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Implementation science in maternity care: a scoping review.

Ann Dadich1, Annika Piper2, Dominiek Coates3

  • 1Western Sydney University, School of Business, Locked Bag 1797, Penrith, NSW, 2751, Australia. A.Dadich@westernsydney.edu.au.

Implementation Science : IS
|February 5, 2021
PubMed
Summary

This study found limited use of implementation science theories, models, and frameworks in maternity care research. Greater explicit use of these tools is needed to advance evidence-based maternity care globally.

Keywords:
ChildbirthFrameworkKnowledge translationMaternity careModelPregnancyScoping reviewTheory

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Area of Science:

  • Implementation Science
  • Maternity Care Research
  • Evidence-Based Practice

Background:

  • Clinical care should be evidence-based, but this is not always achieved, especially in maternity care.
  • Numerous theories and frameworks exist to promote evidence-based population health, yet their application remains suboptimal.
  • There is a need to systematically study methods promoting the uptake of evidence-based interventions in maternity care.

Purpose of the Study:

  • To appraise the scientific study of methods for promoting the systematic uptake of evidence-based interventions in maternity care.
  • To clarify if and how implementation science theories, models, and frameworks are utilized in this field.

Main Methods:

  • A scoping review of literature published between January 2005 and December 2019 was conducted.
  • Systematic searches were performed across multiple academic databases (e.g., Medline, PubMed, CINAHL).
  • Data extraction focused on studies reporting on implementation science or the implementation process.

Main Results:

  • Of 1181 identified publications, 158 were included; most reported enabling factors (e.g., knowledge, training, leadership) but rarely cited specific theories, models, or frameworks.
  • Only 14 out of 158 publications reported using a theory, model, or framework.
  • When used, these tools primarily guided data analysis or collection tool development, not study design.

Conclusions:

  • Evidence-based maternity care could be advanced through more explicit and judicious use of implementation science theories, models, and frameworks.
  • The academic community must increase the deliberate application of these theoretical tools to inform implementation science.
  • Greater utilization of these frameworks is essential for worldwide advancement of evidence-based maternity care.