Department of Medical Informatics, Academic Medical Center, Amsterdam, The Netherlands.
Nephrol Dial Transplant. 2014 May;29(5):951-7. doi: 10.1093/ndt/gft496. Epub 2013 Dec 17.
The increasing volume of evidence on how to treat kidney patients makes it difficult for nephrologists and renal nurses to keep up-to-date. This potentially widens the gap between what is known about best practice and how daily renal care is provided. Rigorously developed clinical practice guidelines can be important tools to bridge this gap. However, just developing and publishing guidelines does not ensure their use in actual practice. In this paper, we distinguish and illustrate three types of modifiable factors (i.e. barriers) that potentially impede renal healthcare professionals to provide care according to the guidelines: barriers related to knowledge, to attitudes and to behaviour. European Renal Best Practice (ERBP) produces guidelines for care of kidney patients in Europe and neighbouring regions. To facilitate implementation of its guidelines, ERBP aims to optimize 'guideline implementability', which regards the intrinsic characteristics of guidelines (i.e. format and content). The last section of this paper describes some of the associated ERBP activities, which are planned or pending.
关于如何治疗肾病患者的证据越来越多，这使得肾病学家和肾脏护士难以跟上最新的知识。这可能会扩大最佳实践的已知范围与日常肾脏护理的实际提供之间的差距。经过严格制定的临床实践指南可以成为缩小这一差距的重要工具。然而，仅仅制定和发布指南并不能确保它们在实际实践中得到应用。在本文中，我们区分并说明了三种可能阻碍肾脏医疗保健专业人员根据指南提供护理的可修改因素（即障碍）：与知识、态度和行为有关的障碍。欧洲肾脏最佳实践（ERBP）为欧洲和周边地区的肾脏患者护理制定了指南。为了促进其指南的实施，ERBP 旨在优化“指南的可实施性”，这涉及指南的内在特征（即格式和内容）。本文的最后一部分描述了 ERBP 计划或即将开展的一些相关活动。
