Barriers to and enablers of evidence‐based practice in perinatal care in the SEA‐ORCHID project

Turner, Tari; Short, Jacki

doi:10.1111/j.1365-2753.2011.01810.x

Cited by 9 publications

(17 citation statements)

References 10 publications

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Section: Discussionmentioning

confidence: 99%

“…These data indicate that the programme is highly practical in terms of its organization, teaching staff and methodology. These data are interesting given the importance that these quality indicators are acquiring as a result of studies on the dynamics of human processes in general, and educational processes in particular, which show that relationships between the participants involved give rise to a particular internal climate which, on many occasions, leads to emotionally close relationships and positive stimuli that are much more valuable than the simple results of the learning process [43][44][45][46]. The efficiency indicators show a drop in the consumption of toxic substances, an improvement in health habits, a significant increase in the perception of knowledge and high satisfaction levels, as well as specifications of the improvements called for by the population that will allow specific strategies to be designed to increase quality.…”

Section: Discussionmentioning

confidence: 99%

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Assessment of the pregnancy education programme with ‘EDUMA2’ questionnaire in Madrid (Spain)

Fernández-Arroyo

Muñoz

Torres

2014

Evaluation Clinical Practice

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Rationale, aims and objectivesThe prenatal education promotes the empowerment of parents during pregnancy and postnatal period. This study aimed to assess the quality of educational sessions held in the third trimester of pregnancy as part of the parenting education programme for Spanish National Health System in Madrid.MethodsThe design is a cross-sectional study in 41 primary care centres in the autonomous community of Madrid, which is one of the 17 autonomous communities that constitute the Spanish State, each wick medical responsibilities. The participants are a representative probability sample of 928 attendees to the programme. The assessment instrument is ‘EDUMA2’ questionnaire (Cronbach's alpha = 0.829) of 56 variables. Descriptive statistical analysis was performed using SPSS. The project was approved by the Research and Ethics Committees of the University Hospital of La Paz.ResultsThe uptake efficiency immigration risk is 14.7%, and lack of social support is 8.7%. The functionality in organization, teaching and methodology is high in 90.5%. The learning effectiveness of health habits, care and techniques is significant and greater than 60% in the 14 parameters studied. Satisfaction is very high at 67.5%. The immediate impact in terms of control or safety increase is significant and greater than 71% and significantly greater than 40% and for increasing the bonding with the baby.ConclusionsNo jobs found with which to compare. The assessment of the programme with adequate psychometric characteristics questionnaire allows designing strategies and research to improve the quality of prenatal education.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Assessment of the pregnancy education programme with ‘EDUMA2’ questionnaire in Madrid (Spain)

Fernández-Arroyo

Muñoz

Torres

2014

Evaluation Clinical Practice

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“…Although the use of evidence-based perinatal care can be effective (23), prenatal education has not been well researched in the studies. Also, contrary to the advice of existing evidence, education does not have woman-centered focus, thus behavior changes do not seem to be fit.…”

Section: Discussionmentioning

confidence: 99%

The Iranian Integrated Maternal Health Care Guideline Based on Evidence-Based Medicine and American Guidelines: A Comparative Study

et al. 2016

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Background: There is a little consistency among prenatal care guidelines. An evidence-based guideline can be used to improve the quality of the mother and child health care. This study was designed to compare the consistency of the Iranian integrated maternal health care guideline with evidence-based prenatal care manuals and American guidelines. Methods: In this comparative study, the Iranian guideline recommendations were compared with the content of American prenatal care according to obstetrics and gynecology recommendations of the U.S. preventive services task force and evidence-based prenatal care. The strength of the recommendations was assessed based on evidence-based medicine. Results: In this study, 71 recommendations were compared in four parts. About 18.3 percent of the recommendations were consistent with all guidelines. Screening for group B streptococcus, performing chorionic villous sampling and amniocentesis for at risk women, and anomaly screening were not mentioned in the Iranian guideline. The Iranian guideline was consistent with the content of U.S. preventive services task force in 38% of the recommendations, American Obstetricians and Gynecologists expert panel guidelines in 75.6% of the recommendations, and with evidence-based care in 66.2% of the recommendations. Conclusions: Although there was a little consistency among guidelines, the Iranian guideline had a good consistency with the American guidelines and evidence-based care recommendations. Updating clinical tests and the prenatal screening part of the Iranian guideline based on the results of this study may increase the effectiveness of the prenatal care and ultimately improve the mother and child's health.

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“…on whether or not to implement guidelines. This barrier has been pointed out in several studies carried out in various settings [9][10][11][12][13][14][15][16][17][18][19][20][21][22] . Moreover, Chapman et al has observed that if a team practice is tailored according to the team head, the choice of which CPG to adopt might change if a new team head is appointed [19] .…”

Section: Table 1: Demographics Of Participantsmentioning

confidence: 99%

“…It can be argued that the physicians in this study perceived their lack of awareness of the guideline and a lack of knowledge as a barrier to implementation. This has been one of the most reported barriers across studies in this topic [20][21][22]24] . This lack of knowledge could be divided into two types; first, the lack of knowledge about the guideline itself which has been labeled as awareness in some studies [23,25] , and second, lack of knowledge in the usage or application of the guidelines, which has been labeled as skills in other studies [22,24] .…”

Section: Table 1: Demographics Of Participantsmentioning

confidence: 99%

A Study of Barriers and Facilitators of Clinical Practice Guidelines Implementation among Physicians

Alnaim¹,

Almazrou²

2017

pharmaceutical-sciences

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Alnaim and Almazrou.: Barriers and Facilitators of Clinical Practice GuidelinesThere is a gap in understanding the barriers and facilitators related to guideline implementation in Saudi Arabia. A descriptive cross sectional study was conducted to identify the factors that may act as barriers or facilitators of clinical practice guidelines used by physicians working in Riyadh, Saudi Arabia. A survey was distributed to 215 physicians working at universities and government hospitals in Riyadh city. The survey was pilot-tested on a small group of physicians to improve the clarity and limit response bias. A total of 157 physicians completed the questionnaire. About 88.5% of the physicians indicated that they did implement clinical practice guidelines in their practice while 9.6% declared that they did not implement any guidelines. Clinical practice guideline implementation was not affected by the physician role, years of experience or nationality. There were less female physicians that opted for clinical practice guidelines (P<0.5). Eighty four percent of the physicians chose them because they are evidence-based while only 40.1% incorporated them because it was part of their institutions' regulation. There was a weak positive relation between the total scores of barriers and facilitators assessment tool and the nationality of the physician. The reasons for choosing specific guidelines were not determined by the physician role, years of experience, nationality or gender. Most agreed that clinical practice guidelines served as a good foundation for self-study and still provide space for them to come to their own conclusions, but at the same time, they would like to know more about them before they decide to apply it. The implementation of guidelines was obstructed by three barriers, which were lack of support by the leadership, lack of awareness and lack of knowledge. On the other hand, the ease of access and autonomy has driven the implementation of clinical practice guidelines. Nonetheless, the barriers and facilitators experienced by the physicians may differ depending on their ethnicity and gender.

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Barriers to and enablers of evidence‐based practice in perinatal care in the SEA‐ORCHID project

Cited by 9 publications

References 10 publications

Assessment of the pregnancy education programme with ‘EDUMA2’ questionnaire in Madrid (Spain)

Assessment of the pregnancy education programme with ‘EDUMA2’ questionnaire in Madrid (Spain)

The Iranian Integrated Maternal Health Care Guideline Based on Evidence-Based Medicine and American Guidelines: A Comparative Study

A Study of Barriers and Facilitators of Clinical Practice Guidelines Implementation among Physicians

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