Alya Isam Elgamri, Azza Tagelsir Ahmed, Omer Elfatih Haj-Siddig, Judith R Chin
Infant oral mutilation (IOM) related to traditional practices among inner city pre-school children in Sudan
African health sciences
explore possible barriers facilitators implementing upright positions second stage labour upssl programme chinese healthcare settings mixedmethod convergent design guidance consolidated framework implementation research cfir online survey study semistructured interviews conducted march may 2023 healthcare professionals recruited four hospitals shijiazhuang china one hundred thirtyone participants completed survey study 23 interviewed individually descriptive statistics evaluated possible barriers facilitators implementing upssl programme within cfir framework quantitatively guided cfir framework qualitative data analysed using directed content analysis summarize healthcare professionals perspectives barriers facilitators upssl programme multiple intersectional barriers facilitators identified survey semiinterviews healthcare professionals believed upssl programme scientific evidence base systematic contents possible benefits women however various barriers existed individual system organizational levels major barriers included healthcare professionals womens safety concerns towards use upright positions childbirth healthcare professionals unfamiliarity assisting upright position birth poor adaptability programme protocol inadequate facilities staffing lack readiness change clinical setting facilitate implementation upssl programme china tailored antenatal education upright positions especially addressing safetyrelated issues provided pregnant women families peers enhance understanding familiarity positions healthcare professionals also offered adequate training opportunities necessary facilities furthermore nationallevel policy changes might required address midwifery workforce shortages additionally research warranted select adapt test effective implementation strategies programme adoption problem study address adoption upright positions second stage labour could promote better maternal neonatal outcomes positive childbirth experience however adoption upright positions second stage labour suboptimal healthcare settings china barriers facilitators implementing upright positions childbirth unclear main findings range barriers facilitators within cfir framework promote upright positions childbirth healthcare professionals perspectives identified major barriers included safety concerns towards unfamiliarity upright position birth inadequate facilities staffing lack readiness change clinical setting research impact study enable better understanding barriers facilitators promoting upright positions second stage labour china smooth effective implementation upssl programme could help promote better maternal neonatal outcomes improve womens childbirth experiences reporting study followed consolidated criteria reporting qualitative research coreq good reporting mixed methods study gramms guidelines study healthcare professionals involved refining topic guides survey questions additionally findings interviews returned comments corrections