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Published on: December 7, 2018

Barriers and facilitators in the implementation of a child restraint system discharge programme in Singapore: a

Alicia May Lim1,2, Yang Yann Foo3, Ashley Xue Ting Ko4

  • 1Department of Neonatology, KK Women's & Children's Hospital, Singapore alicia.may.lim@singhealth.com.sg.

Injury Prevention : Journal of the International Society for Child and Adolescent Injury Prevention
|March 7, 2025
PubMed

Insights

Healthcare providers

Area of Science:

  • Pediatric safety
  • Public health
  • Occupational health

Background:

  • Child restraint systems (CRS) are crucial for preventing injuries in road traffic collisions.
  • Formal neonatal CRS discharge programs are currently lacking globally.
  • Healthcare providers express low confidence in delivering CRS advice during neonatal discharge.

Purpose of the Study:

  • To investigate barriers and facilitators to implementing formal neonatal CRS discharge programs.
  • To understand these factors from the perspective of healthcare providers.

Main Methods:

  • Qualitative study involving interviews with 10 trained allied health and nursing staff.
  • Exploration of perceived barriers and facilitators in educating parents on CRS before hospital discharge.
  • Analysis using Braun and Clarke's thematic analysis, informed by Billett's workplace-based learning theory.

Main Results:

  • Three themes emerged: personal agency (self-perception and cognitive direction), social agency (institutional safety culture, CRS champions, parental receptivity), and situational factors (competing duties).
  • Personal beliefs and self-efficacy influenced engagement in CRS education.
  • Supportive social environments and parental willingness were key facilitators, while time constraints posed a barrier.

Conclusions:

  • Healthcare provider commitment to CRS education is influenced by personal, social, and situational factors.
  • Optimizing neonatal CRS discharge programs requires addressing these multifaceted elements.
  • Future interventions should consider the complex interplay of individual, social, and environmental influences.
Abstract

Keywords:
Behavior ChangeBooster SeatChildEducationHealth EducationRestraints

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