Implementation of national childbirth guidelines in Brazil: barriers and strategies
The present report describes the process and results obtained with a knowledge translation project developed in three stages to identify barriers to the Implementation of the National Guidelines for Normal Childbirth in Brazil, as well strategies for effective implementation. The Improving Programme...
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2020
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ftdoajarticles:oai:doaj.org/article:ac1c9fbe44de409ea8efdb4b8aabb9c0 2023-05-15T15:12:39+02:00 Implementation of national childbirth guidelines in Brazil: barriers and strategies Jorge Otávio Maia Barreto Maritsa C. Bortoli Cézar D. Luquine Jr. Cintia F. Oliveira Tereza S. Toma Aline A. V. Ribeiro Taís R. Tesser Daphne Rattner Avila Vidal Yluska Mendes Viviane Carvalho Mônica Almeida Neri Evelina Chapman 2020-12-01T00:00:00Z https://doi.org/10.26633/RPSP.2020.170 https://doaj.org/article/ac1c9fbe44de409ea8efdb4b8aabb9c0 EN ES PT eng spa por Pan American Health Organization https://iris.paho.org/handle/10665.2/53158 https://doaj.org/toc/1020-4989 https://doaj.org/toc/1680-5348 1020-4989 1680-5348 doi:10.26633/RPSP.2020.170 https://doaj.org/article/ac1c9fbe44de409ea8efdb4b8aabb9c0 Revista Panamericana de Salud Pública, Vol 44, Iss 170, Pp 1-9 (2020) evidence-informed policy implementation science evidence-based practice practice guideline natural childbirth brazil Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 article 2020 ftdoajarticles https://doi.org/10.26633/RPSP.2020.170 2022-12-31T06:03:04Z The present report describes the process and results obtained with a knowledge translation project developed in three stages to identify barriers to the Implementation of the National Guidelines for Normal Childbirth in Brazil, as well strategies for effective implementation. The Improving Programme Implementation through Embedded Research (iPIER) model and the Supporting Policy Relevant Reviews and Trials (SUPPORT) tools provided the methodological framework for the project. In the first stage, the quality of the Guidelines was evaluated and the barriers preventing implementation of the recommendations were identified through review of the global evidence and analysis of contributions obtained in a public consultation process. In the second stage, an evidence synthesis was used as the basis for a deliberative dialogue aimed at prioritizing the barriers identified. Finally, a second evidence synthesis was presented in a new deliberative dialogue to discuss six options to address the prioritized barriers: 1) promote the use of multifaceted interventions; 2) promote educational interventions for the adoption of guidelines; 3) perform audits and provide feedback to adjust professional practice; 4) use reminders to mediate the interaction between workers and service users; 5) enable patient-mediated interventions; and 6) engage opinion leaders to promote use of the Guidelines. The processes and results associated with each stage were documented and formulated to inform a review and update of the Guidelines and the development of an implementation plan for the recommendations. Effective implementation of the Guidelines is important for improving the care provided during labor and childbirth in Brazil. Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic Revista Panamericana de Salud Pública 44 1 |
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Open Polar |
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Directory of Open Access Journals: DOAJ Articles |
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ftdoajarticles |
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English Spanish Portuguese |
topic |
evidence-informed policy implementation science evidence-based practice practice guideline natural childbirth brazil Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
spellingShingle |
evidence-informed policy implementation science evidence-based practice practice guideline natural childbirth brazil Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 Jorge Otávio Maia Barreto Maritsa C. Bortoli Cézar D. Luquine Jr. Cintia F. Oliveira Tereza S. Toma Aline A. V. Ribeiro Taís R. Tesser Daphne Rattner Avila Vidal Yluska Mendes Viviane Carvalho Mônica Almeida Neri Evelina Chapman Implementation of national childbirth guidelines in Brazil: barriers and strategies |
topic_facet |
evidence-informed policy implementation science evidence-based practice practice guideline natural childbirth brazil Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
description |
The present report describes the process and results obtained with a knowledge translation project developed in three stages to identify barriers to the Implementation of the National Guidelines for Normal Childbirth in Brazil, as well strategies for effective implementation. The Improving Programme Implementation through Embedded Research (iPIER) model and the Supporting Policy Relevant Reviews and Trials (SUPPORT) tools provided the methodological framework for the project. In the first stage, the quality of the Guidelines was evaluated and the barriers preventing implementation of the recommendations were identified through review of the global evidence and analysis of contributions obtained in a public consultation process. In the second stage, an evidence synthesis was used as the basis for a deliberative dialogue aimed at prioritizing the barriers identified. Finally, a second evidence synthesis was presented in a new deliberative dialogue to discuss six options to address the prioritized barriers: 1) promote the use of multifaceted interventions; 2) promote educational interventions for the adoption of guidelines; 3) perform audits and provide feedback to adjust professional practice; 4) use reminders to mediate the interaction between workers and service users; 5) enable patient-mediated interventions; and 6) engage opinion leaders to promote use of the Guidelines. The processes and results associated with each stage were documented and formulated to inform a review and update of the Guidelines and the development of an implementation plan for the recommendations. Effective implementation of the Guidelines is important for improving the care provided during labor and childbirth in Brazil. |
format |
Article in Journal/Newspaper |
author |
Jorge Otávio Maia Barreto Maritsa C. Bortoli Cézar D. Luquine Jr. Cintia F. Oliveira Tereza S. Toma Aline A. V. Ribeiro Taís R. Tesser Daphne Rattner Avila Vidal Yluska Mendes Viviane Carvalho Mônica Almeida Neri Evelina Chapman |
author_facet |
Jorge Otávio Maia Barreto Maritsa C. Bortoli Cézar D. Luquine Jr. Cintia F. Oliveira Tereza S. Toma Aline A. V. Ribeiro Taís R. Tesser Daphne Rattner Avila Vidal Yluska Mendes Viviane Carvalho Mônica Almeida Neri Evelina Chapman |
author_sort |
Jorge Otávio Maia Barreto |
title |
Implementation of national childbirth guidelines in Brazil: barriers and strategies |
title_short |
Implementation of national childbirth guidelines in Brazil: barriers and strategies |
title_full |
Implementation of national childbirth guidelines in Brazil: barriers and strategies |
title_fullStr |
Implementation of national childbirth guidelines in Brazil: barriers and strategies |
title_full_unstemmed |
Implementation of national childbirth guidelines in Brazil: barriers and strategies |
title_sort |
implementation of national childbirth guidelines in brazil: barriers and strategies |
publisher |
Pan American Health Organization |
publishDate |
2020 |
url |
https://doi.org/10.26633/RPSP.2020.170 https://doaj.org/article/ac1c9fbe44de409ea8efdb4b8aabb9c0 |
geographic |
Arctic |
geographic_facet |
Arctic |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
Revista Panamericana de Salud Pública, Vol 44, Iss 170, Pp 1-9 (2020) |
op_relation |
https://iris.paho.org/handle/10665.2/53158 https://doaj.org/toc/1020-4989 https://doaj.org/toc/1680-5348 1020-4989 1680-5348 doi:10.26633/RPSP.2020.170 https://doaj.org/article/ac1c9fbe44de409ea8efdb4b8aabb9c0 |
op_doi |
https://doi.org/10.26633/RPSP.2020.170 |
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Revista Panamericana de Salud Pública |
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44 |
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