Search results for "Implementation research"

showing 6 items of 6 documents

Effectiveness of training in guideline-oriented biopsychosocial management of low-back pain in occupational health services – a cluster randomized co…

2021

Objective This study aimed to investigate the effectiveness of brief training in the guideline-oriented biopsychosocial management of low-back pain (LBP) in occupational health services using a cluster-randomized design. A small sample of physiotherapists and physicians from the intervention units (N=12) were given three- to seven-day training focusing on the biopsychosocial management of LBP, while professionals in the control units (N=15) received no such training. Methods Eligible patients with LBP, with or without radicular pain, aged 18-65, were invited to participate. A web-based questionnaire was sent to all recruited patients at baseline, three months and one year. The primary outco…

Biopsychosocial modelmedicine.medical_specialtytyöterveyshuoltocluster randomized controlled trialOccupational Health Servicespsykososiaaliset tekijätrisk stratificationoccupational health servicebiopsychosocialOccupational safety and healthlaw.inventionlow-back painRandomized controlled trialselkäsairaudetimplementation researchlawSurveys and QuestionnairesmedicineHumanspainSjukgymnastikPhysiotherapyPain Measurementtrainingbusiness.industryimplementation research; risk stratification; STarT Back Tool; Orebro Musculoskeletal Pain Screening Questionnairestart back toolPublic Health Environmental and Occupational HealthGuidelinemedicine.diseaseLow back pain3142 Public health care science environmental and occupational healthConfidence intervalExercise TherapyOswestry Disability IndexRadicular painoccupational healthPhysical therapykrooninen kipuörebro musculoskeletal pain screening questionnaireOriginal ArticlekuntoutusPublic aspects of medicineRA1-1270medicine.symptombusinessLow Back PainSTarT Back ToolÖrebro Musculoskeletal Pain Screening QuestionnaireScandinavian Journal of Work, Environment & Health
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Evaluation of training in guideline-oriented biopsychosocial management of low back pain in occupational health services:Protocol of a cluster random…

2021

Background To prevent low back pain (LBP) from developing into a prolonged disabling condition, clinical guidelines advocate early stage assessment, risk‐screening, and tailored interventions. Occupational health services recommend guideline‐oriented biopsychosocial screening and individualized assessment and management. However, it is not known whether training a limited number of health care professionals improves the management process. The primary objective of this study is to investigate whether training in the biopsychosocial practice model is effective in reducing disability. Furthermore, we aim to evaluate health‐economic impacts of the training intervention in comparison to usual m…

Biopsychosocial modelmedicine.medical_specialtycluster randomized controlled studylowback painpsykososiaaliset tekijätrisk stratificationehkäisevä lääketiedeOccupational safety and healthfysioterapiaselkäsairaudetimplementation researchHealth careHealth SciencesMedicineCluster randomised controlled trialoccupational health servicesResearch Articleslow back painpsykofyysinen fysioterapiabusiness.industrytyöterveysRKlinisk medicinSTarT Back toolGeneral MedicineHälsovetenskaper3142 Public health care science environmental and occupational healthOswestry Disability Indexbiopsychosocial approachEconomic evaluationPhysical therapyMedicinekrooninen kipuClinical MedicinebusinessÖrebro musculoskeletal pain screening questionnairePsychosocialPatient educationResearch Article
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How to deal with context? A context-mapping tool for quality and safety in nursing homes and homecare (SAFE-LEAD Context)

2019

Abstract Objective The objective of this paper is to develop a context-mapping tool (SAFE-LEAD Context) adapted to the nursing home and homecare setting. These two contexts represent a substantial variability, but studies focusing on the types and roles of contextual factors in quality and safety in these care settings are lacking. Results We conducted a step-wise collaborative design process consisting of mapping of key contextual factors as perceived by managers in Norwegian nursing homes and homecare, then created a draft tool discussed in a consortium workshop with co-researchers, and ran an international cross-country comparison. The SAFE-LEAD Context tool is inspired by the Consolidat…

0301 basic medicineProcess managementQuality managementComputer scienceCross-country comparisonPsychological interventionlcsh:MedicineGeneral Biochemistry Genetics and Molecular BiologyHomecareCare setting03 medical and health sciencesPatient safety0302 clinical medicineHumans030212 general & internal medicineCollaborative designContext mappingQuality improvementCooperative BehaviorGrading (education)lcsh:Science (General)lcsh:QH301-705.5Quality of Health Care:Medical disciplines: 700 [VDP]pasientsikkerhetNursing homelcsh:RGeneral MedicineHome Care ServiceshjemmesykepleieNursing HomesResearch NotePatient safety030104 developmental biologysykehjemlcsh:Biology (General)VDP::Medisinske Fag: 700::Helsefag: 800::Sykepleievitenskap: 808Implementation researchNursing homeslcsh:Q1-390BMC Research Notes
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<p>Preoperative Anemia and Iron Deficiency Screening, Evaluation and Management: Barrier Identification and Implementation Strategy Mapping<…

2020

Introduction and aims: Patients undergoing major surgery risk significant blood loss and transfusion, which increases substantially if they have pre-existing anemia. Preoperative Anemia and Iron Deficiency Screening, Evaluation and Management Pathways (PAIDSEM-P) outline recommended blood tests and treatment to optimize patients before surgery. Documented success using PAIDSEM-P to reduce transfusions and improve patient outcomes exists, but the reporting quality of such studies is suboptimal. It remains unclear what implementation strategies best support the implementation of PAIDSEM-P. Method: Maximum variation, purposive sampling was used to recruit a total of 15 partici-pants, including…

Medical educationbusiness.industry030503 health policy & servicesmedia_common.quotation_subjectContext (language use)General MedicineNonprobability sampling03 medical and health sciencesIdentification (information)0302 clinical medicineNeeds assessmentHealth careQuality (business)030212 general & internal medicineImplementation research0305 other medical sciencebusinessPsychologyGeneral NursingStrategy mapmedia_commonJournal of Multidisciplinary Healthcare
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DESIGNING A TEACHER TRAINING PROGRAMME FOR CHARACTER EDUCATION: AN INTERNATIONAL PARTNERSHIP

2020

There is a need of innovative teacher training programmes for character education. This paper addresses three research questions: What are the challenges that a teacher training programme for character education should address? What are the learning outcomes that the programme should achieve? How should the programme be structured for supporting the achievement of those learning outcomes? Two regional authorities, three schools, three universities and a centre of teacher training from Latvia, Estonia and Spain created a strategic partnership for answering these research questions, using design-based implementation research. The results include six domains of learning outcomes and a programm…

Character educationStrategic partnershipPedagogyComputingMilieux_COMPUTERSANDEDUCATIONInternational partnershipContext (language use)Research questionsSociologyImplementation researchcharacter education instructional design; learning outcomes; teacher trainingTraining programmeSOCIETY. INTEGRATION. EDUCATION. Proceedings of the International Scientific Conference
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Overcoming barriers to evidence-based patient blood management: a restricted review

2020

Abstract Background Blood transfusions are associated with a range of adverse patient outcomes, including coagulopathy, immunomodulation and haemolysis, which increase the risk of morbidity and mortality. Consideration of these risks and potential benefits are necessary when deciding to transfuse. Patient blood management (PBM) guidelines exist to assist in clinical decision-making, but they are underutilised. Exploration of barriers to the implementation and utilisation of the PBM guidelines is required. This study aimed to identify common barriers and implementation strategies used to implement PBM guidelines, with a comparison against current expert opinion. Methods A restricted review a…

Health Knowledge Attitudes PracticeEvidence-based practiceMEDLINEHealth Informatics030204 cardiovascular system & hematologyCochrane LibraryHealth informaticsImplementation StrategiesConsolidated Framework for Implementation ResearchHealth administration03 medical and health sciences0302 clinical medicineNursingExpert Recommendations for Implementing ChangePatient blood managementMedicineHumansBlood Transfusion030212 general & internal medicineImplementation Sciencelcsh:R5-920business.industryHealth PolicyPublic Health Environmental and Occupational HealthHealth services researchGeneral MedicineHaemolysisOrganizational CultureVDP::Medisinske Fag: 700::Helsefag: 800Practice Guidelines as TopicBarrier MappingImplementation researchSystematic ReviewGuideline Adherencebusinesslcsh:Medicine (General)
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