Belief that continuous monitoring is a safety net
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Characteristics of individuals: knowledge and beliefs
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Behavioral beliefs contributing to attitudes
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Educational outreach visits, build a coalition, learning collaborative
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Reluctance to change comfortably entrenched practice of continuously monitoring all infants
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Characteristics of individuals: self-efficacy, Inner setting: implementation climate
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Self-efficacy, organizational culture and climate, habit
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Provide reminders (clinical decision support), audit and feedback, clinical champions, learning collaborative
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Monitoring because of perceived parental preference that infant be monitored (preference may be real or assumed)
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Characteristics of individuals: knowledge and beliefs, Outer setting: patient needs
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Behavioral beliefs contributing to attitudes, self-efficacy
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Educational outreach visits, clinical champions, involving parents as active participants in deimplementation effort
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