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(1). This theme is composed of factors relating to outcome measure use at the individual clinician level. Eleven papers identified issues relating to clinicians’ knowledge as influencing routine outcome measurement usage. Eight papers [22, 23, 25–27, 30, 32, 33] identified clinicians’ lack of knowledge about outcome measures’ reliability and validity as barriers to their use; whilst three papers [21, 29, 31] suggested that greater knowledge, understanding and familiarity of outcome measures’ increased the likelihood that they would be used in practice. One paper found that the use of outcome measures’ was more positively viewed by those with a Masters level qualification [12] and another identified that those who had a clinical specialty, as opposed to those who did not, were twice as likely to use outcome measures’ in practice [22]. The level of clinicians’ perceived value of outcome measurement use was discussed in seven papers [21, 22, 26, 29–32]. Four of them recognised that this factor was bi-directional [21, 29–31]. A lack of perceived value of outcome measures lead to a decreased likelihood of their use in practice, whilst greater perceived value appears to increase uptake.
(2)
Overcoming barriers to success involves assessing the situation, consulting experts, considering alternatives and taking action. To manage your career effectively, you need to take charge of your own development. By assessing your own skills, getting advice from others, learning new skills and making informed decisions, you can achieve your goals. Overcoming challenges and setbacks usually requires a positive attitude, as well as dedication and commitment.
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