Implementation Science
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How hard can it be to include research evidence and evaluation in local health policy implementation? Results from a mixed methods study
Implementation Science - Tập 8 - Trang 1-9 - 2013
Although an evidence-based approach is the ideal model for planning and delivering healthcare, barriers exist to using research evidence to implement and evaluate service change. This paper aims to inform policy implementation and evaluation by understanding the role of research evidence at the local level through implementation of a national chronic conditions management policy. We conducted a na...... hiện toàn bộ
Applying GRADE-CERQual to qualitative evidence synthesis findings—paper 5: how to assess adequacy of data
Implementation Science - Tập 13 - Trang 43-50 - 2018
The GRADE-CERQual (Confidence in Evidence from Reviews of Qualitative research) approach has been developed by the GRADE (Grading of Recommendations Assessment, Development and Evaluation) working group. The approach has been developed to support the use of findings from qualitative evidence syntheses in decision-making, including guideline development and policy formulation. CERQual includes four...... hiện toàn bộ
Early experiences on the feasibility, acceptability, and use of malaria rapid diagnostic tests at peripheral health centres in Uganda-insights into some barriers and facilitators
Implementation Science - Tập 7 - Trang 1-12 - 2012
While feasibility of new health technologies in well-resourced healthcare settings is extensively documented, it is largely unknown in low-resourced settings. Uganda's decision to deploy and scale up malaria rapid diagnostic tests (mRDTs) in public health facilities and at the community level provides a useful entry point for documenting field experience, acceptance, and predictive variables for t...... hiện toàn bộ
Implementing nurse-initiated and managed antiretroviral treatment (NIMART) in South Africa: a qualitative process evaluation of the STRETCH trial
Implementation Science - Tập 7 - Trang 1-13 - 2012
Task-shifting is promoted widely as a mechanism for expanding antiretroviral treatment (ART) access. However, the evidence for nurse-initiated and managed ART (NIMART) in Africa is limited, and little is known about the key barriers and enablers to implementing NIMART programmes on a large scale. The STRETCH (Streamlining Tasks and Roles to Expand Treatment and Care for HIV) programme was a comple...... hiện toàn bộ
An open cluster-randomized, 18-month trial to compare the effectiveness of educational outreach visits with usual guideline dissemination to improve family physician prescribing
Implementation Science - - 2014
The Portuguese National Health Directorate has issued clinical practice guidelines on prescription of anti-inflammatory drugs, acid suppressive therapy, and antiplatelets. However, their effectiveness in changing actual practice is unknown. The study will compare the effectiveness of educational outreach visits regarding the improvement of compliance with clinical guidelines in primary care agains...... hiện toàn bộ
Harnessing the power of theorising in implementation science
Implementation Science - Tập 14 - Trang 1-8 - 2019
Theories occupy different positions in the scientific circle of enquiry as they vary in scope, abstraction, and complexity. Mid-range theories play a crucial bridging role between raw empirical observations and all-encompassing grand-theoretical schemes. A shift of perspective from ‘theories’ as products to ‘theorising’ as a process can enable empirical researchers to capitalise on the two-way rel...... hiện toàn bộ
'How to know what you need to do': a cross-country comparison of maternal health guidelines in Burkina Faso, Ghana and Tanzania
Implementation Science - Tập 7 - Trang 1-13 - 2012
Initiatives to raise the quality of care provided to mothers need to be given priority in Sub Saharan Africa (SSA). The promotion of clinical practice guidelines (CPGs) is a common strategy, but their implementation is often challenging, limiting their potential impact. Through a cross-country perspective, this study explored CPGs for maternal health in Burkina Faso, Ghana, and Tanzania. The objec...... hiện toàn bộ
Operational research as implementation science: definitions, challenges and research priorities
Implementation Science - Tập 11 - Trang 1-10 - 2016
Operational research (OR) is the discipline of using models, either quantitative or qualitative, to aid decision-making in complex implementation problems. The methods of OR have been used in healthcare since the 1950s in diverse areas such as emergency medicine and the interface between acute and community care; hospital performance; scheduling and management of patient home visits; scheduling of...... hiện toàn bộ
Thinking styles and doctors' knowledge and behaviours relating to acute coronary syndromes guidelines
Implementation Science - Tập 3 - Trang 1-8 - 2008
How humans think and make decisions is important in understanding behaviour. Hence an understanding of cognitive processes among physicians may inform our understanding of behaviour in relation to evidence implementation strategies. A personality theory, Cognitive-Experiential Self Theory (CEST) proposes a relationship between different ways of thinking and behaviour, and articulates pathways for ...... hiện toàn bộ
A randomized controlled trial evaluating the impact of knowledge translation and exchange strategies
Implementation Science - Tập 4 - Trang 1-16 - 2009
Significant resources and time are invested in the production of research knowledge. The primary objective of this randomized controlled trial was to evaluate the effectiveness of three knowledge translation and exchange strategies in the incorporation of research evidence into public health policies and programs. This trial was conducted with a national sample of public health departments in Cana...... hiện toàn bộ
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