Journal article

Barriers and Enablers to Implementing Clinical Treatment Protocols for Fever, Hyperglycaemia, and Swallowing Dysfunction in the Quality in Acute Stroke Care (QASC) Project-A Mixed Methods Study

Simeon Dale, Christopher Levi, Jeanette Ward, Jeremy M Grimshaw, Asmara Jammali-Blasi, Catherine D'Este, Rhonda Griffiths, Clare Quinn, Malcolm Evans, Dominique Cadilhac, N Wah Cheung, Sandy Middleton



BACKGROUND: The Quality in Acute Stroke Care (QASC) trial evaluated systematic implementation of clinical treatment protocols to manage fever, sugar, and swallow (FeSS protocols) in acute stroke care. This cluster-randomised controlled trial was conducted in 19 stroke units in Australia. AIM: To describe perceived barriers and enablers preimplementation to the introduction of the FeSS protocols and, postimplementation, to determine which of these barriers eventuated as actual barriers. METHODS: Preimplementation: Workshops were held at the intervention stroke units (n = 10). The first workshop involved senior clinicians who identified perceived barriers and enablers to implementation of the ..

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University of Melbourne Researchers