How can we improve guideline use? A conceptual framework of implementability

Table 6 Content elements of reviewed guidelines

Domain/Element	Overall (n = 20)		Diabetes (n = 8)		Hypertension (n = 4)		Leg Ulcer (n = 3)		Heart Failure (n = 5)
	n	%	n	%	n	%	n	%	n	%
Applicability
Individualization	18	90.0	6	75.0	4	100.0	3	100.0	5	100.0
Communicability
Patient informed care	10	50.0	4	50.0	2	50.0	1	33.3	3	60.0
Accommodation
Objectives:
Clinical	20	100.	8	100.	4	100.0	3	100.0	5	100.0
Education	1	0	1	0	---	---	---	---	---	---
Policy	---	5.0	---	12.5	---	---	---	---	---	---
Quality improvement	2	--- 10.0	1	--- 12.5	---	---	---	---	---	---
Users	12	60.0	5	62.5	1	25.0	2	66.7	4	80.0
User needs/values	0	0.0	0	0.0	0	0.0	0	0.00	0	0.0
Technical	9	45.0	3	37.5	1	25.0	1	33.3	4	80.0
Regulatory	3	15.0	0	0.0	3	75.0	0	0.0	0	0.0
Human resources	1	5.0	1	12.5	0	0.0	0	0.0	0	0.0
Professional	4	20.0	0	0.0	1	25.0	2	66.7	1	20.0
Impact	0	0.0	0	0.0	0	0.0	0	0.0	0	0.0
Costs	0	0.0	0	0.0	0	0.0	0	0.0	0	0.0
Implementation
Barriers	3	15.0	1	12.5	2	20.0	0	0.0	0	0.0
Tailoring instructions	2	10.0	0	0.0	0	0.0	2	66.7	0	0.0
Point-of-care tools/forms	6	30.0	3	37.5	0	0.0	2	66.7	1	20.0
Implementation strategies	9	45.0	4	50.0	1	25.0	2	66.7	2	40.0
Evaluation
Evaluation instructions	0	0.0	0	0.0	0	0.0	0	0.0	0	0.0
Performance measures	10	50.0	4	50.0	2	50.0	2	66.7	2	40.0

ISSN: 1748-5908