A scoping review of theories used to investigate clinician adherence to clinical practice guidelines
Background Routine utilization of evidence-based clinical practice guidelines (CPGs) is an effective strategy to optimize patient care and reduce practice variation. Healthcare professionals’ failure to adhere to CPGs introduces risks to both patients and the sustainability of healthcare systems. Th...
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| Autor*in: |
Stewart, Derek [verfasserIn] |
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| Format: |
E-Artikel |
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| Sprache: |
Englisch |
| Erschienen: |
2022 |
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| Schlagwörter: |
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| Anmerkung: |
© The Author(s) 2022 |
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| Übergeordnetes Werk: |
Enthalten in: Pharmacy world & science - Dordrecht [u.a.] : Springer Science + Business Media B.V., 1979, 45(2022), 1 vom: 16. Nov., Seite 52-63 |
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| Übergeordnetes Werk: |
volume:45 ; year:2022 ; number:1 ; day:16 ; month:11 ; pages:52-63 |
| Links: |
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| DOI / URN: |
10.1007/s11096-022-01490-9 |
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SPR049375040 |
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| 520 | |a Background Routine utilization of evidence-based clinical practice guidelines (CPGs) is an effective strategy to optimize patient care and reduce practice variation. Healthcare professionals’ failure to adhere to CPGs introduces risks to both patients and the sustainability of healthcare systems. The integration of theory to investigate adherence provides greater insight into the often complex reasons for suboptimal behaviors. Aim To determine the coverage of literature surrounding the use of theory in studies of CPG adherence, report the key findings and identify the knowledge gaps. Method In April 2021, three bibliographic databases were searched for studies published since January 2010, adopting theory to investigate health professionals’ adherence to CPGs. Two reviewers independently screened the articles for eligibility and charted the data. A narrative approach to synthesis was employed. Results The review includes 12 articles. Studies were limited to primarily investigations of physicians, quantitative designs, single disease states and few countries. The use of behavioral theories facilitated pooling of data of barriers and facilitators of adherence. The domains and constructs of a number of the reported theories are captured within the Theoretical Domains Framework (TDF); the most common barriers aligned with the TDF domain of environmental context and resources, fewer studies reported facilitators. Conclusion There is emerging use of behavioral theories investigating physicians’ adherence to CPGs. Although limited in number, these studies present specific insight into common barriers and facilitators, thus providing valuable evidence for refining existing and future implementation strategies. Similar investigations of other health professionals are warranted. | ||
| 650 | 4 | |a Adherence to clinical guidelines |7 (dpeaa)DE-He213 | |
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| 650 | 4 | |a Clinical pharmacy |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Framework |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Evidence-practice gap |7 (dpeaa)DE-He213 | |
| 700 | 1 | |a Al Hail, Moza |0 (orcid)0000-0002-7442-3773 |4 aut | |
| 700 | 1 | |a Al-Shaibi, Samaher |0 (orcid)0000-0002-1397-5195 |4 aut | |
| 700 | 1 | |a Hussain, Tarteel Ali |0 (orcid)0000-0003-1336-6821 |4 aut | |
| 700 | 1 | |a Abdelkader, Nada Nabil |0 (orcid)0000-0002-4841-4216 |4 aut | |
| 700 | 1 | |a Pallivalapila, Abdulrouf |0 (orcid)0000-0003-4937-8891 |4 aut | |
| 700 | 1 | |a Thomas, Binny |0 (orcid)0000-0003-1065-8343 |4 aut | |
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10.1007/s11096-022-01490-9 doi (DE-627)SPR049375040 (SPR)s11096-022-01490-9-e DE-627 ger DE-627 rakwb eng Stewart, Derek verfasserin (orcid)0000-0001-7360-8592 aut A scoping review of theories used to investigate clinician adherence to clinical practice guidelines 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2022 Background Routine utilization of evidence-based clinical practice guidelines (CPGs) is an effective strategy to optimize patient care and reduce practice variation. Healthcare professionals’ failure to adhere to CPGs introduces risks to both patients and the sustainability of healthcare systems. The integration of theory to investigate adherence provides greater insight into the often complex reasons for suboptimal behaviors. Aim To determine the coverage of literature surrounding the use of theory in studies of CPG adherence, report the key findings and identify the knowledge gaps. Method In April 2021, three bibliographic databases were searched for studies published since January 2010, adopting theory to investigate health professionals’ adherence to CPGs. Two reviewers independently screened the articles for eligibility and charted the data. A narrative approach to synthesis was employed. Results The review includes 12 articles. Studies were limited to primarily investigations of physicians, quantitative designs, single disease states and few countries. The use of behavioral theories facilitated pooling of data of barriers and facilitators of adherence. The domains and constructs of a number of the reported theories are captured within the Theoretical Domains Framework (TDF); the most common barriers aligned with the TDF domain of environmental context and resources, fewer studies reported facilitators. Conclusion There is emerging use of behavioral theories investigating physicians’ adherence to CPGs. Although limited in number, these studies present specific insight into common barriers and facilitators, thus providing valuable evidence for refining existing and future implementation strategies. Similar investigations of other health professionals are warranted. Adherence to clinical guidelines (dpeaa)DE-He213 Clinical practice guidelines (dpeaa)DE-He213 Clinical pharmacy (dpeaa)DE-He213 Framework (dpeaa)DE-He213 Evidence-practice gap (dpeaa)DE-He213 Al Hail, Moza (orcid)0000-0002-7442-3773 aut Al-Shaibi, Samaher (orcid)0000-0002-1397-5195 aut Hussain, Tarteel Ali (orcid)0000-0003-1336-6821 aut Abdelkader, Nada Nabil (orcid)0000-0002-4841-4216 aut Pallivalapila, Abdulrouf (orcid)0000-0003-4937-8891 aut Thomas, Binny (orcid)0000-0003-1065-8343 aut El Kassem, Wessam (orcid)0000-0003-2145-7555 aut Hanssens, Yolande (orcid)0000-0002-3859-8648 aut Nazar, Zachariah (orcid)0000-0003-4104-4221 aut Enthalten in Pharmacy world & science Dordrecht [u.a.] : Springer Science + Business Media B.V., 1979 45(2022), 1 vom: 16. Nov., Seite 52-63 (DE-627)320474054 (DE-600)2008911-9 1573-739X nnns volume:45 year:2022 number:1 day:16 month:11 pages:52-63 https://dx.doi.org/10.1007/s11096-022-01490-9 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_152 GBV_ILN_161 GBV_ILN_171 GBV_ILN_187 GBV_ILN_224 GBV_ILN_250 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 AR 45 2022 1 16 11 52-63 |
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10.1007/s11096-022-01490-9 doi (DE-627)SPR049375040 (SPR)s11096-022-01490-9-e DE-627 ger DE-627 rakwb eng Stewart, Derek verfasserin (orcid)0000-0001-7360-8592 aut A scoping review of theories used to investigate clinician adherence to clinical practice guidelines 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2022 Background Routine utilization of evidence-based clinical practice guidelines (CPGs) is an effective strategy to optimize patient care and reduce practice variation. Healthcare professionals’ failure to adhere to CPGs introduces risks to both patients and the sustainability of healthcare systems. The integration of theory to investigate adherence provides greater insight into the often complex reasons for suboptimal behaviors. Aim To determine the coverage of literature surrounding the use of theory in studies of CPG adherence, report the key findings and identify the knowledge gaps. Method In April 2021, three bibliographic databases were searched for studies published since January 2010, adopting theory to investigate health professionals’ adherence to CPGs. Two reviewers independently screened the articles for eligibility and charted the data. A narrative approach to synthesis was employed. Results The review includes 12 articles. Studies were limited to primarily investigations of physicians, quantitative designs, single disease states and few countries. The use of behavioral theories facilitated pooling of data of barriers and facilitators of adherence. The domains and constructs of a number of the reported theories are captured within the Theoretical Domains Framework (TDF); the most common barriers aligned with the TDF domain of environmental context and resources, fewer studies reported facilitators. Conclusion There is emerging use of behavioral theories investigating physicians’ adherence to CPGs. Although limited in number, these studies present specific insight into common barriers and facilitators, thus providing valuable evidence for refining existing and future implementation strategies. Similar investigations of other health professionals are warranted. Adherence to clinical guidelines (dpeaa)DE-He213 Clinical practice guidelines (dpeaa)DE-He213 Clinical pharmacy (dpeaa)DE-He213 Framework (dpeaa)DE-He213 Evidence-practice gap (dpeaa)DE-He213 Al Hail, Moza (orcid)0000-0002-7442-3773 aut Al-Shaibi, Samaher (orcid)0000-0002-1397-5195 aut Hussain, Tarteel Ali (orcid)0000-0003-1336-6821 aut Abdelkader, Nada Nabil (orcid)0000-0002-4841-4216 aut Pallivalapila, Abdulrouf (orcid)0000-0003-4937-8891 aut Thomas, Binny (orcid)0000-0003-1065-8343 aut El Kassem, Wessam (orcid)0000-0003-2145-7555 aut Hanssens, Yolande (orcid)0000-0002-3859-8648 aut Nazar, Zachariah (orcid)0000-0003-4104-4221 aut Enthalten in Pharmacy world & science Dordrecht [u.a.] : Springer Science + Business Media B.V., 1979 45(2022), 1 vom: 16. Nov., Seite 52-63 (DE-627)320474054 (DE-600)2008911-9 1573-739X nnns volume:45 year:2022 number:1 day:16 month:11 pages:52-63 https://dx.doi.org/10.1007/s11096-022-01490-9 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_152 GBV_ILN_161 GBV_ILN_171 GBV_ILN_187 GBV_ILN_224 GBV_ILN_250 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 AR 45 2022 1 16 11 52-63 |
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10.1007/s11096-022-01490-9 doi (DE-627)SPR049375040 (SPR)s11096-022-01490-9-e DE-627 ger DE-627 rakwb eng Stewart, Derek verfasserin (orcid)0000-0001-7360-8592 aut A scoping review of theories used to investigate clinician adherence to clinical practice guidelines 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2022 Background Routine utilization of evidence-based clinical practice guidelines (CPGs) is an effective strategy to optimize patient care and reduce practice variation. Healthcare professionals’ failure to adhere to CPGs introduces risks to both patients and the sustainability of healthcare systems. The integration of theory to investigate adherence provides greater insight into the often complex reasons for suboptimal behaviors. Aim To determine the coverage of literature surrounding the use of theory in studies of CPG adherence, report the key findings and identify the knowledge gaps. Method In April 2021, three bibliographic databases were searched for studies published since January 2010, adopting theory to investigate health professionals’ adherence to CPGs. Two reviewers independently screened the articles for eligibility and charted the data. A narrative approach to synthesis was employed. Results The review includes 12 articles. Studies were limited to primarily investigations of physicians, quantitative designs, single disease states and few countries. The use of behavioral theories facilitated pooling of data of barriers and facilitators of adherence. The domains and constructs of a number of the reported theories are captured within the Theoretical Domains Framework (TDF); the most common barriers aligned with the TDF domain of environmental context and resources, fewer studies reported facilitators. Conclusion There is emerging use of behavioral theories investigating physicians’ adherence to CPGs. Although limited in number, these studies present specific insight into common barriers and facilitators, thus providing valuable evidence for refining existing and future implementation strategies. Similar investigations of other health professionals are warranted. Adherence to clinical guidelines (dpeaa)DE-He213 Clinical practice guidelines (dpeaa)DE-He213 Clinical pharmacy (dpeaa)DE-He213 Framework (dpeaa)DE-He213 Evidence-practice gap (dpeaa)DE-He213 Al Hail, Moza (orcid)0000-0002-7442-3773 aut Al-Shaibi, Samaher (orcid)0000-0002-1397-5195 aut Hussain, Tarteel Ali (orcid)0000-0003-1336-6821 aut Abdelkader, Nada Nabil (orcid)0000-0002-4841-4216 aut Pallivalapila, Abdulrouf (orcid)0000-0003-4937-8891 aut Thomas, Binny (orcid)0000-0003-1065-8343 aut El Kassem, Wessam (orcid)0000-0003-2145-7555 aut Hanssens, Yolande (orcid)0000-0002-3859-8648 aut Nazar, Zachariah (orcid)0000-0003-4104-4221 aut Enthalten in Pharmacy world & science Dordrecht [u.a.] : Springer Science + Business Media B.V., 1979 45(2022), 1 vom: 16. Nov., Seite 52-63 (DE-627)320474054 (DE-600)2008911-9 1573-739X nnns volume:45 year:2022 number:1 day:16 month:11 pages:52-63 https://dx.doi.org/10.1007/s11096-022-01490-9 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_152 GBV_ILN_161 GBV_ILN_171 GBV_ILN_187 GBV_ILN_224 GBV_ILN_250 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 AR 45 2022 1 16 11 52-63 |
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10.1007/s11096-022-01490-9 doi (DE-627)SPR049375040 (SPR)s11096-022-01490-9-e DE-627 ger DE-627 rakwb eng Stewart, Derek verfasserin (orcid)0000-0001-7360-8592 aut A scoping review of theories used to investigate clinician adherence to clinical practice guidelines 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2022 Background Routine utilization of evidence-based clinical practice guidelines (CPGs) is an effective strategy to optimize patient care and reduce practice variation. Healthcare professionals’ failure to adhere to CPGs introduces risks to both patients and the sustainability of healthcare systems. The integration of theory to investigate adherence provides greater insight into the often complex reasons for suboptimal behaviors. Aim To determine the coverage of literature surrounding the use of theory in studies of CPG adherence, report the key findings and identify the knowledge gaps. Method In April 2021, three bibliographic databases were searched for studies published since January 2010, adopting theory to investigate health professionals’ adherence to CPGs. Two reviewers independently screened the articles for eligibility and charted the data. A narrative approach to synthesis was employed. Results The review includes 12 articles. Studies were limited to primarily investigations of physicians, quantitative designs, single disease states and few countries. The use of behavioral theories facilitated pooling of data of barriers and facilitators of adherence. The domains and constructs of a number of the reported theories are captured within the Theoretical Domains Framework (TDF); the most common barriers aligned with the TDF domain of environmental context and resources, fewer studies reported facilitators. Conclusion There is emerging use of behavioral theories investigating physicians’ adherence to CPGs. Although limited in number, these studies present specific insight into common barriers and facilitators, thus providing valuable evidence for refining existing and future implementation strategies. Similar investigations of other health professionals are warranted. Adherence to clinical guidelines (dpeaa)DE-He213 Clinical practice guidelines (dpeaa)DE-He213 Clinical pharmacy (dpeaa)DE-He213 Framework (dpeaa)DE-He213 Evidence-practice gap (dpeaa)DE-He213 Al Hail, Moza (orcid)0000-0002-7442-3773 aut Al-Shaibi, Samaher (orcid)0000-0002-1397-5195 aut Hussain, Tarteel Ali (orcid)0000-0003-1336-6821 aut Abdelkader, Nada Nabil (orcid)0000-0002-4841-4216 aut Pallivalapila, Abdulrouf (orcid)0000-0003-4937-8891 aut Thomas, Binny (orcid)0000-0003-1065-8343 aut El Kassem, Wessam (orcid)0000-0003-2145-7555 aut Hanssens, Yolande (orcid)0000-0002-3859-8648 aut Nazar, Zachariah (orcid)0000-0003-4104-4221 aut Enthalten in Pharmacy world & science Dordrecht [u.a.] : Springer Science + Business Media B.V., 1979 45(2022), 1 vom: 16. Nov., Seite 52-63 (DE-627)320474054 (DE-600)2008911-9 1573-739X nnns volume:45 year:2022 number:1 day:16 month:11 pages:52-63 https://dx.doi.org/10.1007/s11096-022-01490-9 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_152 GBV_ILN_161 GBV_ILN_171 GBV_ILN_187 GBV_ILN_224 GBV_ILN_250 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 AR 45 2022 1 16 11 52-63 |
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10.1007/s11096-022-01490-9 doi (DE-627)SPR049375040 (SPR)s11096-022-01490-9-e DE-627 ger DE-627 rakwb eng Stewart, Derek verfasserin (orcid)0000-0001-7360-8592 aut A scoping review of theories used to investigate clinician adherence to clinical practice guidelines 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2022 Background Routine utilization of evidence-based clinical practice guidelines (CPGs) is an effective strategy to optimize patient care and reduce practice variation. Healthcare professionals’ failure to adhere to CPGs introduces risks to both patients and the sustainability of healthcare systems. The integration of theory to investigate adherence provides greater insight into the often complex reasons for suboptimal behaviors. Aim To determine the coverage of literature surrounding the use of theory in studies of CPG adherence, report the key findings and identify the knowledge gaps. Method In April 2021, three bibliographic databases were searched for studies published since January 2010, adopting theory to investigate health professionals’ adherence to CPGs. Two reviewers independently screened the articles for eligibility and charted the data. A narrative approach to synthesis was employed. Results The review includes 12 articles. Studies were limited to primarily investigations of physicians, quantitative designs, single disease states and few countries. The use of behavioral theories facilitated pooling of data of barriers and facilitators of adherence. The domains and constructs of a number of the reported theories are captured within the Theoretical Domains Framework (TDF); the most common barriers aligned with the TDF domain of environmental context and resources, fewer studies reported facilitators. Conclusion There is emerging use of behavioral theories investigating physicians’ adherence to CPGs. Although limited in number, these studies present specific insight into common barriers and facilitators, thus providing valuable evidence for refining existing and future implementation strategies. Similar investigations of other health professionals are warranted. Adherence to clinical guidelines (dpeaa)DE-He213 Clinical practice guidelines (dpeaa)DE-He213 Clinical pharmacy (dpeaa)DE-He213 Framework (dpeaa)DE-He213 Evidence-practice gap (dpeaa)DE-He213 Al Hail, Moza (orcid)0000-0002-7442-3773 aut Al-Shaibi, Samaher (orcid)0000-0002-1397-5195 aut Hussain, Tarteel Ali (orcid)0000-0003-1336-6821 aut Abdelkader, Nada Nabil (orcid)0000-0002-4841-4216 aut Pallivalapila, Abdulrouf (orcid)0000-0003-4937-8891 aut Thomas, Binny (orcid)0000-0003-1065-8343 aut El Kassem, Wessam (orcid)0000-0003-2145-7555 aut Hanssens, Yolande (orcid)0000-0002-3859-8648 aut Nazar, Zachariah (orcid)0000-0003-4104-4221 aut Enthalten in Pharmacy world & science Dordrecht [u.a.] : Springer Science + Business Media B.V., 1979 45(2022), 1 vom: 16. Nov., Seite 52-63 (DE-627)320474054 (DE-600)2008911-9 1573-739X nnns volume:45 year:2022 number:1 day:16 month:11 pages:52-63 https://dx.doi.org/10.1007/s11096-022-01490-9 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_152 GBV_ILN_161 GBV_ILN_171 GBV_ILN_187 GBV_ILN_224 GBV_ILN_250 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 AR 45 2022 1 16 11 52-63 |
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The use of behavioral theories facilitated pooling of data of barriers and facilitators of adherence. The domains and constructs of a number of the reported theories are captured within the Theoretical Domains Framework (TDF); the most common barriers aligned with the TDF domain of environmental context and resources, fewer studies reported facilitators. Conclusion There is emerging use of behavioral theories investigating physicians’ adherence to CPGs. Although limited in number, these studies present specific insight into common barriers and facilitators, thus providing valuable evidence for refining existing and future implementation strategies. 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scoping review of theories used to investigate clinician adherence to clinical practice guidelines |
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A scoping review of theories used to investigate clinician adherence to clinical practice guidelines |
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Background Routine utilization of evidence-based clinical practice guidelines (CPGs) is an effective strategy to optimize patient care and reduce practice variation. Healthcare professionals’ failure to adhere to CPGs introduces risks to both patients and the sustainability of healthcare systems. The integration of theory to investigate adherence provides greater insight into the often complex reasons for suboptimal behaviors. Aim To determine the coverage of literature surrounding the use of theory in studies of CPG adherence, report the key findings and identify the knowledge gaps. Method In April 2021, three bibliographic databases were searched for studies published since January 2010, adopting theory to investigate health professionals’ adherence to CPGs. Two reviewers independently screened the articles for eligibility and charted the data. A narrative approach to synthesis was employed. Results The review includes 12 articles. Studies were limited to primarily investigations of physicians, quantitative designs, single disease states and few countries. The use of behavioral theories facilitated pooling of data of barriers and facilitators of adherence. The domains and constructs of a number of the reported theories are captured within the Theoretical Domains Framework (TDF); the most common barriers aligned with the TDF domain of environmental context and resources, fewer studies reported facilitators. Conclusion There is emerging use of behavioral theories investigating physicians’ adherence to CPGs. Although limited in number, these studies present specific insight into common barriers and facilitators, thus providing valuable evidence for refining existing and future implementation strategies. Similar investigations of other health professionals are warranted. © The Author(s) 2022 |
| abstractGer |
Background Routine utilization of evidence-based clinical practice guidelines (CPGs) is an effective strategy to optimize patient care and reduce practice variation. Healthcare professionals’ failure to adhere to CPGs introduces risks to both patients and the sustainability of healthcare systems. The integration of theory to investigate adherence provides greater insight into the often complex reasons for suboptimal behaviors. Aim To determine the coverage of literature surrounding the use of theory in studies of CPG adherence, report the key findings and identify the knowledge gaps. Method In April 2021, three bibliographic databases were searched for studies published since January 2010, adopting theory to investigate health professionals’ adherence to CPGs. Two reviewers independently screened the articles for eligibility and charted the data. A narrative approach to synthesis was employed. Results The review includes 12 articles. Studies were limited to primarily investigations of physicians, quantitative designs, single disease states and few countries. The use of behavioral theories facilitated pooling of data of barriers and facilitators of adherence. The domains and constructs of a number of the reported theories are captured within the Theoretical Domains Framework (TDF); the most common barriers aligned with the TDF domain of environmental context and resources, fewer studies reported facilitators. Conclusion There is emerging use of behavioral theories investigating physicians’ adherence to CPGs. Although limited in number, these studies present specific insight into common barriers and facilitators, thus providing valuable evidence for refining existing and future implementation strategies. Similar investigations of other health professionals are warranted. © The Author(s) 2022 |
| abstract_unstemmed |
Background Routine utilization of evidence-based clinical practice guidelines (CPGs) is an effective strategy to optimize patient care and reduce practice variation. Healthcare professionals’ failure to adhere to CPGs introduces risks to both patients and the sustainability of healthcare systems. The integration of theory to investigate adherence provides greater insight into the often complex reasons for suboptimal behaviors. Aim To determine the coverage of literature surrounding the use of theory in studies of CPG adherence, report the key findings and identify the knowledge gaps. Method In April 2021, three bibliographic databases were searched for studies published since January 2010, adopting theory to investigate health professionals’ adherence to CPGs. Two reviewers independently screened the articles for eligibility and charted the data. A narrative approach to synthesis was employed. Results The review includes 12 articles. Studies were limited to primarily investigations of physicians, quantitative designs, single disease states and few countries. The use of behavioral theories facilitated pooling of data of barriers and facilitators of adherence. The domains and constructs of a number of the reported theories are captured within the Theoretical Domains Framework (TDF); the most common barriers aligned with the TDF domain of environmental context and resources, fewer studies reported facilitators. Conclusion There is emerging use of behavioral theories investigating physicians’ adherence to CPGs. Although limited in number, these studies present specific insight into common barriers and facilitators, thus providing valuable evidence for refining existing and future implementation strategies. Similar investigations of other health professionals are warranted. © The Author(s) 2022 |
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Healthcare professionals’ failure to adhere to CPGs introduces risks to both patients and the sustainability of healthcare systems. The integration of theory to investigate adherence provides greater insight into the often complex reasons for suboptimal behaviors. Aim To determine the coverage of literature surrounding the use of theory in studies of CPG adherence, report the key findings and identify the knowledge gaps. Method In April 2021, three bibliographic databases were searched for studies published since January 2010, adopting theory to investigate health professionals’ adherence to CPGs. Two reviewers independently screened the articles for eligibility and charted the data. A narrative approach to synthesis was employed. Results The review includes 12 articles. Studies were limited to primarily investigations of physicians, quantitative designs, single disease states and few countries. The use of behavioral theories facilitated pooling of data of barriers and facilitators of adherence. The domains and constructs of a number of the reported theories are captured within the Theoretical Domains Framework (TDF); the most common barriers aligned with the TDF domain of environmental context and resources, fewer studies reported facilitators. Conclusion There is emerging use of behavioral theories investigating physicians’ adherence to CPGs. Although limited in number, these studies present specific insight into common barriers and facilitators, thus providing valuable evidence for refining existing and future implementation strategies. 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