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As implementation of a guideline is time-consuming, it is difficult for organisations to implement all available guidelines.
Overall it seems likely that the most efficient strategy for successful implementation of a guideline will depend heavily on the specific application.
It is well established that many factors may influence the implementation of a guideline in practice such as individual patient, the individual healthcare provider and the organizational context [13].
Previous implementation research studies have revealed that implementation of a guideline is very complicated.
The implementation of a guideline on that aspect will experience little resistance.
Many factors may influence the implementation of a guideline in practice.
Additional file 1: Example of the implementation of a guideline recommendation by OPs participating in the guideline training.
Overall, the CFIR could be demonstrated to be a comprehensive framework for the implementation of a guideline into a hospital-based nursing practice.
General Practitioners (GPs) participated in a national Quality Improvement Collaborative (QIC), focusing on the implementation of a guideline based model for a stepped care approach to depression.
An analysis of barriers to the implementation of a guideline is considered to be a first important step in improving guideline adherence [ 10, 11].
A multifaceted intervention including a combination of small group interactive postgraduate training, with personalized feedback, and additional instruction material, such as a website, was found to be more successful for implementation of a guideline than a single-faceted intervention [ 7– 9].
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