Provider Adherence to Implementation of Clinical Practice Guidelines for Neurogenic Bowel in Adults With Spinal Cord Injury

This study examines if disseminating a clinical practice guideline (CPG) improved care for neurogenic bowel management in adults with spinal cord injury (SCI). It also checks if targeted implementation strategies could further improve adherence to these guidelines. The study found that simply distributing the CPG did not change provider adherence. However, using a targeted implementation plan did increase adherence to some of the CPG recommendations. The researchers used standardized documentation templates and patient-mediated interventions to improve provider-perceived barriers to implementing the guidelines.

• 1
  Publication of the CPG alone did not alter provider adherence rates.
• 2
  A targeted implementation plan increased adherence rates for 3 of 6 CPG recommendations.
• 3
  Standardized documentation and patient-mediated interventions improved adherence to neurogenic bowel management guidelines.