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We explored health professionals' perspective on the use of the Australian and New Zealand Venous Leg Ulcer Clinical Practice Guideline (VLU CPG) to identify the main challenges of VLU CPG uptake in clinical practice. We conducted semi\u2010structured interviews with 15 general practitioners (GPs) and 20 practice nurses (PNs), including two Aboriginal health nurses. The Theoretical Domains Framework guided data collection and analysis. Data were analysed using a theory\u2010driven analysis. We found a lack of awareness of the VLU CPGs, which resulted in suboptimal knowledge and limited adherence to evidence\u2010based recommendations. Environmental factors, such as busy nature of clinical environment and absence of handheld Doppler ultrasound, as well as social and professional identity factors, such as reliance on previous experience and colleague's advice, influenced the uptake of the VLU CPGs in primary care. Findings of this study will inform development of interventions to increase the uptake of the VLU CPG in primary care settings and to reduce the evidence\u2010practice gap in VLU management by health professionals.<\/jats:p>","DOI":"10.1111\/iwj.13334","type":"journal-article","created":{"date-parts":[[2020,3,9]],"date-time":"2020-03-09T21:44:22Z","timestamp":1583790262000},"page":"804-818","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":27,"title":["Understanding factors influencing venous leg ulcer guideline implementation in Australian primary care"],"prefix":"10.1111","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8016-1060","authenticated-orcid":false,"given":"Carolina D.","family":"Weller","sequence":"first","affiliation":[{"name":"Monash Nursing and Midwifery Monash University  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Catelyn","family":"Richards","sequence":"additional","affiliation":[{"name":"Monash Nursing and Midwifery Monash University  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Louise","family":"Turnour","sequence":"additional","affiliation":[{"name":"Monash Nursing and Midwifery Monash University  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6615-6874","authenticated-orcid":false,"given":"Victoria","family":"Team","sequence":"additional","affiliation":[{"name":"Monash Nursing and Midwifery Monash University  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,3,9]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-81-322-2635-2_1"},{"issue":"3","key":"e_1_2_8_3_1","first-page":"148","article-title":"Developing clinical practice guidelines for the prevention and management of venous leg ulcers","volume":"18","author":"Barker J","year":"2010","journal-title":"Wound Pract Res"},{"issue":"2","key":"e_1_2_8_4_1","first-page":"84","article-title":"Solutions to the chronic wounds problem in Australia: a call to action","volume":"26","author":"Pacella R","year":"2018","journal-title":"Wound Pract Res"},{"issue":"5","key":"e_1_2_8_5_1","first-page":"331","article-title":"Venous leg ulcer management in general practice\u2014practice nurses and evidence based guidelines","volume":"41","author":"Weller C","year":"2012","journal-title":"Aust Fam Physician"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.12968\/jowc.2016.25.Sup6.S1"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/iwj.12911"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2016.12.336"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.12968\/bjcn.2015.20.Sup6.S21"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/jan.13465"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/iwj.13000"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0212366"},{"key":"e_1_2_8_13_1","first-page":"20","article-title":"Modelling the direct health care costs of chronic wounds in Australia","volume":"22","author":"Graves N","year":"2014","journal-title":"Wound Pract Res"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.12968\/jowc.2017.26.6.292"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/iwj.12814"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jval.2017.07.007"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/wrr.12683"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2016-013158"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-319-33745-6_29"},{"key":"e_1_2_8_20_1","doi-asserted-by":"publisher","DOI":"10.1093\/heapro\/dar036"},{"issue":"421","key":"e_1_2_8_21_1","first-page":"1","article-title":"Cost\u2010effectiveness analysis of guideline\u2010based optimal care for venous leg ulcers in Australia","volume":"18","author":"Cheng Q","year":"2018","journal-title":"BMC Health Serv res"},{"key":"e_1_2_8_22_1","unstructured":"KPMG. 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