Marshall, Joyce, Mead, Paula, Jones, Karen, Kaba, Evridiki and Tovey, Phillip (2002) Implementing evidence-based practice in primary care: perceptions of a multifaceted programme to encourage guideline use. Journal of Clinical Excellence, 4 (2). pp. 223-229. ISSN 1475-9896
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Objective To explore the acceptability of the
various elements of a multifaceted intervention
designed to facilitate the process of guideline
implementation by primary care teams and to
understand constraints to the use of guidelines in
Design A descriptive qualitative study using semistructured
Setting Primary care.
Participants 34 general practitioners (GPs), six
practice nurses and one practice manager were
involved in group interviews from ten general
Results The themes identi� ed re� ected the elements
of the intervention: bene� ts and problems
of critical appraisal workshops; perceptions of the
usefulness of guidelines; responses to audit feedback
and the impact of facilitation. Even where
practitioners were committed to guideline implementation
their use was not always straightforward.
Aspects such as the maintenance of a good
relationship with the patient and the in� uence of
colleagues in secondary care were seen as important.
Issues of time and resources were also
Conclusions Implementation of clinical guidelines
is a complex activity. Interventions used to
encourage their use should be � exible and directly
relevant to practical issues. Local ownership of the
process is important but agreed deadlines for
activity may be important to facilitate action.
|Additional Information:||© Radcliffe Publishing, paper posted on this site by permission|
|Uncontrolled Keywords:||audit clinical effectiveness critical appraisal evidence based practice guidelines practice facilitation|
|Subjects:||R Medicine > R Medicine (General)|
R Medicine > RA Public aspects of medicine
|Schools:||School of Human and Health Sciences|
|Depositing User:||Sara Taylor|
|Date Deposited:||27 Jul 2010 14:15|
|Last Modified:||30 Jun 2011 10:37|
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