Báo cáo y học: " Implementing clinical guidelines in psychiatry: a qualitative study of perceived facilitators and barriers"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Implementing clinical guidelines in psychiatry: a qualitative study of perceived facilitators and barriers | Forsner et al. BMC Psychiatry 2010 10 8 http 1471-244X 10 8 BMC Psychiatry RESEARCH ARTICLE Open Access Implementing clinical guidelines in psychiatry a qualitative study of perceived facilitators and barriers Tord Forsner1 Johan Hansson2 Mats Brommels2 3 Anna Aberg Wistedt4 Yvonne Forsell1 Abstract Background Translating scientific evidence into daily practice is complex. Clinical guidelines can improve health care delivery but there are a number of challenges in guideline adoption and implementation. Factors influencing the effective implementation of guidelines remain poorly understood. Understanding of barriers and facilitators is important for development of effective implementation strategies. The aim of this study was to determine perceived facilitators and barriers to guideline implementation and clinical compliance to guidelines for depression in psychiatric care. Methods This qualitative study was conducted at two psychiatric clinics in Stockholm Sweden. The implementation activities at one of the clinics included local implementation teams seminars regular feedback and academic detailing. The other clinic served as a control and only received guidelines by post. Data were collected from three focus groups and 28 individual semi-structured interviews. Content analysis was used to identify themes emerging from the interview data. Results The identified barriers to and facilitators of the implementation of guidelines could be classified into three major categories 1 organizational resources 2 health care professionals individual characteristics and 3 perception of guidelines and implementation strategies. The practitioners in the implementation team and at control clinics differed in three main areas 1 concerns about control over professional practice 2 beliefs about evidence-based practice and 3 suspicions about financial motives for guideline introduction. Conclusions Identifying the barriers to and facilitators of the adoption of .

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