The Development of Clinical Guidelines

Romain, Karen

doi:10.1016/s0031-9406(10)60611-6

Cited by 2 publications

(2 citation statements)

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“…One natural outcome of these initiatives has been the development and dissemination of evidence-based clinical practice guidelines ( Romain, 1994;Grimshaw and Russel, 1994;Shekelle et al, 1999) . Such guidelines are valuable evidence-based resources which enable evidence users overcome the time limitations required to locate primary evidence sources ( Guyatt et al, 2000) .…”

Section: Criticism Of the Professionmentioning

confidence: 99%

“…Guidelines for EBP have been developed in numerous disciplines, including public and community health ( Gyorkos et al, 1994;Woolf et al, 1996 ) ; general practice ( Sackett and Rosenberg, 1995) ; critical care medicine ( Cook et al, 1996 ) ; nursing ( Ciliska et al, 1996 ) ; osteoporosis ( Royal College of Physicians [RCP], 1999 ) ; and physiotherapy ( Creed et al, 1999) . Clinical practice guidelines are disseminated via journal publication, evidence-based bulletins ( e.g., CSP, 1999 ) and electronic means, and protocols are developed at local levels to implement guidelines ( Romain, 1994) .…”

Section: Criticism Of the Professionmentioning

confidence: 99%

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Evidence-based practice and physiotherapy in the 1990s

Turner¹

2001

Physiotherapy Theory and Practice

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Physiotherapy emerged as a profession only a century ago and has a fragile, but evolving research evidence base. Physiotherapy has been subject to decades of criticism for its lack of research utilisation, and is often perceived as a profession whose treatment techniques lack scienti c support. Numerous editorials and scholarly addresses have urged physiotherapists to become research consumers. The 1990s saw evidence-based practice emerge as a new paradigm within health care and health education, and also the emergence of initiatives like the Cochrane Collaboration, and the UK Department of Health Research and Development initiative, which aim to promote evidence use within the health professions. To determine the extent to which physiotherapy has responded to these criticisms and initiatives this paper presents studies that have explored the fundamental questions of whether physiotherapists read journal literature, implement research ndings into practice, and employ scienti c documentation and measures. The results of the various studies consistently indicate that despite the numerous initiatives to promote evidence use, many physiotherapy clinicians remain unaware of the extent and nature of published research evidence. The assimilation and utilisation of research literature among physiotherapy clinicians is limited, with the exception of those with higher-degree experience. Journal provision and access to journal clubs within physiotherapy hospital departments is poor. The major factors in uencing practice were education, prior experience, and peer opinion, rather than research and evidence. De ciencies in quality and type of documentation also emerged in addition to an apparent unwillingness to employ evidence-based outcome measures. Methods for maximising the positive ndings and addressing the de ciencies that emerged are proposed.

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