Using an interdisciplinary approach to identify factors that affect cliniciansʼ compliance with evidence-based guidelines

Abstract

An interdisciplinary approach is needed to improve clinicians' compliance with evidence-based guidelines. The conceptual framework from this research can provide a comprehensive and systematic guide to identify barriers to guideline compliance and design effective interventions to improve patient safety.

Improving Decannulation and Swallowing Function: A Comprehensive, Multidisciplinary Approach to Post-Tracheostomy Care

“…Likewise, the interdisciplinary approach to protocol development and interprofessional communication, focusing on identification and correction of impediments to progress, appeared to be key. 31 Of note, the tracheostomy service and post-tracheostomy care bundle process required no additional funding and minimal time obligation. Providers in respiratory therapy and speech language pathology were carefully selected for their motivation and commitment to the goals of the project and were vital to the success of the program.…”

Exploring experiences among adopters during the diffusion of a novel dance intervention in Sweden

“…The theory posits that diffusion of new practices in a social context, e.g., health care, is influenced by a number of factors, including the setting, the users, the perceived need for the intervention and external influences. Several implementation frameworks are influenced by the work of Rogers and have identified similar factors as being important (Damschroder et al, 2009; Greenhalgh, Robert, Bate, Macfarlane, & Kyriakidou, 2005; Gurses et al, 2010). However, more research is needed to understand how public health interventions are perceived and spread within politically controlled organizations outside the health-care sector.…”

Optimizing the language and format of guidelines to improve guideline uptake

“…27 Ambiguity arises when guidelines do not clearly and consistently specify recommended actions and parameters on which decisions should be based. 23,28 This can lead to vague recommendations that are unlikely to guide practice in a meaningful way. 29 The first bullet point in the recommendation in Figure 1 is conditional on a situation in which "glycemic control is not being achieved."…”

“…The same bullet point recommends "training of healthcare providers and patients." However, both the nature of this training and how this task should be operationalized are unclear 23 (e.g., should health care providers receive the training first and then train their patients, or should both health care providers and patients undergo the same training simultaneously? ), which introduces task ambiguity.…”

“…18 The level of complexity is inversely proportional to overall guideline adoption 20,21 and adherence to recommendations. 22,23 At the same time, a number of formatting aspects of guidelines can help to promote their use in practice. 12,24 These include presentation aspects such as a user-friendly layout (e.g., considering document length and the placement of visual elements), structure (e.g., bundling information and matching the order and flow of recommendations to that of real-world practice) and how information is best visualized (e.g., conveying complex recommendations through tables, graphs and flowcharts).…”