Do clinical guidelines guide clinical practice in stroke rehabilitation? An international survey of health professionals.
To identify health professionals awareness of stroke rehabilitation guidelines, and factors perceived to influence guideline use internationally. Online survey study. Open-ended responses were thematically analysed, guided by the Consolidated Framework for Implementation Research. Data from 833 resp...
| Published in: | Disability & Rehabilitation Vol. 44; no. 15; pp. 4118 - 4126 |
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| Main Authors: | , , , |
| Format: | research tables/charts Journal Article |
| Published: |
Taylor & Francis Ltd
Jul2022
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=158339148&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 158339148 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09638288 B73 jtl: Disability & Rehabilitation issn: 09638288 maglogo: Y pubinfo: dt: Jul2022 vid: 44 iid: 15 pid: 377 pub: Taylor & Francis Ltd place: Philadelphia, Pennsylvania artinfo: ui: 158339148 149007498 158339148 158339148 10.1080/09638288.2021.1891304 158339148 ppf: 4118 ppct: 8 formats: tig: atl: Do clinical guidelines guide clinical practice in stroke rehabilitation? An international survey of health professionals. aug: au: Lynch, Elizabeth A. Connell, Louise A. Carvalho, Lilian B. Bird, Marie-Louise affil: College of Nursing and Health Sciences, Flinders University, Bedford Park, Australia sug: subj: Stroke Rehabilitation Attitude of Health Personnel Practice Patterns Practice Guidelines Human Surveys Treatment Outcomes Thematic Analysis Implementation Science Low and Middle Income Countries Audit Medical Practice, Evidence-Based Public Health Funding Source ab: To identify health professionals awareness of stroke rehabilitation guidelines, and factors perceived to influence guideline use internationally. Online survey study. Open-ended responses were thematically analysed, guided by the Consolidated Framework for Implementation Research. Data from 833 respondents from 30 countries were included. Locally developed guidelines were available in 22 countries represented in the sample. Respondents from high-income countries were more aware of local guidelines compared with respondents from low- and middle-income countries. Local contextual factors such as management support and a culture of valuing evidence-based practice were reported to positively influence guideline use, whereas inadequate time and shortages of skilled staff inhibited the delivery of guideline-recommended care. Processes reported to improve guideline use included education, training, formation of workgroups, and audit-feedback cycles. Broader contextual factors included accountability (or lack thereof) of health professionals to deliver rehabilitation consistent with guideline recommendations. While many health professionals were aware of clinical guidelines, they identified multiple barriers to their implementation. Efforts should be made to raise awareness of local guidelines in low- and middle-income countries. More attention should be paid to addressing local contextual factors to improve guideline use internationally, going beyond traditional strategies focused on individual health professionals. Systems are required so people and organisations are held accountable to deliver evidence-based care in stroke rehabilitation. Locally developed stroke rehabilitation guidelines should be promoted to boost awareness of these guidelines in low- and middle-income countries. In all regions, strategies to influence or adapt to the local setting, are required to optimise guideline use. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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