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https://www.readbyqxmd.com/read/29208000/dynamics-behind-the-scale-up-of-evidence-based-obesity-prevention-protocol-for-a-multi-site-case-study-of-an-electronic-implementation-monitoring-system-in-health-promotion-practice
#1
Kathleen P Conte, Sisse Groen, Victoria Loblay, Amanda Green, Andrew Milat, Lina Persson, Christine Innes-Hughes, Jo Mitchell, Sarah Thackway, Mandy Williams, Penelope Hawe
BACKGROUND: The effectiveness of many interventions to promote health and prevent disease has been well established. The imperative has therefore shifted from amassing evidence about efficacy to scale-up to maximise population-level health gains. Electronic implementation monitoring, or 'e-monitoring', systems have been designed to assist and track the delivery of preventive policies and programs. However, there is little evidence on whether e-monitoring systems improve the dissemination, adoption, and ongoing delivery of evidence-based preventive programs...
December 6, 2017: Implementation Science: IS
https://www.readbyqxmd.com/read/29206268/infusing-systems-and-quality-improvement-throughout-an-undergraduate-nursing-curriculum
#2
Sara A McComb, Jane M Kirkpatrick
BACKGROUND: Nurse educators are constantly revising curricula to ensure that graduating nurses have the requisite skills for today's fast-paced, rapidly changing, nonlinear complex care environment. Key nursing education and practice organizations identify systems thinking and quality improvement as essential skills for nurses at the point of care. METHOD: Systems thinking and quality improvement were embedded across a Bachelor of Nursing (BSN) curriculum in a manner that does not dislocate other, more traditional content...
December 1, 2017: Journal of Nursing Education
https://www.readbyqxmd.com/read/29206264/rn-to-bsn-students-quality-improvement-knowledge-skills-confidence-and-systems-thinking
#3
Peggy Trent, Mary A Dolansky, Jacqueline Kayler DeBrew, Gayle M Petty
BACKGROUND: Little evidence demonstrates that RN-to-baccalaureate nursing (BSN) graduates have met The Essentials of Baccalaureate Education for Professional Nursing Practice-specifically, evidence of the graduates' organizational and systems leadership related to quality care and patient safety. This BSN Essentials reflects the QSEN quality improvement (QI) competency. The purpose of this pilot study was to develop and test an assessment strategy to measure RN-to BSN students' QI competence and their perception of QI knowledge and skills...
December 1, 2017: Journal of Nursing Education
https://www.readbyqxmd.com/read/29202164/lessons-learned-by-a-founding-dean-college-of-health-and-human-services-at-western-kentucky-university
#4
John A Bonaguro
This article describes the process in the development and implementation of the College of Health and Human Services at Western Kentucky University. Lessons learned and insights gained as an inaugural dean are presented around four main themes: creating a culture of trust and transparency, leaders of change, strategic planning, and cultivating external resources. The application of change theory, transformational leadership, and systems thinking enabled the college to more than double its enrollment and to address critical workforce needs in health and human services...
2017: Journal of Allied Health
https://www.readbyqxmd.com/read/29190662/using-systems-science-to-understand-the-determinants-of-inequities-in-healthy-eating
#5
Sharon Friel, Melanie Pescud, Eleanor Malbon, Amanda Lee, Robert Carter, Joanne Greenfield, Megan Cobcroft, Jane Potter, Lucie Rychetnik, Beth Meertens
INTRODUCTION: Systems thinking has emerged in recent years as a promising approach to understanding and acting on the prevention and amelioration of non-communicable disease. However, the evidence on inequities in non-communicable diseases and their risks factors, particularly diet, has not been examined from a systems perspective. We report on an approach to developing a system oriented policy actor perspective on the multiple causes of inequities in healthy eating. METHODS: Collaborative conceptual modelling workshops were held in 2015 with an expert group of representatives from government, non-government health organisations and academia in Australia...
2017: PloS One
https://www.readbyqxmd.com/read/29166828/nurses-systems-thinking-competency-medical-error-reporting-and-the-occurrence-of-adverse-events-a-cross-sectional-study
#6
Jee-In Hwang, Hyeoun-Ae Park
BACKGROUND: Healthcare professionals' systems thinking is emphasized for patient safety. AIMS: To report nurses' systems thinking competency, and its relationship with medical error reporting and the occurrence of adverse events. DESIGN: A cross-sectional survey using a previously validated Systems Thinking Scale (STS), was conducted. METHODS: Nurses from two teaching hospitals were invited to participate in the survey...
November 30, 2017: Contemporary Nurse
https://www.readbyqxmd.com/read/29164177/a-systems-medicine-approach-translating-emerging-science-into-individualized-wellness
#7
REVIEW
J S Bland, D M Minich, B M Eck
In today's aging society, more people are living with lifestyle-related noncommunicable diseases (NCDs) such as cardiovascular disease, type 2 diabetes, obesity, and cancer. Numerous opinion-leader organizations recommend lifestyle medicine as the first-line approach in NCD prevention and treatment. However, there is a strong need for a personalized approach as "one-size-fits-all" public health recommendations have been insufficient in addressing the interindividual differences in the diverse populations. Advancement in systems biology and the "omics" technologies has allowed comprehensive analysis of how complex biological systems are impacted upon external perturbations (e...
2017: Advances in Medicine
https://www.readbyqxmd.com/read/29164093/application-of-the-intervention-mapping-framework-to-develop-an-integrated-twenty-first-century-core-curriculum-part-three-curriculum-implementation-and-evaluation
#8
Jaime A Corvin, Rita DeBate, Kate Wolfe-Quintero, Donna J Petersen
Public health professionals have been challenged to radically reform public health training to meet evolving demands of twenty-first century public health. Such a transformation requires a systems thinking approach with an interdisciplinary focus on problem solving, leadership, management and teamwork, technology and information, budgeting and finance, and communication. This article presents processes for implementing and evaluating a revised public health curriculum and outlines lessons learned from this initiative...
2017: Frontiers in Public Health
https://www.readbyqxmd.com/read/29152819/the-application-of-systems-thinking-concepts-methods-and-tools-to-global-health-practices-an-analysis-of-case-studies
#9
Jessica Wilkinson, Morgan Goff, Evan Rusoja, Carl Hanson, Robert Chad Swanson
OBJECTIVES: This review of systems thinking (ST) case studies seeks to compile and analyse cases from ST literature and provide practitioners with a reference for ST in health practice. Particular attention was given to (1) reviewing the frequency and use of key ST terms, methods, and tools in the context of health, and (2) extracting and analysing longitudinal themes across cases. METHODS: A systematic search of databases was conducted, and a total of 36 case studies were identified...
November 20, 2017: Journal of Evaluation in Clinical Practice
https://www.readbyqxmd.com/read/29136493/systems-thinking-and-simulation-modeling-to-inform-childhood-obesity-policy-and-practice
#10
Kenneth E Powell, Debra L Kibbe, Rachel Ferencik, Chris Soderquist, Mary Ann Phillips, Emily Anne Vall, Karen J Minyard
OBJECTIVES: In 2007, 31.7% of Georgia adolescents in grades 9-12 were overweight or obese. Understanding the impact of policies and interventions on obesity prevalence among young people can help determine statewide public health and policy strategies. This article describes a systems model, originally launched in 2008 and updated in 2014, that simulates the impact of policy interventions on the prevalence of childhood obesity in Georgia through 2034. METHODS: In 2008, using information from peer-reviewed reports and quantitative estimates by experts in childhood obesity, physical activity, nutrition, and health economics and policy, a group of legislators, legislative staff members, and experts trained in systems thinking and system dynamics modeling constructed a model simulating the impact of policy interventions on the prevalence of childhood obesity in Georgia through 2034...
November 2017: Public Health Reports
https://www.readbyqxmd.com/read/29120912/effects-of-a-system-thinking-based-simulation-program-for-congestive-heart-failure
#11
Hyeon-Young Kim, Eun Kyoung Yun
This study evaluated a system thinking-based simulation program for the care of patients with congestive heart failure. Participants were 67 undergraduate nursing students from a nursing college in Seoul, South Korea. The experimental group was given a 4-hour system-thinking program and a 2-hour simulation program, whereas the control group had a 4-hour case study and a 2-hour simulation program. There were significant improvements in critical thinking in both groups, but no significant group differences between educational methods (F = 3...
November 8, 2017: Computers, Informatics, Nursing: CIN
https://www.readbyqxmd.com/read/29115995/developing-a-systems-based-framework-of-the-factors-influencing-dietary-and-physical-activity-behaviours-in-ethnic-minority-populations-living-in-europe-a-dedipac-study
#12
Michelle Holdsworth, Mary Nicolaou, Lars Jørun Langøien, Hibbah Araba Osei-Kwasi, Sebastien F M Chastin, F Marijn Stok, Laura Capranica, Nanna Lien, Laura Terragni, Pablo Monsivais, Mario Mazzocchi, Lea Maes, Gun Roos, Caroline Mejean, Katie Powell, Karien Stronks
BACKGROUND: Some ethnic minority populations have a higher risk of non-communicable diseases than the majority European population. Diet and physical activity behaviours contribute to this risk, shaped by a system of inter-related factors. This study mapped a systems-based framework of the factors influencing dietary and physical activity behaviours in ethnic minority populations living in Europe, to inform research prioritisation and intervention development. METHODS: A concept mapping approach guided by systems thinking was used: i...
November 7, 2017: International Journal of Behavioral Nutrition and Physical Activity
https://www.readbyqxmd.com/read/29104067/the-application-of-quality-by-design-framework-in-the-pharmaceutical-development-of-dry-powder-inhalers
#13
Francesca Buttini, Stavroula Rozou, Alessandra Rossi, Vera Zoumpliou, Dimitrios M Rekkas
This review aims in discussing the application of the Quality by Design (QbD) approach on the development of the Dry Powders Inhalers (DPIs). It starts with a thorough presentation of the Quality's concept evolution within the pharmaceutical sector and how this slowly adopted set of quality guidelines is now a major scientific and regulatory requirement. DPIs represent a type of delivery system where the system's thinking approach integrating the device, the formulation and the patient represent a major challenge to be met...
November 2, 2017: European Journal of Pharmaceutical Sciences
https://www.readbyqxmd.com/read/29101524/developing-collaborative-maternal-and-child-health-leaders-a-descriptive-study-of-the-national-maternal-and-child-health-workforce-development-center
#14
Alina Nadira Clarke, Dorothy Cilenti
Purpose An assessment of the National Maternal and Child Health Workforce Development Center (the Center) was conducted to describe (1) effects of the Center's training on the use of collaborative leadership practices by MCH leaders, and (2) perceived barriers to collaboration for MCH leaders. The Center provides services to strengthen MCH professionals' skills in three core areas: Change Management/Adaptive Leadership, Evidence-Based Decision Making, and Systems Integration. Description This descriptive qualitative study compares eight interview responses from a sample of the Center's participants and findings from a document review of the training curriculum against an existing framework of collaborative leadership themes...
November 3, 2017: Maternal and Child Health Journal
https://www.readbyqxmd.com/read/29100141/dynamic-modeling-approaches-to-characterize-the-functioning-of-health-systems-a-systematic-review-of-the-literature
#15
Angela Y Chang, Osondu Ogbuoji, Rifat Atun, Stéphane Verguet
Universal Health Coverage (UHC) is one of the targets for the United Nations Sustainable Development Goal 3. The impetus for UHC has led to an increased demand for time-sensitive tools to enhance our knowledge of how health systems function and to evaluate impact of system interventions. We define the field of "health system modeling" (HSM) as an area of research where dynamic mathematical models can be designed in order to describe, predict, and quantitatively capture the functioning of health systems. HSM can be used to explore the dynamic relationships among different system components, including organizational design, financing and other resources (such as investments in resources and supply chain management systems) - what we call "inputs" - on access, coverage, and quality of care - what we call "outputs", toward improved health system "outcomes", namely increased levels and fairer distributions of population health and financial risk protection...
September 22, 2017: Social Science & Medicine
https://www.readbyqxmd.com/read/29080470/young-drivers-and-their-cars-safe-and-sound-or-the-perfect-storm
#16
Oscar Oviedo-Trespalacios, Bridie Scott-Parker
Consistent with the experiences in high-income countries, young drivers remain overrepresented in road trauma statistics in low- and middle-income countries. This article pursues the emerging interest of approaching the young driver problem from a systems thinking perspective in order to design and deliver robust countermeasures. Specifically, the focus of this paper is the cars driven by young drivers. The study of vehicles' characteristics and their interaction with driving behaviour is, more often than not, considered a minor concern when developing countermeasures in young drivers' safety not only in developed nations, but especially in developing nations...
October 25, 2017: Accident; Analysis and Prevention
https://www.readbyqxmd.com/read/29073653/the-state-of-quality-improvement-and-patient-safety-teaching-in-health-professional-education-in-new-zealand
#17
Gillian Robb, Iwona Stolarek, Susan Wells, Gillian Bohm
AIM: To investigate how quality and patient safety domains are being taught in the pre-registration curricula of health profession education programmes in New Zealand. METHODS: All tertiary institutions providing training for medicine, nursing, midwifery, dentistry, pharmacy, physiotherapy, dietetics and 11 other allied health professions in New Zealand were contacted and a person with relevant curriculum knowledge was invited to participate. Interviews were conducted using a semi-structured interview guide to explore nine quality and safety domains; improvement science, patient safety, quality and safety culture, evidence-based practice, patient-centred care, teamwork and communication, leadership for change, systems thinking and use of information technology (IT)...
October 27, 2017: New Zealand Medical Journal
https://www.readbyqxmd.com/read/29069332/sustainable-development-goals-sdgs-and-their-implementation-a-national-global-framework-for-health-development-and-equity-needs-a-systems-approach-at-every-level
#18
Stephen Morton, David Pencheon, Neil Squires
Introduction: The Sustainable Development Goals (SDGs) are a set of global goals for fair and sustainable health at every level: from planetary biosphere to local community. The aim is to end poverty, protect the planet and ensure that all people enjoy peace and prosperity, now and in the future. Sources of data: The UN has established web-sites to inform the implementation of the SDGs and an Inter-Agency and Expert Group on an Indicator Framework. We have searched for independent commentaries and analysis...
October 24, 2017: British Medical Bulletin
https://www.readbyqxmd.com/read/29047063/life-cycle-impacts-of-shower-water-waste-heat-recovery-case-study-of-an-installation-at-a-university-sport-facility-in-the-uk
#19
Kenneth Ip, Kaiming She, Kemi Adeyeye
Recovering heat from waste water discharged from showers to preheat the incoming cold water has been promoted as a cost-effective, energy-efficient, and low-carbon design option which has been included in the UK's Standard Assessment Procedure (SAP) for demonstrating compliance with the Building Regulation for dwellings. Incentivized by its carbon cost-effectiveness, waste water heat exchangers (WWHX) have been selected and incorporated in a newly constructed Sports Pavilion at the University of Brighton in the UK...
October 18, 2017: Environmental Science and Pollution Research International
https://www.readbyqxmd.com/read/29044367/one-health-economics-to-confront-disease-threats
#20
Catherine Machalaba, Kristine M Smith, Lina Awada, Kevin Berry, Franck Berthe, Timothy A Bouley, Mieghan Bruce, Jose Cortiñas Abrahantes, Anas El Turabi, Yasha Feferholtz, Louise Flynn, Giullaume Fournié, Amanda Andre, Delia Grace, Olga Jonas, Tabitha Kimani, François Le Gall, Juan Jose Miranda, Marisa Peyre, Julio Pinto, Noam Ross, Simon R Rüegg, Robert H Salerno, Richard Seifman, Carlos Zambrana-Torrelio, William B Karesh
Global economic impacts of epidemics suggest high return on investment in prevention and One Health capacity. However, such investments remain limited, contributing to persistent endemic diseases and vulnerability to emerging ones. An interdisciplinary workshop explored methods for country-level analysis of added value of One Health approaches to disease control. Key recommendations include: 1. systems thinking to identify risks and mitigation options for decision-making under uncertainty; 2. multisectoral economic impact assessment to identify wider relevance and possible resource-sharing, and 3...
June 1, 2017: Transactions of the Royal Society of Tropical Medicine and Hygiene
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