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Bridging the gap between what is known and what we do in renal medicine: improving implementability of the European Renal Best Practice guidelines

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Abstract
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.
Keywords
guidelines as topic, CLINICAL-PRACTICE GUIDELINES, guideline adherence, chronic renal insufficiency, CHRONIC KIDNEY-DISEASE, QUALITY-OF-CARE, HEALTH-CARE, HEMODIALYSIS-PATIENTS, CONCEPTUAL-FRAMEWORK, OUTCOMES, RECOMMENDATIONS, METHODOLOGY, PERFORMANCE

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MLA
van der Veer, Sabine N et al. “Bridging the Gap Between What Is Known and What We Do in Renal Medicine: Improving Implementability of the European Renal Best Practice Guidelines.” NEPHROLOGY DIALYSIS TRANSPLANTATION 29.5 (2014): 951–957. Print.
APA
van der Veer, S. N., Tomson, C. R., Jager, K. J., & Van Biesen, W. (2014). Bridging the gap between what is known and what we do in renal medicine: improving implementability of the European Renal Best Practice guidelines. NEPHROLOGY DIALYSIS TRANSPLANTATION, 29(5), 951–957.
Chicago author-date
van der Veer, Sabine N, Charles RV Tomson, Kitty J Jager, and Wim Van Biesen. 2014. “Bridging the Gap Between What Is Known and What We Do in Renal Medicine: Improving Implementability of the European Renal Best Practice Guidelines.” Nephrology Dialysis Transplantation 29 (5): 951–957.
Chicago author-date (all authors)
van der Veer, Sabine N, Charles RV Tomson, Kitty J Jager, and Wim Van Biesen. 2014. “Bridging the Gap Between What Is Known and What We Do in Renal Medicine: Improving Implementability of the European Renal Best Practice Guidelines.” Nephrology Dialysis Transplantation 29 (5): 951–957.
Vancouver
1.
van der Veer SN, Tomson CR, Jager KJ, Van Biesen W. Bridging the gap between what is known and what we do in renal medicine: improving implementability of the European Renal Best Practice guidelines. NEPHROLOGY DIALYSIS TRANSPLANTATION. 2014;29(5):951–7.
IEEE
[1]
S. N. van der Veer, C. R. Tomson, K. J. Jager, and W. Van Biesen, “Bridging the gap between what is known and what we do in renal medicine: improving implementability of the European Renal Best Practice guidelines,” NEPHROLOGY DIALYSIS TRANSPLANTATION, vol. 29, no. 5, pp. 951–957, 2014.
@article{5861777,
  abstract     = {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.},
  author       = {van der Veer, Sabine N and Tomson, Charles RV and Jager, Kitty J and Van Biesen, Wim},
  issn         = {0931-0509},
  journal      = {NEPHROLOGY DIALYSIS TRANSPLANTATION},
  keywords     = {guidelines as topic,CLINICAL-PRACTICE GUIDELINES,guideline adherence,chronic renal insufficiency,CHRONIC KIDNEY-DISEASE,QUALITY-OF-CARE,HEALTH-CARE,HEMODIALYSIS-PATIENTS,CONCEPTUAL-FRAMEWORK,OUTCOMES,RECOMMENDATIONS,METHODOLOGY,PERFORMANCE},
  language     = {eng},
  number       = {5},
  pages        = {951--957},
  title        = {Bridging the gap between what is known and what we do in renal medicine: improving implementability of the European Renal Best Practice guidelines},
  url          = {http://dx.doi.org/10.1093/ndt/gft496},
  volume       = {29},
  year         = {2014},
}

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