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The Adoption of Roles by Primary Care Providers during Implementation of the New Chronic Disease Guidelines in Urban Mongolia: A Qualitative Study

(1) Background: In 2011, new chronic disease guidelines were introduced across Mongolia. No formal advice was provided regarding role delineation. This study aimed to analyse the roles that different primary care providers adopted, and the variations in these, in the implementation of the guidelines...

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Autores principales: Chimeddamba, Oyun, Ayton, Darshini, Bazarragchaa, Nansalmaa, Dorjsuren, Bayarsaikhan, Peeters, Anna, Joyce, Catherine
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4847069/
https://www.ncbi.nlm.nih.gov/pubmed/27070630
http://dx.doi.org/10.3390/ijerph13040407
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author Chimeddamba, Oyun
Ayton, Darshini
Bazarragchaa, Nansalmaa
Dorjsuren, Bayarsaikhan
Peeters, Anna
Joyce, Catherine
author_facet Chimeddamba, Oyun
Ayton, Darshini
Bazarragchaa, Nansalmaa
Dorjsuren, Bayarsaikhan
Peeters, Anna
Joyce, Catherine
author_sort Chimeddamba, Oyun
collection PubMed
description (1) Background: In 2011, new chronic disease guidelines were introduced across Mongolia. No formal advice was provided regarding role delineation. This study aimed to analyse the roles that different primary care providers adopted, and the variations in these, in the implementation of the guidelines in urban Mongolia; (2) Methods: Ten group interviews with nurses and ten individual interviews each with practice doctors and practice directors were conducted. Data was analysed using a thematic approach based on the identified themes relevant to role delineation; (3) Results: There was some variability and flexibility in role delineation. Factors involving teamwork, task rotation and practice flexibility facilitated well the guideline implementation. However, factors including expectations and decision making, nursing shortage, and training gaps adversely influenced in the roles and responsibilities. Some role confusion and dissatisfaction was identified, often associated with a lack of training or staff turnover; (4) Conclusions: Findings suggest that adequate ongoing training is required to maximize the range of roles particular provider types, especially primary care nurses, are competent to perform. Ensuring that role delineation is specified in guidelines could remove confusion and enhance implementation of such guidelines.
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spelling pubmed-48470692016-05-04 The Adoption of Roles by Primary Care Providers during Implementation of the New Chronic Disease Guidelines in Urban Mongolia: A Qualitative Study Chimeddamba, Oyun Ayton, Darshini Bazarragchaa, Nansalmaa Dorjsuren, Bayarsaikhan Peeters, Anna Joyce, Catherine Int J Environ Res Public Health Article (1) Background: In 2011, new chronic disease guidelines were introduced across Mongolia. No formal advice was provided regarding role delineation. This study aimed to analyse the roles that different primary care providers adopted, and the variations in these, in the implementation of the guidelines in urban Mongolia; (2) Methods: Ten group interviews with nurses and ten individual interviews each with practice doctors and practice directors were conducted. Data was analysed using a thematic approach based on the identified themes relevant to role delineation; (3) Results: There was some variability and flexibility in role delineation. Factors involving teamwork, task rotation and practice flexibility facilitated well the guideline implementation. However, factors including expectations and decision making, nursing shortage, and training gaps adversely influenced in the roles and responsibilities. Some role confusion and dissatisfaction was identified, often associated with a lack of training or staff turnover; (4) Conclusions: Findings suggest that adequate ongoing training is required to maximize the range of roles particular provider types, especially primary care nurses, are competent to perform. Ensuring that role delineation is specified in guidelines could remove confusion and enhance implementation of such guidelines. MDPI 2016-04-07 2016-04 /pmc/articles/PMC4847069/ /pubmed/27070630 http://dx.doi.org/10.3390/ijerph13040407 Text en © 2016 by the authors; licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons by Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Chimeddamba, Oyun
Ayton, Darshini
Bazarragchaa, Nansalmaa
Dorjsuren, Bayarsaikhan
Peeters, Anna
Joyce, Catherine
The Adoption of Roles by Primary Care Providers during Implementation of the New Chronic Disease Guidelines in Urban Mongolia: A Qualitative Study
title The Adoption of Roles by Primary Care Providers during Implementation of the New Chronic Disease Guidelines in Urban Mongolia: A Qualitative Study
title_full The Adoption of Roles by Primary Care Providers during Implementation of the New Chronic Disease Guidelines in Urban Mongolia: A Qualitative Study
title_fullStr The Adoption of Roles by Primary Care Providers during Implementation of the New Chronic Disease Guidelines in Urban Mongolia: A Qualitative Study
title_full_unstemmed The Adoption of Roles by Primary Care Providers during Implementation of the New Chronic Disease Guidelines in Urban Mongolia: A Qualitative Study
title_short The Adoption of Roles by Primary Care Providers during Implementation of the New Chronic Disease Guidelines in Urban Mongolia: A Qualitative Study
title_sort adoption of roles by primary care providers during implementation of the new chronic disease guidelines in urban mongolia: a qualitative study
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4847069/
https://www.ncbi.nlm.nih.gov/pubmed/27070630
http://dx.doi.org/10.3390/ijerph13040407
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