An Education Program to Increase the Utilisation of Australian NSW Health Paediatric Clinical Practice Guidelines in Rural Emergency Departments

Julia Fattore; Sarah Louise Cohn; Khalil Soniwala; John Connors; John Spencer Preddy

doi:doi:10.11648/j.ajns.20190805.14

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An Education Program to Increase the Utilisation of Australian NSW Health Paediatric Clinical Practice Guidelines in Rural Emergency Departments

Julia Fattore, Sarah Louise Cohn, Khalil Soniwala, John Connors, John Spencer Preddy

Published in American Journal of Nursing Science (Volume 8, Issue 5)

Received: 24 July 2018 Accepted: 4 August 2019 Published: 23 August 2019

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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.

Published in	American Journal of Nursing Science (Volume 8, Issue 5)
DOI	10.11648/j.ajns.20190805.14
Page(s)	227-231
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2019. Published by Science Publishing Group

Keywords

Clinical Practice Guidelines, Educational Program, Compliance, Medical Officers, Paediatric, Emergency Departments, Rural NSW

References

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APA Style

Julia Fattore, Sarah Louise Cohn, Khalil Soniwala, John Connors, John Spencer Preddy. (2019). An Education Program to Increase the Utilisation of Australian NSW Health Paediatric Clinical Practice Guidelines in Rural Emergency Departments. American Journal of Nursing Science, 8(5), 227-231. https://doi.org/10.11648/j.ajns.20190805.14

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ACS Style

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. Am. J. Nurs. Sci. 2019, 8(5), 227-231. doi: 10.11648/j.ajns.20190805.14

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AMA Style

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. Am J Nurs Sci. 2019;8(5):227-231. doi: 10.11648/j.ajns.20190805.14

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@article{10.11648/j.ajns.20190805.14,
  author = {Julia Fattore and Sarah Louise Cohn and Khalil Soniwala and John Connors and John Spencer Preddy},
  title = {An Education Program to Increase the Utilisation of Australian NSW Health Paediatric Clinical Practice Guidelines in Rural Emergency Departments},
  journal = {American Journal of Nursing Science},
  volume = {8},
  number = {5},
  pages = {227-231},
  doi = {10.11648/j.ajns.20190805.14},
  url = {https://doi.org/10.11648/j.ajns.20190805.14},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajns.20190805.14},
  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.},
 year = {2019}
}

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TY  - JOUR
T1  - An Education Program to Increase the Utilisation of Australian NSW Health Paediatric Clinical Practice Guidelines in Rural Emergency Departments
AU  - Julia Fattore
AU  - Sarah Louise Cohn
AU  - Khalil Soniwala
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DO  - 10.11648/j.ajns.20190805.14
T2  - American Journal of Nursing Science
JF  - American Journal of Nursing Science
JO  - American Journal of Nursing Science
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PB  - Science Publishing Group
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AB  - 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.
VL  - 8
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Author Information

Julia Fattore

University of New South Wales Rural Medical School, 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
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

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APA Style

Julia Fattore, Sarah Louise Cohn, Khalil Soniwala, John Connors, John Spencer Preddy. (2019). An Education Program to Increase the Utilisation of Australian NSW Health Paediatric Clinical Practice Guidelines in Rural Emergency Departments. American Journal of Nursing Science, 8(5), 227-231. https://doi.org/10.11648/j.ajns.20190805.14

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ACS Style

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. Am. J. Nurs. Sci. 2019, 8(5), 227-231. doi: 10.11648/j.ajns.20190805.14

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AMA Style

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. Am J Nurs Sci. 2019;8(5):227-231. doi: 10.11648/j.ajns.20190805.14

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@article{10.11648/j.ajns.20190805.14,
  author = {Julia Fattore and Sarah Louise Cohn and Khalil Soniwala and John Connors and John Spencer Preddy},
  title = {An Education Program to Increase the Utilisation of Australian NSW Health Paediatric Clinical Practice Guidelines in Rural Emergency Departments},
  journal = {American Journal of Nursing Science},
  volume = {8},
  number = {5},
  pages = {227-231},
  doi = {10.11648/j.ajns.20190805.14},
  url = {https://doi.org/10.11648/j.ajns.20190805.14},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajns.20190805.14},
  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.},
 year = {2019}
}

Copy | Download

TY  - JOUR
T1  - An Education Program to Increase the Utilisation of Australian NSW Health Paediatric Clinical Practice Guidelines in Rural Emergency Departments
AU  - Julia Fattore
AU  - Sarah Louise Cohn
AU  - Khalil Soniwala
AU  - John Connors
AU  - John Spencer Preddy
Y1  - 2019/08/23
PY  - 2019
N1  - https://doi.org/10.11648/j.ajns.20190805.14
DO  - 10.11648/j.ajns.20190805.14
T2  - American Journal of Nursing Science
JF  - American Journal of Nursing Science
JO  - American Journal of Nursing Science
SP  - 227
EP  - 231
PB  - Science Publishing Group
SN  - 2328-5753
UR  - https://doi.org/10.11648/j.ajns.20190805.14
AB  - 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.
VL  - 8
IS  - 5
ER  -

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