ERA

Download the full-sized PDF of Decision-making and evidence use during the process of prenatal record review in canada: A multiphase qualitative studyDownload the full-sized PDF

Analytics

Share

Permanent link (DOI): https://doi.org/10.7939/R3V97ZR57

Download

Export to: EndNote  |  Zotero  |  Mendeley

Communities

This file is in the following communities:

Nursing, Faculty of

Collections

This file is in the following collections:

Nursing Education

Decision-making and evidence use during the process of prenatal record review in canada: A multiphase qualitative study Open Access

Descriptions

Author or creator
Semenic, Sonia
Edwards, Nancy
Premji, Shahirose
Olson, Joanne
Williams, Beverly
Montgomery, Phyllis
Additional contributors
Subject/Keyword
Prenatal care
Prenatal alcohol use
Population health
Prenatal records
Evidence utilization
Type of item
Research Material
Language
English
Place
Time
Description
Background Prenatal records are potentially powerful tools for the translation of best-practice evidence into routine prenatal care. Although all jurisdictions in Canada use standardized prenatal records to guide care and provide data for health surveillance, their content related to risk factors such as maternal smoking and alcohol use varies widely. Literature is lacking on how prenatal records are developed or updated to integrate research evidence. This multiphase project aimed to identify key contextual factors influencing decision-making and evidence use among Canadian prenatal record committees (PRCs), and formulate recommendations for the prenatal record review process in Canada. Methods Phase 1 comprised key informant interviews with PRC leaders across 10 Canadian jurisdictions. Phase 2, was a qualitative comparative case study of PRC factors influencing evidence-use and decision-making in five selected jurisdictions. Interview data were analysed using qualitative content analysis. Phase 3 involved a dissemination workshop with key stakeholders to review and refine recommendations derived from Phases 1 and 2. Results Prenatal record review processes differed considerably across Canadian jurisdictions. PRC decision-making was complex, revealing the competing functions of the prenatal record as a clinical guide, documentation tool and data source. Internal contextual factors influencing evidence use included PRC resources to conduct evidence reviews; group composition and dynamics; perceived function of the prenatal record; and expert opinions. External contextual factors included concerns about user buy-in; health system capacities; and pressures from public health stakeholders. Our recommendations highlight the need for: broader stakeholder involvement and explicit use of decision-support strategies to support the revision process; a national template of evidence-informed changes that can be used across jurisdictions; consideration of both clinical and surveillance functions of the prenatal record; and dissemination plans to communicate prenatal record modifications. Conclusions Decision-making related to prenatal record content involves a negotiated effort to balance research evidence with the needs and preferences of prenatal care providers, health system capacities as well as population health priorities. The development of a national template for prenatal records would reduce unnecessary duplication of PRC work and enhance the consistency of prenatal care delivery and perinatal surveillance data across Canada.
Date created
2015
DOI
doi:10.7939/R3V97ZR57
License information
Rights
© 2015 Semenic et al. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
Citation for previous publication
Semenic, S., Edwards, N., Premji, S., Olson, J. K., Williams, B. A., & Montgomery, P. 2015. Decision-making and evidence use during the process of prenatal record review in canada: A multiphase qualitative study. BMC Pregnancy and Childbirth, 15(1), 78-015-0503-6.  http://dx.doi.org/10.1186/s12884-015-0503-6

Source
Link to related item

File Details

Date Uploaded
Date Modified
2015-05-12T18:20:36.703+00:00
Audit Status
Audits have not yet been run on this file.
Characterization
File format: pdf (Portable Document Format)
Mime type: application/pdf
File size: 538489
Last modified: 2015:10:12 11:55:05-06:00
Filename: BMCPC_15_2015_78.pdf
Original checksum: c20c9609f95439151dac68b8df02bff2
Copyright note: ??? 2015 Semenic et al.; licensee BioMed Central.
Well formed: true
Valid: false
Status message: Invalid destination object offset=288106
Status message: Invalid destination object offset=288106
Status message: Invalid destination object offset=288106
Status message: Invalid destination object offset=288106
Status message: Invalid destination object offset=288106
File title: Abstract
File title: Decision-making and evidence use during the process of prenatal record review in Canada: a multiphase qualitative study
File author: Sonia Semenic
Page count: 16
Activity of users you follow
User Activity Date