Evidence-based support for community outreach worker programme in Rural British Columbia, Canada

2021 ◽  
Vol 26 (3) ◽  
pp. 110
Author(s):  
Izabela Szelest ◽  
Colleen Black ◽  
SusanM Brown ◽  
Ella Monro ◽  
NP Tanya Ter Keurs ◽  
...  
Keyword(s):  
British Columbia ◽  
Community Outreach ◽  
Outreach Worker ◽  
Evidence Based

scholarly journals Canadian Child Safety Report Card: a comparison of injury prevention practices across provinces

2018 ◽  
Vol 25 (4) ◽  
pp. 252-257 ◽  
Author(s):  
Liraz Fridman ◽  
Jessica L Fraser-Thomas ◽  
Ian Pike ◽  
Alison K Macpherson
Keyword(s):  
British Columbia ◽  
Mortality Rate ◽  
Injury Prevention ◽  
Population Based ◽  
Hospitalisation Rate ◽  
Report Cards ◽  
Child Safety ◽  
Evidence Based ◽  
Prevention Policies ◽  
Over Time

BackgroundInjury prevention report cards that raise awareness about the preventability of childhood injuries have been published by the European Child Safety Alliance and the WHO. These report cards highlight the variance in injury prevention practices around the world. Policymakers and stakeholders have identified research evidence as an important enabler to the enactment of injury legislation. In Canada, there is currently no childhood injury report card that ranks provinces on injury rates or evidence-based prevention policies.MethodsThree key measures, with five metrics, were used to compare provinces on childhood injury prevention rates and strategies, including morbidity, mortality and policy indicators over time (2006–2012). Nine provinces were ranked on five metrics: (1) population-based hospitalisation rate/100 000; (2) per cent change in hospitalisation rate/100 000; (3) population-based mortality rate/100 000; (4) per cent change in mortality rate/100 000; (5) evidence-based policy assessment.ResultsOf the nine provinces analysed, British Columbia ranked highest in Canada and Saskatchewan lowest. British Columbia had a morbidity and mortality rate that was close to the Canadian average and decreased over the study period. British Columbia also had a number of injury prevention policies and legislation in place that followed best practice guidelines. Saskatchewan had a higher rate of injury hospitalisation and death; however, Saskatchewan’s rate decreased over time. Saskatchewan had a number of prevention policies in place but had not enacted bicycle helmet legislation.ConclusionsFuture preventative efforts should focus on harmonising policies across all provinces in Canada that reflect evidence-based best practices.

Using Community Engagement and Navigators to Increase Colon Cancer Screening and Patient Outcomes

2018 ◽  
Vol 20 (1) ◽  
pp. 85-93 ◽  
Author(s):  
Paul G. Devereux ◽  
John Gray ◽  
Susan Robinson ◽  
Janie Galvin ◽  
Jesse Gutierrez
Keyword(s):  
Colon Cancer ◽  
Patient Outcomes ◽  
Bowel Preparation ◽  
Ethnically Diverse ◽  
Community Outreach ◽  
Patient Navigator ◽  
Evidence Based ◽  
Evidence Based Practices ◽  
Patient Navigators ◽  
Gender And Age

A theory-driven tailored intervention developed in partnership with the community used evidence-based practices to (a) increase knowledge about colon cancer and screening and (b) assist patients in completing screenings. During the 16 months of delivery screening, patient navigators integrated into gastroenterology clinics met all goals, which included (a) enrolling an ethnically diverse group of participants ( N = 415) through inreach (clinic-referred patients who did not schedule appointments) and community outreach, (b) facilitating screening completions for 217 of the 358 (61%) patients identified as needing screening, and (c) obtaining satisfaction ratings from 89% of participants. A random sample ( N = 214) of nonnavigated patients matched on gender and age revealed no differences between navigated and nonnavigated patients on polyps detected. Navigated males (but not females) were significantly less likely than nonnavigated males to have either poor or only fair bowel preparation quality (odds ratio = .418, p = .020, 95% confidence interval [.197, .885]). Low-quality bowel preparation can lead to incomplete readings of the colon or cancelling a colonoscopy. This intervention demonstrates that evidence-based patient navigator programs are effective in increasing screening among a hard-to-reach population and improving bowel preparation quality for males.

scholarly journals The Effect of Caregiver Key Opinion Leaders on Increasing Caregiver Demand for Evidence-Based Practices to Treat Youth Anxiety: Protocol for a Randomized Control Trial

2021 ◽  
Author(s):  
Margaret Crane ◽  
Marc S. Atkins ◽  
Sara J. Becker ◽  
Jonathan Purtle ◽  
Thomas M. Olino ◽  
...  
Keyword(s):  
Unmet Need ◽  
Community Outreach ◽  
Opinion Leader ◽  
Opinion Leaders ◽  
Evidence Based ◽  
Direct To Consumer ◽  
Youth Anxiety ◽  
Caregiver Demand ◽  
Key Opinion Leaders ◽  
Key Opinion Leader

Abstract Background:Research has identified cognitive behavioral therapy with exposures (CBT) as an effective treatment for youth anxiety. Despite implementation efforts, few anxious youth receive CBT. Direct-to-consumer marketing offers a different approach to address the unmet need for youth receiving effective treatments. Involving a local caregiver key opinion leader in direct-to-consumer initiatives may be an effective strategy to increase caregiver demand for CBT. Research indicates that key opinion leaders improve health promotion campaigns, but key opinion leaders have not been studied in the context of increasing caregiver demand for evidence-based treatments.Method:Project CHAT (Caregivers Hearing about Anxiety Treatments) will test the role of key opinion leader participation in conducting outreach presentations to increase caregiver desire to seek CBT for their youth’s anxiety. Caregiver attendees (N = 180) will be cluster-randomized by school to receive one of two different approaches for presentations on CBT for youth anxiety. Both approaches will involve community outreach presentations providing information on recognizing youth anxiety, strategies caregivers can use to decrease youth anxiety, and how to seek CBT for youth anxiety. The researcher-only condition will be co-facilitated by two researchers. In the key opinion leader condition, a caregiver key opinion leader from each local community will be involved in tailoring the content of the presentation to the context of the community, co-facilitating the presentation with a researcher, and endorsing strategies in the presentation that they have found to be helpful. In line with the theory of planned behavior, caregiver attendees will complete measures assessing their knowledge of, attitudes towards, perceived subjective norms about, and intention to seek CBT pre- and post-presentation; they will indicate whether they sought CBT for their youth at three-month follow-up. Results will be analyzed using a mixed method approach to assess the effectiveness of a key opinion leader to increase caregiver demand for CBT.Discussion:This study will be the first to examine the potential of key opinion leaders to increase caregiver demand for CBT. If proven effective, the use of key opinion leaders could serve as a scalable dissemination strategy to increase the reach of evidence-based treatments.Trial registration:This trial was registered on clinicaltrials.gov (NCT04929262) on June 18, 2021. At the time of trial registration, pre/post presentation data had been collected from 17 participants; thus, it was retrospectively registered.

Hospice

2013 ◽  
Author(s):  
Mary Raymer ◽  
Dona J. Reese
Keyword(s):  
Social Workers ◽  
Spiritual Care ◽  
Symptom Control ◽  
Community Outreach ◽  
Interdisciplinary Team ◽  
Self Determination ◽  
Evidence Based ◽  
Culturally Competent ◽  
Death With Dignity

Hospice social workers are essential members of the interdisciplinary team that provide biopsychosocial and spiritual care to terminally ill patients and their significant others during the last 6 months of life. Hospice philosophy emphasizes symptom control, quality of life, patient self-determination, and death with dignity. Hospice social workers must be skilled in providing evidence-based interventions including direct client services; collaboration with the interdisciplinary team; community outreach; developing culturally competent services; and advocating for policy change on the organizational, local, and national levels.

Training

2017 ◽  
Author(s):  
Tom Burns ◽  
Mike Firn
Keyword(s):  
Mental Health ◽  
Clinical Practice ◽  
Staff Training ◽  
Community Outreach ◽  
Comprehensive Care ◽  
Multidisciplinary Teams ◽  
Evidence Based ◽  
Supporting Evidence ◽  
Key Skills ◽  
Information Governance

This chapter sets out training frameworks and key skills and competencies that underpin comprehensive care in community outreach in mental health. A framework of core and advanced competencies for multidisciplinary teams is presented capable of supporting evidence-based clinical practice. Safe non-clinical operations are also supported by a schedule of mandatory staff training in areas such as equality, diversity, and information governance.

576 Striving for Excellence: Beacon Application Submission and Achievement

2021 ◽  
Vol 42 (Supplement_1) ◽  
pp. S139-S140
Author(s):  
Aemilio W Ha ◽  
Mini Thomas ◽  
Tammy L Henderson
Keyword(s):  
Continuous Process ◽  
Community Outreach ◽  
Evidence Based ◽  
Application Process ◽  
Award Recipient ◽  
Burn Care ◽  
Unit Management ◽  
Gold Silver ◽  
Burn Unit ◽  
Staff Engagement

Abstract Introduction The American Association of Critical-Care Nurses (AACN) Beacon Award (BA) recognizes individual nursing units with Gold, Silver, or Bronze level for excellence. The BA signifies an effective and systematic approach to policies, procedures and processes that include engagement of staff and key stakeholders; fact-based evaluation strategies for continuous process improvement; and performance measures that meet or exceed relevant benchmarks. Units designated with BA show an overall higher morale and lower turnover rate. Being a verified burn unit and Magnet designated facility, the unit practice council (upc) began the application process for Beacon. Methods The application process started in 2017 through a core group of UPC members. Different sections of the application were written through the guidance of the team leader and with support of the unit management. Data was gathered from various hospital departments and dashboards which included: leadership structures and systems, appropriate staffing and staff engagement, effective communication, knowledge management and learning development, evidence-based practice and processes, and outcome measurements. After data collection/synthesis, small group meetings were conducted to complete the application. The application was reviewed and edited by the unit management prior to submission. Highlights included: low infection rates in the unit exceeding national benchmarks, peer supporter events for burn survivors, team bonding, community outreach, multiple abstract submission/presentations from nursing at local/national conferences, high patient satisfaction scores, implementing new burn care practices based on evidence, and interdisciplinary rounds. Results Burn unit was designated as a Beacon Gold Award Recipient in 2019. This designation lasts for three years. Our burn unit became one of seven units in the nation with BA and is the second one to achieve Gold designation. During and after this process, there was an increase in staff engagement, teamwork, and exceptional quality metrics. Conclusions Persistent effort combined with teamwork and leadership can help a unit achieve Gold BA designation. This award requires ongoing work to refine processes and promote evidence-based practices.

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