Evidence map›Paper›PMID 27906192›Full record

ArticleJournal of perinatology : official journal of the California Perinatal Association2017

Thematic analysis of barriers and facilitators to implementation of neonatal resuscitation guideline changes.

H C Lee, V Arora, T Brown, A Lyndon

Abstract readMulticenter Study
In one paragraph

Article in Journal of perinatology : official journal of the California Perinatal Association, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

  1. Impact of virtual simulation vs. Video refresher training on NRP simulation performance: a randomized controlled trial.Journal of perinatology : official journal of the California Perinatal Association · 2025
    Trial
  2. Article
  3. Article
  4. Article
  5. Improving neonatal resuscitation in Tennessee: a large-scale, quality improvement project.Journal of perinatology : official journal of the California Perinatal Association · 2019
    Article
  6. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

H C LeeDivision of Neonatal & Developmental Medicine, Department of Pediatrics, Stanford University School of Medicine, Stanford, CA, USA.
V AroraDepartment of Pediatrics, Kaiser Permanente Downey Medical Center, Downey, CA, USA.
T BrownDivision of Neonatal & Developmental Medicine, Department of Pediatrics, Stanford University School of Medicine, Stanford, CA, USA.
A LyndonDepartment of Family Health Care Nursing, School of Nursing, University of California San Francisco, San Francisco, CA, USA.

Funding

Maternal, Clinician & Hospital Factors in Breastmilk for Premature InfantsK23HD068400 · NICHD · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI LEE, HENRY CHONG · 2012 to 2015
$520k
NICHD NIH HHS K23 HD068400
6 · The paper itself

Abstract

objectiveTo evaluate experiences regarding implementation of Neonatal Resuscitation Program (NRP) guideline changes in the context of a collaborative quality improvement (QI) project. STUDY

designFocus groups were conducted with local QI leaders and providers from nine sites that participated in a QI collaborative. Thematic analysis identified facilitators and barriers to implementation of NRP guideline changes and QI in general.

resultsFacilitators for QI included comparative process measurement and data tracking. Barriers to QI were shifting priorities and aspects of the project that seemed inefficient. Specific to NRP, implementation strategies that worked involved rapid feedback, and education on rationale for change. Changes that interrupted traditional workflow proved challenging to implement. Limited resources and perceptions of increased workload were also barriers to implementation.

conclusionCollaborative QI methods are generally well accepted, particularly data tracking, sharing experience and education. Strategies to increase efficiency and manage workload may facilitate improved staff attitudes toward change.

Indexed as

Attitude of Health PersonnelCaliforniaFocus GroupsHumansInfant, NewbornNeonatologyPractice Guidelines as TopicQuality ImprovementResuscitation

Identifiers

PMID27906192
PMCPMC5334207

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.