Clinician Engagement in Point of Care Audit
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Sutherns, Stephanie F., RN, RM, MHMgt, BN, DipAppSc (NsgMgt-Distinction); Kimble, Rebecca, MBBS, FRANZCOG, GradCertIVWT&A; Lee, Jacinta, RN, RM, BNSc (Hons), MIS; Doolan, Jackie, RN, RM, BN, MSocSc; Gray, Lyndel, RN, RM, GradDipNurs, MIntEc&Fin; Schafer, Keppel W., RN, RM, BN, GradDipMid, MMid
- Sigma Affiliation
- Non-member
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Abstract
Purpose: Disseminate learnings about the importance of clinician engagement in clinical guideline implementation. It is generally accepted that clinical guidelines on their own do not change patient care outcomes and that additional implementation strategies are required. However, there is a paucity of detailed information on what strategies are effective in translating clinical guidelines into everyday clinical practice and increasing clinician knowledge of guideline recommendations Forsner, 2010 #2, 1. Methods: The Queensland Maternity and Neonatal Clinical Guidelines Program conducted a multifaceted implementation strategy at three Queensland maternity facilities for the clinical guideline Obesity. The strategy incorporated clinician engagement, education on guideline content, point of care clinical auditing by midwives and doctors and knowledge assessments before and after these interventions. Low and Negligible Risk Ethics approval was received from the Queensland Health Human Research Ethics Committee. Results: Focus groups and an evaluation survey (N=72) revealed that the vast majority of clinicians viewed the audit and education implementation strategies in a positive manner. There was a statistically significant improvement (< 0.001) in knowledge of guideline content following the education intervention. Analysis of focus group themes identified the role of the local champion as a pivotal success factor and the importance of multifaceted implementation strategies to accompany the clinical guidelines. Conclusion: The importance of clinician leadership and engagement at all levels in increasing adherence and uptake of clinical guidelines cannot be overstated Patel, 2010 2. Consistent clinician engagement increased the project's credibility among midwives, nurses and doctors and assisted with change management, facilitation, education delivery, data collection and participant recruitment. 1. Forsner T, Hansson J, Brommels M, Wistedt A, Forsell Y. Implementing clinical guidelines in psychiatry: a qualitative study of perceived facilitators and barriers. BMC Psychiatry [online]. 2010; 10(8). Available from: http://www.biomedcentral.com/1471-244X/10/8. 2. Patel S. Achieving quality assurance through clinical audit. Nursing Managment. 2010; 17(8):28-36.
Repository Posting Date
2012-09-12T09:19:36Z
Notes
Items submitted to a conference/event were evaluated/peer-reviewed at the time of abstract submission to the event. No other peer-review was provided prior to submission to the Henderson Repository.
Type Information
Type | Presentation |
Acquisition | Proxy-submission |
Review Type | Abstract Review Only: Reviewed by Event Host |
Format | Text-based Document |
Category Information
Evidence Level | |
Keywords | Guidelines; Audit; Clinician |
Conference Information
Name | 23rd International Nursing Research Congress |
Host | Sigma Theta Tau International, the Honor Society of Nursing |
Location | Brisbane, Australia |
Date | 2012 |
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