Table 7 Enablers and Barriers to a Successful Curriculum

Barrier

Studies

Insufficient time for training

[7, 42, 44, 55, 70, 72, 79, 81, 83, 85, 97, 100, 101, 105, 125, 128, 133, 143]

Participant resistance to curriculum

[84, 88, 111, 115, 125, 126, 128, 150, 151]

Inexperience among participants with empathetic communication prior to curriculum

[59, 89, 91, 128, 149, 151]

Stressors outside curriculum affecting participant performance

[5, 41, 97, 148, 151]

Poor role modelling outside of curriculum time

[13, 80, 83, 84, 115, 118, 124, 126]

Lack of resources

[7, 62]

Lack of incentive for participants

[5, 118]

Enablers

Studies

Adequacy of financial support

[2, 3, 6, 12, 15, 19, 38, 43,45,45, 50, 54, 56, 59, 61, 64, 70, 71, 75, 77, 78, 80, 84, 96, 100, 106, 113,115,115, 117, 120, 138, 145]

Timing of curriculum was convenient for participants

[47, 55, 63, 130, 151]

Participants were motivated

[77]

Participant exposure to role models outside of intervention

[16, 58, 62]