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Knowledge mobilisation

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https://www.readbyqxmd.com/read/28190550/overcoming-nursing-barriers-to-intensive-care-unit-early-mobilisation-a-quality-improvement-project
#1
Oluwatobi O Hunter, Elisabeth L George, Dianxu Ren, Douglas Morgan, Margaret Rosenzweig, Patricia Klinefelter Tuite
OBJECTIVES: To increase adherence with intensive care unit mobility by developing and implementing a mobility training program that addresses nursing barriers to early mobilisation. DESIGN: An intensive care unit mobility training program was developed, implemented and evaluated with a pre-test, immediate post-test and eight-week post-test. Patient mobility was tracked before and after training. SETTING: A ten bed cardiac intensive care unit...
February 9, 2017: Intensive & Critical Care Nursing: the Official Journal of the British Association of Critical Care Nurses
https://www.readbyqxmd.com/read/28136021/prevention-diagnosis-and-treatment-of-venous-thromboembolism
#2
Richard Greenall
Venous thromboembolism (VTE) occurs more frequently in older people. For those nursing older people in a variety of settings, knowledge of VTE prevention, diagnosis and treatment is essential. This article discusses simple, practical measures that can be used to reduce the risk of VTE, including good hydration and promotion of mobilisation. It also discusses how a VTE forms, the signs and symptoms, and the methods used to diagnose and treat VTE. In recent years new drugs have been licensed to treat patients with VTE called direct oral anticoagulants...
January 31, 2017: Nursing Older People
https://www.readbyqxmd.com/read/28135864/-naloxone-works-the-politics-of-knowledge-in-evidence-based-drug-policy
#3
Kari Lancaster, Carla Treloar, Alison Ritter
For over 20 years, drug policy experts have been calling for the wider availability of naloxone, to enable lay overdose witnesses to respond to opioid overdose events. However, the 'evidence base' for peer-administered naloxone has become a key point of contention. This contention opens up critical questions about how knowledge ('evidence') is constituted and validated in drug policy processes, which voices may be heard, and how knowledge producers secure privileged positions of influence. Taking the debate surrounding peer-administered naloxone as a case study, and drawing on qualitative interviews with individuals (n = 19) involved in the development of naloxone policy in Australia, we examine how particular kinds of knowledge are rendered 'useful' in drug policy debates...
January 1, 2017: Health (London)
https://www.readbyqxmd.com/read/28073542/the-rise-of-toxic-benthic-phormidium-proliferations-a-review-of-their-taxonomy-distribution-toxin-content-and-factors-regulating-prevalence-and-increased-severity
#4
REVIEW
Tara G McAllister, Susanna A Wood, Ian Hawes
There has been a marked increase in the distribution, intensity and frequency of proliferations of some species of the benthic mat-forming, toxin-producing genus Phormidium in rivers globally over the last decade. This review summarises current knowledge on their taxonomy, distribution, toxin content, environmental drivers of proliferations, and monitoring and management strategies in New Zealand. Although toxic Phormidium proliferation occurs in rivers worldwide little is known about these factors in most countries...
May 2016: Harmful Algae
https://www.readbyqxmd.com/read/28063656/effect-of-cyclic-redox-oscillations-on-water-quality-in-freshwater-acid-sulfate-soil-wetlands
#5
Niloofar Karimian, Scott G Johnston, Edward D Burton
Restoration of acid sulfate soil (ASS) wetlands by freshwater re-flooding can lead to the reformation of various Fe(II) and reduced inorganic sulfur (RIS) species in surface soil layers. However, in many locations, wetland water levels undergo large seasonal fluctuations that drive extreme redox oscillations. Newly formed RIS species [e.g. greigite, mackinawite, nano-pyrite and S(0)] and Fe(II) are vulnerable to rapid oxidation during dry periods and may generate substantial acidity. Rainfall following a dry period may then mobilise acidity and metal cations in surface waters prior to eventual recovery in pH by re-establishment of reducing conditions...
January 4, 2017: Science of the Total Environment
https://www.readbyqxmd.com/read/28039127/effectiveness-of-early-compared-with-conservative-rehabilitation-for-patients-having-rotator-cuff-repair-surgery-an-overview-of-systematic-reviews
#6
Bruno Fles Mazuquin, Andrew Charles Wright, Sarah Russell, Puneet Monga, James Selfe, Jim Richards
AIM/OBJECTIVE: The aim is to critically analyse and discuss the current literature and determine the effectiveness of rehabilitation for patients after surgical repair of rotator cuff tears for range of motion (ROM), pain, functional status and retear rates; in addition, an update of new literature is included. DESIGN: Overview of systematic reviews. DATA SOURCES: A search was performed with no restrictions to date of publication and language in the following databases: EBSCO, AMED, CINAHL, SPORTDiscus, EMBASE, Cochrane, LILACS, MEDLINE, PEDro, Scielo, SCOPUS and Web of Knowledge...
December 30, 2016: British Journal of Sports Medicine
https://www.readbyqxmd.com/read/28034556/who-falls-in-an-adult-emergency-department-and-why-a-retrospective-review
#7
Deanne R McErlean, James A Hughes
INTRODUCTION: Falls are a significant source of healthcare related morbidity and mortality of patients in hospitals and residential healthcare settings. Commonly falls are thought of as an affliction of the elderly and the frail. The emergency department (ED) is a unique healthcare setting that sees patients in the acute and hyper acute stages of physical and mental illness and intoxication. Falls occur in this setting, however there is little knowledge about the factors that influence falls in the emergency department...
February 2017: Australasian Emergency Nursing Journal: AENJ
https://www.readbyqxmd.com/read/27993166/the-effect-of-community-groups-and-mobile-phone-messages-on-the-prevention-and-control-of-diabetes-in-rural-bangladesh-study-protocol-for-a-three-arm-cluster-randomised-controlled-trial
#8
Edward Fottrell, Hannah Jennings, Abdul Kuddus, Naveed Ahmed, Joanna Morrison, Kohenour Akter, Sanjit Kumar Shaha, Badrun Nahar, Tasmin Nahar, Hassan Haghparast-Bidgoli, A K Azad Khan, Anthony Costello, Kishwar Azad
BACKGROUND: Increasing rates of type 2 diabetes mellitus place a substantial burden on health care services, communities, families and individuals living with the disease or at risk of developing it. Estimates of the combined prevalence of intermediate hyperglycaemia and diabetes in Bangladesh vary, and can be as high as 30% of the adult population. Despite such high prevalence, awareness and control of diabetes and its risk factors are limited. Prevention and control of diabetes and its complications demand increased awareness and action of individuals and communities, with positive influences on behaviours and lifestyle choices...
December 19, 2016: Trials
https://www.readbyqxmd.com/read/27993138/scaling-up-complex-interventions-insights-from-a-realist-synthesis
#9
REVIEW
Cameron D Willis, Barbara L Riley, Lisa Stockton, Aneta Abramowicz, Dana Zummach, Geoff Wong, Kerry L Robinson, Allan Best
Preventing chronic diseases, such as cancer, cardiovascular disease and diabetes, requires complex interventions, involving multi-component and multi-level efforts that are tailored to the contexts in which they are delivered. Despite an increasing number of complex interventions in public health, many fail to be 'scaled up'. This study aimed to increase understanding of how and under what conditions complex public health interventions may be scaled up to benefit more people and populations.A realist synthesis was conducted and discussed at an in-person workshop involving practitioners responsible for scaling up activities...
December 19, 2016: Health Research Policy and Systems
https://www.readbyqxmd.com/read/27936423/optimising-the-community-based-approach-to-healthcare-improvement-comparative-case-studies-of-the-clinical-community-model-in-practice
#10
Emma-Louise Aveling, Graham Martin, Georgia Herbert, Natalie Armstrong
Community-based approaches to healthcare improvement are receiving increasing attention. Such approaches could offer an infrastructure for efficient knowledge-sharing and a potent means of influencing behaviours, but their potential is yet to be optimised. After briefly reviewing challenges to community-based approaches, we describe in detail the clinical community model. Through exploring clinical communities in practice, we seek to identify practical lessons for optimising this community-based approach to healthcare improvement...
January 2017: Social Science & Medicine
https://www.readbyqxmd.com/read/27909582/ebola-research-funding-a-systematic-analysis-1997-2015
#11
Joseph Ra Fitchett, Amos Lichtman, Damilola T Soyode, Ariel Low, Jimena Villar de Onis, Michael G Head, Rifat Atun
BACKGROUND: The latest outbreak of Ebola in West Africa overwhelmed the affected countries, with the impact on health extending far beyond Ebola-related deaths that have exceeded 11 000. The need to promptly mobilise resources to control emerging infections is widely recognized. Yet, data on research funding for emerging infections remains inadequately documented. METHODS: We defined research investment as all funding flows for Ebola and/or Marburg virus from 1997 to April 2015 whose primary purpose was to advance knowledge and new technologies to prevent or cure disease...
December 2016: Journal of Global Health
https://www.readbyqxmd.com/read/27756414/implementation-context-and-complexity
#12
Carl R May, Mark Johnson, Tracy Finch
BACKGROUND: Context is a problem in research on health behaviour change, knowledge translation, practice implementation and health improvement. This is because many intervention and evaluation designs seek to eliminate contextual confounders, when these represent the normal conditions into which interventions must be integrated if they are to be workable in practice. DISCUSSION: We present an ecological model of the ways that participants in implementation and health improvement processes interact with contexts...
October 19, 2016: Implementation Science: IS
https://www.readbyqxmd.com/read/27716415/an-evidence-synthesis-of-the-international-knowledge-base-for-new-care-models-to-inform-and-mobilise-knowledge-for-multispecialty-community-providers-mcps
#13
Alison Turner, Abeda Mulla, Andrew Booth, Shiona Aldridge, Sharon Stevens, Fraser Battye, Peter Spilsbury
BACKGROUND: NHS England's Five Year Forward View (NHS England, Five Year Forward View, 2014) formally introduced a strategy for new models of care driven by simultaneous pressures to contain costs, improve care and deliver services closer to home through integrated models. This synthesis focuses on a multispecialty community provider (MCP) model. This new model of care seeks to overcome the limitations in current models of care, often based around single condition-focused pathways, in contrast to patient-focused delivery (Royal College of General Practitioners, The 2022 GP: compendium of evidence, 2012) which offers greater continuity of care in recognition of complex needs and multimorbidity...
October 1, 2016: Systematic Reviews
https://www.readbyqxmd.com/read/27681150/psychosocial-well-being-of-people-living-with-hiv-and-the-community-before-and-after-a-hiv-stigma-reduction-community-hub-network-intervention
#14
Catharina D Prinsloo, Minrie Greeff, Annamarie Kruger, Suria Ellis
The purpose of the research was to determine whether an HIV stigma-reduction community "hub" network intervention in a South African urban area would bring about a difference in the psychosocial well-being of people living with HIV (PLWH), as well as their community (living in the same municipal ward). A single case pre-test post-test design was implemented. The sample for this study included 62 PLWH who were selected through accessibility sampling and 570 community members who were selected through random voluntary sampling...
September 2016: African Journal of AIDS Research: AJAR
https://www.readbyqxmd.com/read/27634655/knowledge-attitudes-and-practices-towards-blood-donation-in-barbados
#15
A E Atherley, C G Taylor, A Whittington, C Jonker
OBJECTIVE: To obtain information to devise strategies for a voluntary blood donor mobilisation campaign in Barbados. BACKGROUND: The World Health Organization (WHO) recommends that 100% blood should be collected from voluntary non-remunerated donors (VNRD), yet the majority of blood donations (75%) in Barbados are family/replacement donations. Increasing VNRD is paramount to achieving a safe, reliable blood supply, and understanding the population is a strategy suggested by the WHO to inform donor recruitment and education...
December 2016: Transfusion Medicine
https://www.readbyqxmd.com/read/27616969/evaluation-of-an-organisational-intervention-to-promote-integrated-working-between-health-services-and-care-homes-in-the-delivery-of-end-of-life-care-for-people-with-dementia-understanding-the-change-process-using-a-social-identity-approach
#16
Sarah Amador, Claire Goodman, Elspeth Mathie, Caroline Nicholson
In the United Kingdom, approximately a third of people with dementia live in long-term care facilities for adults, the majority of whom are in the last years of life. Working arrangements between health services and care homes in England are largely ad hoc and often inequitable, yet quality end-of-life care for people with dementia in these settings requires a partnership approach to care that builds on existing practice. This paper reports on the qualitative component of a mixed method study aimed at evaluating an organisational intervention shaped by Appreciative Inquiry to promote integrated working between visiting health care practitioners (i...
June 3, 2016: International Journal of Integrated Care
https://www.readbyqxmd.com/read/27604994/-knowledge-on-loose-sheets-in-the-context-of-fixed-theories-theodor-leber-s-research-of-inflammation
#17
Dorina Stahl
At the end of the nineteenth century, after twelve years of intensive research, the ophthalmologist Theodor Leber (1840-1917) established the chemotaxis of leukocytes as part of inflammation research. Although at the time his theory was smoothly enlisted into immunological research, up until now his name has been connected to chemotaxis only in the English-language literature. Leber was able to use his experimental system to develop a theory of the chemical attraction of the leukocytes during inflammation processes by the beginning of the 1880s, but his unconventional methodology-introducing chemically neutral contaminants in order to trigger inflammation in the eyes of rabbits-contradicted the basic bacteriological Denkstil (style of thought) of inflammation research at the time...
September 7, 2016: NTM
https://www.readbyqxmd.com/read/27566645/managers-use-of-nursing-workforce-planning-and-deployment-technologies-protocol-for-a-realist-synthesis-of-implementation-and-impact
#18
Christopher Burton, Jo Rycroft-Malone, Lynne Williams, Siân Davies, Anne McBride, Beth Hall, Anne-M Rowlands, Adrian Jones
INTRODUCTION: Nursing staffing levels in hospitals appear to be associated with improved patient outcomes. National guidance indicates that the triangulation of information from workforce planning and deployment technologies (WPTs; eg, the Safer Nursing Care Tool) and 'local knowledge' is important for managers to achieve appropriate staffing levels for better patient outcomes. Although WPTs provide managers with predictive information about future staffing requirements, ensuring patient safety and quality care also requires the consideration of information from other sources in real time...
2016: BMJ Open
https://www.readbyqxmd.com/read/27522595/brucella-abortus-surveillance-of-cattle-in-fiji-papua-new-guinea-vanuatu-the-solomon-islands-and-a-case-for-active-disease-surveillance-as-a-training-tool
#19
Andrew Tukana, Robert Hedlefs, Bruce Gummow
There have been no surveys of the cattle population for brucellosis in the Pacific Island Countries and Territories (PICTs) for more than 15 years. This study used disease surveillance as a capacity building training tool and to examine some of the constraints that impede surveillance in PICTs. The study also developed and implemented a series of surveys for detecting antibodies to B. abortus in cattle in Fiji, Papua New Guinea, Vanuatu and the Solomon Islands contributing to OIE requirements. The findings indicated lack of funds, lack of technical capacity, shortage of veterinarians, high turnover of in-country officials and lack of awareness on the impacts of animal diseases on public health that were constraining active disease surveillance...
October 2016: Tropical Animal Health and Production
https://www.readbyqxmd.com/read/27466244/-my-independent-streak-may-get-in-the-way-how-older-adults-respond-to-falls-prevention-education-in-hospital
#20
Anne-Marie Hill, Jacqueline Francis-Coad, Terry P Haines, Nicholas Waldron, Christopher Etherton-Beer, Leon Flicker, Katharine Ingram, Steven M McPhail
OBJECTIVES: The aim of the study was to determine how providing individualised falls prevention education facilitated behaviour change from the perspective of older hospital patients on rehabilitation wards and what barriers they identified to engaging in preventive strategies. DESIGN: A prospective qualitative survey. METHODS: Older patients (n=757) who were eligible (mini-mental state examination score>23/30) received falls prevention education while admitted to eight rehabilitation hospital wards in Western Australia...
2016: BMJ Open
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