Search

Abstract Background Despite the proven effectiveness of infection prevention and control (IPC) practices in reducing healthcare-associated infections and related costs, their implementation poses a challenge in neonatal care settings across high-income (HICs) and low- and middle-income countries (LMICs). While existing research has predominantly focused on assessing the clinical effectiveness of these practices in neonatal care, aspects concerning their implementation remain underexplored. This systematic review therefore aimed to analyze implementation determinants and employed strategies for implementing IPC practices in inpatient neonatal care across country income levels. Methods Following a targeted search in seven databases, titles and abstracts as well as full texts were screened in a dual review process to identify studies focusing on the implementation of IPC practices in inpatient neonatal care and reporting on implementation determinants and/or implementation strategies. Implementation determinants were synthesized using the updated Consolidated Framework for Implementation Research. Implementation strategies were coded according to the Expert Recommendations for Implementing Change taxonomy. A convergent integrated approach was used to narratively summarize results across qualitative and quantitative studies. χ 2 Tests and Fisher’s Exact Tests were performed to analyze differences in implementation determinants and strategies across IPC practices and country income levels. The quality of included studies was assessed using the Mixed Methods Appraisal Tool. Results Out of 6,426 records, a total of 156 studies were included in the systematic review. Neonatal units in LMICs and HICs showed general commonalities in reported implementation determinants, which were mainly reported at the organizational level. While educational as well as evaluative and iterative strategies were most frequently employed to support the implementation of IPC practices in both LMICs and HICs, other strategies employed showed variance across country income levels. Notably, the statistical analyses identified a significant association between country income levels and implementation determinants and strategies respectively ( $$\:\rho\:$$

Sputter-deposited thin films of pure chromium and chromium-rich alloys with V, W, and Mn are evaluated in terms of electrical resistivity and piezoresistivity, as measured by the gauge factor, from room temperature to 470 °C. The alloying elements vanadium, tungsten, and manganese, are known to either stabilize or destabilize the spin-density wave antiferromagnetism found in Cr. In a concentration series and a substrate bias voltage series, the variation of resistivity, gauge factors (of up to 20), and their temperature coefficients is shown. High-temperature resistivity measurements indicate increased Néel transition temperatures that are related to a gauge factor maximum. Generally, the gauge factor increases toward the Néel temperature. The Cr 60 Mn 40 film, however, has a small negative temperature coefficient of the gauge factor. This is a desired property in strain and pressure sensor films, as it allows for compensating the temperature coefficient of the elastic modulus of aluminum or steel transducers. An analysis of the resistance change through mechanical loading quantifies Néel temperature changes of up to 100 K per percent of strain that are likely the mechanism of the observed piezoresistivity. Overall, the Cr-rich alloy thin films represent a class of metallic piezoresistive films with properties that can be well adjusted to the sensor application by concentration and sputtering parameters. [ABSTRACT FROM AUTHOR]

Background: Despite the proven effectiveness of infection prevention and control (IPC) practices in reducing healthcare-associated infections and related costs, their implementation poses a challenge in neonatal care settings across high-income (HICs) and low- and middle-income countries (LMICs). While existing research has predominantly focused on assessing the clinical effectiveness of these practices in neonatal care, aspects concerning their implementation remain underexplored. This systematic review therefore aimed to analyze implementation determinants and employed strategies for implementing IPC practices in inpatient neonatal care across country income levels. Methods: Following a targeted search in seven databases, titles and abstracts as well as full texts were screened in a dual review process to identify studies focusing on the implementation of IPC practices in inpatient neonatal care and reporting on implementation determinants and/or implementation strategies. Implementation determinants were synthesized using the updated Consolidated Framework for Implementation Research. Implementation strategies were coded according to the Expert Recommendations for Implementing Change taxonomy. A convergent integrated approach was used to narratively summarize results across qualitative and quantitative studies. χ2 Tests and Fisher's Exact Tests were performed to analyze differences in implementation determinants and strategies across IPC practices and country income levels. The quality of included studies was assessed using the Mixed Methods Appraisal Tool. Results: Out of 6,426 records, a total of 156 studies were included in the systematic review. Neonatal units in LMICs and HICs showed general commonalities in reported implementation determinants, which were mainly reported at the organizational level. While educational as well as evaluative and iterative strategies were most frequently employed to support the implementation of IPC practices in both LMICs and HICs, other strategies employed showed variance across country income levels. Notably, the statistical analyses identified a significant association between country income levels and implementation determinants and strategies respectively ( <0.05). Conclusion: The results of this systematic review underscore the importance of the organizational level for the implementation of IPC practices in neonatal care irrespective of country income level. However, further research is needed to understand the underlying relationships of factors and dynamics contributing to the observed practice variances in LMICs and HICs. Registration: PROSPERO (CRD42022380379). [ABSTRACT FROM AUTHOR]

The correction notice for the article "Firm, yet flexible: a fidelity debate paper with two case examples" in Implementation Science acknowledges the error in omitting a note about the equal contribution of authors Bianca Albers, Lotte Verweij, Lauren Clack, and Rahel Naef. The correction clarifies that Albers and Verweij shared first authorship, while Clack and Naef shared last authorship. The original article has been updated to reflect this correction. [Extracted from the article]