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Submitted: 12 Aug 2020
Accepted: 18 Aug 2020
ePublished: 18 Aug 2020
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  Abstract View: 43

Quality of Health Care Delivery

Original Article

Challenges and Obstacles to Clinical Guidelines from the Perspectives of Residents of Tabriz Imam Reza Hospital: A Qualitative Study

ali jannati 1 ORCID logo, sakineh hajebrahimi 2 ORCID logo, mina azizzadeh 3* ORCID logo

Abstract

Background and Objectives: linicians rely on clinical guidelines for decision making. Carefully formulated clinical guidelines are the result of a combination of relevant research that links evidence to clinical practice. The purpose of this study was to determine the barriers to the use of clinical guidelines from the point of view of residents at Emam Reza Hospital. Material and Methods: This study is a qualitative phenomenological study that examines the experiences of the residents of Urology Department of Imam Reza Hospital. The sampling method in this study was purposive. Qualitative content analysis was used to analyze this study. To validate the results, the interviews were repeatedly read and the opinions of colleagues were regularly used. External monitoring was also used to increase its reliability. Results: 11 semi-structured interviews were conducted with the urology residents of Imam Reza Hospital. The results of the analysis of the data from the research showed that the challenges and barriers to the implementation of clinical guidelines were classified into three main themes: 1. Structural challenges including: doctors' distrust of clinical guidelines، lack of legitimacy and indigenousness of clinical guidelines. 2. Executive challenges including: routine processes, lack of consensus, resistance to change in physicians and high number of patients and lack of facilities. 3. Educational challenges including: lack of residency time and lack of practical educational structure for students. Conclusion: Given the importance of proper implementation of clinical guidelines as a link to up-to-date knowledge and practice and given the existing structural, executive and educational problems, obstacles and challenges, it is hoped that researchers, managers, policymakers and Patients should take steps to remove barriers to the proper implementation of clinical guidelines and provide high quality services to patients

Keywords: Residents, Clinical Guidelines, Challenges and Barriers, Medical Students
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