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báo cáo khoa học: " Assessing organisational readiness for change: use of diagnostic analysis prior to the implementation of a multidisciplinary assessment for acute stroke care" doc
... and experiences of professional staff who would be affected by changes in stroke assessment and recording Twenty staff with strategic or operational accountability for aspects of stroke care were ... uptake of change [9] Theoretical models underpinning change are useful for guiding the design of diagnostic analysis For example, elements of diagnosis are evident in some stage models of change, ... structure often led to communication problems Furthermore, shortages of nursing staff were evident, however this was part of a wider national problem A lack of qualified nurses had led to use of agency...
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báo cáo khoa học: "A comparison of policy and direct practice stakeholder perceptions of factors affecting evidence-based practice implementation using concept mapping" doc
... comparison of the cluster average ratings for either multiple types of raters or multiple types of ratings Pattern matching allows for the quantification of the relationship between two sets of interval ... perceptions of the importance and changeability of factors affecting EBPs point to the need for increased communication among stakeholders to help develop a more complete understanding of what affects ... defining the meaning of each cluster and identifying an appropriate name for each of the 14 final clusters The clusters included: Clinical Perceptions, Staff Development and Support, Staffing Resources,...
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Báo cáo y học: " Evidence-based practice implementation: The impact of public versus private sector organization type on organizational support, provider attitudes, and adoption of evidence-based practice" doc
... (13.8%) worked for private -for- profit agencies, and the remaining (1.1%) for 'other' types of agencies Respondents had worked as child/family mental health providers for a mean of 9.65 years (SD ... States of America Participants All participants were direct providers of mental health services to children and families Of these respondents, 106 (60.9%) worked for private-not -for- profit agencies, ... the adoption and implementation of EBP despite the fact that many health and human service industries are comprised of a mixture of government, for- profit, and nonprofit entities [11,12] Also, this...
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báo cáo khoa học: " Improving quality of care through routine, successful implementation of evidence-based practice at the bedside: an organizational case study protocol using the Pettigrew and Whipp model of strategic change" potx
... or changing practice RU consists of both the use of products of research and use of the research process [69] • Receptive context for change: "A combination of factors from both the inner and ... projects • WHAT of strategic change: See Content • WHY of strategic change: See Context Our theoretically-based data collection will also afford a post hoc opportunity for exploration of three EBP ... results For example, Bradley et al studied hospital efforts to improve use of β-blockers [30] They found that the presence of shared goals for quality improvement (QI), use and availability of credible...
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báo cáo khoa học: " Evidence-based practice implementation: The impact of public versus private sector organization type on organizational support, provider attitudes, and adoption of evidence-based practice" potx
... (13.8%) worked for private -for- profit agencies, and the remaining (1.1%) for 'other' types of agencies Respondents had worked as child/family mental health providers for a mean of 9.65 years (SD ... States of America Participants All participants were direct providers of mental health services to children and families Of these respondents, 106 (60.9%) worked for private-not -for- profit agencies, ... the adoption and implementation of EBP despite the fact that many health and human service industries are comprised of a mixture of government, for- profit, and nonprofit entities [11,12] Also, this...
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Báo cáo y học: "Carbon dioxide monitoring and evidence-based practice – now you see it, now you don’t" pdf
... level of evidence that is required before applying any health technology in critical care medicine is highly variable Manufacturers and regulatory authorities are responsible for the safety of a ... an adjunct to it Sublingual capnometry fulfils none of the criteria required for a health technology to be recommended for widespread use before there are prospective, controlled clinical data ... users of these devices need only see evidence that the device is safe, sensitive, and specific Clinical experience tells us that these devices may have real additional benefits in terms of ease of...
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Tài liệu THE EVIDENCE-BASED PRACTICE pdf
... R McFarlane, MD, is professor of psychiatry at the University of Vermont, Department of Psychiatry, and director of research and former chairman, Department of Psychiatry of Maine Medical Center ... evidence-based treatment is the use of treatment methodologies for which there is scientifically collected evidence that the treatment works Much of this book discusses treatments for which there ... Stigma of Mental Illness, co-authored with Bob Lundin Lisa Dixon, MD, is a professor of psychiatry at the University of Maryland School of Medicine She serves as director of the Division of Services...
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Tài liệu Best Practice: Evidence Based Practice Information Sheets for Health Professionals pptx
... gum disease before beginning cancer treatment, followed by thorough and frequent cleaning of the oral cavity with a variety of products, some form of pain relief, antiinflammatory treatment as ... most of the specific interventions for mucositis prevention and treatment reviewed below were tested against a background of good oral care There appears to be broad support for some form of oral ... only Unable to eat or drink 2) Before Commencement Of Therapy Interventions that may be beneficial prior to the commencement of treatment include: • treatment of caries and dental disease; and...
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Tài liệu Evidence-Based Counselling and Psychological Therapies doc
... efficiency of NHS services in terms of unit costs, the productivity of staff and the utilisation of buildings and equipment The experience of patients and their carers of the quality of staff, environment, ... ardent advocate of randomised trials for all forms of health care In this section we argue the case for randomisation Consider for example the issue of evaluating the best form of psychological ... Trust Department of Health (1989) Working for Patients London Department of Health (1991) Research for Health London Department of Health (1992) Health of the Nation London Department of Health (1993)...
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EVIDENCE-BASED PRACTICE IN SCHOOL MENTAL HEALTH doc
... non-identity of the objects of the transitive and intransitive dimensions, of thought and being And it relegates the notion of correspondence between them to the status of metaphor for the aim of adequating ... time, effort, and human resources For now, however, let’s just address the issue of money Consider, for example, the problem of teenage pregnancy Medical costs associated with prenatal care for adolescent ... practitioner’s substandard treatment must be the proximate cause of the client’s injury Where does a professional find these standards of care? Each of the school-based helping professional associations...
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Evidence-Based Medicine and the Changing Nature of Health Care: Meeting Summary docx
... prevention of the onset of illness, tailor specific treatments for possible cures, control chronic illnesses, and improve patients’ quality of life The system should be affordable for both individuals ... better evaluate the effectiveness of both categories of treatments offers an immediate opportunity for improving the costs and the quality of care Fortunately, the information systems and analytic ... patterns of information use in practice to provide feedback on the quality of the information environment, 22 EVIDENCE-BASED MEDICINE use of internal and external evidence, level of information...
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Proceedings of the International Conference on Evidence Based Practice in Dentistry pptx
... profession? Surely it should naturally form the basis of all dentistry, shouldn’t it? After all, dentists are professionals, and professionals should, by definition, avow to offer the best for ... and/or replacement of such teeth, often of a repetitive nature, must include a consideration of the high initial cost of treatment, its cost-effectiveness, longevity and repairability For these reasons, ... prevention, therefore, requires knowledge of the relative burden of disease associated with particular oral diseases at different stages of life and the proportion of that burden of disease that...
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Management of Substance Use Disorder s (SUD): VA/DoD Evidence Based Practice doc
... RECOMMENDATIONS Agree on a set of specific goals with the patient a Review with the patient results of previous efforts of self-change and formal treatment experience, including reasons for treatment dropout ... non-pharmacologic treatment has been the mainstay of treatment for SUD, recent scientific advances have encouraged the use of pharmacologic treatments Pharmacologic treatments for problem alcohol ... rehabilitation to be an acceptable form of treatment, the patient’s treatment history and previous efforts at self-change should be reviewed The patient’s perception of reasons for failure to engage in...
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báo cáo sinh học:" Evidence-based practice in neonatal health: knowledge among primary health care staff in northern Viet Nam" potx
... 1) NED consisted of 68 CHCs where staff had a mean score of 27.1 on the survey, while staff in the 87 CHCs in SWD achieved a mean score of 29.9 (p < Page of 10 (page number not for citation purposes) ... dissemination of guidelines has limited impact Additional methods reinforcing the implementation of these guidelines appear to be necessary [35,36] There is a range of meth- Page of 10 (page number not for ... United States of America) and ArcGIS (version 9; ESRI, Redlands, California, United States of America) Data analysis A maximum of 48 points could be obtained in the knowledge survey Each of the 16...
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The role of organizational research in implementing evidence-based practice: QUERI Series pot
... implementation research efforts We describe these applications in the context of a continuum of organizational research activities to be conducted before, during and after implementation Role of organizational ... characteristics of health care organizations (Table 2) For the purposes of generally classifying different types of organizational attributes related to quality of care, we delineate them along the lines of ... use of care managers to coordinate services and follow-up) • Referral procedures (e.g., demonstration of need for referral, identification of appropriate provider resources, nature of handoffs,...
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Báo cáo y học: "What can management theories offer evidence-based practice? A comparative analysis of measurement tools for organisational context" doc
... G: Accounting for the 'dark side' of new organizational forms: the case of healthcare professionals Hum Relat 2008, 61:539-564 Currie G, Suhomlinova O: The impact of institutional forces upon knowledge ... Acquisition of new knowledge Accessing information Network access to information databases available to all (OLS1)[110] Information dissemination Exposure to new information Knowledge sharing Use of communication ... of Health: The Way Forward: the NHS Institute for Learning, Skills and Innovation London: Department of Health; 2005 Research and Development Directorate Department of Health: Best Research for...
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Báo cáo y học: "A social marketing approach to implementing evidence-based practice in VHA QUERI: the TIDES depression collaborative care model" docx
... Benefits of recognizing depression and seeking treatment for it "I know depression can be treated, and I know how I can get that treatment. " (Director, chief of staff, chief medical officer, ... numbers of case studies [31,32] The Institute for Social Marketing has recently conducted a series of rigorous reviews of the available evidence regarding the effectiveness of social marketing for ... behavior change as the goal of social marketing efforts, systematic use of audience research, segmentation of target audiences, and use of the traditional "4 P's" of marketing (Product, Price,...
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Báo cáo y học: " Institutionalizing evidence-based practice: an organizational case study using a model of strategic change" pptx
... Practice Nurses) and special types of staff or EBP roles, either 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 ... level of EBP institutionalization • Efforts to transform an organization for institutionalizing EBP requires the proactive, meaningful engagement of formal and informal leaders at all levels of ... concerns often related to the basics of nursing practice or ongoing lack of adherence to good standards; and at times, concerns related to staffing, lack of accountability or staff's lack of basic...
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báo cáo khoa học: " Translating clinicians'''' beliefs into implementation interventions (TRACII): A protocol for an intervention modeling experiment to change clinicians'''' intentions to implement evidence-based practice" pdf
... human behaviour offers the basis for a generalisable framework Therefore, factors influencing the effectiveness of interventions could include the beliefs of the healthcare professional, or their ... evaluation of implementation strategies is akin to exploring the anti-anginal use of an antihypertensive drug without any understanding of the pharmacodynamics of the drug or the pathophysiology of angina ... theoretical phase of the MRC Framework, and the subject of our previous work [20]) The other is to develop an understanding of how the elements of the interventions work and can therefore be optimised...
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