{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T01:48:18Z","timestamp":1789696098616,"version":"4.0.1"},"reference-count":37,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2018,2,22]],"date-time":"2018-02-22T00:00:00Z","timestamp":1519257600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100000925","name":"National Health and Medical Research Council","doi-asserted-by":"publisher","award":["1125687"],"award-info":[{"award-number":["1125687"]}],"id":[{"id":"10.13039\/501100000925","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000925","name":"National Health and Medical Research Council","doi-asserted-by":"publisher","award":["607351"],"award-info":[{"award-number":["607351"]}],"id":[{"id":"10.13039\/501100000925","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Paediatrics Child Health"],"published-print":{"date-parts":[[2018,6]]},"abstract":"<jats:sec><jats:title>Aim<\/jats:title><jats:p>The aim of this study was to determine the barriers and enablers influencing the uptake of two recommendations from a tertiary paediatric hospital's clinical practice guidelines by maternal and child health nurses (MCHNs) and emergency department (ED) doctors: (i) explaining normal crying; and (ii) avoiding attributing crying to gastro\u2010oesophageal reflux (GOR) and limiting anti\u2010reflux medication use.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The study was designed as 1\u2010h focus group discussions, guided by the Theoretical Domains Framework, and a short questionnaire, with a purposive sample of MCHNs and ED doctors in Victoria, Australia in (March to September) 2015. Analyses were conducted by inductive content analysis to identify key barriers and enablers.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 53 MCHNs and 25 ED doctors participated in 11 discussions. For<jats:italic>explaining normal crying,<\/jats:italic>key<jats:italic>enablers<\/jats:italic>were: adequate experience\/competency, perceiving it was their role to explain and belief it prevented over\u2010medicalisation. The main<jats:italic>barriers<\/jats:italic>were time restriction and beliefs about parents' perceptions. For MCHNs, key<jats:italic>barriers<\/jats:italic>to<jats:italic>avoid attributing crying to GOR<\/jats:italic>were: lack of knowledge and confusion around their role in diagnosing GOR. For ED doctors, key<jats:italic>barriers<\/jats:italic>to<jats:italic>limiting anti\u2010reflux medication<\/jats:italic>were: parents requesting medication, concern about disrupting the parent\u2013primary\u2010care practitioner relationship and belief it was not their role to cease anti\u2010reflux medication.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Overall, MCHN and ED doctors were proficient in describing normal crying. However, several barriers to best practice were identified, including time constraints and belief about consequences of intervening. These results will be used to develop effective interventions to address the identified barriers and enablers to optimise the management of infant colic.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jpc.13858","type":"journal-article","created":{"date-parts":[[2018,2,23]],"date-time":"2018-02-23T19:34:34Z","timestamp":1519414474000},"page":"653-660","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["Caring for crying babies: A mixed\u2010methods study to understand factors influencing nurses' and doctors' management of infant colic"],"prefix":"10.1111","volume":"54","author":[{"given":"James","family":"McGann","sequence":"first","affiliation":[{"name":"Centre for Community Child Health Murdoch Childrens Research Institute Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jaqueline","family":"Manohar","sequence":"additional","affiliation":[{"name":"Centre for Community Child Health Murdoch Childrens Research Institute Melbourne Victoria Australia"},{"name":"Centre for Community Child Health Royal Children's Hospital Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Harriet","family":"Hiscock","sequence":"additional","affiliation":[{"name":"Centre for Community Child Health Murdoch Childrens Research Institute Melbourne Victoria Australia"},{"name":"Centre for Community Child Health Royal Children's Hospital Melbourne Victoria Australia"},{"name":"Department of Paediatrics University of Melbourne Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Denise","family":"O'Connor","sequence":"additional","affiliation":[{"name":"School of Public Health and Preventive Medicine Monash University Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jan","family":"Hodgson","sequence":"additional","affiliation":[{"name":"Centre for Community Child Health Murdoch Childrens Research Institute Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1107-2187","authenticated-orcid":false,"given":"Franz","family":"Babl","sequence":"additional","affiliation":[{"name":"Centre for Community Child Health Murdoch Childrens Research Institute Melbourne Victoria Australia"},{"name":"Centre for Community Child Health Royal Children's Hospital Melbourne Victoria Australia"},{"name":"Department of Paediatrics University of Melbourne Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Valerie","family":"Sung","sequence":"additional","affiliation":[{"name":"Centre for Community Child Health Murdoch Childrens Research Institute Melbourne Victoria Australia"},{"name":"Centre for Community Child Health Royal Children's Hospital Melbourne Victoria Australia"},{"name":"Department of Paediatrics University of Melbourne Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2018,2,22]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1469-7610.1991.tb01922.x"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.14.5.421"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2005-0775"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(04)17191-2"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1440-1754.2007.01060.x"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1440-1614.2001.00942.x"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1440-1754.2011.02032.x"},{"key":"e_1_2_9_9_1","unstructured":"Baum RA. 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