The role of implementation climate in shaping early essential newborn care practice: Insights from a multi-center cross-sectional study in China.

ABSTRACT:

Background

The World Health Organization (WHO) recommends Early Essential Newborn Care (EENC) to improve newborn outcomes. However, uptake remains suboptimal in many low-resource settings. Organisational factors, such as implementation climate, are crucial but understudied in relation to EENC implementation.

Objective

To explore how implementation climate mediates the relationship between knowledge, attitudes, and EENC practices.

Design

Multi-site, cross-sectional study.

Setting

Twelve tertiary maternity hospitals in China (December 2022-April 2023).

Participants

433 nurse-midwives.

Methods

Validated questionnaires were use to assess knowledge, attitudes, practices, and perceived implementation climate related to EENC. Path analysis and logistic r

SUBMITTER: He H 

PROVIDER: S-EPMC12533878 | biostudies-literature | 2025

REPOSITORIES: biostudies-literature