Acceptance and implementation of evidence-based practices in delivery room resuscitation

A qualitative study

Bibliographic Data

ID21258367
AuthorsCecelia Corson (0009-0009-8857-073X, Children's Hospital of Philadelphia, corresponding author), Ingrid M Nembhard (0000-0001-7696-4832, University of Pennsylvania), Christopher P Bonafide (0000-0003-2823-5883, Children's Hospital of Philadelphia), Elizabeth E Foglia (Children's Hospital of Philadelphia), Henry Lee (0000-0001-8383-1720, UC San Diego Health System), Henry C Lee, Sara C Handley (0000-0001-8436-4351, Children's Hospital of Philadelphia)
Year2025
Volume7
Pages100557
Publication date2025-06-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueSSM - Qualitative Research in Health (JOURNAL)
Journal identifiersISSN: 2667-3215 • E-ISSN: 2667-3215
PublisherElsevier BV (PUBLISHER)
DOI10.1016/j.ssmqr.2025.100557
PMID40718678
OpenAlexW4409150818
LanguageEN
References cited41

Variation persists in the implementation of evidence-based practices (EBPs) for delivery room resuscitation associated with high-quality care. To date, research has often studied leaders and rarely focused on the perspectives of delivery room resuscitation team members. We investigated team member perspectives on facilitators and barriers to accepting and implementing EBPs in delivery room resuscitation. This is a qualitative analysis of responses to open-ended questions in a twice-administered survey of delivery room resuscitation team members from a 16-hospital network. We conducted a two-phase content analysis, I) inductive conventional content analysis and II) deductive directed content analysis, to map response themes onto the three elements of the Promoting Action on Research Implementation in Health Services (PARIHS) framework – evidence, facilitation, and context. There were 569 responses from 322 individuals representing all delivery room resuscitation team member roles. We identified five main themes that influence acceptance and implementation of EBPs: evidence, education, process characteristics, leadership, and change mindset. These themes aligned with the PARIHS framework elements of Evidence, Facilitation (occurring through education and process characteristics), and Context (determined by leadership and change mindset). We identified 12 sub-themes; 9 applied to both acceptance and implementation of EBPs, 1 applied only to acceptance of EBPs, and 2 applied only to implementation of EBPs. While many facilitators and barriers are consistent for both acceptance and implementation, some differ. To optimize EBPs in delivery room resuscitation, organizations may benefit from tailoring interventions to incorporate facilitators and address barriers that influence EBP acceptance and/or implementation. • The Promoting Action on Research Implementation in Health Services framework applies to delivery room resuscitation teams. • Evidence, education, process characteristics, leadership, and change mindset affect practice acceptance & implementation. • Sub-themes reveal specific barriers and facilitators to acceptance and/or implementation of evidence-based practice. • Findings suggest tailored approaches to improve acceptance and/or implementation of evidence-based delivery room care

Business · Process management · Qualitative research · Resuscitation · Sociology · Computer Science · Health Policy Implementation Science · Health Sciences Research and Education · Medicine · Psychology · Simulation-Based Education in Healthcare · Emergency Medicine

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