Putting research findings into clinical practice: Feasibility of integrated evidence-based care pathways in otorhinolaryngology head and neck surgery at Sultan Qaboos University Hospital, Oman

Deepa Bhargava, Zainab Al-Lawatia, Rashid Al-Abri, Kamlesh Bhargava

Research output: Contribution to journalArticle

Abstract

Objectives: A perception exists that clinicians in Oman are reluctant to adopt evidence-based practice (EBP). This pilot study was undertaken to study the feasibility of using EBP pathways at the point of care in otorhinolaryngology head and neck surgery. The ultimate aim was to facilitate EBP with the probability of developing a new system for implementing research findings/translational research at the clinical point of care. Methods: A cross-sectional prospective questionnaire pilot survey of clinicians at Sultan Qaboos University Hospital (SQUH), Oman, a tertiary care medical centre, was undertaken. Respondents included 135 physicians and surgeons with between 3 months and 25 years of clinical experience and included personnel ranging from interns to senior consultants, in areas ranging from primary care to specialist care. Results: Of those polled, 90% (95% confidence interval (CI) 85-95%) either strongly agreed or agreed that evidence-based practice protocols (EBPP) could help in decision making. A total of 87.4% of participants (95% CI 81.8-93%) either strongly agreed or agreed that EBPPs can improve clinical outcomes; 91.8% of participants (95% CI 87.2-96.4%) would use and apply EBPP in day-to-day care if they were available at the point of care and embedded in the hospital information system. Conclusions: The perception that clinicians at SQUH are reluctant to adopt EBP is incorrect. The introduction of EBP pathways is very feasible at the primary care level. Institutional support for embedding EBP in hospital information systems is needed as well as further outcome research to assess the improvement in quality of care.

Original languageEnglish
Pages (from-to)184-189
Number of pages6
JournalSultan Qaboos University Medical Journal
Volume12
Issue number2
Publication statusPublished - May 2012

Fingerprint

Oman
Evidence-Based Practice
Otolaryngology
Neck
Head
Point-of-Care Systems
Research
Hospital Information Systems
Confidence Intervals
Primary Health Care
Translational Medical Research
Sultan
Quality of Health Care
Feasibility Studies
Consultants
Tertiary Care Centers
Decision Making
Outcome Assessment (Health Care)
Physicians

Keywords

  • Clinical practice guidelines
  • Clinical protocol
  • Decision making
  • Evidence based practice
  • Head and neck
  • Oman
  • Otorhinolaryngology
  • Surgery

ASJC Scopus subject areas

  • Medicine(all)

Cite this

@article{06e27de578c5482d8d5dfc7e3f6920c3,
title = "Putting research findings into clinical practice: Feasibility of integrated evidence-based care pathways in otorhinolaryngology head and neck surgery at Sultan Qaboos University Hospital, Oman",
abstract = "Objectives: A perception exists that clinicians in Oman are reluctant to adopt evidence-based practice (EBP). This pilot study was undertaken to study the feasibility of using EBP pathways at the point of care in otorhinolaryngology head and neck surgery. The ultimate aim was to facilitate EBP with the probability of developing a new system for implementing research findings/translational research at the clinical point of care. Methods: A cross-sectional prospective questionnaire pilot survey of clinicians at Sultan Qaboos University Hospital (SQUH), Oman, a tertiary care medical centre, was undertaken. Respondents included 135 physicians and surgeons with between 3 months and 25 years of clinical experience and included personnel ranging from interns to senior consultants, in areas ranging from primary care to specialist care. Results: Of those polled, 90{\%} (95{\%} confidence interval (CI) 85-95{\%}) either strongly agreed or agreed that evidence-based practice protocols (EBPP) could help in decision making. A total of 87.4{\%} of participants (95{\%} CI 81.8-93{\%}) either strongly agreed or agreed that EBPPs can improve clinical outcomes; 91.8{\%} of participants (95{\%} CI 87.2-96.4{\%}) would use and apply EBPP in day-to-day care if they were available at the point of care and embedded in the hospital information system. Conclusions: The perception that clinicians at SQUH are reluctant to adopt EBP is incorrect. The introduction of EBP pathways is very feasible at the primary care level. Institutional support for embedding EBP in hospital information systems is needed as well as further outcome research to assess the improvement in quality of care.",
keywords = "Clinical practice guidelines, Clinical protocol, Decision making, Evidence based practice, Head and neck, Oman, Otorhinolaryngology, Surgery",
author = "Deepa Bhargava and Zainab Al-Lawatia and Rashid Al-Abri and Kamlesh Bhargava",
year = "2012",
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language = "English",
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journal = "Sultan Qaboos University Medical Journal",
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AU - Al-Lawatia, Zainab

AU - Al-Abri, Rashid

AU - Bhargava, Kamlesh

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N2 - Objectives: A perception exists that clinicians in Oman are reluctant to adopt evidence-based practice (EBP). This pilot study was undertaken to study the feasibility of using EBP pathways at the point of care in otorhinolaryngology head and neck surgery. The ultimate aim was to facilitate EBP with the probability of developing a new system for implementing research findings/translational research at the clinical point of care. Methods: A cross-sectional prospective questionnaire pilot survey of clinicians at Sultan Qaboos University Hospital (SQUH), Oman, a tertiary care medical centre, was undertaken. Respondents included 135 physicians and surgeons with between 3 months and 25 years of clinical experience and included personnel ranging from interns to senior consultants, in areas ranging from primary care to specialist care. Results: Of those polled, 90% (95% confidence interval (CI) 85-95%) either strongly agreed or agreed that evidence-based practice protocols (EBPP) could help in decision making. A total of 87.4% of participants (95% CI 81.8-93%) either strongly agreed or agreed that EBPPs can improve clinical outcomes; 91.8% of participants (95% CI 87.2-96.4%) would use and apply EBPP in day-to-day care if they were available at the point of care and embedded in the hospital information system. Conclusions: The perception that clinicians at SQUH are reluctant to adopt EBP is incorrect. The introduction of EBP pathways is very feasible at the primary care level. Institutional support for embedding EBP in hospital information systems is needed as well as further outcome research to assess the improvement in quality of care.

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