Ryan E Flinn, Michael T Kalkbrenner
Matching Variables With the Appropriate Statistical Tests in Counseling Research
Teaching and supervision in counseling
evidencebased bedside tests diagnosing acute vertigo evidencebased strategies support clinicians implementing purpose study design implementation strategy treating acute vertigo examining current facilitators barriers using tests ed using principles implementation science survey developed using theoretical domains framework consolidated framework implementation research examine barriers facilitators using hints head impulse nystagmus test skew plus hearing dixhallpike tests survey sent emergency clinicians ecs teaching hospital london uk may september 2022 semistructured interviews conducted simultaneously data examined using direct content analysis implementation strategies selected based expert recommendations implementing change framework fiftyone ecs responded survey six ecs volunteered interview less half reported using bedside tests make diagnosis common barriers beliefs complexity lack supporting materials memory lack skills negative experiences interview data revealed negative beliefs necessity validity safety practicality also barriers ed environment eg lack space strong perception current approach managing acute vertigo needed change ecs view part professional role responsibility based clinician input authors selected strategies improve diagnostic efforts included guidelines training developing vertigo champions protocols memory aids audit feedback study found several barriers managing acute vertigo memory constraints inadequate supporting materials training although robust desire change implementation strategys initial phase described must tested