Do Evidence-Based Guidelines Have an Impact in Primary Care? A Cross-Sectional Study of Swedish Physicians and Physiotherapists

Spine ◽  
2005 ◽  
Vol 30 (1) ◽  
pp. 146-151 ◽  
Author(s):  
Thomas Overmeer ◽  
Steven J. Linton ◽  
Lennart Holmquist ◽  
Martin Eriksson ◽  
Peter Engfeldt
Keyword(s):  
Primary Care ◽  
Cross Sectional Study ◽  
Evidence Based ◽  
Sectional Study ◽  
Cross Sectional ◽  
Evidence Based Guidelines

scholarly journals Knowledge, attitude and practice of evidence-based medicine among primary care practitioners in Malaysia: a cross-sectional study

BMJ Open ◽  
2021 ◽  
Vol 11 (6) ◽  
pp. e044372
Author(s):  
Mat Nawi Zanaridah ◽  
Mohd Noor Norhayati ◽  
Zakaria Rosnani
Keyword(s):  
Primary Care ◽  
Evidence Based Medicine ◽  
Primary Care Physicians ◽  
Cross Sectional Study ◽  
Evidence Based ◽  
Sectional Study ◽  
Primary Care Practitioner ◽  
Cross Sectional ◽  
Primary Care Practitioners ◽  
Based Medicine

ObjectivesTo determine the level of knowledge and practice of evidence-based medicine (EBM) and the attitudes towards it and to identify the factors associated with its practice among primary care practitioners in Selangor, Malaysia.SettingThis cross-sectional study was conducted in randomly selected health clinics in Selangor. Data were collected from primary care physicians using self-administered questionnaires on knowledge, practice and attitudes regarding EBM.ParticipantsThe study included 225 respondents working in either government or private clinics. It excluded house officers and those working in public and private universities or who were retired from practice.ResultsA total of 32.9% had a high level of EBM knowledge, 12% had a positive attitude towards EBM and 0.4% had a good level of its practice. The factors significantly associated with EBM practice were ethnicity, attitude, length of work experience as a primary care practitioner and quick access to online reference applications on mobile phones.ConclusionsAlthough many physicians have suboptimal knowledge of EBM and low levels of practising it, majority of them have a neutral attitude towards EBM practice. Extensive experience as a primary care practitioner, quick access to online references on a mobile phone and good attitude towards EBM were associated with its practice.

scholarly journals Hyperemesis gravidarum in the primary care setting: Cross-sectional study of general practitioners

BJGP Open ◽  
2021 ◽  
pp. BJGPO.2021.0119
Author(s):  
Melanie Nana ◽  
Holly Morgan ◽  
Haroon Ahmed ◽  
Catherine Williamson
Keyword(s):  
Primary Care ◽  
General Practitioners ◽  
Hyperemesis Gravidarum ◽  
Cross Sectional Study ◽  
Evidence Based ◽  
Sectional Study ◽  
Cross Sectional ◽  
Confidence Levels ◽  
Obstetrics And Gynaecology ◽  
In Pregnancy

BackgroundHyperemesis gravidarum (HG), if untreated, can lead to malnutrition, dehydration and Wernicke’s encephalopathy. Fetal complications include low birth weight and neurodevelopmental delay. Recent evidence supports increased rates of termination of pregnancy and suicidal ideation. Drivers included difficulty in accessing medications which thus contributed to poor perception of care.AimIdentify factors that may influence prescribers’ confidence and knowledge regarding pharmacological therapy for HG.Design & settingCross-sectional study of qualified GPs (General Practitioners) and GP trainees in Wales.MethodDistribution of a 22-item online survey. Statistical analysis was carried out using SPSS.Results241 responses were received with 216 included in the analysis (59% qualified GPs, 41% GP trainees). In total, 93% of respondents correctly identified cyclizine as being safe in pregnancy, but no other drug recommended in the Royal College of Obstetrics and Gynaecology guidance was considered safe by more than 58%. Those reporting higher confidence levels in managing HG were more likely to correctly report guideline recommended drugs as safe in pregnancy (P=0.04). Additional qualifications related to obstetrics and gynaecology and/or prior clinical experience increased confidence levels (P=0.0001 and P=0.0002 respectively). Only 19% of participants routinely screened for signs of mental health complications and prior experience/education did not increase likelihood of this happening. 87% of participants would like additional education/access to evidence-based resources.ConclusionThis study demonstrates a demand for improved dissemination of evidence-based education to support those working in primary care. The extent to which HG is covered in pre-existing educational programmes should also be revisited.

Nursing students' knowledge and attitude on pressure ulcer prevention evidence-based guidelines: A multicenter cross-sectional study

2015 ◽  
Vol 35 (4) ◽  
pp. 573-579 ◽  
Author(s):  
Valentina Simonetti ◽  
Dania Comparcini ◽  
Maria Elena Flacco ◽  
Pamela Di Giovanni ◽  
Giancarlo Cicolini
Keyword(s):  
Nursing Students ◽  
Pressure Ulcer ◽  
Cross Sectional Study ◽  
Evidence Based ◽  
Sectional Study ◽  
Cross Sectional ◽  
Pressure Ulcer Prevention ◽  
Knowledge And Attitude ◽  
Evidence Based Guidelines ◽  
Ulcer Prevention

Assessing nursing students' knowledge of evidence-based guidelines on the management of peripheral venous catheters: A multicentre cross-sectional study

2019 ◽  
Vol 73 ◽  
pp. 77-82 ◽  
Author(s):  
Valentina Simonetti ◽  
Dania Comparcini ◽  
Davide Miniscalco ◽  
Rita Tirabassi ◽  
Pamela Di Giovanni ◽  
...  
Keyword(s):  
Nursing Students ◽  
Cross Sectional Study ◽  
Evidence Based ◽  
Sectional Study ◽  
Cross Sectional ◽  
Evidence Based Guidelines

scholarly journals FACTORS AFFECTING THE SALE OF NON-PRESCRIBED ANTIBIOTICS IN JAKARTA, INDONESIA: A CROSS-SECTIONAL STUDY

2018 ◽  
Vol 10 (1) ◽  
pp. 243 ◽  
Author(s):  
Anita Ayu Dwi Ajie ◽  
Retnosari Andrajati ◽  
Maksum Radji
Keyword(s):  
Cross Sectional Study ◽  
Health Data ◽  
Evidence Based ◽  
Sectional Study ◽  
Cross Sectional ◽  
Factors Affecting ◽  
Strict Enforcement ◽  
Evidence Based Guidelines ◽  
Appropriate Prescription ◽  
Common Variable

Objective: This study aimed to investigate the factors affecting the sale of non-prescribed antibiotics in Jakarta, Indonesia.Methods: A cross-sectional, observational study was conducted across 190 randomly selected pharmacies in five administrative districts of Jakarta,Indonesia. Data regarding pharmacies were obtained from the Facility of Pharmaceutical Services Ministry of Health Data, in 2014, which includes allpharmacies in Jakarta. Further data were obtained using structured questionnaires.Results: Among the 190 respondents, 15 pharmacies (9.7%) never provided antibiotics without prescription, whereas 44 (23.6%), 60 (31.6%), and71 pharmacies (36.3%) provided antibiotic services without prescription rarely, sometimes, and always, respectively. Factors considerably associatedwith the increased sale of antibiotics without a prescription included the attitude and age of pharmacists, the type of pharmacy (independent or chainstore), and the presence of pharmacist assistants. Attitude was the most common variable related to providing antibiotics without a prescription.Conclusion: Antibiotics are frequently dispensed by community pharmacies in Jakarta without an appropriate prescription. These findings supportthe need for strict enforcement of pharmacy laws through improved inspections, and they highlight the need for evidence-based guidelines andeducational interventions to improve practices regarding antibiotic provision.

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