Nurses' perceived barriers to the implementation of a Fall Prevention Clinical Practice Guideline in Singapore hospitals.
Nurses' perceived barriers to the implementation of a Fall Prevention Clinical Practice Guideline in Singapore hospitals.
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DOI：
10.1186/1472-6963-8-105
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发表时间：
2008-05-18
影响因子：
2.8
通讯作者：
Johnston L
中科院分区：
文献类型：
--
作者：
Koh SS;Manias E;Hutchinson AM;Donath S;Johnston L
行为改变的理论表明，当试图影响专业实践时，对改变障碍的分析是有帮助的。本研究的目的是评估感知的障碍，实践的变化，引起护士的意见方面的障碍，和促进者，在新加坡的五个急性护理医院实施跌倒预防临床实践指南。护士进行了调查，以确定他们的看法，在他们的实践环境中实施临床实践指南的障碍。经过验证的问卷，“障碍和促进者评估工具”，管理护士（n = 1830）在医疗，外科，老年病房，在新加坡的五家急性护理医院。有效率为80.2%。报告的实施临床实践指南的最大障碍包括：知识和动机、支持人员的可用性、设施的使用、患者的健康状况以及工作人员和患者的教育。已经确定了使用跌倒预防临床实践指南的许多障碍。这项研究奠定了基础，为进一步研究实施临床实践指南在新加坡确定障碍，以改变急性护理设置。
Theories of behavior change indicate that an analysis of barriers to change is helpful when trying to influence professional practice. The aim of this study was to assess the perceived barriers to practice change by eliciting nurses' opinions with regard to barriers to, and facilitators of, implementation of a Fall Prevention clinical practice guideline in five acute care hospitals in Singapore. Nurses were surveyed to identify their perceptions regarding barriers to implementation of clinical practice guidelines in their practice setting. The validated questionnaire, 'Barriers and facilitators assessment instrument', was administered to nurses (n = 1830) working in the medical, surgical, geriatric units, at five acute care hospitals in Singapore. An 80.2% response rate was achieved. The greatest barriers to implementation of clinical practice guidelines reported included: knowledge and motivation, availability of support staff, access to facilities, health status of patients, and, education of staff and patients. Numerous barriers to the use of the Fall Prevention Clinical Practice Guideline have been identified. This study has laid the foundation for further research into implementation of clinical practice guidelines in Singapore by identifying barriers to change in acute care settings.
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DOI：
10.1136/qshc.4.1.55
发表时间：
1995-03-01
期刊：
Quality in health care : QHC
影响因子：
--
作者：
Grimshaw, J;Freemantle, N;Sheldon, T
通讯作者：
Sheldon, T
影响因子：
11.4
作者：
Grol, R;Wensing, M
通讯作者：
Wensing, M
DOI：
10.1111/j.1552-6909.2002.tb00081.x
发表时间：
2002-09-01
影响因子：
1.8
作者：
Davies, BL
通讯作者：
Davies, BL
影响因子：
--
作者：
Grol, R
通讯作者：
Grol, R
影响因子：
3.8
作者：
Harvey, G;Loftus-Hills, A;Seers, K
通讯作者：
Seers, K