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Related Concept Videos

Primary Healthcare Services01:30

Primary Healthcare Services

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Primary care promotes wellness and prevents disease. This care includes health promotion, education, protection (such as immunizations), early disease screening, and environmental considerations. Settings providing this type of healthcare include physician offices, public health clinics, school nursing, and community health nursing.
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
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Methods Of Healthcare Delivery System01:26

Methods Of Healthcare Delivery System

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At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
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Methods of Documentation VI: Case Management Model01:15

Methods of Documentation VI: Case Management Model

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The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
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Documentation in Long-Term and Home Healthcare Setting01:29

Documentation in Long-Term and Home Healthcare Setting

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Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities
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Healthcare Associated Infections II: Preventive Measures01:22

Healthcare Associated Infections II: Preventive Measures

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Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
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Obedience01:08

Obedience

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According to obedience research, we may harm others under the forceful pressures of an authority figure (Milgram, 1974). How about if the inappropriate orders were delivered with less force? The increasing interdependence between nurses and physicians compelled Hofling and his colleagues to explore nurses’ reactions to a potentially harmful medical request made by the perceived authority figure, the doctor (Hofling, Brotzman, Dalrymple, Graves, & Pierce, 1966). In this situation,...
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  3. Research Domains
  5. Health Sciences
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  9. Family Care
  11. "though There Are Some Challenges, We Try Our Best To Follow The Guidelines": A Qualitative Study Exploring Determinants Of Providing Guideline-adherent Care To Hospitalized Children In Kenya.
  1. Home
  3. Research Domains
  5. Health Sciences
  7. Health Services And Systems
  9. Family Care
  11. "though There Are Some Challenges, We Try Our Best To Follow The Guidelines": A Qualitative Study Exploring Determinants Of Providing Guideline-adherent Care To Hospitalized Children In Kenya.

Related Experiment Video

Project-Based Learning Guidelines for Health Sciences Students: An Analysis with Data Mining and Qualitative Techniques
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Project-Based Learning Guidelines for Health Sciences Students: An Analysis with Data Mining and Qualitative Techniques

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"Though there are some challenges, we try our best to follow the guidelines": a qualitative study exploring determinants of providing guideline-adherent care to hospitalized children in Kenya.

Megan M Coe1,2, Riffat Ara Shawon3, Mary Masheti4

  • 1Department of Child, Family, and Population Health Nursing, University of Washington, Seattle, WA, USA. megan.coe@stjude.org.

Implementation Science Communications
|October 28, 2025

View abstract on PubMed

Summary
This summary is machine-generated.
Keywords:
GuidelineHospitalKenyaPediatric

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Resource shortages, not knowledge, hinder adherence to pediatric care guidelines in Kenya. Improving guidelines with health worker input is key for better implementation and child health outcomes.

Area of Science:

  • Global Health
  • Pediatrics
  • Health Systems Strengthening

Background:

  • Clinical treatment guidelines aim to enhance care quality but face implementation challenges.
  • World Health Organization guidelines for hospitalized children have guided care for decades.
  • Kenyan adaptation, the Basic Paediatric Protocol, shows suboptimal adherence.

Purpose of the Study:

  • To identify barriers and facilitators to guideline-adherent care for hospitalized children in Kenya.
  • To understand health worker perspectives on implementing the Basic Paediatric Protocol.

Main Methods:

  • Qualitative study using semi-structured interviews and focus groups with 35 health workers.
  • Theoretical Domains Framework (TDF) informed the question guide.
  • Thematic analysis of transcribed interviews and discussions.
Qualitative
Theoretical Domains Framework

Main Results:

  • Environmental context and resources (staff/supply shortages) were major barriers.
  • Health workers knew guidelines and believed in their benefits but faced implementation difficulties.
  • Deviations from guidelines were sometimes intentional (misalignment with beliefs) or unintentional (complex cases).

Conclusions:

  • Human and material resource shortages are the primary barriers to guideline adherence.
  • Involving health workers in guideline development can improve clarity and feasibility.
  • Educational strategies should address knowledge gaps rather than general guideline awareness.