{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T00:47:18Z","timestamp":1787014038458,"version":"build-2736575974"},"reference-count":28,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2015,3,5]],"date-time":"2015-03-05T00:00:00Z","timestamp":1425513600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100001826","name":"Netherlands Organisation for Health Research and Development","doi-asserted-by":"publisher","award":["208020001"],"award-info":[{"award-number":["208020001"]}],"id":[{"id":"10.13039\/501100001826","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Contact Dermatitis"],"published-print":{"date-parts":[[2015,5]]},"abstract":"<jats:title>Summary<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Evidence\u2010based recommendations are available for the prevention of hand eczema among healthcare workers. However, the implementation of these recommendations is not always successful.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To identify barriers and facilitators in the implementation of recommendations for the prevention of hand eczema among healthcare workers alongside a randomized controlled trial.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A qualitative study was performed in which 19 healthcare workers were interviewed. The interview transcripts were open coded and also coded by means of a template by two researchers to identify relevant barriers and facilitators.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Most barriers and facilitators reported for the recommendations were found at the level of the innovation (e.g. the recommendations), whereas for the guideline as a whole, multiple levels (socio\u2010political, organization, user, and facilities) were identified.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>To enhance the implementation of recommendations for the prevention of hand eczema in a healthcare setting, having knowledge about these recommendations seems to be an important first step. In addition, maintaining the attention of the subject, testing the products beforehand and close collaboration with the infection control department might enhance implementation. Furthermore, it is important that the recommendations fit in with the work of the healthcare workers. When the implementation of the recommendations is prepared, these points should be taken into account.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/cod.12331","type":"journal-article","created":{"date-parts":[[2015,3,5]],"date-time":"2015-03-05T00:41:39Z","timestamp":1425516099000},"page":"325-336","source":"Crossref","is-referenced-by-count":17,"title":["Barriers and facilitators in the implementation of recommendations for hand eczema prevention among healthcare workers"],"prefix":"10.1111","volume":"72","author":[{"given":"Esther W. C.","family":"van der Meer","sequence":"first","affiliation":[{"name":"Department of Public and Occupational Health EMGO Institute for Health and Care Research, VU University Medical Centre  van der Boechorststraat 7 1007MB Amsterdam The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joost W. J.","family":"van der Gulden","sequence":"additional","affiliation":[{"name":"Department of Primary and Community Care Centre for Family Medicine, Geriatric Care and Public Health, Radboud University Nijmegen Medical Centre  Geert Grooteplein\u2010Zuid 10 6500 HB Nijmegen The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Diana","family":"van Dongen","sequence":"additional","affiliation":[{"name":"Department of Public and Occupational Health EMGO Institute for Health and Care Research, VU University Medical Centre  van der Boechorststraat 7 1007MB Amsterdam The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C\u00e9cile R. L.","family":"Boot","sequence":"additional","affiliation":[{"name":"Department of Public and Occupational Health EMGO Institute for Health and Care Research, VU University Medical Centre  van der Boechorststraat 7 1007MB Amsterdam The Netherlands"},{"name":"Body@Work, Research Centre Physical Activity, Work and Health, TNO\u2010VU University Medical Centre  van der Boechorststraat 7 1007MB Amsterdam The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Johannes R.","family":"Anema","sequence":"additional","affiliation":[{"name":"Department of Public and Occupational Health EMGO Institute for Health and Care Research, VU University Medical Centre  van der Boechorststraat 7 1007MB Amsterdam The Netherlands"},{"name":"Department of Primary and Community Care Centre for Family Medicine, Geriatric Care and Public Health, Radboud University Nijmegen Medical Centre  Geert Grooteplein\u2010Zuid 10 6500 HB Nijmegen The Netherlands"},{"name":"Research Centre for Insurance Medicine AMC\u2010UMCG\u2010UWV\u2010VU University Medical Centre  van der Boechorststraat 7 1007MB Amsterdam The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2015,3,5]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00420-002-0418-1"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.2340\/00015555-1672"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2133.2009.09099.x"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1067\/mjd.2002.122757"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0536.2011.02027.x"},{"key":"e_1_2_8_7_1","first-page":"46","article-title":"Hand dermatitis: a problem commonly affecting nurses","volume":"50","author":"Szepietowski J","year":"2005","journal-title":"Rocz Akad Med Bialymst"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1034\/j.1600-0536.2002.470501.x"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2133.2009.09226.x"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1034\/j.1600-0536.2001.440509.x"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1136\/oem.59.8.556"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.0105-1873.2006.00825.x"},{"key":"e_1_2_8_13_1","first-page":"71","article-title":"Experiences with implementation of evidence\u2010based prevention programs to prevent occupational skin diseases in different occupations","volume":"143","author":"Flyvholm M A","year":"2008","journal-title":"G Ital Dermatol Venereol"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00420-005-0016-0"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1186\/1748-5908-4-54"},{"key":"e_1_2_8_16_1","first-page":"e1","article-title":"Hands4U: a multifaceted strategy to implement guideline\u2010based recommendations to prevent hand eczema in health care workers: design of a randomised controlled trial and (cost) effectiveness evaluation","volume":"11","author":"Meer E W C","year":"2011","journal-title":"BMC Public Health"},{"key":"e_1_2_8_17_1","unstructured":"JungbauerF H W PiebengaW P tenBergeE Eet al.NVAB\u2010richtlijn: preventie contacteczeem [NVAB\u2010guideline: prevention of contact dermatitis] 2006."},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1186\/1472-6947-8-38"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.2340\/00015555-1830"},{"key":"e_1_2_8_20_1","doi-asserted-by":"publisher","DOI":"10.1093\/intqhc\/mzh030"},{"key":"e_1_2_8_21_1","doi-asserted-by":"publisher","DOI":"10.1177\/109019818401100101"},{"key":"e_1_2_8_22_1","doi-asserted-by":"publisher","DOI":"10.3233\/WOR-2012-1365"},{"key":"e_1_2_8_23_1","doi-asserted-by":"publisher","DOI":"10.1111\/bjd.12524"},{"key":"e_1_2_8_24_1","doi-asserted-by":"publisher","DOI":"10.1086\/596773"},{"key":"e_1_2_8_25_1","doi-asserted-by":"publisher","DOI":"10.1111\/cod.12131"},{"key":"e_1_2_8_26_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1468-2494.2012.00733.x"},{"key":"e_1_2_8_27_1","doi-asserted-by":"publisher","DOI":"10.1287\/isre.2.3.192"},{"key":"e_1_2_8_28_1","doi-asserted-by":"crossref","first-page":"57","DOI":"10.5694\/j.1326-5377.2004.tb05948.x","article-title":"What drives change? 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