Article
Perception of childbirth professionals regarding applicability of the CPG for Normal Childbirth
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Authors
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I. Etxeandia-Ikobaltzeta
- Basque Office for Health Technology Assessment - OSTEBA, Vitoria-Gasteiz, Spain
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D. Rada-Fernandez de Jauregui
- The University of the Basque Country - UPV/EHU, Vitoria-Gasteiz, Spain
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E. Reviriego-Rodrigo
- Basque Office for Health Technology Assessment - OSTEBA, Vitoria-Gasteiz, Spain
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R. Rico-Iturrioz
- Basque Office for Health Technology Assessment - OSTEBA, Vitoria-Gasteiz, Spain
| Published: | July 10, 2012 |
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Outline
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Background: The establishment of the national Clinical Practice Guidelines (CPGs) program has meant a marked increase in the quality of the guidelines produced. The CPG for Normal Childbirth was published in 2010.
Objectives: To study the perception of the obstetricians’ and midwives’ on the degree of difficulty to implement the recommendations of the CPG for Normal Childbirth in hospital settings.
Methods: A national survey was developed consisting of 28 questions classified into three areas (Knowledge, Use of CPGs and Applicability of the Normal Childbirth guideline) which was submitted anonymously, via the professional midwives and obstetrician associations, to 1,107 professionals in July 2011. Data were collected in October 2011. Herein results regarding the applicability of the CPG for Normal Childbirth are presented.
Results: A total of 629 (57%) hospital professionals answered the survey, although only 384 (35%) provided information regarding their demographic and professional characteristics. Among the 356 professionals who answered the questions about recommendations applicability, 11% consider very easy to apply, 59% consider recommendations easy to apply, and 30% difficult or very difficult. There were no relevant differences between midwives and obstetricians opinion. Among the 122 difficulties reported by professionals and classified in 20 areas, they recognized mostly these 4 areas ‘resistant-to-change’ (30%), ‘lack of collaboration between midwives and obstetricians’ (20%), ‘lack-of-resources’ (20%), ‘protocols-imposition’ (7%).
Discussion and Implications: The results show good acceptance and feasibility for the implementation of the recommendations. Even so, there are still important philosophical and hierarchical barriers that hinder their implementation.
