Utilization of clinical practice guidelines: barriers and facilitators

Nurs Clin North Am. 2015 Jun;50(2):327-45. doi: 10.1016/j.cnur.2015.03.007.


Clinical practice guidelines augment clinician decision making. Researchers cite a lack of knowledge of guideline existence, complexity of guidelines, staff attitude, lack of training, time and resource constraints as reasons for nonadherence. This project sought to understand factors that promote or prevent guideline implementation at the point of care. Respondents' viewed clinical practice guidelines as valid tools necessary to standardize patient care and exhibited proficiency in synthesis and integration of guidelines into clinical decisions and treatment plans. Efficient and effective guidelines impact patient safety and quality by increasing the consistency of behavior and replacing idiosyncratic behaviors with best practices.

Keywords: Clinical decision support tool; Clinical practice guidelines; Electronic health record; Nurse practitioners; Patient safety.

Publication types

  • Review

MeSH terms

  • Decision Support Systems, Clinical
  • Electronic Health Records
  • Practice Guidelines as Topic*