TY - JOUR
T1 - Effectiveness of implementation strategies for venous leg ulcer guidelines
T2 - A systematic review
AU - Kerr, Justin
AU - Devane, Declan
AU - Ivory, John
AU - Weller, Carolina
AU - Gethin, Georgina
N1 - Publisher Copyright:
© 2020 Tissue Viability Society
PY - 2020/8
Y1 - 2020/8
N2 - Background: The aim of clinical practice guidelines (CPGs) is to improve patient care; however inconsistencies between recommended practice and what actually happens in clinical practice continues. Venous Leg Ulcers (VLUs) have a significant negative impact on patients’ quality of life and it is acknowledged that managing people with venous leg ulcers is protracted and costly. The aim of this review is to identify the most effective strategies to implement clinical practice guidelines for the management of VLUs by health care professionals in the hospital, outpatient, home and community setting. Methods: A systematic review guided by methods from the Cochrane Effective Practice and Organisation of Care (EPOC) group was undertaken to identify implementation strategies for VLU clinical practice guidelines. Eligible studies were identified via systematic electronic searches of Medline, Embase, CINHAL and the Cochrane Library. Results: We identified 142 potential studies of which one randomised controlled trial met the inclusion criteria. Following an analysis of the included study, it is not possible to recommend one implementation strategy over another when implementing practice guidelines for people with VLUs. Conclusion: We identified a limited evidence base for the effectiveness of implementation strategies for VLU CPGs. No one implementation strategy is better than another to facilitate VLU CPG implementation by health care professionals in hospital, outpatient, home or community settings.
AB - Background: The aim of clinical practice guidelines (CPGs) is to improve patient care; however inconsistencies between recommended practice and what actually happens in clinical practice continues. Venous Leg Ulcers (VLUs) have a significant negative impact on patients’ quality of life and it is acknowledged that managing people with venous leg ulcers is protracted and costly. The aim of this review is to identify the most effective strategies to implement clinical practice guidelines for the management of VLUs by health care professionals in the hospital, outpatient, home and community setting. Methods: A systematic review guided by methods from the Cochrane Effective Practice and Organisation of Care (EPOC) group was undertaken to identify implementation strategies for VLU clinical practice guidelines. Eligible studies were identified via systematic electronic searches of Medline, Embase, CINHAL and the Cochrane Library. Results: We identified 142 potential studies of which one randomised controlled trial met the inclusion criteria. Following an analysis of the included study, it is not possible to recommend one implementation strategy over another when implementing practice guidelines for people with VLUs. Conclusion: We identified a limited evidence base for the effectiveness of implementation strategies for VLU CPGs. No one implementation strategy is better than another to facilitate VLU CPG implementation by health care professionals in hospital, outpatient, home or community settings.
KW - Clinical practice guidelines
KW - Implementation
KW - Venous leg ulcer
UR - http://www.scopus.com/inward/record.url?scp=85083743610&partnerID=8YFLogxK
U2 - 10.1016/j.jtv.2020.03.002
DO - 10.1016/j.jtv.2020.03.002
M3 - Article
C2 - 32340716
AN - SCOPUS:85083743610
SN - 0965-206X
VL - 29
SP - 161
EP - 168
JO - Journal of Tissue Viability
JF - Journal of Tissue Viability
IS - 3
ER -