Abstract
Patient care based on best available evidence is increasingly viewed as the hallmark of good quality medical diagnosis and treatment, yet its uptake is often slow and uneven and the reasons underlying the slow diffusion of evidence-based guidelines remain elusive. The authors report a qualitative study conducted at a major US teaching hospital which sought to discover the reasons why an evidence-based anticoagulation guideline appeared to be applied irregularly, with problematic results. Using a theoretical framework derived from Rogersg' work on the diffusion of innovation, this article describes the ways in which a group of residents evaluated and applied evidence in the context of caring for their patients. Future work in evidence-based practice can benefit from a greater emphasis on studies that use multi-method, qualitative designs to explore the complex ways in which people interact with information and the changes that ensue from its use.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 177-188 |
| Number of pages | 12 |
| Journal | Health Informatics Journal |
| Volume | 16 |
| Issue number | 3 |
| DOIs | |
| State | Published - Sep 2010 |
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Keywords
- diffusion of innovation
- evidence-based practice
- guideline adherence
- organizational innovation
ASJC Scopus subject areas
- Health Informatics
Cite this
Applying evidence in practice : A qualitative case study of the factors affecting residentsg' decisions. / Dalrymple, Prudence W.; Lehmann, Harold P; Roderer, Nancy K.; Streiff, Michael B.
In: Health Informatics Journal, Vol. 16, No. 3, 09.2010, p. 177-188.Research output: Contribution to journal › Article
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TY - JOUR
T1 - Applying evidence in practice
T2 - A qualitative case study of the factors affecting residentsg' decisions
AU - Dalrymple, Prudence W.
AU - Lehmann, Harold P
AU - Roderer, Nancy K.
AU - Streiff, Michael B
PY - 2010/9
Y1 - 2010/9
N2 - Patient care based on best available evidence is increasingly viewed as the hallmark of good quality medical diagnosis and treatment, yet its uptake is often slow and uneven and the reasons underlying the slow diffusion of evidence-based guidelines remain elusive. The authors report a qualitative study conducted at a major US teaching hospital which sought to discover the reasons why an evidence-based anticoagulation guideline appeared to be applied irregularly, with problematic results. Using a theoretical framework derived from Rogersg' work on the diffusion of innovation, this article describes the ways in which a group of residents evaluated and applied evidence in the context of caring for their patients. Future work in evidence-based practice can benefit from a greater emphasis on studies that use multi-method, qualitative designs to explore the complex ways in which people interact with information and the changes that ensue from its use.
AB - Patient care based on best available evidence is increasingly viewed as the hallmark of good quality medical diagnosis and treatment, yet its uptake is often slow and uneven and the reasons underlying the slow diffusion of evidence-based guidelines remain elusive. The authors report a qualitative study conducted at a major US teaching hospital which sought to discover the reasons why an evidence-based anticoagulation guideline appeared to be applied irregularly, with problematic results. Using a theoretical framework derived from Rogersg' work on the diffusion of innovation, this article describes the ways in which a group of residents evaluated and applied evidence in the context of caring for their patients. Future work in evidence-based practice can benefit from a greater emphasis on studies that use multi-method, qualitative designs to explore the complex ways in which people interact with information and the changes that ensue from its use.
KW - diffusion of innovation
KW - evidence-based practice
KW - guideline adherence
KW - organizational innovation
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U2 - 10.1177/1460458210377469
DO - 10.1177/1460458210377469
M3 - Article
VL - 16
SP - 177
EP - 188
JO - Health Informatics Journal
JF - Health Informatics Journal
SN - 1460-4582
IS - 3
ER -