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Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine

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Open Access 01-12-2019 | Original research

Implementation of new guidelines in the prehospital services: a nationwide survey of Norway

Authors: Nina Øye Thorvaldsen, Lars Didrik Flingtorp, Torben Wisborg, Elisabeth Jeppesen

Published in: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine | Issue 1/2019

Abstract

Background

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.

Method

An electronic survey was distributed individually to registered prehospital personnel in Norway 18 months after publication of the guideline.

Results

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.

Conclusion

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.

Available only for authorised users

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Title: Implementation of new guidelines in the prehospital services: a nationwide survey of Norway
Authors: Nina Øye Thorvaldsen
Lars Didrik Flingtorp
Torben Wisborg
Elisabeth Jeppesen
Publication date: 01-12-2019
Publisher: BioMed Central
Published in: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine / Issue 1/2019
Electronic ISSN: 1757-7241
DOI: https://doi.org/10.1186/s13049-019-0660-0

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Implementation of new guidelines in the prehospital services: a nationwide survey of Norway

Abstract

Background

Method

Results

Conclusion

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Background

Method

Results

Conclusion

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