Speaker
Description
Background: Clinical practice guidelines, derived from systematic reviews that weigh the benefits and risks of various interventions, offers evidence-based recommendations for optimal patient care. The effectiveness of clinical guidelines centers on their recommended implementation strategies. The impact and value of these published guidelines rely on how well they are applied. Yet, there is a scarcity of information on the factors influencing the implementation and sustainability of global nursing guidelines. This systematic review aims to consolidate current research by critically assessing and summarizing the factors influencing the implementation and sustainability of these guidelines in clinical settings.
Methods: This review complies with the PRISMA 2020 guidelines. Until August 2023, literature searches have been conducted on four English databases: PubMed, EMBASE, CINAHL, and WEB OF SCIENCE, as well as four Chinese databases: CBM, CNKI, Wanfang, and VIP. This initial study examined the factors influencing the use of nursing guidelines in clinical practice. It analyzed the facilitators and barriers impacting guideline adherence and longevity.
Results: We retrieved 3,629 records, and seven studies met our inclusion criteria for the review. These studies identified key factors influencing the sustainability of guideline application, predominantly the alignment between medical staff and patient and the congruence of project aims with organizational priorities. Financial constraints emerge as a significant barrier, while integration into routine care acts as a facilitator. Moreover, two studies highlighted ongoing leadership support and comprehensive staff training are effective strategies and key factors to sustain the guideline implementation.
Conclusion: This systematic review has outlined the facilitators and barriers to the sustained application of nursing guidelines. These elements should inform guideline development to ensure a sustainable implementation.
Keywords
Consistent capitalization; Influencing factors; Nursing guidelines; Sustainability
Author(s) Credentials and Title
Peiwei Qin has a master's degree, while Peifen Ma and Xinman Dou have a doctorate degree
What RNAO BPG or tool/toolkit is this work related to:
leading change toolkit
| Organization Name | Lanzhou University Second Hospital |
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