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https://www.readbyqxmd.com/read/29771779/cost-of-integrating-non-communicable-disease-screening-into-home-based-hiv-testing-and-counseling-in-south-africa
#1
Ilya Golovaty, Monisha Sharma, Alastair Van Heerden, Heidi van Rooyen, Jared M Baeten, Connie Celum, Ruanne V Barnabas
INTRODUCTION: Integrated HIV-non-communicable disease (NCD) services have the potential to avert death and disability, but require data on program costs to assess the impact of integrated services on affordability. METHODS: We estimated the incremental costs of NCD screening as part of home-based HIV testing and counseling (HTC) and referral to care in KwaZulu-Natal, South Africa. All adults in the households were offered integrated HIV-NCD screening (for HIV, diabetes, hypertension, hypercholesterolemia, obesity, depression, tobacco and alcohol use), counseling, and linkage to care...
May 10, 2018: Journal of Acquired Immune Deficiency Syndromes: JAIDS
https://www.readbyqxmd.com/read/29771595/mainstreaming-implementation-science-into-immunization-systems-in-the-decade-of-vaccines-a-programmatic-imperative-for-the-african-region
#2
Abdu A Adamu, Aishatu L Adamu, Abdulkarim I Dahiru, Olalekan A Uthman, Charles S Wiysonge
Several innovations that can improve immunization systems already exist. Some interventions target service consumers within communities to raise awareness, build trust, improve understanding, remind caregivers, reward service users, and improve communication. Other interventions target health facilities to improve access and quality of vaccination services among others. Despite available empirical evidence, there is a delay in translating innovations into routine practice by immunization programmes. Drawing on an existing implementation science framework, we propose an interactive, and multi-perspective model to improve uptake and utilization of available immunization-related innovations in the African region...
May 17, 2018: Human Vaccines & Immunotherapeutics
https://www.readbyqxmd.com/read/29769096/a-methodology-for-generating-a-tailored-implementation-blueprint-an-exemplar-from-a-youth-residential-setting
#3
Cara C Lewis, Kelli Scott, Brigid R Marriott
BACKGROUND: Tailored implementation approaches are touted as more likely to support the integration of evidence-based practices. However, to our knowledge, few methodologies for tailoring implementations exist. This manuscript will apply a model-driven, mixed methods approach to a needs assessment to identify the determinants of practice, and pilot a modified conjoint analysis method to generate an implementation blueprint using a case example of a cognitive behavioral therapy (CBT) implementation in a youth residential center...
May 16, 2018: Implementation Science: IS
https://www.readbyqxmd.com/read/29769080/a-complex-culturally-targeted-intervention-to-reduce-hispanic-disparities-in-living-kidney-donor-transplantation-an-effectiveness-implementation-hybrid-study-protocol
#4
Elisa J Gordon, Jungwha Lee, Raymond H Kang, Juan Carlos Caicedo, Jane L Holl, Daniela P Ladner, Michelle D Shumate
BACKGROUND: The shortage of organs for kidney transplantation for patients with end-stage renal disease (ESRD) is magnified in Hispanics/Latin Americans in the United States. Living donor kidney transplantation (LDKT) is the treatment of choice for ESRD. However, compared to their representation on the transplant waitlist, fewer Hispanics receive a LDKT than non-Hispanic whites. Barriers to LDKT for Hispanics include: lack of knowledge, cultural concerns, and language barriers. Few interventions have been designed to reduce LDKT disparities...
May 16, 2018: BMC Health Services Research
https://www.readbyqxmd.com/read/29764462/empirical-and-conceptual-investigation-of-de-implementation-of-low-value-care-from-professional-and-health-care-system-perspectives-a-study-protocol
#5
Henna Hasson, Per Nilsen, Hanna Augustsson, Ulrica von Thiele Schwarz
BACKGROUND: A considerable proportion of interventions provided to patients lacks evidence of their effectiveness. This implies that patients may receive ineffective, unnecessary, or even harmful care. Thus, in addition to implementing evidence-based practices, there is also a need to abandon interventions that are not based on best evidence, i.e., low-value care. However, research on de-implementation is limited, and there is a lack of knowledge about how effective de-implementation processes should be carried out...
May 15, 2018: Implementation Science: IS
https://www.readbyqxmd.com/read/29752803/a-pragmatic-application-of-the-re-aim-framework-for-evaluating-the-implementation-of-physical-activity-as-a-standard-of-care-in-health-systems
#6
Mark Stoutenberg, Karla I Galaviz, Felipe Lobelo, Elizabeth Joy, Gregory W Heath, Adrian Hutber, Paul Estabrooks
INTRODUCTION: Exercise is Medicine (EIM) is an initiative that seeks to integrate physical activity assessment, prescription, and patient referral as a standard in patient care. Methods to assess this integration have lagged behind its implementation. PURPOSE AND OBJECTIVES: The purpose of this work is to provide a pragmatic framework to guide health care systems in assessing the implementation and impact of EIM. EVALUATION METHODS: A working group of experts from health care, public health, and implementation science convened to develop an evaluation model based on the RE-AIM (Reach, Effectiveness, Adoption, Implementation, and Maintenance) framework...
May 10, 2018: Preventing Chronic Disease
https://www.readbyqxmd.com/read/29750579/harnessing-the-synergy-between-improvement-science-and-implementation-science-in-cancer-a-call-to-action
#7
Bogda Koczwara, Angela M Stover, Louise Davies, Melinda M Davis, Linda Fleisher, Shoba Ramanadhan, Florian R Schroeck, Leah L Zullig, David A Chambers, Enola Proctor
No abstract text is available yet for this article.
May 14, 2018: Journal of Oncology Practice
https://www.readbyqxmd.com/read/29747627/what-can-organisational-theory-offer-knowledge-translation-in-healthcare-a-thematic-and-lexical-analysis
#8
Ann Dadich, Navin Doloswala
BACKGROUND: Despite the relative abundance of frameworks and models to guide implementation science, the explicit use of theory is limited. Bringing together two seemingly disparate fields of research, this article asks, what can organisational theory offer implementation science? This is examined by applying a theoretical lens that incorporates agency, institutional, and situated change theories to understand the implementation of healthcare knowledge into practice. METHODS: Interviews were conducted with 20 general practitioners (GPs) before and after using a resource to facilitate evidence-based sexual healthcare...
May 10, 2018: BMC Health Services Research
https://www.readbyqxmd.com/read/29743229/dissemination-and-implementation-science-in-primary-care-research-and-practice-contributions-and-opportunities
#9
Jodi Summers Holtrop, Borsika A Rabin, Russell E Glasgow
Dissemination and Implementation Science (DIS) is a growing research field that seeks to inform how evidence-based interventions can be successfully adopted, implemented, and maintained in health care delivery and community settings. In this article, an overview of DIS and how it has contributed to primary care delivery improvement, future opportunities for its use, and DIS resources for learning are described. Case examples are provided to illustrate how DIS can be used to solve the complex implementation and dissemination problems that emerge in primary care...
May 2018: Journal of the American Board of Family Medicine: JABFM
https://www.readbyqxmd.com/read/29743213/advancing-social-prescribing-with-implementation-science
#10
Laura Gottlieb, Erika K Cottrell, Brian Park, Khaya D Clark, Rachel Gold, Caroline Fichtenberg
No abstract text is available yet for this article.
May 2018: Journal of the American Board of Family Medicine: JABFM
https://www.readbyqxmd.com/read/29743211/advancing-the-science-of-implementation-in-primary-health-care
#11
EDITORIAL
Andrew Bazemore, Anne Victoria Neale, Phillip Lupo, Dean Seehusen
Implementation Science is commonly described as the study of methods and approaches that promote the uptake and use of evidence-based interventions into routine practice and policymaking. In this issue of JABFM , investigators share a wealth of new insights from the frontlines of Implementation Science in primary care: what it is, how we are doing it, and how it is advancing the evidence base of primary care. The breadth of implementation science in primary care is affirmed by the range of topics covered, from thought leader recommendations on future directions for the field, to reports on how best practices in policy and practice are shaping primary care implementation in the United States and Canada...
May 2018: Journal of the American Board of Family Medicine: JABFM
https://www.readbyqxmd.com/read/29727377/cardiovascular-nursing-science-priorities-a-statement-from-the-american-heart-association-council-on-cardiovascular-and-stroke-nursing
#12
Mariann R Piano, Nancy T Artinian, Holli A DeVon, Susan T Pressler, Kathleen T Hickey, Deborah A Chyun
BACKGROUND: The American Heart Association's (AHA) Council on Cardiovascular and Stroke Nursing (CVSN) plays a critical role in advancing the mission of the AHA in the discovery of new scientific knowledge. The aim was to identify priority research topics that would promote and improve cardiovascular (CV) health, provide direction for the education of future nurse scientists, and serve as a resource and catalyst for federal and organizational funding priorities. METHODS: A Qualtrics survey, which included 3 questions about priorities for CVSN nurse researchers, was sent to the CVSN Leadership Committee and all CVSN Fellows of the AHA (n = 208)...
April 26, 2018: Journal of Cardiovascular Nursing
https://www.readbyqxmd.com/read/29724235/how-can-the-use-of-data-within-the-immunisation-programme-be-increased-in-order-to-improve-data-quality-and-ensure-greater-accountability-in-the-health-system-a-protocol-for-implementation-science-study
#13
Binyam Tilahun, Alemayehu Teklu, Arielle Mancuso, Zeleke Abebaw, Kassahun Dessie, Desalegn Zegeye
BACKGROUND: Immunisation remains one of the most important and cost-effective interventions to reduce vaccine-preventable child morbidity, disability and mortality. Health programmes like the Expanded Program of Immunization rely on complex decision-making and strong local level evidence is important to effectively and efficiently utilise limited resources. Lack of data use for decision-making at each level of the health system remains the main challenge in most developing countries. While there is much evidence on data quality and how to improve it, there is a lack of sufficient evidence on why the use of data for decision-making at each level of the health system is low...
May 3, 2018: Health Research Policy and Systems
https://www.readbyqxmd.com/read/29707648/bridging-the-chasm-challenges-opportunities-and-resources-for-integrating-a-dissemination-and-implementation-science-curriculum-into-medical-education
#14
REVIEW
Tamar Ginossar, Carolyn J Heckman, Deborah Cragun, Lisa M Quintiliani, Enola K Proctor, David A Chambers, Ted Skolarus, Ross C Brownson
Background: Physicians are charged with implementing evidence-based medicine, yet few are trained in the science of Dissemination and Implementation (D&I). In view of the potential of evidence-based training in D&I to help close the gap between research and practice, the goal of this review is to examine the importance of D&I training in medical education, describe challenges to implementing such training, and provide strategies and resources for building D&I capacity...
January 2018: Journal of Medical Education and Curricular Development
https://www.readbyqxmd.com/read/29706132/when-complexity-science-meets-implementation-science-a-theoretical-and-empirical-analysis-of-systems-change
#15
Jeffrey Braithwaite, Kate Churruca, Janet C Long, Louise A Ellis, Jessica Herkes
BACKGROUND: Implementation science has a core aim - to get evidence into practice. Early in the evidence-based medicine movement, this task was construed in linear terms, wherein the knowledge pipeline moved from evidence created in the laboratory through to clinical trials and, finally, via new tests, drugs, equipment, or procedures, into clinical practice. We now know that this straight-line thinking was naïve at best, and little more than an idealization, with multiple fractures appearing in the pipeline...
April 30, 2018: BMC Medicine
https://www.readbyqxmd.com/read/29701860/quality-and-safety-as-a-core-leadership-competency
#16
Michael R Bleich
A leader's toolbox of competencies comprises knowledge, skills, and abilities in clinical care, finance, human resource management, and more. As essential as these are, a strong command of quality and safety competencies is sovereign in leading and managing, ensuring an optimal patient experience. Four core areas of quality and safety competencies are presented: systems science, knowledge workers, implementation science and big data, and quality safety tools and techniques. J Contin Educ Nurs. 2018;49(5):200-202...
May 1, 2018: Journal of Continuing Education in Nursing
https://www.readbyqxmd.com/read/29696135/successful-deployment-of-high-flow-nasal-cannula-in-a-peruvian-pediatric-intensive-care-unit-using-implementation-science-lessons-learned
#17
Katie R Nielsen, Rosario Becerra, Gabriela Mallma, José Tantaleán da Fieno
Acute lower respiratory infections are the leading cause of death outside the neonatal period for children less than 5 years of age. Widespread availability of invasive and non-invasive mechanical ventilation in resource-rich settings has reduced mortality rates; however, these technologies are not always available in many low- and middle-income countries due to the high cost and trained personnel required to implement and sustain their use. High flow nasal cannula (HFNC) is a form of non-invasive respiratory support with growing evidence for use in pediatric respiratory failure...
2018: Frontiers in Pediatrics
https://www.readbyqxmd.com/read/29695302/associations-among-unit-leadership-and-unit-climates-for-implementation-in-acute-care-a-cross-sectional-study
#18
Clayton J Shuman, Xuefeng Liu, Michelle L Aebersold, Dana Tschannen, Jane Banaszak-Holl, Marita G Titler
BACKGROUND: Nurse managers have a pivotal role in fostering unit climates supportive of implementing evidence-based practices (EBPs) in care delivery. EBP leadership behaviors and competencies of nurse managers and their impact on practice climates are widely overlooked in implementation science. The purpose of this study was to examine the contributions of nurse manager EBP leadership behaviors and nurse manager EBP competencies in explaining unit climates for EBP implementation in adult medical-surgical units...
April 25, 2018: Implementation Science: IS
https://www.readbyqxmd.com/read/29695295/an-updated-protocol-for-a-systematic-review-of-implementation-related-measures
#19
Cara C Lewis, Kayne D Mettert, Caitlin N Dorsey, Ruben G Martinez, Bryan J Weiner, Elspeth Nolen, Cameo Stanick, Heather Halko, Byron J Powell
BACKGROUND: Implementation science is the study of strategies used to integrate evidence-based practices into real-world settings (Eccles and Mittman, Implement Sci. 1(1):1, 2006). Central to the identification of replicable, feasible, and effective implementation strategies is the ability to assess the impact of contextual constructs and intervention characteristics that may influence implementation, but several measurement issues make this work quite difficult. For instance, it is unclear which constructs have no measures and which measures have any evidence of psychometric properties like reliability and validity...
April 25, 2018: Systematic Reviews
https://www.readbyqxmd.com/read/29693368/implementation-science-for-the-environment
#20
Janet G Hering
The establishment of the field of implementation science was motivated by the understanding that medical and health research alone is insufficient to generate better health outcomes. With strong support from funding agencies for medical research, implementation science promotes the application of a structured framework or model in the implementation of research-based results, specifically evidence-based practices (EBPs). Furthermore, explicit consideration is given to the context of EBP implementation (i.e...
April 25, 2018: Environmental Science & Technology
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