Abstract
BackgroundEvidenced-based practice is a key component of quality care. This study aims to explore users’ expectations concerning paediatric local clinical practice guidelines.MethodsA mixed method approach was applied, including material from quantitative questionnaire and semi-structured interviews. Data were analysed using descriptive statistics and qualitative content analysis. Data were analysed with constant comparative method. Qualitative data were parsed and categorized to identify themes related to decision-making.ResultsA total of 83 physicians answered the survey (response rate 83%). 98% of the participants wanted protocols based on international guidelines, 80% expected a therapeutic content. 24 semi-structured interviews were conducted to understand implementation processes, barriers and facilitators. Qualitative analysis revealed 5 emerging themes: improvement of local clinical practice guidelines, patterns of usage, reasons for non-implementation, alternative sources and perspectives.ConclusionSome criteria should be considered for the redaction of local clinical practice guidelines: focus on therapeutic, ease of access, establish local clinical practice guidelines based on international guidelines adapted to the local setting, document references and include trainees such as residents in the redaction.
Highlights
Evidenced-based practice is a key component of quality care
The main objective of this study is to explore what physicians expect from local Clinical practice guidelines (CPGs) in order to identify a set of criteria to assist in the development of these guidelines for paediatric and neonatology departments and to achieve better implementation
These local CPGs are available in 3 formats: on paper, on a mobile health application incorporated into smartphones and on the hospital intranet for some guidelines
Summary
Evidenced-based practice is a key component of quality care. This study aims to explore users’ expecta‐ tions concerning paediatric local clinical practice guidelines. Evidence-based medicine and practice are increasingly required by professional associations [1]. Introduction of quality approach in the hospital is part of national strategies for healthcare. It aims at standardisation of practices to reduce the risk of error and the cost of care [2]. Clinical practice guidelines (CPGs) are intended to improve patient management and care [4] with the primary goal of improving patient health [5]. CPGs help to ensure that patients and physicians are provided with current and robust empirical evidence to adequately inform their decisions and guide their clinical practices.
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