Barriers and facilitators related to the uptake of four strategies to prevent neonatal early-onset group B haemolytic streptococcus disease: a qualitative study

BMC Pregnancy and Childbirth

Research Article

Margot A. H. Fleuren¹  Marlies E. B. Rijnders¹  Diny G. E. Kolkman²  Maurice G. A. J. Wouters³  Christianne J. M. de Groot³ 

[1] Department of Child Health, TNO, PO Box 3005, 2301 DA, Leiden, The Netherlands;Department of Child Health, TNO, PO Box 3005, 2301 DA, Leiden, The Netherlands;Department of Obstetrics and Gynaecology, VUmc, VU University Medical Centre, PO Box 7057, 1007 MB, Amsterdam, The Netherlands;Department of Obstetrics and Gynaecology, VUmc, VU University Medical Centre, PO Box 7057, 1007 MB, Amsterdam, The Netherlands;

关键词: Determinant analysis;    Early-onset group B streptococcus;    Guidelines;    Implementation;    Prevention;   

DOI  :  10.1186/s12884-017-1314-8

 received in 2016-03-01, accepted in 2017-04-24,  发布年份 2017

来源: Springer

【 摘 要 】

BackgroundActions to prevent early onset disease in neonates are based on different strategies including administering antibiotic prophylaxis during labour in case of 1) maternal GBS colonisation (screening strategy), 2) identified risk factors (risk-based strategy) or 3) a combination of these two conditions (maternal GBS colonisation and identified risk factors: combination strategy and the Dutch guideline). Low adherence to guidelines preventing EOGBS has been reported. Each strategy has drawbacks and clinical outcomes are affected by care providers’ and women’s adherence. The actual impact of any preventive strategy is the product of efficacy of the strategy and the level of implementation. In order to reduce neonatal death due to EOGBS by developing the optimal guideline, we analysed barriers and facilitators of current used strategies.MethodsFocus group and personal interviews with care providers and women were performed. Impeding and enhancing factors in adherence to the preventive strategies were discussed and scored using the Measurement Instrument for Determinants of Innovations (MIDI) and analysed by two independent researchers.ResultsOverall, care providers identified 3.6 times more factors that would impede (n = 116) rather than facilitate (n = 32) adherence to the preventive strategies. 28% facilitative factors were reported in relation to the combination strategy and 86% impeding factors in relation to the Dutch guideline. The most preferred strategy was the combination strategy by 74% of the care providers and by 86% of the women.DiscussionWe obtained a detailed understanding of factors that influence adherence to preventive strategies.This insight can be used to develop implementation activities to improve the uptake of new strategies.Trial registrationThe trial is registered in the Dutch Trial Register NTR3965.

【 授权许可】

CC BY   
© The Author(s). 2017