Evidence map›Paper›PMID 36475911›Full record

SynthesisClinical rehabilitation2023

Healthcare professionals' perceived barriers and facilitators of implementing clinical practice guidelines for stroke rehabilitation: A systematic review.

Adrienne Cormican, Shashivadan P Hirani, Eamonn McKeown

Registry-linked trialFull text readMeta-AnalysisSystematic Review
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in Clinical rehabilitation, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07044817 (Determining the Compliance With the Guidelines of Physiotherapists' and Physiotherapy Internship Students' Attitudes Regarding the Treatment Approach of Post-Stroke Patients), which is not on this map. Cited by 34 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 4 pooled it
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

NCT07044817 completednot on this mapstarted 2025, after this paper: background citation

Determining the Compliance With the Guidelines of Physiotherapists' and Physiotherapy Internship Students' Attitudes Regarding the Treatment Approach of Post-Stroke Patients

TypeobservationalSponsorMedipol UniversityRan2025 to 2025Enrolled106ConditionsEvidence Based Practice, Stroke, Physical TherapistArmsStroke Rehabilitation Guideline Adherence Survey
3 · Its place in the literature

Who cites it

34 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
  2. Guideline
  3. Pooled it
  4. Pooled it
  5. Trial
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Review
  12. Article
  13. Observational
  14. Article
  15. Review
  16. Article
  17. Article
  18. The Knowledge We Hold: Exploring Occupational Therapy's Epistemic Identity and the Balance Between Evidence and Practice.Canadian journal of occupational therapy. Revue canadienne d'ergotherapie · 2025
    Article
  19. Observational
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Adrienne CormicanOccupational Therapy Department, 8948Kings College Hospital, London, UK.ORCID 0000-0001-6508-8363
Shashivadan P HiraniCentre for Health Services Research 4895City, University of London, London, UK.
Eamonn McKeownHealth Services Research & Management Division, 152635School of Health Sciences City, University of London, London, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo identify healthcare professionals' perceived barriers and facilitators to clinical practice guideline implementation within stroke rehabilitation. DATA SOURCES: CINAHL, MEDLINE, EMBASE, AMED, Cochrane library, Academic Search Complete and Scopus. Additional papers were identified through hand searching. REVIEW

methodsThe review followed the Preferred Reporting Item for Systematic Reviews and Meta-Analysis Protocols systematic review approach. Any empirical research that provided qualitative data on healthcare professionals' perceived factors influencing clinical guideline implementation in stroke rehabilitation was included. One reviewer screened all titles and abstract reviews (

resultsData from 10 qualitative, six quantitative and six mixed-method studies published between 2000 and 2022, involving 1576 participants in total, were analysed and synthesised using modified thematic synthesis approach. The majority of participants were therapists

conclusionBarriers and facilitators are multifactorial and were identified at guideline, individual, team and organisational levels. There is a need to translate perceived barriers and facilitators into implementation interventions especially addressing organisational-level barriers.

Indexed as

Physical TherapistsStroke RehabilitationDelivery of Health CareHumansOccupational Therapistsbarriersclinical practice guidelinefacilitatorshealthcare professionalstroke rehabilitation

Identifiers

PMID36475911
PMCPMC10041573

What OpenQuestion holds

Textfull text, public
LicenceCC BY
measurements read5
Read underepoch 390

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.