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Application of systems thinking: 12‐month postintervention evaluation of a complex health system intervention in Zambia: the case of the BHOMA
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Wilbroad Mutale MD PhD Helen Ayles MD PhD Virginia Bond PhD Namwinga Chintu MD MSc Roma Chilengi MD MSc Margaret Tembo Mwanamwenge MPH Angela Taylor MBA Neil Spicer PhD Dina Balabanova PhD 《Journal of evaluation in clinical practice》2017,23(2):439-452
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A comparison of propensity score‐based approaches to health service evaluation: a case study of a preoperative physician‐led clinic for high‐risk surgical patients
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Clarabelle T. Pham BSc GDPH Catherine L. Gibb MBBS FRACP Murthy N. Mittinty MStat MPS PhD AStat Robert A. Fitridge MBBS MS FRACS Villis R. Marshall MBBS MD FRACS Jonathan D. Karnon MSc PhD 《Journal of evaluation in clinical practice》2016,22(5):761-770
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Stephanie Stewart Brett Scholz Sarah Gordon Brenda Happell 《International journal of mental health nursing》2019,28(1):339-350
Contemporary mental health policies call for increased involvement of consumers in leadership across mental health service design, delivery, and evaluation. However, consumer leadership is not currently well understood within academia or in mental health services themselves. This study investigates how consumer leadership is currently conceptualized by stakeholders at the service delivery level. To this end, semistructured interviews were conducted with 14 mental health organization members identifying as consumer leaders, colleagues supporting consumer leaders, or organization executives. Interview data were analysed using an inductive thematic analysis to develop a broad understanding of participants’ perceptions of consumer leadership. Findings indicate constructions of consumer leadership within mental health organizations can be understood in relation to four themes: consumer leadership roles, requirements, purpose, and process. Inconsistencies across participants’ perceptions of consumer leadership were identified as constituting barriers to its development, highlighting the need to better clarify the nature of consumer leadership. 相似文献
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Prevalence,diagnostics and management of musculoskeletal disorders in primary health care in Sweden – an investigation of 2000 randomly selected patient records
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Birgitta Wiitavaara PhD Martin Fahlström MD PhD Mats Djupsjöbacka PhD 《Journal of evaluation in clinical practice》2017,23(2):325-332
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‘Walking the tightrope’: The role of peer support workers in facilitating consumers’ participation in decision‐making
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Michelle Cleary PhD RN. Toby Raeburn PhD RN. Phil Escott BA. Sancia West BA BN RN. Violeta Lopez PhD RN. 《International journal of mental health nursing》2018,27(4):1266-1272
In adult mental health services, the participation of consumers is essential. The aim of this study was to explore the challenges faced by peer support workers when involving mental health consumers in decision‐making about their care and the strategies they employed to overcome these challenges so as to improve mental health consumers’ participation in decision‐making and recovery. Semi‐structured individual interviews were conducted with six peer support workers currently employed in psychiatric hospitals and/or community mental health systems. Thematic analysis identified challenges related to role definition, power imbalance, doctor‐centric medical approaches to care, and lack of resources. Strategies to overcome these challenges that were reported, included the following: facilitating meaningful involvement for service users, appropriate use of the lived experience, building relationships and communication, promoting rights and advocacy, and promoting professionalism of peer support workers (PSWs). Nursing staff need ongoing support and education to understand and value the varied roles of PSWs and thereby empower PSWs to engage in enhancing consumer decision‐making. The roles of the PSWs should be viewed as complementary, and greater appreciation and understanding of roles would better support recovery‐oriented care. 相似文献
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Quality improvement opportunities for handover practices in birth centres: A case study from a process perspective
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Marit Hitzert PhD Inge C. Boesveld PhD Marieke A. A. Hermus MSc Johanna P. de Graaf PhD Therese A. Wiegers PhD Eric A.P. Steegers MD PhD Berthold R. Meijboom PhD Henk A. Akkermans PhD 《Journal of evaluation in clinical practice》2018,24(3):590-597
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Siw Carlfjord RPT MPH Malou Lindberg RN PhD Agneta Andersson PhD 《Journal of evaluation in clinical practice》2013,19(2):327-334
Rational, aims and objectives Sustainability of new methods implemented in health care is one of the most central issues in addressing the gap between research and practice, but is seldom assessed in implementation studies. The aim of this study was to evaluate the implementation of a new tool for lifestyle intervention in primary health care (PHC) 2 years after the introduction, and assess if the implementation strategy used influenced sustainability. Method A computer‐based lifestyle intervention tool (CLT) was introduced at six PHC units in Sweden in 2008, using two implementation strategies: explicit and implicit. The main difference between the strategies was a 4‐week test period followed by a decision session, included in the explicit strategy. Evaluations were performed after 6, 9 and 24 months. After 24 months, the RE‐AIM framework was applied to assess and compare outcome according to strategy. Results A more positive outcome regarding reach, effectiveness, adoption and implementation in the explicit group could be almost completely attributed to one of the units. Maintenance was low and after 24 months, differences according to strategy were negligible. Conclusion After 24 months, the most positive outcomes regarding all RE‐AIM dimensions were found in one of the units where the explicit strategy was used. The explicit strategy per se had some effect on the dimension effectiveness, but was not associated with sustainability overall. Staff at the most successful unit earlier had positive expectations regarding the CLT and found it compatible with existing routines. 相似文献
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