Victoria University

Knowledge Translation in Action: An Evaluation of the Implementation of Customised Birthweight Centiles at One New Zealand District Health Board

ResearchArchive/Manakin Repository

Show simple item record

dc.contributor.advisor Skinner, Joan Lardelli, Malia Noelani 2012-04-16T00:27:42Z 2012-04-16T00:27:42Z 2011 2011 2011
dc.description.abstract Identifying small for gestational age (SGA) and large for gestational age (LGA) babies is important, because these babies may be at increased risk of hypoglycaemia at birth. It is proposed that customised birthweight centiles (CBWC) can more accurately identify these babies by taking into account several physiological variables of the pregnancy affecting birthweight. These variables are: maternal height and booking weight, ethnicity, parity, the baby's gender and gestation. CBWC for a New Zealand (NZ) population were developed by McCowan, Stewart, Francis and Gardosi (2004), and can be downloaded for free from Using CBWC is not in common practice in NZ, even though its use was discussed in a 2007 Health and Disability Commissioner report in relation to neonatal hypoglycaemia. The setting for the study was a NZ District Health Board (DHB) that calculates a CBWC for each birth. The research question asked how the evidence behind CBWC was put into practice and what outcomes resulted from translating this knowledge into action. This was a mixed methods evaluation which included interviews, focus groups, an audit and document analysis. The knowledge-to-action (KTA) framework (Straus, Tetroe, & Graham, 2009) was used as a theoretical template to describe the implementation process that occurred. The results revealed that maternity care providers were initially challenged by the evidence. But over time, guideline compliance improved as practitioners experienced the benefit of using CBWC in practice. All agreed that the CBWC calculator was user-friendly. However, the audit demonstrated it was easy to make a mistake or manipulate results when using the calculator. CBWC can help identify babies at risk of hypoglycaemia who otherwise would have been missed. But it is unknown what difference it had made in improving neonatal morbidity and mortality, due to insufficient data. But anecdotally, stakeholders felt it had made a difference. The findings demonstrated that knowledge translation is a complex process which is difficult to capture within a one-dimensional framework. However, using such a framework can identify what stages are needed to complete an implementation process. en_NZ
dc.language.iso en_NZ
dc.publisher Victoria University of Wellington en_NZ
dc.subject Customised birthweight centiles en_NZ
dc.subject Customized birthweight centiles en_NZ
dc.subject Evaluation en_NZ
dc.subject Knowledge translation en_NZ
dc.title Knowledge Translation in Action: An Evaluation of the Implementation of Customised Birthweight Centiles at One New Zealand District Health Board en_NZ
dc.type Text en_NZ
vuwschema.contributor.unit Graduate School of Nursing, Midwifery and Health en_NZ
vuwschema.subject.marsden 321014 Obstetrics and Gynaecology en_NZ
vuwschema.subject.marsden 321019 Paediatrics en_NZ
vuwschema.type.vuw Awarded Research Masters Thesis en_NZ Midwifery en_NZ Victoria University of Wellington en_NZ Master's en_NZ Master of Midwifery en_NZ
vuwschema.subject.anzsrcfor 119999 Medical and Health Sciences not elsewhere classified en_NZ

Files in this item

This item appears in the following Collection(s)

Show simple item record

Search ResearchArchive

Advanced Search


My Account