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. 2017 Jan 20;32(Suppl 1):i106–i114. doi: 10.1093/ndt/gfw309

Table 4.

Facilitators and barriers to guideline implementation

n (%)
Facilitators
 Guideline availability 30 (91%)
 Evidence of improved patient outcomes 25 (76%)
 Agreement with recommendations 23 (70%)
 Guideline awareness 18 (55%)
 Congruence of guidelines with patient characteristics 18 (55%)
 Organizational support for guideline implementation 18 (55%)
 Resources for facilitation 18 (55%)
 Perception of improved patient outcomes 16 (46%)
 Congruence of guidelines with practice 12 (36%)
 Time 10 (30%)
Barriers
 Lack of evidence of improved patient outcomes 18 (55%)
 Concern about interpretation of evidence 18 (55%)
 Lack of agreement with recommendations 15 (45%)
 Lack of congruence of guidelines with patient characteristics 13 (39%)
 ‘Too cookbook’ 13 (39%)
 Guideline availability 12 (36%)
 Guideline awareness 9 (27%)
 Lack of time 9 (27%)
 Lack of resources for facilitation 8 (24%)
 Lack of congruence of guidelines with practice 7 (21%)
 Lack of confidence in guideline developers 4 (12%)