Perception, attitude, and satisfaction of paediatric physicians and nurses towards clinical practice guidelines at a university teaching hospital

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Abstract
Rationale, aims, and objectives: To explore perception, attitude, and satisfaction of paediatric clinicians, trainees, and nurses at King Khalid University Hospital towards clinical practice guidelines (CPGs) including the locally adapted diabetic ketoacidosis CPG (DKA‐CPG).Methods: A cross‐sectional survey was distributed to 260 doctors and nurses working in the paediatrics department.Results: The response rate was 95.4%. The respondents had a positive perception and attitude towards general CPGs and specifically for the DKA‐CPG; 98.7% thought CPGs were useful sources of advice, improved safety, and decreased risk, and reduced variation in practice.A total of 99.2% thought CPGs were good clinical tools, 98.3% satisfied with, had confidence in well‐developed CPGs, and would recommend them to their colleagues to use, and 94.6% agreed they were cost‐effective. The preferred format for CPGs was paper (46.6%) and electronic (42.9%). The DKA‐CPG helped in managing patients and respondents were all satisfied and had confidence with it (100%). The rationale and objectives of the DKA‐CPG were clear for 99.25%; 98.5% thought the layout was clear and well organized and user‐friendly (96.2%). Compared with nurses, physicians had a higher perception towards CPGs in general (P < .05) and the DKA‐CPG (P < .05).Conclusions: The paediatric doctors, and nurses have a great perception and satisfaction and positive attitude towards CPGs in general, towards the paediatric diabetic ketoacidosis CPG in particular, which in turn had a positive impact on the acceptability and implementation of the CPGs. These findings could help in sustaining a safe and high‐quality health care environment through implementation of evidence‐based CPGs.

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