... professional groups on the ward 'It's often difficult for us nurses because we don't know what's happened to them (the patient) in physio or OT, there's nothing written for us to read, they (the ... underpinning the relationship between the project leader and professional teams who would be implementing the change, as the project leader did not have any line management responsibility for the teams ... however, assurances of confidentiality had been given that would have been violated by respondents having access to the comments of other respondents Content validity for each ofthe data collection...
... take integer values between and the total number of people who sorted the statements; the value of each cell indicates the number of people who placed each pair in the same pile The square symmetric ... subgroups Below, we will describe the general themes presented in each ofthe fourteen clusters under analysis The ‘Clinical Perceptions’ cluster contains eight statements related to concerns about the ... contributed to the theoretical background and conceptualization ofthe study, collected the original data, and supervised the analyses in the current project AG contributed to the theoretical background...
... for increasing the adoption of EBPs In the following sections, we describe the theoretical underpinnings ofthe model to be tested in the current study Provider attitudes toward EBP There is increasing ... However, the impact of organizational support on behavior may be mediated by employee attitudes The theory of planned behavior has received substantial empirical support and overlaps with theoretical ... organizational supports for the use of evidence-based treatments and practices) were identified through a review ofthe extant literature and by experts in the field of best practice treatment and its...
... picture ofthe influences of context on the routine use of evidence in practice Thus, while findings ofthe study will have limited generalizability, they willbe theoretically transferable and will ... about the influence of context willbe developed various methodologies Finally, the summarized findings willbe used to assess each ofthe three RU/EBP models as to their degree of inclusiveness of ... identified The potential set of beginning cases willbe recruited from members of AONE who self-report being "early in the journey to institutionalization." Final selections willbe made by the team...
... for increasing the adoption of EBPs In the following sections, we describe the theoretical underpinnings ofthe model to be tested in the current study Provider attitudes toward EBP There is increasing ... However, the impact of organizational support on behavior may be mediated by employee attitudes The theory of planned behavior has received substantial empirical support and overlaps with theoretical ... organizational supports for the use of evidence-based treatments and practices) were identified through a review ofthe extant literature and by experts in the field of best practice treatment and its...
... fulfil these criteria The key difference is the nature ofthe inference that is drawn from the use ofthe technology in these situations If a capnograph or capnometer were available, then there ... 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 ... interventions arising from the monitoring of sublingual PCO2 will improve any clinically meaningful outcomes? Capnography would surely assist in the placement of a needle in the trachea [6] during...
... shoulders of giants” in regard to the caliber ofthe contributing authors and the quality of their work herein I wish to personally thank the contributing authors for their scholarship, their work, ... any ofthe myriad of iterations ofthe past or current healthcare related professions did not, would not, not provide services or treatments that they believe would ultimately be harmful to their ... focus The collection of medical and health-related data in terms oftreatment effectiveness came to the fore, albeit briefly, with the systems of Ernst A Codman, MD, during the turn ofthe past...
... 2) Before Commencement Of Therapy Interventions that may be beneficial prior to the commencement oftreatment include: • treatmentof caries and dental disease; and • education regarding the ... Quality Of Research The systematic review ofthe research literature identified a vast number of interventions that have been investigated to determine their effectiveness in the prevention or treatment ... prompt treatmentof mucositis symptoms and oral infections Other Treatment Options In addition to the use of an oral care protocol, the following interventions may offer some benefits It should be...
... 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 ofthe quality of staff, ... in the USA The newer Social Behavioural Network Therapy (SBNT) is based on the philosophy that people with drinking problems have the best chance of good outcomes when they have the support of ... is problematic The chapter concludes with an exploration of how the best aspects of evidence-based practice in the psychotherapies can be achieved, whilst avoiding the worst ofthe problems Parry...
... When the current state ofthe evidence does not apply to the client in front of them, clinicians must use their best judgment on the basis of what they know Greenhalgh (2006) describes the quandary ... one of four criteria: (1) whether the theory or technique can be (or has been) tested, (2) whether the theory or technique has been subject to peer-review and publication, (3) whether or not the ... professional liability First, there has to be a fiduciary relationship—one that involves a commitment of trust between the helper and client Second, the practitioner’s treatment must be below the...
... secure the services of eminent members of appropriate professions in the examination of policy matters pertaining to the health ofthe public The Institute acts under the responsibility given to the ... as the prospect of new ways of meeting the need, provides the back-drop for the discussions at the 37th Annual Meeting ofthe Institute of Medicine (IOM) Entitled Evidence-Based Medicine and the ... on the delivery strategy Therefore developing the capacity to better evaluate the effectiveness of both categories of treatments offers an immediate opportunity for improving the costs and the...
... different measures willbe grouped together or if the type of effect measurement willbe a criterion for including the study in the evidencebase or excluding it Furthermore, the quality of individual ... level of evidence They also weighed the revised levels of evidence against the potential benefit for oral health [23] The potential benefit can be classified as one ofthe following: E beneficial; ... genes in the same cell The receptors will move to the cell membrane and are then capable of receiving a signal from outside the cell, and the signalling molecules willbe transported out ofthe cell...
... understanding ofthe neurobiology of alcohol dependence and success of pharmacotherapy in other addictions has supported the use of pharmacotherapy to help in thetreatmentof problem drinking The lack of ... includes a brief discussion ofthe research supporting the recommendations and the rationale behind the grading ofthe evidence and the determination ofthe strength ofthe recommendations Related ... discussion ofthe recommendations includes an evidence table that indentifies the studies that have been considered, the quality ofthe evidence, and the rating ofthe strength ofthe recommendation...
... where the staff assisted in 25 to 92 deliveries There was no association between the staff's level of knowledge and the number of deliveries at the corresponding CHC (p = 0.44) Based on the results ... some ofthe districts included in the survey The findings willbe published elsewhere Knowledge translation interventions are, too often, implemented without proper examination ofthe situation before ... staff We therefore consider the present questionnaire to be a valid tool for measuring basic knowledge on EBP Pilot tests ofthe survey questions further strengthened their validity The basic...
... large part, on the following: • The conceptual model and organizational theory (or theories) underlying the research [15]; • The nature of what is known and/or being hypothesized about the organizational ... whether they are related to the physical plant (e.g., amount of clinical space); the functions of care incorporated into the physical plant (e.g., types of specialized units); the equipment they ... has been highly variable and generally under-used [17] The dilemma for many implementation researchers is the absence of clear guidance on the nature of key theories and how best to use them...
... measurement tools, there are differences in emphasis across the domains To consider the potential contribution ofthe newer domains of KM/OL, the number of items from these domains have been pooled ... covered in one out ofthe five tools The OL Scale [110] covered 17 out ofthe 26 possible attributes The other four tools covered between and 11 attributes Page 10 of 15 (page number not for citation ... governance: the management ofthe mechanisms that mediate between the micro-processes of individual knowledge and theoutcomesof organisational performance But what would this mean in practice? The...
... the number of VISNs solicited and the number of follow-up meetings or inquiries Process measures also could count the number of facilities contacted by the TIDES team, and the number of providers ... that they should seek treatment if they are depressed because it will improve their overall quality of life Marketing messages also can help instill the desire to adopt the new behavior, for example, ... seeking treatmentwill enhance the time they spend with their spouses, children, and grandchildren The next step is providing skill sets and resources that enable the individual to make the behavior...
... facilitator/champions of EBP At the beginner site, there was also a positive environmental pressure; i.e., the professional value within the US ofthe Magnet Recognition Program® Other themes Two other themes ... EBP [42] The remainder ofthe Results section below further contrasts the role model and beginner sites in terms of key themes of receptive capacity Related details further illuminate the above ... follows; 'I believe that the difference here is they ask a huge amount of questions; because they know they don't know something and they're trying to integrate the evidence and they expect and...
... phase ofthe MRC Framework, and the subject of our previous work [20]) The other is to develop an understanding of how the elements ofthe interventions work and can therefore be optimised (the ... of general theories relating to human behaviour offers the basis for a generalisable framework Therefore, factors influencing the effectiveness of interventions could include the beliefs ofthe ... measurements willbe six to eight weeks Delivering the modeling experiment The experimental materials willbe delivered by post The experiment willbe embedded within a questionnaire survey which will be...