Explaining the uptake of paediatric guidelines in a Kenyan tertiary hospital – mixed methods research

by Grace W Irimu, Alexandra Greene, David Gathara et al.
BMC Health Services Research 2014, 14:119 (10 March 2014)

25 pp. 822 kB:
http://www.biomedcentral.com/content/pdf/1472-6963-14-119.pdf

Implementation of best-practices is a complex process that is largely unpredictable, attributed to the complexity of contextual factors operating predominantly at professional and organizational levels. There is no simple solution to implementation of best-practices. Tackling root causes of inadequate knowledge translation in the described tertiary care setting will require long-term planning, with emphasis on promotion of professional ethics and values and establishing an organizational framework that enhances positive aspects of professionalism. This study has significant implications for the quality of training in medical institutions and the development of hospital leadership.

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