Use of clinical guidelines: perspectives from clinicians in paediatric and maternity hospitals in Kabul, Afghanistan
H Graham, M Tokhi, A Edward, AS Salehi, S Turkmani, T Duke, L Bartlett
Eastern Mediterranean Health Journal | WHO EASTERN MEDITERRANEAN REGIONAL OFFICE | Published : 2015
This study explored the perceived value, role and reported use of clinical guidelines by clinicians in urban paediatric and maternity hospital settings, and the effect of current implementation strategies on clinician attitudes, knowledge and behaviour. A total of 63 clinicians from 7 paediatric and maternity hospitals in Kabul, Afghanistan participated in structured focus groups; content analysis methodology was used for identification and analysis of key themes. Seven sets of guidelines, protocols or standards were identified (including 5 WHO-endorsed guidelines). However, most are failing to achieve high levels of use. Factors associated with guideline use included: clinician involvement ..View full abstract
This study was partially supported by the Johns Hopkins Bloomberg School of Public Health Travel award.