221 | P a g e 21. SLADE 2015 [193]: Guideline Implementation and Adherence Beliefs and Perceptions I rely on past experience and clinical judgment more than guidelines. Accepted practice, intuition, experience and the ability to understand the patient in context underpins my decision. Social influences, training, colleagues, patients, and the organisation influence my decisions about whether to comply with guidelines. HEALTHCARE PROFESSIONALS 22. SLADE 2015 [193]: Guideline Implementation and Adherence Beliefs and Perceptions - Clinicians are not familiar With Guideline Content or Development Processes Guidelines are not supported by research evidence there is not enough evidence to support the guideline. I don’t know what is in the guideline and how it was decided. Some don’t even know that it exists. HEALTHCARE PROFESSIONALS 23. EGERTON 201 [191]: clinicians under-prepared I didn’t know about the clinical practice guidelines for osteoarthritis management. I am not clear about recommendations and feel under- prepared to manage patients with osteoarthritis. I don’t have time to read the volume of information that I am expected to know. HEALTHCARE PROFESSIONALS 24. SLADE 2015 [193]: Barriers to Guideline Implementation I don’t have time to read the guidelines. I am overwhelmed with the volume of guidelines for all the disease categories and can’t possibly assimilate them into my clinical practice. I will refer for imaging when I can’t access other options such as physio HEALTHCARE PROFESSIONALS
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