Facilitators and barriers to use of clinical practice guidelines among physicians in Nigeria: a cross-sectional study
Abstract
Objectives: Clinical practice guidelines (CPGs) have been shown over the years to reduce morbidity and mortality and improve patients' survival and quality of care. However, CPG adherence is still a challenge despite its benefits. The awareness of CPGs, utilisation and associated barriers and facilitators to their use were assessed among physicians in Nigeria.
Design: This was a cross-sectional study carried out among physicians in Nigeria through a self-administered questionnaire that assessed awareness, utilisation, barriers and facilitators of CPGs. Ordinal logistic regression was used to assess factors associated with CPG utilisation. A p-value of <0.05 was considered significant.
Settings: Private and government health institutions in Nigeria.
Participants: Physicians working in Nigeria.
Results: A total of 574 physicians consisting of 184 (32.1%) females with a mean age of 40.03±9.60 years participated in the study. About 91% and 78.4% of respondents were aware of international and national guidelines related to their practice. The identified barriers to the use of CPGs were non-applicability to local settings (39.0%), not being easily accessible (22%), complexity and difficulty in interpretation (11%) and not being concise (11%). The most common format for CPGs was soft copy (38%). About 71% frequently used guidelines in their clinical practice. The significant factors associated with CPG utilisation on logistic regression were working in a tertiary hospital (adjusted…
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