Perceptions of care providers on the implementation of an antenatal psychosocial clinical decision support system: the Born in Belgium Professionals platform.
Clinical decision support systems (CDSS) can enhance care processes and clinical outcomes. Adoption depends not only on perceived usefulness but also on contextual human, organisational, and technical factors. Understanding care providers' perception and how these factors influence adoption is essen...
| Publicado en: | Midwifery Vol. 151 |
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| Autores principales: | , , , , , , , , , , , |
| Formato: | research Journal Article |
| Publicado: |
Elsevier B.V.
Dec2025
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=189207018&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 189207018 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 02666138 8IR jtl: Midwifery issn: 02666138 maglogo: N pubinfo: dt: Dec2025 vid: 151 pid: 82545 pub: Elsevier B.V. place: Philadelphia, Pennsylvania artinfo: ui: 189207018 189207018 189207018 10.1016/j.midw.2025.104610 189207018 ppct: 1 formats: tig: atl: Perceptions of care providers on the implementation of an antenatal psychosocial clinical decision support system: the Born in Belgium Professionals platform. aug: au: Amuli, Kelly Decabooter, Kim Germanes, Caroline Van Parys, An-Sofie Verschelde, Sabine Saey, Emilie Moulin, Manon Cornu, Pieter Delvaux, Nicolas Van den Berghe, Steven Feijen-de Jong, Esther Beeckman, Katrien affil: Vrije Universiteit Brussel (VUB), Universitair Ziekenhuis Brussel (UZ Brussel), Faculty of Medicine and Pharmacy, Primary Care (PRIM), Nursing and Midwifery Research Group (NUMID), Laarbeeklaan 101-103, 1090, Brussels, Belgium sug: subj: Midwives Psychosocial Factors Midwife Attitudes Implementation Science Prenatal Care Support, Psychosocial Decision Support Systems, Clinical Human Belgium Cross Sectional Studies Motivation Chi Square Test Mann-Whitney U Test Descriptive Statistics Continuity of Patient Care Preventive Health Care Workflow Organizational Culture Time Pressure Electronic Health Records ab: Clinical decision support systems (CDSS) can enhance care processes and clinical outcomes. Adoption depends not only on perceived usefulness but also on contextual human, organisational, and technical factors. Understanding care providers' perception and how these factors influence adoption is essential for implementing systems that can be embedded in routine perinatal practice. To examine the real-world adoption (or uptake) of the Born in Belgium Professionals antenatal psychosocial decision-support platform, describing how and why care providers use it and identifying facilitators and barriers to sustained implementation. A cross-sectional survey of all active users (March–July 2024) captured frequency of use, motivations, and perceptions. Frequent versus non-frequent users were compared with chi-square and Mann–Whitney tests (p <.05). Of 313 users, 127 responded; most were midwives working in large organisations. About 46% were frequent users. Motivators were the psychosocial questionnaire, continuity of care and preventive benefit. Frequent users more often attended training (64.4% vs 30.9%; p < 0.001), perceived greater patient benefit (median 4.5 vs 4.0; p =.046) and rated the platform's integration in electronic health record (EHR) higher (median 5.5 vs 5.0; p =.002). Non-frequent users cited time pressure and interoperability issues. Positive perceptions of benefits, adequate training, and seamless workflow integration promote sustained use. Organisational support and robust interoperability further facilitate uptake, whereas time pressures and suboptimal EHR embedding hinder regular use. Implementation strategies that emphasise training, interoperability, and alignment with existing workflows are essential to optimise adoption of antenatal psychosocial decision-support systems. pubtype: Academic Journal doctype: research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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