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University of Wollongong

Faculty of Health and Behavioural Sciences - Papers (Archive)

Implementation

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Practice Guidelines Need To Address The 'How' And The 'What' Of Implementation, Kenneth D. Walsh, Jackie Crisp, Ann Mckillop Jan 2012

Practice Guidelines Need To Address The 'How' And The 'What' Of Implementation, Kenneth D. Walsh, Jackie Crisp, Ann Mckillop

Faculty of Health and Behavioural Sciences - Papers (Archive)

Aim: The aim of this study was to explore the realities of everyday nursing practice associated with the implementation of a guideline for the assessment and management of cardiovascular risk. Background: The use of clinical practice guidelines is pivotal to improving health outcomes. However, the implementation of guidelines into practice is complex, unpredictable and, in spite of much investigation, remains resistant to explanation of what works and why. Exploration of the nature of guideline implementation has the potential to illuminate the complexities of guideline implementation by focussing on the nature of practice. Nurses are well placed at the front line …


Barriers And Enablers To Implementation Of A New Zealand-Wide Guideline For Assessment And Management Of Cardiovascular Risk In Primary Health Care: A Template Analysis, Ann Mckillop, Jackie Crisp, Kenneth Walsh Jan 2012

Barriers And Enablers To Implementation Of A New Zealand-Wide Guideline For Assessment And Management Of Cardiovascular Risk In Primary Health Care: A Template Analysis, Ann Mckillop, Jackie Crisp, Kenneth Walsh

Faculty of Health and Behavioural Sciences - Papers (Archive)

Aim: The aim of this study was to identify the enablers and barriers to guideline implementation in a primary healthcare setting by employing the Promoting Action on Research Implementation in Health Services (PARIHS) framework as a template for data analysis and interpretation. Background: The use of clinical practice guidelines is pivotal to improving health outcomes. However, the implementation of guidelines into practice is complex, unpredictable, and, in spite of much investigation, remains resistant to explanation of what works and why. Optimising the enablers and minimising the barriers to implementation of a guideline for reducing cardiovascular disease risk has the potential …


Using The Theory Of Planned Behaviour And Implementation Intentions To Predict And Facilitate Upward Family Communication About Mammography, J L. Browne, A Y. C Chan Jan 2012

Using The Theory Of Planned Behaviour And Implementation Intentions To Predict And Facilitate Upward Family Communication About Mammography, J L. Browne, A Y. C Chan

Faculty of Health and Behavioural Sciences - Papers (Archive)

Regular mammography facilitates early detection of breast cancer, and thus increases the chances of survival from this disease. Daughter-initiated (i.e. upward) communication about mammography within mother– daughter dyads may promote mammography to women of screening age. The current study examined this communication behaviour within the context of the Theory of Planned Behaviour (TPB), and aimed to bridge the intention-behaviour gap by trialling an implementation intention (II) intervention that aimed to facilitate upward family communication about mammography. Young women aged 18–39 (N¼116) were assigned to either a control or experimental condition, and the latter group formed IIs about initiating a conversation …


Implementation Of A Major In Mental Health Nursing In Australian Universities, Brenda Happell, Lorna Moxham, Karen-Ann Clarke Jan 2011

Implementation Of A Major In Mental Health Nursing In Australian Universities, Brenda Happell, Lorna Moxham, Karen-Ann Clarke

Faculty of Health and Behavioural Sciences - Papers (Archive)

The difficulty recruiting and retaining an adequate mental health nursing workforce is acknowledged. The major in mental health nursing has been identified as a strategy to promote this specialist area of practice as desirable for students’ future careers. Measuring its success requires the collection of detailed data about the structure, content, and uptake of these programmes. A survey was specifically developed to elicit descriptive information about the structure and content of a major in mental health nursing programmes. Fourteen universities participated in this research. Eight had implemented a major, one intends to do so in 2011, and five had abandoned …


Fpga Implementation Of A Predictive Vector Quantization Image Compression Algorithm For Image Sensor Applications, Yan Wang, Amine Bermak, Abdesselam Bouzerdoum, Brian W. Ng Jan 2008

Fpga Implementation Of A Predictive Vector Quantization Image Compression Algorithm For Image Sensor Applications, Yan Wang, Amine Bermak, Abdesselam Bouzerdoum, Brian W. Ng

Faculty of Health and Behavioural Sciences - Papers (Archive)

This paper presents a hybrid image compression scheme based on a block based compression algorithm referred to as Vector Quantization (VQ) combined with the Differential Pulse Code Modulation (DPCM) technique. The proposed image compression technique called the PVQ scheme results in enhanced image quality as compared to the standalone VQ. The generated codebooks for the PVQ scheme are more robust for image coding than that of the VQ. This made our system a suitable candidate for developing on chip image sensor with integrated data compression processor. The proposed system was validated through FPGA implementation. The resulting implementation achieved good compression …


Geant4 Physics Processes For Microdosimetry Simulation: Design Foundation And Implementation Of The First Set Of Models, S. Chauvie, Z. Francis, S. Guatelli, S. Incerti, B. Mascialino, P. Moretto, P. Nieminen, Maria G. Pia Jan 2007

Geant4 Physics Processes For Microdosimetry Simulation: Design Foundation And Implementation Of The First Set Of Models, S. Chauvie, Z. Francis, S. Guatelli, S. Incerti, B. Mascialino, P. Moretto, P. Nieminen, Maria G. Pia

Faculty of Health and Behavioural Sciences - Papers (Archive)

New physical processes specific for microdosimetry simulation are under development in the Geant4 Low Energy Electromagnetic package. The first set of models implemented for this purpose cover the interactions of electrons, protons and light ions in liquid water; they address a physics domain relevant to the simulation of radiation effects in biological systems, where water represents an important component. The design developed for effectively handling particle interactions down to a low energy scale and the physics models implemented in the first public release of the software are described.


Implementation Of Malnutrition Screening And Assessment By Dietitians: Malnutrition Exists In Acute And Rehabilitation Settings, Eleanor Beck, Mandy Carrie, Kelly Lambert, Shellie Mason, Marianna Milosavljevic, Craig Patch Jan 2001

Implementation Of Malnutrition Screening And Assessment By Dietitians: Malnutrition Exists In Acute And Rehabilitation Settings, Eleanor Beck, Mandy Carrie, Kelly Lambert, Shellie Mason, Marianna Milosavljevic, Craig Patch

Faculty of Health and Behavioural Sciences - Papers (Archive)

The prevalence of malnutrition within hospital settings is a major concern to all health care workers. The recent development of a simple screening tool for use in such settings has increased the opportunity to identify at-risk patients in a reasonable time frame during their admission. This paper outlines the implementation of a routine nutrition screening and assessment, performed completely by dietitians, across both acute and rehabilitation settings. Dietitians were able to screen, on average, 72% of eligible patients, which ensured timely dietetic intervention. The routine malnutrition screening and assessment process highlighted differences (P < 0.01) in the rates of malnutrition between the acute wards (range 7 to 14%) and rehabilitation ward (49%). Significant differences between acute and rehabilitation patients were also found within the majority of individual diagnostic groups, including all surgery, fractures, cardiovascular incidents and respiratory illness (P < 0.01). The identification of rates of malnutrition between different wards, diagnoses and institutional settings provides dietetic managers with a sophisticated tool that can assist in the allocation of dietetic resources. This operational framework for routine screening of nutritionally at-risk patients in hospital, enables dietitians to develop patient outcomes and an effective nutrition care model.