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Implementing evidence-based practice in primary care: perceptions of a multifaceted programme to encourage guideline use

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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    Abstract

    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
    this setting.
    Design A descriptive qualitative study using semistructured
    group interviews.
    Setting Primary care.
    Participants 34 general practitioners (GPs), six
    practice nurses and one practice manager were
    involved in group interviews from ten general
    practices.
    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
    highlighted.
    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.

    Item Type: Article
    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
    Related URLs:
    Depositing User: Sara Taylor
    Date Deposited: 27 Jul 2010 14:15
    Last Modified: 30 Jun 2011 10:37
    URI: http://eprints.hud.ac.uk/id/eprint/8213

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