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https://www.readbyqxmd.com/read/27857013/-structural-model-of-evidence-based-practice-implementation-among-clinical-nurses
#1
Hyunyoung Park, Keum Seong Jang
PURPOSE: This study was conducted to develop and test a structural model of evidence-based practice (EBP) implementation among clinical nurses. The model was based on Melnyk and Fineout-Overholt's Advancing Research and Clinical Practice through Close Collaboration model and Rogers' Diffusion of Innovations theory. METHODS: Participants were 410 nurses recruited from ten different tertiary hospitals in Korea. A structured self-report questionnaire was used to assess EBP knowledge/skills, EBP beliefs, EBP attitudes, organizational culture & readiness for EBP, dimensions of a learning organization and organizational innovativeness...
October 2016: Journal of Korean Academy of Nursing
https://www.readbyqxmd.com/read/27833398/intersections-of-critical-systems-thinking-and-community-based-participatory-research-a-learning-organization-example-with-the-autistic-community
#2
Dora M Raymaker
Critical systems thinking (CST) and community based participatory research (CBPR) are distinct approaches to inquiry which share a primary commitment to holism and human emancipation, as well as common grounding in critical theory and emancipatory and pragmatic philosophy. This paper explores their intersections and complements on a historical, philosophical, and theoretical level, and then proposes a hybrid approach achieved by applying CBPR's principles and considerations for operationalizing emancipatory practice to traditional systems thinking frameworks and practices...
October 2016: Systemic Practice and Action Research
https://www.readbyqxmd.com/read/27828739/leadership-in-learning-organizations-a-strategy-for-improvement
#3
Alex Till, Maslah Amin, Judy McKimm
The learning organization is a potential framework for managing transformational culture change and delivering high quality health care. It helps to shift the focus from the development of individuals as leaders to one which takes a 'whole organization' approach.
November 2, 2016: British Journal of Hospital Medicine
https://www.readbyqxmd.com/read/27598708/leadership-training-and-the-problems-of-competency-development
#4
W Michael Reid, Claudia Jennifer Dold
CONTEXT: An important workforce development effort during the past 25 years has been developing competency sets. Several of the sets rely on the concepts of Senge's Learning Organization and Burns' Transformational Leadership. The authors' experiences and study in designing and implementing a curriculum for a public health leadership institute based on these concepts raised several important questions about competency development and application. OBJECTIVES: To summarize the use of the Senge and Burns frameworks in several competency sets and the practice literature and to assess the status of competency development for those frameworks and for competency development generally...
January 2017: Journal of Public Health Management and Practice: JPHMP
https://www.readbyqxmd.com/read/27504396/an-insight-into-health-care-setup-in-national-capital-region-of-india-using-dimensions-of-learning-organizations-questionnaire-dloq-a-cross-sectional-study
#5
Jishnu Krishna Kumar, Ritu Gupta, Patthi Basavaraj, Ashish Singla, Monika Prasad, Venisha Pandita, Ravneet Malhi, Vaibhav Vashishtha
INTRODUCTION: Over the past decades India, though being a developing country has progressed in multiple sectors but has not shown a substantial qualitative progress in healthcare. To be able to evaluate learning organization in a healthcare setup would thrust millennium development goals and infuse continuous learning model into health sector. AIM: To assess health care context using the Dimensions of the Learning Organization Questionnaire (DLOQ) in a health care setting in National Capital Region of India...
June 2016: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/27240027/thinking-outside-of-the-box-transfer-of-shape-based-reorientation-across-the-boundary-of-an-arena
#6
Matthew G Buckley, Alastair D Smith, Mark Haselgrove
The way in which human and non-human animals represent the shape of their environments remains a contentious issue. According to local theories of shape learning, organisms encode the local geometric features of the environment that signal a goal location. In contrast, global theories of shape learning suggest that organisms encode the overall shape of the environment. There is, however, a surprising lack of evidence to support this latter claim, despite the fact that common behaviours seem to require encoding of the global-shape of an environment...
June 2016: Cognitive Psychology
https://www.readbyqxmd.com/read/27013869/the-senior-living-lab-an-example-of-nursing-leadership
#7
Susie Riva-Mossman, Thomas Kampel, Christine Cohen, Henk Verloo
The Senior Living Lab (SLL) is dedicated to the care of older adults and exemplifies how nursing leadership can influence clinical practice by designing research models capable of configuring interdisciplinary partnerships with the potential of generating innovative practices and better older patient outcomes. Demographic change resulting in growing numbers of older adults requires a societal approach, uniting stakeholders in social innovation processes. The LL approach is an innovative research method that values user perceptions and participation in the cocreation of new products and services...
2016: Clinical Interventions in Aging
https://www.readbyqxmd.com/read/26916659/educating-change-agents-a-qualitative-descriptive-study-of-graduates-of-a-master-s-program-in-evidence-based-practice
#8
Grete Oline Hole, Sissel Johansson Brenna, Birgitte Graverholt, Donna Ciliska, Monica Wammen Nortvedt
BACKGROUND: Health care professionals are expected to build decisions upon evidence. This implies decisions based on the best available, current, valid and relevant evidence, informed by clinical expertise and patient values. A multi-professional master's program in evidence-based practice was developed and offered. The aims of this study were to explore how students in this program viewed their ability to apply evidence-based practice and their perceptions of what constitute necessary conditions to implement evidence-based practice in health care organizations, one year after graduation...
2016: BMC Medical Education
https://www.readbyqxmd.com/read/26833113/competences-for-enhancing-interprofessional-collaboration-in-a-paediatrics-setting-enabling-and-hindering-factors
#9
Anne Lee Solevåg, Klas Karlgren
In 2011 an interprofessional educational programme called "Pediatric systematic assessment and communication for preventing emergencies" designed to increase clinical staff's competence in treating sick children was introduced in one paediatrics department in Norway. To elicit an in-depth understanding of the perceptions of clinical staff about the programme and enact adjustments according to identified enabling and hindering factors for learning, nurses and paediatricians were invited to participate in focus group interviews...
2016: Journal of Interprofessional Care
https://www.readbyqxmd.com/read/26689591/organizational-culture-in-cardiovascular-care-in-chinese-hospitals-a-descriptive-cross-sectional-study
#10
Emily S Yin, Nicholas S Downing, Xi Li, Sara J Singer, Leslie A Curry, Jing Li, Harlan M Krumholz, Lixin Jiang
BACKGROUND: Organizational learning, the process by which a group changes its behavior in response to newly acquired knowledge, is critical to outstanding organizational performance. In hospitals, strong organizational learning culture is linked with improved health outcomes for patients. This study characterizes the organizational learning culture of hospitals in China from the perspective of a cardiology service. METHODS: Using a modified Abbreviated Learning Organization Survey (27 questions), we characterized organizational learning culture in a nationally representative sample of 162 Chinese hospitals, selecting 2 individuals involved with cardiovascular care at each hospital...
2015: BMC Health Services Research
https://www.readbyqxmd.com/read/26492733/can-baldrige-build-learning-organizations
#11
Kathleen Jennison Goonan
No abstract text is available yet for this article.
2015: Frontiers of Health Services Management
https://www.readbyqxmd.com/read/26348318/capacity-commitment-and-culture-the-3-cs-of-staff-development-in-a-learning-organization
#12
Michael Seibold, Kelley Gamble
TOPIC: If an agency desires changes in practice and a consistent approach to services, psychiatric rehabilitation staff development requires more than a single session of training. PURPOSE: This column describes one agency's approach to a comprehensive staff training and development program, designed to enhance the 3 Cs of capacity, commitment, and culture. SOURCES USED: The program described has been in place, with frequent adjustments, for over 20 years, and the experiences of the authors and their colleagues form the primary source for the paper...
September 2015: Psychiatric Rehabilitation Journal
https://www.readbyqxmd.com/read/26345184/lean-and-leadership-practices-development-of-an-initial-realist-program-theory
#13
Donna Goodridge, Gill Westhorp, Thomas Rotter, Roy Dobson, Brenna Bath
BACKGROUND: Lean as a management system has been increasingly adopted in health care settings in an effort to enhance quality, capacity and safety, while simultaneously containing or reducing costs. The Ministry of Health in the province of Saskatchewan, Canada has made a multi-million dollar investment in Lean initiatives to create "better health, better value, better care, and better teams", affording a unique opportunity to advance our understanding of the way in which Lean philosophy, principles and tools work in health care...
2015: BMC Health Services Research
https://www.readbyqxmd.com/read/26284232/nutrition-leadership-development-capacity-building-initiatives-in-iran-and-the-middle-east-region-since-2009
#14
REVIEW
Azadeh Davari, Arash Rashidi, Jacques Antonius Baartmans
Personal and organizational performance is determined by commitment and both technical and general competencies, including leadership skills. Academia, however, mainly targets technical aspects in its curricular programs. On the other hand, the inter-disciplinary and multi-sector nature of Nutrition necessitates high levels of collaboration between stakeholders. Leadership development is therefore required in Nutrition. This paper describes the endeavor made in Iran and the Middle-East region, aiming at building leadership capacity among nutrition professionals...
2015: Frontiers in Public Health
https://www.readbyqxmd.com/read/26181743/superstition-and-belief-as-inevitable-by-products-of-an-adaptive-learning-strategy
#15
Jan Beck, Wolfgang Forstmeier
The existence of superstition and religious beliefs in most, if not all, human societies is puzzling for behavioral ecology. These phenomena bring about various fitness costs ranging from burial objects to celibacy, and these costs are not outweighed by any obvious benefits. In an attempt to resolve this problem, we present a verbal model describing how humans and other organisms learn from the observation of coincidence (associative learning). As in statistical analysis, learning organisms need rules to distinguish between real patterns and randomness...
March 2007: Human Nature: An Interdisciplinary Biosocial Perspective
https://www.readbyqxmd.com/read/26159203/a-cyclooxygenase-2-inhibitor-reduces-vascular-wall-thickness-and-ameliorates-cognitive-impairment-in-a-cerebral-small-vessel-diseases-rat-model
#16
Jie Tang, Weizhong Xiao, Qinghua Li, Qiuqiong Deng, Xinquan Chu, Yang Chen, Danhong Pan, Jianhui Fu
Cerebral small vessel disease (CSVD) is a group of diseases that originate from changes in cerebral small vessels and that cause many conditions, such as cognitive impairment. However, there is no effective therapy for these diseases. Recent studies have suggested that inflammation is associated with this disease. Cyclooxygenase-2 (cox-2) is an inflammatory mediator; however, whether a cox-2 inhibitor could protect against the CSVD progression remains unknown. In the present study, stroke-prone spontaneously hypertensive rats (SHRsp) were used as a model of CSVD, and Sprague Dawley (SD) rats served as the control...
2015: Current Alzheimer Research
https://www.readbyqxmd.com/read/26156903/learning-organization-profile-of-educational-hospitals-in-iran-practice-of-organizational-interlocking-systems
#17
Rafat Mohebbifar, Hassan Jahani Hashemi, Roya Rajaee, Marziye Najafi, Mahbobeh G H Etedal
BACKGROUND: Organizational learning has been identified as necessary for different organizations to improve their performance in the changing and competitive environment. PURPOSE: The main purpose of this research was to specify the learning organization profile of educational and health centers of Tehran and Qazvin Universities of Medical Sciences in Iran. METHODOLOGY: The present research was conducted using a cross-sectional method in the academic year of 2013-2014...
2015: Global Journal of Health Science
https://www.readbyqxmd.com/read/26087653/do-quality-improvement-collaboratives-educational-components-match-the-dominant-learning-style-preferences-of-the-participants
#18
Anne Marie Weggelaar-Jansen, Jeroen van Wijngaarden, Sarah-Sue Slaghuis
BACKGROUND: Quality improvement collaboratives are used to improve healthcare by various organizations. Despite their popularity literature shows mixed results on their effectiveness. A quality improvement collaborative can be seen as a temporary learning organization in which knowledge about improvement themes and methods is exchanged. In this research we studied: Does the learning approach of a quality improvement collaborative match the learning styles preferences of the individual participants and how does that affect the learning process of participants? METHODS: This research used a mixed methods design combining a validated learning style questionnaire with data collected in the tradition of action research methodology to study two Dutch quality improvement collaboratives...
2015: BMC Health Services Research
https://www.readbyqxmd.com/read/26056801/utilizing-knowledge-from-prior-plans-in-the-evaluation-of-quality-assurance
#19
Carl Stanhope, Q Jackie Wu, Lulin Yuan, Jianfei Liu, Rodney Hood, Fang-Fang Yin, Justus Adamson
Increased interest regarding sensitivity of pre-treatment intensity modulated radiotherapy and volumetric modulated arc radiotherapy (VMAT) quality assurance (QA) to delivery errors has led to the development of dose-volume histogram (DVH) based analysis. This paradigm shift necessitates a change in the acceptance criteria and action tolerance for QA. Here we present a knowledge based technique to objectively quantify degradations in DVH for prostate radiotherapy. Using machine learning, organ-at-risk (OAR) DVHs from a population of 198 prior patients' plans were adapted to a test patient's anatomy to establish patient-specific DVH ranges...
June 21, 2015: Physics in Medicine and Biology
https://www.readbyqxmd.com/read/25860359/-introduction-of-virtual-patients-to-clinical-case-portfolios-for-undergraduate-medical-students
#20
Catalina Figueroa, Ignacio Calvo, Carolina González, Daniela Sandoval, Oslando Padilla, Catalina Le Roy, Alejandro Delfino, Juan Pablo Arab, Margarita Pizarro, Nancy Solís, Arnoldo Riquelme
BACKGROUND: In 2007, a Clinical-Case-Portfolio (CCP) was introduced as a new assessment instrument for fourth grade undergraduate medical students. Since then, several changes have been implemented such as reduction on the number of clinical cases, peer review and the introduction of virtual patient to the portfolio. AIM: To describe the virtual patient model incorporated to the CCP and assess the perception of this change and its effects on the performance of undergraduate students...
February 2015: Revista Médica de Chile
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