Development and conduction of an active re-implementation of the Norwegian musculoskeletal guidelines

Abstract Objective Significant geographical variations in the use of diagnostic imaging have been demonstrated in Norway and elsewhere. Non-traumatic musculoskeletal conditions is one area where this has been demonstrated. A national musculoskeletal guideline was implemented in response by online pu...

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Main Authors: Ann Mari Gransjøen, Siri Wiig, Kristin Bakke Lysdahl, Bjørn Morten Hofmann
Format: Article
Language:English
Published: BMC 2018-11-01
Series:BMC Research Notes
Subjects:
Online Access:http://link.springer.com/article/10.1186/s13104-018-3894-4
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author Ann Mari Gransjøen
Siri Wiig
Kristin Bakke Lysdahl
Bjørn Morten Hofmann
author_facet Ann Mari Gransjøen
Siri Wiig
Kristin Bakke Lysdahl
Bjørn Morten Hofmann
author_sort Ann Mari Gransjøen
collection DOAJ
description Abstract Objective Significant geographical variations in the use of diagnostic imaging have been demonstrated in Norway and elsewhere. Non-traumatic musculoskeletal conditions is one area where this has been demonstrated. A national musculoskeletal guideline was implemented in response by online publishing and postal dissemination in Norway in 2014 by national policy makers. The objective of our study was to develop and conduct an intervention as an active re-implementation of this guideline in one Norwegian county to investigate and facilitate guideline adherence. The development and implementation process is reported here, to facilitate understanding of the future evaluation results of this study. Results The consolidated framework for implementation research guided the intervention development and implementation. The implementation development was also based on earlier reported success factors in combination with interviews with general practitioners and radiologists regarding facilitators and barriers to guideline adherence. A combined implementation strategy was developed, including educational meetings, shortening of the guideline and easier access. All the aspects of the implementation strategy were adapted towards general practitioners, radiological personnel and the Norwegian Labor and Welfare Administration. Sixteen educational meetings were held, and six educational videos were made for those unable to attend, or where meetings could not be held.
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spelling doaj.art-5651511c5d6345c791ac789ef5fb74e42022-12-22T02:00:42ZengBMCBMC Research Notes1756-05002018-11-011111510.1186/s13104-018-3894-4Development and conduction of an active re-implementation of the Norwegian musculoskeletal guidelinesAnn Mari Gransjøen0Siri Wiig1Kristin Bakke Lysdahl2Bjørn Morten Hofmann3Department of Health Sciences in Gjøvik, Norwegian University of Science and Technology in Gjøvik (NTNU)Faculty of Health Sciences, SHARE-Centre for Resilience in Healthcare, University of StavangerDepartment of Optometry, Radiography and Lighting Design, Faculty of Health Sciences, University of South-Eastern NorwayDepartment of Health Sciences in Gjøvik, Norwegian University of Science and Technology in Gjøvik (NTNU)Abstract Objective Significant geographical variations in the use of diagnostic imaging have been demonstrated in Norway and elsewhere. Non-traumatic musculoskeletal conditions is one area where this has been demonstrated. A national musculoskeletal guideline was implemented in response by online publishing and postal dissemination in Norway in 2014 by national policy makers. The objective of our study was to develop and conduct an intervention as an active re-implementation of this guideline in one Norwegian county to investigate and facilitate guideline adherence. The development and implementation process is reported here, to facilitate understanding of the future evaluation results of this study. Results The consolidated framework for implementation research guided the intervention development and implementation. The implementation development was also based on earlier reported success factors in combination with interviews with general practitioners and radiologists regarding facilitators and barriers to guideline adherence. A combined implementation strategy was developed, including educational meetings, shortening of the guideline and easier access. All the aspects of the implementation strategy were adapted towards general practitioners, radiological personnel and the Norwegian Labor and Welfare Administration. Sixteen educational meetings were held, and six educational videos were made for those unable to attend, or where meetings could not be held.http://link.springer.com/article/10.1186/s13104-018-3894-4Guideline implementationIntervention developmentPrimary careRadiologyMusculoskeletalNon-traumatic
spellingShingle Ann Mari Gransjøen
Siri Wiig
Kristin Bakke Lysdahl
Bjørn Morten Hofmann
Development and conduction of an active re-implementation of the Norwegian musculoskeletal guidelines
BMC Research Notes
Guideline implementation
Intervention development
Primary care
Radiology
Musculoskeletal
Non-traumatic
title Development and conduction of an active re-implementation of the Norwegian musculoskeletal guidelines
title_full Development and conduction of an active re-implementation of the Norwegian musculoskeletal guidelines
title_fullStr Development and conduction of an active re-implementation of the Norwegian musculoskeletal guidelines
title_full_unstemmed Development and conduction of an active re-implementation of the Norwegian musculoskeletal guidelines
title_short Development and conduction of an active re-implementation of the Norwegian musculoskeletal guidelines
title_sort development and conduction of an active re implementation of the norwegian musculoskeletal guidelines
topic Guideline implementation
Intervention development
Primary care
Radiology
Musculoskeletal
Non-traumatic
url http://link.springer.com/article/10.1186/s13104-018-3894-4
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AT siriwiig developmentandconductionofanactivereimplementationofthenorwegianmusculoskeletalguidelines
AT kristinbakkelysdahl developmentandconductionofanactivereimplementationofthenorwegianmusculoskeletalguidelines
AT bjørnmortenhofmann developmentandconductionofanactivereimplementationofthenorwegianmusculoskeletalguidelines