However, it appears that defining ideal practices may be easier than getting clinicians to change their long-established habits.
Caregivers seem to resist change even when it's the right thing to do.
For example, in a 1994 study of how well oncology nurses comply with OSHA guidelines for handling cytotoxic drugs, researchers found that some of the nurses used some protective equipment when preparing and administering cytotoxic drugs, but the type of equipment and its frequency of use did not specifically meet OSHA guidelines. There two key factors that influence the caregiver's decision about adopting new practices. First, the practice changes you are asking them to make must have been proven to be the right thing to do. Unless a valid research study has substantiated the benefits of the new way of doing things, it's hard to create much enthusiasm for change. Second, the caregivers being asked to change their practices must personally feel it's the right thing to do.