Factors | Description |
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1. Psychological and emotional | Healthcare professionals’ confidence, invulnerability, feelings, and justification towards hospital standardization. E.g., high levels of confidence with treatment choices would lead oncologists to adapt the recommendations for cancer pain management [63] |
2. Cognitive | Healthcare professionals’ attitudes and beliefs towards hospital standardization. E.g., nurses justifying adaptations when they believe that rules and policies are not in the best interest of the patient [75] |
3. Motivational | Healthcare professionals’ moral responsibility, obligation, and personal comfort with hospital standardization. E.g., physicians stating that following tuberculosis infection control practices is a moral responsibility [33] |
4. Knowledge and experience | Healthcare professionals’ individual knowledge, education, and experience with hospital standardization. E.g., nurses increased knowledge and clinical experience with standard precautions showed a positive correlation with adaptations [42, 29] |
5. Professional role | Healthcare professionals’ authority, autonomy, and clinical judgement related to hospital standardization. E.g., nurses using discretionary judgement to selectively make decisions about when to enforce a strict interpretation of the hospital policy for surgical count or not [59] |
6. Risk management | Healthcare professionals’ self-protection and safety precautions related to hospital standardization. E.g., wanting to protect themselves from the personal costs of getting infections [41] or being reprimanded or reported [71] |
7. Patient and family | Healthcare professionals’ desire to meet patient and family needs and expectations, and to protect them. E.g., reduced use of facemasks to prevent patients feeling stigmatized or isolated [24] |
8. Work relationships | Healthcare professionals’ collaborative environment, collegial support, communication, and teamwork. E.g., teamwork and collegial support influencing how successful the use of fall prevention guidelines are [71] |