Open Access. Powered by Scholars. Published by Universities.®

Digital Commons Network

Open Access. Powered by Scholars. Published by Universities.®

Articles 1 - 3 of 3

Full-Text Articles in Entire DC Network

Evaluation Of Screening, Brief Intervention, And Referral To Treatment (Sbirt) Implementation Into Practice, Olivia Wilson Sep 2017

Evaluation Of Screening, Brief Intervention, And Referral To Treatment (Sbirt) Implementation Into Practice, Olivia Wilson

Nursing Capstones

No abstract provided.


“Provoking Conversations”: Case Studies Of Organizations Where Option Grid™ Decision Aids Have Become ‘Normalized’, Peter Scalia, Glyn Elwyn, Marie-Anne Durand Aug 2017

“Provoking Conversations”: Case Studies Of Organizations Where Option Grid™ Decision Aids Have Become ‘Normalized’, Peter Scalia, Glyn Elwyn, Marie-Anne Durand

Dartmouth Scholarship

Background: Implementing patient decision aids in clinic workflow has proven to be a challenge for healthcare organizations and physicians. Our aim was to determine the organizational strategies, motivations, and facilitating factors to the routine implementation of Option Grid™ encounter decision aids at two independent settings. Method: Case studies conducted by semi-structured interview, using the Normalization Process Theory (NPT) as a framework for thematic analysis. Twenty three interviews with physicians, nurses, hospital staff and stakeholderswere conducted at: 1) CapitalCare Medical Group in Albany, New York; 2) HealthPartners Clinics in Minneapolis, Minnesota. Results: ‘Coherent’ motivations were guided by financial incentives at CapitalCare, …


Understanding Federalism And U.S. Fluoridation Policy: The Policy Landscape Of U.S. Fluoridation Policy, Thomas C. Walker Iii Aug 2017

Understanding Federalism And U.S. Fluoridation Policy: The Policy Landscape Of U.S. Fluoridation Policy, Thomas C. Walker Iii

All Dissertations

In 2015, the Federal Panel on Community Water Fluoridation finalized a recommendation setting a fixed 0.7 mg/L optimal water fluoridation level for the United States. The announcement was made in the Federal Register in 2011 and allowed for a period of public comment and scientific review before being finalized. Since the original 1962 optimal range recommendation, community water fluoridation has been a decentralized policy environment allowing for local decision-making in setting water fluoridation levels. The finalized 2015 policy recommendation attempts to centralize policy decision-making to reduce the risk of overexposure while maintaining decentralized implementation. This dissertation addresses the following research …