Implementing evidence in practice

Question 1

What are different barriers to implementing evidence into practice?

Answer 1

1. Characteristics of the recommendations
   - Facilitators: easy to follow and compatible with existing norms and values
   - Barriers: need for new skills and complexity of recommendations
2. Characteristics of the adopters
   - Knowledge: lack of awareness of recommendation or that clinical practice may be inappropriate, over-estimation of self-reported performance etc…
   - Attitudes: doubts over credibility of source, perceived resistance of patients etc
   - Skills and abilities: over-reliance on trusted/convenient sources of information, confidence in skill set
3. Characteristics of the organisation
4. Characteristics of the environment
   FOR BOTH 3&4
   - Limitations and constraints: time, resources for equipment specified in recommendations, implementation efforts
   - Organisational culture: behaviour, actions and values that people are expected to follow
   - Social influence: team norms, influential peers

Question 2

Outline strategies that can lead to successful implementation of evidence in practice

Answer 2

1. Quality improvemtn

Question 3

Outline strategies that can lead to successful implementation of evidence in practice