Evaluation of clinical practice applicability and analysis of barriers on the guideline for Facilitating Client Centered Learning
10.3760/cma.j.cn115682-20230101-00001
- VernacularTitle:《促进以患者为中心的学习》指南的临床实践适用性评价与阻碍因素分析
- Author:
Juan CHENG
1
;
Yanting CHEN
;
Xinxin LI
;
Jin ZHOU
Author Information
1. 中日友好医院内分泌科，北京 100029
- Keywords:
Guideline;
Clinical practice;
Applicability evaluation;
Barriers;
Association Rules;
Evidence transformation
- From:
Chinese Journal of Modern Nursing
2023;29(22):2956-2962
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To conduct clinical practice applicability evaluation and barrier analysis on the guideline for Facilitating Client Centered Learning. Methods:From September to October 2021, 11 experts were selected to use the expert meeting method to evaluate the clinical applicability of the recommended guidelines. From March to May 2022, 140 nurses from 10 pilot wards of the China-Japan Friendship Hospital were selected to conduct a survey using the self-designed Facilitating Client Centered Learning Guideline Clinical Practice Barrier Questionnaire. The barrier association rules were mined based on the Apriori algorithm. Results:Expert opinions showed that all 15 recommendations had clinical significance and all agreed to be implemented in clinical practice. In terms of current development status, ≥ 6 experts expressed that the item 2, 6, and 7 were very well implemented in clinical practice, and≥ 6 experts expressed that the item 3, 4, and 10 needed improvement, and ≥ 6 experts stated that the item 11, 12, and 14 were not carried out in clinical practice. In the investigation of barriers, a total of 140 questionnaires were distributed, and the effective response rate of the questionnaire was 92.86% (130/140). 25.38% (33/130) of nurses believed that all four factors were unobstructed. After professional screening, four association rules between barriers were summarized.Conclusions:The recommendations of the Facilitating Client Centered Learning guideline can be applied in clinical practice, but there is still a gap between clinical practice and guideline theory. The biggest barriers that may exist in clinical applications are insufficient labor and a lack of relevant nursing documents.
