219 | P a g e 17. SLADE 2015 [193]: Guideline Implementation and Adherence Beliefs and Perceptions - Positive Perceptions of the Role of Guidelines I believe in Evidence-Based Practice and that guidelines are relevant to my practice. However, current recommendations are not practical or realistic to implement they do not promote patient empowerment or self-management. HEALTHCARE PROFESSIONALS 18. SLADE 2015 [193]: Maintaining the Patient-Clinician Relationship With Imaging Referrals I would rather negotiate things and avoid conflict with my patients. They can find it difficult to accept a non-biomechanical diagnosis patient expectations don’t match the guidelines. They want a specific diagnosis and intervention. They want imaging to identify and legitimise the problem. Patients doubt my clinical ability if I don’t order a test. HEALTHCARE PROFESSIONALS 19. SLADE 2015 [193]: Barriers to Guideline Implementation- Time Constraints Make it Difficult to Implement the Guidelines I am facing an information overload. The volume of all the guidelines is overwhelming I can’t read them all and assimilate into clinical practice. The time it takes to implement guidelines exceeds that which is allocated for a standard consultation. HEALTHCARE PROFESSIONALS 20. SLADE 2015 [193]: Guideline Implementation and Adherence Beliefs and Perceptions -Guidelines Restrict Clinical Judgment The guidelines are constraining and prescriptive they control practice and subjugate clinical judgment by reducing medicine to algorithms they are autocratic in nature they stifle professional autonomy and clinical reasoning. They don’t represent all the treatment modalities and thus limit choice of treatment. The guidelines cannot possibly reflect the diversity of patient presentations. HEALTHCARE PROFESSIONALS
Previous Page Next Page