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Implementation of a web-based national child health-care programme in a local context: A complex facilitator role
Blekinge Institute of Technology, Faculty of Engineering, Department of Health.
Blekinge Institute of Technology, Faculty of Engineering, Department of Health.
Blekinge Institute of Technology, Faculty of Engineering, Department of Health.ORCID iD: 0000-0001-9870-8477
Blekinge Institute of Technology, Faculty of Engineering, Department of Health.ORCID iD: 0000-0003-4312-2246
2018 (English)In: Scandinavian Journal of Public Health, ISSN 1403-4948, E-ISSN 1651-1905, Vol. 46, no 20_suppl, p. 80-86Article in journal (Refereed) Published
Abstract [en]

Aim: The aim of this study was to investigate child health-care coordinators’ experiences of being a facilitator for the implementation of a new national child health-care programme in the form of a web-based national guide. Methods: The study was based on eight remote, online focus groups, using Skype for Business. A qualitative content analysis was performed. Results: The analysis generated three categories: adapt to a local context, transition challenges and led by strong incentives. There were eight subcategories. In the latent analysis, the theme ‘Being a facilitator: a complex role’ was formed to express the child health-care coordinators’ experiences. Conclusions: Facilitating a national guideline or decision support in a local context is a complex task that requires an advocating and mediating role. For successful implementation, guidelines and decision support, such as a web-based guide and the new child health-care programme, must match professional consensus and needs and be seen as relevant by all. Participation in the development and a strong bottom-up approach was important, making the web-based guide and the programme relevant to whom it is intended to serve, and for successful implementation. The study contributes valuable knowledge when planning to implement a national web-based decision support and policy programme in a local health-care context. © 2018, © Author(s) 2018.

Place, publisher, year, edition, pages
SAGE Publications Ltd , 2018. Vol. 46, no 20_suppl, p. 80-86
Keywords [en]
Child health care, decision support, facilitators, guidelines, ICT, implementation, child, human, infant, Internet, newborn, organization and management, preschool child, professional standard, psychology, public health, Sweden, Child Health Services, Child, Preschool, Humans, Infant, Newborn, National Health Programs, Professional Role
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
URN: urn:nbn:se:bth-16085DOI: 10.1177/1403494817744119ISI: 000428758300012Scopus ID: 2-s2.0-85044172782OAI: oai:DiVA.org:bth-16085DiVA, id: diva2:1195713
Available from: 2018-04-06 Created: 2018-04-06 Last updated: 2018-04-19Bibliographically approved

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Tell, JohannaOlander, EwyAnderberg, PeterSanmartin Berglund, Johan

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