Table 4 Barriers and facilitators of education and training

The feasibility of implementation is not considered

Professional needs

 • Limited human resources and numerous tasks

 • Staff resistance toward implementing a new program

[38]

[30, 32, 36]

•Intrinsic drive to acquire knowledge

•Desire for increased competence in clinical practice

[27, 28, 33, 34]

[31]

Limited by cost-effectiveness

The support and participation of management

[29, 34, 36]

 • Training cost is one of the important considerations

 • In the process of developing the course, more time and resources must be invested

[35]

[41]

Education and training created an on-trolled environment

[31, 34]