Evaluating impact of clinical guidelines using a realist evaluation framework Reddy, Sandeep, Wakerman, John, Westhorp, Gill and Herring, Sally 2015, Evaluating impact of clinical guidelines using a realist evaluation framework, Journal of evaluation in clinical practice, vol. 21, no. 6, pp. 1114-1120, doi: 10.1111/jep.12482. Attached Files Name Description MIMEType Size Downloads Title Evaluating impact of clinical guidelines using a realist evaluation framework Author(s) Reddy, Sandeep orcid.org/0000-0002-5824-4900 Wakerman, John Westhorp, Gill Herring, Sally Journal name Journal of evaluation in clinical practice Volume number 21 Issue number 6 Start page 1114 End page 1120 Total pages 7 Publisher Wiley Place of publication Chichester, Eng. Publication date 2015-12 ISSN 1365-2753 Keyword(s) clinical guidelines evidence-based medicine realist evaluation remote healthcare Science & Technology Life Sciences & Biomedicine Health Care Sciences & Services Medical Informatics Medicine, General & Internal General & Internal Medicine Summary RATIONALE, AIMS AND OBJECTIVES: The Remote Primary Health Care Manuals (RPHCM) project team manages the development and publication of clinical protocols and procedures for primary care clinicians practicing in remote Australia. The Central Australian Rural Practitioners Association Standard Treatment Manual, the flagship manual of the RPHCM suite, has been evaluated for accessibility and acceptability in remote clinics three times in its 20-year history. These evaluations did not consider a theory-based framework or a programme theory, resulting in some limitations with the evaluation findings. With the RPHCM having an aim of enabling evidence-based practice in remote clinics and anecdotally reported to do so, testing this empirically for the full suite is vital for both stakeholders and future editions of the RPHCM. METHODS: The project team utilized a realist evaluation framework to assess how, why and for what the RPHCM were being used by remote practitioners. A theory regarding the circumstances in which the manuals have and have not enabled evidence-based practice in the remote clinical context was tested. The project assessed this theory for all the manuals in the RPHCM suite, across government and aboriginal community-controlled clinics, in three regions of Australia. CONCLUSION: Implementing a realist evaluation framework to generate robust findings in this context has required innovation in the evaluation design and adaptation by researchers. This article captures the RPHCM team's experience in designing this evaluation. Language eng DOI 10.1111/jep.12482 Field of Research 111799 Public Health and Health Services not elsewhere classified 1117 Public Health And Health Services Socio Economic Objective 920499 Public Health (excl. Specific Population Health) not elsewhere classified HERDC Research category C1.1 Refereed article in a scholarly journal ERA Research output type C Journal article Copyright notice ©2015, John Wiley & Sons Ltd. Persistent URL http://hdl.handle.net/10536/DRO/DU:30085508 Document type: Journal Article Collections: Faculty of Health School of Medicine Related Links Link Description Connect to published version Go to link with your DU access privileges     Unless expressly stated otherwise, the copyright for items in DRO is owned by the author, with all rights reserved. Versions Version Filter Type Fri, 19 Aug 2016, 05:00:31 EST Fri, 19 Aug 2016, 06:11:42 EST Wed, 24 Aug 2016, 10:28:05 EST Wed, 24 Aug 2016, 10:29:09 EST Tue, 30 Aug 2016, 11:13:47 EST Tue, 30 Aug 2016, 11:16:36 EST Tue, 30 Aug 2016, 11:17:51 EST Filtered Full Citation counts:   Cited 4 times in TR Web of Science Cited 6 times in Scopus Search Google Scholar Access Statistics: 256 Abstract Views, 1 File Downloads  -  Detailed Statistics Created: Fri, 19 Aug 2016, 05:00:31 EST

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