Organization's strategies to improve implementation of universal accessibility principles: protocol of scoping review (Preprint)

2021 ◽  
Author(s):  
Marie-Eve Lamontagne ◽  
Maëlle Corcuff ◽  
François Routhier ◽  
Emmanuelle Paquette-Raynard ◽  
Martine Gagnon ◽  
...  

BACKGROUND Since the publication of the Convention on the Rights of Persons with Disabilities, several countries have adopted laws, policies, and action plans to improve the universal accessibility of environments to improve inclusion and social participation of all citizens. Different organizations are involved in the application of these measures. OBJECTIVE The goal of this study is to identify strategies that are contextually appropriate and that provide guidelines for organizations to promote successful implementation of universal accessibility. METHODS We will conduct a scoping review identifying implementation strategies of universal accessibility measures in local organizations using the Arksey and O’Malley framework. We will search in Medline, CINHAL, Urban Studies Abstracts, ABI Inform and Social Sciences Full Text, from 2006 until today, following the adoption of the Convention on the Rights of Persons with Disabilities. Two reviewers will independently select studies for inclusion and extract the data. A descriptive and thematic analysis of the characteristics of the identified implementation strategies will be performed using the NVivo software. RESULTS No results have been available so far CONCLUSIONS We will present characteristics of studies and outcomes of implementation strategies in all included studies in a table. The results of this scoping review are expected to help research community in various fields, local organizations, and stakeholders to identify better ways to improve implementation strategies of universal accessibility practices.

2019 ◽  
Author(s):  
Alex Aregbesola ◽  
Ahmed M. Abou-Setta ◽  
Maya M. Jeyaraman ◽  
George Okoli ◽  
Otto Lam ◽  
...  

Abstract Background : Behaviour change is not simple, and the introduction of guidelines or protocols does not mean that they will be followed. As such, implementation strategies are vital for the uptake and sustainability of changes in medical protocols. Medical or mental emergencies may be fatal, especially in children due to their unique physiological needs. In pediatric emergency settings, where timely decisions are often made, practice change requires thoughtful considerations regarding the best approaches to implementation. As there are many studies reporting on a wide variety of implementation strategies in the pediatric emergency setting, we aim to identify and map their characteristics, especially when successful, in pediatric emergency management (PEM). Methods : We will conduct a scoping review to identify various implementation strategies in PEM using the Arksey and O’Malley framework. We will search Medline (Ovid), Embase (Ovid), Cochrane Central (Wiley) and CINAHL (Ebsco) for implementation studies among the pediatric population (≤21 years) in a pediatric emergency setting. Two pairs of reviewers will independently select studies for inclusion and extract data. We will perform a descriptive, narrative analysis on the characteristics of the identified implementation strategies. Discussion : We will present specific characteristics and outcome measures of all included studies in a tabular form. The results of this review are expected to help identify and characterize successful implementation strategies in PEM.


2020 ◽  
Author(s):  
Alex Aregbesola ◽  
Ahmed M. Abou-Setta ◽  
Maya M. Jeyaraman ◽  
George Okoli ◽  
Otto Lam ◽  
...  

Abstract Background : Behaviour change is not simple, and the introduction of guidelines or protocols does not mean that they will be followed. As such, implementation strategies are vital for the uptake and sustainability of changes in medical protocols. Medical or mental emergencies may be life threatening, especially in children due to their unique physiological needs. In emergency departments (EDs), where timely decisions are often made, practice change requires thoughtful considerations regarding the best approaches to implementation. As there are many studies reporting on a wide variety of implementation strategies in emergency management of children in EDs, we aim to identify and map the characteristics of these studies. Methods : We will conduct a scoping review to identify various implementation strategies in emergency management of children using the Arksey and O’Malley framework. We will search Medline (Ovid), Embase (Ovid), Cochrane Central (Wiley) and CINAHL (Ebsco), from inception through May 29, 2019, for implementation studies among the pediatric population (≤21 years) in a pediatric emergency setting. Two pairs of reviewers will independently select studies for inclusion and extract data. We will perform a descriptive, narrative analysis on the characteristics of the identified implementation strategies. Discussion : We will present specific characteristics and outcome measures of all included studies in a tabular form. The results of this review are expected to help identify and characterize successful implementation strategies in emergency management of children in EDs. Scoping review registration : Open Science Framework https://osf.io/h6jv2


2019 ◽  
Vol 4 (5) ◽  
pp. 971-976
Author(s):  
Imran Musaji ◽  
Trisha Self ◽  
Karissa Marble-Flint ◽  
Ashwini Kanade

Purpose The purpose of this article was to propose the use of a translational model as a tool for identifying limitations of current interprofessional education (IPE) research. Translational models allow researchers to clearly define next-step research needed to translate IPE to interprofessional practice (IPP). Method Key principles, goals, and limitations of current IPE research are reviewed. A popular IPE evaluation model is examined through the lens of implementation research. The authors propose a new translational model that more clearly illustrates translational gaps that can be used to direct future research. Next steps for translating IPE to IPP are discussed. Conclusion Comprehensive reviews of the literature show that the implementation strategies adopted to date have fostered improved buy-in from key stakeholders, as evidenced by improved attitudes and perceptions toward interprofessional collaboration/practice. However, there is little evidence regarding successful implementation outcomes, such as changed clinician behaviors, changed organizational practices, or improved patient outcomes. The authors propose the use of an IPE to IPP translational model to facilitate clear identification of research gaps and to better identify future research targets.


2021 ◽  
pp. 152483802110160
Author(s):  
Noa Cohen ◽  
Carmit Katz

There is a worldwide consensus that the prevention of child maltreatment (CM) is critical in promoting children’s safety. Furthermore, a significant part of the prevention efforts targets the children themselves. This scoping review aimed to map the characteristics of CM prevention programs that targeted children by examining studies that described the relevant implemented programs, published in peer-reviewed journals over the last decade. Thirty-one relevant manuscripts were identified from the online databases. The analysis, guided by scoping review guidelines, examined these programs in terms of content, context of delivery, and practitioners involved. A thematic analysis identified the key messages conveyed to the children. The findings showed that the vast majority of programs are school-based and focused on preventing child sexual abuse (CSA) with considerably less attention given to other forms of maltreatment. In addition, most programs did not promote active parental participation. The content descriptions of the CSA prevention programs revealed several common key messages that focused on children’s individual safety skills, specifically recognition, refusal strategies, and disclosure. The discussion addresses the concepts of blame and guilt as crucial to rethinking the CM prevention messages conveyed to children. Key conclusions that were drawn from the current scoping review highlight the need to better align prevention efforts and recent CM research. Additionally, ceiling effects in several studies indicated that children’s participation, as information sources and partners in program development, should be promoted, so that prevention efforts will meet their needs within their various relevant life contexts.


2021 ◽  
Vol 10 (4) ◽  
pp. 1-28
Author(s):  
John Edison MUñOZ ◽  
Kerstin Dautenhahn

The use of games as vehicles to study human-robot interaction (HRI) has been established as a suitable solution to create more realistic and naturalistic opportunities to investigate human behavior. In particular, multiplayer games that involve at least two human players and one or more robots have raised the attention of the research community. This article proposes a scoping review to qualitatively examine the literature on the use of multiplayer games in HRI scenarios employing embodied robots aiming to find experimental patterns and common game design elements. We find that researchers have been using multiplayer games in a wide variety of applications in HRI, including training, entertainment and education, allowing robots to take different roles. Moreover, robots have included different capabilities and sensing technologies, and elements such as external screens or motion controllers were used to foster gameplay. Based on our findings, we propose a design taxonomy called Robo Ludens, which identifies HRI elements and game design fundamentals and classifies important components used in multiplayer HRI scenarios. The Robo Ludens taxonomy covers considerations from a robot-oriented perspective as well as game design aspects to provide a comprehensive list of elements that can foster gameplay and bring enjoyable experiences in HRI scenarios.


2021 ◽  
Vol 6 (1) ◽  
pp. e003221
Author(s):  
Evelyn A Brakema ◽  
Rianne MJJ van der Kleij ◽  
Charlotte C Poot ◽  
Niels H Chavannes ◽  
Ioanna Tsiligianni ◽  
...  

Effectiveness of health interventions can be substantially impaired by implementation failure. Context-driven implementation strategies are critical for successful implementation. However, there is no practical, evidence-based guidance on how to map the context in order to design context-driven strategies. Therefore, this practice paper describes the development and validation of a systematic context-mapping tool. The tool was cocreated with local end-users through a multistage approach. As proof of concept, the tool was used to map beliefs and behaviour related to chronic respiratory disease within the FRESH AIR project in Uganda, Kyrgyzstan, Vietnam and Greece. Feasibility and acceptability were evaluated using the modified Conceptual Framework for Implementation Fidelity. Effectiveness was assessed by the degree to which context-driven adjustments were made to implementation strategies of FRESH AIR health interventions. The resulting Setting-Exploration-Treasure-Trail-to-Inform-implementatioN-strateGies (SETTING-tool) consisted of six steps: (1) Coset study priorities with local stakeholders, (2) Combine a qualitative rapid assessment with a quantitative survey (a mixed-method design), (3) Use context-sensitive materials, (4) Collect data involving community researchers, (5) Analyse pragmatically and/or in-depth to ensure timely communication of findings and (6) Continuously disseminate findings to relevant stakeholders. Use of the tool proved highly feasible, acceptable and effective in each setting. To conclude, the SETTING-tool is validated to systematically map local contexts for (lung) health interventions in diverse low-resource settings. It can support policy-makers, non-governmental organisations and health workers in the design of context-driven implementation strategies. This can reduce the risk of implementation failure and the waste of resource potential. Ultimately, this could improve health outcomes.


2021 ◽  
Vol 10 (1) ◽  
Author(s):  
Charlotte Paterson ◽  
Caleb Leduc ◽  
Margaret Maxwell ◽  
Birgit Aust ◽  
Benedikt L. Amann ◽  
...  

Abstract Background Mental health problems are common in the working population and represent a growing concern internationally, with potential impacts on workers, organisations, workplace health and compensation authorities, labour markets and social policies. Workplace interventions that create workplaces supportive of mental health, promote mental health awareness, destigmatise mental illness and support those with mental disorders are likely to improve health and economical outcomes for employees and organisations. Identifying factors associated with successful implementation of these interventions can improve intervention quality and evaluation, and facilitate the uptake and expansion. Therefore, we aim to review research reporting on the implementation of mental health promotion interventions delivered in workplace settings, in order to increase understanding of factors influencing successful delivery. Methods and analysis A scoping review will be conducted incorporating a stepwise methodology to identify relevant literature reviews, primary research and grey literature. This review is registered with Research Registry (reviewregistry897). One reviewer will conduct the search to identify English language studies in the following electronic databases from 2008 through to July 1, 2020: Scopus, PROSPERO, Health Technology Assessments, PubMed, Campbell Collaboration, Joanna Briggs Library, PsycINFO, Web of Science Core Collection, CINAHL and Institute of Occupational Safety and Health (IOSH). Reference searching, Google Scholar, Grey Matters, IOSH and expert contacts will be used to identify grey literature. Two reviewers will screen title and abstracts, aiming for 95% agreement, and then independently screen full texts for inclusion. Two reviewers will assess methodological quality of included studies using the Mixed Methods Appraisal Tool and extract and synthesize data in line with the RE-AIM framework, Nielson and Randall’s model of organisational-level interventions and Moore’s sustainability criteria, if the data allows. We will recruit and consult with international experts in the field to ensure engagement, reach and relevance of the main findings. Discussion This will be the first systematic scoping review to identify and synthesise evidence of barriers and facilitators to implementing mental health promotion interventions in workplace settings. Our results will inform future evaluation studies and randomised controlled trials and highlight gaps in the evidence base. Systematic review registration Research Registry (reviewregistry897)


BJS Open ◽  
2020 ◽  
Vol 5 (2) ◽  
Author(s):  
Jennifer Y Lam ◽  
Alexandra Howlett ◽  
Duncan McLuckie ◽  
Lori M Stephen ◽  
Scott D N Else ◽  
...  

Abstract Background Strong implementation strategies are critical to the success of Enhanced Recovery after Surgery (ERAS®) guidelines, though little documentation exists on effective strategies, especially in complex clinical situations and unfamiliar contexts. This study outlines the process taken to adopt a novel neonatal ERAS® guideline. Methods The implementation strategy was approached in a multi-pronged, concurrent but asynchronous fashion. Between September 2019 and January 2020, healthcare providers from various disciplines and different specialties as well as parents participated in the strategy. Multidisciplinary teams were created to consider existing literature and local contexts including potential facilitators and/or barriers. Task forces worked collaboratively to develop new care pathways. An audit system was developed to record outcomes and elicit feedback for revision. Results 32 healthcare providers representing 9 disciplines and 5 specialties as well as 8 parents participated. Care pathways and resources were created. Elements recommended for a successful implementation strategy included identification of champions, multidisciplinary stakeholder involvement, consideration of local contexts and insights, patient/family engagement, education, and creation of an audit system. Conclusion A multidisciplinary and structured process following principles of implementation science was used to develop an effective implementation strategy for initiating ERAS® guidelines.


2021 ◽  
Vol 48 (6) ◽  
pp. 48-66
Author(s):  
Javier Ruiz-Tagle ◽  
Carolina Aguilera

Although ethnic differentiations began with colonialism, racism was not widely addressed in Latin American social sciences until recently, since class perspectives were predominant. Within this, studies on residential segregation and urban exclusion have ignored race and ethnicity, with the exceptions of Brazil and Colombia. However, these issues have recently become crucial because of the adoption of multiculturalism, the impact of postcolonialism and postmodernism, the emergence of black and indigenous social movements, changes in state policy, and new trends in migration. A review of debates and evidence from Mexico, Colombia, Chile, and Argentina shows that persistent colonial ideologies, narratives, and popular perceptions of ethno-racial denial sustain various kinds of urban exclusion in the region. The evidence calls for a new research agenda to decolonize urban studies that adopts a critical perspective on the coloniality of power. Aunque las diferenciaciones étnicas comenzaron con el colonialismo, el racismo no se abordó ampliamente en las ciencias sociales latinoamericanas hasta hace poco, ya que predominaban las perspectivas de clase. Los estudios sobre la segregación residencial y la exclusión urbana han ignorado la raza y el origen étnico, con excepción de Brasil y Colombia. Sin embargo, estas cuestiones se han vuelto cruciales recientemente debido a la adopción del multiculturalismo, el impacto del poscolonialismo y el posmodernismo, la aparición de movimientos sociales negros e indígenas, los cambios en la política estatal y nuevas tendencias en la migración. Una revisión de los debates y evidencia en México, Colombia, Chile y Argentina muestra que las ideologías coloniales persistentes, las narrativas y las percepciones populares de la negación etnoracial sostienen varios tipos de exclusión urbana en la región. La evidencia exige una nueva agenda de investigación para descolonizar los estudios urbanos y adoptar una perspectiva crítica sobre la colonialidad del poder.


2015 ◽  
Vol 74 (1) ◽  
Author(s):  
Norani Nordin ◽  
Ojeniyi Adegoke

Purpose: ERP implementation comes with huge business competitive advantages nevertheless it also has its difficulties and challenges. This paper presents the findings of field work and interview conducted on issues and challenges of ERP implementation on small and medium enterprises (SMEs). It proposes implementation strategies at each of the implementation stages for a successful ERP implementation within SMEs. Design/methodology/approach: The study employed both personal interview and observation methods. Findings: The findings revealed that reengineering (organization and infrastructures), top management commitment, funds, skilled manpower, implementation time and data fill-in were the critical issues and challenges faced by SMEs during ERP implementation. Hence, these factors were identifies as ERP implementation successful factors to be considered by SMEs. Also the study proposed three implementation strategies stages which will enhance successful ERP implementation in the SMEs. Originality/value: This study identified funds, skilled manpower and data fill-in as part of critical factors for successful ERP implementation in SMEs. Therefore, the study was used to generate successful implementation strategies for SMEs. 


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