{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,16]],"date-time":"2026-02-16T20:55:46Z","timestamp":1771275346172,"version":"3.50.1"},"reference-count":29,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2025,12,12]],"date-time":"2025-12-12T00:00:00Z","timestamp":1765497600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"},{"start":{"date-parts":[[2026,1,19]],"date-time":"2026-01-19T00:00:00Z","timestamp":1768780800000},"content-version":"vor","delay-in-days":38,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Health Serv Res"],"DOI":"10.1186\/s12913-025-13839-7","type":"journal-article","created":{"date-parts":[[2025,12,12]],"date-time":"2025-12-12T16:32:44Z","timestamp":1765557164000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Understanding enablers and barriers to implementing the Safer Baby Bundle: a mixed-methods study with site leads"],"prefix":"10.1186","volume":"26","author":[{"given":"Christine","family":"Andrews","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fran","family":"Boyle","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ashley","family":"Pade","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ann","family":"Lancaster","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Philippa","family":"Middleton","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David","family":"Ellwood","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Adrienne","family":"Gordon","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael","family":"Nicholl","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kirstine","family":"Sketcher-Baker","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tanya","family":"Farrell","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ida Stevia","family":"Diget","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vicki","family":"Flenady","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2025,12,12]]},"reference":[{"key":"13839_CR1","volume-title":"National stillbirth action and implementation plan","author":"Australian Department of Health and Aged Care","year":"2020","unstructured":"Australian Department of Health and Aged Care. National stillbirth action and implementation plan. Canberra, ACT: Commonwealth of Australia; 2020."},{"key":"13839_CR2","volume-title":"Australia\u2019s mothers and babies","author":"Australian Institute of Health and Welfare","year":"2025","unstructured":"Australian Institute of Health and Welfare. Australia\u2019s mothers and babies. Canberra: AIHW, Australian Government; 2025."},{"issue":"10019","key":"13839_CR3","doi-asserted-by":"publisher","first-page":"691","DOI":"10.1016\/S0140-6736(15)01020-X","volume":"387","author":"V Flenady","year":"2016","unstructured":"Flenady V, Wojcieszek AM, Middleton P, et al. Stillbirths: recall to action in high-income countries. Lancet. 2016;387(10019):691\u2013702.","journal-title":"Lancet"},{"issue":"6","key":"13839_CR4","doi-asserted-by":"publisher","first-page":"514","DOI":"10.1016\/j.wombi.2020.09.006","volume":"33","author":"CJ Andrews","year":"2020","unstructured":"Andrews CJ, Ellwood DA, Gordon A, et al. Stillbirth in Australia 2: working together to reduce stillbirth in Australia: the safer baby bundle initiative. Women Birth. 2020;33(6):514\u201319.","journal-title":"Women Birth"},{"key":"13839_CR5","volume-title":"The fourth Australian atlas of healthcare variation","author":"Australian Commission on Safety and Quality in Health Care and Australian Institute of Health and Welfare","year":"2021","unstructured":"Australian Commission on Safety and Quality in Health Care and Australian Institute of Health and Welfare. The fourth Australian atlas of healthcare variation. Sydney: ACSQHC; 2021."},{"issue":"1","key":"13839_CR6","doi-asserted-by":"publisher","first-page":"68","DOI":"10.1186\/s13012-024-01398-0","volume":"19","author":"G Fontaine","year":"2024","unstructured":"Fontaine G, Vinette B, Weight C, et al. Effects of implementation strategies on nursing practice and patient outcomes: a comprehensive systematic review and meta-analysis. Implement Sci. 2024;19(1):68.","journal-title":"Implementation Sci"},{"issue":"1","key":"13839_CR7","doi-asserted-by":"publisher","first-page":"347","DOI":"10.1186\/s12913-023-09189-x","volume":"23","author":"A-M Bora","year":"2023","unstructured":"Bora A-M, Piechotta V, Kreuzberger N, et al. The effectiveness of clinical guideline implementation strategies in oncology\u2014a systematic review. BMC Health Serv Res. 2023;23(1):347.","journal-title":"BMC Health Serv Res"},{"key":"13839_CR8","doi-asserted-by":"crossref","unstructured":"Wells S, Tamir O, Gray J, Naidoo D, Bekhit M, Goldmann D. Are quality improvement collaboratives effective? A systematic review. BMJ Qual Saf. 2017.","DOI":"10.1136\/bmjqs-2017-006926"},{"key":"13839_CR9","volume-title":"Using care bundles to improve health care quality","author":"R Resar","year":"2012","unstructured":"Resar R, Griffin FA, Haraden C, Nolan TW. Using care bundles to improve health care quality. Cambridge, Massachusetts: Institute for Healthcare Improvement; 2012."},{"issue":"1","key":"13839_CR10","doi-asserted-by":"publisher","first-page":"142","DOI":"10.1186\/s13012-017-0670-0","volume":"12","author":"JF Lavallee","year":"2017","unstructured":"Lavallee JF, Gray TA, Dumville J, Russell W, Cullum N. The effects of care bundles on patient outcomes: a systematic review and meta-analysis. Implement Sci. 2017;12(1):142.","journal-title":"Implement Sci"},{"issue":"1","key":"13839_CR11","doi-asserted-by":"publisher","first-page":"155","DOI":"10.1186\/s12913-020-4981-5","volume":"20","author":"L de la Perrelle","year":"2020","unstructured":"de la Perrelle L, Radisic G, Cations M, Kaambwa B, Barbery G, Laver K. Costs and economic evaluations of quality improvement collaboratives in healthcare: a systematic review. BMC Health Serv Res. 2020;20(1):155.","journal-title":"BMC Health Serv Res"},{"issue":"4","key":"13839_CR12","doi-asserted-by":"publisher","first-page":"e0250150","DOI":"10.1371\/journal.pone.0250150","volume":"16","author":"K Widdows","year":"2021","unstructured":"Widdows K, Roberts SA, Camacho EM, Heazell AEP. Stillbirth rates, service outcomes and costs of implementing NHS England\u2019s saving babies\u2019 lives care bundle in maternity units in England: a cohort study. PLoS One. 2021;16(4):e0250150.","journal-title":"PLoS One"},{"issue":"2","key":"13839_CR13","doi-asserted-by":"publisher","first-page":"147","DOI":"10.1016\/j.ajog.2024.04.009","volume":"231","author":"RM Silver","year":"2024","unstructured":"Silver RM, Stone JL. A United States stillbirth prevention bundle. Am J Obstet Gynecology. 2024;231(2):147\u201349.","journal-title":"Am J Obstet Gynecology"},{"key":"13839_CR14","unstructured":"Safer Care Victoria. Safer baby collaborative, Victoria. 2022. https:\/\/www.safercare.vic.gov.au\/best-practice-improvement\/improvement-projects\/mothers-babies-children\/safer-baby2025."},{"issue":"3","key":"13839_CR15","doi-asserted-by":"publisher","first-page":"535","DOI":"10.1177\/0038038509103208","volume":"43","author":"C May","year":"2009","unstructured":"May C, Finch T. Implementing, embedding, and integrating practices: an outline of normalization process theory. Sociology. 2009;43(3):535\u201354.","journal-title":"Sociology"},{"issue":"1","key":"13839_CR16","doi-asserted-by":"publisher","first-page":"694","DOI":"10.1186\/s12884-020-03401-0","volume":"20","author":"CJ Andrews","year":"2020","unstructured":"Andrews CJ, Ellwood D, Middleton PF, et al. Implementation and evaluation of a quality improvement initiative to reduce late gestation stillbirths in Australia: safer baby bundle study protocol. BMC Pregnancy Childbirth. 2020;20(1):694.","journal-title":"BMC Pregnancy Childbirth"},{"issue":"3","key":"13839_CR17","doi-asserted-by":"publisher","first-page":"251","DOI":"10.1016\/j.wombi.2019.06.001","volume":"33","author":"CJ Andrews","year":"2020","unstructured":"Andrews CJ, Ellwood D, Middleton PF, et al. Survey of Australian maternity hospitals to inform development and implementation of a stillbirth prevention \u2018bundle of care\u2019. Women Birth. 2020;33(3):251\u201358.","journal-title":"Women Birth"},{"issue":"1","key":"13839_CR18","doi-asserted-by":"publisher","first-page":"520","DOI":"10.1186\/s12884-024-06712-8","volume":"24","author":"C Andrews","year":"2024","unstructured":"Andrews C, Boyle FM, Pade A, et al. Experiences of antenatal care practices to reduce stillbirth: surveys of women and healthcare professionals pre-post implementation of the safer baby bundle. BMC Pregnancy Childbirth. 2024;24(1):520.","journal-title":"BMC Pregnancy Childbirth"},{"key":"13839_CR19","volume-title":"Maternal and fetal health research centre","author":"K Widdows","year":"2018","unstructured":"Widdows K, Roberts SA, Camacho EM, Heazell AEP. Evaluation of the implementation of the saving babies\u2019 lives care bundle in early adopter NHS trusts in England. In: Maternal and fetal health research centre. Manchester, UK: University of Manchester; 2018."},{"issue":"1","key":"13839_CR20","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1080\/26895269.2022.2129597","volume":"24","author":"V Braun","year":"2023","unstructured":"Braun V, Clarke V. Toward good practice in thematic analysis: avoiding common problems and be(com)ing a knowing researcher. Int J Transgender Health. 2023;24(1):1\u20136.","journal-title":"Int J Transgender Health"},{"issue":"1","key":"13839_CR21","doi-asserted-by":"publisher","first-page":"117","DOI":"10.1186\/1471-2288-13-117","volume":"13","author":"NK Gale","year":"2013","unstructured":"Gale NK, Heath G, Cameron E, Rashid S, Redwood S. Using the framework method for the analysis of qualitative data in multi-disciplinary health research. BMC Med Res Methodol. 2013;13(1):117.","journal-title":"BMC Med Res Methodol"},{"key":"13839_CR22","unstructured":"Australian Health Ministers\u2019 Advisory Council. National maternity services capability framework 2012 Commonwealth of Australia."},{"issue":"12","key":"13839_CR23","doi-asserted-by":"publisher","first-page":"e0315588","DOI":"10.1371\/journal.pone.0315588","volume":"19","author":"K Raghunathan","year":"2024","unstructured":"Raghunathan K, East C, Poudel K. Barriers and enablers for implementation of clinical practice guidelines in maternity and neonatal settings: a rapid review. PLoS One. 2024;19(12):e0315588.","journal-title":"PLoS One"},{"issue":"1","key":"13839_CR24","doi-asserted-by":"publisher","first-page":"331","DOI":"10.1186\/s12913-025-12480-8","volume":"25","author":"A Chapman","year":"2025","unstructured":"Chapman A, Buccheri A, Mohotti D, et al. Staff-reported barriers and facilitators to the implementation of healthcare interventions within regional and rural areas: a rapid review. BMC Health Serv Res. 2025;25(1):331.","journal-title":"BMC Health Serv Res"},{"key":"13839_CR25","doi-asserted-by":"crossref","unstructured":"Fetal growth. Ultrasound Obstet Gynecol. 2025;66(S1):162\u201383.","DOI":"10.1002\/uog.70083"},{"key":"13839_CR26","unstructured":"Clinical Excellence Commission. Maternity safety. 2025. Accessed 04\/11\/2025. https:\/\/www.cec.health.nsw.gov.au\/keep-patients-safe\/maternity-and-neonatal-safety-program\/maternity-safety."},{"key":"13839_CR27","unstructured":"Women\u2019s Healthcare Australasia. Safer baby bundle dashboard. 2025. https:\/\/women.wcha.asn.au\/benchmark\/new-benchmarking-initiatives\/safer-baby-bundle-dashboard\/."},{"issue":"1","key":"13839_CR28","doi-asserted-by":"publisher","first-page":"42","DOI":"10.1186\/s13012-020-01006-x","volume":"15","author":"M Wensing","year":"2020","unstructured":"Wensing M, Sales A, Armstrong R, Wilson P. Implementation science in times of covid-19. Implementation Sci. 2020;15(1):42.","journal-title":"Implementation Sci"},{"key":"13839_CR29","doi-asserted-by":"crossref","unstructured":"Andrews C, Pade A, Boyle F, et al. Conversations about stillbirth risk in routine antenatal care: a qualitative study post-implementation of the safer baby bundle. Bjog. 2025.","DOI":"10.1111\/1471-0528.18330"}],"container-title":["BMC Health Services Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12913-025-13839-7.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s12913-025-13839-7","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12913-025-13839-7.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,19]],"date-time":"2026-01-19T17:15:06Z","timestamp":1768842906000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1186\/s12913-025-13839-7"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,12,12]]},"references-count":29,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2026,12]]}},"alternative-id":["13839"],"URL":"https:\/\/doi.org\/10.1186\/s12913-025-13839-7","relation":{},"ISSN":["1472-6963"],"issn-type":[{"value":"1472-6963","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,12,12]]},"assertion":[{"value":"5 September 2025","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"28 November 2025","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"12 December 2025","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"This study was conducted in accordance with the Declaration of Helsinki and was approved by the Royal Brisbane & Women\u2019s Hospital Human Research Ethics Committee (HREC) in June 2019 (approval number: HREC\/2019\/QRBW\/47709). The processes used by this HREC to review multi-centre research proposals have been certified by the National Health and Medical Research Council. Informed consent was obtained from all survey and interview participants. Obtaining consent from participants was built into the electronic surveys; on the introductory page, participants were informed that \u2018by completing and submitting this survey, you will be indicating your consent to participate\u2019 All interview participants received a participant information sheet withdrawal from the study would not affect their workplace relations. Verbal consent to record and transcribe each interview was obtained before commencing each interview. The study protocol outlining the planned evaluation of the SBB across maternity services in NSW, QLD and VIC has been published [\n                      \n                      ].","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not applicable.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare no competing interests","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"74"}}