Education is the cornerstone of any antibiotic stewardship program, with prescriber education and implementation of guidelines and clinical pathways improving antimicrobial prescribing behaviour.
Frameworks for the implementation of guidelines and knowledge included the communication stage more often than for those for implementation programs, interventions, and EBP model (75%and5353% vs. 33%, 27%, and 0%, respectively).
There are legal implications to the implementation of guidelines, and guidelines may increase provider susceptibility to malpractice allegations.
An efficient approach for developing support for guidelines among practitioners will facilitate the electronic implementation of guidelines and lead to enhanced compliance with guidelines after implementation.
Grimshaw et al., identified six types of published interventions: broad strategies, dissemination and implementation of guidelines, programs to enhance the quality and economy of primary care, interventions to improve doctor-nurse collaboration, targeting of specific behaviours, and focusing on the effectiveness of specific interventions [ 6].
A multifaceted and tailored intervention that has gained interest for the implementation of guidelines is the knowledge transfer program built around the activities of a knowledge broker (KB).
An intervention to enhance the implementation of guidelines is the knowledge transfer program built around the activities of a knowledge broker (KB).
To make a guideline for guideline credible and acceptable, individuals with expertise in methodology, process and implementation of guidelines were involved in developing a guideline for guideline document.
More systematic dissemination and implementation of guidelines may be justified.
Intervention was a two-step quality program after baseline analysis: first, implementation of feeding guidelines; and second, additional presence of an ICU dietitian.
