How can we improve guideline use? A conceptual framework of implementability – 22 March 2011

Posted on March 29, 2011. Filed under: Evidence Based Practice | Tags: |

How can we improve guideline use? A conceptual framework of implementability – 22 March 2011
Anna R Gagliardi, Melissa C Brouwers, Valerie A Palda, Louise Lemieux-Charles and Jeremy M Grimshaw
Implementation Science 2011, 6:26 doi:10.1186/1748-5908-6-26

Abstract (provisional)
Background
Guidelines continue to be underutilized and a variety of strategies to improve their use have been suboptimal. Modifying guideline features represents an alternative, but untested way to promote their use. The purpose of this study was to identify and define features that facilitate guideline use, and examine whether and how they are included in current guidelines.
Methods
A guideline implementability framework was developed by reviewing the implementation science literature. We then examined whether guidelines included these, or additional implementability elements. Data were extracted from publicly available high quality guidelines reflecting primary and institutional care, reviewed independently by two individuals, who through discussion resolved conflicts, then by the research team.
Results
The final implementability framework included 22 elements organized in the domains of adaptability, usability, validity, applicability, communicability, accommodation, implementation and evaluation. ”  … continues on the site

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