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Table 1 Key factors that influence the implementation of clinical practice guidelines in allied health professionals

From: Speech pathologists’ experiences with stroke clinical practice guidelines and the barriers and facilitators influencing their use: a national descriptive study

Area Factors Professionals studied References
(a) Aspects relating to the guideline itself Clarity of recommendations Physiotherapists, occupational therapists [23, 24]
Applicability to clients
Amount of detail provided
Allowed the health professional to draw their own conclusions
Allowed the health professional to take the client’s preferences into account
(b) Characteristics of the health professional Desire to maintain accountability Physiotherapists, occupational therapists, nurses, managers [22, 24]
Willingness to change practice
Agreement with the guidelines
Level of knowledge
Level of skill
(c) Patient characteristics Severity of the patient Physiotherapists, occupational therapists, nurses, managers [22, 24]
Patient motivation
Patient expectations
(d) Work environment Time availability Physiotherapists, occupational therapists, nurses, managers [2224]
Staff availability
Training and education
Workplace policies
Team collaboration
Access to other professionals
Colleagues
(e) Implementation strategies Multifaceted interventions were no more effective than using one strategy only. There is no clear evidence to support a set guideline implementation strategy for allied health professionals. Pharmacists (8 studies), physiotherapists (3 studies), dietitians (2 studies), and speech pathologists (1 study) [21]