The implementation of multiprofessional guidelines for cardiac rehabilitation: a pilot study

Stokes, Helen; Thompson, David R.; Seers, Kate

doi:10.1016/s1362-3265(98)80045-x

Cited by 6 publications

(3 citation statements)

References 26 publications

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“…REHABILITATION PROGRAMME (BOX 1) This study, undertaken by Stokes et al, 36 evaluated the eVectiveness of facilitation as a method to improve the uptake of national multiprofessional guidelines for cardiac rehabilitation. Guidelines were a mix of research based evidence, with a high level of professional consensus.…”

Section: Case Study: Implementation Of a Cardiacmentioning

confidence: 99%

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Enabling the implementation of evidence based practice: a conceptual framework

Kitson

Harvey

McCormack

1998

Quality and Safety in Health Care

1,467

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The argument put forward in this paper is that successful implementation of research into practice is a function of the interplay of three core elements-the level and nature of the evidence, the context or environment into which the research is to be placed, and the method or way in which the process is facilitated. It also proposes that because current research is inconclusive as to which of these elements is most important in successful implementation they all should have equal standing. This is contrary to the often implicit assumptions currently being generated within the clinical eVectiveness agenda where the level and rigour of the evidence seems to be the most important factor for consideration. The paper oVers a conceptual framework that considers this imbalance, showing how it might work in clarifying some of the theoretical positions and as a checklist for staV to assess what they need to do to successfully implement research into practice.

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Section: Case Study: Implementation Of a Cardiacmentioning

confidence: 99%

“…In the study of Stokes et al, 36 situations arose where there was limited facilitation both to low and higher level cardiac rehabilitation service providers. The evidence (evidence-based, consensus supported guidelines) was rejected equally by low and higher level providers.…”

Section: Specific Points Raised By the Case Studiesmentioning

confidence: 99%

Enabling the implementation of evidence based practice: a conceptual framework

Kitson

Harvey

McCormack

1998

Quality and Safety in Health Care

1,467

1,522

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“…In a pilot study of the implementation of national guidelines for cardiac rehabilitation, scores from a staff knowledge questionnaire amongst a small sample of healthcare professionals were shown to be low (Stokes et al ., 1998). Knowledge was apparently obtained from a variety of sources including senior colleagues, ‘doing the job’, research articles, liaison with other colleagues, study days, taught courses and national experts.…”

Section: Effective Practice and Training Needs In Rehabilitationmentioning

confidence: 99%

Education and training towards competency for cardiac rehabilitation nurses in the United Kingdom

Stokes

2000

Journal of Clinical Nursing

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The development of cardiac rehabilitation in the UK, the evolution of the nursing role as a speciality, and the nursing role within the multidisciplinary team are briefly outlined. The potential impact of different professional backgrounds on the effectiveness of patient care is discussed, with particular reference to the differences between acute cardiac care and rehabilitation. Issues of professional competency are discussed, and core competencies for cardiac rehabilitation as specified by various professional associations are described. Current opportunities for preparation for practice in this field in the UK are outlined. Conclusions point towards the need for clearly specified competencies and an accredited programme of education and training to meet proposed standards for the management and rehabilitation of coronary heart disease (CHD) in the UK.

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