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Prehospital providers’ perspectives for clinical practice guideline implementation and dissemination : strengthening guideline uptake in South Africa

dc.contributor.authorMcCaul, Michaelen_ZA
dc.contributor.authorHendricks, Lynnen_ZA
dc.contributor.authorNaidoo, Raveenen_ZA
dc.date.accessioned2019-08-02T14:02:00Z
dc.date.available2019-08-02T14:02:00Z
dc.date.issued2019
dc.identifier.citationMcCaul, M., Hendricks, L. & Naidoo, R. 2019. Prehospital providers’ perspectives for clinical practice guideline implementation and dissemination : strengthening guideline uptake in South Africa. PLoS ONE, 14(7):e0219761, doi:10.1371/journal.pone.0219761
dc.identifier.issn1932-6203 (online)
dc.identifier.otherdoi:10.1371/journal.pone.0219761
dc.identifier.urihttp://hdl.handle.net/10019.1/106337
dc.descriptionCITATION: McCaul, M., Hendricks, L. & Naidoo, R. 2019. Prehospital providers’ perspectives for clinical practice guideline implementation and dissemination : strengthening guideline uptake in South Africa. PLoS ONE, 14(7):e0219761, doi:10.1371/journal.pone.0219761.
dc.descriptionThe original publication is available at https://journals.plos.org/plosone
dc.descriptionPublication of this article was funded by the Stellenbosch University Open Access Fund
dc.description.abstractBackground: In 2016 the first African emergency care clinical practice guideline (CPG) was developed for national uptake in the prehospital sector in South Africa, with implementation starting in 2018. Comprehensive uptake of CPGs post development is not a given, as this requires effective and efficient dissemination and implementation strategies that take into account the perceptions, barriers and facilitators of the local end-users. This study aimed to identify prehospital end-users’ perceptions of the emergency care guidelines, including barriers and facilitators for national decision makers, to strengthen CPG uptake in South Africa. Methods: Our study employed a descriptive qualitative research design, including nine focus groups with 56 operational emergency care providers across four major provinces in South Africa. Data was analysed using thematic analysis in ATLAS.ti. Ethics approval was provided by Stellenbosch University. Results: Themes related to provider perceptions, expectations and guideline uptake emerging from the data was unofficial and unclear communication, broadening versus limiting guideline expectations, conflicted personal reactions and spreading the word. Challenges to dissemination and implementation included poor communication, changes to scope of practice, and limited capacity to upskill existing providers. Facilitators included using technology for enduser documents, local champions to support change, establishing online and modular training, and implementation by independent decision makers. Conclusion: This study provides an overview of the perceptions of operational emergency care providers and how their experiences of hearing about and engaging with the guidelines, in their industry, can contribute to the dissemination, implementation and uptake of emergency care guidelines. In order to disseminate and implement an emergency care CPG, decision makers must take into account the perceptions, barriers, and facilitators of local end-users.en_ZA
dc.description.urihttps://journals.plos.org/plosone/article?id=10.1371/journal.pone.0219761
dc.format.extent14 pages
dc.language.isoen_ZAen_ZA
dc.publisherPublic Library of Science
dc.subjectEmergency medicine -- Practice -- South Africaen_ZA
dc.subjectMedical protocols -- South Africaen_ZA
dc.titlePrehospital providers’ perspectives for clinical practice guideline implementation and dissemination : strengthening guideline uptake in South Africaen_ZA
dc.typeArticleen_ZA
dc.description.versionPublisher's version
dc.rights.holderAuthors retain copyright


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