Journal article

Understanding factors that contribute to variations in bronchiolitis management in acute care settings: a qualitative study in Australia and New Zealand using the Theoretical Domains Framework

Libby Haskell, Emma J Tavender, Catherine Wilson, Franz E Babl, Ed Oakley, Nicolette Sheridan, Stuart R Dalziel

BMC Pediatrics | BMC | Published : 2020

Abstract

BACKGROUND: Bronchiolitis is the most common reason for infants under one year of age to be hospitalised. Despite management being well defined with high quality evidence of no efficacy for salbutamol, adrenaline, glucocorticoids, antibiotics or chest x-rays, substantial variation in practice occurs. Understanding factors that influence practice variation is vital in order to tailor knowledge translation interventions to improve practice. This study explores factors influencing the uptake of five evidence-based guideline recommendations using the Theoretical Domains Framework. METHODS: Semi-structured interviews were undertaken with clinicians in emergency departments and paediatric inpatien..

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Grants

Awarded by National Health and Medical Research Council Centre of Research Excellence grant for Paediatric Emergency Medicine, Australia


Awarded by Health Research Council of New Zealand


Funding Acknowledgements

Supported by a National Health and Medical Research Council Centre of Research Excellence grant for Paediatric Emergency Medicine (GNT1058560), Australia, and the Health Research Council of New Zealand (HRC 13/556). The funders have no role in study design, collection, management analysis and interpretation of data; writing of the report and decision to submit for publication.