A National Survey Identifying the Factors Associated With Cardiovascular Care Nurses' Perceived Knowledge of International Practice Guidelines: The First Step in the Development of an Implementation Strategy

Gabrielle McKee, Maria Hayes, Norma Caples , Avril Lowry, Maria Shine, Bernadette Hannon, Edel Cronin, Emer Lodge, Loreena Hill, Margaret Tuohy, Nessa Gillen, Sinead Teehan

Research output: Contribution to journalArticlepeer-review

Abstract

Background: The implementation of international guidelines within everyday practice remains problematic, which can have a detrimental impact on quality of care delivered. This study aimed to ascertain the factors associated with clinical
nurses' perceived knowledge of international guidelines.
Methods: In this cross-sectional survey, nurses from 45 hospitals across Ireland were recruited. A previously validated anonymous questionnaire that assessed guideline knowledge, use, and barriers to implementation was used. Data were analyzed using SPSS 23 and logistic regression.
Results:Of the 542 responses, 54% had used international guidelines relevant to their practice and 50%had consulted within the last year. Most nurses perceived that poor patient follow-up, lack of time and resources, poor clinical
leadership, workload, long guidelines, and not understanding guideline detail were barriers to guideline use and implementation. Forty-five percent rated their perceived knowledge of guidelines as “low.” Logistic regression identified that “high” knowledge levels were significantly associated with having read guidelines in the last year and
Original languageEnglish
JournalJournal of Cardiovascular Nursing:
Early online date01 Apr 2021
DOIs
Publication statusEarly online date - 01 Apr 2021

Keywords

  • barriers, cardiovascular nursing, implementation, knowledge, practice guideline

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