Article type
Abstract
"Introduction: The Hospital Universitario Nacional de Colombia (HUN) is currently implementing clinical practice guidelines as part of the Evidence-Based Clinical Standards (EBCS) process. To enhance adherence to recommendations, implementation strategies must be tailored to the institutional context.
Objective: To implement a methodology for identifying facilitators and barriers to compliance with recommendations contained in the EBCS.
Methods: Cross-sectional qualitative studies were conducted using a phenomenological approach. Semi-structured interviews were conducted to explore the perspectives of stakeholders involved in healthcare delivery regarding facilitators and barriers to compliance with recommendations in the EBCS. Mixed categories were generated for data analysis, and data quality was ensured through triangulation of data sources.
Results: Facilitators and barriers to compliance with recommendations from 17 EBCS were evaluated. Regarding facilitators, it is notable that the HUN serves as an academic space where healthcare professionals and students are continuously updated. Among the barriers identified for all EBCS, 37.4% were related to lack of awareness of the recommendations, 36.9% to resource shortages, 9.8% to issues related to insurers, 6.8% to limitations in healthcare performance, 6.1% to acceptability of recommendations, and 3.0% to administrative aspects.
Conclusions: Compliance with recommendations from the EBCS is associated with various facilitators and barriers. Recognizing the perspectives of different stakeholders involved in patient care allows for the identification of unique institutional aspects that can guide specific implementation strategies."
Objective: To implement a methodology for identifying facilitators and barriers to compliance with recommendations contained in the EBCS.
Methods: Cross-sectional qualitative studies were conducted using a phenomenological approach. Semi-structured interviews were conducted to explore the perspectives of stakeholders involved in healthcare delivery regarding facilitators and barriers to compliance with recommendations in the EBCS. Mixed categories were generated for data analysis, and data quality was ensured through triangulation of data sources.
Results: Facilitators and barriers to compliance with recommendations from 17 EBCS were evaluated. Regarding facilitators, it is notable that the HUN serves as an academic space where healthcare professionals and students are continuously updated. Among the barriers identified for all EBCS, 37.4% were related to lack of awareness of the recommendations, 36.9% to resource shortages, 9.8% to issues related to insurers, 6.8% to limitations in healthcare performance, 6.1% to acceptability of recommendations, and 3.0% to administrative aspects.
Conclusions: Compliance with recommendations from the EBCS is associated with various facilitators and barriers. Recognizing the perspectives of different stakeholders involved in patient care allows for the identification of unique institutional aspects that can guide specific implementation strategies."