scholarly journals Adopting Best Practices from Team Science in a Healthcare Improvement Research Network: The Impact on Dissemination and Implementation

2013 ◽  
Vol 2013 ◽  
pp. 1-7 ◽  
Author(s):  
Frank Puga ◽  
Kathleen R. Stevens ◽  
Darpan I. Patel
Keyword(s):  
Best Practices ◽  
Large Scale ◽  
Complex Adaptive System ◽  
Research Network ◽  
National Study ◽  
Future Research ◽  
Dissemination And Implementation ◽  
Team Science ◽  
Healthcare Improvement ◽  
The Impact

Healthcare is a complex adaptive system, and efforts to improve through the implementation of best practice are well served by various interacting disciplines within the system. As a transdisciplinary model is new to clinicians, an infrastructure that creates academic-practice partnerships and builds capacity for scientific collaboration is necessary to test, spread, and implement improvement strategies. This paper describes the adoption of best practices from the science of team science in a healthcare improvement research network and the impact on conducting a large-scale network study. Key components of the research network infrastructure were mapped to a team science framework and evaluated in terms of their effectiveness and impact on a national study of nursing operations. Results from this study revealed an effective integration of the team science principles which facilitated the rapid collection of a large dataset. Implications of this study support a collaborative model for improvement research and stress a need for future research and funding to further evaluate the impact on dissemination and implementation.

scholarly journals Review of Best Practices for CLABSI Prevention and the Impact of Recent Legislation on CLABSI Reporting

SAGE Open ◽  
2016 ◽  
Vol 6 (4) ◽  
pp. 215824401667774 ◽  
Author(s):  
Benjamin Woodward ◽  
Reba Umberger
Keyword(s):  
Best Practices ◽  
Healthcare Providers ◽  
Bloodstream Infections ◽  
Central Line ◽  
Mandatory Reporting ◽  
Future Research ◽  
Common Source ◽  
Healthcare Associated Infection ◽  
Extrinsic Factors ◽  
The Impact

Central line-associated bloodstream infections (CLABSI) are a very common source of healthcare-associated infection (HAI). Incidence of CLABSI has been significantly reduced through the efforts of nurses, healthcare providers, and infection preventionists. Extrinsic factors such as recently enacted legislation and mandatory reporting have not been closely examined in relation to changes in rates of HAI. The following review will examine evidence-based practices related to CLABSI and how they are reported, as well as how the Affordable Care Act, mandatory reporting, and pay-for-performance programs have affected these best practices related to CLABSI prevention. There is a disconnect in the methods and guidelines for reporting CLABSI between these programs, specifically among local monitoring agencies and the various federal oversight organizations. Future research will focus on addressing the gap in what defines a CLABSI and whether or not these programs to incentivize hospital to reduce CLABSI rates are effective.

scholarly journals Co-creating a large-scale adolescent health survey integrated with access to digital health interventions

2020 ◽  
Author(s):  
Roshini Peiris-John ◽  
Lovely Dizon ◽  
Kylie Sutcliffe ◽  
Kristy Kang ◽  
Theresa Fleming
Keyword(s):  
Adolescent Health ◽  
Health Survey ◽  
Large Scale ◽  
Service Providers ◽  
Digital Health ◽  
Health Interventions ◽  
Future Research ◽  
Health Providers ◽  
Health And Wellbeing ◽  
The Impact

Aim This paper describes how we engaged with adolescents and health providers to integrate access to digital health interventions as part of a large-scale secondary school health and wellbeing survey in New Zealand. Methods We conducted nine participatory, iterative co-design sessions involving 29 adolescents, and two workshops with young people (n = 11), digital and health service providers (n = 11) and researchers (n = 9) to gain insights into end-user perspectives on the concept and how best to integrate digital interventions in to the survey. Results Students’ perceived integrating access to digital health interventions into a large-scale youth health survey as acceptable and highly beneficial. They did not want personalized/normative feedback, but thought that every student should be offered all the help options. Participants identified key principles: assurance of confidentiality, usability, participant choice and control, and language. They highlighted wording as important for ease and comfort, and emphasised the importance of user control. Participants expressed that it would be useful and acceptable for survey respondents to receive information about digital help options addressing a range of health and wellbeing topics. Conclusion The methodology of adolescent-practitioner-researcher collaboration and partnership was central to this research and provided useful insights for the development and delivery of adolescent health surveys integrated with digital help options. The results from the ongoing study will provide useful data on the impact of digital health interventions integrated in large-scale surveys, as a novel methodology. Future research on engaging with adolescents once interventions are delivered will be useful to explore benefits over time.

FL Instructor Beliefs About Machine Translation

2021 ◽  
Vol 11 (4) ◽  
pp. 1-18
Author(s):  
Emily Hellmich ◽  
Kimberly Vinall
Keyword(s):  
Language Learning ◽  
Machine Translation ◽  
Large Scale ◽  
Language Education ◽  
Past Research ◽  
Pedagogical Practices ◽  
Future Research ◽  
Potential Threat ◽  
Instructor Beliefs ◽  
The Impact

Machine translation (MT) platforms have gained increasing attention in the educational linguistics community. The current article extends past research on instructor beliefs about MT by way of an ecological theoretical framework. The study reports on a large-scale survey (n=165) of FL university-level instructors in the U.S. Findings indicate strong lines being drawn around acceptable MT use (e.g., in relation to text length and skill, policies), an acknowledgement of widespread student use driven by diverse motivations, and the Janus-faced nature of MT's potential threat to the profession. These findings reveal several salient tensions in how MT mediates relationships in language education (e.g., constructions of students, the nature of language and language learning, goals of the profession) that shed new light on the impact of MT technologies on the field. Implications for future research and the development of pedagogical practices anchored in digital literacies conclude the piece.

scholarly journals The Efficacy of Ethnic Stacking: Military Defection during Uprisings in Africa

2019 ◽  
Vol 5 (4) ◽  
pp. 695-702 ◽  
Author(s):  
Julien Morency-Laflamme ◽  
Theodore McLauchlin
Keyword(s):  
Large Scale ◽  
Armed Forces ◽  
Future Research ◽  
Group Loyalty ◽  
Limited Support ◽  
History Of ◽  
Group Members ◽  
Using Data ◽  
The Cost ◽  
The Impact

Abstract Does ethnic stacking in the armed forces help prevent military defection? Recent research, particularly in Africa and the Middle East, suggests so; by favoring in-groups, regimes can keep in-group soldiers loyal. In-group loyalty comes at the cost of antagonizing members of out-groups, but many regimes gladly run that risk. In this research note, we provide the first large-scale evidence on the impact of ethnic stacking on the incidence of military defection during uprisings from below, using data on fifty-seven popular uprisings in Africa since formal independence. We find clear evidence for the downside: ethnic stacking is associated with more frequent defection if out-group members are still dominant in the armed forces. We find more limited support for the hypothesized payoff. Ethnic stacking may reduce the risk of defection, but only in regimes without a recent history of coup attempts. Future research should therefore trace the solidification of ethnic stacking over time.

Challenges of researching gendered violence

2018 ◽  
pp. 33-50
Author(s):  
Suzanne Franzway ◽  
Nicole Moulding ◽  
Sarah Wendt ◽  
Carole Zufferey ◽  
Donna Chung
Keyword(s):  
Partner Violence ◽  
Life Histories ◽  
Large Scale ◽  
National Study ◽  
Gendered Violence ◽  
New Knowledge ◽  
Conducting Research ◽  
The Impact ◽  
Depth Interviews ◽  
Empirical Foundation

This chapter is focused on the challenges of researching gendered violence. Here, the chapter presents the empirical foundation and design of a large-scale national study conducted across Australia; which included a major survey, in-depth interviews, and constructed life histories. This chapter also considers some of the challenges faced when conducting and participating in gendered violence research in the context of the politics of ignorance and sexual politics. Given the risks that can flow from participating in and conducting research into gendered violence, it was particularly vital that the study was tightly conceptualised and methodologically sound, so that the benefits of participation by contributing to the development of new knowledge clearly outweighed any risks. The research study outlined here aimed to reveal the breadth and interconnected nature of the impact of intimate partner violence on women's citizenship as part of challenging wilful ignorance about violence and its relationship to gender inequality. As such, this research was an inherently political project that involved balancing a number of key considerations.

Altered Appearance from Cancer

2018 ◽  
Author(s):  
Nicole Paraskeva ◽  
Alex Clarke ◽  
Diana Harcourt
Keyword(s):  
Cognitive Processes ◽  
Large Scale ◽  
Research Collaboration ◽  
Predisposing Factors ◽  
Future Research ◽  
Related Factors ◽  
The Impact ◽  
Appearance Changes ◽  
Research Studies

Abstract: This chapter delineates various appearance alterations that can result from cancer and its treatment. It focuses on describing the impact of appearance changes involving weight, scarring from surgery, alopecia, ascites, and lymphedema. It also examines the influence of patient-related factors (i.e., gender, age) and treatment-related factors on appearance-related distress. Various models of adjustment to alterations in appearance are presented with particular attention to predisposing factors, intervening cognitive processes, and measurable outcomes identified by large-scale research studies conducted by the Appearance Research Collaboration. Finally, the chapter identifies gaps in knowledge and directions for future research needed to advance the understanding of an individual’s experiences of living with an altered appearance due to cancer.

Exploring the Effect of Disability, Race-Ethnicity, and Socioeconomic Status on Scores on the Self-Determination Inventory: Student Report

2018 ◽  
Vol 85 (1) ◽  
pp. 10-27 ◽  
Author(s):  
Karrie A. Shogren ◽  
Leslie A. Shaw ◽  
Sheida K. Raley ◽  
Michael L. Wehmeyer
Keyword(s):  
Socioeconomic Status ◽  
Best Practices ◽  
Interactive Effect ◽  
Autism Spectrum ◽  
The Self ◽  
Self Determination ◽  
Future Research ◽  
Assessment Development ◽  
Race Ethnicity ◽  
The Impact

The Self-Determination Inventory: Student Report (SDI:SR) was developed to address a need in the field for tools to assess self-determination that are aligned with current best practices in assessment development and administration, and emerging research and best practices in promoting self-determination. The present study explored patterns of differences in self-determination scores across students with and without disabilities (i.e., no disability, learning disabilities, intellectual disability, autism spectrum disorder, and other health impairments) of varying racial-ethnic backgrounds (i.e., White, African American or Black, Hispanic or Latino[a], and Other) as well as the impact of receiving free and reduced price lunch (as a proxy for socioeconomic status) on self-determination scores in these groups. Findings suggest an interactive effect of disability, race-ethnicity, and free and reduced price lunch status on self-determination scores. Implications for future research and practice are discussed.

Human Influences on Wildfire in Alaska from 1988 through 2005: An Analysis of the Spatial Patterns of Human Impacts

2008 ◽  
Vol 12 (1) ◽  
pp. 1-17 ◽  
Author(s):  
M. P. Calef ◽  
A. D. McGuire ◽  
F. S. Chapin
Keyword(s):  
Prediction Model ◽  
Boreal Forest ◽  
Large Scale ◽  
Fire Regime ◽  
Human Impacts ◽  
Future Research ◽  
Human Presence ◽  
Area Burned ◽  
Interior Alaska ◽  
The Impact

Abstract Boreal ecosystems in Alaska are responding to climate change in many ways, including changes in the fire regime. While large-scale wildfires are an essential part of the boreal forest ecosystem, humans are changing fire regimes through ignition and suppression. The authors analyzed the impact humans have on fire ignitions and relative area burned with distance into the forest from human access points such as settlements, highways, and major rivers in Alaska from 1988 to 2005. Additionally, a fire prediction model was created to identify drivers for lightning fires in the boreal forest. Human presence increases the number of ignitions near settlements, roads, and rivers and appears to reduce the area burned within 30–40 km of villages and rivers. In contrast to fires near roads and rivers, human presence may somewhat increase the area burned within 30–40 km of highways. The fire prediction model indicated that the probability of fire increases as distance from human settlements increases. In contrast, the model indicated that the probability of fire decreases as distance from roads increases and that the probability of fire in relation to distance from rivers depends on the year of analysis. While the ecological consequences of these human impacts are still unclear, this research shows that human influences on fire regime clearly affect the pattern of fire within 40 km of settlements, which is an area that represents 31% of interior Alaska. Future research should focus on more completely understanding the role of human presence in the suppression of wildfires in interior Alaska.

scholarly journals THE STATE'S RESPONSIBILITY IN THE WELFARE OF PEOPLE AND ECONOMIC RECOVERY IN THE FACE OF COVID-19 FROM THE PERSPECTIVE OF LAW AND HUMAN RIGHTS

1970 ◽  
Vol 21 (2) ◽  
pp. 187-198
Author(s):  
Serlika Aprita ◽  
Lilies Anisah
Keyword(s):  
Human Rights ◽  
Best Practices ◽  
Government Regulation ◽  
Large Scale ◽  
Problem Solver ◽  
The World ◽  
The Face ◽  
The Government ◽  
Almost All ◽  
The Impact

The Covid-19 pandemic was taking place in almost all countries around the world. Along with the increasingly vigorous government strategy in tackling the spread of the corona virus that was still endemic until now, the government had started to enforce the Large-Scale Social Restrictions (PSBB) with the signing of Government Regulation (PP) No. 21 of 2020 about PSBB which was considered able to accelerate countermeasures while preventing the spread of corona that was increasingly widespread in Indonesia. The research method used was normative prescriptive. The government put forward the principle of the state as a problem solver. The government minimized the use of region errors as legitimacy to decentralization. The government should facilitated regional best practices in handling the pandemic. Thus, the pandemic can be handled more effectively. The consideration, the region had special needs which were not always accommodated in national policies. The government policy should be able to encourage the birth of regional innovations in handling the pandemic as a form of fulfilling human rights in the field of health. Innovation was useful in getting around the limitations and differences in the context of each region. In principle, decentralization required positive incentives, not penalties. Therefore, incentive-based central policies were more awaited in handling and minimizing the impact of the pandemic.    

scholarly journals COVID-19 management in nursing homes by outbreak teams (MINUTES) — study description and data characteristics: a qualitative study

BMJ Open ◽  
2021 ◽  
Vol 11 (11) ◽  
pp. e053235
Author(s):  
Lisa S van Tol ◽  
Hanneke J A Smaling ◽  
Janneke M Groothuijse ◽  
Arno J Doornebosch ◽  
Sarah I M Janus ◽  
...  
Keyword(s):  
Nursing Homes ◽  
Large Scale ◽  
National Policy ◽  
Well Being ◽  
Infection Prevention And Control ◽  
National Study ◽  
Staff Support ◽  
Term Care ◽  
And Control ◽  
The Impact

ObjectivesNursing homes are hit relatively hard by the COVID-19 pandemic. Dutch long-term care (LTC) organisations installed outbreak teams (OTs) to coordinate COVID-19 infection prevention and control. LTC organisations and relevant national policy organisations expressed the need to share experiences from these OTs that can be applied directly in COVID-19 policy. The aim of the ‘COVID-19 management in nursing homes by outbreak teams’ (MINUTES) study is to describe the challenges, responses and the impact of the COVID-19 pandemic in Dutch nursing homes. In this first article, we describe the MINUTES Study and present data characteristics.DesignThis large-scale multicentre study has a qualitative design using manifest content analysis. The participating organisations shared their OT minutes and other meeting documents on a weekly basis. Data from week 16 (April) to week 53 (December) 2020 included the first two waves of COVID-19.SettingNational study with 41 large Dutch LTC organisations.ParticipantsThe LTC organisations represented 563 nursing home locations and almost 43 000 residents.ResultsAt least 36 of the 41 organisations had one or more SARS-CoV-2 infections among their residents. Most OTs were composed of management, medical staff, support services staff, policy advisors and communication specialists. Topics that emerged from the documents were: crisis management, isolation of residents, personal protective equipment and hygiene, staff, residents’ well-being, visitor policies, testing and vaccination.ConclusionsOT meeting minutes are a valuable data source to monitor the impact of and responses to COVID-19 in nursing homes. Depending on the course of the COVID-19 pandemic, data collection and analysis will continue until November 2021. The results are used directly in national and organisational COVID-19 policy.

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