Using the PARIHS framework in development of an instrument for the evaluation of clinical practice guidelines

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Using the PARIHS framework in development of an instrument for the evaluation of clinical practice guidelines

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dc.contributor.author Bahtsevani, Christel en_US
dc.date.accessioned 2010-01-17T16:42:19Z
dc.date.available 2010-01-17T16:42:19Z
dc.date.issued 2009
dc.identifier.uri http://hdl.handle.net/2043/9468
dc.description.abstract Title: Using the PARIHS framework in development of an instrument for the evaluation of clinical practice guidelines Rationale and aim: Some factors presented in the PARISH framework was used in the development of an instrument for the evaluation of implementation and use of clinical practice guidelines (CPG:s). The aim is to exhibit the scales constructed from the PARIHS framework and report about the test-retest reliability of these scales. Method: A questionnaire was designed to survey the implementation and use of CPG:s. Some of the questions were constructed as visual analogue scales in which contradictory statements were drawn from the PARIHS framework. The scales dealt with the perceptions of circumstances in clinical practice such as patient’s experiences (5 items), personnel’s clinical experiences (5 items), and the context (1 item) of care in term of culture (2 item), leadership (1 item), forms of evaluation (1 item), feed-back (1 item) and function of facilitators (2 items). A test-retest was conducted with 39 health professionals at a University hospital in the southern region of Sweden. All 39 respondents completed the questionnaire twice, with a mean time between completions of 5.5 weeks. Cohen’s Kappa and percentage concordance between responses was used to investigate the test-retest reliability of the scales. Results: Concerning the Kappa value most of the items (12) showed moderate strength of agreement, four items showed good agreement, and two showed only fair agreement. The percentage concordance was high for 6 items (80% and over), run between 71% - 79% in 10 items, and two items was below 70%. These scores indicate a reasonable stability suggesting a possibility of further developing the instrument. The scales are further being used in different Swedish research projects, for instance concerning evaluation of implementation of Standardized Nursing Care Plans. en
dc.language.iso eng en
dc.publisher Knowledge Utilization Colloquium en
dc.subject Clinical practice guidelines en
dc.subject PARIHS framework en
dc.subject questionnaire en
dc.subject test-retest en
dc.subject.classification Medicine en
dc.title Using the PARIHS framework in development of an instrument for the evaluation of clinical practice guidelines en
dc.type Conference Poster en
dc.contributor.department Malmö University. Faculty of Health and Society en
dc.subject.srsc Research Subject Categories::INTERDISCIPLINARY RESEARCH AREAS::Caring sciences en
dc.subject.srsc Research Subject Categories::INTERDISCIPLINARY RESEARCH AREAS::Health and medical services in society en
dcterms.description.conferenceName Knowledge Utilization Colloquim (KU)
dcterms.description.conferencePlace Llandudno, North Wales, United Kingdom
dcterms.description.conferenceYear 2009
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