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Development and application of implementation tools for rehabilitation guidelines.

Raija Sipilä1, Marja Mikkelsson, Mari Honkanen

  • 1Current Care Guidelines, The Finnish Medical Society Duodecim, , 00100 Helsinki, Finland. raija.sipila@duodecim.fi.

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Summary

This project successfully developed guideline implementation tools (GItools) for rehabilitation, enhancing healthcare delivery through collaboration. The tools proved useful, demonstrating feasible integration into clinical practice.

Keywords:
guideline adherenceimplementation sciencerehabilitation

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Area of Science:

  • Healthcare Management
  • Clinical Practice Guidelines
  • Rehabilitation Medicine

Background:

  • Guideline implementation remains a challenge in healthcare.
  • Effective tools are needed to translate evidence-based guidelines into clinical practice.
  • Collaboration between guideline producers and healthcare organizations can improve implementation.

Purpose of the Study:

  • To describe the development of guideline implementation tools (GItools) for rehabilitation guidelines.
  • To detail a collaborative project between a guideline producer and a healthcare organization.
  • To implement guidelines into clinical care pathways.

Main Methods:

  • A descriptive case study approach was used.
  • A 3-year project (2015-2018) focused on implementing rehabilitation recommendations.
  • Guideline implementation tools (GItools) were developed and usability was evaluated through literature, workshops, and surveys.
  • An implementation plan guided the integration of a shoulder disorders guideline into a care pathway.

Main Results:

  • Twenty implementation plans and 119 GItools for 22 guidelines were created.
  • GItools, especially patient materials, were perceived as valuable for implementation.
  • Four seminars and 14 continuous medical education sessions were conducted.
  • The shoulder disorders guideline was successfully implemented into a care pathway.

Conclusions:

  • Systematically incorporating GItools into rehabilitation guidelines is feasible for guideline producers.
  • The project exemplified a successful collaboration between a guideline producer and a healthcare organization.
  • This approach can enhance the uptake of evidence-based practices in rehabilitation.