Healthcare Professionals’ and Policy Makers’ Views on Implementing a Clinical Practice Guideline of Hypertension Management: A Qualitative Study
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{"title"=>"Healthcare professionals' and policy makers' views on implementing a clinical practice guideline of hypertension management: A qualitative study", "type"=>"journal", "authors"=>[{"first_name"=>"Ping Yein", "last_name"=>"Lee", "scopus_author_id"=>"25931548800"}, {"first_name"=>"Su May", "last_name"=>"Liew", "scopus_author_id"=>"45161386900"}, {"first_name"=>"Adina", "last_name"=>"Abdullah", "scopus_author_id"=>"54879831600"}, {"first_name"=>"Nurdiana", "last_name"=>"Abdullah", "scopus_author_id"=>"55576888800"}, {"first_name"=>"Chirk Jenn", "last_name"=>"Ng", "scopus_author_id"=>"7401705478"}, {"first_name"=>"Nik Sherina", "last_name"=>"Hanafi", "scopus_author_id"=>"55481749500"}, {"first_name"=>"Yook Chin", "last_name"=>"Chia", "scopus_author_id"=>"7006358194"}, {"first_name"=>"Pauline S.M.", "last_name"=>"Lai", "scopus_author_id"=>"35332387200"}, {"first_name"=>"Stalia S.L.", "last_name"=>"Wong", "scopus_author_id"=>"54404162900"}, {"first_name"=>"Ee Ming", "last_name"=>"Khoo", "scopus_author_id"=>"6701807009"}], "year"=>2015, "source"=>"PLoS ONE", "identifiers"=>{"scopus"=>"2-s2.0-84929121286", "doi"=>"10.1371/journal.pone.0126191", "sgr"=>"84929121286", "isbn"=>"1932-6203", "pmid"=>"25942686", "issn"=>"19326203", "pui"=>"604276080"}, "id"=>"5a006055-bdeb-36f1-b3e7-897622fd871a", "abstract"=>"INTRODUCTION: Most studies have reported barriers to guideline usage mainly from doctors' perspective; few have reported the perspective of other stakeholders. This study aimed to determine the views and barriers to adherence of a national clinical practice guideline (CPG) on management of hypertension from the perspectives of policymakers, doctors and allied healthcare professionals. METHODS: This study used a qualitative approach with purposive sampling. Seven in depth interviews and six focus group discussions were conducted with 35 healthcare professionals (policy makers, doctors, pharmacists and nurses) at a teaching hospital in Kuala Lumpur, Malaysia, between February and June 2013. All interviews were audio-recorded, transcribed verbatim and checked. Thematic approach was used to analyse the data. RESULTS: Two main themes and three sub-themes emerged from this study. The main themes were (1) variation in the use of CPG and (2) barriers to adherence to CPG. The three sub-themes for barriers were issues inherent to the CPG, systems and policy that is not supportive of CPG use, and attitudes and behaviour of stakeholders. The main users of the CPG were the primary care doctors. Pharmacists only partially use the guidelines, while nurses and policy makers were not using the CPG at all. Participants had suggested few strategies to improve usage and adherence to CPG. First, update the CPG regularly and keep its content simple with specific sections for allied health workers. Second, use technology to facilitate CPG accessibility and provide protected time for implementation of CPG recommendations. Third, incorporate local CPG in professional training, link CPG adherence to key performance indicators and provide incentives for its use. CONCLUSIONS: Barriers to the use of CPG hypertension management span across all stakeholders. The development and implementation of CPG focused mainly on doctors with lack of involvement of other healthcare stakeholders. Guidelines should be made simple, current, reliable, accessible, inclusive of all stakeholders and with good policy support.", "link"=>"http://www.mendeley.com/research/healthcare-professionals-policy-makers-views-implementing-clinical-practice-guideline-hypertension-m-4", "reader_count"=>21, "reader_count_by_academic_status"=>{"Unspecified"=>1, "Researcher"=>4, "Student > Doctoral Student"=>3, "Student > Ph. D. Student"=>3, "Student > Master"=>7, "Student > Bachelor"=>1, "Lecturer"=>1, "Professor"=>1}, "reader_count_by_user_role"=>{"Unspecified"=>1, "Researcher"=>4, "Student > Doctoral Student"=>3, "Student > Ph. D. Student"=>3, "Student > Master"=>7, "Student > Bachelor"=>1, "Lecturer"=>1, "Professor"=>1}, "reader_count_by_subject_area"=>{"Unspecified"=>1, "Nursing and Health Professions"=>4, "Medicine and Dentistry"=>11, "Philosophy"=>1, "Business, Management and Accounting"=>1, "Social Sciences"=>2, "Computer Science"=>1}, "reader_count_by_subdiscipline"=>{"Medicine and Dentistry"=>{"Medicine and Dentistry"=>11}, "Social Sciences"=>{"Social Sciences"=>2}, "Computer Science"=>{"Computer Science"=>1}, "Nursing and Health Professions"=>{"Nursing and Health Professions"=>4}, "Business, Management and Accounting"=>{"Business, Management and Accounting"=>1}, "Unspecified"=>{"Unspecified"=>1}, "Philosophy"=>{"Philosophy"=>1}}, "reader_count_by_country"=>{"Colombia"=>1, "United Kingdom"=>1, "Switzerland"=>1, "Spain"=>1}, "group_count"=>3}

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  • {"files"=>["https://ndownloader.figshare.com/files/2052630", "https://ndownloader.figshare.com/files/2052631"], "description"=>"<div><p>Introduction</p><p>Most studies have reported barriers to guideline usage mainly from doctors’ perspective; few have reported the perspective of other stakeholders. This study aimed to determine the views and barriers to adherence of a national clinical practice guideline (CPG) on management of hypertension from the perspectives of policymakers, doctors and allied healthcare professionals.</p><p>Methods</p><p>This study used a qualitative approach with purposive sampling. Seven in depth interviews and six focus group discussions were conducted with 35 healthcare professionals (policy makers, doctors, pharmacists and nurses) at a teaching hospital in Kuala Lumpur, Malaysia, between February and June 2013. All interviews were audio-recorded, transcribed verbatim and checked. Thematic approach was used to analyse the data.</p><p>Results</p><p>Two main themes and three sub-themes emerged from this study. The main themes were (1) variation in the use of CPG and (2) barriers to adherence to CPG. The three sub-themes for barriers were issues inherent to the CPG, systems and policy that is not supportive of CPG use, and attitudes and behaviour of stakeholders. The main users of the CPG were the primary care doctors. Pharmacists only partially use the guidelines, while nurses and policy makers were not using the CPG at all. Participants had suggested few strategies to improve usage and adherence to CPG. First, update the CPG regularly and keep its content simple with specific sections for allied health workers. Second, use technology to facilitate CPG accessibility and provide protected time for implementation of CPG recommendations. Third, incorporate local CPG in professional training, link CPG adherence to key performance indicators and provide incentives for its use.</p><p>Conclusions</p><p>Barriers to the use of CPG hypertension management span across all stakeholders. The development and implementation of CPG focused mainly on doctors with lack of involvement of other healthcare stakeholders. Guidelines should be made simple, current, reliable, accessible, inclusive of all stakeholders and with good policy support.</p></div>", "links"=>[], "tags"=>["CPG hypertension management span", "Qualitative Study IntroductionMost studies", "Clinical practice guideline", "healthcare professionals.MethodsThis study", "link CPG adherence", "focus group discussions", "policy makers", "35 healthcare professionals"], "article_id"=>1404281, "categories"=>["Biological Sciences"], "users"=>["Ping Yein Lee", "Su May Liew", "Adina Abdullah", "Nurdiana Abdullah", "Chirk Jenn Ng", "Nik Sherina Hanafi", "Yook Chin Chia", "Pauline S. M. Lai", "Stalia S. L. Wong", "Ee Ming Khoo"], "doi"=>["https://dx.doi.org/10.1371/journal.pone.0126191.s001", "https://dx.doi.org/10.1371/journal.pone.0126191.s002"], "stats"=>{"downloads"=>12, "page_views"=>11, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Healthcare_Professionals_8217_and_Policy_Makers_8217_Views_on_Implementing_a_Clinical_Practice_Guideline_of_Hypertension_Management_A_Qualitative_Study_/1404281", "title"=>"Healthcare Professionals’ and Policy Makers’ Views on Implementing a Clinical Practice Guideline of Hypertension Management: A Qualitative Study", "pos_in_sequence"=>0, "defined_type"=>4, "published_date"=>"2015-05-05 02:44:13"}

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Relative Metric

{"start_date"=>"2015-01-01T00:00:00Z", "end_date"=>"2015-12-31T00:00:00Z", "subject_areas"=>[]}
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