Implementing an intervention to promote normal labour and birth: A study of clinicians’ perceptions

Shee, Anna Wong; Nagle, Cate; Corboy, Denise; Versace, Vincent L.; Robertson, Carolyn; Frawley, Natasha; McKenzie, AnneMarie; Lodge, Julie

doi:10.1016/j.midw.2018.12.005

Cited by 4 publications

(7 citation statements)

References 24 publications

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“…Of the 14 publications that reported the use of a theory, model and/or framework, as per Nilsen's [16] categories (and in order of most common), five referred to a determinant framework [189][190][191][192][193], four referred to an implementation theory [186,[194][195][196], two referred to a classic theory [197,198], one referred to an evaluation framework [199] and one referred to a process model [200] (see Table 3). The remaining publication referred to the 'evidence-based stages of implementation devised by the National Implementation Research Network (NIRN)' [201], which appears to be beyond Nilsen's categories-this might be because the framework is not espoused to be used in a linear fashion; but rather, its components are said to interact throughout the implementation process [202].…”

Section: Theories Models and Framework: Presentmentioning

confidence: 99%

“…Published within the last 10 years-between 2011 and 2019 (inclusive)-the 14 publications reported on studies conducted in hospital maternity units [189,191,194,195,197,198,200,201] or across both hospital and community-based services [186,190,192,196,199]. These studies were conducted in Australia (35.7%) [189,191,193,195,197]; the UK (28.6%) [186,194,196,201]; as well as the USA [200], Kenya [190], Morocco [192], Spain [198] and Zambia [199]. Collectively, this suggests the studies were chiefly conducted within western health systems.…”

Section: Theories Models and Framework: Presentmentioning

confidence: 99%

“…Collectively, this suggests the studies were chiefly conducted within western health systems. Several studies involved clinicians (57.1%) [186,189,191,193,194,[196][197][198], chiefly maternity care clinicians, like midwives [186,189,191,193,194,[196][197][198]. Others involved both maternity care clinicians and pregnant women [192,195,201]; only pregnant women [200]; or various participants including clinicians, policymakers, mothers, husbands and community leaders [190,199].…”

Section: Theories Models and Framework: Presentmentioning

confidence: 99%

“…Classic theories are those sourced from disciplines beyond implementation science, including (but not limited to) 'psychology, sociology and organisational theory, to… understand… aspects of implementation' [16]. Only two publications referred such a theory-these included the theory of reasoned action [198]; and the theory of planned behaviour [197]. The former postulates that 'behavioural intentions, which are the immediate antecedents to behaviour, are a function of salient information or beliefs about the likelihood that… a particular behaviour will lead to a specific outcome' [204].…”

Section: Classic Theoriesmentioning

confidence: 99%

“…Conversely, Wong Shee and colleagues [197] used the theory of planned behaviour to clarify why clinicians (do not) comply with evidence-based guidelines, with particular reference to 'attitudes, subjective norms and perceived behavioural control'. This was achieved by using the theory to inform the collection and analysis of data, collected from midwives, obstetricians, general practice obstetricians, obstetric registrars and resident medical officers, via surveys and focus groups.…”

Section: Classic Theoriesmentioning

confidence: 99%

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Implementation science in maternity care: a scoping review

Piper

Coates

2021

Implementation Sci

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Background Despite wide recognition that clinical care should be informed by the best available evidence, this does not always occur. Despite a myriad of theories, models and frameworks to promote evidence-based population health, there is still a long way to go, particularly in maternity care. The aim of this study is to appraise the scientific study of methods to promote the systematic uptake of evidence-based interventions in maternity care. This is achieved by clarifying if and how implementation science theories, models, and frameworks are used. Methods To map relevant literature, a scoping review was conducted of articles published between January 2005 and December 2019, guided by Peters and colleagues’ (2015) approach. Specifically, the following academic databases were systematically searched to identify publications that presented findings on implementation science or the implementation process (rather than just the intervention effect): Business Source Complete; CINAHL Plus with Full Text; Health Business Elite; Health Source: Nursing/Academic Edition; Medline; PsycARTICLES; PsycINFO; and PubMed. Information about each study was extracted using a purposely designed data extraction form. Results Of the 1181 publications identified, 158 were included in this review. Most of these reported on factors that enabled implementation, including knowledge, training, service provider motivation, effective multilevel coordination, leadership and effective communication—yet there was limited expressed use of a theory, model or framework to guide implementation. Of the 158 publications, 144 solely reported on factors that helped and/or hindered implementation, while only 14 reported the use of a theory, model and/or framework. When a theory, model or framework was used, it typically guided data analysis or, to a lesser extent, the development of data collection tools—rather than for instance, the design of the study. Conclusion Given that models and frameworks can help to describe phenomenon, and theories can help to both describe and explain it, evidence-based maternity care might be promoted via the greater expressed use of these to ultimately inform implementation science. Specifically, advancing evidence-based maternity care, worldwide, will require the academic community to make greater explicit and judicious use of theories, models, and frameworks. Registration Registered with the Joanna Briggs Institute (registration number not provided).

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