Magnesium sulphate for fetal neuroprotection: benefits and challenges of a systematic knowledge translation project in Canada.
Background: Administration of magnesium sulphate (MgSO4) to women with imminent preterm birth at <34 weeks is an evidence-based antenatal neuroprotective strategy to prevent cerebral palsy. Although a Society of Obstetricians and Gynaecologists of Canada (SOGC) national guideline with practice recom...
| Published in: | BMC Pregnancy & Childbirth Vol. 15; pp. 1 - 14 |
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| Main Authors: | , , , , , , , , |
| Format: | research Journal Article |
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BioMed Central
12/22/2015
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=111950503&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 111950503 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 14712393 1CII jtl: BMC Pregnancy & Childbirth issn: 14712393 maglogo: N pubinfo: dt: 12/22/2015 vid: 15 pid: 24147 pub: BioMed Central artinfo: ui: 111950503 111950503 NLM26694323 111950503 10.1186/s12884-015-0785-8 NLM26694323 PMC4688933 111950503 ppf: 1 ppct: 13 formats: tig: atl: Magnesium sulphate for fetal neuroprotection: benefits and challenges of a systematic knowledge translation project in Canada. aug: au: Teela, Katherine C. De Silva, Dane A. Chapman, Katie Synnes, Anne R. Sawchuck, Diane Basso, Melanie Liston, Robert M. von Dadelszen, Peter Magee, Laura A. affil: Seattle University College of Nursing, Seattle, Washington, USA sug: subj: Cerebral Palsy Prevention and Control Neuroprotective Agents Therapeutic Use Magnesium Sulfate Therapeutic Use Guideline Adherence Standards Health Personnel Childbirth, Premature Drug Therapy Research, Medical Female Infant, Newborn Pregnancy Canada Medical Organizations Validation Studies Comparative Studies Evaluation Research Multicenter Studies Human Funding Source Infant, Newborn: birth-1 month Female ab: Background: Administration of magnesium sulphate (MgSO4) to women with imminent preterm birth at <34 weeks is an evidence-based antenatal neuroprotective strategy to prevent cerebral palsy. Although a Society of Obstetricians and Gynaecologists of Canada (SOGC) national guideline with practice recommendations based on relevant clinical evidence exists, ongoing controversies about aspects of this treatment remain. Given this, we anticipated managed knowledge translation (KT) would be needed to facilitate uptake of the guidelines into practice. As part of the Canadian Institutes of Health Research (CIHR)-funded MAG-CP (MAGnesium sulphate to prevent Cerebral Palsy) project, we aimed to compare three KT methods designed to impact both individual health care providers and the organizational systems in which they work.Methods: The KT methods undertaken were an interactive online e-learning module available to all SOGC members, and at MAG-CP participating sites, on-site educational rounds and focus group discussions, and circulation of an anonymous 'Barriers and Facilitators' survey for the systematic identification of facilitators and barriers for uptake of practice change. We compared these strategies according to: (i) breadth of respondents reached; (ii) rates and richness of identified barriers, facilitators, and knowledge needed; and (iii) cost.Results: No individual KT method was superior to the others by all criteria, and in combination, they provided richer information than any individual method. The e-learning module reached the most diverse audience of health care providers, the site visits provided opportunity for iterative dialogue, and the survey was the least expensive. Although the site visits provided the most detailed information around individual and organizational barriers, the 'Barriers and Facilitators' survey provided more detail regarding social-level barriers. The facilitators identified varied by KT method. The type of knowledge needed was further defined by the e-learning module and surveys.Conclusions: Our findings suggest that a multifaceted approach to KT is optimal for translating national obstetric guidelines into clinical practice. As audit and feedback are essential parts of the process by which evidence to practice gaps are closed, MAG-CP is continuing the iterative KT process described in this paper concurrent with tracking of MgSO4 use for fetal neuroprotection and maternal and child outcomes until September 2015; results are anticipated in 2016. pubtype: Academic Journal doctype: research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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