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How to change practice: understand, identify and overcome barriers to change

This guide aims to help managers and clinicians influence changes in practice. ‘How to change practice: Understand, identify and overcome barriers to change' provides practical suggestions based on evidence and experience to help get NICE guidance into practice.

The guide is split into 3 parts:

  • Part 1 discusses the types of barriers to change encountered in healthcare.
  • Part 2 offers practical suggestions for how to identify the barriers to changes in your organisation.
  • Part 3 shows how to overcome these barriers, and highlights potential levers to help people do this. Real life examples are provided illustrating how the methods described have brought about positive changes in a range of situations.

The first stage in the development of the guide was to commission the Kings Fund to carry out a literature review in the area of changing behaviour and provide a synthesis of the evidence. This aimed to identify the types of barriers that exist and the interventions that encourage clinicians to change.

We held a workshop with end users to support the process of development of the guide and to gain support for the overall direction of travel. The workshop explored the barriers that exist, interventions identified from the literature and basic drivers for change at an individual, local, and national level. We then carried out a targeted consultation on the draft guide over a 4 week period. The consultation comments received were extremely valuable and where appropriate, were incorporated into the guide.

A list of organisations and individuals who contributed to the development of this guide is available below.

This page was last updated: 01 March 2013

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Accessibility | Cymraeg | Freedom of information | Vision Impaired | Contact Us | Glossary | Data protection | Copyright | Disclaimer | Terms and conditions

Copyright 2014 National Institute for Health and Care Excellence. All rights reserved.

Accessibility | Cymraeg | Freedom of information | Vision Impaired | Contact Us | Glossary | Data protection | Copyright | Disclaimer | Terms and conditions

Copyright 2014 National Institute for Health and Care Excellence. All rights reserved.