scholarly journals Support From the Top: Diverse Leadership Partners for Sustained STAR-VA Implementation

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 539-539
Author(s):  
A Lynn Snow ◽  
Christine Hartmann ◽  
Jenefer Jedele ◽  
Lisa Minor ◽  
Michele Karel
Keyword(s):  
Program Implementation ◽  
Medical Center ◽  
Program Leaders ◽  
Local Leadership ◽  
Nursing Services ◽  
Leadership Support ◽  
Extended Care ◽  
Challenges And Opportunities ◽  
Implementation And Dissemination ◽  
Evidence Based Programs

Abstract The STAR-VA program was an initiative out of what is now called the VA Office of Mental Health and Suicide Prevention, partnering with the national Offices of Geriatrics and Extended Care and Nursing Services. Ongoing collaboration with these national, as well as regional and medical-center-level leaders, has been critical for informing program implementation and dissemination strategies. We will discuss several key partnered strategies, including (1) linking STAR-VA to national CLC systematic quality improvement efforts; (2) engaging national inter-office program leaders in decisions about outreach to and inclusion of facilities in STAR-VA training and implementation; (3) training local STAR-VA champions on strategies for engaging local leadership support; (4) briefing leaders across the system with program updates; and (5) using national VA data to inform STAR-VA sustained implementation. Discussion will address challenges and opportunities for engaging leadership stakeholders in facilitating sustained implementation of evidence-based programs.

Key Factors Influencing Implementation of Falls Prevention Exercise Programs in the Community

2016 ◽  
Vol 24 (1) ◽  
pp. 45-52 ◽  
Author(s):  
Lesley Day ◽  
Margaret J. Trotter ◽  
Alex Donaldson ◽  
Keith D. Hill ◽  
Caroline F. Finch
Keyword(s):  
Program Implementation ◽  
Diffusion Of Innovations ◽  
Exercise Program ◽  
Community Dwelling ◽  
Falls Prevention ◽  
Relative Advantage ◽  
Diffusion Of Innovations Theory ◽  
Exercise Programs ◽  
Program Leaders ◽  
Home Based

The study aim was to evaluate the implementation of group- and home-based exercise falls prevention programs delivered through community health agencies to community-dwelling older people. Interviews with program staff were guided by the Diffusion of Innovations theory. Highly consistent themes emerged for the two types of programs. Both had high overall compatibility, high relative advantage, good observability and high inherent trialability—all factors known to strengthen implementation. The level of complexity and low financial compatibility emerged as the strongest potential inhibitors to program implementation in the context examined. The two main factors contributing to complexity were the need to challenge balance safely across a broad range of capability, and practical considerations associated with program delivery.A range of strategies to provide more technical support for exercise program leaders to tailor balance challenge for exercise program leaders may enhance implementation of falls prevention exercise programs.

scholarly journals ANALISIS FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN PELAKSANAAN TIMBANG TERIMA PASIEN DI RUANG RAWAT INAP RUMAH SAKIT UMUM DAERAH PARIAMAN 2016

2019 ◽  
Vol 10 (1) ◽  
pp. 163
Author(s):  
Dini Qurrata Ayuni ◽  
Almahdy Almahdy ◽  
Esi Afriyanti
Keyword(s):  
Data Analysis ◽  
Oral Communication ◽  
Sampling Technique ◽  
Questionnaire Data ◽  
Cross Sectional ◽  
Inaccurate Information ◽  
Nursing Services ◽  
Leadership Support ◽  
Meaningful Relationship

Abstrak Timbang terima adalah komunikasi oral dari informasi tentang pasien yang dilakukan oleh perawat pada pergantian shift jaga. ketidak akuratan informasi dalam melakukan timbang terima dapat menimbulkan dampak yang serius pada pasien, hampir 70% kejadian yang menyebabkan kecacatan atau kematian disebabkan karena buruknya komunikasi. Peneltian bertujuan mengetahui faktor – faktor yang berhubungan dengan pelaksanaan timbang terima pasien. Desain penelitian ini adalah cross sectional. Penelitian dilakukan di RSUD Pariaman Sampel 86 perawat dengan teknik pengambilan sampel Total sampling. Penelitian dilakukan bulan Juni 2016. Peneltian menggunakan kuesioner, analisa data menggunakan univariat, bivariat dan multivariat. Hasil penelitian faktor pengetahuan rendah (57,0%), dengan Sikap perawat pelaksana  baik (61,6%), (59,3 %) mendapat dukungan dari pimpinan. (60,5 %) tidak mendapat dukungan dari teman sejawat. sebagian besar dari perawat (65,3 %) kurang baik dalam pelaksanaan timbang terima pasien. Ada hubungan yang bermakna antara pengetahuan dan dukungan teman sejawat dengan  pelaksanaan timbang terima, tidak ada hubungan yang bermakna antara sikap dan dukungan pimpinan dengan pelaksanaan timbang terima. Pengetahuan lebih dominan berhubungan dengan pelaksanaan timbang terima pasien. Saran untuk pelayanan keperawatan agar melakukan audit keperawatan tentang kualitas pelaksanaan timbang terima dan melakukan supervisi berjenjang pada semua aspek dalam pelaksanaan timbang terima. Kata kunci : Pengetahuan, Sikap, Dukungan Pimpinan,dukungan teman sejawat, pelaksanaan timbang terima ABSTRAKWeighing is oral communication from information about patients performed by nurses at the turn of the shift. inaccurate information in weighing up can have a serious impact on patients, almost 70% of events that cause disability or death are caused by poor communication. The research aims to find out the factors that are related to the implementation of patient weighing. The design of this study was cross sectional. The study was conducted in RSUD Pariaman. Samples were 86 nurses with a total sampling technique. The study was conducted in June 2016. The study used a questionnaire, data analysis using univariate, bivariate and multivariate. The results of the study of knowledge factors were low (57.0%), with the attitude of nurses implementing good (61.6%), (59.3%) receiving support from the leadership. (60.5%) did not receive support from colleagues. most of the nurses (65.3%) were not good at implementing patient weighing. There is a meaningful relationship between knowledge and support of peers with the implementation of the weighing scale, there is no meaningful relationship between the attitude and support of the leadership with the implementation of the weighing scale. Knowledge is more dominant related to the implementation of patient weighing. Suggestions for nursing services in order to conduct a nursing audit about the quality of implementation of weighing scale and conducting tiered supervision on all aspects of the implementation of weighing scale. Keywords: Knowledge, Attitude, Leadership Support, peer support, implementation of weighingDaftar pustaka : 72 (2000 – 2015) 

Role of prolonged surveillance in the eradication of nosocomial scabies in an extended care veterans affairs medical center

1995 ◽  
Vol 23 (1) ◽  
pp. 44-49 ◽  
Author(s):  
Victor E. Jimenez-Lucho ◽  
Florence Fallon ◽  
Connie Caputo ◽  
Karol Ramsey
Keyword(s):  
Medical Center ◽  
Veterans Affairs ◽  
Extended Care

Abstract 244: Real World Evaluation of Implementing a Mock Cardiac Arrest Program

2020 ◽  
Vol 13 (Suppl_1) ◽  
Author(s):  
Brad Trumpower ◽  
Lee A Kamphuis ◽  
Joseph McEvoy ◽  
Pamela J Weber ◽  
Sarah Krein ◽  
...  
Keyword(s):  
Cardiac Arrest ◽  
Training Program ◽  
Program Implementation ◽  
Medical Center ◽  
Veterans Health ◽  
Health Administration ◽  
Response Team ◽  
Study Team ◽  
National Initiative ◽  
Data Elements

Introduction: In 2019, the Veterans Health Administration (VHA) began rolling out a national initiative to create a standardized mock code training program through the Resuscitation Education Initiative (REdI). We partnered with REdI and the local REdI Mock Code Program team at a Midwestern VA medical center to evaluate the launch of this mock cardiac arrest training program using a mixed methods approach. Methods: The REdI mock cardiac arrest program provided training to VA medical center clinical and non-clinical staff using didactic, small group, and hands-on simulation activities over a 2-day site visit in January 2019 where all facets of the resuscitation team were reviewed. Following this training visit at one VA medical center, 10 mock cardiac arrests were conducted between March 2019 and December 2019. One mock cardiac arrest included a hospital-wide activation and nine were conducted on individual units without activation of the cardiac arrest response team. The research team was composed of clinical and methodological experts who observed 8 of the mock cardiac arrests. We used an observation template to record structured data elements and take field notes during the mock code (e.g., how participants made decisions, assigned roles and quality of communication between the participants). At the end of the mock code, facilitators and the study team collected oral and written feedback from the participants. Results: In the 8 mock cardiac arrests observed, we identified 54 participants. Participants overwhelmingly rated the mock cardiac arrests as positive (83.3%, 45/54). Debriefing-feedback after the mock cardiac arrest was identified as the most helpful aspect (42.6%, 23/54). Areas for improving implementation of the mock cardiac arrest training program focused primarily on the need for a better introduction to the exercise. This included understanding the manikin’s functionality (9.3%, 5/54) and the expectation that participants should perform CPR just as they would in an actual cardiac arrest event (7.4%, 4/54). Two critical takeaways frequently cited by participants related to performance during the mock cardiac arrest were a need for better communication (20.4%, 11/54) and defined roles (18.5%, 10/54). Conclusions: Implementation of a mock cardiac arrest program was positively received by participants at a VA medical center. Moreover, participants identified both opportunities for improving resuscitation performance and optimizing learning experiences as part of program implementation.

Analisis Faktor Faktor yang berhubungan dengan Pelaksanaan Pendidikan Kesehatan Oleh Perawat di Ruang Rawat Inap RS PMC

2019 ◽  
Vol 10 (1) ◽  
pp. 17-23
Author(s):  
Awaliyah Ulfah Ayudytha Ezdha ◽  
Ummu Habibah ◽  
Dwi Elka Fitri
Keyword(s):  
Health Education ◽  
Discharge Planning ◽  
Medical Center ◽  
Cross Sectional Study ◽  
Hospital Length ◽  
P Value ◽  
Cross Sectional ◽  
Nursing Services ◽  
Optimal Health

ABSTRACT The hospital as a provider of health services in the form of maintaining and improving health and aims to achieve optimal health status for the community. One indicator of the quality of nursing services is whether the nursing services provided are satisfying the patient or not. One of the roles performed by nurses is to carry out health education in discharge planning for patients in the inpatient room. Health education is very important to be carried out by a nurse. The purpose of this study was to analyze the factors related to the implementation of health education by nurses in the Inpatient at PMC Hospital. The research design used is a quantitative method with analytic cross-sectional study design. This research was conducted at Pekanbaru Medical Center Hospital with a sample of 35 nurses on duty at the hospital according to inclusion criteria. From the results of the study found factors related to the implementation of health education by nurses in the inpatient room of the PMC Hospital : Length of Work (p value 0.010), Training attended (p value = 0,000) and Level of Knowledge (p value = 0.002). This means that factors related to the implementation of health education by nurses must be maintained and considered by management to improve the implementation of health education by nurses so that the quality of service and satisfaction can be improved.

scholarly journals Assessment of Gene-Xpert MTB RIF Program Implementation and the Challenges For Enhanced Tuberculosis Diagnosis in Nigeria

2016 ◽  
Vol 12 (2) ◽  
pp. 1-7 ◽  
Author(s):  
G Mustapha ◽  
O Jumoke ◽  
P Nwadike ◽  
E Emeka ◽  
G Akang ◽  
...  
Keyword(s):  
Program Implementation ◽  
Single Gene ◽  
Risk Groups ◽  
Health Facilities ◽  
Rifampicin Resistance ◽  
Public Health Response ◽  
Hiv Services ◽  
Challenges And Opportunities ◽  
Early Case ◽  
Tuberculosis Diagnosis

Introduction: Gene-Xpert MTBRIF, rapid tuberculosis and rifampicin resistance diagnostic technology is implemented in Nigeria to enhance public health response to tuberculosis diagnosis in HIV patients with presumed tuberculosis (TB), and presumed cases of drug resistant TB. The aim of the paper is to share experience on programmatic issues on Xpert MTB RIF roll-out.Methodology: Program implementation data from 22 Xpert laboratories for period between September 2011 and December 2013 were analyzed to evaluate outcomes and identify challenges and opportunities for strengthening tuberculosis detection in Nigeria.Results: A total of 12249 patients received single gene-Xpert test at 10 secondary (S), 10 Tertiary (T) and 2 private (P) health facilities over 25 months. The tests were valid in 10948 patients, and 3669/10948 (33.5%) were positive for Mycobacterium tuberculosis (MTB). In 815/3669 (22.2%) of the MTB cases, the bacteria were resistant to rifampicin. Rifampicin resistance was inconclusive (indeterminate) in 509/12249 (4.2%) while the test failed in 792/12249 (6.5%). The program was noticeably limited to health facilities above primary centers; there were prolonged delays in the diagnosis and treatment with limited on-site synergy between TB/HIV services. Reducing diagnostic delays and integrating TB/HIV services into the gene-Xpert program will enhance early case detection and enrollment for care in Nigeria.Conclusion: The model Gene-Xpert MTBRIF program implemented in Nigeria targets specific risk groups with high number of cases detected. Diagnoses of tuberculosis and resistance to rifampicin could be enhanced by offering integrated TB/HIV services; improving patient and sample flow/referral; proper documentation of test outcomes and alignment with DR-TB management.SAARC J TUBER LUNG DIS HIV/AIDS, 2015 XII (2), page: 1-7  

scholarly journals Measuring the Implementation of Youth Empowerment Solutions

2017 ◽  
Vol 19 (4) ◽  
pp. 581-589 ◽  
Author(s):  
Susan Morrel-Samuels ◽  
Laney A. Rupp ◽  
Andria B. Eisman ◽  
Alison L. Miller ◽  
Sarah A. Stoddard ◽  
...  
Keyword(s):  
Program Implementation ◽  
Program Effectiveness ◽  
Youth Empowerment ◽  
Strong Basis ◽  
Program Delivery ◽  
Health Promotion Programs ◽  
Key Aspects ◽  
Evidence Based Programs ◽  
Analyze Data ◽  
Delivered Dose

Scholars have increasingly emphasized the importance of using evidence-based programs to promote health and prevent disease. While theoretically and empirically based programs may be effective in carefully controlled conditions, many fail to achieve desired outcomes when implemented in real-world settings. Ensuring high-quality implementation of health promotion programs is critically important as variation in implementation is closely associated with program effectiveness. The purpose of this article is to present methods used to document and assess the implementation of the Youth Empowerment Solutions (YES) program. We collected process evaluation data on 25 YES groups from 12 schools over a period of 4 years. The evaluation assessed four key aspects of delivery: fidelity, dose delivered, dose received, and program quality. We found wide variations in delivery for some measures, while others were more consistent across groups. These indicators of program delivery provided a strong basis for evaluating program implementation, taking actions to improve it, and ultimately, deepening understanding of program effectiveness. The study suggests a model for using multiple methods to collect and analyze data about aspects of program delivery to guide future implementations.

Sustained Reduction of Ventilator-Associated Pneumonia Rates Using Real-Time Course Correction With a Ventilator Bundle Compliance Dashboard

2015 ◽  
Vol 36 (11) ◽  
pp. 1261-1267 ◽  
Author(s):  
Thomas R. Talbot ◽  
Devin Carr ◽  
C. Lee Parmley ◽  
Barbara J. Martin ◽  
Barbara Gray ◽  
...  
Keyword(s):  
Real Time ◽  
Program Implementation ◽  
Time Course ◽  
Medical Center ◽  
Pearson Correlation ◽  
Academic Medical Center ◽  
Ventilator Associated Pneumonia ◽  
Interrupted Time Series Analysis ◽  
Adherence Assessment ◽  
Bundle Compliance

BACKGROUNDThe effectiveness of practice bundles on reducing ventilator-associated pneumonia (VAP) has been questioned.OBJECTIVETo implement a comprehensive program that included a real-time bundle compliance dashboard to improve compliance and reduce ventilator-associated complications.DESIGNBefore-and-after quasi-experimental study with interrupted time-series analysis.SETTINGAcademic medical center.METHODSIn 2007 a comprehensive institutional ventilator bundle program was developed. To assess bundle compliance and stimulate instant course correction of noncompliant parameters, a real-time computerized dashboard was developed. Program impact in 6 adult intensive care units (ICUs) was assessed. Bundle compliance was noted as an overall cumulative bundle adherence assessment, reflecting the percentage of time all elements were concurrently in compliance for all patients.RESULTSThe VAP rate in all ICUs combined decreased from 19.5 to 9.2 VAPs per 1,000 ventilator-days following program implementation (P<.001). Bundle compliance significantly increased (Z100 score of 23% in August 2007 to 83% in June 2011 [P<.001]). The implementation resulted in a significant monthly decrease in the overall ICU VAP rate of 3.28/1,000 ventilator-days (95% CI, 2.64–3.92/1,000 ventilator-days). Following the intervention, the VAP rate decreased significantly at a rate of 0.20/1,000 ventilator-days per month (95% CI, 0.14–0.30/1,000 ventilator-days per month). Among all adult ICUs combined, improved bundle compliance was moderately correlated with monthly VAP rate reductions (Pearson correlation coefficient, −0.32).CONCLUSIONA prevention program using a real-time bundle adherence dashboard was associated with significant sustained decreases in VAP rates and an increase in bundle compliance among adult ICU patients.Infect. Control Hosp. Epidemiol. 2015;36(11):1261–1267

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