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dc.contributor.authorThorvaldsen, Nina Øye
dc.contributor.authorFlingtorp, Lars Didrik
dc.contributor.authorWisborg, Torben
dc.contributor.authorJeppesen, Elisabeth
dc.date.accessioned2020-01-10T12:01:50Z
dc.date.available2020-01-10T12:01:50Z
dc.date.issued2019-08-29
dc.description.abstract<i>Background</i> - A debate regarding the potential harmful effects of rigid neck collar and backboard usage among prehospital and hospital care providers in Norway provoked the development of an evidence-based guideline. “The Norwegian guideline for the prehospital management of adult trauma patients with potential spinal injury” was developed with rigorous scientific methods and published in 2016. An e-learning course was developed in parallel. The aim of this study is to explore whether emergency medical services personnel in Norway have implemented the guideline, and to what extent the e-learning course was applied during the implementation process.<p> <p><i>Method</i> - An electronic survey was distributed individually to registered prehospital personnel in Norway 18 months after publication of the guideline.<p> <p><i>Results</i> - In all, 938 of 5500 (17%) EMS personnel responded to the survey. More than one-half confirmed knowledge of the guideline; among these, 56% claimed that the guideline was implemented in the service they work. Not having responded to trauma cases in real life was the main reason for not having executed the guideline. The e-learning course had been completed by 18% of respondents.<p> <p><i>Conclusion</i> - Although the guideline has not been authorized or made compulsory by national authorities, one-half of respondents with knowledge of the guideline reported it as implemented. E-learning did not seem to have affected the implementation. The guideline was developed based on perceived needs among care providers, and this probably facilitated implementation of the guideline.en_US
dc.identifier.citationThorvaldsen NØ, Flingtorp, Wisborg TW, Jeppesen E. Implementation of new guidelines in the prehospital services: a nationwide survey of Norway. Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine. 2019;27:83:1-8en_US
dc.identifier.cristinIDFRIDAID 1726533
dc.identifier.doi10.1186/s13049-019-0660-0
dc.identifier.issn1757-7241
dc.identifier.urihttps://hdl.handle.net/10037/17062
dc.language.isoengen_US
dc.publisherBMCen_US
dc.relation.journalScandinavian Journal of Trauma, Resuscitation and Emergency Medicine
dc.rights.accessRightsopenAccessen_US
dc.rights.holderCopyright 2019 The Author(s)en_US
dc.subjectVDP::Medical disciplines: 700en_US
dc.subjectVDP::Medisinske Fag: 700en_US
dc.titleImplementation of new guidelines in the prehospital services: a nationwide survey of Norwayen_US
dc.type.versionpublishedVersionen_US
dc.typeJournal articleen_US
dc.typeTidsskriftartikkelen_US
dc.typePeer revieweden_US


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