wow-inequalities/02-data/intermediate/wos_sample/cf442e93fc36ba43e825000cb7f60367-kingdon-carol-and-d/info.yaml

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abstract: 'Objective To establish the views and experiences of healthcare
professionals in relation to interventions targeted at them to reduce
unnecessary caesareans.
Design Qualitative evidence synthesis.
Setting Studies undertaken in high-income, middle-income and low-income
settings.
Data sources Seven databases (CINAHL, MEDLINE, PsychINFO, Embase, Global
Index Medicus, POPLINE and African Journals Online). Studies published
between 1985 and June 2017, with no language or geographical
restrictions. We hand-searched reference lists and key citations using
Google Scholar.
Study selection Qualitative or mixed-method studies reporting health
professionals'' views.
Data extraction and synthesis Two authors independently assessed study
quality prior to extraction of primary data and authors''
interpretations. The data were compared and contrasted, then grouped
into summary of findings (SoFs) statements, themes and a line of
argument synthesis. All SoFs were Confidence in the Evidence from
Reviews of Qualitative research (GRADE-CERQual) assessed.
Results 17 papers were included, involving 483 health professionals from
17 countries (nine high-income, six middle-income and two low-income).
Fourteen SoFs were identified, resulting in three core themes:
philosophy of birth (four SoFs); (2) social and cultural context (five
SoFs); and (3) negotiation within system (five SoFs). The resulting line
of argument suggests three key mechanisms of effect for change or
resistance to change: prior beliefs about birth; willingness or not to
engage with change, especially where this entailed potential loss of
income or status (including medicolegal barriers); and capacity or not
to influence local community and healthcare service norms and values
relating to caesarean provision.
Conclusion For maternity care health professionals, there is a
synergistic relationship between their underpinning philosophy of birth,
the social and cultural context they are working within and the extent
to which they were prepared to negotiate within health system resources
to reduce caesarean rates. These findings identify potential mechanisms
of effect that could improve the design and efficacy of change
programmes to reduce unnecessary caesareans.'
affiliation: 'Kingdon, C (Corresponding Author), Univ Cent Lancashire, Sch Community
Hlth \& Midwifery, Fac Hlth \& Wellbeing, Preston, Lancs, England.
Kingdon, Carol; Downe, Soo, Univ Cent Lancashire, Sch Community Hlth \& Midwifery,
Fac Hlth \& Wellbeing, Preston, Lancs, England.
Betran, Ana Pilar, WHO, Dept Reprod Hlth \& Res, Geneva, Switzerland.'
article-number: e025073
author: Kingdon, Carol and Downe, Soo and Betran, Ana Pilar
author-email: ckingdon@uclan.ac.uk
author_list:
- family: Kingdon
given: Carol
- family: Downe
given: Soo
- family: Betran
given: Ana Pilar
da: '2023-09-28'
doi: 10.1136/bmjopen-2018-025073
files: []
issn: 2044-6055
journal: BMJ OPEN
keywords-plus: 'OPTIMAL SEARCH STRATEGIES; VAGINAL BIRTH; MIXED-METHOD; CLINICAL
PATHWAY; MATERNAL REQUEST; OBSTETRICIANS; DELIVERY; RATES; WOMEN; CHOICE'
language: English
month: DEC
number: '12'
number-of-cited-references: '89'
orcid-numbers: Kingdon, Carol/0000-0002-5958-9257
papis_id: a12bcccb4bec3e22b3a9377b58160bfc
ref: Kingdon2018interventionstargete
times-cited: '14'
title: 'Interventions targeted at health professionals to reduce unnecessary caesarean
sections: a qualitative evidence synthesis'
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type: article
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unique-id: WOS:000455309300158
usage-count-last-180-days: '1'
usage-count-since-2013: '6'
volume: '8'
web-of-science-categories: Medicine, General \& Internal
year: '2018'