductionmentioning

confidence: 99%

Developing a computer delivered, theory based intervention for guideline implementation in general practice

et al. 2010

View full text Add to dashboard Cite

BackgroundNon-adherence to clinical guidelines has been identified as a consistent finding in general practice. The purpose of this study was to develop theory-informed, computer-delivered interventions to promote the implementation of guidelines in general practice. Specifically, our aim was to develop computer-delivered prompts to promote guideline adherence for antibiotic prescribing in respiratory tract infections (RTIs), and adherence to recommendations for secondary stroke prevention.MethodsA qualitative design was used involving 33 face-to-face interviews with general practitioners (GPs). The prompts used in the interventions were initially developed using aspects of social cognitive theory, drawing on nationally recommended standards for clinical content. The prompts were then presented to GPs during interviews, and iteratively modified and refined based on interview feedback. Inductive thematic analysis was employed to identify responses to the prompts and factors involved in the decision to use them.ResultsGPs reported being more likely to use the prompts if they were perceived as offering support and choice, but less likely to use them if they were perceived as being a method of enforcement. Attitudes towards using the prompts were also related to anticipated patient outcomes, individual prescriber differences, accessibility and presentation of prompts and acceptability of guidelines. Comments on the prompts were largely positive after modifying them based on participant feedback.ConclusionsAcceptability and satisfaction with computer-delivered prompts to follow guidelines may be increased by working with practitioners to ensure that the prompts will be perceived as valuable tools that can support GPs' practice.

show abstract

“…The educational components were designed to be multi-faceted and combine different means of dissemination (for example DVD, PowerPoint (Microsoft, Redmond, WA, USA) presentation, paper-based printed material and outreach visits) as this strategy has been shown to be the most effective when attempting to change clinician behavior [32,34,55-57]. All the educational materials have a clear visual identity and incorporate a specifically designed trial logo, with a recognizable combination of colors that reflect CAMEO branding.…”

Section: Methodsmentioning

confidence: 99%

“…Practice-based educational sessions were chosen since it has been suggested that outreach visits may be the most effective strategy in the introduction of new clinical guidelines and influencing professional behavior [32,57]. This would also allow comparisons of cost-effectiveness between a resource-intensive strategy and a simple postal campaign.…”

Section: Methodsmentioning

confidence: 99%

Comparison of high and low intensity contact between secondary and primary care to detect people at ultra-high risk for psychosis: study protocol for a theory-based, cluster randomized controlled trial

Pérez

Russo

Štochl

et al. 2013

Trials

View full text Add to dashboard Cite

BackgroundThe early detection and referral to specialized services of young people at ultra-high risk (UHR) for psychosis may reduce the duration of untreated psychosis and, therefore, improve prognosis. General practitioners (GPs) are usually the healthcare professionals contacted first on the help-seeking pathway of these individuals.Methods/DesignThis is a cluster randomized controlled trial (cRCT) of primary care practices in Cambridgeshire and Peterborough, UK. Practices are randomly allocated into two groups in order to establish which is the most effective and cost-effective way to identify people at UHR for psychosis. One group will receive postal information about the local early intervention in psychosis service, including how to identify young people who may be in the early stages of a psychotic illness. The second group will receive the same information plus an additional, ongoing theory-based educational intervention with dedicated liaison practitioners to train clinical staff at each site. The primary outcome of this trial is count data over a 2-year period: the yield - number of UHR for psychosis referrals to a specialist early intervention in psychosis service - per primary care practice.DiscussionThere is little guidance on the essential components of effective and cost-effective educational interventions in primary mental health care. Furthermore, no study has demonstrated an effect of a theory-based intervention to help GPs identify young people at UHR for psychosis. This study protocol is underpinned by a robust scientific rationale that intends to address these limitations.Trial registrationCurrent Controlled Trials ISRCTN70185866

show abstract

Getting guidelines into practice: a literature review

Cited by 36 publications

References 0 publications

Organizational Readiness for Evidence-Based Practice

Organizational Readiness for Evidence-Based Practice

Developing a computer delivered, theory based intervention for guideline implementation in general practice

Comparison of high and low intensity contact between secondary and primary care to detect people at ultra-high risk for psychosis: study protocol for a theory-based, cluster randomized controlled trial

Contact Info

Product

Resources

About