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Barriers to ESC guideline implementation: results of a survey from the European Council on Cardiovascular Nursing and Allied Professions (CCNAP)
European Soc Cardiol, France; Trinity Coll Dublin, Ireland.
European Soc Cardiol, France; St James Hospital, Ireland.
European Soc Cardiol, France; Massachusetts Gen Hospital, MA 02114 USA.
European Soc Cardiol, France; Zealand University Hospital, Denmark.
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2017 (English)In: European Journal of Cardiovascular Nursing, ISSN 1474-5151, E-ISSN 1873-1953, Vol. 16, no 8, p. 678-686Article in journal (Refereed) Published
Abstract [en]

Background: The European Society of Cardiology (ESC) has a comprehensive clinical guideline development programme, relevant for all clinicians. However, implementation of guidelines is not always optimal. Aim: The aim of this study was to determine nurses and allied professionals awareness and barriers regarding clinical guideline implementation. Methods: A cross-sectional survey was administrated online and in print at EuroHeartCare 2015. A questionnaire was developed which examined awareness and barriers to implementation of ESC guidelines on cardiovascular disease prevention in clinical practice (2012) and ESC guidelines in general. Results: Of the 298 respondents, 12% reported that the prevention guidelines were used in their practice area. Respondents identified, in order of magnitude, that lack of leadership, workload, time, resources and a perception that they were unable to influence current practice were barriers to the use of the prevention guidelines. When asked to rank barriers to use of any ESC guidelines, time (22%) and leadership (23%) were ranked highest. Conclusions: Implementation of ESC guidelines by nurses, the majority responders in this survey, is a serious problem, requiring urgent improvement to ensure patients receive optimal evidence based care. Issues of leadership, workload, time and resources are significant barriers to guideline implementation. It is of concern that these professionals perceive both that they have little influence on implementation decisions and lack of leadership regarding guideline implementation. Educational and organisational strategies to improve leadership skills are imperative. These will build self-efficacy and empower nurses and allied professionals to advocate for evidence-based care in the clinical environment.

Place, publisher, year, edition, pages
SAGE PUBLICATIONS LTD , 2017. Vol. 16, no 8, p. 678-686
Keywords [en]
Clinical guidelines; implementation; barriers; prevention; cardiac patients
National Category
Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
URN: urn:nbn:se:liu:diva-143613DOI: 10.1177/1474515117710097ISI: 000416377200004PubMedID: 28498092OAI: oai:DiVA.org:liu-143613DiVA, id: diva2:1165625
Note

Funding Agencies|Novartis

Available from: 2017-12-13 Created: 2017-12-13 Last updated: 2017-12-13

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Hendriks, Jeroen
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CiteExportLink to record
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Citation style
  • apa
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Output format
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