@inbook{e4ab943d62c4499cb3c30da947f79930,
title = "Guidelines on anaemia: Effect on primary-care midwives in The Netherlands",
abstract = "Objective: To assess the adherence and perceived barriers for implementation of a clinical-practice guideline on anaemia, which was the first national guideline for primary-care midwifery in The Netherlands. Design: Cross-sectional survey study. Setting: Primary-care midwifery in The Netherlands. Participants: 160 Midwives (60% response rate). Measurements: Questionnaire on the knowledge of, and attitudes and self-reported adherence to, 14 key recommendations in the guideline; attitudes to guidelines in general; and perceived barriers to implementation. Findings: The number of midwives agreeing with and adhering to specific recommendations varied between 29 and 90%. Most midwives had a positive attitude to the guidelines. The most relevant general barriers were related to the behaviour of general practitioners and obstetricians (32% of the midwives reported this). Larger numbers of midwives mentioned barriers to specific aspects of the guideline, particularly alternative iron supplementation or dietary supplements (59%), and not prescribing iron supplementation if haemoglobin was low but mean corpuscular volume was normal (49%). Key conclusions: The guideline on anaemia was well received by primary-care midwives in The Netherlands, but implementation of specific recommendations needs further attention. Implications for practice: The study provides evidence for the national organisation of midwives to continue with the development and implementation of clinical guidelines. ?? 2005 Elsevier Ltd. All rights reserved.",
keywords = "Anaemia, Midwifery, Practice guidelines",
author = "Pien Offerhaus and Margot Fleuren and Michel Wensing",
year = "2005",
month = sep,
doi = "10.1016/j.midw.2004.10.005",
language = "English",
isbn = "0266-6138 (Print)\r0266-6138 (Linking)",
series = "Midwifery",
pages = "204--211",
booktitle = "Midwifery",
}