Table 5 Final survey
Introduction to survey | In 2012, a national expert panel comprehensively reviewed the evidence, assessed existing guidelines, and synthesized key recommendations for both prenatal and oral health providers. This led to the development of Oral Health Care during Pregnancy: A National Consensus Statement, endorsed by both the American College of Obstetricians and Gynecologists (ACOG) and the American Dental Association (ADA). The guidelines highlight the following overarching practice behaviors for both prenatal and oral health providers with regards to oral health among their pregnant patients: (1) assess, (2) advise, and (3) refer and coordinate care. • Assess: Examples include taking an oral health history; checking the mouth for problems; documenting the findings. • Advise: Examples include encouraging women to seek oral health care; counseling women on good oral hygiene behaviors. • Refer and coordinate care: Examples include referring women to prenatal/oral health providers; collaborating and engaging in interprofessional care. The next set of questions ask you to think about factors that may influence your decision to implement the prenatal oral health guidelines into daily practice. | |
Item stem | How important are the following factors to you when deciding to implement the prenatal oral health guidelines into your daily practice? | |
CFIR domain | Construct | Survey item |
Intervention characteristics | Evidence strength and quality | The strength of evidence to support the guidelines. |
Adaptability | The adaptability of the guidelines to meet my organization’s needs. | |
Design quality and packaging | The presentation and packaging of the guidelines for dissemination. | |
Complexity | The complexity of the guidelines. | |
Cost | The costs associated with implementing the guidelines. | |
Process | Formally appointed opinion leaders | Having a formally appointed implementation leader in my organization for these guidelines. |
Champions | Having a champion (e.g., someone who takes it upon themselves to promote and support the guidelines) in my organization. | |
Outer setting | Patient needs and resources | The degree to which the guidelines address the needs of my patients. |
Cosmopolitanism | The degree to which my organization has connections with other [prenatal/oral health]providers.* | |
Inner setting | Implementation climate | The degree to which my organization expects the implementation of the guidelines. |
Implementation climate | The degree to which my organization supports the implementation of the guidelines. | |
Tension for change | The degree to which my organization feels that the current oral health care practices (i.e., prevention, screening, treatment) among pregnant women are inadequate and need to change. | |
Compatibility | The compatibility of the guidelines to fit within the current workflow of my organization. | |
Relative priority | The priority placed on implementing the guidelines relative to other activities. | |
Goals and feedback | The degree to which the guidelines align with my organization’s goals. | |
Goals and feedback | The degree to which my organization provides feedback on the implementation process. | |
Learning Climate | The degree to which my organization allows me to test, reflect on, and evaluate implementation of the guidelines. | |
Leadership engagement | The level of commitment that my organization has to implement the guidelines. | |
Leadership engagement | The degree to which the guidelines are supported by leaders within my organization. | |
Available resources | The degree to which there are dedicated resources for implementing the guidelines into my organization (e.g., staff, money, training, time). | |
Access to knowledge and information | The degree to which there is access to information about the guidelines and how to implement them into practice. | |