ArticlePloS one2014
Attitudes and perceptions about clinical guidelines: a qualitative study with Spanish physicians.
Article in PloS one, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 2 of them syntheses that pooled it.
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Who cites it
25 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Pooled it
- Comprehensive process model of clinical information interaction in primary care: results of a "best-fit" framework synthesis.Journal of the American Medical Informatics Association : JAMIA · 2018Pooled it
- Effectiveness of a strategy that uses educational games to implement clinical practice guidelines among Spanish residents of family and community medicine (e-EDUCAGUIA project): a clinical trial by clusters.Implementation science : IS · 2016Trial
- Use of ESGE clinical practice guidelines in daily endoscopy: Results of a national survey of Spanish endoscopists.Endoscopy international open · 2026Article
- Missed opportunities for hospital referral of young children with severe pneumonia identified at primary care using pulse oximetry: an analysis from the AIRE study in West Africa.BMJ global health · 2025Article
- Identifying actionable statements in Chinese health guidelines: a cross-sectional study.BMJ evidence-based medicine · 2025Article
- Article
- The pharmacists' interventions after a Drug and Therapeutics Committee (DTC) establishment during the COVID-19 pandemic.Journal of pharmaceutical policy and practice · 2024Article
- COVID-19: Hydroxychloroquine prophylaxis is just a prophylaxis! Be careful and perceive it right.Journal of anaesthesiology, clinical pharmacology · 2022Article
- When evidence is lacking: a mixed-methods approach for the development of practice guidance in liver transplantation.Gastroenterology report · 2021Article
- A Conceptual Framework to Study the Implementation of Clinical Decision Support Systems (BEAR): Literature Review and Concept Mapping.Journal of medical Internet research · 2020Review
- Exploring the solutions to the inherent perils of (the multitude of) guidelines - a focus group study of stakeholders' perceptions.BMC health services research · 2019Article
- Social Media-Based Health Management Systems and Sustained Health Engagement: TPB Perspective.International journal of environmental research and public health · 2019Article
- Perceptions of physicians in Saudi Arabia on the use of international clinical guidelines for managing primary insomnia.PloS one · 2019Article
- Comparing a Mobile Decision Support System Versus the Use of Printed Materials for the Implementation of an Evidence-Based Recommendation: Protocol for a Qualitative Evaluation.JMIR research protocols · 2018Article
- Review
- The physician's experience of changing clinical practice: a struggle to unlearn.Implementation science : IS · 2017Article
- Clarifying Definitions for the Massage Therapy Profession: the Results of the Best Practices Symposium.International journal of therapeutic massage & bodywork · 2016Article
- Intention of physicians to implement guidelines for screening and treatment of latent tuberculosis infection in HIV-infected patients in The Netherlands: a mixed-method design.BMC public health · 2016Article
- Hepatitis C virus testing perspectives among primary care physicians in four large primary care settings.Health promotion practice · 2015Article
Corrections and comments
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Authors and funding
15 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundClinical guidelines (CGs) are popular for healthcare decision making but their acceptability and use by healthcare providers is influenced by numerous factors. Some of these factors are professional-related, such as knowledge and perceptions of and attitudes toward CGs in general. The aim of our study was to evaluate attitudes and perceptions of Spanish physicians towards CGs.
methodsWe coordinated six discussion groups with a total of 46 physicians. The participants were drawn from 12 medical specialties from both specialized and primary care. We recorded the sessions and transcribed the content verbatim. We analyzed the data using an approach based on the grounded theory.
resultsWe identified two main constructs that defined the physicians' perceptions towards guidelines: knowledge and usefulness. "Knowledge" defined the theoretical meanings of guidelines, while "Usefulness" referred to the pragmatic approach to guidelines. These constructs were interrelated through a series of categories such as confidence, usability, accessibility, dissemination and formats.
conclusionsIn our study, the constructs that impacted most on physician's attitudes to clinical guidelines were knowledge and usefulness. The tension between the theoretical and the pragmatic constructs determined the attitudes and how physicians use guidelines. Groups developing guidelines should ask relevant clinical questions and develop implementable and context specific recommendations. Developers should be explicit and consistent in the development and presentation of recommendations.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.