Evidence map›Paper›PMID 35351113›Full record

ArticleBMC health services research2022

Enhancing clinician participation in quality improvement training: implementation and impact of an evidence-based initiative to maximise antenatal clinician participation in training regarding women's alcohol consumption during pregnancy.

J Dray, M Licata, E Doherty, B Tully, B Williams, S Curtin, D White, C Lecathelinais, S Ward, S Hasson and 3 more

Abstract read
In one paragraph

Article in BMC health services research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Trial
  2. Article
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

13 authors.

J DraySchool of Psychology, The University of Newcastle, Callaghan, New South Wales, 2308, Australia. Julia.Dray@newcastle.edu.au.
M LicataHunter New England Population Health, Hunter New England Local Health District, Wallsend, New South Wales, 2287, Australia.
E DohertySchool of Medicine and Public Health, The University of Newcastle, Callaghan, New South Wales, 2308, Australia.
B TullyPriority Research Centre for Health Behaviour, University of Newcastle, University Drive, Callaghan, New South Wales, 2308, Australia.
B WilliamsMaternity and Gynaecology, John Hunter Hospital, New Lambton Heights, New South Wales, 2305, Australia.
S CurtinMaternity and Gynaecology, Tamworth Hospital, Dean St, Tamworth, New South Wales, 2340, Australia.
D WhiteMaternity and Gynaecology, Manning Hospital, York street, Taree, New South Wales, 2430, Australia.
C LecathelinaisHunter New England Population Health, Hunter New England Local Health District, Wallsend, New South Wales, 2287, Australia.
S WardFoundation for Alcohol Research and Education, Deakin, ACT, 2600, Australia.
S HassonMaternity and Gynaecology, John Hunter Hospital, New Lambton Heights, New South Wales, 2305, Australia.
E J ElliottFaculty of Medicine and Health, Discipline of Child and Adolescent Health, University of Sydney, Sydney, New South Wales, 2006, Australia.
J WiggersSchool of Medicine and Public Health, The University of Newcastle, Callaghan, New South Wales, 2308, Australia.
M KingslandSchool of Medicine and Public Health, The University of Newcastle, Callaghan, New South Wales, 2308, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere are significant challenges in ensuring sufficient clinician participation in quality improvement training. Clinician capability has been identified as a barrier to the delivery of evidence-based care. Clinician training is an effective strategy to address this barrier, however, there are significant challenges in ensuring adequate clinician participation in training. This study aimed to assess the extent of participation by antenatal clinicians in evidence-based training to address alcohol consumption during pregnancy, and to assess differences in participation by profession.

methodsA 7-month training initiative based on six evidence-based principles was implemented in a maternity service in New South Wales, Australia. Descriptive statistics described participation in training (% attending: any training; six evidence-based principles of training; all principles). Regression analyses examined differences by profession.

resultsAlmost all antenatal clinicians participated in some training (182/186; 98%); 69% participated in ≥1 h of training (μ = 88.2mins, SD:56.56). The proportion of clinicians participating in training that satisfied each of the six principles ranged from 35% (training from peers and experts) to 82% (training was educational and instructional). Only 7% participated in training that satisfied all principles. A significantly higher proportion of midwifery compared to medical clinicians participated in training satisfying five of the six training principles.

conclusionsA training initiative based on evidence-based principles resulted in almost all clinicians receiving some training and 69% participating in at least 1 h of training. Variability between professions suggests training needs to be tailored to such groups. Further research is required to determine possible associations with care delivery outcomes.

trial registrationAustralian and New Zealand Clinical Trials Registry, No. ACTRN12617000882325 (date registered: 16/06/2017).

Indexed as

MidwiferyQuality ImprovementAlcohol DrinkingAustraliaFemaleHumansNew South WalesPregnancyAlcoholMaternityQuality improvementTraining

Identifiers

PMID35351113
PMCPMC8962084

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Registered trials

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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.