{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T20:59:27Z","timestamp":1792616367007,"version":"4.5.0"},"reference-count":26,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2026,1,21]],"date-time":"2026-01-21T00:00:00Z","timestamp":1768953600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,1,21]],"date-time":"2026-01-21T00:00:00Z","timestamp":1768953600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Paediatrica"],"published-print":{"date-parts":[[2026,11]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>Children born to mothers with chronic Hepatitis B virus (HBV) infection are at substantial risk of developing chronic HBV\u2010infection without appropriate perinatal post\u2010exposure treatment. This study aimed to explore midwives' and public health nurses' (PHNs) experiences with HBV\u2010post\u2010exposure treatment for infants and identify factors influencing the timeliness of follow\u2010up care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Data were collected through individual and focus group interviews with midwives and PHNs in hospitals and catchment\u2010area municipalities and analysed with thematic analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The study revealed significant vulnerabilities in the care pathway, primarily due to fragmented information sharing and a lack of seamless interprofessional collaboration between hospital and municipal healthcare services. Unclear roles, poor communication, and inconsistent documentation impede timely intervention. High workload and reliance on temporary staff further compromised continuity of care. Contrary, the within\u2010hospital joint mother\u2013child medical record and co\u2010location of PHNs, general practitioners, and municipal antenatal care midwives enhanced implementation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Despite individual awareness of responsibilities, significant system\u2010level challenges persist in ensuring effective interprofessional collaboration and holistic mother\u2010infant pathways after perinatal HBV\u2010exposure in Norway. System\u2010based improvements, such as electronic pregnancy records and automated reporting to the National Immunisation Registry could improve documentation, easing communication and ensuring appropriate and timely follow\u2010up for all high\u2010risk infants.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/apa.70455","type":"journal-article","created":{"date-parts":[[2026,1,22]],"date-time":"2026-01-22T06:31:47Z","timestamp":1769063507000},"page":"2595-2602","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Post\u2010Exposure Hepatitis B\u2010Treatment in Newborns: A Qualitative Study on Interprofessional Practices in Norway"],"prefix":"10.1111","volume":"115","author":[{"given":"Brita Askeland","family":"Winje","sequence":"first","affiliation":[{"name":"Faculty of Health Sciences Oslo Metropolitan University  Oslo Norway"},{"name":"Norwegian Institute of Public Health, Division of Infection Control  Oslo Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kristine","family":"Follstad","sequence":"additional","affiliation":[{"name":"Grunerlokka Borough Oslo Municipality  Oslo Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ida","family":"Ueland","sequence":"additional","affiliation":[{"name":"Vestre Aker Borough Oslo Municipality  Oslo Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Signe Zenia","family":"Hulgaard\u2010Bruvold","sequence":"additional","affiliation":[{"name":"Faculty of Health Sciences Oslo Metropolitan University  Oslo Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9349-9204","authenticated-orcid":false,"given":"Margrethe","family":"Greve\u2010Isdahl","sequence":"additional","affiliation":[{"name":"Norwegian Institute of Public Health, Division of Infection Control  Oslo Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,1,21]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.vaccine.2016.02.060"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhepr.2023.100777"},{"key":"e_1_2_11_4_1","volume-title":"Guidelines for the Prevention, Diagnosis, Care and Treatment for People with Chronic Hepatitis B Infection: Policy Brief","year":"2024"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/INF.0b013e3181bd7f89"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ogc.2023.02.007"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00404-019-05190-0"},{"key":"e_1_2_11_8_1","unstructured":"World Health Organization \u201cHepatitis B 2024 \u201dhttps:\/\/www.who.int\/news\u2010room\/fact\u2010sheets\/detail\/hepatitis\u2010b."},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.vaccine.2013.11.004"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cld.2019.04.007"},{"key":"e_1_2_11_11_1","article-title":"Hepatitis B Immunisation for Newborn Infants of Hepatitis B Surface Antigen\u2010Positive Mothers","volume":"2","author":"Lee C.","year":"2006","journal-title":"Cochrane Database of Systematic Reviews"},{"key":"e_1_2_11_12_1","volume-title":"Barnevaksinasjonsprogrammet i Norge 2024 [the Childhood Immunisation Programme in Norway. Report for 2024]","author":"The Norwegian Institute of Public Health","year":"2025"},{"key":"e_1_2_11_13_1","volume-title":"Smittevernh\u00e5ndboka; Hepatitt B\u2014H\u00e5ndbok for Helsepersonell [Hepatitis B\u2014Guidelines for Healthcare Professionals, 2023]","author":"The Norwegian Institute of Public Health","year":"2023"},{"key":"e_1_2_11_14_1","unstructured":"\u201cForskrift om Innsamling og Behandling av Helseopplysninger i Nasjonalt Vaksinasjonsregister (SYSVAK\u2010Registerforskriften) [Act Relating to Collection and Processing of Health Information in the National Immunisation Register (SYSVAK Register Regulation)] FOR\u20102003\u201006\u201020\u2010739 \u201d(2003)."},{"key":"e_1_2_11_15_1","unstructured":"A.Johannessen A.Rojahn D. H.Reikvam et\u00a0al. \u201cFaglig Veileder for Utredning og Behandling av Hepatitt B [Guidelines for the Investigation and Treatment of Hepatitis B]: The Norwegian Medical Association \u201d(2022) https:\/\/www.legeforeningen.no\/contentassets\/de93714c669844fe89d0a745af7550f2\/veileder\u2010hepatitt\u2010b\u20102022.pdf."},{"issue":"3","key":"e_1_2_11_16_1","article-title":"Et Tverrfaglig Samarbeidsprosjekt Mellom Jordmor\u2010Og Helses\u00f8sterutdanningen Sett i Lys Av den Didaktiske Relasjonsmodellen [A Multidisciplinary Collaboration Project Between the Midwifery and Public Health Nursing Education Programs, Viewed in Light of the Didactic Relational Model]","volume":"37","author":"Aune I.","year":"2015","journal-title":"Idunn"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1080\/00365540310010921"},{"key":"e_1_2_11_18_1","unstructured":"The Ministry of Health and Care Services \u201cReport No. 47 (2008\u20132009). The Coordination Reform: The Right Treatment\u2014at the Right Place\u2014at the Right Time \u201dThe Ministry of Health and Care Services."},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.18261\/issn.2464-3076-2018-02-03"},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.5334\/ijic.254"},{"key":"e_1_2_11_21_1","doi-asserted-by":"publisher","DOI":"10.3402\/qhw.v7i0.18183"},{"key":"e_1_2_11_22_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-319-69909-7_3470-2"},{"key":"e_1_2_11_23_1","doi-asserted-by":"publisher","DOI":"10.1093\/intqhc\/mzm042"},{"issue":"1","key":"e_1_2_11_24_1","article-title":"Elektronisk MeldingsUtveksling Mellom Hjemmetjenestene og Fastleger [Electronic Message Exchange Between Home Care Services and General Practitioners]","volume":"10","author":"Borgen K.","year":"2015","journal-title":"Sykepleien Forskning"},{"key":"e_1_2_11_25_1","volume-title":"Infection Control Act, LOV\u20101994\u201008\u201005\u201055","author":"Ministry of Health and Care Services","year":"1994"},{"key":"e_1_2_11_26_1","article-title":"Hvordan Helses\u00f8stre Bruker Kunnskapskilder [How Public Health Nurses Use Sources of Knowledge]","volume":"12","author":"Weum M.","year":"2017","journal-title":"Sykepleien Forskning"},{"key":"e_1_2_11_27_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.vaccine.2011.10.028"}],"container-title":["Acta Paediatrica"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/apa.70455","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/apa.70455","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/apa.70455","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T20:33:14Z","timestamp":1792614794000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/apa.70455"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1,21]]},"references-count":26,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2026,11]]}},"alternative-id":["10.1111\/apa.70455"],"URL":"https:\/\/doi.org\/10.1111\/apa.70455","archive":["Portico"],"relation":{},"ISSN":["0803-5253","1651-2227"],"issn-type":[{"value":"0803-5253","type":"print"},{"value":"1651-2227","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1,21]]},"assertion":[{"value":"2025-05-27","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-01-13","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-01-21","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}