Organisational Environment

Risks & contraindications

Evidence quality

Highlighted claims

• Organisational barriers included management gaps, workload, physical resource problems, insufficient training, and lack of updated guidelines. — Barriers to integrating evidence-based practices into intrapartum care during vaginal births: a descriptive qualitative study in Sri Lanka
• Management gaps included poor supervision, inadequate support, lack of appreciation, inadequate supplies, and weak feedback systems. — Barriers to integrating evidence-based practices into intrapartum care during vaginal births: a descriptive qualitative study in Sri Lanka
• High patient load increased workload and reduced quality of care. — Barriers to integrating evidence-based practices into intrapartum care during vaginal births: a descriptive qualitative study in Sri Lanka
• The labour room lacked current common intrapartum care guidelines, and care was largely based on consultants’ individual plans. — Barriers to integrating evidence-based practices into intrapartum care during vaginal births: a descriptive qualitative study in Sri Lanka
• Heavy workload caused stress and reduced individual attention to women. — Barriers to integrating evidence-based practices into intrapartum care during vaginal births: a descriptive qualitative study in Sri Lanka
• Inadequate space prevented labour companionship because privacy could not be ensured. — Barriers to integrating evidence-based practices into intrapartum care during vaginal births: a descriptive qualitative study in Sri Lanka