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Implementation of Nationwide Evidence- and Consensus-Based Guidelines to Harmonize Neonatal Care in The Netherlands

Authors :
Talsma, Elise
De Jonge, Rogier
Cassel, Florian
Van De Loo, Moniek
De Bijl-Marcus, Karen
Mulder, Estelle
Niemarkt, Hendrik
Prins, Sandra
Van Der Putten, Mayke
Van Stuijvenberg, Margriet
Visser, Remco
Oerlemans, Anke
Hogeveen, Marije
Pediatric surgery
Amsterdam Reproduction & Development (AR&D)
Neonatology
RS: FHML non-thematic output
Kindergeneeskunde
MUMC+: MA Medische Staf Kindergeneeskunde (9)
Faculteit Medische Wetenschappen/UMCG
Pediatric Surgery
Pediatrics
Source :
Indian pediatrics, 59(5), 371-376. Springer India, Indian Pediatrics, 59, 371-376, Indian Pediatrics, 59(5), 371-376. Springer, Indian Pediatrics, 59(5), 371-376. SPRINGER INDIA, Talsma, E, de Jonge, R, Cassel, F, van de Loo, M, de Bijl-Marcus, K, Mulder, E, Niemarkt, H, Prins, S, van der Putten, M, van Stuijvenberg, M, Visser, R, Oerlemans, A & Hogeveen, M 2022, ' Implementation of Nationwide Evidence-and Consensus-Based Guidelines to Harmonize Neonatal Care in The Netherlands ', Indian pediatrics, vol. 59, no. 5, pp. 371-376 . https://doi.org/10.1007/s13312-022-2516-3, Indian Pediatrics, 59, 5, pp. 371-376, Indian Pediatrics, 59(5), 371-376. Springer India
Publication Year :
2022

Abstract

Contains fulltext : 283130.pdf (Publisher’s version ) (Closed access) BACKGROUND: A Dutch committee for National Guidelines in Neonatology developed nineteen evidence- and consensus-based guidelines to be used in all Dutch neonatal intensive care units (NICUs). The primary goal was to make clinical practices more uniform and consistent. OBJECTIVE: This study investigated to what extent the guidelines were implemented and which factors played a role in implementation. STUDY DESIGN: A mixed method study design was used to investigate both the level and the process of implementation. A nationwide, multicenter, cross-sectional survey was performed using a validated instrument for measuring the level of implementation (Normalization MeAsure Development questionnaire, NoMAD). The number of implemented guidelines per NICU and the frequency and content of the amendments that NICUs made to the original consensus guidelines were analyzed. Through semi-structured interviews, perceived barriers and facilitators for implementation were explored. PARTICIPANTS: Fellows and neonatologists working at all ten Dutch level 3-4 NICUs were eligible. RESULTS: On an average, NICUs implemented 12.6 (of 19) guidelines (range 6-17). The Normalization Process Scale was 54 (of 65). Main influencing factors impeding implementation were guideline-related (e.g., unpractical, lengthy guidelines) and personal (e.g., an active representative responsible for local implementation). CONCLUSION: The implementation of our guidelines appears to be successful. Ways for improvement can be distinguished in personal, guideline-related and external factors. Empowerment of local representatives was considered most essential.

Details

Language :
English
ISSN :
00196061 and 09747559
Volume :
59
Issue :
5
Database :
OpenAIRE
Journal :
Indian pediatrics
Accession number :
edsair.doi.dedup.....7639da193045aca0deb00b4d2ad9d40d