Significant barriers to ESC guideline implementation among cardiovascular nurses include workload, time, resources, and lack of leadership, highlighting the need for educational and organizational strategies.
These barriers may limit ESC guideline adherence among cardiovascular nurses; leaves open whether organizational interventions improve implementation.
Implementation of ESC guidelines by nurses, the majority responders in this survey, is a serious problem, requiring urgent improvement to ensure patients receive optimal evidence based care. Issues of leadership, workload, time and resources are significant barriers to guideline implementation. It is of concern that these professionals perceive both that they have little influence on implementation decisions and lack of leadership regarding guideline implementation. Educational and organisational strategies to improve leadership skills are imperative. These will build self-efficacy and empower nurses and allied professionals to advocate for evidence-based care in the clinical environment.
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McKee et al. (2017) studied this question.
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