CEUs: 2 Clinical
Average read time: 65 minutes.
Short Summary of the Article:
This article reviews barriers and facilitators associated with the implementation of clinical practice guidelines (CPGs) in healthcare settings. It compiles evidence from 37 studies and categorizes 193 barriers and 140 facilitators, linking them to the Theoretical Domains Framework (TDF) and the Behavior Change Wheel (BCW). The findings highlight both intrinsic and extrinsic factors, such as the impracticality of CPGs, resource limitations, lack of awareness, and strong leadership. The review suggests that to improve adherence to CPGs, implementation strategies should be context-specific and aligned with identified barriers and facilitators.
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Earned Point(s): 0 of 0, (0) What is one of the primary barriers to CPG implementation identified in the article? 170 Which framework is commonly used to address the barriers and facilitators in CPG implementation? 171 True or False: CPG implementation is mainly hindered by individual healthcare professional factors rather than system-wide barriers. 171 Which is identified as a facilitator in CPG implementation? 174 What is the role of the Behavior Change Wheel (BCW) in CPG implementation? 171 True or False: Social influences are the most frequently mentioned facilitator in the Theoretical Domains Framework (TDF). 176 What can help improve adherence to CPGs in clinical practice? 174 What percentage of studies reported low adherence to CPGs? 170 True or False: CPGs are typically created with input from patients and are based solely on expert opinions. 169 Which of the following is NOT considered a barrier in CPG implementation? 174 What domain of TDF involves the most reported barriers for CPG implementation? 174 Which aspect was found to have both barrier and facilitator roles in CPG implementation? 176 What is one recommendation to improve CPG implementability? 179 What type of motivation is linked to the reinforcement domain in the Behavior Change Wheel? 178 Which policy intervention is most effective for CPG adoption? 179
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