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Implementation research

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3 papers 0 to 25 followers
By Jamie Jarmul Md / PhD student at UNC - Chapel Hill, PhD in Health Policy and Management
https://www.readbyqxmd.com/read/27894313/identifying-the-barriers-and-enablers-for-a-triage-treatment-and-transfer-clinical-intervention-to-manage-acute-stroke-patients-in-the-emergency-department-a-systematic-review-using-the-theoretical-domains-framework-tdf
#1
REVIEW
Louise E Craig, Elizabeth McInnes, Natalie Taylor, Rohan Grimley, Dominique A Cadilhac, Julie Considine, Sandy Middleton
BACKGROUND: Clinical guidelines recommend that assessment and management of patients with stroke commences early including in emergency departments (ED). To inform the development of an implementation intervention targeted in ED, we conducted a systematic review of qualitative and quantitative studies to identify relevant barriers and enablers to six key clinical behaviours in acute stroke care: appropriate triage, thrombolysis administration, monitoring and management of temperature, blood glucose levels, and of swallowing difficulties and transfer of stroke patients in ED...
November 28, 2016: Implementation Science: IS
https://www.readbyqxmd.com/read/27358078/a-national-evaluation-of-a-dissemination-and-implementation-initiative-to-enhance-primary-care-practice-capacity-and-improve-cardiovascular-disease-care-the-escalates-study-protocol
#2
Deborah J Cohen, Bijal A Balasubramanian, Leah Gordon, Miguel Marino, Sarah Ono, Leif I Solberg, Benjamin F Crabtree, Kurt C Stange, Melinda Davis, William L Miller, Laura J Damschroder, K John McConnell, John Creswell
BACKGROUND: The Agency for Healthcare Research and Quality (AHRQ) launched the EvidenceNOW Initiative to rapidly disseminate and implement evidence-based cardiovascular disease (CVD) preventive care in smaller primary care practices. AHRQ funded eight grantees (seven regional Cooperatives and one independent national evaluation) to participate in EvidenceNOW. The national evaluation examines quality improvement efforts and outcomes for more than 1500 small primary care practices (restricted to those with fewer than ten physicians per clinic)...
June 29, 2016: Implementation Science: IS
https://www.readbyqxmd.com/read/27306646/factors-influencing-the-effectiveness-of-audit-and-feedback-nurses-perceptions
#3
Venessa Christina, Kathryn Baldwin, Alain Biron, Jessica Emed, Karine Lepage
AIM: To explore the perceptions of nurses in an acute care setting on factors influencing the effectiveness of audit and feedback. BACKGROUND: Audit and feedback is widely used and recommended in nursing to promote evidence-based practice and to improve care quality. Yet the literature has shown a limited to modest effect at most. Audit and feedback will continue to be unreliable until we learn what influences its effectiveness. METHOD: A qualitative study was conducted using individual, semi-structured interviews with 14 registered nurses in an acute care teaching hospital in Montreal, Canada...
November 2016: Journal of Nursing Management
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