In-house consultation to support professionals’ responses to child abuse and neglect: Determinants of professionals’ use and the association with guideline adherence

Konijnendijk, Annemieke Ariënne Johanneke; Boere-Boonekamp, Magdalena M.; Kaya, Anna H.; Haasnoot, Maria E.; Need, Ariana

doi:10.1016/j.chiabu.2017.04.025

Cited by 3 publications

(4 citation statements)

References 37 publications

(50 reference statements)

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“…The presence of an implementation leader was indicated as a relevant facilitator, which is in line with other studies, especially those regarding the implementation of child abuse guidelines [30,31,33,67,68]. Implementation leaders facilitate the implementation process by improving networks and communication, facilitating access to experts, and lowering the threshold for professionals to seek help [67].…”

Section: Engagementsupporting

confidence: 75%

“…Following previous research, knowledge regarding the use of the guideline was also indicated as a facilitator [30,31,71] and the lack of it was considered a barrier [34,35,40]. According to the behaviour framework by Cabana [72], increasing knowledge will enhance positive attitudes towards the guidelines, which in turn contributes to the actual implementation of guidelines.…”

Section: Knowledge and Skillsmentioning

confidence: 99%

“…Studies have identified several determinants (i.e. barriers and facilitators) influencing the implementation of guidelines focusing on CAN [23,[30][31][32][33], domestic violence during pregnancy [32,34,35], shaken baby syndrome [36], and childhood obesity [37]. Time [23,[33][34][35][36][37] and knowledge [30][31][32][33][34][35][36][37] were considered determinants that influence the implementation of all these guidelines.…”

mentioning

confidence: 99%

“…barriers and facilitators) influencing the implementation of guidelines focusing on CAN [23,[30][31][32][33], domestic violence during pregnancy [32,34,35], shaken baby syndrome [36], and childhood obesity [37]. Time [23,[33][34][35][36][37] and knowledge [30][31][32][33][34][35][36][37] were considered determinants that influence the implementation of all these guidelines. Barriers to the implementation of guidelines related to CAN and domestic violence during pregnancy were, among others, professionals' fear of their own [35,[38][39][40] and/or patients' safety [34,35,38,39].…”

mentioning

confidence: 99%

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Expert Consensus on Multilevel Implementation Hypotheses to Promote the Uptake of Youth Care Guidelines: A Delphi Study

Dubbeldeman,

van der Kleij,

Brakema

et al. 2023

Preprint

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Background: The implementation of youth care guidelines remains a complex process. Several evidence–based frameworks aid the identification and specification of implementation determinants and strategies. However, how certain determinants are influenced by specific strategies remains unclear. Therefore, we need to clarify which active ingredients of strategies, called behaviour change techniques (BCTs), elicit behaviour change and improve implementation outcomes. With this knowledge, we are able to formulate evidence–based implementation hypotheses. An implementation hypothesis details how determinants and in turn, implementation outcomes might be influenced by specific implementation strategies and their BCTs. We aimed to identify 1) determinants relevant to the implementation of youth care guidelines and 2) feasible and potentially effective implementation hypotheses. Methods: A four–round online modified Delphi study was conducted. In the first round, experts rated the implementation determinants based on their relevance. In the second stage, the experts formulated implementation hypotheses by connecting BCTs and implementation strategies to determinants. Next, they were asked to provide a rationale for their choices. In Round 3, the experts reconsidered and finalised their hypotheses based on an anonymous overview of the hypotheses formulated by all the experts, including the substantiations of these hypotheses. Finally, the experts were asked to rate the implementation hypotheses based on their potential effectiveness and feasibility. Results: A total of 14 experts completed the first, second, and third rounds, and 11 completed the final round. Guideline promotion, mandatory education, presence of an implementation leader, poor management support, knowledge regarding guideline use, and a lack of communication skills were reported as most relevant. In total, 46 hypotheses were formulated, ranging from 6 to 9 different hypotheses per determinant. For each determinant, we provide an overview of the implementation hypotheses most often considered feasible and potentially effective.Conclusion: Determinants related to engagement and to knowledge and skills were found to be relevant to youth care guideline implementation. This study offers a set of hypotheses that could help organisations, policymakers, and professionals guide the implementation process of youth care guidelines to ultimately improve implementation outcomes. The effectiveness of these hypotheses in practice remains to be assessed.

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Section: Engagementsupporting

confidence: 75%

Section: Knowledge and Skillsmentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

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Expert Consensus on Multilevel Implementation Hypotheses to Promote the Uptake of Youth Care Guidelines: A Delphi Study

Dubbeldeman,

van der Kleij,

Brakema

et al. 2023

Preprint

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Verbeterkansen voor preventie van kindermishandeling door jeugdartsen en jeugdverpleegkundigen

Visscher

Stel²,

Staal

2019

Tijdschr Jeugdgezondheidsz

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Expert consensus on multilevel implementation hypotheses to promote the uptake of youth care guidelines: a Delphi study

Dubbeldeman,

van der Kleij,

Brakema

et al. 2024

Health Res Policy Sys

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Background The implementation of youth care guidelines remains a complex process. Several evidence–based frameworks aid the identification and specification of implementation determinants and strategies. However, the influence of specific strategies on certain determinants remains unclear. Therefore, we need to clarify which active ingredients of strategies, known as behaviour change techniques (BCTs), elicit behaviour change and improve implementation outcomes. With this knowledge, we are able to formulate evidence–based implementation hypotheses. An implementation hypothesis details how determinants and in turn, implementation outcomes might be influenced by specific implementation strategies and their BCTs. We aimed to identify (1) determinants relevant to the implementation of youth care guidelines and (2) feasible and potentially effective implementation hypotheses. Methods A four–round online modified Delphi study was conducted. In the first round, experts rated the implementation determinants based on their relevance. Next, experts formulated implementation hypotheses by connecting BCTs and implementation strategies to determinants and were asked to provide a rationale for their choices. In round three, the experts reconsidered and finalised their hypotheses based on an anonymous overview of all formulated hypotheses, including rationales. Finally, the experts rated the implementation hypotheses based on their potential effectiveness and feasibility. Results Fourteen experts completed the first, second, and third rounds, with 11 completed the final round. Guideline promotion, mandatory education, presence of an implementation leader, poor management support, knowledge regarding guideline use, and a lack of communication skills were reported as most relevant determinants. In total, 46 hypotheses were formulated, ranging from 6 to 9 per determinant. For each determinant, we provide an overview of the implementation hypotheses that were most commonly deemed feasible and potentially effective. Conclusion This study offers valuable insights into youth care guideline implementation by systematically identifying relevant determinants and formulating hypotheses based on expert input. Determinants related to engagement and to knowledge and skills were found to be relevant to youth care guideline implementation. This study offers a set of hypotheses that could help organisations, policymakers, and professionals guide the implementation process of youth care guidelines to ultimately improve implementation outcomes. The effectiveness of these hypotheses in practice remains to be assessed.

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In-house consultation to support professionals’ responses to child abuse and neglect: Determinants of professionals’ use and the association with guideline adherence

Cited by 3 publications

References 37 publications

Expert Consensus on Multilevel Implementation Hypotheses to Promote the Uptake of Youth Care Guidelines: A Delphi Study

Expert Consensus on Multilevel Implementation Hypotheses to Promote the Uptake of Youth Care Guidelines: A Delphi Study

Verbeterkansen voor preventie van kindermishandeling door jeugdartsen en jeugdverpleegkundigen

Expert consensus on multilevel implementation hypotheses to promote the uptake of youth care guidelines: a Delphi study

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