Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Documenting the experiences of health workers expected to implement guidelines during an intervention study in Kenyan hospitals | Implementation Science BioMed Central Research article Open Access Documenting the experiences of health workers expected to implement guidelines during an intervention study in Kenyan hospitals Jacinta Nzinga 1 Patrick Mbindyo1 Lairumbi Mbaabu1 Ann Warira1 and Mike English1 2 Address 1KEMRI Centre for Geographic Medicine Research - Coast KEMRI Wellcome Trust Programme PO Box 43640 Nairobi Kenya and 2Department of Paediatrics University of Oxford John Radcliffe Hospital Headington Oxford UK Email Jacinta Nzinga - jnzinga@ Patrick Mbindyo - pmbindyo@ Lairumbi Mbaabu - lmbaabu@ Ann Warira - awarira@ Mike English - menglish@ Corresponding author Published 23 July 2009 Received 16 January 2009 Implementation Science 2009 4 44 doi 1748-5908-4-44 Accepted 23 July 2009 This article is available from http content 4 1 44 2009 Nzinga et al licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Background Although considerable efforts are directed at developing international guidelines to improve clinical management in low-income settings they appear to influence practice rarely. This study aimed to explore barriers to guideline implementation in the early phase of an intervention study in four district hospitals in Kenya. Methods We developed a simple interview guide based on a simple characterisation of the intervention informed by review of major theories on barriers to uptake of guidelines. In-depth interviews non-participatory observation and informal discussions were then used to explore perceived barriers to guideline introduction and general improvements in .
