Although the messaging recommendations have potential for shaping practice, their limitations must be acknowledged.
Both socialisation processes involving colleagues and the respective supervisory commissions will come to play important roles in shaping practice.
Given this role we should acknowledge that the process of evaluation - and not simply its results - are effective in shaping practice.
Healthcare organization, contextual factors, and the experiences and perspectives of key stakeholders shaping practice behaviours - all may be studied using qualitative methods.
Like policy currents, innovation narratives promote the coordination of people and ideas across organisations, shaping practice through the power of language and the story about an innovation; such as a new approach to policy.
Literature on healthcare professional identity (McConnell 2002) and nursing identity (Gregg and Magilvy 2001), similarly, emphasizes the role of professional identity in shaping practice, and in providing a source of energy to perform work (Okura et al. 2013).
Existing relationships and loyalty play an important part in shaping practice, and were valued in the current study because the commissioners needed the knowledge (clinical and practical/operational) of providers in order to support them in their commissioning role.
For Bourdieu, conditions of existence both generate and shape practices and representations through habitus (systems of dispositions) [ 61, 73, 76- 78].
In terms of benefit, the presence of regulatory bodies that would shape practices around specific innovations was considered to facilitate certain initiatives.
This finding resonates with Pflueger's suggestion that how quality is accounted for and operationalised in dominant health policy discourse actively shapes practices on the ground in ways that can be constraining as well as enabling [ 14].
The objectives of the review are to present a coherent view of the current state of practice at the highest level and to examine trends, which may shape practice in the future.
