- Poster presentation
- Open Access
Bridging the gap between current practice recommendations in national guidelines - a qualitative study of mental health services
© Pedersen et al; licensee BioMed Central Ltd. 2014
- Published: 7 July 2014
- Mental Health Service
- National Guideline
- Action Schema
- Inpatient Unit
- Dual Diagnosis
“National guideline for assessment, treatment and social rehabilitation of persons with concurrent substance use disorders and mental disorders”, launched March 2012, is aimed at a wide range of health services. It holds a separate chapter on implementation.
Identify today’s practice assessed against recommendations in the guideline, doing a clinical audit
Identify areas of improvement based on the clinical audit
choose a goal for improvement
select initiatives based on goals
Evaluate by a new clinical audit and summarize experiences
This project aims to understand the process of using clinical audit as a basis for making choices aimed at clinical improvement in district psychiatric clinics. The objectives of the study are to describe and explore the implementation-process from the use of clinical audit to change in practice.
Three different methods will be used, all qualitative, to explore the process: 1) observation of meetings, minutes of meetings etc. from the presentation of results from the clinical audit to a fully described action schema, 2) focus-group interview with participants from each of the included units after second clinical audit, and 3) individual interviews with head of the units after second clinical audit. There is a desire to open up for experiences, perceptions, attitudes and narratives.
The setting is four units at a district psychiatric clinic, one outpatient clinic, two inpatient units, and one psychiatric outpatient emergency team.
First observations are done and analysis pending. Preliminary results from the observation part of the study may be presented in July.
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