Barrier (taken from ref 3) | Intervention (taken from ref 10) | |
Knowledge | Lack of awareness of guideline | Education |
Attitude | Disagreement with guideline | Conversation |
Ambiguity (unclear who is supposed to do what, when and how) | Revision of the checklist | |
Ability (clinician limited by skill, self-efficacy or system barriers) | System changes with audit and feedback | |
Behaviour | Inertia (clinicians maintain the status quo) | Influencing skills to motivate change |