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Nurses' perceived barriers to the implementation of a Fall Prevention Clinical Practice Guideline in Singapore hospitals

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Version 2 2024-06-03, 22:56
Version 1 2014-10-28, 08:55
journal contribution
posted on 2024-06-03, 22:56 authored by S Koh, E Manias, Alison HutchinsonAlison Hutchinson, S Donath, L Johnston
Background

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.
Methods

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.
Results

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.
Conclusion

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.

History

Journal

BMC health services research

Volume

8

Pagination

1-10

Location

London, England

Open access

  • Yes

ISSN

1472-6963

Language

eng

Publication classification

C1.1 Refereed article in a scholarly journal

Copyright notice

2008, BioMed Central

Issue

105

Publisher

BioMed Central