Physicians’ Perspectives of the Factors Influential in Implementing National Clinical Guidelines for Hypertension in Iran: A Qualitative Study

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KHOSRAVI ALIREZA; ALAVI MOUSA; EGHBALI BABADI MARYAM; SHAHRIARI MOHSEN; MOLAVI RAZIEH; MAHMOODI AZAM; Archibald Mandy M.

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Journal: Preventive Care in Nursing and Midwifery Journal Year:2021 | Volume:11 | Issue:4 Page(s): 55-62

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Title

Physicians’ Perspectives of the Factors Influential in Implementing National Clinical Guidelines for Hypertension in Iran: A Qualitative Study

Author(s)

Keywords

hypertension

preventive care

clinical practice guideline

facilitators

barriers

physicians

Abstract

Background: Although clinical guidelines help in the prevention, diagnosis, and management of hypertension, individuals with hypertension often remain undiagnosed, or once diagnosed, may not receive adequate care and treatment. Objectives: In this study, we explored physicians‟ perspectives of the factors influential in implementing the Iranian Recommendations on Prevention, Evaluation, and Management of hypertension (IRPEM-HTN). Methods: A qualitative descriptive study was conducted using the purposeful sampling method to enroll 30 physicians from October 2016 to May 2018. The physicians working in private offices or university-affiliated health centers/hospitals in the province of Isfahan, Iran, were included in this study one year after participating in the IRPEM-HTN program. The data were gathered through semi-structured interv iews. The transcribed data were thematically analyzed, and the rigor was ensured following the procedure outlined by Braun and Clark. Results: This themes identified were: 1) macro-and meso-contextual factors, emphasizing that a) policies at all levels affect guideline adherence, and b) environmental-contextual factors affect guideline adherence, 2) micro level factors, emphasizing that c) attributes of the guideline affect guideline adherence, and d) clinician-and patient-level factors affect guideline adherence. Micro-, meso-and macro-level factors influenced guideline implementation. Conclusion: The attitudes, awareness, knowledge, and capacity of clinicians, as well as a broader socio-cultural context should be taken into account for guideline implementation.

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APA: Copy

KHOSRAVI, ALIREZA, ALAVI, MOUSA, EGHBALI BABADI, MARYAM, SHAHRIARI, MOHSEN, MOLAVI, RAZIEH, MAHMOODI, AZAM, & Archibald, Mandy M.. (2021). Physicians’ Perspectives of the Factors Influential in Implementing National Clinical Guidelines for Hypertension in Iran: A Qualitative Study. PREVENTIVE CARE IN NURSING & MIDWIFERY JOURNAL, 11(4), 55-62. SID. https://sid.ir/paper/674721/en

Vancouver: Copy

KHOSRAVI ALIREZA, ALAVI MOUSA, EGHBALI BABADI MARYAM, SHAHRIARI MOHSEN, MOLAVI RAZIEH, MAHMOODI AZAM, Archibald Mandy M.. Physicians’ Perspectives of the Factors Influential in Implementing National Clinical Guidelines for Hypertension in Iran: A Qualitative Study. PREVENTIVE CARE IN NURSING & MIDWIFERY JOURNAL[Internet]. 2021;11(4):55-62. Available from: https://sid.ir/paper/674721/en

IEEE: Copy

ALIREZA KHOSRAVI, MOUSA ALAVI, MARYAM EGHBALI BABADI, MOHSEN SHAHRIARI, RAZIEH MOLAVI, AZAM MAHMOODI, and Mandy M. Archibald, “Physicians’ Perspectives of the Factors Influential in Implementing National Clinical Guidelines for Hypertension in Iran: A Qualitative Study,” PREVENTIVE CARE IN NURSING & MIDWIFERY JOURNAL, vol. 11, no. 4, pp. 55–62, 2021, [Online]. Available: https://sid.ir/paper/674721/en

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