Related Experiment Video
Updated: Aug 3, 2026
14:32
Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
Published on: February 17, 2011
Provider attitudes and beliefs about clinical practice guidelines
Stephen L Luther1, Audrey Nelson, Gail Powell-Cope
1Patient Safety Center of Inquiry, Tampa, Florida, USA.
SCI Nursing : a Publication of the American Association of Spinal Cord Injury Nurses
|March 30, 2005
Summary
Healthcare providers generally have positive attitudes towards clinical practice guidelines (CPG), especially for spinal cord injury (SCI) care. Nurses showed the most positive reception, indicating fewer barriers to implementing SCI CPG in VHA centers.
Area of Science:
- Health Services Research
- Clinical Practice Guidelines
- Spinal Cord Injury (SCI) Care
Background:
- Clinical practice guidelines (CPG) aim to enhance healthcare quality, standardize practices, and optimize resource use.
- Understanding provider attitudes is crucial for the successful implementation of CPG in specialized care areas like SCI.
Purpose of the Study:
- To assess overall provider attitudes and beliefs regarding CPG.
- To evaluate provider attitudes and acceptance of specific spinal cord injury (SCI) CPG within the Veterans Health Administration (VHA).
Main Methods:
- A survey was administered to 152 healthcare providers involved in CPG implementation at VHA SCI sites.
- Response rate was 35%, with nurses forming the largest participant group.
Main Results:
- Overall, SCI care providers demonstrated positive attitudes towards CPG, including the specific SCI guidelines.
- Nurses exhibited the most positive responses, recognizing guideline benefits and showing greater willingness to support guideline development.
- Minimal differences in attitudes were observed across different SCI facilities and provider groups.
Conclusions:
- Negative provider attitudes may not be a significant barrier to implementing CPG in VHA SCI Centers.
- Nurses are well-positioned to play a pivotal role in the successful implementation of SCI CPG.
Related Concept Videos
01:08Obedience
According to obedience research, we may harm others under the forceful pressures of an authority figure (Milgram, 1974). How about if the inappropriate orders were delivered with less force? The increasing interdependence between nurses and physicians compelled Hofling and his colleagues to explore nurses’ reactions to a potentially harmful medical request made by the perceived authority figure, the doctor (Hofling, Brotzman, Dalrymple, Graves, & Pierce, 1966). In this situation, obedience...
01:29Professional Values
Nurses are responsible for caring for patients during birth, death, illness, and healing. Professional values guide the decisions and actions that nurses make in their careers. If nurses know the decisions and actions to take, providing patients with exceptional care is possible.
The values that are the foundation of the nursing profession are altruism, autonomy, human dignity, and social justice.
First, altruism refers to the concern for the welfare and well-being of others without personal...
The values that are the foundation of the nursing profession are altruism, autonomy, human dignity, and social justice.
First, altruism refers to the concern for the welfare and well-being of others without personal...
01:22Ethics and Bioethics
Ethics is a philosophical study of moral actions. Ethics attempts to determine what is valuable for individuals and society. It examines the rational justification of moral judgments and analyzes what is morally just, fair, and right. Bioethics is a sub-discipline of applied ethics that analyzes the philosophical, social, and legal issues in life sciences and medicine. Ethical theories serve as a foundation for decision-making and represent the viewpoints from which people seek direction. They...
01:25Ethical Standards I
The American Nurses Association (ANA) created and implemented the first nationally accepted Code of Ethics for Nurses with Interpretive Statements. The Code of Ethics is a living document regularly updated by the ANA and establishes an ethical standard that is non-negotiable for nurses in all roles and settings.
The Code of Ethics provisions outline the nurse's duty to the patient, the healthcare team, the profession, and society. The Code's fundamental principles include advocacy,...
The Code of Ethics provisions outline the nurse's duty to the patient, the healthcare team, the profession, and society. The Code's fundamental principles include advocacy,...
01:27Ethical Issues
Nurses are essential in patient care, upholding the ethical principles of their profession and effectively navigating ethical dilemmas. Neglecting ethical issues can lead to inadequate patient care, compromised therapeutic relationships, and moral distress among healthcare workers.
Ethical Concerns in Healthcare:
Ethical Concerns in Healthcare:
01:19Standards of Care II
Nurses bear specific legal responsibilities under several federal statutes, including: