Barriers to ESC guideline implementation: results of a survey from the European Council on Cardiovascular Nursing and Allied Professions (CCNAP).
Identifieur interne : 000C84 ( PubMed/Corpus ); précédent : 000C83; suivant : 000C85Barriers to ESC guideline implementation: results of a survey from the European Council on Cardiovascular Nursing and Allied Professions (CCNAP).
Auteurs : Gabrielle Mckee ; Mary Kerins ; Glenys Hamilton ; Tina Hansen ; Jeroen Hendriks ; Eleni Kletsiou ; Ekaterini Lambrinou ; Catriona Jennings ; Donna FitzsimonsSource :
- European journal of cardiovascular nursing : journal of the Working Group on Cardiovascular Nursing of the European Society of Cardiology [ 1873-1953 ] ; 2017.
Abstract
The European Society of Cardiology (ESC) has a comprehensive clinical guideline development programme, relevant for all clinicians. However, implementation of guidelines is not always optimal.
DOI: 10.1177/1474515117710097
PubMed: 28498092
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Barriers to ESC guideline implementation: results of a survey from the European Council on Cardiovascular Nursing and Allied Professions (CCNAP).</title><author><name sortKey="Mckee, Gabrielle" sort="Mckee, Gabrielle" uniqKey="Mckee G" first="Gabrielle" last="Mckee">Gabrielle Mckee</name><affiliation><nlm:affiliation>1 Council on Cardiovascular Nursing and Allied Health Professionals (CCNAP), European Society of Cardiology, Sophia Antipolis, France.</nlm:affiliation></affiliation></author><author><name sortKey="Kerins, Mary" sort="Kerins, Mary" uniqKey="Kerins M" first="Mary" last="Kerins">Mary Kerins</name><affiliation><nlm:affiliation>1 Council on Cardiovascular Nursing and Allied Health Professionals (CCNAP), European Society of Cardiology, Sophia Antipolis, France.</nlm:affiliation></affiliation></author><author><name sortKey="Hamilton, Glenys" sort="Hamilton, Glenys" uniqKey="Hamilton G" first="Glenys" last="Hamilton">Glenys Hamilton</name><affiliation><nlm:affiliation>1 Council on Cardiovascular Nursing and Allied Health Professionals (CCNAP), European Society of Cardiology, Sophia Antipolis, France.</nlm:affiliation></affiliation></author><author><name sortKey="Hansen, Tina" sort="Hansen, Tina" uniqKey="Hansen T" first="Tina" last="Hansen">Tina Hansen</name><affiliation><nlm:affiliation>1 Council on Cardiovascular Nursing and Allied Health Professionals (CCNAP), European Society of Cardiology, Sophia Antipolis, France.</nlm:affiliation></affiliation></author><author><name sortKey="Hendriks, Jeroen" sort="Hendriks, Jeroen" uniqKey="Hendriks J" first="Jeroen" last="Hendriks">Jeroen Hendriks</name><affiliation><nlm:affiliation>1 Council on Cardiovascular Nursing and Allied Health Professionals (CCNAP), European Society of Cardiology, Sophia Antipolis, France.</nlm:affiliation></affiliation></author><author><name sortKey="Kletsiou, Eleni" sort="Kletsiou, Eleni" uniqKey="Kletsiou E" first="Eleni" last="Kletsiou">Eleni Kletsiou</name><affiliation><nlm:affiliation>1 Council on Cardiovascular Nursing and Allied Health Professionals (CCNAP), European Society of Cardiology, Sophia Antipolis, France.</nlm:affiliation></affiliation></author><author><name sortKey="Lambrinou, Ekaterini" sort="Lambrinou, Ekaterini" uniqKey="Lambrinou E" first="Ekaterini" last="Lambrinou">Ekaterini Lambrinou</name><affiliation><nlm:affiliation>1 Council on Cardiovascular Nursing and Allied Health Professionals (CCNAP), European Society of Cardiology, Sophia Antipolis, France.</nlm:affiliation></affiliation></author><author><name sortKey="Jennings, Catriona" sort="Jennings, Catriona" uniqKey="Jennings C" first="Catriona" last="Jennings">Catriona Jennings</name><affiliation><nlm:affiliation>1 Council on Cardiovascular Nursing and Allied Health Professionals (CCNAP), European Society of Cardiology, Sophia Antipolis, France.</nlm:affiliation></affiliation></author><author><name sortKey="Fitzsimons, Donna" sort="Fitzsimons, Donna" uniqKey="Fitzsimons D" first="Donna" last="Fitzsimons">Donna Fitzsimons</name><affiliation><nlm:affiliation>1 Council on Cardiovascular Nursing and Allied Health Professionals (CCNAP), European Society of Cardiology, Sophia Antipolis, France.</nlm:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2017">2017</date><idno type="RBID">pubmed:28498092</idno><idno type="pmid">28498092</idno><idno type="doi">10.1177/1474515117710097</idno><idno type="wicri:Area/PubMed/Corpus">000C84</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">000C84</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Barriers to ESC guideline implementation: results of a survey from the European Council on Cardiovascular Nursing and Allied Professions (CCNAP).</title><author><name sortKey="Mckee, Gabrielle" sort="Mckee, Gabrielle" uniqKey="Mckee G" first="Gabrielle" last="Mckee">Gabrielle Mckee</name><affiliation><nlm:affiliation>1 Council on Cardiovascular Nursing and Allied Health Professionals (CCNAP), European Society of Cardiology, Sophia Antipolis, France.</nlm:affiliation></affiliation></author><author><name sortKey="Kerins, Mary" sort="Kerins, Mary" uniqKey="Kerins M" first="Mary" last="Kerins">Mary Kerins</name><affiliation><nlm:affiliation>1 Council on Cardiovascular Nursing and Allied Health Professionals (CCNAP), European Society of Cardiology, Sophia Antipolis, France.</nlm:affiliation></affiliation></author><author><name sortKey="Hamilton, Glenys" sort="Hamilton, Glenys" uniqKey="Hamilton G" first="Glenys" last="Hamilton">Glenys Hamilton</name><affiliation><nlm:affiliation>1 Council on Cardiovascular Nursing and Allied Health Professionals (CCNAP), European Society of Cardiology, Sophia Antipolis, France.</nlm:affiliation></affiliation></author><author><name sortKey="Hansen, Tina" sort="Hansen, Tina" uniqKey="Hansen T" first="Tina" last="Hansen">Tina Hansen</name><affiliation><nlm:affiliation>1 Council on Cardiovascular Nursing and Allied Health Professionals (CCNAP), European Society of Cardiology, Sophia Antipolis, France.</nlm:affiliation></affiliation></author><author><name sortKey="Hendriks, Jeroen" sort="Hendriks, Jeroen" uniqKey="Hendriks J" first="Jeroen" last="Hendriks">Jeroen Hendriks</name><affiliation><nlm:affiliation>1 Council on Cardiovascular Nursing and Allied Health Professionals (CCNAP), European Society of Cardiology, Sophia Antipolis, France.</nlm:affiliation></affiliation></author><author><name sortKey="Kletsiou, Eleni" sort="Kletsiou, Eleni" uniqKey="Kletsiou E" first="Eleni" last="Kletsiou">Eleni Kletsiou</name><affiliation><nlm:affiliation>1 Council on Cardiovascular Nursing and Allied Health Professionals (CCNAP), European Society of Cardiology, Sophia Antipolis, France.</nlm:affiliation></affiliation></author><author><name sortKey="Lambrinou, Ekaterini" sort="Lambrinou, Ekaterini" uniqKey="Lambrinou E" first="Ekaterini" last="Lambrinou">Ekaterini Lambrinou</name><affiliation><nlm:affiliation>1 Council on Cardiovascular Nursing and Allied Health Professionals (CCNAP), European Society of Cardiology, Sophia Antipolis, France.</nlm:affiliation></affiliation></author><author><name sortKey="Jennings, Catriona" sort="Jennings, Catriona" uniqKey="Jennings C" first="Catriona" last="Jennings">Catriona Jennings</name><affiliation><nlm:affiliation>1 Council on Cardiovascular Nursing and Allied Health Professionals (CCNAP), European Society of Cardiology, Sophia Antipolis, France.</nlm:affiliation></affiliation></author><author><name sortKey="Fitzsimons, Donna" sort="Fitzsimons, Donna" uniqKey="Fitzsimons D" first="Donna" last="Fitzsimons">Donna Fitzsimons</name><affiliation><nlm:affiliation>1 Council on Cardiovascular Nursing and Allied Health Professionals (CCNAP), European Society of Cardiology, Sophia Antipolis, France.</nlm:affiliation></affiliation></author></analytic><series><title level="j">European journal of cardiovascular nursing : journal of the Working Group on Cardiovascular Nursing of the European Society of Cardiology</title><idno type="eISSN">1873-1953</idno><imprint><date when="2017" type="published">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">The European Society of Cardiology (ESC) has a comprehensive clinical guideline development programme, relevant for all clinicians. However, implementation of guidelines is not always optimal.</div></front></TEI><pubmed><MedlineCitation Status="Publisher" Owner="NLM"><PMID Version="1">28498092</PMID><DateCreated><Year>2017</Year><Month>05</Month><Day>12</Day></DateCreated><DateRevised><Year>2017</Year><Month>05</Month><Day>12</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1873-1953</ISSN><JournalIssue CitedMedium="Internet"><PubDate><Year>2017</Year><Month>May</Month><Day>01</Day></PubDate></JournalIssue><Title>European journal of cardiovascular nursing : journal of the Working Group on Cardiovascular Nursing of the European Society of Cardiology</Title><ISOAbbreviation>Eur J Cardiovasc Nurs</ISOAbbreviation></Journal><ArticleTitle>Barriers to ESC guideline implementation: results of a survey from the European Council on Cardiovascular Nursing and Allied Professions (CCNAP).</ArticleTitle><Pagination><MedlinePgn>1474515117710097</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1177/1474515117710097</ELocationID><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">The European Society of Cardiology (ESC) has a comprehensive clinical guideline development programme, relevant for all clinicians. However, implementation of guidelines is not always optimal.</AbstractText><AbstractText Label="AIM" NlmCategory="OBJECTIVE">The aim of this study was to determine nurses' and allied professionals' awareness and barriers regarding clinical guideline implementation.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">A cross-sectional survey was administrated online and in print at EuroHeartCare 2015. A questionnaire was developed which examined awareness and barriers to implementation of ESC guidelines on cardiovascular disease prevention in clinical practice (2012) and ESC guidelines in general.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Of the 298 respondents, 12% reported that the prevention guidelines were used in their practice area. Respondents identified, in order of magnitude, that lack of leadership, workload, time, resources and a perception that they were unable to influence current practice were barriers to the use of the prevention guidelines. When asked to rank barriers to use of any ESC guidelines, time (22%) and leadership (23%) were ranked highest.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Implementation of ESC guidelines by nurses, the majority responders in this survey, is a serious problem, requiring urgent improvement to ensure patients receive optimal evidence based care. Issues of leadership, workload, time and resources are significant barriers to guideline implementation. It is of concern that these professionals perceive both that they have little influence on implementation decisions and lack of leadership regarding guideline implementation. Educational and organisational strategies to improve leadership skills are imperative. These will build self-efficacy and empower nurses and allied professionals to advocate for evidence-based care in the clinical environment.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>McKee</LastName><ForeName>Gabrielle</ForeName><Initials>G</Initials><AffiliationInfo><Affiliation>1 Council on Cardiovascular Nursing and Allied Health Professionals (CCNAP), European Society of Cardiology, Sophia Antipolis, France.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>2 School of Nursing & Midwifery, Trinity College Dublin, Ireland.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Kerins</LastName><ForeName>Mary</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>1 Council on Cardiovascular Nursing and Allied Health Professionals (CCNAP), European Society of Cardiology, Sophia Antipolis, France.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>3 Cardiac Rehabilitation, St James Hospital, Dublin, Ireland.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Hamilton</LastName><ForeName>Glenys</ForeName><Initials>G</Initials><AffiliationInfo><Affiliation>1 Council on Cardiovascular Nursing and Allied Health Professionals (CCNAP), European Society of Cardiology, Sophia Antipolis, France.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>4 Consultant in Nursing Education and Cardiovascular Research, Lancaster, MA, USA.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>5 Massachusetts General Hospital, Boston, MA, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Hansen</LastName><ForeName>Tina</ForeName><Initials>T</Initials><AffiliationInfo><Affiliation>1 Council on Cardiovascular Nursing and Allied Health Professionals (CCNAP), European Society of Cardiology, Sophia Antipolis, France.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>6 Department of Cardiology, Zealand University Hospital, Roskilde, Denmark.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Hendriks</LastName><ForeName>Jeroen</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>1 Council on Cardiovascular Nursing and Allied Health Professionals (CCNAP), European Society of Cardiology, Sophia Antipolis, France.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>7 Centre for Heart Rhythm Disorders, South Australian Health and Medical Research Institute, Adelaide, Australia.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>8 Department of Health and Medical Sciences, Linköping University, Sweden.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Kletsiou</LastName><ForeName>Eleni</ForeName><Initials>E</Initials><AffiliationInfo><Affiliation>1 Council on Cardiovascular Nursing and Allied Health Professionals (CCNAP), European Society of Cardiology, Sophia Antipolis, France.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>9 University General Hospital "ATTIKON", Chaidari, Athens, Greece.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Lambrinou</LastName><ForeName>Ekaterini</ForeName><Initials>E</Initials><AffiliationInfo><Affiliation>1 Council on Cardiovascular Nursing and Allied Health Professionals (CCNAP), European Society of Cardiology, Sophia Antipolis, France.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>10 Department of Nursing, Cyprus University of Technology, Limassol, Cyprus.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Jennings</LastName><ForeName>Catriona</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>1 Council on Cardiovascular Nursing and Allied Health Professionals (CCNAP), European Society of Cardiology, Sophia Antipolis, France.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>11 Department of Cardiovascular Medicine, National Heart and Lung Institute, London, UK.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Fitzsimons</LastName><ForeName>Donna</ForeName><Initials>D</Initials><AffiliationInfo><Affiliation>1 Council on Cardiovascular Nursing and Allied Health Professionals (CCNAP), European Society of Cardiology, Sophia Antipolis, France.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>12 School of Nursing, Queens University, Belfast, UK.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2017</Year><Month>05</Month><Day>01</Day></ArticleDate></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>Eur J Cardiovasc Nurs</MedlineTA><NlmUniqueID>101128793</NlmUniqueID><ISSNLinking>1474-5151</ISSNLinking></MedlineJournalInfo><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Clinical guidelines</Keyword><Keyword MajorTopicYN="N">barriers</Keyword><Keyword MajorTopicYN="N">cardiac patients</Keyword><Keyword MajorTopicYN="N">implementation</Keyword><Keyword MajorTopicYN="N">prevention</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2017</Year><Month>5</Month><Day>13</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2017</Year><Month>5</Month><Day>13</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2017</Year><Month>5</Month><Day>13</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>aheadofprint</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">28498092</ArticleId><ArticleId IdType="doi">10.1177/1474515117710097</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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