- A new procedure for screening and treating malnutrition in community care settings was being implemented by Southern Health NHS Foundation Trust, which included training staff.
- A study evaluated the implementation of this new procedure and training through surveys and interviews with staff before and after the training.
- At baseline, staff saw value in nutrition screening but had concerns about resources, support, and lack of a "key person" to provide guidance. Training appeared to improve knowledge but was only completed by around half of staff. Follow-up indicated shared understanding of the new procedure remained unclear for many.
NICE Master Class final presentation 25 11 14 (including workshops)NEQOS
Collaborating for Better Care Partnership Master Class with NICE: 'Putting Evidence into Practice' - complete ppt slide pack including the workshop ppts and web links.
Dissemination and Implementation Research - Getting FundedHopkinsCFAR
Alice Ammerman, DrPh
Director, Center for Health Promotion and Disease Prevention
Professor, Department of Nutrition
Gillings School of Global Public Health
University of North Carolina
Community-based management of severe acute malnutrition in India: New evidenc...POSHAN
This presentation was made by Dr. Alan Pereira (Medicins Sans Frontiers) in the session on ‘Implementation research on delivery of preventive and curative interventions during early childhood’ at the POSHAN Conference "Delivering for Nutrition in India Learnings from Implementation Research", November 9–10, 2016, New Delhi.
For more information about the conference visit our website: www.poshan.ifpri.info
NICE Master Class final presentation 25 11 14 (including workshops)NEQOS
Collaborating for Better Care Partnership Master Class with NICE: 'Putting Evidence into Practice' - complete ppt slide pack including the workshop ppts and web links.
Dissemination and Implementation Research - Getting FundedHopkinsCFAR
Alice Ammerman, DrPh
Director, Center for Health Promotion and Disease Prevention
Professor, Department of Nutrition
Gillings School of Global Public Health
University of North Carolina
Community-based management of severe acute malnutrition in India: New evidenc...POSHAN
This presentation was made by Dr. Alan Pereira (Medicins Sans Frontiers) in the session on ‘Implementation research on delivery of preventive and curative interventions during early childhood’ at the POSHAN Conference "Delivering for Nutrition in India Learnings from Implementation Research", November 9–10, 2016, New Delhi.
For more information about the conference visit our website: www.poshan.ifpri.info
Strengthen Dissemination, Implementation and Improvement ScienceUCLA CTSI
DII Science at UCLA: Launching a New Initiative (October 25, 2013)
Presented by: Brian Mittman, Moira Inkelas, Stefanie Vassar, Ibrahima Sankare, Arturo Martinez, Arleen Brown
The UCLA CTSI Dissemination, Implementation and Improvement (DII) Science Initiative has three main goals.
1) Expand UCLA’s competitiveness for DII funding and publication opportunities
2) Position UCLA CTSI for future renewal
3) Enhance societal impact and benefits of UCLA research and improve health care quality, health behaviors and health outcomes in Los Angeles County and beyond
The DII vision is to ensure that:
- Results of clinical studies are put into practice in Southern California to benefit diverse populations
- Local providers take part in studies of how to implement, spread and scale findings and innovations
- Research, implementation and dissemination occur seamlessly by design
- Delivery systems can work with researchers to develop system solutions
- Researchers can find delivery systems and/or provider networks with which to partner on implementation-oriented funding proposals and studies
Developing and Implementing a Patient Reported Experience MeasureRenal Association
Rachel Gair, Person Centred Care Facilitator on the Transforming Participation in CKD programme gave a talk at the Home Therapies conference in Manchester:
Developing and Implementing a Patient Reported Experience Measure
Addressing severe-acute malnutrition in Rajasthan using community-based strat...POSHAN
This presentation was made by Dr. Deepti Gulati (GAIN) in the session on ‘Implementation research on delivery of preventive and curative interventions during early childhood’ at the POSHAN Conference "Delivering for Nutrition in India Learnings from Implementation Research", November 9–10, 2016, New Delhi.
For more information about the conference visit our website: www.poshan.ifpri.info
The aim of this study was to investigate if a HWC program conducted by coaching trainees in a university/worksite setting would have a positive impact on participants’ health and well-being. Moreover, we wanted to evaluate the effects of HWC in wellness scores when face-to-face meetings and additional social-embedded support activities are offered to participants. HWC trainees in CtbW used several coaching strategies including coaching role definition, patient centeredness, visioning, participant self-determined goals through self-discovery, promotion of self-mastery and growth mindset, strengths support, accountability and ownership setting, intrinsic motivation, and supporting environmental and social activities.
Health Evidence hosted a 60 minute webinar examining the effectiveness of school-based interventions for preventing HIV, sexually transmitted infections and pregnancy in adolescents. Click here for access to the audio recording for this webinar: https://youtu.be/yCeIEQ4OTCc
Amanda Mason-Jones, Senior Lecturer in Global Public Health, Faculty of Science, University of York led the session and presented findings from her recent Cochrane review:
Mason-Jones A, Sinclair D, Mathews C, Kagee A, Hillman A, & Lombard C. (2016). School-based interventions for preventing HIV, sexually transmitted infections, and pregnancy in adolescents.Cochrane Database of Systematic Reviews, 2016(11), CD006417
http://healthevidence.org/view-article.aspx?a=school-based-interventions-preventing-hiv-sexually-transmitted-infections-29881
Sexually active adolescents are at risk of contracting HIV and STIs. Unintended pregnancy can have detrimental impact on young people’s lives. This review examines the impact of school sexual education programs on number of young people that contract STIs and number of adolescent pregnancies. Eight cluster randomized control trials, including 55,157 participants are included in this review. Findings suggest there is little evidence that school programs alone are effective in improving sexual and reproductive health outcomes for adolescents. This webinar examined the effectiveness and components of interventions that prevent HIV, STIs and adolescent pregnancy.
Strengthen Dissemination, Implementation and Improvement ScienceUCLA CTSI
DII Science at UCLA: Launching a New Initiative (October 25, 2013)
Presented by: Brian Mittman, Moira Inkelas, Stefanie Vassar, Ibrahima Sankare, Arturo Martinez, Arleen Brown
The UCLA CTSI Dissemination, Implementation and Improvement (DII) Science Initiative has three main goals.
1) Expand UCLA’s competitiveness for DII funding and publication opportunities
2) Position UCLA CTSI for future renewal
3) Enhance societal impact and benefits of UCLA research and improve health care quality, health behaviors and health outcomes in Los Angeles County and beyond
The DII vision is to ensure that:
- Results of clinical studies are put into practice in Southern California to benefit diverse populations
- Local providers take part in studies of how to implement, spread and scale findings and innovations
- Research, implementation and dissemination occur seamlessly by design
- Delivery systems can work with researchers to develop system solutions
- Researchers can find delivery systems and/or provider networks with which to partner on implementation-oriented funding proposals and studies
Developing and Implementing a Patient Reported Experience MeasureRenal Association
Rachel Gair, Person Centred Care Facilitator on the Transforming Participation in CKD programme gave a talk at the Home Therapies conference in Manchester:
Developing and Implementing a Patient Reported Experience Measure
Addressing severe-acute malnutrition in Rajasthan using community-based strat...POSHAN
This presentation was made by Dr. Deepti Gulati (GAIN) in the session on ‘Implementation research on delivery of preventive and curative interventions during early childhood’ at the POSHAN Conference "Delivering for Nutrition in India Learnings from Implementation Research", November 9–10, 2016, New Delhi.
For more information about the conference visit our website: www.poshan.ifpri.info
The aim of this study was to investigate if a HWC program conducted by coaching trainees in a university/worksite setting would have a positive impact on participants’ health and well-being. Moreover, we wanted to evaluate the effects of HWC in wellness scores when face-to-face meetings and additional social-embedded support activities are offered to participants. HWC trainees in CtbW used several coaching strategies including coaching role definition, patient centeredness, visioning, participant self-determined goals through self-discovery, promotion of self-mastery and growth mindset, strengths support, accountability and ownership setting, intrinsic motivation, and supporting environmental and social activities.
Health Evidence hosted a 60 minute webinar examining the effectiveness of school-based interventions for preventing HIV, sexually transmitted infections and pregnancy in adolescents. Click here for access to the audio recording for this webinar: https://youtu.be/yCeIEQ4OTCc
Amanda Mason-Jones, Senior Lecturer in Global Public Health, Faculty of Science, University of York led the session and presented findings from her recent Cochrane review:
Mason-Jones A, Sinclair D, Mathews C, Kagee A, Hillman A, & Lombard C. (2016). School-based interventions for preventing HIV, sexually transmitted infections, and pregnancy in adolescents.Cochrane Database of Systematic Reviews, 2016(11), CD006417
http://healthevidence.org/view-article.aspx?a=school-based-interventions-preventing-hiv-sexually-transmitted-infections-29881
Sexually active adolescents are at risk of contracting HIV and STIs. Unintended pregnancy can have detrimental impact on young people’s lives. This review examines the impact of school sexual education programs on number of young people that contract STIs and number of adolescent pregnancies. Eight cluster randomized control trials, including 55,157 participants are included in this review. Findings suggest there is little evidence that school programs alone are effective in improving sexual and reproductive health outcomes for adolescents. This webinar examined the effectiveness and components of interventions that prevent HIV, STIs and adolescent pregnancy.
The scientific study of methods to promote the systematic uptake of research findings and other evidence-based practices into routine practice and hence improve the quality and effectiveness of health services
This presentation will cover information about polypharmacy in older populations. The presentation will allow explain the use of technology such as HomeMeds as a tool to prevent adverse reactions in older populations.
UCSF CTSI Implementation Science Training and Support: Activities and Impacts UCLA CTSI
Dr. Margaret Handley (UCSF) provides the learning goals for this webinar, which are the following: 1) Understand Background ideas that informs the UCSF Implementation Science Training Program, 2) identify components of the conceptual model for Implementation science have been applied to course development, and 3) understand variations of learner experience, ranging from curriculum and examples of completed work.
For more information and to see other dissemination and implementation content, please visit: http://ctsi.ucla.edu/patients-community/pages/dissemination_implementation_improvement
Fidelity assessment in cluster randomized trials of public health interventio...valéry ridde
Presentation by Nanor Minoyan and Myriam Cielo (Université de Montréal).
Global Health Workshop: Methods For Implementation Science in Global Health.
http://www.equitesante.org/implementation-science-methods-in-global-health/
Integration of WASH and Nutrition: Successes, Challenges, and Implications fo...Jordan Teague
The relationship between water, sanitation, and hygiene (WASH) and nutrition is well-known and well-documented in the literature. Lack of WASH causes diarrheal disease and is associated with environmental enteropathy. Both of these inhibit the absorption and use of calories and nutrients, causing undernutrition. In turn, undernutrition makes children more vulnerable to enteric infections like diarrheal disease.
It is recognized that WASH and nutrition programs are both necessary to achieve improved health outcomes. Studies have shown that the most effective interventions will be those that combine both improved nutrition and infection control and prevention efforts. However, there is
limited evidence on how WASH and nutrition programs are integrated in the field, what barriers these programs face, and what stakeholders believe to be necessary for successful integration.
This study explored this integration to identify barriers to and necessary steps for successful integration of WASH and nutrition programs.Participants identified a total of 14 barriers or challenges and a total of 11 actions, strategies, or changes needed to support effective integration. The main barriers and needs are listed below.
Barriers:
- Insufficient or siloed funding
- Staff capacity and interest
- Knowledge of each sector
- Coordination between sectors
- Lack of evidence on impact of integrated programs
Needs:
- Comprehensive strategy
- Coordination between sectors
- Funding and donor support
- Evidence of impact of integrated programs
- Leadership
Integrating programs in public health is not an emerging concept, but has yet to be operationalized in WASH and nutrition practice. Below are several suggested initial steps toward effective integration of WASH and nutrition:
- Donors should support and fund integration in appropriate contexts through integrated funding streams
- Donors should fund operational research to generate the evidence base of the additive or multiplicative effects of integrated programs and to formulate a standard methodology for integration
- The WASH and nutrition sectors should improve knowledge sharing and cross-training
- Organizations and donors should design incentives through reporting or evaluation criteria for the WASH and nutrition sectors to work in collaboration toward common
goals, objectives, and targets
Source: Teague, J, et al. (2014). Water, sanitation, hygiene, and nutrition: successes, challenges, and implications for integration. International Journal of Public Health. DOI: 10.1007/s00038-014-0580-8.
The Health Innovation Network Polypharmacy Programme is working with healthcare professionals to address problematic polypharmacy by supporting easier identification of patients at potential risk from harm from multiple medications.
Our evidence-based polypharmacy Action Learning Sets (ALS) are being rolled out across England to support GPs, pharmacists and other healthcare professionals who undertake prescribing or medication reviews to understand the complex issues around stopping inappropriate medicines safely.
To drive and accelerate changes in practice, delegates complete a quality improvement project to address problematic polypharmacy in their workplace. This poster summary, Reducing opioid prescribing, can be viewed here.
For more information about the polypharmacy programme, please visit https://thehealthinnovationnetwork.co.uk/programmes/medicines/polypharmacy/
Pharmacist Interventions and Medication Reviews at Care Homes - Improving Med...Health Innovation Wessex
The Health Innovation Network Polypharmacy Programme is working with healthcare professionals to address problematic polypharmacy by supporting easier identification of patients at potential risk from harm from multiple medications.
Our evidence-based polypharmacy Action Learning Sets (ALS) are being rolled out across England to support GPs, pharmacists and other healthcare professionals who undertake prescribing or medication reviews to understand the complex issues around stopping inappropriate medicines safely.
To drive and accelerate changes in practice, delegates complete a quality improvement project to address problematic polypharmacy in their workplace. This poster summary, Pharmacist Interventions and Medication Reviews at Care Homes - Improving Medication Safety and Patient Outcomes, can be viewed here.
For more information about the polypharmacy programme, please visit https://thehealthinnovationnetwork.co.uk/programmes/medicines/polypharmacy/
The Health Innovation Network Polypharmacy Programme is working with healthcare professionals to address problematic polypharmacy by supporting easier identification of patients at potential risk from harm from multiple medications.
Our evidence-based polypharmacy Action Learning Sets (ALS) are being rolled out across England to support GPs, pharmacists and other healthcare professionals who undertake prescribing or medication reviews to understand the complex issues around stopping inappropriate medicines safely.
To drive and accelerate changes in practice, delegates complete a quality improvement project to address problematic polypharmacy in their workplace. This poster summary, SBAR Patient Engagement Tool, can be viewed here.
For more information about the polypharmacy programme, please visit https://thehealthinnovationnetwork.co.uk/programmes/medicines/polypharmacy/
The Health Innovation Network Polypharmacy Programme is working with healthcare professionals to address problematic polypharmacy by supporting easier identification of patients at potential risk from harm from multiple medications.
Our evidence-based polypharmacy Action Learning Sets (ALS) are being rolled out across England to support GPs, pharmacists and other healthcare professionals who undertake prescribing or medication reviews to understand the complex issues around stopping inappropriate medicines safely.
To drive and accelerate changes in practice, delegates complete a quality improvement project to address problematic polypharmacy in their workplace. This poster summary, Reducing medication related falls risk in patients with severe frailty, can be viewed here.
For more information about the polypharmacy programme, please visit https://thehealthinnovationnetwork.co.uk/programmes/medicines/polypharmacy/
The Health Innovation Network Polypharmacy Programme is working with healthcare professionals to address problematic polypharmacy by supporting easier identification of patients at potential risk from harm from multiple medications.
Our evidence-based polypharmacy Action Learning Sets (ALS) are being rolled out across England to support GPs, pharmacists and other healthcare professionals who undertake prescribing or medication reviews to understand the complex issues around stopping inappropriate medicines safely.
To drive and accelerate changes in practice, delegates complete a quality improvement project to address problematic polypharmacy in their workplace. This poster summary, Assessing the outcomes of structured medication reviews, can be viewed here.
For more information about the polypharmacy programme, please visit https://thehealthinnovationnetwork.co.uk/programmes/medicines/polypharmacy/
The Health Innovation Network Polypharmacy Programme is working with healthcare professionals to address problematic polypharmacy by supporting easier identification of patients at potential risk from harm from multiple medications.
Our evidence-based polypharmacy Action Learning Sets (ALS) are being rolled out across England to support GPs, pharmacists and other healthcare professionals who undertake prescribing or medication reviews to understand the complex issues around stopping inappropriate medicines safely.
To drive and accelerate changes in practice, delegates complete a quality improvement project to address problematic polypharmacy in their workplace. This poster summary, Polypharmacy SMR reviews in outpatient bone health clinics, can be viewed here.
For more information about the polypharmacy programme, please visit https://thehealthinnovationnetwork.co.uk/programmes/medicines/polypharmacy/
Polypharmacy reviews of asthma and COPD patients over 65 and 10 or more medic...Health Innovation Wessex
The Health Innovation Network Polypharmacy Programme is working with healthcare professionals to address problematic polypharmacy by supporting easier identification of patients at potential risk from harm from multiple medications.
Our evidence-based polypharmacy Action Learning Sets (ALS) are being rolled out across England to support GPs, pharmacists and other healthcare professionals who undertake prescribing or medication reviews to understand the complex issues around stopping inappropriate medicines safely.
To drive and accelerate changes in practice, delegates complete a quality improvement project to address problematic polypharmacy in their workplace. This poster summary, Polypharmacy reviews of asthma and COPD patients over 65 and 10 or more medicines, can be viewed here.
For more information about the polypharmacy programme, please visit https://thehealthinnovationnetwork.co.uk/programmes/medicines/polypharmacy/
Evaluating the impact of a specialist frailty multidisciplinary team pathway ...Health Innovation Wessex
The Health Innovation Network Polypharmacy Programme is working with healthcare professionals to address problematic polypharmacy by supporting easier identification of patients at potential risk from harm from multiple medications.
Our evidence-based polypharmacy Action Learning Sets (ALS) are being rolled out across England to support GPs, pharmacists and other healthcare professionals who undertake prescribing or medication reviews to understand the complex issues around stopping inappropriate medicines safely.
To drive and accelerate changes in practice, delegates complete a quality improvement project to address problematic polypharmacy in their workplace. This poster summary, Evaluating the impact of a specialist frailty multidisciplinary team pathway with clinical pharmacist involvement, can be viewed here.
For more information about the polypharmacy programme, please visit https://thehealthinnovationnetwork.co.uk/programmes/medicines/polypharmacy/
Genome UK – State of the nation by Professor Dame Sue Hill, Chief Scientific Officer for England and NHS Genomics Programme Senior Responsible Officer.
Pharmacogenomics into practice - stroke services and a systems approach by Dr Richard Marigold, Consultant Stroke Physician and NIHR Hyperacute Stroke Research Centre Lead, University Hospital Southampton NHS Foundation Trust
To evaluate the benefits of Structured Medication Reviews in elderly Chinese ...Health Innovation Wessex
The Health Innovation Network Polypharmacy programme is working with healthcare professionals to address problematic polypharmacy by supporting easier identification of patients at potential risk from harm from multiple medications.
Our evidence-based polypharmacy Action Learning Sets (ALS) are being rolled out across England to support GPs, pharmacists and other healthcare professionals who undertake prescribing or medication reviews to understand the complex issues around stopping inappropriate medicines safely.
To drive and accelerate changes in practice, delegates complete a quality improvement project to address problematic polypharmacy in their workplace. This poster summary, To evaluate the benefits of Structured Medication Reviews in elderly Chinese patients, can be viewed here.
For more information about the polypharmacy programme, please visit https://thehealthinnovationnetwork.co.uk/programmes/medicines/polypharmacy/
The Health Innovation Network Polypharmacy programme is working with healthcare professionals to address problematic polypharmacy by supporting easier identification of patients at potential risk from harm from multiple medications.
Our evidence-based polypharmacy Action Learning Sets (ALS) are being rolled out across England to support GPs, pharmacists and other healthcare professionals who undertake prescribing or medication reviews to understand the complex issues around stopping inappropriate medicines safely.
To drive and accelerate changes in practice, delegates complete a quality improvement project to address problematic polypharmacy in their workplace. This poster summary,
Review of patients on high dose opioids at Living Well PCN, can be viewed here.
For more information about the polypharmacy programme, please visit https://thehealthinnovationnetwork.co.uk/programmes/medicines/polypharmacy/
The Health Innovation Network Polypharmacy programme is working with healthcare professionals to address problematic polypharmacy by supporting easier identification of patients at potential risk from harm from multiple medications.
Our evidence-based polypharmacy Action Learning Sets (ALS) are being rolled out across England to support GPs, pharmacists and other healthcare professionals who undertake prescribing or medication reviews to understand the complex issues around stopping inappropriate medicines safely.
To drive and accelerate changes in practice, delegates complete a quality improvement project to address problematic polypharmacy in their workplace. This poster summary, Re-establishing autonomy in elderly frail patients, can be viewed here.
For more information about the polypharmacy programme, please visit https://thehealthinnovationnetwork.co.uk/programmes/medicines/polypharmacy/
The Health Innovation Network Polypharmacy programme is working with healthcare professionals to address problematic polypharmacy by supporting easier identification of patients at potential risk from harm from multiple medications.
Our evidence-based polypharmacy Action Learning Sets (ALS) are being rolled out across England to support GPs, pharmacists and other healthcare professionals who undertake prescribing or medication reviews to understand the complex issues around stopping inappropriate medicines safely.
To drive and accelerate changes in practice, delegates complete a quality improvement project to address problematic polypharmacy in their workplace. This poster summary, Improving Medication Reviews using the NO TEARS Tool, can be viewed here.
For more information about the polypharmacy programme, please visit https://thehealthinnovationnetwork.co.uk/programmes/medicines/polypharmacy/
Improving care in County Durham under the STOMP agenda - A 5 year review.pdfHealth Innovation Wessex
The Health Innovation Network Polypharmacy programme is working with healthcare professionals to address problematic polypharmacy by supporting easier identification of patients at potential risk from harm from multiple medications.
Our evidence-based polypharmacy Action Learning Sets (ALS) are being rolled out across England to support GPs, pharmacists and other healthcare professionals who undertake prescribing or medication reviews to understand the complex issues around stopping inappropriate medicines safely.
To drive and accelerate changes in practice, delegates complete a quality improvement project to address problematic polypharmacy in their workplace. This poster summary, Improving care in County Durham under the STOMP agenda - A 5 year review, can be viewed here.
For more information about the polypharmacy programme, please visit https://thehealthinnovationnetwork.co.uk/programmes/medicines/polypharmacy/
Impact of an EMIS search to prioritise care home residents for a pharmacist l...Health Innovation Wessex
The Health Innovation Network Polypharmacy programme is working with healthcare professionals to address problematic polypharmacy by supporting easier identification of patients at potential risk from harm from multiple medications.
Our evidence-based polypharmacy Action Learning Sets (ALS) are being rolled out across England to support GPs, pharmacists and other healthcare professionals who undertake prescribing or medication reviews to understand the complex issues around stopping inappropriate medicines safely.
To drive and accelerate changes in practice, delegates complete a quality improvement project to address problematic polypharmacy in their workplace. This poster summary, Impact of an EMIS search to prioritise care home residents for a pharmacist led medication review, can be viewed here.
For more information about the polypharmacy programme, please visit https://thehealthinnovationnetwork.co.uk/programmes/medicines/polypharmacy/
The Health Innovation Network Polypharmacy programme is working with healthcare professionals to address problematic polypharmacy by supporting easier identification of patients at potential risk from harm from multiple medications.
Our evidence-based polypharmacy Action Learning Sets (ALS) are being rolled out across England to support GPs, pharmacists and other healthcare professionals who undertake prescribing or medication reviews to understand the complex issues around stopping inappropriate medicines safely.
To drive and accelerate changes in practice, delegates complete a quality improvement project to address problematic polypharmacy in their workplace. This poster summary, Identifying Orthostatic Hypotension caused by Medication, can be viewed here.
For more information about the polypharmacy programme, please visit https://thehealthinnovationnetwork.co.uk/programmes/medicines/polypharmacy/
Empowering ACOs: Leveraging Quality Management Tools for MIPS and BeyondHealth Catalyst
Join us as we delve into the crucial realm of quality reporting for MSSP (Medicare Shared Savings Program) Accountable Care Organizations (ACOs).
In this session, we will explore how a robust quality management solution can empower your organization to meet regulatory requirements and improve processes for MIPS reporting and internal quality programs. Learn how our MeasureAble application enables compliance and fosters continuous improvement.
R3 Stem Cells and Kidney Repair A New Horizon in Nephrology.pptxR3 Stem Cell
R3 Stem Cells and Kidney Repair: A New Horizon in Nephrology" explores groundbreaking advancements in the use of R3 stem cells for kidney disease treatment. This insightful piece delves into the potential of these cells to regenerate damaged kidney tissue, offering new hope for patients and reshaping the future of nephrology.
CHAPTER 1 SEMESTER V PREVENTIVE-PEDIATRICS.pdfSachin Sharma
This content provides an overview of preventive pediatrics. It defines preventive pediatrics as preventing disease and promoting children's physical, mental, and social well-being to achieve positive health. It discusses antenatal, postnatal, and social preventive pediatrics. It also covers various child health programs like immunization, breastfeeding, ICDS, and the roles of organizations like WHO, UNICEF, and nurses in preventive pediatrics.
Antibiotic Stewardship by Anushri Srivastava.pptxAnushriSrivastav
Stewardship is the act of taking good care of something.
Antimicrobial stewardship is a coordinated program that promotes the appropriate use of antimicrobials (including antibiotics), improves patient outcomes, reduces microbial resistance, and decreases the spread of infections caused by multidrug-resistant organisms.
WHO launched the Global Antimicrobial Resistance and Use Surveillance System (GLASS) in 2015 to fill knowledge gaps and inform strategies at all levels.
ACCORDING TO apic.org,
Antimicrobial stewardship is a coordinated program that promotes the appropriate use of antimicrobials (including antibiotics), improves patient outcomes, reduces microbial resistance, and decreases the spread of infections caused by multidrug-resistant organisms.
ACCORDING TO pewtrusts.org,
Antibiotic stewardship refers to efforts in doctors’ offices, hospitals, long term care facilities, and other health care settings to ensure that antibiotics are used only when necessary and appropriate
According to WHO,
Antimicrobial stewardship is a systematic approach to educate and support health care professionals to follow evidence-based guidelines for prescribing and administering antimicrobials
In 1996, John McGowan and Dale Gerding first applied the term antimicrobial stewardship, where they suggested a causal association between antimicrobial agent use and resistance. They also focused on the urgency of large-scale controlled trials of antimicrobial-use regulation employing sophisticated epidemiologic methods, molecular typing, and precise resistance mechanism analysis.
Antimicrobial Stewardship(AMS) refers to the optimal selection, dosing, and duration of antimicrobial treatment resulting in the best clinical outcome with minimal side effects to the patients and minimal impact on subsequent resistance.
According to the 2019 report, in the US, more than 2.8 million antibiotic-resistant infections occur each year, and more than 35000 people die. In addition to this, it also mentioned that 223,900 cases of Clostridoides difficile occurred in 2017, of which 12800 people died. The report did not include viruses or parasites
VISION
Being proactive
Supporting optimal animal and human health
Exploring ways to reduce overall use of antimicrobials
Using the drugs that prevent and treat disease by killing microscopic organisms in a responsible way
GOAL
to prevent the generation and spread of antimicrobial resistance (AMR). Doing so will preserve the effectiveness of these drugs in animals and humans for years to come.
being to preserve human and animal health and the effectiveness of antimicrobial medications.
to implement a multidisciplinary approach in assembling a stewardship team to include an infectious disease physician, a clinical pharmacist with infectious diseases training, infection preventionist, and a close collaboration with the staff in the clinical microbiology laboratory
to prevent antimicrobial overuse, misuse and abuse.
to minimize the developme
Explore our infographic on 'Essential Metrics for Palliative Care Management' which highlights key performance indicators crucial for enhancing the quality and efficiency of palliative care services.
This visual guide breaks down important metrics across four categories: Patient-Centered Metrics, Care Efficiency Metrics, Quality of Life Metrics, and Staff Metrics. Each section is designed to help healthcare professionals monitor and improve care delivery for patients facing serious illnesses. Understand how to implement these metrics in your palliative care practices for better outcomes and higher satisfaction levels.
CHAPTER 1 SEMESTER V - ROLE OF PEADIATRIC NURSE.pdfSachin Sharma
Pediatric nurses play a vital role in the health and well-being of children. Their responsibilities are wide-ranging, and their objectives can be categorized into several key areas:
1. Direct Patient Care:
Objective: Provide comprehensive and compassionate care to infants, children, and adolescents in various healthcare settings (hospitals, clinics, etc.).
This includes tasks like:
Monitoring vital signs and physical condition.
Administering medications and treatments.
Performing procedures as directed by doctors.
Assisting with daily living activities (bathing, feeding).
Providing emotional support and pain management.
2. Health Promotion and Education:
Objective: Promote healthy behaviors and educate children, families, and communities about preventive healthcare.
This includes tasks like:
Administering vaccinations.
Providing education on nutrition, hygiene, and development.
Offering breastfeeding and childbirth support.
Counseling families on safety and injury prevention.
3. Collaboration and Advocacy:
Objective: Collaborate effectively with doctors, social workers, therapists, and other healthcare professionals to ensure coordinated care for children.
Objective: Advocate for the rights and best interests of their patients, especially when children cannot speak for themselves.
This includes tasks like:
Communicating effectively with healthcare teams.
Identifying and addressing potential risks to child welfare.
Educating families about their child's condition and treatment options.
4. Professional Development and Research:
Objective: Stay up-to-date on the latest advancements in pediatric healthcare through continuing education and research.
Objective: Contribute to improving the quality of care for children by participating in research initiatives.
This includes tasks like:
Attending workshops and conferences on pediatric nursing.
Participating in clinical trials related to child health.
Implementing evidence-based practices into their daily routines.
By fulfilling these objectives, pediatric nurses play a crucial role in ensuring the optimal health and well-being of children throughout all stages of their development.
India Clinical Trials Market: Industry Size and Growth Trends [2030] Analyzed...Kumar Satyam
According to TechSci Research report, "India Clinical Trials Market- By Region, Competition, Forecast & Opportunities, 2030F," the India Clinical Trials Market was valued at USD 2.05 billion in 2024 and is projected to grow at a compound annual growth rate (CAGR) of 8.64% through 2030. The market is driven by a variety of factors, making India an attractive destination for pharmaceutical companies and researchers. India's vast and diverse patient population, cost-effective operational environment, and a large pool of skilled medical professionals contribute significantly to the market's growth. Additionally, increasing government support in streamlining regulations and the growing prevalence of lifestyle diseases further propel the clinical trials market.
Growing Prevalence of Lifestyle Diseases
The rising incidence of lifestyle diseases such as diabetes, cardiovascular diseases, and cancer is a major trend driving the clinical trials market in India. These conditions necessitate the development and testing of new treatment methods, creating a robust demand for clinical trials. The increasing burden of these diseases highlights the need for innovative therapies and underscores the importance of India as a key player in global clinical research.
Leading the Way in Nephrology: Dr. David Greene's Work with Stem Cells for Ki...Dr. David Greene Arizona
As we watch Dr. Greene's continued efforts and research in Arizona, it's clear that stem cell therapy holds a promising key to unlocking new doors in the treatment of kidney disease. With each study and trial, we step closer to a world where kidney disease is no longer a life sentence but a treatable condition, thanks to pioneers like Dr. David Greene.
Leading the Way in Nephrology: Dr. David Greene's Work with Stem Cells for Ki...
2018 Nutrition Conference: Presenter Slides
1. Malnutrition Screening and Care
Pathway in an
Integrated Community Team –
A New Procedure
Kathy Steward
Area Matron – Andover Area
Southern Health NHS Foundation Trust
2. • Effectiveness and evidence base
• Eastleigh OPEN project
• SHFT policy and resources
Background
3. • Opportunity to be involved in a research project
• Procedure and pathway devised
• Resources linked to the pathway identified
• Linked into Trust Nutrition and Hydration committee
• Training in new procedure
Service Improvement Project
4. www.bournemouth.ac.uk
Background:
• Malnutrition remains under-detected, under-treated, and often overlooked by
those working with older people in primary care in the UK.
• A new procedure for screening and treatment of malnutrition is currently being
implemented by Southern Health NHS Foundation Trust, incorporating a
programme of training for staff working within Integrated Community Teams
(ICTs) and Older People’s Mental Health (OPMH) teams.
• INSCCOPe explores factors that may promote or inhibit its implementation and
longer term embedding in routine care, with the aim of optimising sustainability
and scalability.
4
INSCCOPe – Implementing Nutrition
Screening in Community Care for
Older People. (Phase 1)
https://research.bournemouth.ac.uk/project/insccope-implementing-
nutrition-screening-in-community-care-for-older-people/
5. www.bournemouth.ac.uk/adrc
@BournemouthADRC
Study Team
Dr. Mike Bracher,
Ageing and Dementia
Research Centre
(ADRC), Bournemouth
University
Prof. Jane Murphy, co-
lead ADRC,
Bournemouth University
Prof. Carl May,
Centre for
Implementation
Science,
University of
Southampton
Anne-Marie Aburrow,
Dietitian, Wessex AHSN
Aude Cholet, Dietitian,
Wessex AHSN
Sarah Woodman,
Dietitian/Integrated
Services Matron,
Southern Health
Kathy Steward, Integrated
Services Matron,
Southern Health
Kathy Wallis, Senior
Programme Manager,
Wessex AHSN
6. www.bournemouth.ac.uk
Study aims:
• Evaluate implementation of a new procedure and associated training for
screening and treatment of malnutrition, developed specifically for community
settings.
• Inform further development and rollout across Southern Health NHS Foundation
Trust.
6https://research.bournemouth.ac.uk/project/insccope-implementing-
nutrition-screening-in-community-care-for-older-people/
INSCCOPe – Implementing Nutrition
Screening in Community Care for
Older People. (Phase 1)
7. www.bournemouth.ac.uk
Methods:
• Participants:
• Nursing and allied health professionals (AHPs) working within Integrated
Community (ICTs) and Older People’s Mental Health (OPMH) Teams
• Data collection (at all observation points):
• 23-item questionnaire based on Normalization Process Theory (NPT) (NoMad)
(completed by all participants)
• Semi-structured telephone interview exploring survey responses (completed
by a sub-sample of participants respondents)
7https://research.bournemouth.ac.uk/project/insccope-implementing-
nutrition-screening-in-community-care-for-older-people/
INSCCOPe – Implementing Nutrition
Screening in Community Care for
Older People. (Phase 1)
8. www.bournemouth.ac.uk
Methods:
• Observation points:
• Baseline – prior to implementation of the training. (T0)
• 2 months following implementation of the training.
8https://research.bournemouth.ac.uk/project/insccope-implementing-
nutrition-screening-in-community-care-for-older-people/
INSCCOPe – Implementing Nutrition
Screening in Community Care for
Older People. (Phase 1)
10. www.bournemouth.ac.uk 10https://research.bournemouth.ac.uk/project/insccope-implementing-
nutrition-screening-in-community-care-for-older-people/
INSCCOPe – Implementing Nutrition
Screening in Community Care for
Older People. (Phase 1)
Baseline (T0) results:
• Staff already support nutrition screening and treatment activity, see its value and do not
view it as disruptive to other work.
• 94% (n=30) of total participants (n=32) strongly/agreed that staff see this activity as
worthwhile.
• 97% (n=31) strongly/agreed that screening and treatment of malnutrition was a
legitimate part of their role.
• 81% (n=26) strongly/agreed that they valued the effect that screening and treatment
for malnutrition has had on their work.
• 97% (n=31) strongly/agreed that they were open to working with colleagues in new
ways, and would continue to support this work.
11. www.bournemouth.ac.uk 11https://research.bournemouth.ac.uk/project/insccope-implementing-
nutrition-screening-in-community-care-for-older-people/
INSCCOPe – Implementing Nutrition
Screening in Community Care for
Older People. (Phase 1)
Baseline (T0) results:
• Staff already support nutrition screening and treatment activity, see its value and do
not view it as disruptive to other work (cont.).
• Three respondents to telephone interview also raised concerns with respect to the
time/resource implications of implementation and embedding.
[T]he thing that does concern me is the time to embed the new practice because there is so
much to take in, so much change, there’s so many boxes to tick sometimes; trying to embed
the practice is really challenging when it’s moving so fast and the work load is going
through the roof; I think taking the time with the patient to be able to completely embed it
is a challenge but I don’t think, I think as a team, I’ve only been here a short while, but as a
team they seem really keen to improve and implement anything that’s new and that’s
better. (P00905, PHN, band 7)
12. www.bournemouth.ac.uk 12https://research.bournemouth.ac.uk/project/insccope-implementing-
nutrition-screening-in-community-care-for-older-people/
INSCCOPe – Implementing Nutrition
Screening in Community Care for
Older People. (Phase 1)
Baseline (T0) results:
• Concerns exist as to wider organisational support for nutrition screening and treatment
by community teams, as well as access to dietetic support.
• 59% of respondents were ambivalent (44%) or strongly/disagreed (15%) with the
statement ‘[t]here are key people who drive screening and treatment for
malnutrition forward and get others involved’.
• Of the 16 interview participants asked to about their response, 13 of 16
interview participants asked about their response could not identify a key
person.
• Of these, six highlighted the lack of a ‘key’ or ‘link’ member of staff to provide
advice and support, and to cascade best practice updates (this was identified
as in place in other areas of practice, such as infection control).
13. www.bournemouth.ac.uk 13https://research.bournemouth.ac.uk/project/insccope-implementing-
nutrition-screening-in-community-care-for-older-people/
INSCCOPe – Implementing Nutrition
Screening in Community Care for
Older People. (Phase 1)
Baseline (T0) results:
• Concerns exist as to wider organisational support for nutrition screening and treatment
by community teams, as well as access to dietetic support (cont.).
I think within the team we haven’t got that key person for nutrition, I think we’ve got lots of
key people for things around nutrition so we’ve got key people for pressure ulcers and
wound care …but specifically driving the nutrition forward I don’t think we’ve got that now.
(P00905, PHN, band 7)
14. www.bournemouth.ac.uk 14https://research.bournemouth.ac.uk/project/insccope-implementing-
nutrition-screening-in-community-care-for-older-people/
INSCCOPe – Implementing Nutrition
Screening in Community Care for
Older People. (Phase 1)
Baseline (T0) results:
• Concerns exist as to wider organisational support for nutrition screening and treatment by
community teams, as well as access to dietetic support (cont.).
• 56% (n=18) were ambivalent or strongly/disagreed in relation to the statement ‘Work is
assigned to those with skills appropriate to screening and treatment for malnutrition’.
• 62% (n=12) strongly/disagreed with or were ambivalent in relation to the statement
‘Sufficient training is provided to enable staff to implement screening and treatment for
malnutrition’.
• 59% were ambivalent (40%) or strongly/disagreed (19%) that ‘Sufficient resources are
available to support screening and treatment for malnutrition’.
• 66% (n=21) were ambivalent or strongly/disagreed that ‘Management adequately
supports screening and treatment for malnutrition’.
15. www.bournemouth.ac.uk 15https://research.bournemouth.ac.uk/project/insccope-implementing-
nutrition-screening-in-community-care-for-older-people/
INSCCOPe – Implementing Nutrition
Screening in Community Care for
Older People. (Phase 1)
Training outcomes:
• Training appears effective in raising knowledge scores relating to screening and treatment
of malnutrition; just over half of staff completed the training.
• 126 staff members within the business unit completed the training, representing 56%
of full time staff at initiation of training (n=223)
• Of those who participated in the training, 23% were INSCCOPe participants.
• 40% of INSCCOPe participants completed the training; 60% did not.
16. www.bournemouth.ac.uk 16https://research.bournemouth.ac.uk/project/insccope-implementing-
nutrition-screening-in-community-care-for-older-people/
INSCCOPe – Implementing Nutrition
Screening in Community Care for
Older People. (Phase 1)
T1 results:
• Results indicate that in both sub-groups a large proportion for whom shared understanding
of the procedure remains vague.
• In the all participant group, 41% (n=13) disagreed or were ambivalent regarding the
statement : ‘Staff in this organisation have a shared understanding of the purpose of
new procedure for screening and treatment of malnutrition’.
• Responses of this type represented 38% (n=5) in the training participant group,
and 42% (n=9) of training non-participants.
17. www.bournemouth.ac.uk 17https://research.bournemouth.ac.uk/project/insccope-implementing-
nutrition-screening-in-community-care-for-older-people/
INSCCOPe – Implementing Nutrition
Screening in Community Care for
Older People. (Phase 1)
T1 results:
• Results indicate a difference in how well participants in respective sub-groups understood
the new procedure in terms of their own practice.
• 25% (n=8) of the all participant group disagreed or were ambivalent in relation to the
statement: ‘I understand how new procedure for screening and treatment of
malnutrition affects the nature of my own work’.
• Respondents providing such answers represented only one response (n=8%) in the
training participant subgroup, with the seven remaining respondents of this type
representing 37% of training non-participants.
• The difference between groups approached significance (p=0.06).
18. www.bournemouth.ac.uk 18https://research.bournemouth.ac.uk/project/insccope-implementing-
nutrition-screening-in-community-care-for-older-people/
INSCCOPe – Implementing Nutrition
Screening in Community Care for
Older People. (Phase 1)
T1 results:
• Responses to telephone interviews at T0 indicated that access to dietetic services was a
significant concern for many participants.
• Additional questions regarding availability and adequacy of dietetic services were
appended to the questionnaire at T1.
• 30-90% of all participants disagreed with, or were ambivalent in relation to, all aspects
of dietetic service explored by the question statements.
• Proportions of responses were similar for both training and non-training participants in
relation to most areas, and Wilcox rank-sum test results for differences between sub-
group response to each question showed no significant differences.
19. www.bournemouth.ac.uk 19https://research.bournemouth.ac.uk/project/insccope-implementing-
nutrition-screening-in-community-care-for-older-people/
INSCCOPe – Implementing Nutrition
Screening in Community Care for
Older People. (Phase 1)
A1 - I know where to get specialist support and advice on treatment for malnutrition if I need it
A2 - I have sufficient access to patient information resources relating to malnutrition
A3 - Patient information resources relating to malnutrition are useful and effective
A4 - My team has access to a dietician if a patient requires it
A5 - I know the procedure for referring a patient to a dietician if required
A6 - Availability of dieticians is sufficient to meet the needs of our patients
A7 - Current state of malnutrition screening is sufficient to meet the needs of our patients
A8 - Current arrangements for treatment of malnutrition are sufficient to meet the needs of our
patients
20. www.bournemouth.ac.uk 20https://research.bournemouth.ac.uk/project/insccope-implementing-
nutrition-screening-in-community-care-for-older-people/
INSCCOPe – Implementing Nutrition
Screening in Community Care for
Older People. (Phase 1)
Conclusion:
• Current design of the intervention does not incorporate mechanisms for integrating the
procedure into the monitoring and management structure of the service.
• Majorities of respondents (all respondents) expressed concerns about sufficiency of
training and resources, and adequacy of management support
• These persisted after introduction of the procedure through training, indicating
that further work is to be done in these areas.
22. www.bournemouth.ac.uk 22https://research.bournemouth.ac.uk/project/insccope-implementing-
nutrition-screening-in-community-care-for-older-people/
INSCCOPe – Implementing Nutrition
Screening in Community Care for
Older People. (Phase 1)
Conclusion:
• Results discussed here indicate several challenges to this model:
• firstly, 44% of total staff within the business unit (n=223) did not complete the training;
• secondly, movement of four team leads out of the business unit (in addition to at least
eight other staff who were INSCCOPe study participants) indicates significant turnover
and therefore risk of attrition of trained staff;
• thirdly, while outcomes data for the training in the form of immediate pre-post
knowledge checks were taken, no procedures for monitoring compliance with the new
procedure currently exist within the business unit;
• fourthly, many participants continue to express concerns regarding current access to
specialist nutritional and dietetic support in terms of knowledge, expertise, and
resources following implementation of the training.
24. Staff already see the value of addressing
nutrition
Support work on nutrition but fail to see
organisational support
Attrition of staff makes a one off training
approach weak
Monitoring and leadership
Learning from research
27. New Nutrition Project Lead appointed
(6mths)
Data monitoring
Link nurse role
Resources
Roll out and continue to imbed practice in
SHFT
Palliative care and End of life advice/resource
Next Steps