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Factors contributing to healthcare professionals’ adaptive capacity with hospital standardization: a scoping review

BACKGROUND: Certain factors contribute to healthcare professionals’ adaptive capacities towards risks, challenges, and changes such as attitudes, stress, motivation, cognitive capacity, group norms, and teamwork. However, there is limited evidence as to factors that contribute to healthcare professi...

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Autores principales: Tsandila-Kalakou, Foteini, Wiig, Siri, Aase, Karina
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10369840/
https://www.ncbi.nlm.nih.gov/pubmed/37496014
http://dx.doi.org/10.1186/s12913-023-09698-9
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author Tsandila-Kalakou, Foteini
Wiig, Siri
Aase, Karina
author_facet Tsandila-Kalakou, Foteini
Wiig, Siri
Aase, Karina
author_sort Tsandila-Kalakou, Foteini
collection PubMed
description BACKGROUND: Certain factors contribute to healthcare professionals’ adaptive capacities towards risks, challenges, and changes such as attitudes, stress, motivation, cognitive capacity, group norms, and teamwork. However, there is limited evidence as to factors that contribute to healthcare professionals’ adaptive capacity towards hospital standardization. This scoping review aimed to identify and map the factors contributing to healthcare professionals’ adaptive capacity with hospital standardization. METHODS: Scoping review methodology was used. We searched six academic databases to September 2021 for peer-reviewed articles in English. We also reviewed grey literature sources and the reference lists of included studies. Quantitative and qualitative studies were included if they focused on factors influencing how healthcare professionals adapted towards hospital standardization such as guidelines, procedures, and strategies linked to clinical practice. Two researchers conducted a three-stage screening process and extracted data on study characteristics, hospital standardization practices and factors contributing to healthcare professionals’ adaptive capacity. Study quality was not assessed. RESULTS: A total of 57 studies were included. Factors contributing to healthcare professionals’ adaptive capacity were identified in numerous standardization practices ranging from hand hygiene and personal protective equipment to clinical guidelines or protocols on for example asthma, pneumonia, antimicrobial prophylaxis, or cancer. The factors were grouped in eight categories: (1) psychological and emotional, (2) cognitive, (3) motivational, (4) knowledge and experience, (5) professional role, (6) risk management, (7) patient and family, and (8) work relationships. This combination of individual and group/social factors decided whether healthcare professionals complied with or adapted hospital standardization efforts. Contextual factors were identified related to guideline system, cultural norms, leadership support, physical environment, time, and workload. CONCLUSION: The literature on healthcare professionals’ adaptive capacity towards hospital standardization is varied and reflect different reasons for compliance or non-compliance to rules, guidelines, and protocols. The knowledge of individual and group/social factors and the role of contextual factors should be used by hospitals to improve standardization practices through educational efforts, individualised training and motivational support. The influence of patient and family factors on healthcare professionals’ adaptive capacity should be investigated. TRIAL REGISTRATION: Open Science Framework (https://osf.io/ev7az) https://doi.org/10.17605/OSF.IO/EV7AZ. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12913-023-09698-9.
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spelling pubmed-103698402023-07-27 Factors contributing to healthcare professionals’ adaptive capacity with hospital standardization: a scoping review Tsandila-Kalakou, Foteini Wiig, Siri Aase, Karina BMC Health Serv Res Research Article BACKGROUND: Certain factors contribute to healthcare professionals’ adaptive capacities towards risks, challenges, and changes such as attitudes, stress, motivation, cognitive capacity, group norms, and teamwork. However, there is limited evidence as to factors that contribute to healthcare professionals’ adaptive capacity towards hospital standardization. This scoping review aimed to identify and map the factors contributing to healthcare professionals’ adaptive capacity with hospital standardization. METHODS: Scoping review methodology was used. We searched six academic databases to September 2021 for peer-reviewed articles in English. We also reviewed grey literature sources and the reference lists of included studies. Quantitative and qualitative studies were included if they focused on factors influencing how healthcare professionals adapted towards hospital standardization such as guidelines, procedures, and strategies linked to clinical practice. Two researchers conducted a three-stage screening process and extracted data on study characteristics, hospital standardization practices and factors contributing to healthcare professionals’ adaptive capacity. Study quality was not assessed. RESULTS: A total of 57 studies were included. Factors contributing to healthcare professionals’ adaptive capacity were identified in numerous standardization practices ranging from hand hygiene and personal protective equipment to clinical guidelines or protocols on for example asthma, pneumonia, antimicrobial prophylaxis, or cancer. The factors were grouped in eight categories: (1) psychological and emotional, (2) cognitive, (3) motivational, (4) knowledge and experience, (5) professional role, (6) risk management, (7) patient and family, and (8) work relationships. This combination of individual and group/social factors decided whether healthcare professionals complied with or adapted hospital standardization efforts. Contextual factors were identified related to guideline system, cultural norms, leadership support, physical environment, time, and workload. CONCLUSION: The literature on healthcare professionals’ adaptive capacity towards hospital standardization is varied and reflect different reasons for compliance or non-compliance to rules, guidelines, and protocols. The knowledge of individual and group/social factors and the role of contextual factors should be used by hospitals to improve standardization practices through educational efforts, individualised training and motivational support. The influence of patient and family factors on healthcare professionals’ adaptive capacity should be investigated. TRIAL REGISTRATION: Open Science Framework (https://osf.io/ev7az) https://doi.org/10.17605/OSF.IO/EV7AZ. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12913-023-09698-9. BioMed Central 2023-07-26 /pmc/articles/PMC10369840/ /pubmed/37496014 http://dx.doi.org/10.1186/s12913-023-09698-9 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research Article
Tsandila-Kalakou, Foteini
Wiig, Siri
Aase, Karina
Factors contributing to healthcare professionals’ adaptive capacity with hospital standardization: a scoping review
title Factors contributing to healthcare professionals’ adaptive capacity with hospital standardization: a scoping review
title_full Factors contributing to healthcare professionals’ adaptive capacity with hospital standardization: a scoping review
title_fullStr Factors contributing to healthcare professionals’ adaptive capacity with hospital standardization: a scoping review
title_full_unstemmed Factors contributing to healthcare professionals’ adaptive capacity with hospital standardization: a scoping review
title_short Factors contributing to healthcare professionals’ adaptive capacity with hospital standardization: a scoping review
title_sort factors contributing to healthcare professionals’ adaptive capacity with hospital standardization: a scoping review
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10369840/
https://www.ncbi.nlm.nih.gov/pubmed/37496014
http://dx.doi.org/10.1186/s12913-023-09698-9
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