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Table 5 Effects of implementation strategies on the determinants of nurses’ behavior in clinical practice by subgroup

From: Effects of implementation strategies on nursing practice and patient outcomes: a comprehensive systematic review and meta-analysis

Subgroup

Intention

Attitude (Dichot.)

Attitude (Cont.)

Knowledge

Perceived behavioral control

Skills

Perceived social norms

N

SMD (95% CI)

I2

N

OR (95% CI)

I2

N

SMD (95% CI)

I2

N

SMD (95% CI)

I2

N

SMD (95% CI)

I2

N

SMD (95% CI)

I2

N

SMD (95% CI)

I2

Strategy including group clinician education (GCE) vs a strategy that does not include GCE or no active intervention

4

0.43

(-0.12, 0.99)

69%

2

2.59

(0.48, 13.87)

27%

32

0.54a

(0.19, 0.89)

93%

38

1.07a

(0.73, 1.40)

93%

17

0.75a

(0.33, 1.17)

93%

9

0.64a

(0.33, 0.95)

53%

3

0.23a

(0.01, 0.45)

0%

 GCE only vs a strategy that does not include GCE or no active intervention

··

··

··

··

··

··

5

0.18

(-0.12, 0.48)

40%

··

··

··

··

··

··

··

··

··

··

··

··

 GCE only vs no active intervention

··

··

··

··

··

··

4

0.13

(-0.23, 0.50)

51%

2

1.37

(-1.15, 3.89)

98%

5

0.27a

(0.03, 0.50)

0%

 

··

··

··

··

··

Strategy including individual clinician education (ICE) vs a strategy that does not include ICE or no active intervention

2

0.16

(-0.31, 0.63)

24%

2

1.65

(0.71, 3.83)

0%

30

0.68a

(0.31, 1.05)

93%

42

1.03a (0.73,1.33)

91%

14

0.89a

(0.39, 1.38)

93%

8

0.49a

(0.22, 0.77)

24%

··

··

··

 ICE only vs a strategy that does not include ICE or no active intervention

··

··

··

··

··

··

5

0.08

(-0.47, 0.63)

79%

.

··

··

··

··

.

··

··

··

··

··

··

 ICE only vs no active intervention

··

··

··

··

··

··

3

-0.08

(-0.43, 0.26)

0%

3

0.33

(-0.67, 1.33)

85%

3

0.31

(-0.45, 1.08)

    

··

··

··

Strategy including reminders vs a strategy that does not include reminders or no active intervention

··

··

··

··

··

··

5

1.10

(-0.41, 2.60)

97%

10

1.07a

(0.41, 1.74)

92%

3

7.48a

(6.74, 8.21)

84%

··

··

··

··

··

··

Strategy including a patient-mediated intervention (PMI) vs a strategy that does not include PMI or no active intervention

··

··

··

··

··

··

··

··

··

…

.

··

··

··

··

··

··

··

··

··

··

Strategy including audit and feedback (A&F) vs a strategy that does not include A&F or no active intervention

··

··

··

··

··

··

3

0.20a

(0.01, 0.38)

0%

4

-0.17

(-0.97, 0.64)

87%

··

··

··

··

··

··

··

··

··

Strategy including a tailored intervention (TI) vs a strategy that does not include TI or no active intervention

··

··

··

··

··

··

4

0.28

(-0.01, 0.57)

65%

5

0.53

(-0.04, 1.09)

91%

··

··

··

··

··

··

··

··

··

Strategy including opinion leaders (OLs) vs a strategy that does not include OLs or no active intervention

··

··

··

··

··

··

··

··

··

3

0.03

(-0.20, 0.27)

0%

··

··

··

··

··

··

··

··

··

  1. aDenotes a statistically significant result (i.e., two-sided p value of less than 0.05)