TAILIEUCHUNG - báo cáo khoa học: "Understanding the relationship between the perceived characteristics of clinical practice guidelines and their uptake: protocol for a realist review"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Understanding the relationship between the perceived characteristics of clinical practice guidelines and their uptake: protocol for a realist review | Kastner et al. Implementation Science 2011 6 69 http content 6 1 69 Implementation Science IMPLEMENTATION SCIENCE STUDY PROTOCOL Open Access Understanding the relationship between the perceived characteristics of clinical practice guidelines and their uptake protocol for a realist review 1 1 3 3 14 Monika Kastner Elizabeth Estey Laure Perrier Ian D Graham Jeremy Grimshaw Sharon E Straus Merrick Zwarenstein5 and Onil Bhattacharyya1 6 Abstract Background Clinical practice guidelines have the potential to facilitate the implementation of evidence into practice support clinical decision making specify beneficial therapeutic approaches and influence public policy. However these potential benefits have not been consistently achieved. The limited impact of guidelines can be attributed to organisational constraints the complexity of the guidelines and the lack of usability testing or enduser involvement in their development. Implementability has been referred to as the perceived characteristics of guidelines that predict the relative ease of their implementation at the clinical level but this concept is as yet poorly defined. The objective of our study is to identify guideline attributes that affect uptake in practice by considering evidence from four disciplines medicine psychology management human factors engineering to determine the relationship between the perceived characteristics of recommendations and their uptake and to develop a framework of implementability. Methods A realist-review approach to knowledge synthesis will be used to understand attributes of guidelines e. g. its text and content and how changing these elements might impact clinical practice and clinical decision making. It also allows for the exploration of what works for whom in what circumstances and in what respects . The realist review will be structured according to Pawson s five practical steps in realist reviews 1 clarifying the scope of the review 2 .

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