... teaching, learning and research organisation' (Trust Profile) Theme one: evidence-based practiceand clinical effectiveness The organisation supported evidence-based practiceand research and development ... identified: evidence-based practiceand clinical effectiveness; management approaches and decision making structures; staff development and training; multiprofessional working; and support for the project ... climate developed and validated by Anderson and West [32] was Page of 11 (page number not for citation purposes) Implementation Science 2007, 2:21 used to evaluate existing teamwork practices across...
... to assess differences in policyandpractice Green and Aarons Implementation Science 2011, 6:104 http://www.implementationscience.com/content/6/1/104 Page of 12 Figure Practice stakeholder importance ... Green and Aarons Implementation Science 2011, 6:104 http://www.implementationscience.com/content/6/1/104 Page of 12 Table Mean differences in changeability ratings for policyandpractice groups Policy ... importance between the policyand direct practice groups Next, we conducted a second analysis comparing cluster average ratings on changeability between the policyand direct practice groups Finally,...
... Implementation Science 2009, 4:83 http://www.implementationscience.com/content/4/1/83 actual use of new knowledge and skills in practice [59] Invivo practiceand ongoing coaching and/ or consultation ... perception and use of evidence-based treatments and practices, as well as provider training opportunities and organizational supports for the use of evidence-based treatments and practices) were ... evidence-based practiceand attitudes toward evidence-based practice, effect of organizational support for evidencebased practice on provider attitudes toward evidence-based practice, and effect...
... monitoring and feedback systems and, as with Ferlie and Shortell's core elements [38], related information technologies [11,30]; external communication networks and boundary-spanning roles [11,41]; and ... managerial and clinical relations; co-operative interorganizational networks; a fit between the change agenda and its locale; and the simplicity and clarity of organizational goals and priorities ... http://www.implementationscience.com/content/2/1/3 Research objectives and overview The purpose of this project is to understand both key contextual elements and related strategic processes in organizations that find and use evidence at multiple...
... Implementation Science 2009, 4:83 http://www.implementationscience.com/content/4/1/83 actual use of new knowledge and skills in practice [59] Invivo practiceand ongoing coaching and/ or consultation ... perception and use of evidence-based treatments and practices, as well as provider training opportunities and organizational supports for the use of evidence-based treatments and practices) were ... evidence-based practiceand attitudes toward evidence-based practice, effect of organizational support for evidencebased practice on provider attitudes toward evidence-based practice, and effect...
... and data Competing interests None declared References American Society for Anesthesiologists: Standards for Basic Anesthetic Monitoring 2003 [http://www.asahq.org/ publicationsAndServices/standards/02.pdf#2] ... way to solve the problem, and a safe and effective device is available to carry out the function When controlled clinical trials might be needed tidal carbon dioxide, and this can have useful ... T, Nanda Kumar CG: A prospective randomised controlled trial of capnography vs bronchoscopy for Blue Rhino percutaneous tracheostomy Anaesthesia 2003, 58:864-868 Kindopp AS, Drover JW, Heyland...
... and Future 220 Timothy J Bruce and William C Sanderson 11 Controversies and Caveats 244 Chris E Stout vii 177 viii Contents 12 Evaluating Readiness to Implement Evidence-Based Practice Randy ... and was recently the chair of the American Psychological Association Division of Clinical Psychology’s Committee on ScienceandPractice (a Task Force aimed at identifying and promoting the practice ... Evidence-Based Practices preceded the development of modern scientific understandings and methodologies, including not only bacteriology and epidemiology (and thus the understanding of disease...
... mucositis Prostaglandins E1 and E2 have many activities, including cytoprotective actions While early observational and pilot studies of the effectiveness of local application of prostaglandins were ... use, and indeed, prostaglandin E may exacerbate mucositis in these patients Mucosal Cell Stimulants Low energy laser treatment may promote the proliferation of mucosal cells and wound healing, and ... include: • clean teeth and gums after meals and before sleep with tooth brush or swab as tolerated; • rinse the mouth regularly; • if dentures are worn, remove and clean them daily and leave out while...
... AND AMANDA SOWDEN 10 Clinical practice guidelines development in evidence-based psychotherapy 171 JOHN CAPE AND GLENYS PARRY 11 Getting evidence into practice 191 STEPHEN GOSS AND NANCY ROWLAND ... England She has published in the fields of mental health, life event stress, social support, psychotherapy research, policyandpractice Nancy Rowland is the R&D Facilitator at York NHS Trust and ... understand its rationale and the methodologies which underpin it, so as to gain a clearer understanding of how evidence-based health care (EBHC) affects policy, provision, professional practice and, ...
... to inform Introduction practiceand understand social policies related to schools” (Standard 17) Second, “School social workers shall be able to evaluate their practiceand disseminate the findings ... education and child development, (b) translate research into practice through the problem-solving process, and (c) use research design and statistic skills to conduct investigations to develop and ... recognize and readily admit their own biases and values, seek to understand social phenomena through inductive logic and qualitative data, rely on the researcher as the primary measuring instrument, and...
... needed into infrastructure for the gathering and analysis of healthcare data and information, and standards and protocols to ensure their accuracy and reliability Shift to a culture of care that ... technologies and medical interventions and embedding emerging information into practice will require a cultural shift in the behaviors, beliefs, and practices of individual healthcare providers and delivery ... quality and usefulness of medical evidence, putting the evidence into practice, and continuing to adjust and monitor patients’ treatment and health outcomes are tasks that both providers and patients...
... (beginning with the prenatal period and infancy and extending through childhood, adolescence, adulthood and older adulthood), because risks and preventive factors accumulate and interact over a lifetime ... How to Practiceand Teach EBM New York, Churchill-Livingstone, 1997 14 National Health and Medical Research Council: A Guide to the Development, Implementation and Evaluation of Clinical Practice ... reduction of the ability to smell and taste, and the development of oral diseases such as smoker’s palate, smoker’s melanosis, coated tongue, and, possibly, oral candidosis and dental caries, periodontal...
... standard-sized drinks a week and no more than standardsized drinks on any day - FOR WOMEN— no more than standard-sized drinks a week and no more than standard-sized drinks on any day Standard-sized drinks ... use and alcohol abuse, and the less common but more severe alcoholism and alcohol dependence (Saitz, 2005) UNHEALTHY ALCOHOL USE Risky users: For women and persons > 65 years of age, > standard ... reduction in occurrence and severity of relapse, improved psychological and social functioning and quality of life, improved co-occurring medical and health conditions and reduction in mortality)...
... deliveries and newborn care The CHCs are staffed by physicians, midwives, assistant doctors and nurses Study population and data collection Information on health care resources (equipment and drugs), ... S, Arnetz BB: Understanding work contextual factors: a short-cut to evidencebased practice? Worldviews Evid Based Nurs 2006, 3:153-164 Andrews GJ, Moon G: Space, place, and the evidence base: ... 37 38 39 40 41 42 Committee for Population Family and Children Vietnam and ORC Macro: Vietnam Demographic and Health Survey 2002 Calverton, Maryland, USA; 2003 Ministry of Health Vietnam: Guidelines...
... Centers and utilize a standard six-step process: 1) Identify high-risk/high-volume diseases or problems 2) Identify best practices 3) Define existing practice patterns and outcomes across the VA and ... organizational structure, process and behaviours related to adoption and penetration • Analyze site and system-level effects and costs • Inform policy development for sustainability and spread to different ... research controls may be replaced by handoffs to hospital andpractice teams, the organizational context becomes increasingly central to our understanding of what works and does not work in implementing...
... performance targets and multiple stakeholder influences and values, the imperative to share good practice across organisational boundaries, and a complex and diverse set of boundaries and networks [3] ... processes, and uses, and OL to focus on the process of learning from new knowledge Nutley, Davies and Walker [54] define OL as the way organisations build and organise knowledge and routines and use ... http://www.implementationscience.com/content/4/1/28 and existing communities of practice; encourage and reward individuals and groups to ask questions; discuss and share ideas across knowledge communities; and support the progression,...
... Identify best practices, 3) Define existing practice patterns and outcomes across the VA and current variation from best practices, 4) Identify and implement interventions to promote best practices, ... and resources in an ongoing system-wide effort to improve the performance of the VA healthcare system and, thus, quality of care of veterans QUERI researchers collaborate with VA policyandpractice ... feasibility of implementation, given the resources provided and competing initiatives and mandates; and effects on the facility's workflow and clinical processes Tools that support the TIDES EBQI...
... definitions and barri- http://www.implementationscience.com/content/4/1/78 ers) and elements and dimensions in Pettigrew [33,34] In terms of the latter, in addition to WHY, WHAT and HOW sub-categories ... formal or informal Quality and coherence of policy • The meaning of policy is broad, e.g., in the form of a broad vision, and not specifically about local policies and procedures • More focused ... and chief MD - Nursing clinical directors and nurse managers; and non-nurse clinical director and program leader, e.g., allied health - Nursing support or clinical resource services manager and...
... individual(s), and intervention is unique and must be examined individually – this would require thousands of evaluations and would incur prohibitive costs The assumption that clinical practice is ... of research findings into practice is unpredictable and can be a slow and haphazard process This phenomenon is apparent across different healthcare settings, countries, and specialties, including ... need to be conducted, and ensure their generalisability, it is necessary to understand and optimise the 'active ingredients' in professional behaviour change strategies and the characteristics...