results one hundred and eighty-eight anesthesiologists (84.3 %) agreed to participate in the study. while all participants had made their first attempts in neuraxial blocks (nbs) when they were residents, this ratio was detected as 96.8% for pbs. all participants learned neuraxial and pbs on patients in the operating theater. education proficiency ratios for spinal, epidural and pbs were 98.1 %...

purpose: to customize clinical practice guidelines (cpgs) for cataract management for iranian population. methods: first, four cpgs (american academy 2006 and 2011, royal college of ophthalmologists 2010 and canadian ophthalmological society evidence-based clinical practice guidelines 2008) were selected from a number of available cpgs for cataract management in the literature. second, all reco...

BACKGROUND Theories of behavior change indicate that an analysis of barriers to change is helpful when trying to influence professional practice. The aim of this study was to assess the perceived barriers to practice change by eliciting nurses' opinions with regard to barriers to, and facilitators of, implementation of a Fall Prevention clinical practice guideline in five acute care hospitals i...

OBJECTIVE The aim of this research was to involve migrants and other key stakeholders in a participatory dialogue to develop a guideline for enhancing communication in cross-cultural general practice consultations. In this paper, we focus on findings about the use of formal versus informal interpreters because dialogues about these issues emerged as central to the identification of recommendati...

The remodelling of the NHS requires a strong general practice nurse (GPN) workforce within general practice. The challenges facing general practice nursing are set within the current policy context and recent available evidence and illustrated by drawing upon the experience of a current GPN working in London. It is argued that there is a need to support the professional development of GPNs and ...

Slovak Society of General Practice of the Slovak Medical Association in collaboration with the University of Crete, organized an educational workshop for Slovak GPs in June 2011 in Senec, Slovakia. The workshop focused on research in general practice and was lead by the Rural and Remote Health European Region Editor, Professor Christos Lionis, a leading general medicine researcher in Europe (Fi...

BACKGROUND Quality of care in general practice may be affected by the team climate perceived by its health and non-health professionals. Better team working is thought to lead to higher effectiveness and quality of care. However, there is limited evidence available on what affects team functioning and its relationship with quality of care in general practice. This study aimed to explore individ...

Clinical practice guideline (CPG) activities must be planned carefully for efficient use of available resources and evidence-based implementation. De novo development of CPGs may sometimes 'recreate the wheel' and delay implementation. Three innovative alternatives to de novo CPG development (adopt, contextualise or adapt) are outlined, which have greater potential than de novo development to b...

"Building Your Own Future: an Agenda for General Practice" is a strategy document currently being sent by the General Medical Services Committee to all general practitioners in Britain. It raises a series ofquestions about what general practice should be and how it should be organised andfunded, and the committee wants the issues debated as widely as possible. We have commissioned seven article...