Publications by authors named "Janelle Santos Perez"
Background: Context (work environment) plays a crucial role in implementing evidence-based best practices within health care settings. Context is multi-faceted and its complex relationship with best practice use by care aides in long-term care (LTC) homes are understudied. This study used an innovative approach to investigate how context elements interrelate and influence best practice use by LTC care aides.
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- The increasing population of older adults relies heavily on nursing homes, where staff, especially care aides, face complex challenges in providing adequate care due to demanding work conditions and lack of resources.* -
- The study analyzed how nursing home staff interpreted these challenges and engaged in adaptive leadership, allowing them to navigate and implement solutions despite contextual barriers.* -
- Effective change in nursing homes is aided by the empowerment of staff through formal leadership, which fosters the adaptive leadership behaviors necessary for overcoming obstacles in resident care.*
Background: The number of research publications reporting the use of the Promoting Action on Research Implementation in Health Services (PARIHS) framework and the integrated PARIHS (i-PARIHS) framework has grown steadily. We asked how the last decade of implementation research, predicated on the (i-)PARIHS framework (referring to the PARIHS or i-PARIHS framework), has contributed to our understanding of the conceptualizations of, relationships between, and dynamics among the core framework elements/sub-elements. Building on the Helfrich et al.
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