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Insights into clinician utilisation and perceptions of the Paediatric Improvement Collaborative Clinical Practice
Louise A Ellis1, Janet C Long2, Phillipa Brook3
1Macquarie University, Sydney, New South Wales, Australia louise.ellis@mq.edu.au.
Insights
Paediatric Improvement Collaborative
Area of Science:
- Pediatric healthcare quality improvement
- Clinical practice guideline development and implementation
- Health professional education and training
Background:
- Clinical Practice Guidelines (CPGs) are crucial for standardizing care.
- The Paediatric Improvement Collaborative (PIC) developed CPGs to enhance pediatric care.
- Understanding clinician perceptions is vital for effective guideline implementation.
Purpose of the Study:
- To assess clinician awareness, usage frequency, and applicability of PIC CPGs.
- To identify areas for improvement in PIC CPGs.
- To explore the perceived value and utility of PIC CPGs among diverse healthcare professionals.
Main Methods:
- A cross-sectional online survey was distributed to clinicians across Australia.
- Semi-structured interviews were conducted with a subset of survey participants.
- Participants included consultants, specialists in training, nurses, allied health, and general practitioners.
Main Results:
- High guideline usage reported, with 63.9% using them weekly.
- 91.8% found the CPGs highly applicable to their practice.
- Guidelines are used for practice checks, self-learning, teaching, and reinforcing decisions.
Conclusions:
- PIC CPGs are recognized as credible, evidence-based resources.
- The guidelines are valued by medical, nursing, and allied health professionals.
- Enhancements in accessibility and integrated tools are recommended for further improvement.
Objectives:
This study aimed to explore perceptions of the Paediatric Improvement Collaborative's (PIC's) Clinical Practice Guidelines (CPGs) among clinicians, with a focus on awareness, frequency of use, applicability and areas for improvement.
Design, Setting:
Cross-sectional online survey and semi-structured interviews.
Participants:
Clinicians working in all Australian states and territories. Recruitment was via non-probability convenience sampling. Invitations to participate in the online survey were posted on national- and state-level paediatric organisations, networks and groups. Survey participants could express interest in taking part in a follow-up online interview.
Results:
A total of 466 clinicians, including consultants/specialists (46.1%), specialists in training (residents/registrars: 20.4%), nurses (17.8%), allied health professionals (4.7%) and general practitioners (3.6%) participated in the survey. Findings indicated a high level of usage, with two-thirds of participants (63.9%) using the guidelines weekly. Most participants (91.8%) deemed the CPGs highly applicable to their practice settings, and over half (57.9%) had referred to more than 10 different PIC CPGs in the past month. Patterns of use reflected experience, seniority and scope of practice, with utilisation significantly higher among specialists in training, those working in emergency settings and those with less practising experience. Ten clinicians were interviewed to gain deeper insights, reinforcing that PIC CPGs serve multiple purposes, such as to check practice and for self-learning, for teaching more junior staff, and to reinforce treatment decisions with parents and patients. The guidelines were noted as being useful for all members of the multidisciplinary team in providing consistent language and uniform care. Key areas for improvement included enhancing accessibility in time-pressured environments, such as incorporating human factors-based navigation features and standardised layouts, and integrating additional tools and localised referral information.
Conclusions:
PIC CPGs are viewed as a source of credible, evidence-based information that was valued across medical, nursing and allied health professionals.
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