scholarly journals Research Collaboration as “Layers of Engagement”: INKE in Year Four

2014 ◽  
Vol 5 (4) ◽  
Author(s):  
Lynne Siemens
Keyword(s):  
Best Practice ◽  
Research Collaboration ◽  
External Validation ◽  
Research Work ◽  
Lessons Learned ◽  
Team Members ◽  
Best Practice Guidelines ◽  
Research Areas ◽  
New Knowledge

Many academic teams and granting agencies undergo a process of reflection at a project’s completion to understand lessons learned and develop best practice guidelines.  These reviews focus on the actual research work accomplished with little discussion of the relationships and processes involved. As a result, some hard-earned lessons are forgotten or minimized. To address, the Implementing New Knowledge Environments (INKE) project provides an opportunity to explore the changing nature of collaboration over a long-term project’s life. Now at the fourth year, team members reflect on the deepening and strengthening collaboration, with layers of engagement between the various individuals and sub-research areas, which has translated into productivity and external validation of the collaboration and its work. The article concludes with recommendations for other teams.

scholarly journals Developing an Open Social Scholarship Collaboration: Lessons from INKE

2019 ◽  
Vol 3 ◽  
pp. 7
Author(s):  
Lynne Siemens ◽  
The INKE Research Group
Keyword(s):  
Large Scale ◽  
Best Practice ◽  
Research Work ◽  
Lessons Learned ◽  
Administrative Team ◽  
Best Practice Guidelines ◽  
Graduate Research ◽  
Knowledge Environment

Many academic teams and granting agencies undergo a process of reflection at the completion of research projects to understand lessons learned and develop best practice guidelines. Generally completed at the project’s end, these reviews focus on the actual research work accomplished with little discussion of the work relationships and process involved. As a result, some hard-earned lessons are forgotten or minimized through the passage of time. Additional learning about the nature of collaboration may be gained if this type of reflection occurs during the project’s life. Building on earlier examinations of INKE, this paper contributes to that discussion with an exploration of seventh and final year of a large-scale research project.Implementing New Knowledge Environment (INKE) serves as a case study for this research. Members of the administrative team, researchers, postdoctoral fellows, graduate research assistants, and others are asked about their experiences collaborating within INKE on an annual basis in order to understand the nature of collaboration and ways that it may change over the life of a long-term grant. Interviewees continue to outline benefits for collaboration within INKE while admitting that there continue to be challenges. They also outline several lessons learned which will be applied to the next project.

Opioid crisis in primary care? An audit of high-dose opioid prescribing at Bangholm GP Practice

2020 ◽  
Vol 70 (suppl 1) ◽  
pp. bjgp20X711581
Author(s):  
Charlotte Greene ◽  
Alice Pearson
Keyword(s):  
Chronic Pain ◽  
Back Pain ◽  
Practice Guidelines ◽  
Best Practice ◽  
Evidence Base ◽  
High Dose ◽  
Opioid Prescription ◽  
Opioid Prescribing ◽  
Best Practice Guidelines

BackgroundOpioids are effective analgesics for acute and palliative pain, but there is no evidence base for long-term pain relief. They also carry considerable risks such as overdose and dependence. Despite this, they are increasingly prescribed for chronic pain. In the UK, opioid prescribing more than doubled between 1998 and 2018.AimAn audit at Bangholm GP Practice to understand the scale of high-strength opioid prescribing. The aim of the audit was to find out if indications, length of prescription, discussion, and documentation at initial consultation and review process were consistent with best-practice guidelines.MethodA search on Scottish Therapeutics Utility for patients prescribed an average daily dose of opioid equivalent ≥50 mg morphine between 1 July 2019 and 1 October 2019, excluding methadone, cancer pain, or palliative prescriptions. The Faculty of Pain Medicine’s best-practice guidelines were used.ResultsDemographics: 60 patients (37 females), average age 62, 28% registered with repeat opioid prescription, 38% comorbid depression. Length of prescription: average 6 years, 57% >5 years, 22% >10 years. Opioid: 52% tramadol, 23% on two opioids. Indications: back pain (42%), osteoarthritis (12%), fibromyalgia (10%). Initial consultation: 7% agreed outcomes, 35% follow-up documented. Review: 56% 4-week, 70% past year.ConclusionOpioid prescribing guidelines are not followed. The significant issues are: long-term prescriptions for chronic pain, especially back pain; new patients registering with repeat prescriptions; and no outcomes of treatment agreed, a crucial message is the goal is pain management rather than relief. Changes have been introduced at the practice: a patient information sheet, compulsory 1-month review for new patients on opioids, and in-surgery pain referrals.

scholarly journals Responding to unforeseen disasters in a large health system

2020 ◽  
Author(s):  
Ryan J Hannan ◽  
Margaret K Lundholm ◽  
Dennis Brierton ◽  
Noelle R M Chapman
Keyword(s):  
Supply Chain ◽  
Health System ◽  
Disaster Response ◽  
Well Being ◽  
Lessons Learned ◽  
Strategic Decision ◽  
Pharmacy Services ◽  
Efficient System ◽  
Team Members

Abstract Purpose To describe how health systems may respond to sudden changes in operations by leveraging existing resources and to share one organization’s experience responding to the coronavirus disease (COVID-19) pandemic. Summary In a health system based in Illinois and Wisconsin, pharmacy services are provided by a single, integrated department responsible for all aspects of pharmaceutical care within the organization. Hospital, retail, ambulatory care, and population health services are all managed under one leadership team. All pertinent ancillary services are also managed within the department, including informatics, supply chain, and drug policy. During the COVID-19 pandemic, the pharmacy services leadership has successfully managed volume and capacity challenges by redirecting resources to where they are needed. A disaster response framework based on Federal Emergency Management Agency guidance was put in place, and change management principles were used to rapidly operationalize change. Components of the nimble response have included quickly increasing capacity, thoughtful and timely communication to all team members, strategic decision making with available data, creating an agile pool of labor, and maintaining an efficient system supply chain. Well-being and resilience are emphasized alongside reflection on lessons learned. Some changes made in the urgent response to the pandemic are being considered for long-term implementation. Conclusion Organizations have the potential to respond to almost any situation if they are integrated and teams work together to build flexibility. The keys to success are thoughtful maximization of existing resources and strong communication.

MO003ADHERENCE TO DIETARY GUIDELINES IN ADULTS UNDERGOING MAINTAINANCE HAEMODIALYSIS: THE DIET-HD STUDY

2020 ◽  
Vol 35 (Supplement_3) ◽  
Author(s):  
Valeria Saglimbene ◽  
Guobin Su ◽  
Marinella Ruospo ◽  
Juan Jesus Carrero ◽  
Giovanni Strippoli
Keyword(s):  
Best Practice ◽  
Dietary Guidelines ◽  
Dietary Intakes ◽  
Cross Sectional ◽  
Best Practice Guidelines ◽  
Adherence To Diet ◽  
Nutritional Recommendations ◽  
Dietary Guideline ◽  
Sectional Analysis

Abstract Background and Aims While clinical guidelines emphasize dietary modifications as a cornerstone component in the management of patients undergoing dialysis, the adherence to these recommendations has been poorly quantified. The aim of this study is to evaluate the extent of adherence to diet guidelines for adults treated with long-term haemodialysis within the European patients included in the multinational cohort of the “DIETary intake, death and hospitalization in adult with ESKD treated with Haemodialysis” (DIET-HD) study. Method Cross-sectional analysis of the DIET-HD study in 6906 adults undergoing haemodialysis in 10 European countries. Patients responded to the Global Allergy and Asthma European Network (GA2LEN) Food Frequency Questionnaire, and dietary intakes were estimated to evaluate the adherence to the European Best Practice Guidelines nutritional recommendations. Results Patients showed low adherence to the daily recommended intake of phosphorous (<1000mg, met by 25% of participants) and potassium (<2730mg, met by 28% of participants). Almost half the participants achieved targets for energy (>30 kcal/kg, 45% of participants) and calcium (<800mg/day, 53% of participants) intake, while the recommended sodium (<2300mg/day) and proteins intake (≥1.1g/kg) was achieved in 85% and 67% of participants, respectively. Adherence to renal guidelines varied across participating countries, but followed the same pattern. Only 1% of patients adhered to all six recommendations at the same time. Conclusion Adherence to dietary guideline recommendations is poor, particularly regarding phosphorus, potassium, calcium and energy intake.

scholarly journals An organizational perspective on the long-term sustainability of a nursing best practice guidelines program: a case study

2015 ◽  
Vol 15 (1) ◽  
Author(s):  
Andrea R. Fleiszer ◽  
Sonia E. Semenic ◽  
Judith A. Ritchie ◽  
Marie-Claire Richer ◽  
Jean-Louis Denis
Keyword(s):  
Practice Guidelines ◽  
Best Practice ◽  
Best Practice Guidelines ◽  
Organizational Perspective

scholarly journals What we expect of integrative medicine case reports?

2020 ◽  
Vol 1 (1) ◽  
pp. 1
Author(s):  
Subhash Chandra Lakhotia
Keyword(s):  
Case Reports ◽  
Basic Research ◽  
Medical Systems ◽  
Research Areas ◽  
Drosophila Model ◽  
New Knowledge ◽  
New Research ◽  
Good Research ◽  
Indian Academia

In recent times, launching of new research Journals has become common and also worrisome. Increasing demands and specializations require new research Journals. Thus while new Journals are welcome, the worry stems from the fact that a majority of the newly launched Journals have unscrupulous commercial interests rather than their being interested in sharing of good new knowledge between peers. Thus we need to ask why is this new Journal required and what we expect from it? When Prof. Akshay Anand, the Editor-in-Chief of this Journal asked me to write an editorial for the first issue, I was a little surprised. I am not trained in Ayurveda, Unani or any of the other traditional or modern healthcare system. The only connection that I have with these alternative medical systems is that one of my research areas relates to basic research in Ayurvedic Biology using the Drosophila model. My other qualification for writing this editorial can be my long-term conviction that Indian academia need to publish good research Journals and that our researchers should take pride in publishing in such Journals also.

Genetic Counseling and Testing

2014 ◽  
Author(s):  
Rhona MacLeod ◽  
Aad Tibben
Keyword(s):  
Genetic Counseling ◽  
Genetic Testing ◽  
Practice Guidelines ◽  
Best Practice ◽  
Family Members ◽  
Lessons Learned ◽  
Predictive Test ◽  
Best Practice Guidelines ◽  
Counseling And Testing ◽  
Testing And Counseling

This chapter considers the challenges for clinicians involved in genetic counseling for Huntington’s disease, referring to the literature and best-practice guidelines. The issues involved in genetic testing and counseling around reproductive options are discussed. Ways of tailoring predictive test counseling to take better account of individuals’ experiences and knowledge are explored, and more complex predictive test counseling scenarios, such as requests from minors and individuals at 25% risk, are also covered. The process of assisting families near the time of diagnosis is explored, including ways of helping individuals in apparent denial of symptoms and facilitating communication among family members. Finally, this chapter reflects on lessons learned from our collective experiences and considers areas in which more work is needed.

The role of long-term site productivity in maintaining healthy ecosystems: A prerequisite of ecosystem management

1997 ◽  
Vol 73 (6) ◽  
pp. 731-740 ◽  
Author(s):  
Dave M. Morris
Keyword(s):  
Organic Matter ◽  
Forest Management ◽  
Practice Guidelines ◽  
Best Practice ◽  
Forest Health ◽  
Site Productivity ◽  
Nutrient Pool ◽  
Criteria And Indicators ◽  
Best Practice Guidelines

Forest health is a central issue across North America. Most definitions imply that forest health is a condition of the forest ecosystem which sustains complexity or diversity while still providing for human needs. Imbedded in this definition is the need to maintain the productive capacity of managed sites. Although site productivity is largely a function of climate, soil properties, and the biotic potential of the vegetation occupying the site, forest management can also play an influential role in altering site productivity.In terms of site productivity, different concerns exist when managing different ecosites. Based on a recently-conducted expert opinion survey, the major concerns when harvesting black spruce from shallow-soil, upland sites were: 1) harvest-related nutrient removals, and 2) loss of organic matter. In contrast to these ecosites, the major concerns for organic sites (including wet, mineral soils) were: 1) altered hydrology, and 2) rutting. The water table on these sites is typically near the surface for a significant portion of the frost-free season, minimizing organic matter decomposition and associated nutrient release. Any forest management practice which exacerbates this situation would have a negative impact on site productivity. Tree nutrient cycling studies conducted on shallow-soil sites in northwestern Ontario were presented to show that calculated nutrient replacement times, with the exception of K, did not exceed current rotation periods. However, the forest floor nutrient pool represented a major component of the soil reserves. Based on the importance of this nutrient pool, best practices designed to protect and allow for the rebuilding of this active soil pool are essential if long-term site productivity is to be maintained.This paper outlines a series of steps to evaluate and correct management-induced changes in long-term site productivity. These steps included: 1) the development of "best practice" guidelines, 2) the development of a set of "criteria and indicators", and 3) the establishment of long-term experimental field trials. The results of this third step should, in turn, be used to refine the "best practice" guidelines and suggest alternative "criteria and indicators" that should be incorporated into a monitoring program of forest sustainability. Key words: forest health, ecosystem management, site productivity, nutrient cycling

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