The webinar describes a standardized, evidence-based approach called the "spread and adoption model" developed by Wessex to support the adoption of innovations in the region. The model has six interconnected components and uses a "spread and adoption plan" template to map adopters, understand innovations, and develop targeted spread plans through social networks. The template is intended to be a dynamic process where all 15 AHSNs provide input to refine adoption support for innovations nationally.
Business Librarians and Entrepreneurship: Innovative Trends and Characteristics
Elisabeth Leonard, Associate Dean of Library Services, Hunter Library, Western Carolina University; Betsy Clementson, Research and Instruction Librarian/Liaison to the College of Business, Hunter Library, Western Carolina University
Innovation and entrepreneurship are seen as foundations for a healthy and vibrant national economy (and helpful to a university budget), yet we know little about how innovation occurs within academic libraries. We examined the innovative characteristics of the business librarians associated with the ten schools listed in America’s Best Graduate Schools as having the top entrepreneurship programs. We reported on the characteristics of innovation and organizational culture uncovered in the study, discussed these characteristics as they might relate to all types of libraries and librarians, and how administrators can develop best practices for innovation friendly cultures.
http://cloud.lib.wfu.edu/blog/entrelib/
Conference for Entrepreneurial Librarians March 10 Wake Forest University
Innovation and innovativeness of librarians, especially business librarians, including examination of organizational culture and document analysis of mission statements and vision statements
Business Librarians and Entrepreneurship: Innovative Trends and Characteristics
Elisabeth Leonard, Associate Dean of Library Services, Hunter Library, Western Carolina University; Betsy Clementson, Research and Instruction Librarian/Liaison to the College of Business, Hunter Library, Western Carolina University
Innovation and entrepreneurship are seen as foundations for a healthy and vibrant national economy (and helpful to a university budget), yet we know little about how innovation occurs within academic libraries. We examined the innovative characteristics of the business librarians associated with the ten schools listed in America’s Best Graduate Schools as having the top entrepreneurship programs. We reported on the characteristics of innovation and organizational culture uncovered in the study, discussed these characteristics as they might relate to all types of libraries and librarians, and how administrators can develop best practices for innovation friendly cultures.
http://cloud.lib.wfu.edu/blog/entrelib/
Conference for Entrepreneurial Librarians March 10 Wake Forest University
Innovation and innovativeness of librarians, especially business librarians, including examination of organizational culture and document analysis of mission statements and vision statements
IDS 401 Milestone Four Guidelines and Rubric
Analyzing an Issue or Event in Globalization through the Lenses
of the Natural and Applied Sciences and the Social Sciences
Overview
For the first part of your final project, the critical analysis portfolio, you will select a specific issue or event in globalization and critically analyze it through the
four general education lenses: history, humanities, social sciences, and natural and applied sciences. By viewing the issue or event through these lenses, you will
gain insight into how the interconnected nature of globalization affects society as well as both your own individual framework of perception and the choices,
attitudes, and behaviors of others in the world around you.
For this fourth milestone, due in Module Six, you will analyze your issue or event in globalization through the lenses of the natural and applied sciences and the
social sciences. Like Milestone Two, this task provides you with an opportunity to dive deeper into your analysis of the issuer or event through these two lenses.
Prompt
First, review your work in Modules Five and Six as well as the Four Lenses document from Module One.
Next, analyze your popular-culture artifact through the natural and applied sciences by exploring the following questions:
How does this issue or event provide a social commentary through the natural and applied sciences?
In what ways can science help resolve or enhance your issue or event?
Next, analyze your popular-culture artifact through the lens of the social sciences, and address the following:
How does this issue or event interact with the social sciences lens and impact social issues?
In what ways does the Social Science lens help articulate a deeper understanding of the social issue(s) that inform your issue or event?
This milestone provides you with a chance to practice analyzing your issue or event through these lenses and receive feedback on this practice attempt.
Note: You are completing two separate analyses: one from the natural and applied sciences and one from the social sciences. You must submit two papers in a
single Word document.
1
Be sure to use evidence from research to support your analysis. Refer to course resources, the LibGuide for this course, as well as any other pertinent resources
to support your responses. Relevant current news sources may be used with instructor approval. Incorporate instructor feedback into your final project.
The following critical elements must be addressed:
I. Lens Analysis: In this section of your assignment, you will analyze your issue or event through two of the four general education lenses.
A. Analyze your issue or event through the lens of the natural and applied sciences for determining its impact on various institutions. Utilize
evidence from research to support your analysis.
B. Analyze your issue or event through the ...
A presentation outlining Wessex AHSN's proposed approach to spreading and adopting best practice and innovation in health and care across the Wessex region. This presentation was delivered on 19 November at the AHSN's Innovation Forum, held in Chilworth.
Diffusion of Innovations - A Summary 2009 - Les RobinsonBTO Educational
A summary of Diffusion of Innovations
Les Robinson
Fully revised and rewritten Jan 2009
Diffusion of Innovations seeks to explain how innovations are taken up in a population.
An innovation is an idea, behaviour, or object
that is perceived as new by its audience.
Diffusion of Innovations offers three valuable insights into the process of social change:
- What qualities make an innovation spread successfully.
- The importance of peer-peer conversations and peer networks.
- Understanding the needs of different user segments.
These insights have been tested in more than 6000 research studies and field tests, so they are amongst the most reliable in the social
sciences.
In this workshop we will explore the meaning of “Professional Learning Communities”, analyse a number of models and consider the value of planning and launching a PLC in the context of the ICPNA school environment. We will define PLCs and why they are considered to be important, basing some of these concepts on recent theories of connectivism and trust. Leadership will be seen as a shared experience in a change-ready school. The skills for motivating and inspiring a whole school culture through reference to Maslow and McGregor will be examined while the concept of both Heads and Teachers as learners in their own right will be stressed. Finally, strategies for launching a PLC in school will be discussed.
Samra Article Cm Principles For Consideration During Research ProjectsEriaanOelofse
When does it make sense for researchers to not only sensitise clients to the impact of unmanaged change, but to also consider and propose the implementation of change management activities that will allow more stakeholders to be involved during roll-out of research results and the consequent planning process to implement actions to address the results when writing research reports...
The Duty of Loyalty and Whistleblowing Please respond to the fol.docxcherry686017
"The Duty of Loyalty and Whistleblowing" Please respond to the following:
· Analyze the duty of loyalty in whistleblower cases to determine to whom loyalty is owed and who shows the greater duty of loyalty. Support your analysis with specific examples. Then, suggest at least one (1) change to an existing law.
· Reexamine the Citizens United decision in Chapter 1, and determine which of the following groups has the greatest free speech rights: corporations, public employees, or private employees. Provide a rationale for your determination.
11 Combining Research Methods: Case Studies and Action Research
Rebecca Jester
Introduction
In Chapters 7 and 8, we focused on the unique features of quantitative and qualitative research. In this chapter, we aim to demonstrate how research methods can be integrated and combined to address specific research questions. The chapter will provide an overview of two specific research designs: action research and case studies, together with examples from research projects conducted by the author. This chapter does not aim to provide an in-depth philosophical debate related to case study and action research approaches, but rather a practical discussion of the merits, limitations and application of these two approaches. We begin by discussing the concepts of ‘mixed methods’ and ‘triangulation', first introduced in Chapter 2.
Mixed methods approaches
Traditionally, within health and social research, individuals have aligned themselves with either the quantitative or qualitative paradigm. However, in reality, many real world research projects benefit from mixing or combining methods. Mixed methods research can be accomplished either by using specific approaches to research, such as action research or case study, as discussed within this chapter, or by adopting a phased approach within a study. This might involve the first stage being exploratory within the qualitative paradigm, and the results from this being used to form specific hypotheses for testing within an experimental design, such as a randomized controlled trial. Equally, a quantitative approach (say, a questionnaire) might be used to gather data from a wide range of people, with the results being used to develop a qualitative interview schedule for use with a small sample of respondents.
Triangulation
Very often a research study is undertaken with multiple datasets, mixed methodology or with different researchers, such as at different sites. Triangulation is a very useful technique that enables you to enhance and verify concepts. As Ramprogus (2005, p. 4) suggests, ‘triangulation … tries to reconcile the differences of two or more data sources, methodological approaches, designs, theoretical perspectives, investigators and data analysis to compensate for the weaknesses of any single strategy towards achieving completeness or confirmation of findings’. However, triangulation must be exercised with caution; it is no substitute for robust and well-established ...
Assignment WK 8 Advocating for the Nursing Role in Program Design .docxjesuslightbody
Assignment WK 8 Advocating for the Nursing Role in Program Design and Implementation
As their names imply, the honeyguide bird and the honey badger both share an affinity for honey. Honeyguide birds specialize in finding beehives but struggle to access the honey within. Honey badgers are well-equipped to raid beehives but cannot always find them. However, these two honey-loving species have learned to collaborate on an effective means to meet their objectives. The honeyguide bird guides honey badgers to newly discovered hives. Once the honey badger has ransacked the hive, the honey guide bird safely enters to enjoy the leftover honey.
Much like honeyguide birds and honey badgers, nurses and health professionals from other specialty areas can—and should—collaborate to design effective programs. Nurses bring specialties to the table that make them natural partners to professionals with different specialties. When nurses take the requisite leadership in becoming involved throughout the healthcare system, these partnerships can better design and deliver highly effective programs that meet objectives.
In this Assignment, you will practice this type of leadership by advocating for a healthcare program. Equally as important, you will advocate for a collaborative role of the nurse in the design and implementation of this program. To do this, assume you are preparing to be interviewed by a professional organization/publication regarding your thoughts on the role of the nurse in the design and implementation of new healthcare programs.
To Prepare:
· Review the Resources and reflect on your thinking regarding the role of the nurse in the design and implementation of new healthcare programs.
· Select a healthcare program within your practice and consider the design and implementation of this program.
· Reflect on advocacy efforts and the role of the nurse in relation to healthcare program design and implementation.
The Assignment: (2–4 pages)
In a 2- to 4-page paper, create an interview transcript of your responses to the following interview questions:
·
Tell us about a healthcare program, within your practice. What are the costs and projected outcomes of this program?
·
Who is your target population?
·
What is the role of the nurse in providing input for the design of this healthcare program? Can you provide examples?
·
What is your role as an advocate for your target population for this healthcare program? Do you have input into design decisions? How else do you impact design?
·
What is the role of the nurse in healthcare program implementation? How does this role vary between design and implementation of healthcare programs? Can you provide examples?
·
Who are the members of a healthcare team that you believe are most needed to implement a program? Can you explain why?
Milstead, J. A., & Short, N. M. (2019).
Health policy and politics: A nurse's guide (6th ed..
be sure to cite and reference your sources using APAMLA.One of th.docxlascellesjaimie
be sure to cite and reference your sources using APA/MLA.
One of the questions in this assignment refers to Diffusion of Innovation; we covered this topic earlier in the course so I wanted to remind you what this theory is about:
Adoption of a new idea, behavior, or product (i.e., "innovation") does not happen simultaneously in a social system; rather it is a process whereby some people are more apt to adopt the innovation than others. Researchers have found that people who adopt an innovation early have different characteristics than people who adopt an innovation later. When promoting an innovation to a target population, it is important to understand the characteristics of the target population that will help or hinder adoption of the innovation. There are
five established adopter categories
, and while the majority of the general population tends to fall in the middle categories, it is still necessary to understand the characteristics of the target population. When promoting an innovation, there are different strategies used to appeal to the different adopter categories.
Innovators - These are people who want to be the first to try the innovation. They are venturesome and interested in new ideas. These people are very willing to take risks, and are often the first to develop new ideas. Very little, if anything, needs to be done to appeal to this population.
Early Adopters - These are people who represent opinion leaders. They enjoy leadership roles, and embrace change opportunities. They are already aware of the need to change and so are very comfortable adopting new ideas. Strategies to appeal to this population include how-to manuals and information sheets on implementation. They do not need information to convince them to change.
Early Majority - These people are rarely leaders, but they do adopt new ideas before the average person. That said, they typically need to see evidence that the innovation works before they are willing to adopt it. Strategies to appeal to this population include success stories and evidence of the innovation's effectiveness.
Late Majority - These people are skeptical of change, and will only adopt an innovation after it has been tried by the majority. Strategies to appeal to this population include information on how many other people have tried the innovation and have adopted it successfully.
Laggards - These people are bound by tradition and very conservative. They are very skeptical of change and are the hardest group to bring on board. Strategies to appeal to this population include statistics, fear appeals, and pressure from people in the other adopter groups.
Please answer the four questions. 850 words would be good ,
be sure to cite and reference your sources using APA/MLA.
.
An overview of key activities in a complete futures / foresight study, with a 'shopper's guide' to relevant tools and methods to suit each activity. Use it to compose an integrated futures research project, soup to nuts.
Case Study 3 The Health Belief Model and COVID- 19 Ar Using the .pdfsattarali527
Case Study 3: The Health Belief Model and COVID- 19 Ar Using the Health Belief Model,
discuss why some people might not have followed the "safer at home" practices (e.g., social
distancing, masking, no large gatherings) after the vaccine became widely available. Minimum
word count 250. ("Behavioral Change Models" discusses the Health Belief Model.)
Public health is a multi-disciplinary field that aims to 1) prevent disease and death, 2) promote a
better quality of ife, and 3) create environmental conditions in which people can be healthy by
intervening at the institutional, community, and societal level. Whether public health
practitioners can achieve this mission depends upon their abilty to accurately identify and define
public health problems, assess the fundamental causes of these problems, determine populations
most at-risk, develop and implement theory- and evidence-based interventions, and evaluate and
refine those interventions to ensure that they are achieving their desired outcomes without
unwanted negative consequences. To be effective in these endeavors, public health practitioners
must know how to apply the basic principles, theories, research findings, and methods of the
social and behavioral sciences to inform their efforts. A thorough understanding of theories used
in public health, which are mainly derived from the social and behavioral sciences, allow
practitioners to: - Assess the fundamental causes of a public health problem, and - Develop
interventions to address those problems. Note: This module has been translated into Estonian by
Marie Stetanova. The translation can be accessed at htips:/uww.bildeleekspert
di/blog/2018/08/06/sotsiaalsete-normide-teooria/ Learning Objectives After successfully
reviewing these modules, students will be able to: - List and describe the key constructs of the
Health Belief Model and the theory of planned behavior and explain how they might be applied
to develop effective public heath interventions - List and describe the elements of "perceived
behavioral contror - Describe the underlying theory and basic elements of Social Norms Theory
and marketing campaigns - List and describe the key constructs of Social Cognitive Theory and
explain how they might be applied to develop effective public health interventions Summarize
the criticisms that have been made regarding the major traditional models of health behavior
change and why these models do not seem adequate to account for observed health behaviors
Outine the major steps in the Transtheoretical Model - List the characteristics of each step of the
Transtheoretical Model - Describe Diffusion of Innovation Theory and how it can be applied in
heath promotion - Outline the basic structures of the Theory of Gender and Power and its
application to Public Health - Explain the constructs of the Sexual Health Model and its
application to public health The Health Belief Model The Heath Belief Model (HBM) was
developed in the early 1950 s by social sci.
Can Bureaucratic Organizations Really Innovate?Ahmad Chamy
Sponsored by Fraser Health Authority, in collaboration with Tracy Irwin (VP, Innovation) & Yabome Gilpin-Jackson (VP, OD) I conducted a qualitative evaluation of one FHA's most innovative and sustained initiatives and summarized the lessons learnt.
I believe this research will help show how public healthcare organizations can innovate!
We have produced a new report, which looks at the experiences of five acute trusts when adopting innovation, and how they made these innovations work in their trusts.
The report includes listing factors which help innovation be adopted into complex, busy acute hospital trusts.
The NHS response to Covid-19 has seen an increase in innovation. In the year preceding Covid-19, we (Wessex AHSN) worked with five of our member acute trusts to undertake ‘Innovation Adoption Reviews’.
These aimed to help the trusts understand their current practice and experience of adopting innovation, what they do well and how they might improve. The key themes and findings from these reviews have been used to identify a set of positive influences on innovation in trusts – things that can help them identify and adopt more innovation, across more services and help deliver their priorities.
CONCEPTS OF INNOVATION MANAGEMENT2 Conce.docxpatricke8
CONCEPTS OF INNOVATION MANAGEMENT 2
Concepts of Innovation Management
Abiodun Fasawe
NorthCentral University
TIM 7001: Changing Times: Managing Technology & Innovation in the 21st Century
Dr. Nicholas Harkiolakis
May 24, 2020
1
Introduction
Innovation mainly happens with the help of technology. It is through innovation that man people comes up with new ideas and solutions to problems we face in our day to day lives. Technology is a branch of knowledge that brings about innovation due to the evolution of technology. Technology involves the methods, skills, and processes together with techniques required in production and scientific investigations. Technology is considered to be broad and fits in categories of communication and information, computer science, and computer engineering among others. The above categories are subject to improvements or disruption by humans at any time. The manipulation of technology goes through a process called innovation. Technology is applicable in many fields such as mathematics, historical knowledge, scientific engineering, transport and linguistics, business, and environmental conservation practices among others. Comment by Dr. H: This is self-referencial. It like telling technology helps technology grow Comment by Dr. H: Where did you find this definition? Comment by Dr. H: Do you mean it grows through innovations Comment by Dr. H: What do you mean by this? Comment by Dr. H: Is there engineering that is not scientific Comment by Dr. H: There is no citation support in this paragraph. Please note that unless you support with citations from peer-reviewed research journal or government sources your material is considered an opinion piece and as such it is not appropriate for research writing.This is a serious issue and you need to address it throughout as it greatly impacts your grade
Innovation involves the creation and application of new ideas, thoughts or solutions in the day-to-day problems, expectations, and needs. For the idea to qualify to be an innovation, it should satisfy a particular need and at a cost. The ideas are converted into useful products. Innovation takes place to provide more effective and efficient products, services, processes, and technologies. These are made available for sale in the markets, society, or the government. Innovations are classified into two major categories: Comment by Dr. H: Whose problems, expectations and needs? Comment by Dr. H: According to whom?
· Evolutionary innovations also called continuous evolutionary innovation which is as a result of gradual improvements in technology and,
· Revolutionary innovations also known as discontinuous innovations. There are often disruptive and new.
Innovation is crucial in any organization and it presents the need to create a department and a manager for the same. It will require a deeper understanding of the consumer needs before undertaking th.
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/
More Related Content
Similar to Wessex AHSN Spread and adoption model webex
IDS 401 Milestone Four Guidelines and Rubric
Analyzing an Issue or Event in Globalization through the Lenses
of the Natural and Applied Sciences and the Social Sciences
Overview
For the first part of your final project, the critical analysis portfolio, you will select a specific issue or event in globalization and critically analyze it through the
four general education lenses: history, humanities, social sciences, and natural and applied sciences. By viewing the issue or event through these lenses, you will
gain insight into how the interconnected nature of globalization affects society as well as both your own individual framework of perception and the choices,
attitudes, and behaviors of others in the world around you.
For this fourth milestone, due in Module Six, you will analyze your issue or event in globalization through the lenses of the natural and applied sciences and the
social sciences. Like Milestone Two, this task provides you with an opportunity to dive deeper into your analysis of the issuer or event through these two lenses.
Prompt
First, review your work in Modules Five and Six as well as the Four Lenses document from Module One.
Next, analyze your popular-culture artifact through the natural and applied sciences by exploring the following questions:
How does this issue or event provide a social commentary through the natural and applied sciences?
In what ways can science help resolve or enhance your issue or event?
Next, analyze your popular-culture artifact through the lens of the social sciences, and address the following:
How does this issue or event interact with the social sciences lens and impact social issues?
In what ways does the Social Science lens help articulate a deeper understanding of the social issue(s) that inform your issue or event?
This milestone provides you with a chance to practice analyzing your issue or event through these lenses and receive feedback on this practice attempt.
Note: You are completing two separate analyses: one from the natural and applied sciences and one from the social sciences. You must submit two papers in a
single Word document.
1
Be sure to use evidence from research to support your analysis. Refer to course resources, the LibGuide for this course, as well as any other pertinent resources
to support your responses. Relevant current news sources may be used with instructor approval. Incorporate instructor feedback into your final project.
The following critical elements must be addressed:
I. Lens Analysis: In this section of your assignment, you will analyze your issue or event through two of the four general education lenses.
A. Analyze your issue or event through the lens of the natural and applied sciences for determining its impact on various institutions. Utilize
evidence from research to support your analysis.
B. Analyze your issue or event through the ...
A presentation outlining Wessex AHSN's proposed approach to spreading and adopting best practice and innovation in health and care across the Wessex region. This presentation was delivered on 19 November at the AHSN's Innovation Forum, held in Chilworth.
Diffusion of Innovations - A Summary 2009 - Les RobinsonBTO Educational
A summary of Diffusion of Innovations
Les Robinson
Fully revised and rewritten Jan 2009
Diffusion of Innovations seeks to explain how innovations are taken up in a population.
An innovation is an idea, behaviour, or object
that is perceived as new by its audience.
Diffusion of Innovations offers three valuable insights into the process of social change:
- What qualities make an innovation spread successfully.
- The importance of peer-peer conversations and peer networks.
- Understanding the needs of different user segments.
These insights have been tested in more than 6000 research studies and field tests, so they are amongst the most reliable in the social
sciences.
In this workshop we will explore the meaning of “Professional Learning Communities”, analyse a number of models and consider the value of planning and launching a PLC in the context of the ICPNA school environment. We will define PLCs and why they are considered to be important, basing some of these concepts on recent theories of connectivism and trust. Leadership will be seen as a shared experience in a change-ready school. The skills for motivating and inspiring a whole school culture through reference to Maslow and McGregor will be examined while the concept of both Heads and Teachers as learners in their own right will be stressed. Finally, strategies for launching a PLC in school will be discussed.
Samra Article Cm Principles For Consideration During Research ProjectsEriaanOelofse
When does it make sense for researchers to not only sensitise clients to the impact of unmanaged change, but to also consider and propose the implementation of change management activities that will allow more stakeholders to be involved during roll-out of research results and the consequent planning process to implement actions to address the results when writing research reports...
The Duty of Loyalty and Whistleblowing Please respond to the fol.docxcherry686017
"The Duty of Loyalty and Whistleblowing" Please respond to the following:
· Analyze the duty of loyalty in whistleblower cases to determine to whom loyalty is owed and who shows the greater duty of loyalty. Support your analysis with specific examples. Then, suggest at least one (1) change to an existing law.
· Reexamine the Citizens United decision in Chapter 1, and determine which of the following groups has the greatest free speech rights: corporations, public employees, or private employees. Provide a rationale for your determination.
11 Combining Research Methods: Case Studies and Action Research
Rebecca Jester
Introduction
In Chapters 7 and 8, we focused on the unique features of quantitative and qualitative research. In this chapter, we aim to demonstrate how research methods can be integrated and combined to address specific research questions. The chapter will provide an overview of two specific research designs: action research and case studies, together with examples from research projects conducted by the author. This chapter does not aim to provide an in-depth philosophical debate related to case study and action research approaches, but rather a practical discussion of the merits, limitations and application of these two approaches. We begin by discussing the concepts of ‘mixed methods’ and ‘triangulation', first introduced in Chapter 2.
Mixed methods approaches
Traditionally, within health and social research, individuals have aligned themselves with either the quantitative or qualitative paradigm. However, in reality, many real world research projects benefit from mixing or combining methods. Mixed methods research can be accomplished either by using specific approaches to research, such as action research or case study, as discussed within this chapter, or by adopting a phased approach within a study. This might involve the first stage being exploratory within the qualitative paradigm, and the results from this being used to form specific hypotheses for testing within an experimental design, such as a randomized controlled trial. Equally, a quantitative approach (say, a questionnaire) might be used to gather data from a wide range of people, with the results being used to develop a qualitative interview schedule for use with a small sample of respondents.
Triangulation
Very often a research study is undertaken with multiple datasets, mixed methodology or with different researchers, such as at different sites. Triangulation is a very useful technique that enables you to enhance and verify concepts. As Ramprogus (2005, p. 4) suggests, ‘triangulation … tries to reconcile the differences of two or more data sources, methodological approaches, designs, theoretical perspectives, investigators and data analysis to compensate for the weaknesses of any single strategy towards achieving completeness or confirmation of findings’. However, triangulation must be exercised with caution; it is no substitute for robust and well-established ...
Assignment WK 8 Advocating for the Nursing Role in Program Design .docxjesuslightbody
Assignment WK 8 Advocating for the Nursing Role in Program Design and Implementation
As their names imply, the honeyguide bird and the honey badger both share an affinity for honey. Honeyguide birds specialize in finding beehives but struggle to access the honey within. Honey badgers are well-equipped to raid beehives but cannot always find them. However, these two honey-loving species have learned to collaborate on an effective means to meet their objectives. The honeyguide bird guides honey badgers to newly discovered hives. Once the honey badger has ransacked the hive, the honey guide bird safely enters to enjoy the leftover honey.
Much like honeyguide birds and honey badgers, nurses and health professionals from other specialty areas can—and should—collaborate to design effective programs. Nurses bring specialties to the table that make them natural partners to professionals with different specialties. When nurses take the requisite leadership in becoming involved throughout the healthcare system, these partnerships can better design and deliver highly effective programs that meet objectives.
In this Assignment, you will practice this type of leadership by advocating for a healthcare program. Equally as important, you will advocate for a collaborative role of the nurse in the design and implementation of this program. To do this, assume you are preparing to be interviewed by a professional organization/publication regarding your thoughts on the role of the nurse in the design and implementation of new healthcare programs.
To Prepare:
· Review the Resources and reflect on your thinking regarding the role of the nurse in the design and implementation of new healthcare programs.
· Select a healthcare program within your practice and consider the design and implementation of this program.
· Reflect on advocacy efforts and the role of the nurse in relation to healthcare program design and implementation.
The Assignment: (2–4 pages)
In a 2- to 4-page paper, create an interview transcript of your responses to the following interview questions:
·
Tell us about a healthcare program, within your practice. What are the costs and projected outcomes of this program?
·
Who is your target population?
·
What is the role of the nurse in providing input for the design of this healthcare program? Can you provide examples?
·
What is your role as an advocate for your target population for this healthcare program? Do you have input into design decisions? How else do you impact design?
·
What is the role of the nurse in healthcare program implementation? How does this role vary between design and implementation of healthcare programs? Can you provide examples?
·
Who are the members of a healthcare team that you believe are most needed to implement a program? Can you explain why?
Milstead, J. A., & Short, N. M. (2019).
Health policy and politics: A nurse's guide (6th ed..
be sure to cite and reference your sources using APAMLA.One of th.docxlascellesjaimie
be sure to cite and reference your sources using APA/MLA.
One of the questions in this assignment refers to Diffusion of Innovation; we covered this topic earlier in the course so I wanted to remind you what this theory is about:
Adoption of a new idea, behavior, or product (i.e., "innovation") does not happen simultaneously in a social system; rather it is a process whereby some people are more apt to adopt the innovation than others. Researchers have found that people who adopt an innovation early have different characteristics than people who adopt an innovation later. When promoting an innovation to a target population, it is important to understand the characteristics of the target population that will help or hinder adoption of the innovation. There are
five established adopter categories
, and while the majority of the general population tends to fall in the middle categories, it is still necessary to understand the characteristics of the target population. When promoting an innovation, there are different strategies used to appeal to the different adopter categories.
Innovators - These are people who want to be the first to try the innovation. They are venturesome and interested in new ideas. These people are very willing to take risks, and are often the first to develop new ideas. Very little, if anything, needs to be done to appeal to this population.
Early Adopters - These are people who represent opinion leaders. They enjoy leadership roles, and embrace change opportunities. They are already aware of the need to change and so are very comfortable adopting new ideas. Strategies to appeal to this population include how-to manuals and information sheets on implementation. They do not need information to convince them to change.
Early Majority - These people are rarely leaders, but they do adopt new ideas before the average person. That said, they typically need to see evidence that the innovation works before they are willing to adopt it. Strategies to appeal to this population include success stories and evidence of the innovation's effectiveness.
Late Majority - These people are skeptical of change, and will only adopt an innovation after it has been tried by the majority. Strategies to appeal to this population include information on how many other people have tried the innovation and have adopted it successfully.
Laggards - These people are bound by tradition and very conservative. They are very skeptical of change and are the hardest group to bring on board. Strategies to appeal to this population include statistics, fear appeals, and pressure from people in the other adopter groups.
Please answer the four questions. 850 words would be good ,
be sure to cite and reference your sources using APA/MLA.
.
An overview of key activities in a complete futures / foresight study, with a 'shopper's guide' to relevant tools and methods to suit each activity. Use it to compose an integrated futures research project, soup to nuts.
Case Study 3 The Health Belief Model and COVID- 19 Ar Using the .pdfsattarali527
Case Study 3: The Health Belief Model and COVID- 19 Ar Using the Health Belief Model,
discuss why some people might not have followed the "safer at home" practices (e.g., social
distancing, masking, no large gatherings) after the vaccine became widely available. Minimum
word count 250. ("Behavioral Change Models" discusses the Health Belief Model.)
Public health is a multi-disciplinary field that aims to 1) prevent disease and death, 2) promote a
better quality of ife, and 3) create environmental conditions in which people can be healthy by
intervening at the institutional, community, and societal level. Whether public health
practitioners can achieve this mission depends upon their abilty to accurately identify and define
public health problems, assess the fundamental causes of these problems, determine populations
most at-risk, develop and implement theory- and evidence-based interventions, and evaluate and
refine those interventions to ensure that they are achieving their desired outcomes without
unwanted negative consequences. To be effective in these endeavors, public health practitioners
must know how to apply the basic principles, theories, research findings, and methods of the
social and behavioral sciences to inform their efforts. A thorough understanding of theories used
in public health, which are mainly derived from the social and behavioral sciences, allow
practitioners to: - Assess the fundamental causes of a public health problem, and - Develop
interventions to address those problems. Note: This module has been translated into Estonian by
Marie Stetanova. The translation can be accessed at htips:/uww.bildeleekspert
di/blog/2018/08/06/sotsiaalsete-normide-teooria/ Learning Objectives After successfully
reviewing these modules, students will be able to: - List and describe the key constructs of the
Health Belief Model and the theory of planned behavior and explain how they might be applied
to develop effective public heath interventions - List and describe the elements of "perceived
behavioral contror - Describe the underlying theory and basic elements of Social Norms Theory
and marketing campaigns - List and describe the key constructs of Social Cognitive Theory and
explain how they might be applied to develop effective public health interventions Summarize
the criticisms that have been made regarding the major traditional models of health behavior
change and why these models do not seem adequate to account for observed health behaviors
Outine the major steps in the Transtheoretical Model - List the characteristics of each step of the
Transtheoretical Model - Describe Diffusion of Innovation Theory and how it can be applied in
heath promotion - Outline the basic structures of the Theory of Gender and Power and its
application to Public Health - Explain the constructs of the Sexual Health Model and its
application to public health The Health Belief Model The Heath Belief Model (HBM) was
developed in the early 1950 s by social sci.
Can Bureaucratic Organizations Really Innovate?Ahmad Chamy
Sponsored by Fraser Health Authority, in collaboration with Tracy Irwin (VP, Innovation) & Yabome Gilpin-Jackson (VP, OD) I conducted a qualitative evaluation of one FHA's most innovative and sustained initiatives and summarized the lessons learnt.
I believe this research will help show how public healthcare organizations can innovate!
We have produced a new report, which looks at the experiences of five acute trusts when adopting innovation, and how they made these innovations work in their trusts.
The report includes listing factors which help innovation be adopted into complex, busy acute hospital trusts.
The NHS response to Covid-19 has seen an increase in innovation. In the year preceding Covid-19, we (Wessex AHSN) worked with five of our member acute trusts to undertake ‘Innovation Adoption Reviews’.
These aimed to help the trusts understand their current practice and experience of adopting innovation, what they do well and how they might improve. The key themes and findings from these reviews have been used to identify a set of positive influences on innovation in trusts – things that can help them identify and adopt more innovation, across more services and help deliver their priorities.
CONCEPTS OF INNOVATION MANAGEMENT2 Conce.docxpatricke8
CONCEPTS OF INNOVATION MANAGEMENT 2
Concepts of Innovation Management
Abiodun Fasawe
NorthCentral University
TIM 7001: Changing Times: Managing Technology & Innovation in the 21st Century
Dr. Nicholas Harkiolakis
May 24, 2020
1
Introduction
Innovation mainly happens with the help of technology. It is through innovation that man people comes up with new ideas and solutions to problems we face in our day to day lives. Technology is a branch of knowledge that brings about innovation due to the evolution of technology. Technology involves the methods, skills, and processes together with techniques required in production and scientific investigations. Technology is considered to be broad and fits in categories of communication and information, computer science, and computer engineering among others. The above categories are subject to improvements or disruption by humans at any time. The manipulation of technology goes through a process called innovation. Technology is applicable in many fields such as mathematics, historical knowledge, scientific engineering, transport and linguistics, business, and environmental conservation practices among others. Comment by Dr. H: This is self-referencial. It like telling technology helps technology grow Comment by Dr. H: Where did you find this definition? Comment by Dr. H: Do you mean it grows through innovations Comment by Dr. H: What do you mean by this? Comment by Dr. H: Is there engineering that is not scientific Comment by Dr. H: There is no citation support in this paragraph. Please note that unless you support with citations from peer-reviewed research journal or government sources your material is considered an opinion piece and as such it is not appropriate for research writing.This is a serious issue and you need to address it throughout as it greatly impacts your grade
Innovation involves the creation and application of new ideas, thoughts or solutions in the day-to-day problems, expectations, and needs. For the idea to qualify to be an innovation, it should satisfy a particular need and at a cost. The ideas are converted into useful products. Innovation takes place to provide more effective and efficient products, services, processes, and technologies. These are made available for sale in the markets, society, or the government. Innovations are classified into two major categories: Comment by Dr. H: Whose problems, expectations and needs? Comment by Dr. H: According to whom?
· Evolutionary innovations also called continuous evolutionary innovation which is as a result of gradual improvements in technology and,
· Revolutionary innovations also known as discontinuous innovations. There are often disruptive and new.
Innovation is crucial in any organization and it presents the need to create a department and a manager for the same. It will require a deeper understanding of the consumer needs before undertaking th.
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/
Global launch of the Healthy Ageing and Prevention Index 2nd wave – alongside...ILC- UK
The Healthy Ageing and Prevention Index is an online tool created by ILC that ranks countries on six metrics including, life span, health span, work span, income, environmental performance, and happiness. The Index helps us understand how well countries have adapted to longevity and inform decision makers on what must be done to maximise the economic benefits that comes with living well for longer.
Alongside the 77th World Health Assembly in Geneva on 28 May 2024, we launched the second version of our Index, allowing us to track progress and give new insights into what needs to be done to keep populations healthier for longer.
The speakers included:
Professor Orazio Schillaci, Minister of Health, Italy
Dr Hans Groth, Chairman of the Board, World Demographic & Ageing Forum
Professor Ilona Kickbusch, Founder and Chair, Global Health Centre, Geneva Graduate Institute and co-chair, World Health Summit Council
Dr Natasha Azzopardi Muscat, Director, Country Health Policies and Systems Division, World Health Organisation EURO
Dr Marta Lomazzi, Executive Manager, World Federation of Public Health Associations
Dr Shyam Bishen, Head, Centre for Health and Healthcare and Member of the Executive Committee, World Economic Forum
Dr Karin Tegmark Wisell, Director General, Public Health Agency of Sweden
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
Navigating the Health Insurance Market_ Understanding Trends and Options.pdfEnterprise Wired
From navigating policy options to staying informed about industry trends, this comprehensive guide explores everything you need to know about the health insurance market.
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.
Welcome to Secret Tantric, London’s finest VIP Massage agency. Since we first opened our doors, we have provided the ultimate erotic massage experience to innumerable clients, each one searching for the very best sensual massage in London. We come by this reputation honestly with a dynamic team of the city’s most beautiful masseuses.
Defecation
Normal defecation begins with movement in the left colon, moving stool toward the anus. When stool reaches the rectum, the distention causes relaxation of the internal sphincter and an awareness of the need to defecate. At the time of defecation, the external sphincter relaxes, and abdominal muscles contract, increasing intrarectal pressure and forcing the stool out
The Valsalva maneuver exerts pressure to expel faeces through a voluntary contraction of the abdominal muscles while maintaining forced expiration against a closed airway. Patients with cardiovascular disease, glaucoma, increased intracranial pressure, or a new surgical wound are at greater risk for cardiac dysrhythmias and elevated blood pressure with the Valsalva maneuver and need to avoid straining to pass the stool.
Normal defecation is painless, resulting in passage of soft, formed stool
CONSTIPATION
Constipation is a symptom, not a disease. Improper diet, reduced fluid intake, lack of exercise, and certain medications can cause constipation. For example, patients receiving opiates for pain after surgery often require a stool softener or laxative to prevent constipation. The signs of constipation include infrequent bowel movements (less than every 3 days), difficulty passing stools, excessive straining, inability to defecate at will, and hard feaces
IMPACTION
Fecal impaction results from unrelieved constipation. It is a collection of hardened feces wedged in the rectum that a person cannot expel. In cases of severe impaction the mass extends up into the sigmoid colon.
DIARRHEA
Diarrhea is an increase in the number of stools and the passage of liquid, unformed feces. It is associated with disorders affecting digestion, absorption, and secretion in the GI tract. Intestinal contents pass through the small and large intestine too quickly to allow for the usual absorption of fluid and nutrients. Irritation within the colon results in increased mucus secretion. As a result, feces become watery, and the patient is unable to control the urge to defecate. Normally an anal bag is safe and effective in long-term treatment of patients with fecal incontinence at home, in hospice, or in the hospital. Fecal incontinence is expensive and a potentially dangerous condition in terms of contamination and risk of skin ulceration
HEMORRHOIDS
Hemorrhoids are dilated, engorged veins in the lining of the rectum. They are either external or internal.
FLATULENCE
As gas accumulates in the lumen of the intestines, the bowel wall stretches and distends (flatulence). It is a common cause of abdominal fullness, pain, and cramping. Normally intestinal gas escapes through the mouth (belching) or the anus (passing of flatus)
FECAL INCONTINENCE
Fecal incontinence is the inability to control passage of feces and gas from the anus. Incontinence harms a patient’s body image
PREPARATION AND GIVING OF LAXATIVESACCORDING TO POTTER AND PERRY,
An enema is the instillation of a solution into the rectum and sig
Telehealth Psychology Building Trust with Clients.pptxThe Harvest Clinic
Telehealth psychology is a digital approach that offers psychological services and mental health care to clients remotely, using technologies like video conferencing, phone calls, text messaging, and mobile apps for communication.
The dimensions of healthcare quality refer to various attributes or aspects that define the standard of healthcare services. These dimensions are used to evaluate, measure, and improve the quality of care provided to patients. A comprehensive understanding of these dimensions ensures that healthcare systems can address various aspects of patient care effectively and holistically. Dimensions of Healthcare Quality and Performance of care include the following; Appropriateness, Availability, Competence, Continuity, Effectiveness, Efficiency, Efficacy, Prevention, Respect and Care, Safety as well as Timeliness.
2. The aim of this webinar is to describe and introduce the work we’ve done in
Wessex over the past 9 months to research and develop a standardised, evidence
based approach to the spread and adoption of innovations in our region.
We call this the ‘spread and adoption model’.
It’s a work in progress. We are testing and refining it in the field and sharing it
more widely for comment.
The key output of our spread and adoption model is a “spread and adoption plan”.
We will introduce this as part of today’s session
It has been agreed amongst the AHSN Chief Officer’s that we will use this S&A
model and plan to support the spread of the AAC RUP’s.
Purpose of this session
3. Templates can be considered bureaucratic and become documents that sit on the
shelf once completed…
However – we see the creation of the S&A plan as a dynamic and ongoing process.
The first draft is just the first iteration.
The template and resulting plan comes alive when all 15 AHSN’s (and the other lead
bodies for particular products) work with partners to test and refine the responses to
the template and all feed this intelligence back.
We are then able to see patterns, learn, and adjust our support for adoption
accordingly.
The patterns might be specific to a particular product meaning we can collectively
consider a national solution/solutions.
Populating the template is itself part of creating a conversation that is more receptive
to adoption.
S&A planning template
4. We started by reviewing the published literature on what supports successful
spread and adoption.
A key source is How to Spread Good Ideas1, a 400 page systematic review of the
literature on spread in health services commissioned by the Department of
Health and published in 2004.
We’ve read a lot and we include some of the other key references at the end.
We have used the evidence of what supports successful spread and adoption to
design a model made up of six interconnected components.
Developing the model
1 How to Spread Good Ideas. A systematic review of the literature on diffusion, dissemination and
sustainability of innovations in health service delivery and organisation. Trisha Greenhalgh et al. April 2004.
5. The S&A Model
Understanding
the adopters
The method maps and
understands the potential
adopters – individuals,
organisations and systems -
and identifies key decision
makers, opinion leaders,
champions and networks.
Implementation
Planning
implementing health
technology programmes
involves a great deal of
work. The method includes
a checklist that covers the
main factors that determine
successful implementation.
Spread in
Systems
The programme builds
understanding of when and how
innovations are most effectively
spread in systems and how the
system and leaders support this.
Understanding
the Innovation
The method starts by
analysing the essential
characteristics that will
determine how the
innovation spreads
Spread through
networks
Innovations primarily
spread through the social
networks that link people
together. The method
develops targeted spread
plans for each innovation
Embedding
Innovations
Innovations are sustained
and embedded when the
advantage over the
previous technology is
measured and observable
to the adopters & their
organisation
Today will cover the innovation, adopters and network elements of the model
6. Different innovations spread and get adopted at different rates. Some never spread at all.
The perceptions that people have of an innovation is predicted to account for between 50% and 85%2 of the variance
in the rate of spread. Six attributes of the innovation perceived by its potential adopters seem most influential:
1) Advantage - people are more likely to adopt something that they think is going to help them. They will weigh up
the perceived gains of change with the perceived risks of the status quo. Clinicians will expect there to be good
evidence of these advantages if they are going to change their practice and adopt it. This is often thought to be
the most important attribute.
2) Compatibility - with the needs, values and beliefs of the potential adopter.
3) Complexity - simple innovations spread faster than complicated ones. When the innovation is complex, adopters
need to understand and trust that there will be enough resource and support.
4) Adaption - people are more likely to adopt an innovation when they are able refine or modify it to suit their own
needs (sometimes referred to as re-invention).
5) Observable - people are more likely to adopt an innovation when they can see it in action elsewhere and see the
benefits to them.
6) Trialling - people are more likely to adopt an innovation when they can test it on a small scale first.
Understanding the innovation
7. S&A model template
The template starts with a description of the innovation, the problem it solves/
opportunity it takes and reviews the underpinning evidence base.
We then analyse and record how the innovation measures up to these 6 attributes.
We try to do this from the perspective of the potential adopters – where necessary
taking different perspectives clinicians, commissioners, patients to determine the
value proposition to the user(s).
Tip: Many of the nationally prioritised innovations such as ITT/ ITP have headline
statements of advantage of possible national financial savings. We work to get
behind this and describe the quality attributes as well – and to do this at unit of
potential adoption e.g. a hospital department or GP practice.
Case study - Heartflow
Understanding the innovation
9. The S&A Model
Understanding
the adopters
The method maps and
understands the potential
adopters – individuals,
organisations and systems -
and identifies key decision
makers, opinion leaders,
champions and networks.
Implementation
Planning
implementing health
technology programmes
involves a great deal of
work. The method includes
a checklist that covers the
main factors that determine
successful implementation.
Spread in
Systems
The programme builds
understanding of when and how
innovations are most effectively
spread in systems and how the
system and leaders support this.
Understanding
the Innovation
The method starts by
analysing the essential
characteristics that will
determine how the
innovation spreads
Spread through
networks
Innovations primarily
spread through the social
networks that link people
together. The method
develops targeted spread
plans for each innovation
Embedding
Innovations
Innovations are sustained
and embedded when the
advantage over the
previous technology is
measured and observable
to the adopters & their
organisation
Today will cover the innovation, adopters and network elements of the model
10. The most common model used to understand potential
adopters is innovation diffusion curve developed by Everett
Rogers in 19622 (see figure opposite). This classifies the
population of adopters in five categories:
Innovators. The fastest adopting group, distinguished from the rest of the population by their
adventurousness, tolerance of risk, fascination with novelty and willingness to travel to find new ideas.
They aren’t opinion leaders and may be thought of by some as mavericks.
Early adopters. Are different from innovators – they are opinion leaders, locally well connected
socially and tend to search not quite so widely as innovators but speak with them and cross-pollinate.
Importantly to the dynamics of spread, early adopters are watched by others.
Early majority. This group watch and learn from the early adopters experience. They are more risk
adverse and more likely to adopt an innovation if it meets their immediate needs, rather those that
are simply interesting ideas.
Late majority. This group watch and learn from the early majority’s experience. They watch for local
proof and will adopt an innovation when it appears to be the new status quo.
Last adopters. The last group to adopt an innovation, believe in the traditional, tried and tested
methods. The term ‘laggard’ has fallen out of favour because of its negative connotations.
Understanding the adopters
11. Greenhalgh et al1 feel that the 5 adopter categories are an over-simplification – that adopters are
not passive recipients of innovations:
“Rather… they seek innovations out, experiment with them, evaluate them, find (or fail to find)
meaning in them, develop feelings about them, challenge them, worry about them, ‘work around
them’, talk to others about them, develop know-how about them, modify them to fit particular
tasks, and attempt to improve or redesign them (often through dialogue with others)”
And adoption happens in organisations as well as with individuals – with multiple decisions by
multiple actors.
“The adoption process within organisations should be recognised as complex, iterative, organic
and untidy.”
Horton et al 4 make the case for a greater emphasis on adopters – that invention is only half the
story.
“People sometimes fall into the trap of thinking that when an idea has been successfully
demonstrated or piloted then the hard work is done. But exploiting the full potential of a new
idea requires successful replication at scale – and this takes time, skill, resource and imagination.”
Understanding the adopters
12. S&A model template
The template supports the analysis of who the potential adopters are:
• The organisation (e.g. acute Trusts)
• The specialities/ departments (e.g. cardiology and radiology)
• The key decision makers (e.g. clinical director and Divisional manager)
• The groups of staff that will be required to adopt the innovation
• The commissioner perspective
• Whether patients have an influence on adoption
Case study – Home Blood Pressure Monitoring
Understanding the adopters
13. Spread and adoption reviews with our Trusts
To deepen our understanding of the adopters in Wessex we are undertaking S&A reviews in our Trusts – to
understand the roles and processes they use to Identify; Decide; and Implement innovations and identify
ways to improve this. We’re building up a picture of what influences S&A in Trusts:
Stage Influence
Identifying
innovations
There are clinicians/ professionals who are ‘outward looking’ and have the time to do this
The value of doing this is recognised and encouraged in the Trust
The organisation is receptive to new ideas when people identify potential innovations
At Trust level, there is a person or process for holding the ring and acting as a conduit to wider nationally prioritised
innovations
Using the wider local health and care system to identify innovations
Deciding
whether to
adopt
A clear devolved decision-making structure e.g. Divisional Boards
Clear decision-making processes e.g. business case guidance
Decision making structure and processes understood and used consistently – not bypassed
The heath and care system is able to agree and decide to roll out innovations to deliver shared system benefits
Implementing
and sustaining
innovations
Capacity and capability to implement change at speciality, divisional or trust level
A culture of completing change projects and giving them time to deliver results/benefits
A review process to understand whether the innovation was implemented as planned and delivered the benefits
defined in the business case
Teams implementing the innovation have information on the benefits they are delivering and are encouraged to
network with other teams that have adopted it
Draft
Key finding. The majority of the nationally prioritised innovations are aimed at acute Trusts. The key decision
maker is most likely to be the appropriate Speciality Lead Clinician – with the decision on whether to adopt being
made at a Divisional Board.
Understanding the adopters
14. The S&A Model
Understanding
the adopters
The method maps and
understands the potential
adopters – individuals,
organisations and systems -
and identifies key decision
makers, opinion leaders,
champions and networks.
Implementation
Planning
implementing health
technology programmes
involves a great deal of
work. The method includes
a checklist that covers the
main factors that determine
successful implementation.
Spread in
Systems
The programme builds
understanding of when and how
innovations are most effectively
spread in systems and how the
system and leaders support this.
Understanding
the Innovation
The method starts by
analysing the essential
characteristics that will
determine how the
innovation spreads
Spread through
networks
Innovations primarily
spread through the social
networks that link people
together. The method
develops targeted spread
plans for each innovation
Embedding
Innovations
Innovations are sustained
and embedded when the
advantage over the
previous technology is
measured and observable
to the adopters & their
organisation
Today will cover the innovation, adopters and network elements of the model
15. Spread through networks
There is a consensus in the literature that top-down pressure and mandating adoption of an
innovation rarely works:
“While mandatory participation might ensure that organisations join a programme, it does not by
itself achieve acceptance of a new intervention or the motivation to implement it.” 4
Decisions to adopt an innovation are context specific and have strong social and psychological
aspects.
There is a consensus of the importance of networks in the diffusion of innovations:
“It is a key principle of diffusion of innovations theory that most innovations spread primarily
through interpersonal influence, and that the ‘channels’ through which such influence flows are the
social networks that link individual members of a social group.” 1
We can think of these networks as being the principle way that the different populations of adopters
watch what each other are doing – how the early majority find out what the early adopters are doing
and so on. Important roles operate in networks, that can influence spread and adoption:
Opinion leaders – are the highly respected people in organisations and networks who influence
others.
Champions – are the key individuals who use their belief, commitment and relationships to keep
pushing adoption in their own organisation and finding ways around organisational barriers.
They are often found outside of formal structures or authority.
16. S&A model template
The template supports the analysis of the networks that bring our potential adopters
together, where they can explore the attributes of the innovation.
There are a number of formal networks that are helpful e.g. STP groups; Clinical
Senate; Deanery.
But we are really looking for the informal clinical networks that clinicians and
professionals instigate and maintain themselves as part of how the professional
development of their service and speciality. There a lot of these – but finding them
can take some detective work.
We look for the opinion formers and champions in these networks.
Case Study – Home blood pressure monitoring
The importance of horizontal networks that bring together the key decision makers
and potential users of the innovation to explore its attributes is a major part of the
model.
Spread through networks
17. Detail surrounding the final three elements of the
S&A Model
Understanding
the adopters
The method maps and
understands the potential
adopters – individuals,
organisations and systems -
and identifies key decision
makers, opinion leaders,
champions and networks.
Implementation
Planning
implementing health
technology programmes
involves a great deal of
work. The method includes
a checklist that covers the
main factors that determine
successful implementation.
Spread in
Systems
The programme builds
understanding of when and how
innovations are most effectively
spread in systems and how the
system and leaders support this.
Understanding
the Innovation
The method starts by
analysing the essential
characteristics that will
determine how the
innovation spreads
Spread through
networks
Innovations primarily
spread through the social
networks that link people
together. The method
develops targeted spread
plans for each innovation
Embedding
Innovations
Innovations are sustained
and embedded when the
advantage over the
previous technology is
measured and observable
to the adopters & their
organisation
20. Detail surrounding the final three elements of the
S&A Model
Understanding
the adopters
The method maps and
understands the potential
adopters – individuals,
organisations and systems -
and identifies key decision
makers, opinion leaders,
champions and networks.
Implementation
Planning
implementing health
technology programmes
involves a great deal of
work. The method includes
a checklist that covers the
main factors that determine
successful implementation.
Spread in
Systems
The programme builds
understanding of when and how
innovations are most effectively
spread in systems and how the
system and leaders support this.
Understanding
the Innovation
The method starts by
analysing the essential
characteristics that will
determine how the
innovation spreads
Spread through
networks
Innovations primarily
spread through the social
networks that link people
together. The method
develops targeted spread
plans for each innovation
Embedding
Innovations
Innovations are sustained
and embedded when the
advantage over the
previous technology is
measured and observable
to the adopters & their
organisation
21. There is a consensus in the literature that implementing innovations is hard. To be successful we
need:
• The individuals and teams to be motivated to change
• Support from the right levels (e.g. approved business case, senior sponsor, commissioner
support)
• Resources – the time and skills required to implement the change
• Measurement and review of the expected benefits of the change
There is an additional challenge that we need to be aware of – the ‘replicability problem’ 4.
That when an individual or team take up a new innovation, it doesn’t work as well as it did first
time around. We don’t just want uptake – we want successful and sustained uptake – and this is
more likely to happen when:
• Implementation is based upon local context and the innovation can be be adapted to fit this.
• There is recognition of the need for cultural change, relationship building and new ways of
working (and these don’t lend themselves to compulsion)
• There is an ongoing role for peer networks to support change and share experiences.
Implementation planning
22. S&A model template
The spread and adoption planning template contains a checklist to begin the process
for planning the implementation and sustained use of an innovation. This can be
simultaneously used for multiple organisations.
Impact modelling
Understanding the need for an innovation is essential – are we solving a real
problem? As part of our work with the Wessex maternal medical network, we have
determined the extent of the opportunity, and applied this to the local population,
as hospital and regional level. As a result of this, we can begin to them model the
opportunity, and potential benefits resulting.
Business Case
Our innovation reviews of provider Trusts has identified the importance of clear
business case and decision making processes that is designed to be timely and make
sure that the innovation is right for the Trust, is funded properly, will be
implemented well and will deliver a set of benefits that can be measured and
reviewed. We are currently exploring the potential to develop common business
cases for innovations that can be used by multiple Trusts.
Implementation planning
23. Embedding innovations
The literature describes how innovations are more likely to be sustained and
embedded when:
• The benefits of the innovation are observed, measured and reviewed by the
adopters and their organisation/ system ongoingly
• Adopters continue to share their experience and results in their peer
networks
• The innovation is accepted as “this is how we do things” as a result of
continued work to normalise the innovation
24. Spread in Systems
The S&A Model supports our long-term commitment to improving the spread and
adoption of innovations in Wessex that improve health and care.
The literature describes the key determinants that make some organisations and
systems more readily adopt innovations.
For organisations, three determinants are identified:
• Structural – mature organisations with effective devolved structures and
decentralised decision making
• Knowledge capability – systematically identifying, interpreting and sharing new
knowledge
• Receptive to change – strong leadership, clear strategic vision, good managerial
relations, visionary staff in key positions, prepared to experiment and effective
monitoring and feedback mechanisms
Systems more readily adopt innovations when they have effective networks and their
organisations look externally for ideas.
The S&A Model aims to support these key determinants across Wessex. The
S&A reviews with our Trusts directly support their capability to innovate. Our
work to map and develop relationships with the peer networks create the
conditions for a culture of innovation.
25. Key references supporting our work
1. Greenhalgh, T., Robert, G., Bate., How to Spread Good Ideas. A systematic review of the literature
on diffusion, dissemination and sustainability of innovations in health service delivery and
organisation. April 2004.
2. Rogers EM. Diffusion of Innovations. 4th Ed. 1995.
3. Tim Horton et al. The Spread Challenge. How to support the successful uptake of innovations and
improvements in health care. The Health Foundation. September 2018
4. Greenhalgh, T., How to implement evidence based health care, 2018.
5. Greenhalgh, T., Robert, G., Macfarlane, F., Bate, P. & Kyriakidou, O., Diffusion of innovations in
service organizations: systematic review and recommendations. The Milbank Quarterly, 2004.
6. The Nuffield Trust, Falling short: Why the NHS is still struggling to make the most of new
innovations, 2017.
7. European Commission, Expert Panel On Effective Ways Of Investing In Health (EXPH): Disruptive
Innovation - Considerations for health and health care in Europe, 2016.
8. Berwick, D., Disseminating Innovations in Health Care, 2003.
9. McCannon, J., Massoud, M.R. and Zier Alyesh. A., Many Ways to Many, 2016.
10. Greenhalgh, T., Wherton, J., Papoutsil, C., Lunch, J., Hughes, G., A’Court, C., Hinder, S., Procter, R.
& Shaw, S., Analysing the role of complexity in explaining the fortunes of technology programmes:
empirical application of the NASSS framework, 2018.