Nurses' Use and Ways of Understanding Web-Based National Guidelines for Child Healthcare

Abstract

The national Rikshandboken for child healthcare is both a Web-based guideline containing knowledge and methodological guidance and a national child healthcare program in the process of being implemented in Sweden. The aim of this study was to examine child healthcare nurses' use and ways of understanding the national Web-based Rikshandboken. A mixed-methods study with sequential explanatory design in two phases was used; a Web survey with descriptive statistics was followed with telephone interviews with phenomenographic analysis. The study showed variations in use and contributed deeper knowledge of child healthcare nurses' ways of understanding the unit Rikshandboken whose varied parts interact with each other. To be reliable, useful, and relevant for nurses in their specific contexts, Rikshandboken must be kept updated and involve the end users in the development process. With access to technical devices and optimal use of the possibilities of information and communication technology, Rikshandboken can be a resource for continuing learning, a tool in everyday work, and a possible determinant to equality in child healthcare. The study contributes valuable knowledge for the design of Web-based national guidelines for healthcare, making them useful and relevant for the end users.

Healthcare professionals’ perceptions about interprofessional teamwork: a national survey within Swedish child healthcare services

“…According to the Swedish NCHP, nurses and physicians are prescribed to participate in universal team-based visits at four specific ages [ 1 , 9 ], which might have contributed to the present finding. Tell et al [ 44 ] describe that for successful implementation of guidelines, such as the new Swedish NCHP, the content and methods within it must match professional needs and be perceived as relevant [ 44 ]. Thus, the present results might reflect a change in physicians’ attitudes toward teamwork within CHS, possibly being related to the introduced team-based visits, and their new knowledge and experiences related to this.…”

“…Furthermore, the psychologists did not participate in team-based visits to the same extent as nurses and physicians, which can possibly have influenced their perceptions about the team characteristics. The role and responsibilities of the psychologists in the CHS team might not be sufficiently clear in the NCHP and thus does not match the needs or are not viewed as being relevant from the psychologists’ perspective according to the reasoning by Tell et al [ 44 ].…”

Team-based visits within Swedish child healthcare services: a national cross-sectional study

“…In 2014, the Swedish National Board of Health and Welfare published new instructions with the aim of contributing to evidence-based practice for equality and equity in the Swedish CHS. The instructions, together with a webbased national guide, constitute the current Swedish CHS program (National Board of Health and Welfare in Sweden, 2014;Tell et al, 2019;The Swedish Rikshandboken, 2019). The CHS program contains a combination of universal, selective, and targeted activities for all children between 0 and 6 years of age.…”