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Communication Partnerships That Work: Translating Evidence-Based Health Research Into Practice, Angela Carman, Gretchen Holmes, Anna G. Hoover, Margaret McGladrey, Ernie Scott, Mary Tucker-McLaughlin, Nancy Winterbauer 2014 University of Kentucky

Communication Partnerships That Work: Translating Evidence-Based Health Research Into Practice, Angela Carman, Gretchen Holmes, Anna G. Hoover, Margaret Mcgladrey, Ernie Scott, Mary Tucker-Mclaughlin, Nancy Winterbauer

Anna G. Hoover

Healthcare and public health research ultimately seek to improve patient and population health. Unfortunately, more than a decade often passes before research findings become routinized in practice. Improving translational speed, reach, and efficacy requires partnerships among researchers, practitioners, community stakeholders, and communication scholars. This panel will be presenting two partnership models that work.

The University of Kentucky (UK) Center of Excellence in Rural Health (CERH) seeks to improve the health of rural Kentuckians through education, research, service, and community engagement. They do this by partnering with hospitals and clinics, health professionals, community service agencies, non-profits and other organizations. Panelists will ...


Dr. Eric Seidlitz: Valuable Lessons From The Unconventional, Ameir Makar, Wasimuddin Syed 2014 McMaster University

Dr. Eric Seidlitz: Valuable Lessons From The Unconventional, Ameir Makar, Wasimuddin Syed

The Meducator

Dr. Eric Seidlitz is a Researcher in the department of Pathology & Molecular Medicine at McMaster University. He has a diverse background, with a B.Sc in Zoology/Botany, a B.A. (first class Honours) degree in Physiological Psychology, a M.Sc. degree in Psychology/Electrophysiology, and a Ph.D. in Physiology and Pharmacology. After working for 8 years at the Sick Children Hospital in Toronto, he joined the Singh Lab at the Cancer Centre in Hamilton in 1998, where he started his research in bone metastasis. Aside from his research, he currently teaches the first year Cellular & Molecular Biology course ...


Re-Evaluating The Hierarchy Of Evidence: What Is The Gold Standard?, Brandon Tang, Stephanie J. Wan Ms. 2014 McMaster University

Re-Evaluating The Hierarchy Of Evidence: What Is The Gold Standard?, Brandon Tang, Stephanie J. Wan Ms.

The Meducator

On October 16, 1846, William Morton took part in an operation to remove a tumour from a patient’s neck. However, this surgery was unlike any other that had been completed before. 1 Morton’s stage was the local surgical amphitheater in the Massachusetts General Hospital, and his main prop was the ether, a novel substance that promised to alleviate pain in an unprecedented manner. Within the amphitheater, scientists, dentists, and doctors eagerly awaited the awakening of Morton’s patient after the surgery. To everyone’s delight, after awakening, the patient announced that he did not feel any pain during ...


The Participation Of Marginalized Populations In Health Services Planning And Decision Making, Stephanie Rose Montesanti 2014 McMaster University

The Participation Of Marginalized Populations In Health Services Planning And Decision Making, Stephanie Rose Montesanti

Open Access Dissertations and Theses

Community participation has been identified as a key facilitator of community health among marginalized populations in international health statements. However, knowledge gaps in the community participation literature regarding marginalized populations has been attributed to the lack of consistent definitions of community participation, ambiguity about the features of community participation initiatives (e.g., methods and strategies) that are appropriate for marginalized populations, and limitations of existing community participation frameworks in specifying the ways and means in which different marginalized populations might effectively participate, as well as in recognizing that community participation is highly contextual and situational. All of these factors have ...


Evidence Briefs As A Mechanism For Knowledge Transfer And Exchange: Assessing Views About, Experiences With, And Influences Of Policy-Relevant Research Syntheses In Low- And Middle-Income Countries, Kaelan A. Moat 2014 McMaster University

Evidence Briefs As A Mechanism For Knowledge Transfer And Exchange: Assessing Views About, Experiences With, And Influences Of Policy-Relevant Research Syntheses In Low- And Middle-Income Countries, Kaelan A. Moat

Open Access Dissertations and Theses

Evidence briefs are an innovative and promising approach to synthesizing the best available research evidence to support evidence-informed health policymaking in low- and middle-income countries. Unfortunately, despite their increased use, little work has been undertaken to understand how the contexts in which briefs are prepared and the issues that they address influence the ways in which policymakers and stakeholders view them. Furthermore, there have been few efforts to determine whether and how evidence briefs influence the policy processes related to the priority policy issues for which they are prepared. This thesis begins to address these issues through four manuscripts that ...


Evaluating The Feasibility And Effectiveness Of Evidence-Based Knowledge Translation Interventions Targeting Osteoporosis And Fracture Prevention In Ontario Long-Term Care Homes, Courtney C. Kennedy 2014 McMaster University

Evaluating The Feasibility And Effectiveness Of Evidence-Based Knowledge Translation Interventions Targeting Osteoporosis And Fracture Prevention In Ontario Long-Term Care Homes, Courtney C. Kennedy

Open Access Dissertations and Theses

Background: Despite strong evidence, strategies for improving bone health are underutilized. Knowledge translation (KT) interventions aim to improve uptake of evidence-based practices, however the feasibility and effectiveness of such strategies require further evaluation within Long-term Care (LTC). In this thesis, we examined the impacts of a province-wide osteoporosis strategy and a more intensive multifaceted KT strategy including expert-led educational meetings, audit/feed-back, and action planning for quality improvement. Both studies targeted interdisciplinary LTC teams (physicians, nurses, pharmacists, dietician, and other staff).

Methods: In the first thesis study, we examined the impact of the Ontario Osteoporosis Strategy for LTC by investigating ...


Dissemination And Implementation Research: Connecting Interventions To Practice, Anna G. Hoover, Angela Carman 2014 University of Kentucky

Dissemination And Implementation Research: Connecting Interventions To Practice, Anna G. Hoover, Angela Carman

Anna G. Hoover

This presentation describes a pilot study to evaluate the complex relationships among organizational structure and characteristics, channel selection, and changes in uptake in the implementation of an evidence-based HPV vaccine intervention in Kentucky local health departments.


Building The Case For An “Architectonic” Function Of Rhetoric In Health Services Research, John J. Rief 2014 University of Iowa

Building The Case For An “Architectonic” Function Of Rhetoric In Health Services Research, John J. Rief

Poroi

In 2003, National Institutes of Health director Elias A. Zerhouni called for the development of innovative research methods that more effectively connect medical research findings to clinical care. His call and the transformative institutional and funding changes it has wrought have opened up an exciting opportunity for rhetorical scholars to join the interdisciplinary project of improving medical research and delivery. Responding to this opportunity, this paper articulates one vision for the rhetorician turned health services researcher. This vision is rooted in Richard McKeon’s insight that in addition to the analysis of discourse and the promotion of good communication practices ...


Accreditation: On Target, Anne L. Drabczyk, G Bolen, G Bengamin, P Jarris, R Pestronk 2014 SelectedWorks

Accreditation: On Target, Anne L. Drabczyk, G Bolen, G Bengamin, P Jarris, R Pestronk

Dr. Anne L. Drabczyk

No abstract provided.


Implementation Plan For Emr And Beyond, Lori Katterhagen 2013 University of San Francisco

Implementation Plan For Emr And Beyond, Lori Katterhagen

Doctor of Nursing Practice (DNP) Projects

Change is never easy for anyone, but how we implement change can make the difference in how an innovation is accepted. Over the last two years, a small community hospital in California has introduced a new electronic medical record (EMR) to meet the requirements of meaningful use mandated by the Centers for Medicare and Medicaid (CMS) for all hospitals across the United States. EMRs are expected to improve quality in many areas, especially to improve outcomes, while safely reducing costs (U.S. Department of Health & Human Services, 2012). Adoption of EMR’s is not optional, if facilities want to avoid ...


Exploring Accuracy In Journalism Stories Reporting On Neuroscience Research Findings: A Comparative Case Study, Andrea M. Campbell-Davison 2013 Western University

Exploring Accuracy In Journalism Stories Reporting On Neuroscience Research Findings: A Comparative Case Study, Andrea M. Campbell-Davison

University of Western Ontario - Electronic Thesis and Dissertation Repository

Abstract

Neuroscience has seen explosive growth in research and public interest, but research findings are often reported inaccurately, impacting public understanding. Exploratory descriptive case study methods were used to analyze two peer reviewed research articles, one on brain imaging for patients in a Persistent Vegetative State (PVS), and another on Brain Training (BT), and all journalism stories regarding these two studies. Statistical and content analyses were used to analyze the accuracy of the translation of the research into journalism stories. PVS research received more media attention and this reporting was less accurate than for BT research; the information was also ...


Acceptance Of Disability And Its Predictors Among Stroke Patients In Taiwan, Shan-Yun Chiu, Hanoch Livneh, Long-Lung Tsao, Tzung-Yi Tsai 2013 Portland State University

Acceptance Of Disability And Its Predictors Among Stroke Patients In Taiwan, Shan-Yun Chiu, Hanoch Livneh, Long-Lung Tsao, Tzung-Yi Tsai

Counselor Education Faculty Publications and Presentations

Background: Modern medicine has increased the survival rate for stroke patients; however, the patient’s psychosocial adaptation after stroke onset may be related to the clinical outcomes. This study aimed to investigate patients’ acceptance of disability (AOD) and its predictors in stroke patients. Methods: This cross-sectional study used a purposive sampling method to recruit 175 stroke patients from a hospital in southern Taiwan. A structured questionnaire gathered data on respondent demographics and disease characteristics, and included the Chinese version of the AOD Scale-Revised. Factors associated with AOD were examined by a multiple linear regression analysis. Results: The mean AOD score ...


Re-Cognizing Power In The Culture Of Dementia Care Knowledge, Ryan T. DeForge 2013 Western University

Re-Cognizing Power In The Culture Of Dementia Care Knowledge, Ryan T. Deforge

University of Western Ontario - Electronic Thesis and Dissertation Repository

In light of increasing system demands, system regulations, and constrained resources, those living and working with dementia in the long-term care sector are vulnerable to oppressive care practices. This is true so long as our understanding of how social power affects the ways in which dementia care knowledge is created, shared, and enacted remains limited. Based on prolonged field observations and on informal and formal interviews with care recipients, family members, and staff, the aim of this critical qualitative research was to examine the culture of dementia care knowledge in two sites: a specialized dementia care unit in a long-term ...


Development And Implementation Of Victorian Prehospital Clinical Practice Guidelines: The Supraventricular Tachycardia Example., Gavin Smith, Jeff Kenneally 2013 Edith Cowan University

Development And Implementation Of Victorian Prehospital Clinical Practice Guidelines: The Supraventricular Tachycardia Example., Gavin Smith, Jeff Kenneally

Australasian Journal of Paramedicine

Background

The Ambulance Victoria (AV) Clinical Practice Development Committee (CPDC) is tasked with periodic review of all of the AV Clinical Practice Guidelines (CPG’s).This paper will highlight the framework underpinning CPG development in a Victorian prehospital emergency care system, using the major revision of CPG A0403 (supraventricular tachycardia) as an example of the process.

Evaluation of current practice

The CPDC applied the AV CPD process, based upon national and internationally accepted methods of guideline assessment and development. Literature review, analysis of current practice data and extensive expert consultation were also used to formulate the supraventricular tachycardia guideline examined ...


How Electronic Clinical Data Can Improve Health Technology Assessment, Jonathan R. Treadwell PhD, Eileen Erinoff MSLIS, Vivian Coates MBA 2013 EDM Forum

How Electronic Clinical Data Can Improve Health Technology Assessment, Jonathan R. Treadwell Phd, Eileen Erinoff Mslis, Vivian Coates Mba

eGEMs (Generating Evidence & Methods to improve patient outcomes)

Health technology assessments represent comprehensive summaries of available evidence and information on a technology. They are used by medical decision makers in a variety of ways, including diagnostic testing, treatment selection, care management, patient perspectives, patient safety, insurance coverage, pharmaceutical innovation, equipment planning, device purchasing, and total cost-of-care. Electronic clinical data, which are captured routinely by clinicians and hospitals, are only rarely incorporated into formal health technology assessments. This disconnect reveals a key opportunity. In this paper, we discuss current uses of electronic clinical data, several benefits of including it in health technology assessments, potential pitfalls of that inclusion, and ...


Moving To A User-Driven Research Paradigm, Gurvaneet Randhawa 2013 EDM Forum

Moving To A User-Driven Research Paradigm, Gurvaneet Randhawa

eGEMs (Generating Evidence & Methods to improve patient outcomes)

The traditional bench-to-bedside paradigm for clinical research has been successfully used for many decades. This model of knowledge generation has led to discoveries that have enhanced the quality and length of life. The combination of changes in research practice and in healthcare delivery, growing complexity in decision-making, increasing use of Electronic Health Records, and growing resource constraints, necessitate a shift to a user-driven research paradigm to generate new knowledge. This conceptual framework was created to clarify the perspective of the decision-makers, and the range of factors and the variability in thresholds used to make decisions. This framework may help researchers ...


Understanding Determinants Of Home Dialysis Use In Canada: A Mixed-Methods Study, Gihad Nesrallah 2013 McMaster University

Understanding Determinants Of Home Dialysis Use In Canada: A Mixed-Methods Study, Gihad Nesrallah

Open Access Dissertations and Theses

This thesis consists of three related studies presented as three separate manuscripts. The first two comprise part of a larger sequential mixed-methods study with a qualitative and subsequent quantitative (survey) component. The overarching goal of this study was to understand the factors that influence the use of home dialysis, from the perspectives of Canadian nephrologists. The third study was a methodological study (a clinical trial) embedded in the survey, evaluating a novel strategy to incentivize survey responses.

In the first paper, we aimed to develop a theoretical framework describing determinants of dialysis modality choice. We selected informants using a maximum-variation ...


Delisting Medical Imaging In Private Settings From Public Coverage In Québec, Amélie Quesnel-Vallée 2013 McMaster University

Delisting Medical Imaging In Private Settings From Public Coverage In Québec, Amélie Quesnel-Vallée

Health Reform Observer - Observatoire des Réformes de Santé

On December 19, 1981, the Quebec government passed a bill allowing notably for the determination of public coverage of services based on location of delivery, opening the door to subsequent delisting of medical imaging (mammography, ultrasonography, computerized axial tomography scans and magnetic resonance imaging) when performed out of the hospital. Rationing and increased governmental regulatory powers were the explicit aims of this reform, with cost-efficiency an implicit aim. This reform occurred in the national context of decreased federal transfers for health, a severe recession, and on the provincial front, physicians in Quebec had been without a contract since November 1979 ...


Up North They’Re Talking Sex: A Collaborative And Community Driven Model For Sexual Health Knowledge Mobilization, Karen Edwards, Steve Mitchell PhD, Nancy Gibson PhD, Cecilia Zoe-Martin, Anita Daniels, Jim Martin, Patrick Wansbrough RN 2013 University of Nevada, Las Vegas

Up North They’Re Talking Sex: A Collaborative And Community Driven Model For Sexual Health Knowledge Mobilization, Karen Edwards, Steve Mitchell Phd, Nancy Gibson Phd, Cecilia Zoe-Martin, Anita Daniels, Jim Martin, Patrick Wansbrough Rn

Journal of Health Disparities Research and Practice

To address high STI rates in their aboriginal communities, the Tłı̨chǫ of the Northwest Territories adopted a collaborative participatory research approach to sexual health based on four key stages of development. First was community initiation and engagement, where local leaders identified a priority need and began community discussions around sexual health. Secondly, identifying that existing government statistics did not provide them with adequate information, the Tlicho Community Services Agency partnered with the University of Alberta and CIETcanda to conduct a baseline study in all four Tlicho communities, designed and administered by community-based researchers. Third, a community action research team ...


A Baseline Assessment Of University Students’ Vitamin D Knowledge, Shaunessey Boland 2013 Western University

A Baseline Assessment Of University Students’ Vitamin D Knowledge, Shaunessey Boland

University of Western Ontario - Electronic Thesis and Dissertation Repository

Vitamin D is necessary for many aspects of health and development yet 25% of Canadians are not getting enough and university-aged students are at particularly high risk of insufficiency. It seems program development is needed to help university students in acquiring adequate vitamin D. The purpose of this study was to acquire a baseline assessment of university students’ vitamin D related knowledge to help inform future program development. Subjects were asked to complete a Vitamin D Knowledge Survey which assessed knowledge on aspects such as vitamin D sources, health benefits, and recommended intake. A Vitamin D Knowledge Score was computed ...


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