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May 5, 2015PLoS ONEOpen Access

Healthcare Professionals’ and Policy Makers’ Views on Implementing a Clinical Practice Guideline of Hypertension Management: A Qualitative Study

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Population

35 healthcare professionals at a teaching hospital in Kuala Lumpur, Malaysia

Design

Other

Authors

PLPing Yein LeeSLSu May LiewAAAdina Abdullah

Discussion

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Member takes

Overview

CPG barriers may limit hypertension guideline uptake across stakeholders; leaves open research on inclusive design and supportive implementation strategies.

Structured PICO

P
Population
35 healthcare professionals (policy makers, doctors, pharmacists, and nurses) at a teaching hospital in Kuala Lumpur, Malaysia
I
Intervention
Implementation and use of the Malaysian Clinical Practice Guideline (CPG) on management of hypertension
O
Outcome
Views and barriers to adherence to the national clinical practice guideline on management of hypertension

Barriers to the use of hypertension clinical practice guidelines span across all stakeholders, highlighting the need for guidelines to be simple, accessible, and inclusive of non-physician healthcare workers.

Limitations

  • The qualitative design cannot uncover factors that participants are unaware of, such as therapeutic inertia.
  • Patients, an important stakeholder group, were not included as participants in the study.
  • The study was conducted at a single university teaching hospital, which may limit generalizability.

Cite This Study

Lee et al. (2015) studied Hypertension (n=35). Barriers to the use of the clinical practice guideline for hypertension management span across all stakeholders, with primary care doctors being the main users while nurses and policymakers were non-users due to issues inherent to the CPG, unsupportive systems, and stakeholder attitudes.

synapsesocial.com/papers/6a16ac981375058a29052d2ehttps://doi.org/10.1371/journal.pone.0126191
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Prescribers’ adherence to clinical practice guidelines for the management of hypertension at public hospitals in Northwest Ethiopia: An explanatory sequential mixed-methods study2026
  2. 2Hypertension guideline recommendations in general practice: awareness, agreement, adoption, and adherence2007 · 197 citations
  3. 3Doctors’ Knowledge of Hypertension Guidelines Recommendations Reflected in Their Practice2018 · 25 citations
  4. 4Implementation of Clinical Hypertension Guidelines and Single Pill Combinations: A Qualitative Study in Australian General Practice2026
  5. 5Guidelines adherence and hypertension control at a tertiary hospital in Malaysia2012 · 32 citations