Facilitators and barriers for emergency department clinicians using a rapid chest pain assessment protocol: qualitative interview research.

ABSTRACT: BACKGROUND:Guideline-based processes for the assessment of chest pain are lengthy and resource intensive. The IMProved Assessment of Chest Pain Trial (IMPACT) protocol was introduced in one Australian hospital Emergency Department (ED) to more efficiently risk stratify patients. The theoretical domains framework is a useful approach to assist in identifying barriers and facilitators to the implementation of new guidelines in clinical practice. The aim of this study was to understand clinicians' perceptions of facilitators and barriers to the use of the IMPACT protocol. METHODS:Guided by the theoretical domains framework, semi-structured interviews with nine ED clinical staff (medical and nursing) were undertaken in 2016. Content analysis was conducted independently by two researchers to id

SUBMITTER: Crilly J 

PROVIDER: S-EPMC6995126 | biostudies-literature | 2020 Jan

REPOSITORIES: biostudies-literature