Thinking styles and doctors' knowledge and behaviours relating to acute coronary syndromes guidelines

Ruth M Sladek¹ , Malcolm J Bond¹ , Luan T Huynh¹ , Derek PB Chew² and Paddy A Phillips¹^,2

¹Flinders University, Sturt Road, Bedford Park, South Australia, 5042, Australia

²Flinders Medical Centre, Flinders Drive, Bedford Park, South Australia, 5042, Australia

author email corresponding author email

Implementation Science 2008, 3:23doi:10.1186/1748-5908-3-23


Published:	25 April 2008

Abstract

Background

How humans think and make decisions is important in understanding behaviour. Hence an understanding of cognitive processes among physicians may inform our understanding of behaviour in relation to evidence implementation strategies. A personality theory, Cognitive-Experiential Self Theory (CEST) proposes a relationship between different ways of thinking and behaviour, and articulates pathways for behaviour change. However prior to the empirical testing of interventions based on CEST, it is first necessary to demonstrate its suitability among a sample of healthcare workers.

Objectives

To investigate the relationship between thinking styles and the knowledge and clinical practices of doctors directly involved in the management of acute coronary syndromes.

Methods

Self-reported doctors' thinking styles (N = 74) were correlated with results from a survey investigating knowledge, attitudes, and clinical practice, and evaluated against recently published acute coronary syndrome clinical guidelines.

Results

Guideline-discordant practice was associated with an experiential style of thinking. Conversely, guideline-concordant practice was associated with a higher preference for a rational style of reasoning.

Conclusion

Findings support that while guidelines might be necessary to communicate evidence, other strategies may be necessary to target discordant behaviours. Further research designed to examine the relationships found in the current study is required.