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This study described Australian speech pathologists' experiences and use of stroke CPGs, and what influenced their ability to implement stroke CPG recommendations in clinical practice.
This study described speech pathologists' use and experiences with stroke CPGs, and identified what enabled and hindered them to implement stroke CPG recommendations in clinical practice.
Respondents reported that a rural geographical location and their role as a generalist clinician made it more difficult to implement stroke CPG recommendations.
Speech pathologists described that it was difficult to implement stroke CPG recommendations with patients who had multiple co-morbidities or severe impairments.
Private speech pathologists may receive less intensive support from a multidisciplinary team and other colleagues, and are under more pressure to account for their direct client contact billable time; and thus may find it difficult to implement stroke CPGs.
Given that 42% of participants with stroke symptoms have reported not seeking medical care for these symptoms (39), the need for physicians to actively query about potential stroke symptoms and implement stroke risk reduction strategies, including pharmacologic therapy when indicated, is underscored.
Similar(54)
In 2010, London and Greater Manchester both implemented stroke service change – a reconfiguration of existing units that concentrated "hyperacute" stroke care into just a few, dedicated centres.
Organisational support is needed to implement the stroke clinical practice guideline.
Quaglini et al [ 9] piloted the use of the Oracle workflow software suite to implement a stroke guideline.
Only one third of speech pathologists reported that they were provided with strategies or support to help implement the stroke CPG after the guideline was disseminated.
To help local professionals implement multiple stroke guideline recommendations, we engaged in a process to identify local barriers and enablers, informed by this prior research.
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