Determinants of utilisation of the clinical practice guideline in acute management of patients with acute traumatic spinal cord injury in Nsih, Kenya

Abstract

Background: Spinal cord injuries have severe implications for public health all around the world. As a result, there is an urgent need to evaluate variables that influence the utilisation of the clinical practice guidelines for their acute care management.

Objective: The study’s objective was to assess the determinants of the utilisation of the CPG in the acute management of patients with acute traumatic spinal cord injuries among healthcare workers at NSIH, Kenya.

Material and methods: An analytical cross-sectional design was employed in this study. A census sampling with a sample size of 40 was employed in the study. A semi-structured research questionnaire was used to collect the quantitative data. The chi-square test was used for bivariate analysis and binomial logistic regression was used for multivariate analysis. The cutoff for statistical significance was p<0.05.

Results: The level of utilisation of the clinical practice guideline was low(22.5%). The presence of trained healthcare workers was a determinant of the level of utilisation of the CPG while years of working experience and the presence of adequate healthcare providers among others were not associated with the level of utilisation of the CPG.

Conclusion: The study concluded that the level of utilisation was low (22.5%) and further concluded that training on CPG influenced its utilisation by the healthcare providers. There is a need for CPG training programmes, the development of guideline implementation tools, and feedback mechanisms for CPG performance assessment.