Change the world

School of Clinical Care Sciences

Focal areas: Clinical practice guidelines, evidence-based practice, high acuity care units

Duration: 3 years (2013-2015)

Status: Ongoing

Key contact: Dr Portia Jordan

Principal investigators: Dr Portia Jordan and Prof Dalena van Rooyen

Researchers: Dr Portia Jordan and Prof Dalena van Rooyen

Funders: Thuthuka NRF Rating Track

Overview

Clinical practice guidelines (CPGs) are designed to provide direction to practitioners in their practice and aid in delivering effective care based on current evidence. However, despite the increasing number of CPGs developed, there continue to be variations in health care practice. Complications are often linked to the sub-optimal care that is rendered by health care practitioners and that is often not based on evidence-based practices. The effective implementation and utilization of CPGs in the care of this group of patients might improve the care rendered. The research programme will comprise various independent research projects, each aiming to satisfy the following objectives:

  1. Explore and describe the organisational context that is required to support the implementation of clinical practice guidelines in the critical care units in the Eastern Cape.
  2. Identify the stakeholders who will support, challenge or have no role in implementing the clinical practice guidelines in the care of the mechanically ventilated patients in the critical care units in the Eastern Cape.
  3. Explore and describe the most suitable implementation strategies to ensure effective implementation of the clinical practice guidelines in the care of mechanically ventilated patients in the critical care units of the Eastern Cape.
  4. Monitor and evaluate the outcomes of the implemented clinical practice guidelines on the care practices of the mechanically ventilated patients in the critical care units.

Design

A quantitative sequential approach will be utilised.

Methodology

Phase one will comprise a quantitative, cross-sectional survey to explore the organisational culture that supports the implementation of the CPGs. In phase two, a stakeholder analysis will be done. Phase three will comprise a systematic review to explore the best implementation strategies for the CPGs implementation in the South African critical care units. During phase four a clustered randomized control trial will be used to monitor and evaluate the outcomes of CPGs implementation.

Keywords: Clinical practice guidelines, evidence-based practice, mechanically ventilated patients, critical care units

Publications

Start in 2016