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Published on: February 10, 2023
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Physicians' perceptions and preferences for implementing venous thromboembolism (VTE) clinical practice guidelines: a
Juliana Abboud1,2, Abir Abdel Rahman3, Niaz Shaikh4
1Centre for Improving Health Related Quality of Life, School of Psychology, Queens University Belfast, David Keir Building, 18-30 Malone Road, BT9 5BN, Belfast, United Kingdom. jabboud01@qub.ac.uk.
Archives of Public Health = Archives Belges De Sante Publique
|February 16, 2022
Summary
Physicians
Area of Science:
- Medical Research
- Health Policy
- Behavioral Science
Background:
- Venous thromboembolism (VTE) significantly contributes to patient morbidity and mortality in hospitals.
- Clinical practice guidelines aim to prevent VTE events.
- Understanding physician perspectives is crucial for guideline adoption.
Purpose of the Study:
- To explore physicians' beliefs and perceptions regarding the adoption of VTE prevention guidelines.
- To identify factors influencing the implementation of VTE clinical practice guidelines using the Theoretical Domains Framework (TDF).
Main Methods:
- Semi-structured interviews with internal medicine physicians in an acute hospital setting.
- The interview guide was informed by the TDF to capture perceived influencing factors.
- Thematic content analysis of interview transcripts, mapping themes to TDF domains.
Main Results:
- Nine TDF domains were identified as relevant to VTE guideline implementation.
- Key influencing factors include knowledge, perceived capabilities, consequences (positive and negative), reinforcement, goals, environmental context, social influences, and behavioral regulation.
- Barriers such as workload and medication availability were noted, while enablers included VTE coordinators and electronic medical records.
Conclusions:
- The TDF provides a framework for understanding physician barriers and enablers to VTE guideline implementation.
- Interventions can be theoretically designed by targeting specific psychological constructs and behavior change techniques.
- This approach can improve the clinical practice of physicians regarding VTE prevention.
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