Barriers to change | Themes to discuss barriers to change |
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• Poor practice organisation (time constraints/ environment/ clinical setting/ finances). • Support (Failure to provide access to appropriate information or time for innovation and training). • Failure of previous change initiatives. | The Organisation (The existing structures, operations, culture and context of the change environment) |
• Individual practice, habits, tradition and personal preferences. • Knowledge (Unaware of current evidence based practice (EBP), obsolete clinical knowledge/ skills/ inappropriate professional development (CPD)). • Aware guidance has changed but unaware of how to adopt change or how to access new evidence. • Fear (clinical uncertainty/ loss of professional identity/ autonomy/ inability to perform as well in the new situation. • Inadequate training, communication and preparation for the change effort. • Lack of incentives to participate in effective educational activities or change processes. | The Professional (Awareness, knowledge and attitudes) |
• Demands for care. • Media influence. • Perceptions and beliefs about appropriate care. • Compliance with clinical guidance. | 3 – The patient (As a consumer and a co-producer of care) |