Volume 8, Issue 5, October 2019, Page: 233-237
An Education Program to Increase the Utilisation of Australian NSW Health Paediatric Clinical Practice Guidelines in Rural Emergency Departments
Julia Fattore, University of New South Wales Rural Medical School, Wagga Wagga, New South Wales, Australia; Wagga Wagga Base Hospital, Wagga Wagga, New South Wales, Australia
Sarah Louise Cohn, University of New South Wales Rural Medical School, Wagga Wagga, New South Wales, Australia
Khalil Soniwala, Department of Paediatrics, University of New South Wales Rural Medical School, Wagga Wagga, New South Wales, Australia; Department of Paediatrics, Wagga Base Hospital, Wagga Wagga, New South Wales, Australia
John Connors, Department of Research, University of New South Wales Rural Medical School, Wagga Wagga, New South Wales, Australia
John Spencer Preddy, Department of Paediatrics, University of New South Wales Rural Medical School, Wagga Wagga, New South Wales, Australia; Department of Paediatrics, Wagga Base Hospital, Wagga Wagga, New South Wales, Australia
Received: Jul. 24, 2018;       Accepted: Aug. 4, 2019;       Published: Aug. 23, 2019
DOI: 10.11648/j.ajns.20190805.14      View  39      Downloads  2
Abstract
Clinical practice guidelines (CPGs) are evidence-based publications designed to provide direction and recommendations in the assessment and management of patients. They aim to reduce the level of inappropriate practice and improve safety for patients. However, CPG development does not guarantee their utilisation. A study directly investigated the barriers to utilisation in a population group within rural Australia. They found the most common reason for underutilisation were: a lack of awareness of the guideline, a lack of access to the guideline and the belief that there was inadequate education and training in the guidelines. This study evaluates the effectiveness of an evidence-based education program (EP) to increase the utilisation of New South Wales (NSW) Health paediatric CPGs in rural NSW within Australia. This study investigates the effectiveness of an evidence-based multifaceted EP, targeting pre-determined barriers to utilisation, which was subsequently delivered to ten rural emergency departments within the Murrumbidgee Local Health District. Following the intervention, a review of patient records over a three-month period was conducted to determine its effectiveness in change of utilisation. Compliance rates of CPG utilisation was found to significantly improve from 52.1% to 75.8% over 3 months. Furthermore, the evidence-based EP significantly increased CPG compliance, potentially improving the care of sick children in rural NSW Australia.
Keywords
Clinical Practice Guidelines, Educational Program, Compliance, Medical Officers, Paediatric, Emergency Departments, Rural NSW
To cite this article
Julia Fattore, Sarah Louise Cohn, Khalil Soniwala, John Connors, John Spencer Preddy, An Education Program to Increase the Utilisation of Australian NSW Health Paediatric Clinical Practice Guidelines in Rural Emergency Departments, American Journal of Nursing Science. Vol. 8, No. 5, 2019, pp. 233-237. doi: 10.11648/j.ajns.20190805.14
Copyright
Copyright © 2019 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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