Do concussion clinicians use clinical practice guidelines?

Objective: Clinical practice guidelines (CPGs) synthesize research evidence for health professionals and improve consistency of clinical care. However, it is unclear if concussion clinicians use them in their practice. We aimed to describe which CPGs New Zealand clinicians used and facilitators and...

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Bibliographic Details
Published in:	Brain injury Vol. 35; no. 12-13; pp. 1521 - 1528
Main Authors:	Derbyshire, Sarah, Maskill, Virginia, Snell, Deborah L.
Format:	Journal Article
Language:	English
Published:	England Taylor & Francis 10-11-2021
Subjects:	Brain Concussion - therapy Clinical practice guidelines clinician perspectives concussion outcomes evidence-based practice Guideline Adherence Health Personnel Humans New Zealand Surveys and Questionnaires New Zealand Clinical practice guidelines evidence-based practice clinician perspectives concussion outcomes
Online Access:	Get full text
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Summary:	Objective: Clinical practice guidelines (CPGs) synthesize research evidence for health professionals and improve consistency of clinical care. However, it is unclear if concussion clinicians use them in their practice. We aimed to describe which CPGs New Zealand clinicians used and facilitators and barriers to uptake of these resources. Materials and Methods: We used snowballing recruitment methods to survey New Zealand concussion clinicians. Descriptive statistics and qualitative description were used to evaluate survey responses. Results: Ninety-six clinicians took part in the survey. A majority (70%) indicated they were aware of and had used at least one concussion CPG. Facilitators and barriers to using CPGs related to clinician experience, nature of the CPG, the work context, characteristics of clients and whether strategies were provided to encourage their use. Conclusions: Participants viewed concussion CPGs as helpful tools for informing clinical practice. That less experienced clinicians were less likely to use concussion CPGs than more experienced clinicians suggests there is an opportunity to develop strategies to improve the uptake of CPGs among newer clinicians. This and other areas of further research include how well CPGs capture relevant cultural factors and the role of case complexity in clinicians' willingness to use concussion CPGs.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	0269-9052 1362-301X
DOI:	10.1080/02699052.2021.1972451