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Applying evidence in practice: A qualitative case study of the factors affecting residents’ decisions
Journal article   Peer reviewed

Applying evidence in practice: A qualitative case study of the factors affecting residents’ decisions

Prudence W. Dalrymple, Harold P. Lehmann, Nancy K. Roderer and Michael B. Streiff
Health informatics journal, v 16(3)
Sep 2010
PMID: 20889848

Abstract

organizational innovation evidence-based practice guideline adherence diffusion of innovation
Patient care based on best available evidence is increasingly viewed as the hallmark of good quality medical diagnosis and treatment, yet its uptake is often slow and uneven and the reasons underlying the slow diffusion of evidence-based guidelines remain elusive. The authors report a qualitative study conducted at a major US teaching hospital which sought to discover the reasons why an evidence-based anticoagulation guideline appeared to be applied irregularly, with problematic results. Using a theoretical framework derived from Rogers’ work on the diffusion of innovation, this article describes the ways in which a group of residents evaluated and applied evidence in the context of caring for their patients. Future work in evidence-based practice can benefit from a greater emphasis on studies that use multi-method, qualitative designs to explore the complex ways in which people interact with information and the changes that ensue from its use.

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12 citations in Scopus

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Collaboration types
Domestic collaboration
Web of Science research areas
Health Care Sciences & Services
Medical Informatics
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