2.50
Hdl Handle:
http://hdl.handle.net/10755/243249
Category:
Full-text
Type:
Presentation
Title:
Clinician Engagement in Point of Care Audit
Author(s):
Sutherns, Stephanie F.; Kimble, Rebecca; Lee, Jacinta; Doolan, Jackie; Gray, Lyndel; Schafer, Keppel W.
Author Details:
Sutherns, Stephanie F., RN, RM, MHMgt, BN, DipAppSc (NsgMgt-Distinction), stephanie_sutherns@health.qld.gov.au; 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;
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 recommendations1.

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 (p<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 overstated2.  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.

 

Keywords:
Guidelines; Audit; Clinician
Repository Posting Date:
12-Sep-2012
Date of Publication:
12-Sep-2012 ; 12-Sep-2012
Conference Date:
2012
Conference Name:
23rd International Nursing Research Congress
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Brisbane, Australia

Full metadata record

DC FieldValue Language
dc.language.isoenen
dc.type.categoryFull-texten
dc.typePresentationen
dc.titleClinician Engagement in Point of Care Auditen
dc.contributor.authorSutherns, Stephanie F.en
dc.contributor.authorKimble, Rebeccaen
dc.contributor.authorLee, Jacintaen
dc.contributor.authorDoolan, Jackieen
dc.contributor.authorGray, Lyndelen
dc.contributor.authorSchafer, Keppel W.en
dc.author.detailsSutherns, Stephanie F., RN, RM, MHMgt, BN, DipAppSc (NsgMgt-Distinction), stephanie_sutherns@health.qld.gov.au; 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;en
dc.identifier.urihttp://hdl.handle.net/10755/243249-
dc.description.abstract<b>Purpose: </b>Disseminate learnings about the importance of clinician engagement in clinical guideline implementation. <p>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<a href="uploadabstract.cgi?RecordType=Paper&Recordid=51026&Hash=55d886921e4eb77f274c5875f16b0d0a&step=6&password=381991#_ENREF_1" title="Forsner, 2010 #2"><sup>1</sup></a>. <p><b>Methods: </b>The Queensland Maternity and Neonatal Clinical Guidelines Program conducted a multifaceted implementation strategy at three Queensland maternity facilities for the clinical guideline <i>Obesity</i>. 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. <br /="/">Low and Negligible Risk Ethics approval was received from the Queensland Health Human Research Ethics Committee. <p><b>Results: </b>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 (p&lt;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. <p><b>Conclusion: </b>The importance of clinician leadership and engagement at all levels in increasing adherence and uptake of clinical guidelines cannot be overstated<a href="uploadabstract.cgi?RecordType=Paper&Recordid=51026&Hash=55d886921e4eb77f274c5875f16b0d0a&step=6&password=381991#_ENREF_2" title="Patel, 2010 #3"><sup>2</sup></a>.&nbsp; Consistent clinician engagement increased the project&rsquo;s credibility among midwives, nurses and doctors and assisted with change management, facilitation, education delivery, data collection and participant recruitment. <p>1.&nbsp; 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: <a href="http://www.biomedcentral.com/1471-244X/10/8">http://www.biomedcentral.com/1471-244X/10/8</a>. <p>2.&nbsp; Patel S. Achieving quality assurance through clinical audit. Nursing Managment. 2010; 17(8):28-36. <p>&nbsp;en
dc.subjectGuidelinesen
dc.subjectAuditen
dc.subjectClinicianen
dc.date.available2012-09-12T09:19:36Z-
dc.date.issued2012-09-12-
dc.date.issued2012-09-12en
dc.date.accessioned2012-09-12T09:19:36Z-
dc.conference.date2012en
dc.conference.name23rd International Nursing Research Congressen
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen
dc.conference.locationBrisbane, Australiaen
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