Application des lignes directrices cliniques: Points de vue des cliniciens dans des hôpitaux pédiatriques et des maternités à Kaboul (Afghanistan)

Translated title of the contribution: Use of clinical guidelines: Perspectives from clinicians in paediatric and maternity hospitals in Kabul, Afghanistan

H. Graham, M. Tokhi, A. Edward, A. S. Salehi, S. Turkmani, T. Duke, L. Bartlett

Research output: Contribution to journalArticlepeer-review

Abstract

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.

Translated title of the contributionUse of clinical guidelines: Perspectives from clinicians in paediatric and maternity hospitals in Kabul, Afghanistan
Original languageFrench
Pages (from-to)100-110
Number of pages11
JournalEastern Mediterranean Health Journal
Volume21
Issue number2
DOIs
StatePublished - 2015

ASJC Scopus subject areas

  • Medicine(all)

Fingerprint Dive into the research topics of 'Use of clinical guidelines: Perspectives from clinicians in paediatric and maternity hospitals in Kabul, Afghanistan'. Together they form a unique fingerprint.

Cite this