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"Realist evaluation"

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https://www.readbyqxmd.com/read/28191618/ecotoxicological-bioassays-of-sediment-leachates-in-a-river-bed-flanked-by-decommissioned-pesticide-plants-in-nantong-city-east-china
#1
Yan Zhou, Fenghe Wang, Jinzhong Wan, Jian He, Qun Li, Qiang Chen, Jay Gao, Yusuo Lin, Shengtian Zhang
Traditionally, the toxicity of river contaminants is analyzed chemically or physically through river bed sediments. The biotoxicity of polluted sediment leachates has not caught our attention. This study aims to overcome this deficiency through a battery of biotests which were conducted to monitor comprehensive toxicity of sediment leachates for the Yaogang River in East Jiangsu Province of China, which is in close proximity to former pesticide plants. The general physical and chemical parameters of major pollutants were analyzed from river bed sediments collected at five strategic locations...
February 13, 2017: Environmental Science and Pollution Research International
https://www.readbyqxmd.com/read/28188349/on-line-dynamic-extraction-system-hyphenated-to-inductively-coupled-plasma-optical-emission-spectrometry-for-automatic-determination-of-oral-bioaccessible-trace-metal-fractions-in-airborne-particulate-matter
#2
Victoria Mohr, Manuel Miró, Andreas Limbeck
For a realistic evaluation of the potential hazard emanating from airborne particulate matter (APM), the determination of the total inhaled metal amounts associated with APM is insufficient in risk assessment. Additional information about metal fractions that can be mobilized by the human body is necessary, because only those soluble (also called bioaccessible) fractions can be absorbed by the human body, and thus potentially cause adverse health effects. In the present study, a dynamic flow-through approach as a front end to inductively coupled plasma optical emission spectrometry (ICP-OES) exploiting advanced flow analysis is employed for on-line handling of multiple APM samples and determination of bioaccessible trace metals under worst case extraction scenarios...
February 10, 2017: Analytical and Bioanalytical Chemistry
https://www.readbyqxmd.com/read/28179417/green-shoots-of-recovery-a-realist-evaluation-of-a-team-to-support-change-in-general-practice
#3
Maggie Bartlett, Ruth Basten, Robert K McKinley
OBJECTIVE: A multidisciplinary support team for general practice was established in April 2014 by a local National Health Service (NHS) England management team. This work evaluates the team's effectiveness in supporting and promoting change in its first 2 years, using realist methodology. SETTING: Primary care in one area of England. PARTICIPANTS: Semistructured interviews were conducted with staff from 14 practices, 3 key senior NHS England personnel and 5 members of the support team...
February 8, 2017: BMJ Open
https://www.readbyqxmd.com/read/28129004/interprofessional-education-in-a-student-led-emergency-department-a-realist-evaluation
#4
Anne Ericson, Susanne Löfgren, Gunilla Bolinder, Scott Reeves, Simon Kitto, Italo Masiello
This article reports a realist evaluation undertaken to identify factors that facilitated or hindered the successful implementation of interprofessional clinical training for undergraduate students in an emergency department. A realist evaluation provides a framework for understanding how the context and underlying mechanisms affect the outcome patterns of an intervention. The researchers gathered both qualitative and quantitative data from internal documents, semi-structured interviews, observations, and questionnaires to study what worked, for whom, and under what circumstances in this specific interprofessional setting...
January 27, 2017: Journal of Interprofessional Care
https://www.readbyqxmd.com/read/28107137/interprofessional-education-in-an-orthodontic-outreach-training-centre
#5
Richard Cure
Interprofessional education (IPE) describes those occasions when students from two or more professions learn about, from and with each other to enable effective collaboration and improve health outcomes. In the UK, orthodontic treatment is now delivered by a highly skilled team. Historically, education and training for orthodontic team members has been delivered 'uniprofessionally' in secondary care hospital settings, despite 96% of dental care, including orthodontics, being delivered in primary care. This paper describes an evaluation of IPE in Leamington Spa Orthodontics (LSO), a University-approved, primary care outreach training centre, where all members of the orthodontic team deliver patient care and are educated together in an IPE environment...
November 1, 2016: Primary Dental Journal
https://www.readbyqxmd.com/read/28077414/implementation-of-a-consumer-focused-ehealth-intervention-for-people-with-moderate-to-high-cardiovascular-disease-risk-protocol-for-a-mixed-methods-process-evaluation
#6
Genevieve M Coorey, Lis Neubeck, Timothy Usherwood, David Peiris, Sharon Parker, Annie Y S Lau, Clara Chow, Kathryn Panaretto, Mark Harris, Nicholas Zwar, Julie Redfern
INTRODUCTION: Technology-mediated strategies have potential to engage patients in modifying unhealthy behaviour and improving medication adherence to reduce morbidity and mortality from cardiovascular disease (CVD). Furthermore, electronic tools offer a medium by which consumers can more actively navigate personal healthcare information. Understanding how, why and among whom such strategies have an effect can help determine the requirements for implementing them at a scale. This paper aims to detail a process evaluation that will (1) assess implementation fidelity of a multicomponent eHealth intervention; (2) determine its effective features; (3) explore contextual factors influencing and maintaining user engagement; and (4) describe barriers, facilitators, preferences and acceptability of such interventions...
January 11, 2017: BMJ Open
https://www.readbyqxmd.com/read/28069627/what-aspects-of-intentional-rounding-work-in-hospital-wards-for-whom-and-in-what-circumstances-a-realist-evaluation-protocol
#7
Ruth Harris, Sarah Sims, Ros Levenson, Stephen Gourlay, Fiona Ross Cbe, Nigel Davies, Sally Brearley, Giampiero Favato, Robert Grant
INTRODUCTION: Intentional rounding (IR) is a structured process whereby nurses in hospitals carry out regular checks, usually hourly, with individual patients using a standardised protocol to address issues of positioning, pain, personal needs and placement of items. The widespread implementation of IR across the UK has been driven by the recommendations of the Francis Inquiry although empirical evidence of its effectiveness is poor. This paper presents a protocol of a multimethod study using a realist evaluation approach to investigate the impact and effectiveness of IR in hospital wards on the organisation, delivery and experience of care from the perspective of patients, their family members and staff...
January 9, 2017: BMJ Open
https://www.readbyqxmd.com/read/28039297/realistic-evaluation-of-situation-awareness-for-everyone-safe-on-paediatric-wards-study-protocol
#8
J Deighton, J Edbrooke-Childs, E Stapley, N Sevdalis, J Hayes, D Gondek, E Sharples, P Lachman
INTRODUCTION: Evidence suggests that health outcomes for hospitalised children in the UK are worse than other countries in Europe, with an estimated 1500 preventable deaths in hospital each year. It is presumed that some of these deaths are due to unanticipated deterioration, which could have been prevented by earlier intervention, for example, sepsis. The Situation Awareness For Everyone (SAFE) intervention aims to redirect the 'clinical gaze' to encompass a range of prospective indicators of risk or deterioration, including clinical indicators and staff concerns, so that professionals can review relevant information for any given situation...
December 30, 2016: BMJ Open
https://www.readbyqxmd.com/read/27992780/using-a-logic-model-to-evaluate-the-kids-together-early-education-inclusion-program-for-children-with-disabilities-and-additional-needs
#9
Kathleen Clapham, Claire Manning, Kathryn Williams, Ginger O'Brien, Margaret Sutherland
: Despite clear evidence that learning and social opportunities for children with disabilities and special needs are more effective in inclusive not segregated settings, there are few known effective inclusion programs available to children with disabilities, their families or teachers in the early years within Australia. The Kids Together program was developed to support children with disabilities/additional needs aged 0-8 years attending mainstream early learning environments. Using a key worker transdisciplinary team model, the program aligns with the individualised package approach of the National Disability Insurance Scheme (NDIS)...
December 9, 2016: Evaluation and Program Planning
https://www.readbyqxmd.com/read/27943483/rapid-realist-review-of-the-evidence-achieving-lasting-change-when-mental-health-rehabilitation-staff-undertake-recovery-oriented-training
#10
REVIEW
M Gee, S Bhanbrho, S Cook, H Killaspy
AIM: To identify the factors contributing to lasting change in practice following a recovery-based training intervention for inpatient mental health rehabilitation staff. BACKGROUND: Staff training may help nurses and other staff groups in inpatient mental health rehabilitative settings to increase their recovery-oriented practice. There are no published reviews on the effectiveness of such training and few long-term evaluations. This review informed a realist evaluation of a specific intervention ('GetREAL')...
December 10, 2016: Journal of Advanced Nursing
https://www.readbyqxmd.com/read/27911528/berry-curvature-in-magnon-phonon-hybrid-systems
#11
Ryuji Takahashi, Naoto Nagaosa
We study theoretically the Berry curvature of the magnon induced by the hybridization with the acoustic phonons via the spin-orbit and dipolar interactions. We first discuss the magnon-phonon hybridization via the dipolar interaction, and show that the dispersions have gapless points in momentum space, some of which form a loop. Next, when both spin-orbit and dipolar interactions are considered, we show anisotropic texture of the Berry curvature and its divergence with and without gap closing. Realistic evaluation of the consequent anomalous velocity is given for yttrium iron garnet...
November 18, 2016: Physical Review Letters
https://www.readbyqxmd.com/read/27890969/behavior-of-post-installed-anchors-tested-by-stepwise-increasing-cyclic-load-protocols
#12
Philipp Mahrenholtz, Rolf Eligehausen, Tara C Hutchinson, Matthew S Hoehler
Cyclic loads are a characteristic feature of actions acting on structures and anchorages during earthquakes. For this reason, seismic qualification of post-installed concrete anchors according to the internationally recognized American Concrete Institute (ACI) standard ACI 355 is based on cyclic load tests. The protocols for these tests, however, have limited scientific basis. Therefore, in the present paper newly-developed test protocols with stepwise-increasing load amplitudes are utilized to more realistically evaluate anchor seismic performance...
September 2016: ACI Struct J
https://www.readbyqxmd.com/read/27842539/a-randomized-wait-list-control-trial-to-evaluate-the-impact-of-a-mobile-application-to-improve-self-management-of-individuals-with-type-2-diabetes-a-study-protocol
#13
Laura Desveaux, Payal Agarwal, Jay Shaw, Jennifer M Hensel, Geetha Mukerji, Nike Onabajo, Husayn Marani, Trevor Jamieson, Onil Bhattacharyya, Danielle Martin, Muhammad Mamdani, Lianne Jeffs, Walter P Wodchis, Noah M Ivers, R Sacha Bhatia
BACKGROUND: Management of diabetes through improved glycemic control and risk factor modification can help prevent long-term complications. Much diabetes management is self-management, in which healthcare providers play a supporting role. Well-designed e-Health solutions targeting behavior change can improve a range of measures, including glycemic control, perceived health, and a reduction in hospitalizations. METHODS: The primary objective of this study is to evaluate if a mobile application designed to improve self-management among patients with type 2 diabetes (T2DM) improves glycemic control compared to usual care...
November 15, 2016: BMC Medical Informatics and Decision Making
https://www.readbyqxmd.com/read/27807082/how-do-community-health-committees-contribute-to-capacity-building-for-maternal-and-child-health-a-realist-evaluation-protocol
#14
Brynne Gilmore, Eilish McAuliffe, Fiona Larkan, Magnus Conteh, Nicola Dunne, Michele Gaudrault, Henry Mollel, Nazarius Mbona Tumwesigye, Frédérique Vallières
INTRODUCTION: The proposed research is part of ongoing operations research within World Vision's Access: Infant and Maternal Health Programme. This study aims to identify key context features and underlying mechanisms through which community health committees build community capacity within the field of maternal and child health. This may help to improve programme implementation by providing contextually informed and explanatory findings for how community health committees work, what works best and for whom do they work for best for...
November 2, 2016: BMJ Open
https://www.readbyqxmd.com/read/27756281/a-pragmatic-randomized-control-trial-and-realist-evaluation-on-the-implementation-and-effectiveness-of-an-internet-application-to-support-self-management-among-individuals-seeking-specialized-mental-health-care-a-study-protocol
#15
Jennifer M Hensel, Jay Shaw, Lianne Jeffs, Noah M Ivers, Laura Desveaux, Ashley Cohen, Payal Agarwal, Walter P Wodchis, Joshua Tepper, Darren Larsen, Anita McGahan, Peter Cram, Geetha Mukerji, Muhammad Mamdani, Rebecca Yang, Ivy Wong, Nike Onabajo, Trevor Jamieson, R Sacha Bhatia
BACKGROUND: Mental illness is a substantial and rising contributor to the global burden of disease. Access to and utilization of mental health care, however, is limited by structural barriers such as specialist availability, time, out-of-pocket costs, and attitudinal barriers including stigma. Innovative solutions like virtual care are rapidly entering the health care domain. The advancement and adoption of virtual care for mental health, however, often occurs in the absence of rigorous evaluation and adequate planning for sustainability and spread...
October 18, 2016: BMC Psychiatry
https://www.readbyqxmd.com/read/27734062/successes-and-unintended-consequences-of-the-northern-territory-s-smoke-free-prisons-policy-results-from-a-process-evaluation
#16
Marita Hefler, Robyn Hopkins, David P Thomas
OBJECTIVES: In 2013, the Northern Territory was the first Australian jurisdiction to introduce a smoke-free policy for all correctional facilities. We report on a process evaluation to identify what worked well, key challenges and unintended consequences. METHODS: We interviewed 87 people, comprising remand, medium-security and low-security prisoners; visiting family members; and prison staff (including prison management and health workers). A realist evaluation approach was used...
April 15, 2016: Public Health Research & Practice
https://www.readbyqxmd.com/read/27633514/navigating-barriers-two-year-follow-up-on-recommendations-to-improve-the-use-of-maternal-health-guidelines-in-kosovo
#17
Julia E Moore, Sami Uka, Joshua P Vogel, Caitlyn Timmings, Shusmita Rashid, A Metin Gülmezoglu, Sharon E Straus
BACKGROUND: Although there are a growing number of initiatives aimed at supporting guideline implementation in resource-constrained settings, few studies assess progress on achieving next steps and goals after the initial activities are completed and the initial funding period has ended. The aim of the current study was to conduct a qualitative process evaluation of progress, barriers, facilitators, and proposed solutions to operationalize nine recommendations to prepare Kosovo to implement the 2012 World Health Organization (WHO) prevention and treatment of postpartum haemorrhage guideline...
2016: BMC Public Health
https://www.readbyqxmd.com/read/27609850/gender-equity-programmes-in-academic-medicine-a-realist-evaluation-approach-to-athena-swan-processes
#18
Louise Caffrey, David Wyatt, Nina Fudge, Helena Mattingley, Catherine Williamson, Christopher McKevitt
OBJECTIVES: Gender inequity has persisted in academic medicine. Yet equity is vital for countries to achieve their full potential in terms of translational research and patient benefit. This study sought to understand how the gender equity programme, Athena SWAN, can be enabled and constrained by interactions between the programme and the context it is implemented into, and whether these interactions might produce unintended consequences. DESIGN: Multimethod qualitative case studies using a realist evaluation approach...
2016: BMJ Open
https://www.readbyqxmd.com/read/27607917/enthalpy-entropy-compensation-eec-effect-decisive-role-of-free-energy
#19
Animesh Pan, Tanmoy Kar, Animesh K Rakshit, Satya P Moulik
The "enthalpy-entropy compensation" (EEC) effect has been a long-standing fascinating yet unresolved phenomenon in chemical thermodynamics. The reasons for the observation of EEC are not clear. Various views such as empirical, extrathermodynamic, error-related, solvation, and so forth as reasons for the H/S linear correlation are floating. Statistical reasons and a hidden Carnot's cycle (involving microscopic "heating and cooling" machines) have also been proposed recently for the observation of EEC. In this work, we have attempted a different line of approach to understand and explain the phenomenon...
October 3, 2016: Journal of Physical Chemistry. B
https://www.readbyqxmd.com/read/27560352/towards-developing-an-initial-programme-theory-programme-designers-and-managers-assumptions-on-the-antiretroviral-treatment-adherence-club-programme-in-primary-health-care-facilities-in-the-metropolitan-area-of-western-cape-province-south-africa
#20
Ferdinand C Mukumbang, Sara van Belle, Bruno Marchal, Brian van Wyk
BACKGROUND: The antiretroviral adherence club intervention was rolled out in primary health care facilities in the Western Cape province of South Africa to relieve clinic congestion, and improve retention in care, and treatment adherence in the face of growing patient loads. We adopted the realist evaluation approach to evaluate what aspects of antiretroviral club intervention works, for what sections of the patient population, and under which community and health systems contexts, to inform guidelines for scaling up of the intervention...
2016: PloS One
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