Implementation of a web-based national child health-care programme in a local context: A complex facilitator role
The aim of this study was to investigate child health-care coordinators’ experiences of being a facilitator for the implementation of a new national child health-care programme in the form of a web-based national guide.
The study was based on eight remote, online focus groups, using Skype for Business. A qualitative content analysis was performed.
The analysis generated three categories: adapt to a local context, transition challenges and led by strong incentives. There were eight subcategories. In the latent analysis, the theme ‘Being a facilitator: a complex role’ was formed to express the child health-care coordinators’ experiences.
Facilitating a national guideline or decision support in a local context is a complex task that requires an advocating and mediating role. For successful implementation, guidelines and decision support, such as a web-based guide and the new child health-care programme, must match professional consensus and needs and be seen as relevant by all. Participation in the development and a strong bottom-up approach was important, making the web-based guide and the programme relevant to whom it is intended to serve, and for successful implementation. The study contributes valuable knowledge when planning to implement a national web-based decision support and policy programme in a local health-care context.
Child health care, decision support, facilitators, guidelines, ICT, implementation, child, human, infant, Internet, newborn, organization and management, preschool child, professional standard, psychology, public health, Sweden, Child Health Services, Child, Preschool, Humans, Infant, Newborn, National Health Programs, Professional Role