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Translational Medical Research Commons

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Western University

Theses/Dissertations

Implementation

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Full-Text Articles in Translational Medical Research

Applying Knowledge Translation In Rehabilitation: An Exploration Of What It Means To Change Clinical Practice, Stacey D. Guy Jul 2020

Applying Knowledge Translation In Rehabilitation: An Exploration Of What It Means To Change Clinical Practice, Stacey D. Guy

Electronic Thesis and Dissertation Repository

Health care providers are often required to implement evidence-based recommendations into the care they deliver. Resources that support health care providers’ efforts are a useful knowledge translation strategy. This thesis describes the development and usability evaluation of an evidence-informed clinical practice implementation toolkit to support implementation efforts. Two studies were undertaken to provide insight into what was needed to support health care providers, and to inform the development of the toolkit. A retrospective evaluation analyzed the performance of a team implementing a pressure ulcer risk assessment for patients with spinal cord injury. The rates of adherence to the risk assessment …


From Evidence To Practice: A Systematic Approach To Implementing Electrical Stimulation Therapy For Treating Pressure Injuries In Community Dwelling Individuals With Spinal Cord Injury, Deena Lala Aug 2018

From Evidence To Practice: A Systematic Approach To Implementing Electrical Stimulation Therapy For Treating Pressure Injuries In Community Dwelling Individuals With Spinal Cord Injury, Deena Lala

Electronic Thesis and Dissertation Repository

Pressure injuries are a common secondary health complication among individuals with a spinal cord injury (SCI) and can have a profound effect on quality of life. Unfortunately, pressure injury care in community dwelling individuals with SCI is often fragmented and inconsistent across Canada. Current best practice guidelines strongly recommend the use of electrical stimulation therapy (EST) to manage pressure injury in this population; however, there is little uptake of EST, and is not considered as a first-line treatment by many clinicians. Therefore, the objective of this dissertation is two-folds 1) to determine the impact of pressure injuries on individuals with …