FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W2904354663> ?p ?o ?g. }

• W2904354663 abstract "Clinical practice guidelines risk having little impact on healthcare if not effectively implemented. Theory informed, targeted implementation may maximise their impact. Our study explored barriers to and facilitators of guideline implementation and use by South African primary care nurses and allied healthcare workers in four provinces in South Africa. We also proposed interventions to address the issues identified. We used qualitative research methods, comprising focus group discussions using semi-structured topic guides. Seven focus group discussions were conducted (48 providers) in four South African provinces (Eastern Cape, Western Cape, Kwazulu-Natal, Limpopo). Participants included mostly nurses, dieticians, dentists, and allied health practitioners, from primary care facilities in rural and peri-urban settings. The analysis proceeded in three phases. Firstly, two analysts conducted inductive thematic content analysis to develop themes of data. This was followed by fitting emergent themes to the Theoretical Domains Framework and finally to the associated Behaviour Change Wheel to identify relevant interventions. Participants are knowledgeable about guidelines, generally trust their credibility and are receptive and motivated to use them. Guidelines are seen by nurses to provide confidence and reassurance, as well as professional authority and independence where doctors are scarce. Barriers to guideline use include: inadequate systems for printed book distribution, insufficient and substandard photocopies, linguistic inappropriateness (e.g. complicated language, lack of summaries, unavailable in local languages), unsupportive auditing procedures, limited involvement of end-users in guideline development, and patchy training that may not filter back to all providers. Future aspirations identified include: improving the design features of guidelines, accessible places to find guidelines, making digitally-formatted versions available, more supplementary materials (e.g. posters) to support patient engagement, accessible clinical support following training, and in-facility training for all professional cadres to ensure fair access, similar levels of capability and interdisciplinary consistency. South African primary care nurses and allied health practitioners have high levels of motivation to use guidelines, but face many systemic barriers. We used the Behaviour Change Wheel to suggest relevant, implementable interventions addressing identified barriers. This theory-informed approach may improve clinical guideline implementation and impact healthcare for South Africa." @default.
• W2904354663 created "2018-12-22" @default.
• W2904354663 creator A5013765803 @default.
• W2904354663 creator A5021453051 @default.
• W2904354663 creator A5026864424 @default.
• W2904354663 creator A5034259038 @default.
• W2904354663 creator A5062246007 @default.
• W2904354663 creator A5062467069 @default.
• W2904354663 date "2018-12-01" @default.
• W2904354663 modified "2023-10-10" @default.
• W2904354663 title "Using the behavior change wheel to identify barriers to and potential solutions for primary care clinical guideline use in four provinces in South Africa" @default.
• W2904354663 cites W1966510008 @default.
• W2904354663 cites W1971618471 @default.
• W2904354663 cites W1994307831 @default.
• W2904354663 cites W202007523 @default.
• W2904354663 cites W2038028146 @default.
• W2904354663 cites W2066564708 @default.
• W2904354663 cites W2070302346 @default.
• W2904354663 cites W2077109464 @default.
• W2904354663 cites W2093647392 @default.
• W2904354663 cites W2094016805 @default.
• W2904354663 cites W2097859515 @default.
• W2904354663 cites W2100847633 @default.
• W2904354663 cites W2103666798 @default.
• W2904354663 cites W2106707960 @default.
• W2904354663 cites W2108991411 @default.
• W2904354663 cites W2110422713 @default.
• W2904354663 cites W2116567300 @default.
• W2904354663 cites W2116755422 @default.
• W2904354663 cites W2116888597 @default.
• W2904354663 cites W2121569785 @default.
• W2904354663 cites W2122328334 @default.
• W2904354663 cites W2128478603 @default.
• W2904354663 cites W2136608905 @default.
• W2904354663 cites W2137053217 @default.
• W2904354663 cites W2142534753 @default.
• W2904354663 cites W2143981995 @default.
• W2904354663 cites W2148347736 @default.
• W2904354663 cites W2159172402 @default.
• W2904354663 cites W2165056291 @default.
• W2904354663 cites W2169843341 @default.
• W2904354663 cites W2283450481 @default.
• W2904354663 cites W2515154115 @default.
• W2904354663 cites W2554606173 @default.
• W2904354663 cites W2750882824 @default.
• W2904354663 cites W2756261947 @default.
• W2904354663 cites W2774237693 @default.
• W2904354663 cites W2787843072 @default.
• W2904354663 doi "https://doi.org/10.1186/s12913-018-3778-2" @default.
• W2904354663 hasPubMedCentralId "https://www.ncbi.nlm.nih.gov/pmc/articles/6295099" @default.
• W2904354663 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/30547793" @default.
• W2904354663 hasPublicationYear "2018" @default.
• W2904354663 type Work @default.
• W2904354663 sameAs 2904354663 @default.
• W2904354663 citedByCount "15" @default.
• W2904354663 countsByYear W29043546632019 @default.
• W2904354663 countsByYear W29043546632020 @default.
• W2904354663 countsByYear W29043546632021 @default.
• W2904354663 countsByYear W29043546632022 @default.
• W2904354663 countsByYear W29043546632023 @default.
• W2904354663 crossrefType "journal-article" @default.
• W2904354663 hasAuthorship W2904354663A5013765803 @default.
• W2904354663 hasAuthorship W2904354663A5021453051 @default.
• W2904354663 hasAuthorship W2904354663A5026864424 @default.
• W2904354663 hasAuthorship W2904354663A5034259038 @default.
• W2904354663 hasAuthorship W2904354663A5062246007 @default.
• W2904354663 hasAuthorship W2904354663A5062467069 @default.
• W2904354663 hasBestOaLocation W29043546631 @default.
• W2904354663 hasConcept C137992405 @default.
• W2904354663 hasConcept C138816342 @default.
• W2904354663 hasConcept C142724271 @default.
• W2904354663 hasConcept C144024400 @default.
• W2904354663 hasConcept C159110408 @default.
• W2904354663 hasConcept C160735492 @default.
• W2904354663 hasConcept C162324750 @default.
• W2904354663 hasConcept C17744445 @default.
• W2904354663 hasConcept C187736073 @default.
• W2904354663 hasConcept C190248442 @default.
• W2904354663 hasConcept C19165224 @default.
• W2904354663 hasConcept C199521495 @default.
• W2904354663 hasConcept C199539241 @default.
• W2904354663 hasConcept C27415008 @default.
• W2904354663 hasConcept C2780182762 @default.
• W2904354663 hasConcept C2780224610 @default.
• W2904354663 hasConcept C36289849 @default.
• W2904354663 hasConcept C509550671 @default.
• W2904354663 hasConcept C512399662 @default.
• W2904354663 hasConcept C518773536 @default.
• W2904354663 hasConcept C56995899 @default.
• W2904354663 hasConcept C71924100 @default.
• W2904354663 hasConcept C74196892 @default.
• W2904354663 hasConceptScore W2904354663C137992405 @default.
• W2904354663 hasConceptScore W2904354663C138816342 @default.
• W2904354663 hasConceptScore W2904354663C142724271 @default.
• W2904354663 hasConceptScore W2904354663C144024400 @default.
• W2904354663 hasConceptScore W2904354663C159110408 @default.
• W2904354663 hasConceptScore W2904354663C160735492 @default.
• W2904354663 hasConceptScore W2904354663C162324750 @default.
• W2904354663 hasConceptScore W2904354663C17744445 @default.
• W2904354663 hasConceptScore W2904354663C187736073 @default.

• next