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Factors affecting speech pathologists' implementation of stroke management guidelines: a thematic analysis
Melissa Miao1, Emma Power, Robyn O'Halloran
1Discipline of Speech Pathology, Faculty of Health Sciences, University of Sydney , Cumberland Campus C43S, Lidcombe New South Wales , Australia .
Disability and Rehabilitation
|July 9, 2014
Summary
Speech pathologists face complex barriers and facilitators when implementing stroke clinical guidelines. Understanding these factors is key to improving evidence-based practice and patient outcomes in stroke care.
Area of Science:
- Speech-language pathology
- Rehabilitation medicine
- Healthcare quality improvement
Background:
- Stroke is a leading cause of disability, including communication and swallowing impairments.
- Clinical practice guidelines improve stroke patient outcomes but are underutilized.
- Limited research exists on barriers to guideline implementation in speech pathology.
Purpose of the Study:
- To qualitatively examine barriers and facilitators speech pathologists experience when implementing stroke management guidelines.
- To provide an in-depth understanding of guideline implementation challenges in speech pathology.
Main Methods:
- Semi-structured interviews with eight speech pathologists.
- Thematic analysis of transcribed interviews.
- Member checking to ensure theme validity.
Main Results:
- Three main themes emerged: making implementation explicit, demand versus ability to change, and speech pathologist motivation.
- Key factors include accessing/understanding guidelines, resource availability, collaboration, and individual perceptions.
- Implementation is influenced by the perceived necessity and personal commitment to practice improvement.
Conclusions:
- Guideline implementation is complex, with interconnected barriers and facilitators.
- Strategies include local monitoring, enhanced collaboration, and clinician input in guideline development.
- Further research is recommended to optimize guideline uptake in stroke care.
