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Using an interdisciplinary approach to identify factors that affect clinicians' compliance with evidence-based
Ayse P Gurses1, Jill A Marsteller, A Ant Ozok
1Department of Anesthesiology and Critical Care Medicine, The Johns Hopkins University School of Medicine, Baltimore, MD, USA. agurses1@jhmi.edu
Critical Care Medicine
|July 22, 2010
Summary
Improving clinician adherence to evidence-based guidelines requires an interdisciplinary strategy. This research identifies key factors and offers a framework for developing effective interventions to enhance patient safety.
Area of Science:
- Health Services Research
- Medical Informatics
- Organizational Psychology
Background:
- Clinician compliance with evidence-based guidelines is crucial for optimal patient care and safety.
- Existing models for understanding guideline adherence are often discipline-specific and lack a comprehensive view.
- A unified framework is needed to guide the development of interventions that address multifaceted barriers to compliance.
Purpose of the Study:
- To identify factors influencing clinician compliance with evidence-based guidelines through an interdisciplinary lens.
- To develop a comprehensive conceptual framework for designing effective interventions to improve guideline adherence.
Main Methods:
- Conducted a literature review of theoretical and conceptual models related to clinician guideline compliance.
- Performed a brainstorming session with 11 interdisciplinary researchers.
- Utilized MEDLINE, EMBASE, CINAHL, and bibliography searches to identify relevant models.
Main Results:
- Identified 13 distinct models from diverse fields including medicine, sociology, psychology, engineering, management, marketing, and health education.
- Categorized influencing factors into four main groups: clinician characteristics, guideline characteristics, system characteristics, and implementation characteristics.
- Developed an interdisciplinary conceptual framework illustrating the relationships between these factors and clinician compliance.
Conclusions:
- An interdisciplinary approach is essential for enhancing clinician compliance with evidence-based guidelines.
- The developed conceptual framework offers a systematic guide for identifying barriers and designing targeted interventions.
- This framework can ultimately contribute to improved patient safety by promoting consistent adherence to best practices.
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