+ Resolve Article
+ Follow Us
Follow on FacebookFollow on Facebook
Follow on TwitterFollow on Twitter

+ Translate
+ Subscribe to Site Feed
GeoScience Most Shared ContentMost Shared Content

Health professionals' adherence to stroke clinical guidelines: a review of the literature

, : Health professionals' adherence to stroke clinical guidelines: a review of the literature. Health Policy 111(3): 245-263

The process of implementation of clinical guidelines i.e. getting guidelines into practice has been extensively reviewed and meta-reviewed from a generic perspective. However, in relation to stroke care, there has been no review of these studies to date, although implementing stroke clinical guidelines is a topic of great interest within the stroke literature. This review aims to identify stroke studies that have addressed adherence to generic and specific stroke care clinical guidelines. A computer search was conducted using PubMed, CINAHL, PsychINFO, Web of Science and the Cochrane Systematic Reviews databases. Search terms included those relevant to the implementation of stroke clinical guidelines. We assessed all studies retrieved against specific inclusion criteria and collated only those studies that emphasized adherence to stroke clinical guidelines. Eighty-eight articles were selected for further review from 153 articles retrieved. Of those, 27 were studies on adherence to stroke clinical guidelines and were included in this review - 16 were categorized as generic stroke guidelines and 11 were on specific aspects of stroke care. Each category was further divided into studies that assessed adherence to stroke guidelines only and those that intervened to improve adherence. Adherence was generally greater for studies that included an intervention. Specific stroke care guidelines were poorly adhered to compared to generic stroke guidelines but these studies were better at identifying organizational and team barriers to implementation. Most studies conducted audits of patient medical records and a limited number assessed health professionals' views or used a behavioural framework to assess adherence. Adherence to stroke guidelines varied in the studies reviewed. Given the evidence that implementation of clinical guidelines in stroke care leads to better quality of care and improved health outcomes for patients, there is a need to increase adherence behaviours of health professionals towards recommended guidelines, in particular for long term stroke care.


PMID: 23727250

DOI: 10.1016/j.healthpol.2013.05.002

Other references

A.H.mdani, S.H.; Thomas, T.S., 2000: Influence of root chilling on winter and spring wheat growth and carbon dioxide assimilation. Growth and carbon dioxide (CO<sub>2</sub>) assimilation responses of winter wheat (Triticum aestivum cv. Chisholm) and spring wheat (cv. Mexico 82) to root chilling were compared and contrasted. Seedlings were grown in a growth chamber...

Godwin, H., 1942: A middle bronze Age palstave from buried forest at Woodwalton Fen, Hunts. During the operation of clearing prostrate trees from peat land a palstave of the of the middle bronze age was excavated. Pollen analyses at the site served to strengthen the correlation between this archaeological period and the development of fe...

Konstantinos, G.; Petros, P., 2010: Phosphodiesterase-5 inhibitors: future perspectives. PDE-5 inhibitors were originally studied in cardiovascular indications but were later developed and approved for on-demand treatment of erectile dysfunction (ED). A few years ago sildenafil was approved for the treatment of pulmonary hypertension,...

Badtieva, V.A.; Kniazeva, T.A.; Apkhanova, T.V., 2011: Topical problems of the diagnosis and rehabilitative treatment of lymphedema of the lower extremities. The present review of the literature data highlights modern approaches to and major trends in diagnostics and conservative treatment of lymphedema of the lower extremities based on the generalized world experience. Patients with lymphedema of the...

Owen, R.; Meachim, G.; Williams, D.F., 1976: Hair sampling for chromium content following Charnley hip arthroplasty. The chromium content of hair has been studied by neutron activation analysis of samples from 62 patients following a Charnley unilateral or bilateral hip arthroplasty by an artificial joint of stainless steel against polyethylene, inserted three t...

Filipits, M.; Nielsen, T.O.; Rudas, M.; Greil, R.; Stöger, H.; Jakesz, R.; Bago-Horvath, Z.; Dietze, O.; Regitnig, P.; Gruber-Rossipal, C.; Müller-Holzner, E.; Singer, C.F.; Mlineritsch, B.; Dubsky, P.; Bauernhofer, T.; Hubalek, M.; Knauer, M.; Trapl, H.; Fesl, C.; Schaper, C.; Ferree, S.; Liu, S.; Cowens, J.Wayne.; Gnant, M., 2014: The PAM50 risk-of-recurrence score predicts risk for late distant recurrence after endocrine therapy in postmenopausal women with endocrine-responsive early breast cancer. To assess the prognostic value of the PAM50 risk-of-recurrence (ROR) score on late distant recurrence (beyond 5 years after diagnosis and treatment) in a large cohort of postmenopausal, endocrine-responsive breast cancer patients. The PAM50 assay...

Bagghi, S.; Haque, A.; Acharjee, S., 1990: Effects of pond soil on production of fish. The relationship between fish pond soil and fish production was studied in West Bengal. Results indicate a significant correlation between soil type and fish production with sandy loam soils giving the highest production figures.

Hilsberg, S.; Goltenboth, R.; Eulenberger, K., 1997: Infrared-thermography in zoo animals preliminary experiences from its use in pregnancy diagnosis Infrarot-Thermografie bei Zootieren erste Erfahrungen im Einsatz zur Trachtigkeitsdiagnostik. Erkrankungen der Zootiere, 38: 187-190

Tokhiian, A.A.; Orlova, V.G.; Afonina, L.I., 1979: Estrogen and progesterone content of the blood plasma during labor with different degrees of cervical "maturity". Akusherstvo i Ginekologiia: 38-40

van der Wouden, J.C.; Tasche, M.J.A.; Bernsen, R.M.D.; Uijen, J.H.J.M.; de Jongste, J.C.; Ducharme, F.M., 2003: Inhaled sodium cromoglycate for asthma in children. Sodium cromoglycate has been recommended as maintenance treatment for childhood asthma for many years. Its use has decreased since 1990, when inhaled corticosteroids became popular, but it is still used in many countries. To determine the efficacy...