Publications by authors named "D J Troy"

Article Synopsis
  • - The study evaluates Ovid Synthesis, a web-based tool used by 18 health system leaders, to enhance evidence-based practice (EBP), quality improvement, and research.
  • - Key factors for EBP implementation highlighted include standardization, collaboration, dissemination, and focus on patient outcomes, which Ovid Synthesis effectively supports.
  • - There is a strong emphasis on measuring return on investment (ROI) to demonstrate the value of EBP, which is crucial for securing ongoing investments in these practices.
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Fetal alcohol spectrum disorder (FASD) is a leading cause of neurodevelopmental disability globally. International organizations have highlighted an urgent need for improved prevention, diagnosis, and support. However, the evidence base needed to inform this is thought to be limited.

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Background: Globally, almost one-third of adults with chronic non-cancer pain (CNCP) are prescribed opioids. Prevention of opioid dependence among these patients is a public health priority.

Aim: To synthesise the evidence on the effectiveness of primary care-based interventions for secondary prevention of opioid dependence in patients with CNCP who are taking pharmaceutical opioids.

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Background: Some modifiable risk factors for cancer originate during adolescence. While there is evidence indicating relationships between adverse childhood experiences and health risk behaviours generally, little is known about how childhood adversity influences the engagement of adolescents in cancer risk behaviours. This study aimed to determine the relationship between adverse childhood experiences and adolescent cancer risk behaviours.

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This article defines evidence-based practice (EBP) and quality improvement (QI) and examines the positive impact on patient care when they are in place, as well as the barriers to their implementation. An effective tool, Ovid Synthesis, was created to enable clinicians and administrators to streamline the processes for EBP and QI, provide oversight on the initiatives underway, and enable clinical educators to help nursing staff develop the necessary competencies and successfully execute their EBP and/or QI projects.

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