BACKGROUND Urinary tract infections (UTI) are among the most common health problems seen in general practice. Evidence-based guidelines on UTI are available, but adherence to these guidelines varies widely among practitioners for reasons not well understood. The aim of this study was to identify the barriers to the implementation of a guideline on UTI perceived by Dutch general practitioners (G...

The increased competition in the domestic and international market has posed excessive pressure to the manufacturing organizations to successfully implement the ISO 9001 quality standards. The implementation process becomes more challenging when it is surrounded by numerous barriers. Though the presence of barriers makes it more difficult but certain factors (hereby known as enablers) makes it ...

OBJECTIVES The aim of this study was to explore barriers among patients, general practitioners (GPs) and practice nurses to implement internet-based self-management support as provided by PatientCoach for asthma in primary care. SETTING Primary care within South Holland, the Netherlands. PARTICIPANTS Twenty-two patients (12 women, mean age 38 years), 21 GPs (6 women, mean age 52 years) and ...

OBJECTIVE To explore the barriers and facilitators experienced by those implementing a government-funded, community-based childhood weight management programme. DESIGN Qualitative using semistructured interviews. SETTING Two geographical regions in the south and west of Ireland. PARTICIPANTS 29 national-level and local-level stakeholders responsible for implementing the programme, includi...

AIM The aim of this study was to identify the enablers and barriers to guideline implementation in a primary healthcare setting by employing the Promoting Action on Research Implementation in Health Services (PARIHS) framework as a template for data analysis and interpretation. BACKGROUND The use of clinical practice guidelines is pivotal to improving health outcomes. However, the implementat...

background women as active health information seekers play a key role in determining lifestyle and possible implementation of preventive measures, thereby improving the health of individuals, families and society. although studies indicate that equipping people with adequate health information leads to optimal health outcomes, sometimes the complexity of human behavior and presence of barriers ...

BACKGROUND Research supports the effectiveness of technology-based treatment approaches for substance use disorders. These approaches have the potential to broaden the reach of evidence-based care. Yet, there is limited understanding of factors associated with implementation of technology-based care approaches in different service settings. OBJECTIVES In this study, we explored provider and s...

OBJECTIVE To study the efficiency of research implementation in a large radiotherapy institute, in either an internal review board-approved clinical trial or clinical routine. METHODS Scientific publications of the institute were listed. We asked clinicians from tumour expert groups whether the study had been implemented yet in a clinical trial or in clinical practice and which facilitators o...

ABSRACT Implementation of Total Quality Management (TQM) in the construction industry promises several benefits such as more repeat customers, reduced rework, improved employee job satisfaction, higher productivity, improved budget performance, improved schedule performance, better chances in bidding process with pre-qualification, increased market share, etc. Yet, there are several barriers to...

BACKGROUND Colorectal cancer (CRC) represents a serious and growing health problem in Canada. Colonoscopy is used for screening and diagnosis of symptomatic or high CRC risk individuals. Although a number of countries are now implementing quality colonoscopy services, knowledge synthesis of barriers and facilitators perceived by healthcare professionals and patients during implementation has no...