The document discusses various topics related to nursing, telehealth, telemedicine, decision making, critical thinking and stress management.
It begins by defining e-nursing, telemedicine, tele-nursing and discussing their goals, importance, types, benefits, challenges and scope of practice. It then discusses decision making processes, models and steps involved. Critical thinking is defined as actively conceptualizing and evaluating information to reach conclusions.
Various evidence-based stress management techniques are listed including relaxation strategies, mindfulness, cognitive behavioral therapy and biofeedback.
Isn't this about me? The role of patients and the public in implementing evid...NEQOS
Master Class, led by Professor Richard Thomson- focusing on the role of patients and public in implementing evidence-based healthcare- including shared decision making
Please join CPSI as we conclude our Human Factors webinar series with our final presentation Collaborative "Spaces" and Health Information Technology Design
Launching of cognitive training in ain shams universityHeba Tawfik
Cognitive training in Ain-Shams University has been developing since 2019, beginning with workshops and collaboration with other universities. The cognitive training lab was established to provide cognitive exercises for patients, supervised by Dr. Heba Tawfik. Studies show that cognitive training can improve functions like memory, attention, and processing speed for healthy older adults as well as those with mild cognitive impairment. Larger trials like ACTIVE found benefits that persisted for over 10 years with reasoning and processing speed training. Cognitive training is thought to promote neuroplasticity and compensatory brain changes.
1. The document discusses models of integrating health care and social services using a complex adaptive systems approach. It provides examples of integrated organizations in Sweden.
2. Key principles for innovative managers of integrated care systems include seeing the patient as an active partner, promoting continuous learning, building trust between organizations, and adapting to local needs rather than a top-down approach.
3. Examples of integrated organizations in Sweden show improvements like reduced wait times, improved quality of care, and lower costs when health and social services are integrated in both rural and urban settings.
The document describes the development of a situational judgment test (SJT) to assess teamwork skills in medical professionals. Key points:
- Existing teamwork assessments have limitations, so the study aimed to create a low-cost SJT. Researchers developed items based on teamwork examples from medical experts.
- The SJT measures five teamwork dimensions: communication, team structure, mutual support, leadership, and environmental awareness. Items were sorted into dimensions and revised for agreement.
- Data was collected from medical students and professionals to validate the SJT. Results showed the SJT differentiated students and professionals better than an existing teamwork measure.
- Further validation is needed, but the SJT shows potential
Interdisciplinary collaboration in the Veterans health care sector - FinalMichael Clarkson-Hendrix
This study examined the relationship between the percentage of time social workers spend working with OIF/OEF/OND veterans and their perceptions of interdisciplinary collaboration at a VA medical center. A mixed methods approach was used, collecting survey and interview data from social workers. The results showed a positive association between time spent with veterans and reflection on the interdisciplinary process. Qualitative interviews suggested that frequent high acuity cases push teams to streamline their collaboration to better manage overwhelmed veterans. The implications are that education should teach skills in giving feedback to other professions, assessing and treating complex behavioral health conditions, and managing overwhelmed clients.
The document discusses knowledge translation (KT), which involves closing the gaps between research knowledge and practice. KT includes disseminating research findings to relevant audiences and facilitating their implementation. Effective KT requires understanding user needs, tailoring knowledge tools and activities, addressing barriers, and evaluating impact on outcomes. Key aspects of KT include knowledge synthesis to integrate evidence, dissemination to communicate findings, and implementation efforts to promote adoption into practice or policy.
This proposal submission from clinicalMessage responds to the Matchmaking Innovation request to help connect patients and researchers differently. The clinicalMessage platform can engage providers, patients, and researchers to collaboratively develop research questions, share data according to consent, and disseminate results to improve population health outcomes. clinicalMessage currently provides capabilities for patient engagement, provider decision support, and outcomes registries. Partnering with Matchmaking could help clinicalMessage expand these capabilities to more populations and research areas. The proposal demonstrates how clinicalMessage meets the criteria of connecting diverse groups, developing usable models, and maximizing patient-centeredness while ensuring scientific rigor in potential collaborations.
Isn't this about me? The role of patients and the public in implementing evid...NEQOS
Master Class, led by Professor Richard Thomson- focusing on the role of patients and public in implementing evidence-based healthcare- including shared decision making
Please join CPSI as we conclude our Human Factors webinar series with our final presentation Collaborative "Spaces" and Health Information Technology Design
Launching of cognitive training in ain shams universityHeba Tawfik
Cognitive training in Ain-Shams University has been developing since 2019, beginning with workshops and collaboration with other universities. The cognitive training lab was established to provide cognitive exercises for patients, supervised by Dr. Heba Tawfik. Studies show that cognitive training can improve functions like memory, attention, and processing speed for healthy older adults as well as those with mild cognitive impairment. Larger trials like ACTIVE found benefits that persisted for over 10 years with reasoning and processing speed training. Cognitive training is thought to promote neuroplasticity and compensatory brain changes.
1. The document discusses models of integrating health care and social services using a complex adaptive systems approach. It provides examples of integrated organizations in Sweden.
2. Key principles for innovative managers of integrated care systems include seeing the patient as an active partner, promoting continuous learning, building trust between organizations, and adapting to local needs rather than a top-down approach.
3. Examples of integrated organizations in Sweden show improvements like reduced wait times, improved quality of care, and lower costs when health and social services are integrated in both rural and urban settings.
The document describes the development of a situational judgment test (SJT) to assess teamwork skills in medical professionals. Key points:
- Existing teamwork assessments have limitations, so the study aimed to create a low-cost SJT. Researchers developed items based on teamwork examples from medical experts.
- The SJT measures five teamwork dimensions: communication, team structure, mutual support, leadership, and environmental awareness. Items were sorted into dimensions and revised for agreement.
- Data was collected from medical students and professionals to validate the SJT. Results showed the SJT differentiated students and professionals better than an existing teamwork measure.
- Further validation is needed, but the SJT shows potential
Interdisciplinary collaboration in the Veterans health care sector - FinalMichael Clarkson-Hendrix
This study examined the relationship between the percentage of time social workers spend working with OIF/OEF/OND veterans and their perceptions of interdisciplinary collaboration at a VA medical center. A mixed methods approach was used, collecting survey and interview data from social workers. The results showed a positive association between time spent with veterans and reflection on the interdisciplinary process. Qualitative interviews suggested that frequent high acuity cases push teams to streamline their collaboration to better manage overwhelmed veterans. The implications are that education should teach skills in giving feedback to other professions, assessing and treating complex behavioral health conditions, and managing overwhelmed clients.
The document discusses knowledge translation (KT), which involves closing the gaps between research knowledge and practice. KT includes disseminating research findings to relevant audiences and facilitating their implementation. Effective KT requires understanding user needs, tailoring knowledge tools and activities, addressing barriers, and evaluating impact on outcomes. Key aspects of KT include knowledge synthesis to integrate evidence, dissemination to communicate findings, and implementation efforts to promote adoption into practice or policy.
This proposal submission from clinicalMessage responds to the Matchmaking Innovation request to help connect patients and researchers differently. The clinicalMessage platform can engage providers, patients, and researchers to collaboratively develop research questions, share data according to consent, and disseminate results to improve population health outcomes. clinicalMessage currently provides capabilities for patient engagement, provider decision support, and outcomes registries. Partnering with Matchmaking could help clinicalMessage expand these capabilities to more populations and research areas. The proposal demonstrates how clinicalMessage meets the criteria of connecting diverse groups, developing usable models, and maximizing patient-centeredness while ensuring scientific rigor in potential collaborations.
Multi criteria decision analysis for healthcareSunhong Kwon
Multi-criteria decision analysis (MCDA) is a process used to evaluate multiple criteria in healthcare decision making. Three key aspects of MCDA are summarized:
1. MCDA identifies criteria like clinical benefits, safety, costs, and other factors to evaluate healthcare interventions. Studies consider criteria like disease severity, population affected, clinical guidelines, and costs.
2. Interventions are measured and scored on each criterion using evidence and expert opinion. Scores are often on predefined scales.
3. Criteria weights reflecting importance are generated, commonly using analytic hierarchy process or defined scales. Weights involve multiple stakeholders.
Sensitivity analysis assesses uncertainty, though many studies do not report this. MCD
Working better together: community health and primary careNHS Confederation
This slide pack captures the main points from a workshop on integrated working between primary care and community health services. The workshop was organised by the NHS Confederation Community Health Services Forum in partnership with the National Association of Primary Care, in September 2014
Abstract:
It is difficult to find in Spanish a word that can translate the meaning of Counselling and encompassing all those elements and nuances that you are your own. The translations more frequently used are "assisted advice" and/or "aid relationship" and/or advice, it also includes all the skills that are necessary to establish that interpersonal relationship.
Although the communication skills, and in particular communication of bad news and the relationship with users are currently not part of the university education within the degree in Medicine, Nursing, Physiotherapy or Psychology if it has been of concern on the part of practitioners in these areas present sufficient levels of training in this core competency. In fact, we presented/displayed a communication where the little information received in the own hospital on the part of parents with children with Syndrome of Down is reflected in particular on this genetic alteration before making decisions referred to the birth from the boy. Thus, just as the curative art is learned can be learned the abilities of communication referred the unexpected news, which will help to diminish the psychological cost for the professional and the own patient.
'Demystifying Knowledge Transfer- an introduction to Implementation Science M...NEQOS
Powerpoint presentation from 'Demystifying Knowledge Transfer: an introduction to Implementation Science' - 28th May 2014.
Facilitated by Professor Jeremy Grimshaw and Dr Justin Presseau
An Introduction to Implementation Research_Emily Peca_4.22.13CORE Group
There are often challenges in ensuring all relevant stakeholders are meaningfully engaged throughout the implementation research process. Effective partnerships require ongoing communication and finding the right roles for all parties.
Using Implementation Science to transform patient care (Knowledge to Action C...NEQOS
Master Class presentation and workshop materials from the NENC AHSN Collaborating for Better Care Partnership's Master Class, led by Professor Jeremy Grimshaw' on 1st September 2014
Introduction Lecture for Implementation ScienceMartha Seife
This document provides an overview of a workshop on implementation science held in Hawassa University from August 21-25, 2017. The purpose of the workshop was to familiarize participants with implementation science concepts and methods and help them develop individual implementation science projects. Topics covered included an introduction to implementation science, the know-do gap between evidence and practice, definitions of implementation science, and examples of social and system interventions to reduce perinatal mortality. Implementation challenges and the role of evidence-based practices in implementation science were also discussed.
This presentation developed by Michelle Constable and Jim McManus, explores how health psychology can help the work of Environmental Health Officers and was part of an introductory workshop for the Environmental Health Profession organised by the Beds and Herts Branch of the Chartered Institute of Environmental Health
This document discusses implementation strategies for improving healthcare practices. It defines implementation strategies as methods used to promote the adoption of clinical programs. Effective strategies include assessing current performance, analyzing barriers and facilitators, developing an implementation plan, and continuous evaluation. Common strategies discussed include audit and feedback, educational outreach, reminders, and financial incentives. The document notes that no single strategy is clearly most effective and that tailoring strategies to the local context is important. It also introduces several tools for assessing the context, such as the COACH framework which examines multiple dimensions like work culture, leadership, and resources.
Supporting paper for NPT Master Class 'Getting ideas into Practice: normalising implementation of complex interventions across the healthcare system' - Collaborating for Better Care Partnership Master Class 23rd October 2014
The document discusses knowledge management and knowledge translation in emergency medicine. It defines knowledge management as connecting people to information and each other to create new knowledge. The document also explains that knowledge translation is the process of applying research findings to improve healthcare practices and close the gap between what is known and what is done in clinical practice. It provides examples of how knowledge management and translation strategies like multifaceted interventions, education, reminders, and audit and feedback can be applied to implement guidelines and improve processes in an emergency department.
This session reviews the latest organizational behavior concepts allowing the attendees to learn how to best manage change in complex environments. At the conclusion of the session, attendees possess practical approaches to facilitating and managing change in their organization.
Achieving behaviour change for patient safety, Judith Dyson, Lecturer, Mental Health - University of Hull
Presentation from the Patient Safety Collaborative launch event held in London on 14 October 2014
More information at http://www.nhsiq.nhs.uk/improvement-programmes/patient-safety/patient-safety-collaboratives.aspx
KT research involves studying how to effectively promote the uptake of knowledge into clinical practice. Passive educational activities like conferences are generally ineffective at changing physician behavior, while knowledge translation approaches in the clinical environment using tools like clinical pathways and decision support can impact outcomes. The examples described implemented guidelines for diagnosing pulmonary embolism and increased physician use of electronic resources through a mobile clinical decision support system.
NPT is a framework for thinking about implementing interventions by focusing on how interventions can become part of everyday practice through different groups working together. It involves using four sets of questions to identify potential barriers to successfully implementing an intervention and proposing solutions to improve the implementation process.
The document summarizes the key concepts from a lecture on fundamentals of economics and management. It discusses the management process, including the functions of planning, organizing, staffing, leading, and controlling. It also covers the evolution of management theory from early theorists like Taylor and Fayol to modern organizational theory. The document provides an overview of the core topics presented in the lecture.
Social values international programme: integrating research and policy to ens...HTAi Bilbao 2012
Social values international programme: integrating research and policy to ensure fair allocation of health care resources .
HTAi Conference 2012 Panel Session
Joint chairs
Professor Peter Littlejohns and Professor Albert Weale
Augmented CEA or MCDA? Which is better for health technology assessment decision making?
In 3 sentences:
Prof. Nancy Devlin presented the debate between augmented cost-effectiveness analysis (CEA) and multi-criteria decision analysis (MCDA) approaches for health technology assessment. While CEA focuses on health gains and costs, MCDA formally incorporates multiple dimensions of value, allowing decision-makers to specify the relative importance of factors. The presenters discussed the merits and challenges of each approach, with no clear consensus on which is generally preferable for decision making.
This document summarizes a presentation on cognitive remediation for schizophrenia. Cognitive remediation aims to improve cognitive processes like attention, memory, and executive function through behavioral training interventions. It relies on neuroplasticity to strengthen connections in the brain. Exercises target basic sensory skills, discrete cognitive abilities, and more complex skills. Studies find cognitive remediation improves cognition, functioning, and motivation, especially when treatment is more intensive, motivational factors are incorporated, and exercises are personalized. Typical programs involve cognitive assessment, goal setting, group sessions 2+ times per week for 3-4 months using drill and strategy practice, and bridging to real-world skills.
The document discusses research methods and processes. It defines research as a systematic process of investigating problems through applying scientific principles. The key objectives of research are to gain new knowledge and solve problems. Research involves carefully planning and designing studies, collecting and analyzing data, and drawing logical conclusions supported by evidence. The overall goal is to increase understanding of the topic being researched.
This document discusses non-technical skills that are important for surgeons. It introduces NOTSS (Non-Technical Skills for Surgeons), a framework for defining and assessing non-technical skills in four categories: situation awareness, decision making, communication and teamwork, and leadership. Specific observable behaviors are identified for each category. Surgeons are rated on a scale of 1 to 4 for their non-technical skills based on demonstrations of good and poor behavioral markers. Mastering non-technical skills is important for patient safety and optimal surgical outcomes.
Multi criteria decision analysis for healthcareSunhong Kwon
Multi-criteria decision analysis (MCDA) is a process used to evaluate multiple criteria in healthcare decision making. Three key aspects of MCDA are summarized:
1. MCDA identifies criteria like clinical benefits, safety, costs, and other factors to evaluate healthcare interventions. Studies consider criteria like disease severity, population affected, clinical guidelines, and costs.
2. Interventions are measured and scored on each criterion using evidence and expert opinion. Scores are often on predefined scales.
3. Criteria weights reflecting importance are generated, commonly using analytic hierarchy process or defined scales. Weights involve multiple stakeholders.
Sensitivity analysis assesses uncertainty, though many studies do not report this. MCD
Working better together: community health and primary careNHS Confederation
This slide pack captures the main points from a workshop on integrated working between primary care and community health services. The workshop was organised by the NHS Confederation Community Health Services Forum in partnership with the National Association of Primary Care, in September 2014
Abstract:
It is difficult to find in Spanish a word that can translate the meaning of Counselling and encompassing all those elements and nuances that you are your own. The translations more frequently used are "assisted advice" and/or "aid relationship" and/or advice, it also includes all the skills that are necessary to establish that interpersonal relationship.
Although the communication skills, and in particular communication of bad news and the relationship with users are currently not part of the university education within the degree in Medicine, Nursing, Physiotherapy or Psychology if it has been of concern on the part of practitioners in these areas present sufficient levels of training in this core competency. In fact, we presented/displayed a communication where the little information received in the own hospital on the part of parents with children with Syndrome of Down is reflected in particular on this genetic alteration before making decisions referred to the birth from the boy. Thus, just as the curative art is learned can be learned the abilities of communication referred the unexpected news, which will help to diminish the psychological cost for the professional and the own patient.
'Demystifying Knowledge Transfer- an introduction to Implementation Science M...NEQOS
Powerpoint presentation from 'Demystifying Knowledge Transfer: an introduction to Implementation Science' - 28th May 2014.
Facilitated by Professor Jeremy Grimshaw and Dr Justin Presseau
An Introduction to Implementation Research_Emily Peca_4.22.13CORE Group
There are often challenges in ensuring all relevant stakeholders are meaningfully engaged throughout the implementation research process. Effective partnerships require ongoing communication and finding the right roles for all parties.
Using Implementation Science to transform patient care (Knowledge to Action C...NEQOS
Master Class presentation and workshop materials from the NENC AHSN Collaborating for Better Care Partnership's Master Class, led by Professor Jeremy Grimshaw' on 1st September 2014
Introduction Lecture for Implementation ScienceMartha Seife
This document provides an overview of a workshop on implementation science held in Hawassa University from August 21-25, 2017. The purpose of the workshop was to familiarize participants with implementation science concepts and methods and help them develop individual implementation science projects. Topics covered included an introduction to implementation science, the know-do gap between evidence and practice, definitions of implementation science, and examples of social and system interventions to reduce perinatal mortality. Implementation challenges and the role of evidence-based practices in implementation science were also discussed.
This presentation developed by Michelle Constable and Jim McManus, explores how health psychology can help the work of Environmental Health Officers and was part of an introductory workshop for the Environmental Health Profession organised by the Beds and Herts Branch of the Chartered Institute of Environmental Health
This document discusses implementation strategies for improving healthcare practices. It defines implementation strategies as methods used to promote the adoption of clinical programs. Effective strategies include assessing current performance, analyzing barriers and facilitators, developing an implementation plan, and continuous evaluation. Common strategies discussed include audit and feedback, educational outreach, reminders, and financial incentives. The document notes that no single strategy is clearly most effective and that tailoring strategies to the local context is important. It also introduces several tools for assessing the context, such as the COACH framework which examines multiple dimensions like work culture, leadership, and resources.
Supporting paper for NPT Master Class 'Getting ideas into Practice: normalising implementation of complex interventions across the healthcare system' - Collaborating for Better Care Partnership Master Class 23rd October 2014
The document discusses knowledge management and knowledge translation in emergency medicine. It defines knowledge management as connecting people to information and each other to create new knowledge. The document also explains that knowledge translation is the process of applying research findings to improve healthcare practices and close the gap between what is known and what is done in clinical practice. It provides examples of how knowledge management and translation strategies like multifaceted interventions, education, reminders, and audit and feedback can be applied to implement guidelines and improve processes in an emergency department.
This session reviews the latest organizational behavior concepts allowing the attendees to learn how to best manage change in complex environments. At the conclusion of the session, attendees possess practical approaches to facilitating and managing change in their organization.
Achieving behaviour change for patient safety, Judith Dyson, Lecturer, Mental Health - University of Hull
Presentation from the Patient Safety Collaborative launch event held in London on 14 October 2014
More information at http://www.nhsiq.nhs.uk/improvement-programmes/patient-safety/patient-safety-collaboratives.aspx
KT research involves studying how to effectively promote the uptake of knowledge into clinical practice. Passive educational activities like conferences are generally ineffective at changing physician behavior, while knowledge translation approaches in the clinical environment using tools like clinical pathways and decision support can impact outcomes. The examples described implemented guidelines for diagnosing pulmonary embolism and increased physician use of electronic resources through a mobile clinical decision support system.
NPT is a framework for thinking about implementing interventions by focusing on how interventions can become part of everyday practice through different groups working together. It involves using four sets of questions to identify potential barriers to successfully implementing an intervention and proposing solutions to improve the implementation process.
The document summarizes the key concepts from a lecture on fundamentals of economics and management. It discusses the management process, including the functions of planning, organizing, staffing, leading, and controlling. It also covers the evolution of management theory from early theorists like Taylor and Fayol to modern organizational theory. The document provides an overview of the core topics presented in the lecture.
Social values international programme: integrating research and policy to ens...HTAi Bilbao 2012
Social values international programme: integrating research and policy to ensure fair allocation of health care resources .
HTAi Conference 2012 Panel Session
Joint chairs
Professor Peter Littlejohns and Professor Albert Weale
Augmented CEA or MCDA? Which is better for health technology assessment decision making?
In 3 sentences:
Prof. Nancy Devlin presented the debate between augmented cost-effectiveness analysis (CEA) and multi-criteria decision analysis (MCDA) approaches for health technology assessment. While CEA focuses on health gains and costs, MCDA formally incorporates multiple dimensions of value, allowing decision-makers to specify the relative importance of factors. The presenters discussed the merits and challenges of each approach, with no clear consensus on which is generally preferable for decision making.
This document summarizes a presentation on cognitive remediation for schizophrenia. Cognitive remediation aims to improve cognitive processes like attention, memory, and executive function through behavioral training interventions. It relies on neuroplasticity to strengthen connections in the brain. Exercises target basic sensory skills, discrete cognitive abilities, and more complex skills. Studies find cognitive remediation improves cognition, functioning, and motivation, especially when treatment is more intensive, motivational factors are incorporated, and exercises are personalized. Typical programs involve cognitive assessment, goal setting, group sessions 2+ times per week for 3-4 months using drill and strategy practice, and bridging to real-world skills.
The document discusses research methods and processes. It defines research as a systematic process of investigating problems through applying scientific principles. The key objectives of research are to gain new knowledge and solve problems. Research involves carefully planning and designing studies, collecting and analyzing data, and drawing logical conclusions supported by evidence. The overall goal is to increase understanding of the topic being researched.
This document discusses non-technical skills that are important for surgeons. It introduces NOTSS (Non-Technical Skills for Surgeons), a framework for defining and assessing non-technical skills in four categories: situation awareness, decision making, communication and teamwork, and leadership. Specific observable behaviors are identified for each category. Surgeons are rated on a scale of 1 to 4 for their non-technical skills based on demonstrations of good and poor behavioral markers. Mastering non-technical skills is important for patient safety and optimal surgical outcomes.
This document discusses factors to consider when developing and implementing clinical protocols for older adult patients. It outlines a 4-step process: 1) recognizing areas for improvement, 2) selecting evidence-based protocols, 3) implementing protocols through strategies like education and hardwiring into documentation, and 4) measuring performance through reliable tools. Interprofessional collaboration and support from administrators are also emphasized as key to successful protocol adoption.
This document discusses factors to consider when developing and implementing clinical protocols for older adult patients. It outlines a 4-step process: 1) recognizing areas for improvement, 2) selecting evidence-based protocols, 3) implementing protocols through strategies like education and hardwiring into documentation, and 4) measuring performance through reliable tools. Interprofessional collaboration and support from administrators are also emphasized as key to successful protocol adoption.
The document discusses various topics related to decision making including:
1) The rational decision making model involves 8 steps from identifying a problem to evaluating a solution. It also discusses certainty, uncertainty, and risk.
2) Creative potential involves expertise, creative thinking skills, and intrinsic motivation to work on interesting challenges.
3) Rational decisions are value maximizing within constraints while bounded rationality uses simplified models. People may satisfice by choosing good enough solutions.
4) Common errors include heuristics like availability bias and groupthink when escalating commitment.
The document discusses designing and implementing effective services. It begins by outlining the key topics - designing effective services, implementing effective services, what is evidence, and how the Centre for Effective Services (CES) supports putting evidence into practice. It then discusses defining and sourcing evidence, developing logic models and outcomes to design effective services. For implementing services, it covers the "implementation gap" and key drivers like staff capacity, organizational support, and leadership. The document emphasizes that both effective interventions and effective implementation are needed to achieve positive outcomes for children.
The document discusses the challenges healthcare companies face in balancing access to patient data with security risks due to rapid technological changes and limited resources, and proposes a SaaS-based managed security and privacy audit solution that provides guided risk assessments, gap analyses, and policy templates to simplify compliance efforts through an intuitive, prioritized process. The solution aims to help organizations of all sizes achieve sustainable risk management by acting as a virtual security officer.
The document discusses decision making, particularly in crisis situations. It covers various models and processes of decision making, including rational models, Simon's normative model, and group decision making techniques. It notes that decision making in crises can be challenging due to dilemmas, decision delays, avoidance, and other problems. Effective crisis decision making involves implementing policies and plans to support crisis management capabilities, gaining experience in crisis decision making, and training in techniques to help reduce uncertainty.
The document discusses innovation in nursing. It defines innovation as the generation of new ideas or application of existing ideas to a new situation resulting in improvement. The need for innovation in nursing includes continuous improvement, fulfilling health demands, and replacing traditional methods. Characteristics of effective innovations include being relatively superior, compatible, observable/measurable, and trialable. The process of innovation involves assessment, defining objectives, planning, implementation, and evaluation. Examples of innovations in nursing education include simulation and online/distance learning, while innovations in clinical practice include electronic health records, mobile technologies, and evidence-based practice.
Process to help an organization identify, select, organize, disseminate, transfer information .Multi- disciplined approach to achieve organizational objectives by making the best use of knowledge.
Focuses on processes such as acquiring, creating, and sharing knowledge and the cultural and technical foundations that support them. Provides the right information to the right people at the right time to enable informed decision-making. Enables service providers to be more efficient and improve the quality of service delivered.
This document discusses evidence-based nursing (EBN) and provides background information, examples of successful and unsuccessful EBN implementations, challenges to EBN, and conclusions. It describes EBN as integrating scientific research and clinical experience to provide high-quality patient care. Barriers include lack of time, knowledge and buy-in from colleagues. Successful examples include improved safety briefings and checklists that reduced errors. Ongoing efforts are needed to close gaps between research and practice through education, guidelines, documentation and leadership.
Clinical decision making is a core nursing responsibility that requires integrating various sources of knowledge. Nurses must consider evidence-based practices, patient values and preferences, clinical expertise, and other factors. There are several models that provide frameworks to structure clinical decision making processes. One influential model is Gillespie and Paterson's situated clinical decision making model, which identifies five categories of foundational knowledge nurses draw on: knowing the profession, self, case, client, and person. This model emphasizes the importance of considering both clinical factors and the unique attributes of individual patients when making decisions.
This final webinar will emphasise the importance of understanding the problem before brainstorming solutions to better ensure a match between barriers and the solutions.
MORE INFO: http://bit.ly/2KctiLH
METHODS OF ACQUIRING KNOWLEDGE IN NURSING.pptx by navdeep kaurNavdeep Kaur
A well-developed and reliable body of knowledge is a foundation for any profession. The most sought-after knowledge can be acquired from highly structured as well as loosely arranged processes or methods. Traditionally, loosely arranged methods are used to develop knowledge, such as inherited traditions, authority, experience, intuition and trial and error method. However, with increased complexity in development, researchers discovered more structured methods for generation of new knowledge such as logical reasoning, problem solving, and scientific methods.
This document discusses process evaluation for implementation science projects. It defines process evaluation as understanding how and why interventions work by examining implementation and change processes. Key aspects of process evaluation include assessing fidelity, dose, reach, adaptations and context. Process evaluation helps explain success or failure of interventions and understand outcome heterogeneity. The document reviews guidelines for process evaluation from the UK Medical Research Council, including clarifying theories of change. It then discusses the PeriKIP project, which aims to improve perinatal health in Vietnam using participatory stakeholder groups, and outlines plans for its process evaluation.
The document summarizes a team presentation on decision making. It discusses the decision making process, approaches to decision making like rational, bounded rationality and intuition-based decision making. It also covers types of decisions, decision making conditions, and decision making approaches like quantitative, systems and environmental approaches. Evidence-based management and its role in decision making is explained. The key aspects of decision making covered are identification of problems, alternatives, analysis, evaluation and implementation.
This webinar provides an overview of key frameworks for identifying barriers and enablers to implementation, with a focus on the Theoretical Domains Framework (TDF). The TDF synthesizes 128 constructs from 33 theories of behavior change into 12 domains to understand factors influencing healthcare professionals' behaviors. The webinar uses a case study of improving physician hand hygiene to demonstrate how the TDF can be applied to identify potential barriers within domains like Knowledge, Skills, Social Influences, and Environmental Context & Resources.
Decision making is an important management process involving choosing between alternatives to achieve organizational goals. It is a continuous and analytical process that requires defining problems, identifying alternatives, analyzing options, and selecting the best alternative given available resources and objectives. Decision trees can help graphically represent complex decisions by outlining possible actions, events, and probabilities to determine the optimal path forward. Companies use make-or-buy decisions to strategically determine whether to produce goods internally or purchase externally based on a cost-benefit analysis of factors like core competencies, production costs, quality, capacity, and business strategy.
Thinking of getting a dog? Be aware that breeds like Pit Bulls, Rottweilers, and German Shepherds can be loyal and dangerous. Proper training and socialization are crucial to preventing aggressive behaviors. Ensure safety by understanding their needs and always supervising interactions. Stay safe, and enjoy your furry friends!
ISO/IEC 27001, ISO/IEC 42001, and GDPR: Best Practices for Implementation and...PECB
Denis is a dynamic and results-driven Chief Information Officer (CIO) with a distinguished career spanning information systems analysis and technical project management. With a proven track record of spearheading the design and delivery of cutting-edge Information Management solutions, he has consistently elevated business operations, streamlined reporting functions, and maximized process efficiency.
Certified as an ISO/IEC 27001: Information Security Management Systems (ISMS) Lead Implementer, Data Protection Officer, and Cyber Risks Analyst, Denis brings a heightened focus on data security, privacy, and cyber resilience to every endeavor.
His expertise extends across a diverse spectrum of reporting, database, and web development applications, underpinned by an exceptional grasp of data storage and virtualization technologies. His proficiency in application testing, database administration, and data cleansing ensures seamless execution of complex projects.
What sets Denis apart is his comprehensive understanding of Business and Systems Analysis technologies, honed through involvement in all phases of the Software Development Lifecycle (SDLC). From meticulous requirements gathering to precise analysis, innovative design, rigorous development, thorough testing, and successful implementation, he has consistently delivered exceptional results.
Throughout his career, he has taken on multifaceted roles, from leading technical project management teams to owning solutions that drive operational excellence. His conscientious and proactive approach is unwavering, whether he is working independently or collaboratively within a team. His ability to connect with colleagues on a personal level underscores his commitment to fostering a harmonious and productive workplace environment.
Date: May 29, 2024
Tags: Information Security, ISO/IEC 27001, ISO/IEC 42001, Artificial Intelligence, GDPR
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This presentation was provided by Steph Pollock of The American Psychological Association’s Journals Program, and Damita Snow, of The American Society of Civil Engineers (ASCE), for the initial session of NISO's 2024 Training Series "DEIA in the Scholarly Landscape." Session One: 'Setting Expectations: a DEIA Primer,' was held June 6, 2024.
Strategies for Effective Upskilling is a presentation by Chinwendu Peace in a Your Skill Boost Masterclass organisation by the Excellence Foundation for South Sudan on 08th and 09th June 2024 from 1 PM to 3 PM on each day.
Main Java[All of the Base Concepts}.docxadhitya5119
This is part 1 of my Java Learning Journey. This Contains Custom methods, classes, constructors, packages, multithreading , try- catch block, finally block and more.
Macroeconomics- Movie Location
This will be used as part of your Personal Professional Portfolio once graded.
Objective:
Prepare a presentation or a paper using research, basic comparative analysis, data organization and application of economic information. You will make an informed assessment of an economic climate outside of the United States to accomplish an entertainment industry objective.
Assessment and Planning in Educational technology.pptxKavitha Krishnan
In an education system, it is understood that assessment is only for the students, but on the other hand, the Assessment of teachers is also an important aspect of the education system that ensures teachers are providing high-quality instruction to students. The assessment process can be used to provide feedback and support for professional development, to inform decisions about teacher retention or promotion, or to evaluate teacher effectiveness for accountability purposes.
This slide is special for master students (MIBS & MIFB) in UUM. Also useful for readers who are interested in the topic of contemporary Islamic banking.
it describes the bony anatomy including the femoral head , acetabulum, labrum . also discusses the capsule , ligaments . muscle that act on the hip joint and the range of motion are outlined. factors affecting hip joint stability and weight transmission through the joint are summarized.
A workshop hosted by the South African Journal of Science aimed at postgraduate students and early career researchers with little or no experience in writing and publishing journal articles.
1. E NURSING,TELE NURSING,TELE MEDICINE,DECISION
MAKING , CRITICAL THINKING AND STRESS
MANAGEMENT
PRESENTED BY,
Ms.MEGHNA V.D
IInd YEAR M.SC NURSING
2.
3. E NURSING
DEFINITION
E nursing involves the use of computers or electronic
devices in some way to provide training education and learning
material - Derk Stockley
E Nursing has been defined as the learning facilitated online
through network technology.
4. GOALS OF E-NURSING
Enhances overall
development
Self paced learning
online and offline
Group based e-
learning
synchrousouly
Group based e-
learning
asynchrousouly
GOALS
5. LEARNING STYLES IN E-NURSING
Offline and online activities
Synchronous and asynchronous activities
Different multimedia assets
Different didactical interaction
Different ways of delivering content
Self study and collaborative learning
11. DEFINITION
Telemedicine is the delivery of health care services where distance is a
critical factor by the health care professional using information and
communication technologies for the exchange of valid information for
diagnosis , treatment and prevention of diseases and injuries and for
continuing education of healthcare providers as well as researchers and
evaluations on all in the interest of advancing the health of individual and
technology - WHO
12. LANDMARKS OF TELE MEDICINE
1844- Public telegraph
1876-invention of telephone
1877-telephonic conversation in field of medicine
1906-ECG transmission through phone
1923-sahlgrens university hospital offered medical advice to trade ship
using morse code
1927-Experimental television transmission transmission was
undertaken
13. 1929-Jean Talon hospital used television to perform X-ray data transmission
1957-First interactive video link take place
1961-First radio telemetry
1967-Service at airport through an electronic link
1972 India tele service was launched
20. CHALLENGES OF TELEMEDICINE
Infrastructure
Tele communication
Medical technology
Quality
Hardware and software compatibility
Cost
Dispersion of liability
Privacy and confidentiality
Acceptance
Reimbursement
23. DEFINITION OF TELE NURSING
Tele nursing refers to the use of information technology in the provision
of nursing services whenever physical distance exists between patient and
nurse, or between any number of nurses. As a field, it is part of telemedicine
and has many points of contacts with other medical and non-medical
applications, such as telediagnosis , tele consultation, and tele monitoring
24. BENEFITS OF TELE NURSING
REMOTE
SERVICE
DELIVERY
PATIENT
COMFORT
IMPROVED BED
ALLOCATION
FINICAL SAVINGS
EMPLOYMENT
ACCESSIBILITY
25. oTele ICU
oTele triage
oTele trauma
oTele stroke
oTele pediatrics
oTele mental health
oTele cardiology
oTele home care
oTele rehabilitation
oForensic tele nursing
SCOPE OF PRACTICE
26. TYPES OF TELE NURSING
REMOTE
MONITORING
STORE AND
FORWARD
TELENURSING
SPECIALIST
INTERACTIVE
TELENURSING
27. ADVANTAGES OF TELE NURSING
Minimize the risk
Minimize the discomfort
Help to keep patient out of the hospital
Job satisfaction
Problem solving
Cost efficient
Time saving
Reduces length of stay
Reduces distance
28. DISADVANTAGES OF TELE NURSING
Fear
Valuable time cannot be replaced
Legal implication
Pay of services
Technical issues
Standardization
False diagnosis
Security and identification
False diagnosis
Skill cannot be assessed
29. The process of actively and skillfully ,conceptualizing applying
analyzing synthesizing and evaluating information to reach an answer
to conclusion .Disciplined thinking that is clear rational and open
minded an evidence based.
30.
31. A decision is a choice made between two or more available alternatives.
Decision making is the process of choosing the best alternative for
reaching objectives. (Samuel C. Certo, 2003)
Decision making can be defined as a process of choosing between
alternatives to achieve a goal. It is the process by which an individual
chooses one alternative from several to achieve a desired objective.
(Manmohan Prasad, 2003)
32. TYPES OF DECISION
Basic Decision or Strategic Decisions
All basic decision is strategic decisions involving large
range commitments and large investments.
33. ADMINISTRATIVE DECISIONS
Programmed decision: It involves organizations which an develop specific
process for handling these decision. • E.g. standing operating procedures and
policies.
Non – Programmed Decisions: They relate to general problem solving
process. They involve judgment, intuition and creativity.
Organisational or Personal Decisions
Organizational decisions reflect company policy. They can be delegated of
transferred to others.
34. Policy of Decisions
Policy decisions are taken by the top, management.
Individual & Group Decisions
The decisions taken by the an individual in the organization is known as
individual decisions
Routine Decisions
The type of decisions made when problems are relatively well defined and
common & when established rules, policies and procedures can be used to
solve them
35. Adaptive Decisions
The type of decisions made when problems and alternative solutions are
somewhat unusual and only partially understood.
37. CHARACTERSTIC OF DECISION MAKING PROCESS
From various courses of action, it is a process of choosing a particular course of
action.
It is a human process which involves the application intellectual abilities.
It is a rational process which is proceeded by deliberation and reasoning. It may also
be called as end process.
It is always related to situation in which a manager may take one decision in a
particular set of circumstances and another in a different set of circumstances.
This involves certain specific purpose in which these may just be decisions not to
decide.
40. STEPS IN DECISION MAKING
Making the diagnosis
Analyzing the problem
Searching alternatives
Selecting best possible solution
Putting the decision in to effort
Follow up the decision
41. MODELS OF DECISION MAKING
Normative Model
Seven steps are identified in the analytical precise model.
1. Define and analyze the problem
2. Identify alternative alternatives
3. Evaluate pros and cons
4. Rank alternative
5. Select alternative
6. Implement
7. Follow up
42. Decision tree model
Every path through the tree corresponds to a possible sequence of actions and
events, each with its own distinct consequences. Probabilities of both positive
and negative consequences of each action and event are estimated and
recorded on the appropriate branch
43. Possible events
Increased demand
for procedures
Decreased demand
for procedures
Increased demand
staff
Decreased demand
for staff
Alternative events
Hire regular staff
Pay over time and
on call wages
Decision
point
44. THE DESCRIPTIVE MODEL
The decision model is based on the assumption that the decision makes is a
rational person looking for acceptable solution based on known
information.
Establish acceptable goals
Define subjective perception
Select alternative
Implement decision
Follow up
59. Stress management techniques: evidence-based procedures that reduce stress and promote
health
Liza Varvogli* and Christina Darviri
According to the World Health Organization, stress is a significant problem of our times and affects both
physical as well as the mental health of people. Stress is defined as a situation where the organism‘s
homeostasis is threatened or the organism perceives a situation as threatening. Stress coping methods
are the cognitive, behavioral and psychological efforts to deal with stress. Method: After a thorough
literature review in major databases (MEDLINE, Scopus, Science Direct) the following techniques
were identified and are presented and briefly discussed here: progressive muscle relaxation, autogenic
training, relaxation response, biofeedback, emotional freedom technique, guided imagery,
diaphragmatic breathing, transcendental meditation, cognitive behavioral therapy, mindfulness-based
stress reduction and emotional freedom technique. These are all evidence-based techniques, easy to
learn and practice, with good results in individuals with good health or with a disease.
60. Effects and Effectiveness of Telemedicine
The use of telemedicine has recently undergone rapid growth and proliferation. Although
the feasibility of many applications has been tested for nearly 30 years, data concerning
the costs, effects, and effectiveness of telemedicine are limited. Consequently, the
development of a strategy for coverage, payment, and utilization policy has been
hindered. Telemedicine continues to expand, and pressure for policy development
increases in the context of Federal budget cuts and major changes in health service
financing. This article reviews the literature on the effects and medical effectiveness of
telemedicine. It concludes with several recommendations for research, followed by a
discussion of several specific questions, the answers to which might have a bearing on
policy development.
61. Perspectives of Nurses Toward Tele health Efficacy and Quality of Health
Care: Pilot Study
The primary objective of this pilot study was to examine whether tele health
technology impacts the perceived level of internal service quality delivered
by nurses within a tele health organization. To address this research goal, the
notion of tele health nursing service quality (TNSQ) is empirically tested and
validated with a survey instrument. The findings of this survey research were
positive, based on mean differences between expectations and perceptions of
TNSQ. This indicates satisfaction with TNSQ and shows that the quality of
the service is higher than what the respondents expect.