Effectiveness and impact of a structured research approach for health-system pharmacy administration and leadership residents

2021 ◽  
Vol 78 (3) ◽  
pp. 229-234
Author(s):  
Tyler A Vest ◽  
Lindsey B Amerine ◽  
Scott W Savage ◽  
Kamakshi V Rao ◽  
Stephen F Eckel
Keyword(s):  
Health System ◽  
Research Program ◽  
Research Process ◽  
Publication Rate ◽  
Research Approach ◽  
Research Experiences ◽  
Pharmacy Administration ◽  
Body Of Knowledge ◽  
The Impact

Abstract Purpose Required competency areas, goals, and objectives for both postgraduate year 1 (PGY1) pharmacy residencies and postgraduate year 2 (PGY2) health-system pharmacy administration and leadership (HSPAL) residencies indicate the importance of research in the residency program by specifying it as a required part of the training process. Research is critical in the field of health-system pharmacy administration, which is built upon the principles of evaluation and assessment, ensuring that all activities implemented in an organization are evaluated through data collection and assessment to determine their impact. Additionally, the research structure provides residents the opportunity to share research broadly, and it also provides the platform for other institutions to implement successful ideas of interest to them. Summary This article describes the impact of having a structured, publication-focused research program in an HSPAL residency. The research process has provided follow-up projects (n = 7) and grant participation (n = 6). Additionally, the process has yielded a 66% publication rate, with 21 of 32 thesis substitutes published in various journals. The department of pharmacy at the residency site has noticed that the continued refinement, scoping, and robust methodologies of projects have been essential to their impact in the literature and in dissemination of the accumulated body of knowledge. Conclusion A structured residency research program has provided direction to HSPAL residents and ensured successful scoping and completion of their research. Intentionality in this aspect has provided HSPAL residents with opportunities for publications, grants, and strong research experiences. Overall, the department of pharmacy has been positively impacted through implementation of services that were evaluated through a structured HSPAL pharmacy residency research program.

scholarly journals Preoperative multidisciplinary program for bariatric surgery: a proposal for the Brazilian Public Health System

2017 ◽  
Vol 54 (1) ◽  
pp. 70-74 ◽  
Author(s):  
Elinton Adami CHAIM ◽  
José Carlos PAREJA ◽  
Martinho Antonio GESTIC ◽  
Murillo Pimentel UTRINI ◽  
Everton CAZZO
Keyword(s):  
Public Health ◽  
Bariatric Surgery ◽  
Health System ◽  
Public Health System ◽  
Wound Dehiscence ◽  
Pulmonary Complications ◽  
Multidisciplinary Program ◽  
The Impact ◽  
Access To Surgery

ABSTRACT BACKGROUND Bariatric surgery has become the gold standard treatment for morbid obesity, but access to surgery remains difficult and low compliance to postoperative follow-up is common. To improve outcomes, enable access and optimize follow-up, we developed a multidisciplinary preoperative approach for bariatric surgery. OBJECTIVE To determine the impact of this program in the outcomes of bariatric surgery in the Brazilian public health system. METHODS A prospective evaluation of the individuals who underwent a preoperative multidisciplinary program for bariatric surgery and comparison of their surgical outcomes with those observed in the prospectively collected historical database of the individuals who underwent surgery before the beginning of the program. RESULTS There were 176 individuals who underwent the multidisciplinary program and 226 who did not. Individuals who underwent the program had significantly lower occurrence of the following variables: hospital stay; wound dehiscence; wound infection; pulmonary complications; anastomotic leaks; pulmonary thromboembolism; sepsis; incisional hernias; eventrations; reoperations; and mortality. Both loss of follow-up and weight loss failure were also significantly lower in the program group. CONCLUSION The adoption of a comprehensive preoperative multidisciplinary approach led to significant improvements in the postoperative outcomes and also in the compliance to the postoperative follow-up. It represents a reproducible and potentially beneficial approach within the context of the Brazilian public health system.

scholarly journals Assistive tools for disability arts: collaborative experiences in working with disabled artists and stakeholders

2016 ◽  
Vol 10 (2) ◽  
pp. 121-129 ◽  
Author(s):  
Chris Creed
Keyword(s):  
Special Needs ◽  
Research Impact ◽  
Research Process ◽  
Research Approach ◽  
Visual Artists ◽  
Content Type ◽  
British Council ◽  
Artistic Work ◽  
Conducting Research ◽  
The Impact

Purpose – The purpose of this paper is to provide a review of the experiences in working collaboratively with physically impaired visual artists and other stakeholders (e.g. disability arts organisations, charities, personal assistants, special needs colleges, assistive technologists, etc.) to explore the potential of digital assistive tools to support and transform practice. Design/methodology/approach – The authors strategically identified key organisations as project partners including Disability Arts Shropshire, Arts Council England, the British Council, SCOPE, and National Star College (a large special needs college). This multi-disciplinary team worked together to develop relationships with disabled artists and to collaboratively influence the research focus around investigating the current practice of physically impaired artists and the impact of digital technologies on artistic work. Findings – The collaborations with disabled artists and stakeholders throughout the research process have enriched the project, broadened and deepened research impact, and enabled a firsthand understanding of the issues around using assistive technology for artistic work. Artists and stakeholders have become pro-active collaborators and advocates for the project as opposed to being used only for evaluation purposes. A flexible research approach was crucial in helping to facilitate research studies and enhance impact of the work. Originality/value – This paper is the first to discuss experiences in working with physically impaired visual artists – including the benefits of a collaborative approach and the considerations that must be made when conducting research in this area. The observations are also relevant to researchers working with disabled participants in other fields.

scholarly journals Poverty's Effects on the Ability to Engage with Education Actively

2020 ◽  
Vol 1 (3) ◽  
pp. 125-134
Author(s):  
Afzal Sayed Munna
Keyword(s):  
Case Study Research ◽  
Research Process ◽  
Research Approach ◽  
Higher Education Funding ◽  
Data Set ◽  
Quality Assurance Agency ◽  
Staff Members ◽  
The Impact ◽  
Case Study Methods

The research investigates and understands how poverty creates risk and affects the ability to actively engage with education using a case study from an alternative provider's perspective—the research considered case study methods where data was collected using the qualitative research approach. The collection of data used data triangulation (focus groups and interviews of the students and senior staff members) using open-ended questions at the undergraduate level. The data were analyzed using Microsoft Excel to assess the impact poverty has on educational attainment. Different ethical aspects and challenges were considered during the research process to ensure anonymity, confidentiality, power, and authority. Based on the case study research, the institution developed their five years strategic plan, which submitting to the Quality Assurance Agency (QAA), Higher Education Funding Council for England (HEFCE), and also Office for Students (OFS) for their approval. The institution also introduced the Employers' Forum, which will continue to be effectively utilizing to enhance the student experience and retention and progression rates. The research only considered one case study institution and thus was limited to the data set. The research could have produced a comparative study if more institutions were choosing with a more significant data set.

scholarly journals Evaluating Registered Reports Funding Partnerships: a feasibility study

2021 ◽  
Vol 6 ◽  
pp. 231
Author(s):  
Robbie Clark ◽  
Katie Drax ◽  
Christopher D. Chambers ◽  
Marcus Munafò ◽  
Jacqueline Thompson
Keyword(s):  
Randomised Controlled Trial ◽  
Controlled Trial ◽  
Scale Up ◽  
Research Process ◽  
Research Quality ◽  
Structured Interviews ◽  
Randomised Controlled ◽  
The Impact ◽  
Full Trial

Background: We studied a novel initiative – Registered Reports Funding Partnerships (RRFPs) – whereby research funders and journals partner in order to integrate their procedures for funding applications and Registered Reports submissions into one process. We investigated the feasibility of conducting a randomised controlled trial (RCT) of the impact of RRFPs on (1) research quality and (2) the efficiency of the research process, from funding to publication. Methods: We conducted 32 semi-structured interviews and follow-up questionnaires with stakeholders (funders, editors, authors, and reviewers) across six different RRFPs. Results: A RCT of RRFPs appears to be feasible in principle. The partnership concept seems worthwhile to pursue further and is adaptable to the needs of various funders and publishers, and across disciplines. Three primary outcomes of interest should be measurable, and participant randomisation could conceivably be done in a number of ways. In practice, however, the current volume of submissions going through existing partnerships is too low to support a full trial.   Conclusions: Although a RCT of RRFPs is conceptually feasible, it will only be possible if organisations are willing to form new partnerships, scale up existing ones, and incorporate a trial (i.e., randomisation) into these partnerships.

scholarly journals The Experience of Completing an Undergraduate Nursing Honors Research Project on the First Professional Nursing Position

2015 ◽  
Vol 1 (1) ◽  
pp. 40-44 ◽  
Author(s):  
Katlyn R. Antior ◽  
Antoinette K. Pugh
Keyword(s):  
Nursing Practice ◽  
Undergraduate Research ◽  
Research Process ◽  
Nursing Research ◽  
Research Experience ◽  
Research Project ◽  
Research Experiences ◽  
Undergraduate Nursing ◽  
The Impact ◽  
Undergraduate Research Project

Undergraduate research experiences have become a hallmark of excellence in degree programs in the science, technology, engineering and math fields, with indications that these experiences lay important groundwork for graduate education and practice in the field. In nursing, several schools offer undergraduate nursing research experiences, though there is scant research related to outcomes among nurses at the baccalaureate level. Since evidence-based practice (EBP) is becoming increasingly important in health care, the use of research-related skill sets has become more critical for practicing nurses. The benefits of undergraduate research experience have been inadequately studied and there have been no nursing studies on the impact of undergraduate nursing research experience on the practicing registered nurse. At a research intensive public university, a robust honors program exposes students to research throughout the baccalaureate degree, with student engagement in every step of the research process alongside faculty research mentors. The purpose of this study was to qualitatively explore the experiences and outcomes of participation in a significant undergraduate research project on the first few years of nursing practice as an RN. Data analysis was conducted using an open coding method to analyze the responses of the participants and aid in the process of identifying major themes that express the phenomenon. Through this approach a descriptive analysis of the experience of completing an undergraduate research project was completed, including the impact on the nursing practice and development of the participants in their early careers. The results suggest that extensive exposure to research in undergraduate schooling increases the level of self-confidence in the first nursing position. Participants also felt that they stood out from their peers. Other benefits include expanding knowledge regarding the research process, improving writing and public speaking skills, and advancing personal and professional development.

scholarly journals Use of Photovoice to engage stakeholders in planning for patient-centered outcomes research

2019 ◽  
Vol 5 (1) ◽  
Author(s):  
Jill D. Nault Connors ◽  
Marshall J. Conley ◽  
Laura S. Lorenz
Keyword(s):  
Emergency Department ◽  
Health System ◽  
Lived Experience ◽  
Outcomes Research ◽  
Research Process ◽  
Patient Centered ◽  
Emergency Department Care ◽  
System Leaders ◽  
Multi Stakeholder ◽  
The Impact

Abstract Background Research is needed to inform patient and provider decisions about how to best care for patients who go to the emergency department with complaints of chest pain when their symptoms are due to anxiety rather than a heart problem. However, this research may not be a high priority due, in part, to a lack of awareness for the severity of anxiety symptoms and the impact of anxiety on peoples’ daily lives. In this commentary article, we highlight the use of Photovoice as a unique method to share patients’ lived experience of anxiety with providers, researchers, and health system leaders. Main text A brief background on Photovoice methods, the process of patient partner involvement in Photovoice, and the project’s Photovoice results (posters, photos and captions) is presented. Conclusion Photovoice achieved its intended effects of increasing awareness of all stakeholders about the burden of anxiety in patients’ lives and the imperative of improving emergency department care for anxiety. This resulted in increased participation in a multi-stakeholder research partnership, critical health system support that included costs to the health system associated with implementing interventions to be tested, and submission of a patient-centered outcomes research proposal that is currently under review. In addition, Photovoice had positive benefits for participants including a therapeutic effect, may have increased group cohesion, and empowerment of patients as partners in the research process.

scholarly journals Bi-Directional Learning: Identifying Contaminants on the Yurok Indian Reservation

2019 ◽  
Vol 16 (19) ◽  
pp. 3513 ◽  
Author(s):  
Middleton ◽  
Talaugon ◽  
Young ◽  
Wong ◽  
Fluharty ◽  
...  
Keyword(s):  
Research Program ◽  
Landscape Management ◽  
Research Process ◽  
Research Approach ◽  
Ecological Knowledge ◽  
Community Members ◽  
Chemical Screening ◽  
Directional Learning ◽  
The Relationship ◽  
Interpretation Of Results

The Yurok Tribe partnered with the University of California Davis (UC Davis) Superfund Research Program to identify and address contaminants in the Klamath watershed that may be impairing human and ecosystem health. We draw on a community-based participatory research approach that begins with community concerns, includes shared duties across the research process, and collaborative interpretation of results. A primary challenge facing University and Tribal researchers on this project is the complexity of the relationship(s) between the identity and concentrations of contaminants and the diversity of illnesses plaguing community members. The framework of bi-directional learning includes Yurok-led river sampling, Yurok traditional ecological knowledge, University lab analysis, and collaborative interpretation of results. Yurok staff and community members share their unique exposure pathways, their knowledge of the landscape, their past scientific studies, and the history of landscape management, and University researchers use both specific and broad scope chemical screening techniques to attempt to identify contaminants and their sources. Both university and tribal knowledge are crucial to understanding the relationship between human and environmental health. This paper examines University and Tribal researchers’ shared learning, progress, and challenges at the end of the second year of a five-year Superfund Research Program (SRP) grant to identify and remediate toxins in the lower Klamath River watershed. Our water quality research is framed within a larger question of how to best build university–Tribal collaboration to address contamination and associated human health impacts.

scholarly journals Reduction of cardiovascular risk in patients with metabolic syndrome in a community health center after a pharmaceutical care program of pharmacotherapy follow-up

2012 ◽  
Vol 48 (3) ◽  
pp. 435-446 ◽  
Author(s):  
Camila Pedro Plaster ◽  
Danilo Travassos Melo ◽  
Veraci Boldt ◽  
Karla Oliveira dos Santos Cassaro ◽  
Fernanda Campos Rosetti Lessa ◽  
...  
Keyword(s):  
Metabolic Syndrome ◽  
Coronary Heart Disease ◽  
Heart Disease ◽  
Cardiovascular Risk ◽  
Health System ◽  
Pharmaceutical Care ◽  
Control Group ◽  
Chd Risk ◽  
The Impact

The objective of this study was to determine the impact of a pharmaceutical care (PC) program in a sample of public outpatients with metabolic syndrome (MS) who were being treated in Brazil's health system; the patients were randomized into PC or standard care. The pharmacotherapy follow-up (PF) was performed in a total of 120 patients with type 2 diabetes for 6 months. Adherence to treatment (measured with the Morisky test), negative outcomes associated with medication (NOM) and anthropometric and biochemical parameters were measured before and after PF. The Framingham scoring method was used to estimate changes in 10-year coronary heart disease risk scores in all patients. Ninety-six of 120 patients had characteristics of MS and were randomized into two groups (G): the control group (CG: 36) and the intervention group (IG: 38). Among the MS patients, 100% were taking a glucose-lowering drug; many were also taking anti-hypertensive drugs (CG: 72%; IG: 73%), and some patients were also taking hypolipemic drugs (CG: 12.0%; IG: 14.7%). Only 20.7% of the IG patients were considered adherent to their prescribed drugs. In the CG, an increase of coronary heart disease (CHD) risk (22±2 to 26±3; p<0.05) was observed, while in the IG, there was a reduction in CHD risk (22±2 to 14±2%; p<0.01). The PC program administered to patients with MS monitored through the primary healthcare services of the Brazilian public health system improved patient health, resulting in clinical improvements and a decrease in cardiovascular risk in IG patients over a period of ten years.

scholarly journals 861. Impact of COVID-19 Mitigation Measures on PrEP Care at a Safety Net Health System in Atlanta

2021 ◽  
Vol 8 (Supplement_1) ◽  
pp. S522-S522
Author(s):  
Valeria D Cantos ◽  
Kate Ferencsik ◽  
Jennifer Prevot ◽  
Kelly Reyna ◽  
Gabriela Georgial ◽  
...  
Keyword(s):  
Health System ◽  
Laboratory Testing ◽  
Safety Net ◽  
Mitigation Measures ◽  
Future Research ◽  
Cross Sectional ◽  
Convenience Sample ◽  
The Impact ◽  
Urban Clinic

Abstract Background The Grady Health System pre-exposure prophylaxis (PrEP) program modified its care practices to accommodate COVID-19 mitigation measures. Changes enacted included: transition to telemedicine visits, medication mail delivery, and flexible timing of quarterly laboratory testing. These were implemented in March 2020 and remain in place presently. This study aimed to evaluate patients’ long-term acceptability of these modifications and to assess their impact on PrEP care. Methods This was a cross-sectional study in a convenience sample of PrEP patients, ages 18 and older, at an urban clinic in Atlanta. They were invited to complete a survey between December 2020 and April 2021. The survey assessed the impact of mitigation measures on overall PrEP care, follow up visits, medication access, and ability to complete laboratory testing. It also evaluated the usability, quality, satisfaction, and concerns with telemedicine. Data were examined using median and interquartile ranges, and proportions. Results Of 145 patients contacted, 61 completed the survey (median age 33 years, 72% Black, 75% cisgender men, 15% transgender women). Most participants did not report interruptions in their PrEP care (72%) or follow up visits (74%). Most found it easy to access medications (82%), as participants’ report of medication mail delivery usage increased from 57% (pre-pandemic) to 73% (in-pandemic period). Interruptions in completing quarterly labs were more frequently reported, as only 62% found this to be easy. Overall, 89% reported using telemedicine; telephone call was the most used method (78%). Telemedicine users’ ratings for quality, usability, and satisfaction of telemedicine was high (median score: 6/7) and nearly all users (97%) reported no concerns about its continued use for PrEP care. A few participants (5%) raised concerns about loss of telephone services due to financial issues, impacting their ability to complete telemedicine visits. Conclusion PrEP care at an urban clinic was well- maintained despite COVID-19 mitigation measures. Telemedicine was found to be acceptable and usable by surveyed participants. Future research on widescale implementation of telemedicine for PrEP care is needed Disclosures All Authors: No reported disclosures

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