A scoping review of theories used to investigate clinician adherence to clinical practice guidelines
<div><h2>Background</h2> <p>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...
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| مؤلفون آخرون: | , , , , , , , , |
| منشور في: |
2022
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| _version_ | 1864513528385241088 |
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| author | Derek Stewart (117849) |
| author2 | Moza Al Hail (2511859) Samaher Al-Shaibi (14152206) Tarteel Ali Hussain (11014415) Nada Nabil Abdelkader (9853177) Abdulrouf Pallivalapila (5801972) Binny Thomas (5801969) Wessam El Kassem (9140002) Yolande Hanssens (14151507) Zachariah Nazar (8600154) |
| author2_role | author author author author author author author author author |
| author_facet | Derek Stewart (117849) Moza Al Hail (2511859) Samaher Al-Shaibi (14152206) Tarteel Ali Hussain (11014415) Nada Nabil Abdelkader (9853177) Abdulrouf Pallivalapila (5801972) Binny Thomas (5801969) Wessam El Kassem (9140002) Yolande Hanssens (14151507) Zachariah Nazar (8600154) |
| author_role | author |
| dc.creator.none.fl_str_mv | Derek Stewart (117849) Moza Al Hail (2511859) Samaher Al-Shaibi (14152206) Tarteel Ali Hussain (11014415) Nada Nabil Abdelkader (9853177) Abdulrouf Pallivalapila (5801972) Binny Thomas (5801969) Wessam El Kassem (9140002) Yolande Hanssens (14151507) Zachariah Nazar (8600154) |
| dc.date.none.fl_str_mv | 2022-11-16T03:00:00Z |
| dc.identifier.none.fl_str_mv | 10.1007/s11096-022-01490-9 |
| dc.relation.none.fl_str_mv | https://figshare.com/articles/journal_contribution/A_scoping_review_of_theories_used_to_investigate_clinician_adherence_to_clinical_practice_guidelines/25117553 |
| dc.rights.none.fl_str_mv | CC BY 4.0 info:eu-repo/semantics/openAccess |
| dc.subject.none.fl_str_mv | Biomedical and clinical sciences Pharmacology and pharmaceutical sciences Health sciences Health services and systems Adherence to clinical guidelines Clinical practice guidelines Clinical pharmacy Framework Evidencepractice gap |
| dc.title.none.fl_str_mv | A scoping review of theories used to investigate clinician adherence to clinical practice guidelines |
| dc.type.none.fl_str_mv | Text Journal contribution info:eu-repo/semantics/publishedVersion text contribution to journal |
| description | <div><h2>Background</h2> <p>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.</p> <h2>Aim</h2> <p>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.</p> <h2>Method</h2> <p>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.</p> <h2>Results</h2> <p>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.</p> <h2>Conclusion</h2> <p>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.</p> </div><h2>Other Information</h2> <p> Published in: International Journal of Clinical Pharmacy<br> License: <a href="https://creativecommons.org/licenses/by/4.0" target="_blank">https://creativecommons.org/licenses/by/4.0</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1007/s11096-022-01490-9" target="_blank">https://dx.doi.org/10.1007/s11096-022-01490-9</a></p> |
| eu_rights_str_mv | openAccess |
| id | Manara2_b0e8b2cbd97136b9545e84c6a6de9763 |
| identifier_str_mv | 10.1007/s11096-022-01490-9 |
| network_acronym_str | Manara2 |
| network_name_str | Manara2 |
| oai_identifier_str | oai:figshare.com:article/25117553 |
| publishDate | 2022 |
| repository.mail.fl_str_mv | |
| repository.name.fl_str_mv | |
| repository_id_str | |
| rights_invalid_str_mv | CC BY 4.0 |
| spelling | A scoping review of theories used to investigate clinician adherence to clinical practice guidelinesDerek Stewart (117849)Moza Al Hail (2511859)Samaher Al-Shaibi (14152206)Tarteel Ali Hussain (11014415)Nada Nabil Abdelkader (9853177)Abdulrouf Pallivalapila (5801972)Binny Thomas (5801969)Wessam El Kassem (9140002)Yolande Hanssens (14151507)Zachariah Nazar (8600154)Biomedical and clinical sciencesPharmacology and pharmaceutical sciencesHealth sciencesHealth services and systemsAdherence to clinical guidelinesClinical practice guidelinesClinical pharmacyFrameworkEvidencepractice gap<div><h2>Background</h2> <p>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.</p> <h2>Aim</h2> <p>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.</p> <h2>Method</h2> <p>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.</p> <h2>Results</h2> <p>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.</p> <h2>Conclusion</h2> <p>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.</p> </div><h2>Other Information</h2> <p> Published in: International Journal of Clinical Pharmacy<br> License: <a href="https://creativecommons.org/licenses/by/4.0" target="_blank">https://creativecommons.org/licenses/by/4.0</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1007/s11096-022-01490-9" target="_blank">https://dx.doi.org/10.1007/s11096-022-01490-9</a></p>2022-11-16T03:00:00ZTextJournal contributioninfo:eu-repo/semantics/publishedVersiontextcontribution to journal10.1007/s11096-022-01490-9https://figshare.com/articles/journal_contribution/A_scoping_review_of_theories_used_to_investigate_clinician_adherence_to_clinical_practice_guidelines/25117553CC BY 4.0info:eu-repo/semantics/openAccessoai:figshare.com:article/251175532022-11-16T03:00:00Z |
| spellingShingle | A scoping review of theories used to investigate clinician adherence to clinical practice guidelines Derek Stewart (117849) Biomedical and clinical sciences Pharmacology and pharmaceutical sciences Health sciences Health services and systems Adherence to clinical guidelines Clinical practice guidelines Clinical pharmacy Framework Evidencepractice gap |
| status_str | publishedVersion |
| title | A scoping review of theories used to investigate clinician adherence to clinical practice guidelines |
| title_full | A scoping review of theories used to investigate clinician adherence to clinical practice guidelines |
| title_fullStr | A scoping review of theories used to investigate clinician adherence to clinical practice guidelines |
| title_full_unstemmed | A scoping review of theories used to investigate clinician adherence to clinical practice guidelines |
| title_short | A scoping review of theories used to investigate clinician adherence to clinical practice guidelines |
| title_sort | A scoping review of theories used to investigate clinician adherence to clinical practice guidelines |
| topic | Biomedical and clinical sciences Pharmacology and pharmaceutical sciences Health sciences Health services and systems Adherence to clinical guidelines Clinical practice guidelines Clinical pharmacy Framework Evidencepractice gap |