Background: Although evidence-based guidelines are important for improving the quality of patient care,\r\nimplementation in practice is below expectations. With the recent focus on team care, guidelines are intended to\r\npromote the integration of care across multiple disciplines. We conducted an exploratory study to understand\r\noncology nursesââ?¬â?¢ perceptions of guideline implementation and to learn their views on how their experiences\r\naffected the implementation.\r\nMethods: A qualitative study was used with focus group interviews. We collected data from 11 nurses with more\r\nthan 5 years of oncology nursing experience in Japan. The data were analyzed using grounded theory.\r\nResults: Results of the analysis identified ââ?¬Å?preconditions for successful guideline implementationââ?¬Â as a core\r\ncategory. There were 4 categories (goal congruence, equal partnership, professional self-development and userfriendliness)\r\nand 11 subcategories related to organizational, multidisciplinary, individual, and guideline levels.\r\nConclusions: Although the guidelines were viewed as important, they were not fully implemented in practice.\r\nThere are preconditions at the organizational, multidisciplinary, individual, and guideline levels that must be met if\r\nan organization is to successfully implement the guideline in clinical settings. Prioritizing strategies by focusing on\r\nthese preconditions will help to facilitate successful guideline implementation
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