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Using nudges to promote clinical decision making of healthcare professionals: A scoping review

Authors: Andreas Vilhelmsson; Anita Sant'Anna; Axel Wolf;

Using nudges to promote clinical decision making of healthcare professionals: A scoping review

Abstract

Nudging has been discussed in the context of policy and public health, but not so much within healthcare and how it can be applied to change the behavior of healthcare professionals (HCPs). This scoping review aimed to assess the empirical evidence on how nudging techniques can be used to affect the behavior of HCPs in clinical settings. A systematic database search was conducted for the period January 2010-December 2020 using the PRISMA extension for Scoping Review checklist. Two reviewers independently screened each article for inclusion. Included articles were reviewed to extract key information about each intervention, including purpose, target behavior, measured outcomes, key findings, nudging strategies used, and their theoretical underpinnings. Two independent dimensions were used to describe nudging strategies according to action and timing where each of the identified nudging strategies and objectives was characterized as active, passive, synchronous, or asynchronous. Of the included 51 articles, 40 reported statistically positive results, six reported no success and two reported mixed results. Thirteen different nudging strategies were identified aimed at modifying four types of HPCs behavior:prescriptions/orders, procedure, hand hygiene, and vaccination. The most common nudging strategy used involved default/pre-order nudges, followed by alerts/reminders and active choice. Both passive and active nudges showed positive results, highlighting the importance of long-term studies that evaluate if the desired outcome is maintained. Careful ethical consideration should however be given to passive strategies where the user might not be aware of the nudge.

Related Organizations
Keywords

Nudging; Behavior change; Decision architecture; Healthcare professionals; Intervention

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
views
OpenAIRE UsageCountsViews provided by UsageCounts
downloads
OpenAIRE UsageCountsDownloads provided by UsageCounts
0
Average
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9
5