Attitudes Toward Guidelines in Finnish Primary Care Nursing: A Questionnaire Survey

Alanen, Seija; Kaila, Minna; Välimäki, Maritta

doi:10.1111/j.1741-6787.2009.00167.x

Cited by 26 publications

(41 citation statements)

References 37 publications

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“…Our study on palliative care professionals shows an overall similar dominance of positive attitudes and beliefs concerning guidelines compared to results found in other studies outside palliative care [14, 16–29], which focus on physicians [14, 16–18, 23, 25–32], nurses [21, 22] or both [19, 20, 24]. We did not find any data published for palliative care professionals’ attitudes towards guidelines in general.…”

Section: Discussionsupporting

confidence: 83%

“…Although there were a number of quantitative surveys published since 2000 on health professionals’ attitudes towards guidelines in Asia [23], Australia [44], the US and Canada [20, 24, 32, 34, 45], and Europe [18, 21, 22, 25, 29, 46], there were only four nationwide studies on health professionals’ attitudes towards guidelines published in Germany [16, 26, 27, 47]. To our knowledge, this was the first study investigating palliative care professionals’ attitudes.…”

Section: Discussionmentioning

confidence: 99%

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Critical attitudes and beliefs towards guidelines amongst palliative care professionals – results from a national survey

et al. 2017

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BackgroundLittle is known about palliative care professionals’ attitudes towards guidelines. In 2015, the German Association for Palliative Medicine (DGP) published an evidence based guideline for palliative care in adults with incurable cancer. Before publication we conducted a national survey among members of the DGP to detect possible barriers and facilitators for its implementation. The aim of the present publication was to evaluate critical attitudes and beliefs which could hinder the effective implementation of the new guideline and to evaluate differences within professional groups and medical specialisations.MethodsThis web-based online survey was addressed to all members of the DGP in summer 2014. Twenty-one questions concerning attitudes and beliefs towards guidelines were a priori developed to represent the following topics: scepticism regarding the quality of guidelines, doubts about the implementation of guidelines, restrictions in treatment options through guidelines, discrepancy between palliative care values and guidelines. Differences within professions and specialisations were tested using Kruskal-Wallis tests.ResultsAll 4.786 members with known email address were invited, 1.181 followed the link, 1.138 began to answer the questionnaire and 1.031 completed the questionnaire. More than half of participating members were physicians and one third nurses. Scepticism regarding the quality of existing guidelines was high (range 12.8–73.2%). Doubts regarding practical aspects of guidelines were less prevalent but still high (range 21.8–57.6%). About one third (range 5.4–31.4%) think that guidelines restrict their treatment options. In addition, 38.8% believed that guidelines are a kind of cookbook and restrict the flexibility of individual patient care. The majority saw no or little discrepancy between palliative care values and guidelines (range 68.4–82.6%). There were relatively small but significant differences between professions and specialisations.ConclusionThe person-centred and individual approach of palliative care does not seem to contradict the acceptance of guidelines. Main barriers were related to scepticism regarding the quality of guidelines and the implementation of guidelines in general.Electronic supplementary materialThe online version of this article (doi:10.1186/s12904-017-0187-y) contains supplementary material, which is available to authorized users.

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Section: Discussionsupporting

confidence: 83%

Section: Discussionmentioning

confidence: 99%

Critical attitudes and beliefs towards guidelines amongst palliative care professionals – results from a national survey

et al. 2017

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“…Differences in attitudes between nurses and doctors towards guidelines and/or the implementation of new practices have been previously noted, with nurses being more likely to follow guidelines if the practice was implemented 21 . Nurses were also more likely to adhere to guidelines than doctors 22 .…”

Section: Discussionmentioning

confidence: 62%

Use of oxygen for delivery room neonatal resuscitation in non‐tertiary Australian and New Zealand hospitals: A survey of current practices, opinions and equipment

Bhola

Lui

Oei

2012

J Paediatrics Child Health

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“…Nurses generally report favourable views of EBP and believe in its value for quality of care [29]. However, these positive beliefs toward research do not necessarily translate to an increased use of research findings in practice [30].…”

Section: Reliability and The Construct Factor Structurementioning

confidence: 99%

Factor Analytical Examination of the Evidence-Based Practice Beliefs Scale: Indications of a Two-Factor Structure

Grønvik¹,

Ødegård²,

Bjørkly³

2016

OJN

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Background: Promotion of Evidence-Based Practice (EBP) in nursing appears to be developing slowly. Research indicates that nurses' beliefs in EBP may play an even more significant role than knowledge and resources in making implementation feasible. To address this issue, measurement of nurses' beliefs regarding EBP is paramount. Aims and objectives: This study explores the internal consistency reliability and the construct factor structure of the Norwegian version of the original EvidenceBased Practice Beliefs Scale (EBP-BS). Methods: The study has a Non-experimental exploratory survey design. A Norwegian translation of the EBP-BS was tested in a convenience sample of 118 healthcare professionals (95% nurses) attending a continuing education program at a University College in Norway. The response rate was 95% (n = 112). The internal consistency of the scale was measured by Cronbach's alpha, and an explorative Principal Component Analysis (PCA) was used to explore the construct structure. Results: The overall internal consistency of the EBP-BS was acceptable. The PCA indicated a four-factor structure. The psychometric properties of two of the factors were too weak for expanding to a four-factor model. Based on our investigation of the EBP-BS, we suggest a two-factor structure model. The factors were named 1) General knowledge and confidence concerning EBP and 2) Task specific beliefs in EBP. This finding differs from previous results that indicated a unidimensional structure. Conclusion: As a starting point, reliable and valid measurement of nurses' beliefs about EBP is required in order to identify possible obstacles and to optimize implementation in the individual clinical setting. Our results indicate that the EBP-BS has a two-factor structure. Further exploration of the factor structure is needed. Further empirical research may contribute to the resolving of controversies concerning basic understandings of the concept of EBP.

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Attitudes Toward Guidelines in Finnish Primary Care Nursing: A Questionnaire Survey

Cited by 26 publications

References 37 publications

Critical attitudes and beliefs towards guidelines amongst palliative care professionals – results from a national survey

Critical attitudes and beliefs towards guidelines amongst palliative care professionals – results from a national survey

Use of oxygen for delivery room neonatal resuscitation in non‐tertiary Australian and New Zealand hospitals: A survey of current practices, opinions and equipment

Factor Analytical Examination of the Evidence-Based Practice Beliefs Scale: Indications of a Two-Factor Structure

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