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Table 5 Determinants related to treatment of the child, mentioned by care providers (n = 25)

From: Barriers and facilitators related to the uptake of four strategies to prevent neonatal early-onset group B haemolytic streptococcus disease: a qualitative study

Key activities Determinants Screening strategy 1.2 Risk-based strategy1,2 Combination strategy1,2 Dutch guideline 1,2
Treatment (AB) and observation of the child Procedural clarity (guideline) 4 2 4 2
Logistics observation child at home GBS positive mother without risk factor N/P   N/P  
AB treatment differs between 3 to 5 days treatment N N N N
AB prophylaxis preterm children not specified N N N N
Personal benefits/drawbacks (user) 1 0 1 0
Resistance hospital staff admission child and mother after birth N   N  
Outcome expectations (user) 6 4 4 2
40% of cases are missed N N N N
Increase in yield infection N N   
AB resistance problem N N   
Mother or postpartum nursing-aid can adequately observe the child at home of GBS positive mother without risk factor N/P   N/P  
Hospital not always safe for observation child N N N N
Knowledge (user) 1 1 1 1
Postpartum nursing-aid needs training because of insufficient knowledge N N N N
Financial resources (organisational context) 1 1 1 1
Increased costs because of culture taking in the child N N N N
Time available (organisational context) 1 1 1 1
Taking cultures in a child is time consuming N N N N
  Total numbers of determinants, related to 14 9 12 7
the guideline itself 4 2 4 2
the user (care provider) 8 5 6 3
the organisational context 2 2 2 2
the socio-political context 0 0 0 0
  1. 1P’ = positive determinant; ‘N’ = negative determinant; ‘N/P’ = both negative and positive determinant. 2 The numbers in each row reflect how many issues related to the determinant were mentioned by the care providers