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Barriers to implementing guideline recommendations to improve childbirth care: a rapid review of evidence()
OBJECTIVE. To identify potential barriers to the implementation of the National Childbirth Guidelines in Brazil based on the best available global evidence. METHOD. A rapid review of evidence was performed in six databases in March/April 2019. Secondary studies published in English, Spanish, or Port...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Organización Panamericana de la Salud
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7898361/ https://www.ncbi.nlm.nih.gov/pubmed/33643394 http://dx.doi.org/10.26633/RPSP.2021.7 |
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author | Oliveira, Cintia de Freitas Ribeiro, Aline Ângela Victoria Luquine Jr., Cézar D. de Bortoli, Maritsa Carla Toma, Tereza Setsuko Chapman, Evelina Maria Gracia Barreto, Jorge Otávio Maia |
author_facet | Oliveira, Cintia de Freitas Ribeiro, Aline Ângela Victoria Luquine Jr., Cézar D. de Bortoli, Maritsa Carla Toma, Tereza Setsuko Chapman, Evelina Maria Gracia Barreto, Jorge Otávio Maia |
author_sort | Oliveira, Cintia de Freitas |
collection | PubMed |
description | OBJECTIVE. To identify potential barriers to the implementation of the National Childbirth Guidelines in Brazil based on the best available global evidence. METHOD. A rapid review of evidence was performed in six databases in March/April 2019. Secondary studies published in English, Spanish, or Portuguese with a focus on barriers of any nature relating to the implementation of the Guidelines were retrieved. RESULTS. Twenty-three documents (21 reviews and two practice guides) were included in the review. The barriers identified were grouped into 52 meaning categories and then reorganized into nine thematic clusters: delivery and childbirth care model, human resource management, knowledge and beliefs, gender relations, health care service management, attitudes and behaviors, communication, socioeconomic conditions, and political interests. CONCLUSIONS. The results show that combined approaches may be required to address different barriers to the implementation of the Guidelines. For successful implementation, it is essential to engage health care leaders, professionals, and users in the effort to change the delivery and childbirth care model. Also necessary is the development of intersectoral initiatives to improve the socioeconomic conditions of women and families and to curtail gender inequalities. |
format | Online Article Text |
id | pubmed-7898361 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Organización Panamericana de la Salud |
record_format | MEDLINE/PubMed |
spelling | pubmed-78983612021-02-26 Barriers to implementing guideline recommendations to improve childbirth care: a rapid review of evidence() Oliveira, Cintia de Freitas Ribeiro, Aline Ângela Victoria Luquine Jr., Cézar D. de Bortoli, Maritsa Carla Toma, Tereza Setsuko Chapman, Evelina Maria Gracia Barreto, Jorge Otávio Maia Rev Panam Salud Publica Review OBJECTIVE. To identify potential barriers to the implementation of the National Childbirth Guidelines in Brazil based on the best available global evidence. METHOD. A rapid review of evidence was performed in six databases in March/April 2019. Secondary studies published in English, Spanish, or Portuguese with a focus on barriers of any nature relating to the implementation of the Guidelines were retrieved. RESULTS. Twenty-three documents (21 reviews and two practice guides) were included in the review. The barriers identified were grouped into 52 meaning categories and then reorganized into nine thematic clusters: delivery and childbirth care model, human resource management, knowledge and beliefs, gender relations, health care service management, attitudes and behaviors, communication, socioeconomic conditions, and political interests. CONCLUSIONS. The results show that combined approaches may be required to address different barriers to the implementation of the Guidelines. For successful implementation, it is essential to engage health care leaders, professionals, and users in the effort to change the delivery and childbirth care model. Also necessary is the development of intersectoral initiatives to improve the socioeconomic conditions of women and families and to curtail gender inequalities. Organización Panamericana de la Salud 2021-02-22 /pmc/articles/PMC7898361/ /pubmed/33643394 http://dx.doi.org/10.26633/RPSP.2021.7 Text en https://creativecommons.org/licenses/by-nc-nd/3.0/igo/legalcode This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs 3.0 IGO License, which permits use, distribution, and reproduction in any medium, provided the original work is properly cited. No modifications or commercial use of this article are permitted. In any reproduction of this article there should not be any suggestion that PAHO or this article endorse any specific organization or products. The use of the PAHO logo is not permitted. This notice should be preserved along with the article’s original URL. |
spellingShingle | Review Oliveira, Cintia de Freitas Ribeiro, Aline Ângela Victoria Luquine Jr., Cézar D. de Bortoli, Maritsa Carla Toma, Tereza Setsuko Chapman, Evelina Maria Gracia Barreto, Jorge Otávio Maia Barriers to implementing guideline recommendations to improve childbirth care: a rapid review of evidence() |
title | Barriers to implementing guideline recommendations to improve childbirth care: a rapid review of evidence() |
title_full | Barriers to implementing guideline recommendations to improve childbirth care: a rapid review of evidence() |
title_fullStr | Barriers to implementing guideline recommendations to improve childbirth care: a rapid review of evidence() |
title_full_unstemmed | Barriers to implementing guideline recommendations to improve childbirth care: a rapid review of evidence() |
title_short | Barriers to implementing guideline recommendations to improve childbirth care: a rapid review of evidence() |
title_sort | barriers to implementing guideline recommendations to improve childbirth care: a rapid review of evidence() |
topic | Review |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7898361/ https://www.ncbi.nlm.nih.gov/pubmed/33643394 http://dx.doi.org/10.26633/RPSP.2021.7 |
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