KLİNİK UYGULAMA REHBERLERİ KULLANIMININ BELİRLEYİCİLERİ

Öz

Amaç hekimlerin kişilik özelliklerinin, Klinik Uygulama Rehberlerine (KUR) yönelik tutumlarının ve KUR kullanımının önündeki engellere ilişkin görüşlerinin KUR kullanımı üzerindeki etkisini ortaya koymaktır. Veriler, bir kamu hastanesinde çalışan hekimlerden anket formu ile elde edildi. Ölçeklerin geçerliliği ve güvenilirliği faktör analizleri ve güvenilirlik katsayıları ile değerlendirilmiştir. Bağımsız değişkenler olan hekimlerin kişilik özellikleri, KUR'lara yönelik tutumları ve KUR kullanımının önündeki engeller ile bağımlı değişken olan KUR’ların günlük uygulamalarda kullanımı arasındaki ilişkiler korelasyon analizi ile incelenmiştir. Bağımsız değişkenlerin bağımlı değişken üzerindeki etkileri regresyon analizi ile değerlendirilmiştir. Araştırmada kullanılan veri toplama araçlarının geçerli ve güvenilir olduğu belirlenmiştir. Deneyime açıklık ve dışa dönüklük boyutlarının ve KUR’lara yönelik olumlu tutumun, KUR kullanımını anlamlı olarak etkilediği belirlenmiştir. Ayrıca, KUR’lara yönelik olumsuz tutumun ve KUR kullanımının önündeki bireysel engellerin anlamlı ve olumsuz bir etkisinin olduğu tespit edilmiştir. Hekimlerin pozitif kişilik özelliklerinin geliştirilmesinin, KUR’lara yönelik olumlu tutumlarının artırılmasının, olumsuz tutumlarının olumluya çevrilmesinin ve KUR kullanımının önündeki engelleri ortadan kaldıracak gerekli düzenlemelerin yapılmasının KUR kullanımının artırılmasında faydalı olabileceği değerlendirilmektedir.

Anahtar Kelimeler

• Klinik Uygulama Rehberleri
• Hekim
• Kişilik
• Tutum
• Engeller

THE DETERMINANTS OF CLINICAL PRACTICE GUIDELINES UTILIZATION

Abstract

The aim is to reveal the effect of physicians' personality traits, attitudes towards Clinical Practice Guidelines (CPGs) and perceived barriers to use of CPGs on the use of CPGs. The data were obtained by a survey questionnaire from physicians working in a public hospital. The validity and reliability of scales was evaluated with factor analyzes and reliability coefficients. The relationships between independent variables that are physicians' personality traits, attitudes towards CPGs and perceived barriers to use of CPGs and dependent variables that is use of CPGs in practices were examined by correlation analysis. The effects of independent variables on the dependent variable were evaluated by regression analysis. Data collection tools used in the study were determined to be valid and reliable. It was determined that openness to experience and extroversion dimensions and positive attitude towards CPGs significantly affect the use of CPGs. It was also determined that the negative attitude towards CPGs and individual barriers to CPGs use had a significant and negative effect. It is evaluated that it may be beneficial to improve the physicians' positive personality traits, to increase their positive attitudes towards CPGs, to turn negative attitudes into positive and to make the necessary arrangements to eliminate the barriers to increase the use of the CPGs.

Keywords

• Clinical Practice Guidelines
• Physician
• Personality
• Attitude
• Barriers

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