Evidence map›Paper›PMID 32150790›Full record

ArticleInternational wound journal2020

Understanding factors influencing venous leg ulcer guideline implementation in Australian primary care.

Carolina D Weller, Catelyn Richards, Louise Turnour, Victoria Team

Open access · bronzeAbstract read
In one paragraph

Article in International wound journal, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 2 pooled it
3.1field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 2 syntheses or guidelines pooled it, 28 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 1 institution in 1 country.

Carolina D WellerMonash Nursing and Midwifery, Monash University, Melbourne, Victoria, Australia.ORCID https://orcid.org/0000-0002-8016-1060
Catelyn RichardsMonash Nursing and Midwifery, Monash University, Melbourne, Victoria, Australia.
Louise TurnourMonash Nursing and Midwifery, Monash University, Melbourne, Victoria, Australia.
Victoria TeamMonash Nursing and Midwifery, Monash University, Melbourne, Victoria, Australia.ORCID https://orcid.org/0000-0001-6615-6874
Monash University · AU

Funding

National Health and Medical Research Council (NHMRC) Translating Research into Practice (TRIP) Fellowship NHMRC APP1132444
6 · The paper itself

Abstract

The aim of this study was to gain a better understanding of the venous leg ulcer (VLU) management in primary health care settings located in Melbourne metropolitan and rural Victoria, Australia. We explored health professionals' perspective on the use of the Australian and New Zealand Venous Leg Ulcer Clinical Practice Guideline (VLU CPG) to identify the main challenges of VLU CPG uptake in clinical practice. We conducted semi-structured interviews with 15 general practitioners (GPs) and 20 practice nurses (PNs), including two Aboriginal health nurses. The Theoretical Domains Framework guided data collection and analysis. Data were analysed using a theory-driven analysis. We found a lack of awareness of the VLU CPGs, which resulted in suboptimal knowledge and limited adherence to evidence-based recommendations. Environmental factors, such as busy nature of clinical environment and absence of handheld Doppler ultrasound, as well as social and professional identity factors, such as reliance on previous experience and colleague's advice, influenced the uptake of the VLU CPGs in primary care. Findings of this study will inform development of interventions to increase the uptake of the VLU CPG in primary care settings and to reduce the evidence-practice gap in VLU management by health professionals.

Indexed as

Guideline AdherencePrimary Health CareAttitude of Health PersonnelAustraliaHumansPractice Guidelines as TopicPractice Patterns, Physicians'Qualitative ResearchSurveys and QuestionnairesVaricose Ulcergeneral practitioners (GPs)knowledge translationpractice nurses (PNs)Theoretical Domains Framework (TDF)venous leg ulcers (VLU)

Identifiers

PMID32150790
PMCPMC7948630
OpenAlexW3011658576

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.