BARRIERS |
‘Cost factors—booking fee and cost of travel to hospital (against a background of poverty, low resources, long distance to travel)’ |
Resource limitations |
Women and community-based challenges (patient and population) |
‘Different guidelines used to inform practice (national and international)’ |
Variability in guidelines |
Guidelines and standards related challenges |
‘An overburdened national health system’ |
Resource limitations-low resource settings |
Health care system or systemic challenges |
‘Resistance to change on the part of health professionals’ |
Resistance to change |
Health professional related challenges |
‘Lack of alert-reminder design /interface in electronic records’ |
Lack of decision support systems and processes |
Organisation (healthcare provider) related challenges |
ENABLERS |
‘Educating nurses and midwives about the continued monitoring and reporting of unremitting symptoms in the postpartum period to minimize any possible complications’ |
Continued education and training about monitoring and reporting data |
Health professional practise |
‘More consistent and evidence-based guidelines for the paediatric setting could improve confidence in recommendations and hence compliance with them’ |
Consistent and evidence-based guidelines to improve confidence in recommendations |
Guidelines and standards development |
‘Automated orders as part of care maps and electronically generated messages to facilitate adherence’ |
Automated care pathways and electronic reminders |
Organisation/facility initiatives |
‘Simplify test and make it easier for woman’ |
Redesign screening and tests to improve patient uptake |
Health care system |
‘Patient education and instructional handouts’ |
Patient education |
Women and community (Patient and population) |