Trends in guideline implementation: an updated scoping review

作者：Sanne Peters, Krithika Sukumar, Sophie Blanchard, Akilesh Ramasamy, Jennifer R. Malinowski, Pamela Ginex, Emily Senerth, Marleen Corremans, Zachary Munn, Tamara Kredo, Lucía Prieto Remón, Etienne Ngeh Ngeh, Lisa V. Kalman, Samia M. Alhabib, Yasser Sami Amer, Anna R. Gagliardi · 发表于：Implementation Science · 年份：2022 · DOI：10.1186/s13012-022-01223-6 · 被引用次数：176 · 研究领域：Health Policy Implementation Science、Clinical practice guidelines implementation、Health Sciences Research and Education

BACKGROUND: Guidelines aim to support evidence-informed practice but are inconsistently used without implementation strategies. Our prior scoping review revealed that guideline implementation interventions were not selected and tailored based on processes known to enhance guideline uptake and impact. The purpose of this study was to update the prior scoping review. METHODS: We searched MEDLINE, EMBASE, AMED, CINAHL, Scopus, and the Cochrane Database of Systematic Reviews for studies published from 2014 to January 2021 that evaluated guideline implementation interventions. We screened studies in triplicate and extracted data in duplicate. We reported study and intervention characteristics and studies that achieved impact with summary statistics. RESULTS: We included 118 studies that implemented guidelines on 16 clinical topics. With regard to implementation planning, 21% of studies referred to theories or frameworks, 50% pre-identified implementation barriers, and 36% engaged stakeholders in selecting or tailoring interventions. Studies that employed frameworks (n=25) most often used the theoretical domains framework (28%) or social cognitive theory (28%). Those that pre-identified barriers (n=59) most often consulted literature (60%). Those that engaged stakeholders (n=42) most often consulted healthcare professionals (79%). Common interventions included educating professionals about guidelines (44%) and information systems/technology (41%). Most studies employed multi-facete...