ABSTRACT

Objective: Clinical practice guidelines (CPGs) synthesize research evidence for health professionals and improve consistency of clinical care. However, it is unclear if concussion clinicians use them in their practice. We aimed to describe which CPGs New Zealand clinicians used and facilitators and barriers to uptake of these resources.

Materials and Methods: We used snowballing recruitment methods to survey New Zealand concussion clinicians. Descriptive statistics and qualitative description were used to evaluate survey responses.

Results: Ninety-six clinicians took part in the survey. A majority (70%) indicated they were aware of and had used at least one concussion CPG. Facilitators and barriers to using CPGs related to clinician experience, nature of the CPG, the work context, characteristics of clients and whether strategies were provided to encourage their use.

Conclusions: Participants viewed concussion CPGs as helpful tools for informing clinical practice. That less experienced clinicians were less likely to use concussion CPGs than more experienced clinicians suggests there is an opportunity to develop strategies to improve the uptake of CPGs among newer clinicians. This and other areas of further research include how well CPGs capture relevant cultural factors and the role of case complexity in clinicians' willingness to use concussion CPGs.

摘要

目标：临床实践指南 (CPG) 为卫生专业人员综合研究证据并提高临床护理的一致性。然而，目前尚不清楚脑震荡临床医生是否在实践中使用它们。我们旨在描述新西兰临床医生使用的 CPG 以及使用这些资源的促进因素和障碍。

材料和方法：我们使用滚雪球招募方法调查新西兰脑震荡临床医生。描述性统计和定性描述用于评估调查响应。

结果： 96 名临床医生参与了调查。大多数 (70%) 表示他们知道并使用过至少一种脑震荡 CPG。使用 CPG 的促进因素和障碍与临床医生的经验、CPG 的性质、工作环境、客户特征以及是否提供了鼓励使用 CPG 的策略有关。

结论：参与者认为脑震荡 CPG 是为临床实践提供信息的有用工具。与经验丰富的临床医生相比，经验不足的临床医生不太可能使用脑震荡 CPG，这表明有机会制定策略来提高新临床医生对 CPG 的使用。这个和其他进一步研究的领域包括 CPG 如何很好地捕捉相关文化因素以及病例复杂性在临床医生使用脑震荡 CPG 的意愿中的作用。