Add wos sample results library

2023-09-28 16:46:10 +02:00 · 2023-09-28 16:46:10 +02:00 · 19e409ad85
commit 19e409ad85
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--- a/02-data/intermediate/wos_sample/9351faae9b27dfc180eb1b13bf0d50c3-nzinga-jacinta-and/info.yaml
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+abstract: 'Background: Although considerable efforts are directed at developing
+
+  international guidelines to improve clinical management in low-income
+
+  settings they appear to influence practice rarely. This study aimed to
+
+  explore barriers to guideline implementation in the early phase of an
+
+  intervention study in four district hospitals in Kenya.
+
+  Methods: We developed a simple interview guide based on a simple
+
+  characterisation of the intervention informed by review of major
+
+  theories on barriers to uptake of guidelines. In-depth interviews,
+
+  non-participatory observation, and informal discussions were then used
+
+  to explore perceived barriers to guideline introduction and general
+
+  improvements in paediatric and newborn care. Data were collected four to
+
+  five months after in-service training in the hospitals. Data were
+
+  transcribed, themes explored, and revised in two rounds of coding and
+
+  analysis using NVivo 7 software, subjected to a layered analysis,
+
+  reviewed, and revised after discussion with four hospital staff who
+
+  acted as within-hospital facilitators.
+
+  Results: A total of 29 health workers were interviewed. Ten major themes
+
+  preventing guideline uptake were identified: incomplete training
+
+  coverage; inadequacies in local standard setting and leadership; lack of
+
+  recognition and appreciation of good work; poor communication and
+
+  teamwork; organizational constraints and limited resources;
+
+  counterproductive health worker norms; absence of perceived benefits
+
+  linked to adoption of new practices; difficulties accepting change; lack
+
+  of motivation; and conflicting attitudes and beliefs.
+
+  Conclusion: While the barriers identified are broadly similar in theme
+
+  to those reported from high-income settings, their specific nature often
+
+  differs. For example, at an institutional level there is an almost
+
+  complete lack of systems to introduce or reinforce guidelines, poor
+
+  teamwork across different cadres of health worker, and failure to
+
+  confront poor practice. At an individual level, lack of interest in the
+
+  evidence supporting guidelines, feelings that they erode
+
+  professionalism, and expectations that people should be paid to change
+
+  practice threaten successful implementation.'
+affiliation: 'Nzinga, J (Corresponding Author), KEMRI Wellcome Trust Programme, KEMRI
+  Ctr Geog Med Res Coast, POB 43640, Nairobi, Kenya.
+
+  Nzinga, Jacinta; Mbindyo, Patrick; Mbaabu, Lairumbi; Warira, Ann; English, Mike,
+  KEMRI Wellcome Trust Programme, KEMRI Ctr Geog Med Res Coast, Nairobi, Kenya.
+
+  English, Mike, Univ Oxford, John Radcliffe Hosp, Dept Paediat, Oxford OX3 9DU, England.'
+article-number: '44'
+author: Nzinga, Jacinta and Mbindyo, Patrick and Mbaabu, Lairumbi and Warira, Ann
+  and English, Mike
+author-email: 'jnzinga@nairobi.kemri-wellcome.org
+
+  pmbindyo@nairobi.kemri-wellcome.org
+
+  lmbaabu@nairobi.kemri-wellcome.org
+
+  awarira@nairobi.kemri-wellcome.org
+
+  menglish@nairobi.kemri-wellcome.org'
+author_list:
+- family: Nzinga
+  given: Jacinta
+- family: Mbindyo
+  given: Patrick
+- family: Mbaabu
+  given: Lairumbi
+- family: Warira
+  given: Ann
+- family: English
+  given: Mike
+da: '2023-09-28'
+doi: 10.1186/1748-5908-4-44
+files: []
+issn: 1748-5908
+journal: IMPLEMENTATION SCIENCE
+keywords-plus: 'CLINICAL-PRACTICE GUIDELINES; DISTRICT HOSPITALS; CHILDHOOD ILLNESS;
+
+  PLANNED BEHAVIOR; PEDIATRIC CARE; PUBLIC-SECTOR; NEWBORN CARE; QUALITY;
+
+  MOTIVATION; MANAGEMENT'
+language: English
+month: JUL 23
+number-of-cited-references: '34'
+orcid-numbers: 'Mbindyo, Patrick/0000-0003-0388-0026
+
+  Wanjuhi, Anne/0000-0002-4182-6939
+
+  English, Michael/0000-0002-7427-0826'
+papis_id: 3747e16ca0f8c9066ad5bba84785e2d7
+ref: Nzinga2009documentingexperienc
+times-cited: '44'
+title: Documenting the experiences of health workers expected to implement guidelines
+  during an intervention study in Kenyan hospitals
+type: Article
+unique-id: WOS:000268892000001
+usage-count-last-180-days: '0'
+usage-count-since-2013: '16'
+volume: '4'
+web-of-science-categories: Health Care Sciences \& Services; Health Policy \& Services
+year: '2009'