ArticleBMJ open2025
Facilitators and barriers to use of clinical practice guidelines among physicians in Nigeria: a cross-sectional study.
Article in BMJ open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed.
- Acceptability of Hypertension Quality Indicators in Primary Care in South Africa: Exploratory Implementation Research.Healthcare (Basel, Switzerland) · 2026Article
- Article
- Physicians' knowledge of transient ischaemic attack management in Nigeria: a national cross-sectional survey.BMC medical education · 2026Article
- Barriers to and facilitators of adherence to evidence-based standard antimicrobial treatment guidelines among physicians in Ethiopia: a formative qualitative study.Scientific reports · 2026Article
- Enhancing research capacity among students in Nigeria: insights from a 24-week online training program for undergraduate medical and dental clinical students.BMC medical education · 2026Article
- Adapting global guidelines to local contexts: optimising community-acquired pneumonia (CAP) specific prescribing in Pakistan to counter antimicrobial resistance.BMJ open respiratory research · 2025Article
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Authors and funding
13 authors.
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Abstract
objectivesClinical practice guidelines (CPGs) have been shown over the years to reduce morbidity and mortality and improve patients' survival and quality of care. However, CPG adherence is still a challenge despite its benefits. The awareness of CPGs, utilisation and associated barriers and facilitators to their use were assessed among physicians in Nigeria.
designThis was a cross-sectional study carried out among physicians in Nigeria through a self-administered questionnaire that assessed awareness, utilisation, barriers and facilitators of CPGs. Ordinal logistic regression was used to assess factors associated with CPG utilisation. A p-value of <0.05 was considered significant. SETTINGS: Private and government health institutions in Nigeria.
participantsPhysicians working in Nigeria.
resultsA total of 574 physicians consisting of 184 (32.1%) females with a mean age of 40.03±9.60 years participated in the study. About 91% and 78.4% of respondents were aware of international and national guidelines related to their practice. The identified barriers to the use of CPGs were non-applicability to local settings (39.0%), not being easily accessible (22%), complexity and difficulty in interpretation (11%) and not being concise (11%). The most common format for CPGs was soft copy (38%). About 71% frequently used guidelines in their clinical practice. The significant factors associated with CPG utilisation on logistic regression were working in a tertiary hospital (adjusted OR, AOR: 0.461; CI: 0.24 to 0.88; p=0.019); specialisation (AOR: 2.60; CI: 1.06 to 6.42; p=0.038); being very confident in understanding CPGs (AOR: 12.33; CI: 6.99 to 21.74; p≤0.001) and previous training on CPG use (AOR: 2.54; CI: 1.70 to 3.78; p≤0.001).
conclusionThe majority of physicians in Nigeria are aware of CPGs. Addressing the identified barriers to CPG utilisation, organising training on the use of CPGs and making CPGs readily available in soft copy versions and in a simple, concise and easily adaptable format may improve their use.
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