Related Experiment Video
Updated: Oct 16, 2026
Involving Individuals with Developmental Language Disorder and Their Parents/Carers in Research Priority Setting
Published on: June 6, 2020
Realities of practice. Engaging parents and GPs in developing clinical practice guidelines
E J Wilson1, D Nasrin, C Banwell
1National Centre for Epidemiology and Population Health, Australian National University, Canberra. eileen.wilson@anu.edu.au
Insights
Developing clinical practice guidelines for acute respiratory infections in children requires integrating evidence-based medicine with patient and GP experiences. This approach identified barriers to change and created realistic guidelines for Australian general practice.
Area of Science:
- Pediatrics
- General Practice
- Health Services Research
Background:
- Clinical practice guidelines (CPGs) are crucial for managing acute respiratory infections (ARIs) in young children.
- Integrating consumer and general practitioner (GP) perspectives is vital for CPG effectiveness.
Purpose of the Study:
- To develop CPGs for ARIs in young children by merging evidence-based medicine with consumer and GP experiences.
- To identify and address barriers to implementing CPGs in Australian general practice.
Main Methods:
- Focus groups and workshops conducted with 21 GPs and 27 parents of young children.
- Participants were involved in a 2-year randomized controlled trial.
Main Results:
- The guideline development process was assessed for participant acceptability.
- Key barriers to clinical change included time constraints, knowledge gaps, fear of patient dissatisfaction, and concerns about health outcomes.
Conclusions:
- A novel guideline development process was detailed, considering Australian general practice realities and consumer concerns.
- Intervention strategies were integrated with evidence to create practical CPGs, addressing identified barriers.
Objective:
To integrate evidence based medicine with the experience and expectations of consumers and GPs in the development of clinical practice guidelines for acute respiratory infections (ARI) in young children.
Method:
Focus groups and workshops were held with 21 GPs and 27 patients of young children involved in a 2 year randomised controlled trial.
Results:
The acceptability of the guideline development process for participants was determined. Barriers were identified which would impede clinical change, including: inadequate time; lack of knowledge; fear of patient dissatisfaction; and fear of poor health outcome.
Conclusion:
This paper details a process of guideline development that addresses the realities of general practice in Australia and the concerns of consumers. We identified potential barriers to change and integrated intervention strategies with the evidence to produce realistic clinical practice guidelines.
Related Concept Videos
01:11Guidelines for Writing Outcome
Patient outcomes reflect the patient's response to the goal rather than what the nurse aims to achieve. Terminology should be observable and measurable to avoid the reader's interpretation. The desired outcome should be realistic and achievable in the designated care timeframe. Expected outcomes should align with adjunctive therapies. The outcome should enhance care evaluation by...
01:19Standards of Care II
01:22Standards of Care I
01:30Guidelines for Nursing Documentation I
Factual:
The following points emphasize the significance of upholding accurate and unbiased documentation in healthcare.
01:26Methods of Documentation II: POMR
01:27Ethical Issues
Ethical Concerns in Healthcare: