Implementation strategies within a complex environment: A qualitative study of a shared decision-making intervention during childbirth.

ABSTRACT:

Background

Shared decision-making (SDM) may improve communication, teamwork, patient experience, respectful maternity care, and safety during childbirth. Despite these benefits, SDM is not widely implemented, and strategies for implementing SDM interventions are not well described. We assessed the acceptability and feasibility of TeamBirth, an SDM solution that centers the birthing person in decision-making through simple tools that structure communication among the care team. We identified and described implementation strategies that bridge the gap between knowledge and practice.

Methods

We conducted a qualitative study among four hospitals in the United States to understand the acceptability and feasibility of TeamBirth. We interviewed 103 clinicians and conducted 16 focus

SUBMITTER: Spigel L 

PROVIDER: S-EPMC9543488 | biostudies-literature | 2022 Sep

REPOSITORIES: biostudies-literature