Table 1 Important factors identified in the adoption of the SAVE-method to additional sites in phase II
Introduction phase | Approach decision makers and stakeholders Achieve acceptance for the study from the head of departments and stakeholders (see Table 3) |
|---|---|
Set up of local team (facilitators) Form a local team including: a medical responsible doctor, coordinating midwife, obstetrician, neonatologist and neonatal nurse Define responsibilities in the study | |
Set-up phase | Define setting and develop new local routines Involve stakeholders to update routines to implement SAVE-protocol eg: • routine for alerting the neonatal team of infants requiring resuscitation • routine for control of SAVE-equipment on mobile stand • routine for moving of the infant from bedside to dedicated resuscitation area if in need of more advanced resuscitation efforts Prepare a checklist in the labor department for implementing the study and planning the birth according to the randomization instruction |
Set up of local equipment Establish collaboration with the MTE department to set-up the equipment and adopt the local setting in the room eg. oxygen/air outlets and longer gas hoses | |
Start-up phase | Set up training sessions for staff (adopters) Set up simulating exercises including all staff present in the labor department Plan training days with seminars on cord-clamping and SAVE-study process for different groups of staff Develop training material for the introduction of additional sites |