The Library
Attitudes of women with menstrual disorders to the use of clinical guidelines in their care
Tools
Julian, Sophia, Rashid, Aly, Baker, Richard H., M.D., Szczepura, Ala and Habiba, Marwan. (2010) Attitudes of women with menstrual disorders to the use of clinical guidelines in their care. Family Practice, Vol.27 (No.2). pp. 205-211. ISSN 0263-2136
Full text not available from this repository.
Official URL: http://dx.doi.org/10.1093/fampra/cmp090
Abstract
Objectives. To explore the knowledge and attitudes of women with menstrual disorders towards the use of evidence-based clinical guidelines for their condition. Methods. Semi-structured interviews were conducted with women with menstrual disorders. Results. Some women were not aware of the existence of clinical guidelines for their condition. Many were unsure as to their exact nature. The most consistent interpretation of guidelines was as a 'set of rules'. Numerous positive aspects of the use of guidelines were identified, for example, ensuring quality and safety for patients, earlier diagnosis, reducing waiting times and improving continuity of care. Negative views involved seeing guidelines as a tool for rationing and concerns over inflexibility. Patients recognized that implementation of guidelines in general practice can be problematic, especially if resources are not made available. An unmet need for information became apparent in this group of patients. Many women felt that they should have access to guidelines that are being used in their medical care and that guidelines had the potential to act as an information resource for patients. Conclusions. A patient-centred service should endeavour to increase patient awareness of the existence and use of clinical guidelines. A patient version of clinical guidelines may be useful in promoting patients involvement in decision making and may improve outcomes.
| Item Type: | Journal Article |
|---|---|
| Subjects: | R Medicine > RA Public aspects of medicine R Medicine > RG Gynecology and obstetrics |
| Divisions: | Faculty of Medicine > Warwick Medical School > Health Sciences Faculty of Medicine > Warwick Medical School |
| Library of Congress Subject Headings (LCSH): | Menstruation disorders, Menstruation disorders -- Patients, Medical protocols, Health attitudes |
| Journal or Publication Title: | Family Practice |
| Publisher: | Oxford University Press |
| ISSN: | 0263-2136 |
| Date: | April 2010 |
| Volume: | Vol.27 |
| Number: | No.2 |
| Number of Pages: | 7 |
| Page Range: | pp. 205-211 |
| Identification Number: | 10.1093/fampra/cmp090 |
| Status: | Peer Reviewed |
| Publication Status: | Published |
| Access rights to Published version: | Restricted or Subscription Access |
| Funder: | Trent Regional Health Authority (Great Britain) (TRHA) |
| References: | 1 ShekellePG,Ortiz E,Rhodes Set al.Validityof theAgency forHealthcare Research andQuality clinical practice guidelines: howquickly do guidelines become outdated? JAMA 2001; 286: 1461–7. 2 Shekelle PG, Woolf SH, Eccles M, Grimshaw J. Clinical guidelines: developing guidelines. Br Med J 1999; 318: 593–6. 3 Young JM, Ward JE. Evidence-based medicine in general practice: beliefs and barriers among Australian GPs. J Eval Clin Pract 2001; 7: 201–10. 4 Woolf SH, Grol R, Hutchinson A, Eccles M, Grimshaw J. Clinical guidelines: potential benefits, limitations, and harms of clinical guidelines. BMJ 1999; 318: 527–30. 5 Grimshaw JM, Russell IT. Effect of clinical guidelines on medical practice: a systematic review of rigorous evaluations. Lancet 1993; 342: 1317–22. 6 Hurwitz B. Legal and political considerations of clinical practice guidelines. BMJ 1999; 318: 661–4. 7 Farquhar CM, Kofa EW, Slutsky JR. Clinicians’ attitudes to clinical practice guidelines: a systematic review. Med J Aust 2002; 177: 502–6. 8 Farquhar CM, Kofa E, Power ML, Zinberg S, Schulkin J. Clinical practice guidelines as educational tools for obstetriciangynecologists. J Reprod Med 2002; 47: 897–902. 9 McEwen A, Akotia N, West R. General practitioners’ views on the English national smoking cessation guidelines. Addiction 2001; 96: 997–1000. 10 Newton J, Knight D, Woolhead G. General practitioners and clinical guidelines: a survey of knowledge, use and beliefs. Br J Gen Pract 1996; 46: 513–7. 11 Smith L,Walker A, Gilhooly K. Clinical guidelines of depression: a qualitative study of GPs’ views. J Fam Pract 2004; 53: 556–61. 12 NICE. The Guidelines Manual. London: National Institute for Health and Clinical Excellence, 2007. http://www.nice.org.uk/ niceMedia/pdf/GuidelinesManualAllChapters.pdf (accessed on 14 December 2009). 13 Field MJ, Lohr KN. Guidelines for Clinical Practice: From Development to Use. Washington, DC: Committee on Clinical Practice Guidelines, Institute of Medicine, 1992. 14 Beaulieu MD, Hudon E, Roberge D et al. Practice guidelines for clinical prevention: do patients, physicians and experts share common ground? CMAJ 1999; 161: 519–23. 15 Carrick SE, Bonevski B, Redman S et al. Surgeons’ opinions about the NHMRC clinical practice guidelines for the management of early breast cancer. Med J Aust 1998; 169: 300–5. 16 Garson A Jr, Yong CM, Yock CA, McClellan MB. International differences in patient and physician perceptions of ‘‘high quality’’ healthcare: a model from pediatric cardiology. Am J Cardiol 2006; 97: 1073–5. 17 McInnes E, Askie L. Evidence review on older people’s views and experiences of falls prevention strategies. Worldviews Evid Based Nurs 2004; 1: 20–37. 18 Julian S, Naftalin NJ, ClarkMet al. An integrated care pathway for menorrhagia across the primary-secondary interface: patients’ experience, clinical outcomes, and service utilisation. Qual Saf Health Care 2007; 16: 110–5. 19 Strauss A, Corbin J. Basics of Qualitative Research: Grounded Theory Procedures and Techniques. Newbury Park, CA: Sage, 1990. 20 Gahan C, Hannibal M. Doing Qualitative Analysis With QSR NUD*IST 4. London: Sage, 1998. 21 Seale C. The Quality of Qualitative Research. Thousand Oaks, CA: Sage, 1999. 22 Preston C, Cheater F, Baker R, Hearnshaw H. Left in limbo: patients’ views on care across the primary/secondary interface. Qual Health Care 1999; 8: 16–21. 23 Richards H, Emslie C. The ‘doctor’ or the ‘girl from the University’? Considering the influence of professional roles on qualitative interviewing. Fam Pract 2000; 17: 71–5. 24 Hobbs FD, Erhardt L. Acceptance of guideline recommendations and perceived implementation of coronary heart disease prevention among primary care physicians in five European countries: the Reassessing European Attitudes about Cardiovascular Treatment (REACT) survey. Fam Pract 2002; 19: 596–604. |
| URI: | http://wrap.warwick.ac.uk/id/eprint/6200 |
Data sourced from Thomson Reuters' Web of Knowledge
Actions (login required)
![]() |
View Item |
Tools
Tools

