Not of one mind: mental models of clinical practice guidelines in the Veterans Health Administration.
Objective: The purpose of this paper is to present differences in mental models of clinical practice guidelines (CPGs) among 15 Veterans Health Administration (VHA) facilities throughout the United States.Data Sources: Two hundred and forty-four employees from 15 different VHA facilities across four...
| Publicado en: | Health Services Research Vol. 40; no. 3; pp. 829 - 848 |
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| Autores principales: | , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
Jun2005
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106383944&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 106383944 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00179124 HSR jtl: Health Services Research issn: 00179124 maglogo: Y pubinfo: dt: Jun2005 vid: 40 iid: 3 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 106383944 106383944 NLM15960693 2009081021 10.1111/j.1475-6773.2005.00387.x NLM15960693 106383944 ppf: 829 ppct: 19 formats: tig: atl: Not of one mind: mental models of clinical practice guidelines in the Veterans Health Administration. aug: au: Hysong SJ Best RG Pugh JA Moore FI Hysong, Sylvia J Best, Richard G Pugh, Jacqueline A Moore, Frank I affil: ALMD/South Texas Veterans Health Care System, 7400 Merton Minter Blvd. Ambulatory Care 11C6, San Antonio, TX 78229-4404, USA sug: subj: Attitude of Health Personnel Practice Guidelines Professional Compliance Feedback Grounded Theory Hospitals, Veterans Mental Processes Organizational Compliance Organizational Culture Psychological Theory Purposive Sample Qualitative Studies Quality Assurance Semi-Structured Interview Thematic Analysis Funding Source Human ab: Objective: The purpose of this paper is to present differences in mental models of clinical practice guidelines (CPGs) among 15 Veterans Health Administration (VHA) facilities throughout the United States.Data Sources: Two hundred and forty-four employees from 15 different VHA facilities across four service networks around the country were invited to participate. Participants were selected from different levels throughout each service setting from primary care personnel to facility leadership.Study Design: This qualitative study used purposive sampling, a semistructured interview process for data collection, and grounded theory techniques for analysis.Data Collection: A semistructured interview was used to collect information on participants' mental models of CPGs, as well as implementation strategies and barriers in their facility.Findings: Analysis of these interviews using grounded theory techniques indicated that there was wide variability in employees' mental models of CPGs. Findings also indicated that high-performing facilities exhibited both (a) a clear, focused shared mental model of guidelines and (b) a tendency to use performance feedback as a learning opportunity, thus suggesting that a shared mental model is a necessary but not sufficient step toward successful guideline implementation.Conclusions: We conclude that a clear shared mental model of guidelines, in combination with a learning orientation toward feedback are important components for successful guideline implementation and improved quality of care. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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