Show simple item record

AuthorStewart, Derek
AuthorAl Hail, Moza
AuthorAl-Shaibi, Samaher
AuthorHussain, Tarteel Ali
AuthorAbdelkader, Nada Nabil
AuthorPallivalapila, Abdulrouf
AuthorThomas, Binny
AuthorEl Kassem, Wessam
AuthorHanssens, Yolande
AuthorNazar, Zachariah
Available date2023-02-20T05:55:27Z
Publication Date2022-01-01
Publication NameInternational Journal of Clinical Pharmacy
Identifierhttp://dx.doi.org/10.1007/s11096-022-01490-9
CitationStewart, D., Al Hail, M., Al-Shaibi, S. et al. A scoping review of theories used to investigate clinician adherence to clinical practice guidelines. Int J Clin Pharm 45, 52–63 (2023). https://doi.org/10.1007/s11096-022-01490-9
ISSN22107703
URIhttps://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85141961850&origin=inward
URIhttp://hdl.handle.net/10576/40157
AbstractBackground: 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.
SponsorOpen Access funding provided by the Qatar National Library. No funds were sourced to conduct this study.
Languageen
PublisherSpringer
SubjectAdherence to clinical guidelines
Clinical pharmacy
Clinical practice guidelines
Evidence-practice gap
Framework
TitleA scoping review of theories used to investigate clinician adherence to clinical practice guidelines
TypeArticle Review
Pagination52-63
Volume Number45
ESSN2210-7703
dc.accessType Open Access


Files in this item

Thumbnail

This item appears in the following Collection(s)

Show simple item record