Barriers and facilitators of nurses’ use of clinical practice guidelines: An integrative review

Jun, Jin; Kovner, Christine; Stimpfel, Amy Witkoski

doi:10.1016/j.ijnurstu.2016.03.006

Cited by 131 publications

(169 citation statements)

References 40 publications

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“…There is now extensive literature on the implementation of EBP in different health care settings and disciplines (e.g., Jones et al 2015; Jun et al 2016; Lau et al 2016; Verbeek et al 2002; Zwolsman et al 2012) as well as using EBP for policies and decision-making in health care (Innvaer et al 2002; Vogel et al 2013). However, research is limited with regard to the occupational health services (OHS).…”

Section: Introductionmentioning

confidence: 99%

Development of evidence-based practice in occupational health services in Sweden: a 3-year follow-up of attitudes, barriers and facilitators

Brämberg

Nyman

Kwak

et al. 2017

Int Arch Occup Environ Health

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PurposeThe Swedish government initiated an investigation of how to secure and develop the competence of the occupational health services. The primary aim of the present study was to investigate whether the development of evidence-based practice (EBP) in the Swedish occupational health services in relation to attitudes, knowledge and use improved during the first 3 years of the government’s initiative.MethodsThe study has a mixed methods design combining questionnaires and interviews with data collection at baseline and at 3-year follow-up.ResultsThe response rate was 66% at baseline and 63% at follow-up. The results show that practitioners’ knowledge of EBP was moderate at baseline and improved at follow-up (p = 0.002; 95% CI 0.01; 0.21). Practitioners experienced lower levels of organizational and managerial support for EBP at follow-up (p < 0.001; 95% CI 0.18; 0.38). The results revealed that managers viewed responsibility for implementing EBP as a matter for individual practitioners rather than as an organizational issue.ConclusionsOccupational health service managers and practitioners are generally positive to EBP. However, the findings emphasize the need to educate managers in how to support EBP at the organizational level by creating an infrastructure for EBP in the OHS.

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Section: Introductionmentioning

confidence: 99%

Development of evidence-based practice in occupational health services in Sweden: a 3-year follow-up of attitudes, barriers and facilitators

Brämberg

Nyman

Kwak

et al. 2017

Int Arch Occup Environ Health

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“…Likewise, Jun et al 30 appraised and synthesised the literature on barriers to and facilitators in the use of Clinical Practice Guidelines (CPGs). They characterised internal factors (attitudes, perceptions and knowledge) and external factors (usability of CPGs, resources, leadership and organisational culture) as influencing CPG use.…”

Section: Discussionmentioning

confidence: 99%

Leadership perspective on the implementation of guidelines on healthcare-associated infections

Hegarty

Murphy

Creedon

et al. 2019

leader

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BackgroundLeadership is a key component for infection prevention and control and plays an important role in the implementation of guidelines on healthcare-associated infections. A body of literature exists on healthcare workers’ perspectives on implementing these types of guidelines; however, there is a paucity of data on the leadership perspectives on implementation. This study aims to contribute to the evidence base of leadership perspectives.ObjectiveTo explore the implementation of National Clinical Guidelines pertaining to methicillin-resistant Staphylococcus aureus and Clostridium difficile from the leadership angle.SettingHealthcare organisations.ParticipantsClinical and non-clinical leaders.DesignThis research used a mixed-methods approach comprising qualitative individual interviews (n=16) and quantitative surveys (n=51) underpinned by the integrated Promoting Action on Research Implementation in Health Services framework.ResultsLeaders recognise the value and innovation of guidelines to support clinical practice. However, they describe barriers to implementation that prevent the full uptake of guidelines, for example, guidelines may present an ideological approach to care which differs from the contextual reality of clinical practice where resources and time are not always available.ConclusionThis research highlighted that guidelines are complex interventions in complex organisations, perhaps leadership could help overcome the challenges posed by this complexity. Leadership may allow a systematic approach to all aspects of implementation despite the variety of challenges faced at different stages of implementation and sustainability of uptake of guidelines over time.

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“…The examples include patients with angina pectoris, mechanically ventilated patients in intensive care units, and insomnia and constipation of psychiatric patients . To improve the CPGs and best patient care, nurses should actively participate in the development and implementation of CPGs . Nurses involvement in the process of guideline development, because they were more familiar with evidence and had positive attitudes toward guidelines implementation, led to adherence to the guidelines’ recommendations …”

Section: Introductionmentioning

confidence: 99%

Quality assessment of diabetic foot ulcer clinical practice guidelines

Ghanbari

Rahmatpour

Jafaraghaee

et al. 2018

J Evidence Based Medicine

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Barriers and facilitators of nurses’ use of clinical practice guidelines: An integrative review

Cited by 131 publications

References 40 publications

Development of evidence-based practice in occupational health services in Sweden: a 3-year follow-up of attitudes, barriers and facilitators

Development of evidence-based practice in occupational health services in Sweden: a 3-year follow-up of attitudes, barriers and facilitators

Leadership perspective on the implementation of guidelines on healthcare-associated infections

Quality assessment of diabetic foot ulcer clinical practice guidelines

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