TY - JOUR
T1 - Application des lignes directrices cliniques
T2 - Points de vue des cliniciens dans des hôpitaux pédiatriques et des maternités à Kaboul (Afghanistan)
AU - Graham, H.
AU - Tokhi, M.
AU - Edward, A.
AU - Salehi, A. S.
AU - Turkmani, S.
AU - Duke, T.
AU - Bartlett, L.
N1 - Publisher Copyright:
© 2015, World Health Organization. All rights reserved.
PY - 2015
Y1 - 2015
N2 - This study explored the perceived value, role and reported use of clinical guidelines by clinicians in urban paediatric and maternity hospital settings, and the effect of current implementation strategies on clinician attitudes, knowledge and behaviour. A total of 63 clinicians from 7 paediatric and maternity hospitals in Kabul, Afghanistan participated in structured focus groups; content analysis methodology was used for identification and analysis of key themes. Seven sets of guidelines, protocols or standards were identified (including 5 WHO-endorsed guidelines). However, most are failing to achieve high levels of use. Factors associated with guideline use included: clinician involvement in guideline development; multidisciplinary training; demonstrable results; and positive clinician perceptions regarding guideline quality and contextual appropriateness. Implementation activities should fulfil 3 major objectives: promote guideline awareness and access; stimulate motivation among clinical guideline users; and actively facilitate adherence to guidelines.
AB - This study explored the perceived value, role and reported use of clinical guidelines by clinicians in urban paediatric and maternity hospital settings, and the effect of current implementation strategies on clinician attitudes, knowledge and behaviour. A total of 63 clinicians from 7 paediatric and maternity hospitals in Kabul, Afghanistan participated in structured focus groups; content analysis methodology was used for identification and analysis of key themes. Seven sets of guidelines, protocols or standards were identified (including 5 WHO-endorsed guidelines). However, most are failing to achieve high levels of use. Factors associated with guideline use included: clinician involvement in guideline development; multidisciplinary training; demonstrable results; and positive clinician perceptions regarding guideline quality and contextual appropriateness. Implementation activities should fulfil 3 major objectives: promote guideline awareness and access; stimulate motivation among clinical guideline users; and actively facilitate adherence to guidelines.
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U2 - 10.26719/2015.21.2.100
DO - 10.26719/2015.21.2.100
M3 - Article
C2 - 25876821
AN - SCOPUS:84926383587
VL - 21
SP - 100
EP - 110
JO - Eastern Mediterranean Health Journal
JF - Eastern Mediterranean Health Journal
SN - 1020-3397
IS - 2
ER -