Identifying the barriers and enablers in the implementation of the New Zealand and Australian Antenatal Corticosteroid Clinical Practice Guidelines

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dc.contributor.author McGoldrick, EL en
dc.contributor.author Crawford, Tineke en
dc.contributor.author Brown, Julie en
dc.contributor.author Allan, Katie en
dc.contributor.author Crowther, Caroline en
dc.date.accessioned 2017-11-20T01:33:36Z en
dc.date.available 2016-10-18 en
dc.date.issued 2016-10-28 en
dc.identifier.citation BMC Health Services Research, 16(1):617-617, 28 Oct 2016 en
dc.identifier.issn 1472-6963 en
dc.identifier.uri http://hdl.handle.net/2292/36472 en
dc.description.abstract The ineffective implementation of evidence based practice guidelines can mean that the best health outcomes are not achieved. This study examined the barriers and enablers to the uptake and implementation of the new bi-national (Australia and New Zealand) antenatal corticosteroid clinical practice guidelines among health professionals, using the Theoretical Domains Framework.Semi-structured interviews or online questionnaires were conducted across four health professional groups and three district health boards in Auckland, New Zealand. The questions were constructed to reflect the 14 behavioural domains from the Theoretical Domains Framework. Relevant domains were identified by the presence of conflicting beliefs within a domain; the frequency of beliefs; and the likely strength of the impact of a belief on the behaviour using thematic analysis. The influence of health professional group and organisation on the different barriers and enablers identified were explored.Seventy-three health professionals completed either a semi-structured interview (n = 35) or on-line questionnaire (n = 38). Seven behavioural domains were identified as overarching enablers: belief about consequences; knowledge; social influences; environmental context and resource; belief about capabilities; social professional role and identity; and behavioural regulation. Five behavioural domains were identified as overarching barriers: environmental context and resources; knowledge; social influences; belief about consequences; and social professional role and identity. Differences in beliefs between individual health professional groups were identified within the domains: belief about consequences; social professional role and identity; and emotion. Organisational differences were identified within the domains: belief about consequences; social influences; and belief about capabilities.This study has identified some of the enablers and barriers to implementation of the New Zealand and Australian Antenatal Corticosteroid Clinical Practice Guidelines using the validated Theoretical Domains Framework, as perceived by health professionals. We have identified differences between individual health professional groups and organisations. The identification of these behavioural determinants can be used to enhance an implementation strategy, assist in the design of interventions to achieve improved implementation and facilitate process evaluations to understand why or how change interventions are effective. en
dc.description.uri https://www.ncbi.nlm.nih.gov/pubmed/27793150 en
dc.format.medium Electronic en
dc.language English en
dc.publisher BioMed Central en
dc.relation.ispartofseries BMC Health Services Research en
dc.rights Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher. Details obtained from http://sherpa.ac.uk/romeo/issn/1472-6963/ https://www.biomedcentral.com/getpublished/copyright-and-license en
dc.rights.uri https://researchspace.auckland.ac.nz/docs/uoa-docs/rights.htm en
dc.rights.uri https://creativecommons.org/licenses/by/4.0/ en
dc.subject Humans en
dc.subject Adrenal Cortex Hormones en
dc.subject Prenatal Care en
dc.subject Attitude of Health Personnel en
dc.subject Health Knowledge, Attitudes, Practice en
dc.subject Professional Role en
dc.subject Perception en
dc.subject Adult en
dc.subject Middle Aged en
dc.subject Health Personnel en
dc.subject Organizational Innovation en
dc.subject Professional Practice en
dc.subject Guideline Adherence en
dc.subject Australia en
dc.subject New Zealand en
dc.subject Female en
dc.subject Male en
dc.subject Practice Guidelines as Topic en
dc.subject Evidence-Based Practice en
dc.subject Young Adult en
dc.title Identifying the barriers and enablers in the implementation of the New Zealand and Australian Antenatal Corticosteroid Clinical Practice Guidelines en
dc.type Journal Article en
dc.identifier.doi 10.1186/s12913-016-1858-8 en
pubs.issue 1 en
pubs.begin-page 617 en
pubs.volume 16 en
dc.rights.holder Copyright: The authors en
dc.identifier.pmid 27793150 en
pubs.author-url https://bmchealthservres.biomedcentral.com/articles/10.1186/s12913-016-1858-8 en
pubs.end-page 617 en
pubs.publication-status Published en
dc.rights.accessrights http://purl.org/eprint/accessRights/OpenAccess en
pubs.subtype Article en
pubs.elements-id 679099 en
pubs.org-id Liggins Institute en
pubs.org-id LiFePATH en
pubs.org-id Medical and Health Sciences en
pubs.org-id School of Medicine en
pubs.org-id Obstetrics and Gynaecology en
dc.identifier.eissn 1472-6963 en
pubs.record-created-at-source-date 2017-11-20 en
pubs.dimensions-id 27793150 en


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