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Perception, attitude, and satisfaction of paediatric physicians and nurses towards clinical practice guidelines at a
Yasser Sami Amer1,2,3, Abdulrahman Al Nemri4, Mohamed Elfaki Osman4
1Quality Management Department, King Khalid University Hospital, King Saud University, Riyadh, Saudi Arabia.
Insights
Pediatric clinicians and nurses showed positive perceptions and high satisfaction with clinical practice guidelines (CPGs), including the diabetic ketoacidosis CPG (DKA-CPG). These findings support the implementation of evidence-based guidelines for safe healthcare.
Area of Science:
- Healthcare Quality and Safety
- Clinical Practice Guidelines
- Pediatric Medicine
Background:
- Clinical Practice Guidelines (CPGs) are essential for standardizing care and improving patient outcomes.
- Assessing healthcare professionals' perceptions of CPGs is crucial for their successful implementation.
- The locally adapted Diabetic Ketoacidosis CPG (DKA-CPG) aimed to enhance management within pediatric care.
Purpose of the Study:
- To evaluate the perception, attitude, and satisfaction of pediatric clinicians, trainees, and nurses towards CPGs.
- To specifically assess the acceptance and usability of the DKA-CPG at King Khalid University Hospital.
Main Methods:
- A cross-sectional survey was administered to 260 doctors and nurses in the pediatrics department.
- The survey explored views on general CPGs and the specific DKA-CPG, including format preferences.
Main Results:
- A high response rate (95.4%) yielded overwhelmingly positive feedback on CPGs, with 98.7% finding them useful and 99.2% viewing them as good clinical tools.
- Respondents reported high satisfaction (98.3%) and confidence in well-developed CPGs, with 100% satisfaction for the DKA-CPG.
- Physicians demonstrated higher perceptions of CPGs compared to nurses (P < .05).
Conclusions:
- Pediatric healthcare professionals exhibit strong positive perceptions, attitudes, and satisfaction towards CPGs, particularly the DKA-CPG.
- The positive reception indicates high acceptability and facilitates the implementation of evidence-based guidelines.
- Implementing CPGs contributes to a safer, high-quality healthcare environment in pediatrics.
Rationale, Aims, And Objectives:
To explore perception, attitude, and satisfaction of paediatric clinicians, trainees, and nurses at King Khalid University Hospital towards clinical practice guidelines (CPGs) including the locally adapted diabetic ketoacidosis CPG (DKA-CPG).
Methods:
A cross-sectional survey was distributed to 260 doctors and nurses working in the paediatrics department.
Results:
The response rate was 95.4%. The respondents had a positive perception and attitude towards general CPGs and specifically for the DKA-CPG; 98.7% thought CPGs were useful sources of advice, improved safety, and decreased risk, and reduced variation in practice. A total of 99.2% thought CPGs were good clinical tools, 98.3% satisfied with, had confidence in well-developed CPGs, and would recommend them to their colleagues to use, and 94.6% agreed they were cost-effective. The preferred format for CPGs was paper (46.6%) and electronic (42.9%). The DKA-CPG helped in managing patients and respondents were all satisfied and had confidence with it (100%). The rationale and objectives of the DKA-CPG were clear for 99.25%; 98.5% thought the layout was clear and well organized and user-friendly (96.2%). Compared with nurses, physicians had a higher perception towards CPGs in general (P < .05) and the DKA-CPG (P < .05).
Conclusions:
The paediatric doctors, and nurses have a great perception and satisfaction and positive attitude towards CPGs in general, towards the paediatric diabetic ketoacidosis CPG in particular, which in turn had a positive impact on the acceptability and implementation of the CPGs. These findings could help in sustaining a safe and high-quality health care environment through implementation of evidence-based CPGs.
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