Sökning: AMNE:(MEDICAL AND HEALTH SCIENCES Health Sciences Health Care Service and Management, Health Policy and Services and Health Economy) >
Implementation of c...
Implementation of clinical practice guidelines on lifestyle interventions in Swedish primary healthcare - a two-year follow up
-
- Kardakis, Therese (författare)
- Umeå universitet,Epidemiologi och global hälsa,Department of Learning, Informatics, Management and Ethics, Medical Management Centre, Karolinska Institutet, Stockholm, Sweden
-
- Jerdén, Lars (författare)
- Umeå universitet,Högskolan Dalarna,Medicinsk vetenskap,Umeå University; Center for Clinical Research Dalarna, Nissers väg 3, Falun,Epidemiologi och global hälsa,Center for Clinical Research Dalarna, Falun, Sweden; School of Education, Health and Social Studies, Dalarna University, Falun, Sweden
-
- Nyström, Monica (författare)
- Karolinska Institutet,Umeå universitet,Epidemiologi och global hälsa,Department of Learning, Informatics, Management and Ethics, Medical Management Centre, Karolinska Institutet, Stockholm, Sweden
-
visa fler...
-
- Weinehall, Lars (författare)
- Umeå universitet,Epidemiologi och global hälsa
-
- Johansson, Helene (författare)
- Umeå universitet,Epidemiologi och global hälsa
-
visa färre...
-
(creator_code:org_t)
- 2018-04-02
- 2018
- Engelska.
-
Ingår i: BMC Health Services Research. - : Springer Science and Business Media LLC. - 1472-6963. ; 18:1
- Relaterad länk:
-
https://doi.org/10.1...
-
visa fler...
-
https://du.diva-port... (primary) (Raw object)
-
https://doi.org/10.1...
-
https://umu.diva-por... (primary) (Raw object)
-
https://urn.kb.se/re...
-
https://doi.org/10.1...
-
https://urn.kb.se/re...
-
http://kipublication...
-
visa färre...
Abstract
Ämnesord
Stäng
- Background: Implementation of interventions concerning prevention and health promotion in health care has faced particular challenges resulting in a low frequency and quality of these services. In November 2011, the Swedish National Board of Health and Welfare released national clinical practice guidelines to counteract patients' unhealthy lifestyle habits. Drawing on the results of a previous study as a point of departure, the aim of this two-year follow up was to assess the progress of work with lifestyle interventions in primary healthcare as well as the uptake and usage of the new guidelines on lifestyle interventions in clinical practice. Methods: Longitudinal study among health professionals with survey at baseline and 2 years later. Development over time and differences between professional groups were calculated with Pearson chi-square test. Results: Eighteen percent of the physicians reported to use the clinical practice guidelines, compared to 58% of the nurses. Nurses were also more likely to consider them as a support in their work than physicians did. Over time, health professionals usage of methods to change patients' tobacco habits and hazardous use of alcohol had increased, and the nurses worked to a higher extent than before with all four lifestyles. Knowledge on methods for lifestyle change was generally high; however, there was room for improvement concerning methods on alcohol, unhealthy eating and counselling. Forty-one percent reported to possess thorough knowledge of counselling skills. Conclusions: Even if the uptake and usage of the CPGs on lifestyle interventions so far is low, the participants reported more frequent counselling on patients' lifestyle changes concerning use of tobacco and hazardous use of alcohol. However, these findings should be evaluated acknowledging the possibility of selection bias in favour of health promotion and lifestyle guidance, and the loss of one study site in the follow up. Furthermore, this study indicates important differences in physicians and nurses' attitudes to and use of the guidelines, where the nurses reported working to a higher extent with all four lifestyles compared to the first study. These findings suggest further investigations on the implementation process in clinical practice, and the physicians' uptake and use of the CPGs. © 2018 The Author(s).
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Public Health, Global Health, Social Medicine and Epidemiology (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Hälso- och sjukvårdsorganisation, hälsopolitik och hälsoekonomi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Health Care Service and Management, Health Policy and Services and Health Economy (hsv//eng)
Nyckelord
- Alcohol Drinking
- Attitude of Health Personnel
- Counseling
- Delivery of Health Care
- Follow-Up Studies
- Guideline Adherence
- Health Knowledge
- Attitudes
- Practice
- Health Personnel
- Health Promotion
- Healthy Diet
- Healthy Lifestyle
- Humans
- Longitudinal Studies
- Organizational Culture
- Practice Guidelines as Topic
- Practice Patterns
- Physicians'
- Primary Health Care
- Smoking Prevention
- Surveys and Questionnaires
- Sweden
- attitude to health
- clinical practice
- drinking behavior
- follow up
- health care delivery
- health care personnel
- health personnel attitude
- human
- longitudinal study
- practice guideline
- prevention and control
- procedures
- protocol compliance
- questionnaire
- statistics and numerical data
- Clinical practice guidelines
- Counselling
- Implementation
- Lifestyle
- Preventive health services
- Smoking
- Health and Welfare
- Hälsa och välfärd
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
Hitta via bibliotek
Till lärosätets databas