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 Know – do gap? Can it be done?

Paper i proceeding
Författare Harshida Patel
Ingvar Karlberg
Publicerad i Eur J Cardiovasc Nurs
Volym 8
Nummer/häfte 1
Sidor S38-S39
Publiceringsår 2009
Publicerad vid Institutionen för medicin, avdelningen för samhällsmedicin och folkhälsa
Institutionen för vårdvetenskap och hälsa
Sidor S38-S39
Språk en
Ämneskategorier Studier av offentlig förvaltning

Sammanfattning

Purpose: Evidence based clinical guidelines exist in abundance. These guidelines may be assembled by professional groups or by authorities. The aim of this study was to assess the attitudes towards clinical guidelines and the utilisation of guidelines and other evidence-based material in decision making by health care professionals and managers. Methods: Managers and heads of clinical departments from several medical specialities were interviewed. The results were categorised as knowledge steering as a concept, legitimacy, varying care practices, process and financial integration, domain conflicts, and implementation. Results: The respondents clarified that the knowledge substrate is viewed as an important tool for developing the health care system and to improve quality of care, however, the guidelines seldom fit into real life practices. In order to fill the know-do gap guidelines need to be appropriate and have adequate marketing strategies. There is a need for tailor-made guidelines for the specialised and the general care respectively. The domain conflicts have detrimental effects on the implementation of evidence based knowledge. Conclusions: There are several obstacles to the implementation of evidence based knowledge in clinical practice. Disincentives, financial restrictions and the local culture are the most powerful.

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