Journal of evaluation in clinical practice
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To describe the attitudes, awareness and use of evidence across key professional groups working in primary care. ⋯ While all professional groups welcome and support evidence-based practice, there are clear differences in the starting point and perspectives across the groups. These need to recognized and addressed to ensure that learning the skills of evidence-based practice and implementing evidence are effective. This will also enhance the ability of primary care organizations to develop robust mechanisms for supporting key aspects of clinical governance.
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Randomized Controlled Trial Clinical Trial
Provider-perceived barriers and facilitators for ischaemic heart disease (IHD) guideline adherence.
Clinical practice guidelines have become a standard way of implementing evidence-based practice, yet research has shown that clinicians do not always follow guidelines. ⋯ While results validated the influences of using clinical practice guidelines, our results highlight the importance of ascertaining guideline-specific barriers for building effective interventions to improve provider adherence. An advisory panel reviewed results and, using a modified nominal group process, chose implementation strategies targeting key barriers.