Understanding factors influencing venous leg ulcer guideline implementation in Australian primary care
| Autor: | Louise Turnour, Victoria Team, Carolina D Weller, Catelyn Richards |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Attitude of Health Personnel
Psychological intervention Primary health care Dermatology Primary care Venous leg ulcer Varicose Ulcer 030207 dermatology & venereal diseases 03 medical and health sciences 0302 clinical medicine Nursing Knowledge translation Surveys and Questionnaires Medicine Humans 030212 general & internal medicine Practice Patterns Physicians' Qualitative Research Health professionals Primary Health Care business.industry Australia Guideline Original Articles medicine.disease Guideline implementation Practice Guidelines as Topic Surgery Guideline Adherence business |
| Zdroj: | Int Wound J |
| ISSN: | 1742-481X |
| Popis: | The aim of this study was to gain a better understanding of the venous leg ulcer (VLU) management in primary health care settings located in Melbourne metropolitan and rural Victoria, Australia. We explored health professionals' perspective on the use of the Australian and New Zealand Venous Leg Ulcer Clinical Practice Guideline (VLU CPG) to identify the main challenges of VLU CPG uptake in clinical practice. We conducted semi-structured interviews with 15 general practitioners (GPs) and 20 practice nurses (PNs), including two Aboriginal health nurses. The Theoretical Domains Framework guided data collection and analysis. Data were analysed using a theory-driven analysis. We found a lack of awareness of the VLU CPGs, which resulted in suboptimal knowledge and limited adherence to evidence-based recommendations. Environmental factors, such as busy nature of clinical environment and absence of handheld Doppler ultrasound, as well as social and professional identity factors, such as reliance on previous experience and colleague's advice, influenced the uptake of the VLU CPGs in primary care. Findings of this study will inform development of interventions to increase the uptake of the VLU CPG in primary care settings and to reduce the evidence-practice gap in VLU management by health professionals. |
| Databáze: | OpenAIRE |
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