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Questions about adherence to practicing the action plan are included in the follow-up questionnaires.
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Improving adherence to practice guidelines can improve patient safety and quality of care.
However, levels of adherence to practice guidelines are still suboptimal among both nursing students and healthcare staff.
The shifting model of care for ACS therefore suggests that quality improvement and monitoring of adherence to practice guidelines should be considered components of optimal clinical practice.
Multiple large observational registries and quality-improvement initiatives now are capturing data regarding adherence to practice guidelines and contemporary patterns of care for ACS.
A multifaceted implementation program in Denmark did not show effects on adherence to practice guidelines [ 26].
Nurses who value professionalism exhibited adherence to practice standards and technical (psychomotor) competence [ 6].
Health Information Technology solutions such as clinical dashboards can increase adherence to practice guidelines.
Our study highlights the complex barriers in improving physician adherence to practice guidelines, especially for practice recommendations targeted at emerging and highly publicized diseases.
Cabana et al. published a comprehensive systematic review about the barriers to physician adherence to practice guidelines and developed a theoretical approach to the barriers [ 8].
Lack of adherence to practice guidelines can lead to omission of necessary care and contribute to preventable harm, suboptimal patient outcomes, or poor resources utilization [ 3].
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