ArticleANS. Advances in nursing science
Implementation of Clinical Practice Guidelines in the Health Care Setting: A Concept Analysis.
Article in ANS. Advances in nursing science. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 71 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
71 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Systematic review of clinical practice guidelines for the management of neovascular age-related macular degeneration.Eye (London, England) · 2025Pooled it
- Trial
- Optimising personal continuity for older patients in general practice: a cluster randomised stepped wedge pragmatic trial.BMJ open · 2024Trial
- Trajectories of Nursing Care During the Critical and Intensive Phases After Coronary Artery Bypass Graft Surgery: A Retrospective Observational Study.Journal of advanced nursing · 2026Observational
- Developing a strategy for identifying recommendations prioritized for implementation in the Colombian health system.Health research policy and systems · 2026Article
- Feasibility and Process Evaluation of a Screening Intervention for Early Detection of Malnutrition Risk Among Community-Dwelling Older Adults Receiving Home Care Services.Geriatrics (Basel, Switzerland) · 2026Article
- The Extent Of Gender/Sex Variables Included In Clinical Algorithms Across Medical Specialties.Health affairs (Project Hope) · 2026Article
- Use of medications to treat inflammatory bowel diseases before and during pregnancy in Switzerland between 2012 and 2019: an observational study using the claims-based MAMA cohort.BMC gastroenterology · 2026Observational
- Conformity with guideline-directed medical therapy and clinical outcomes in secondary cardiovascular prevention-results of a German claims data analysis.Clinical research in cardiology : official journal of the German Cardiac Society · 2026Article
- Chronic opioid prescription rates following long-segment lumbar instrumentation: A comparison of academic and nonacademic centers.North American Spine Society journal · 2026Article
- How Are Deprescribing Clinical Practice Guidelines Disseminated and Implemented? A Cross-Sectional Study of International Organisational Stakeholders.Basic & clinical pharmacology & toxicology · 2026Article
- The Development and Implementation of New Recommendations for Perioperative Antibiotic Prophylaxis Duration in Elective Primary Hip and Knee Replacement Surgeries.Journal of clinical medicine · 2026Article
- Implementing Financial Screening for Adolescents and Young Adults Treated in the Outpatient Oncology Setting.JCO oncology practice · 2026Article
- From global guidelines for cardio-kidney-metabolic diseases management to national implementation: perspectives from the guideline workshop taskforce.Cardiovascular diabetology · 2026Article
- Developing Evidence-Based Implementation Strategies for the Management of Women With Early Pregnancy Bleeding in the Emergency Department: A Multi-Method Study.Journal of advanced nursing · 2026Article
- Evaluation of clinical guideline implementations for cardiovascular diseases by German general practitioners-Results of a web-based survey.Frontiers in medicine · 2026Article
- Impact of an Electronic Health Record Update on Appropriately Scheduled 5-Year Colorectal Cancer-Screening Colonoscopies at an Academic Medical Center.Gastro hep advances · 2026Article
- How Implementation Context Shapes Clinician Acceptance and Engagement with Guideline-Based Clinical Decision Support Systems in Primary Care: A Qualitative Study.Journal of healthcare leadership · 2026Article
- Enhancing Perinatal Care for Women With Intellectual Disabilities: Clinician Insights on Involving Family Caregivers.Journal of applied research in intellectual disabilities : JARID · 2026Article
- Knowledge translation in surgery: a scoping review of implementation strategies, effectiveness and contextual barriers and enablers.BMC health services research · 2025Article
11 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
Abstract
The literature is replete with clinical practice guidelines (CPGs) and evidence supporting them. Translating guidelines into practice, however, is often challenging. We conducted a concept analysis to define the concept of "implementation of CPGs in health care settings." We utilized Walker and Avant's methodology to define the concept of "implementation of CPGs in health care settings." This included a focused review of the literature, defining the relevant attributes, defining implementation, case examples, and antecedents and potential consequences from implementation of CPGs in health care settings. The concept "implementation" is complex, with numerous frameworks, facilitators, and barriers to implementation described in the literature. The existing literature supports our definition of implementation of CPGs in a health care setting as a process of changing practice in health care while utilizing the best level of evidence that is available in the published literature. These include 7 attributes necessary for effective implementation. Implementation of CPGs in health care settings requires an ongoing iterative process that considers these attributes and is inclusive to administrators, clinicians, and patients to ensure guidelines are understood, accepted, implemented, and evaluated for continued adoption of best practices. Ongoing efforts inclusive at all steps of implementation across multiple levels are needed to effectively change practice.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.