An observational study of health professionals’ use of evidence to inform the development of clinical management tools

Hutchinson, Alison M. and Johnston, Linda 2008, An observational study of health professionals’ use of evidence to inform the development of clinical management tools, Journal of clinical nursing, vol. 17, no. 16, pp. 2203-2211, doi: 10.1111/j.1365-2702.2008.02384.x.

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Title An observational study of health professionals’ use of evidence to inform the development of clinical management tools
Author(s) Hutchinson, Alison M.ORCID iD for Hutchinson, Alison M.
Johnston, Linda
Journal name Journal of clinical nursing
Volume number 17
Issue number 16
Start page 2203
End page 2211
Total pages 9
Publisher Wiley-Blackwell Publishing Ltd
Place of publication Oxford, England
Publication date 2008
ISSN 0962-1067
Summary Aim. This observational study sought to investigate the process of evidence use by health professionals during development of evidence-based clinical management tools.

Background. Studies conducted to explore the process of research use are scarce and knowledge of this process is essential for our understanding of the influences on research use in practice.

Design. A qualitative, non-participant, observational design.

Methods. Behaviour and actions of two separate multidisciplinary teams were observed and audio-recorded during a combined total of seven meetings for the development of clinical management tools. Semi-structured, one-to-one interviews were conducted approximately half-way through the development process and following completion of the clinical management tools.

Results. Three major themes emerged from this research. First, the process of clinical management tool development and evidence use. Nurses assumed responsibility for coordination of development which focused on describing current practice. Second, the forms of evidence employed during the development process included the use of experiential knowledge, opinions and knowledge of the context, in addition to research evidence. However, reference to research evidence was limited and its incorporation into the instrument was infrequently observed. Third, the use of research evidence emerged with respect to how such evidence was employed.

Conclusion. This study focused on real-life discussion and decision-making that occurred between health professionals when developing evidence-based clinical management tools. Health professionals may have a tendency to rely on their professional experience and current practice in preference to seeking and applying relevant research evidence.

Relevance to clinical practice. Nurses have an important role to play in the development of multidisciplinary evidence-based clinical management tools, but to actively participate in this process they need to be familiar with the relevant research evidence and have the skills and confidence to integrate the evidence into practice.
Language eng
DOI 10.1111/j.1365-2702.2008.02384.x
Field of Research 111099 Nursing not elsewhere classified
Socio Economic Objective 970111 Expanding Knowledge in the Medical and Health Sciences
HERDC Research category C1.1 Refereed article in a scholarly journal
Copyright notice ©2008, Blackwell Publishing Ltd
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