Table 3 Other facilitators for the implementation of Clinical Practice Guidelines

Political and social context

• Appropriate use of technology and integrated information systems [15, 19]

• Clear communication between professionals and management, with defined roles and responsibilities [16, 19]

• Positive working relationships between health workers [12, 16]

• Financial incentives to achieve some positive goals for the implementation [14]

• Adequate communication between the care staff [23]

• Telemedicine systems, which provide immediate feedback to patients [28]

• Technology support as home tutorials and social networking

Health organisational system context

• Adequate time to promote new practice [22]

• Management incorporation to the implementation process [26]

• Motivation and consensus building in organisational culture [19]

• To ensure that the staff involved have sufficient training on the intervention [15]

Guidelines context

• Interventions that demonstrated clear and consistent clinical evidence of benefit or good applicability relevant to setting [16]

• Guidelines are based on clear and solid recommendations [16]

Health professional context

• Good communication and behaviour change skills of healthcare professionals [15, 28]

• Positive attitudes toward innovation and evidence [19]

Patient context

• Structured management plans for patients [15]