Southwestern Oklahoma State University
Background: The NHLBI has not developed clinical practice guidelines since 2007. As a result, multiple organizations have released competing guidelines. This has created confusion and debate among clinicians as to which recommendations are most applicable for practice.
Objectives: To explore preliminary attitudes, awareness, and usage of clinical practice guidelines in practice and teaching for hypertension, dyslipidemia and asthma among clinical pharmacists.
Methods: Clinical pharmacists across the US were surveyed electronically over a two week period in Spring 2019 regarding utilization and knowledge of practice guidelines for hypertension, dyslipidemia, and asthma. Clinical cases were included to evaluate application of guidelines. Descriptive statistics, Chi-square analysis, and Wilcoxon signed-rank test were conducted. Statistical signiﬁcance level was set to 0.01 to account for multiple tests conducted on the same survey participants.
Results: Forty-eight, 34, and 28 pharmacists voluntarily completed hypertension, dyslipidemia, and asthma survey questions, respectively. Interactions by disease state (p < 0.001) revealed more pharmacists (93%) reporting to have ≤50% patient load in managing asthma and more pharmacists (95%) had read the full summary/report of the most recent hypertension guideline. Primary reasons why the most recent guideline was not selected were also significantly different by disease state (interaction; p < 0.001). For dyslipidemia and asthma, pharmacists had a higher mean rating of agreement (p <0.007) in having the most conﬁdence in the most recent as compared to older guidelines. Proportionally more clinical cases were answered correctly (interaction; p <0.001) when pharmacists applied the most recent guideline for hypertension (84%), while the opposite outcome was found for asthma (27%).
Conclusion: While more pharmacists selected the most recent guideline for practice and teaching, there was inconsistent application of guidelines to clinical cases. Further studies with a larger representation of pharmacists are warranted to more deﬁnitively determine factors inﬂuencing guideline preference and usage.
Exploratory Research in Clinical and Social Pharmacy
Downes, Jessica M.; Appeddu, Lisa; Johnson, Jeremy L.; Haywood, Kelsey S.; James, B. Jordan; and Wingard, Kendrick D., "An exploratory survey on the awareness and usage of clinical practice guidelines among clinical pharmacists" (2021). Faculty Articles & Research. 22.