Benefits realization management in the context of a national digital transformation initiative in English provider organizations.

Background: The Global Digital Exemplar (GDE) Programme is a national initiative to promote digitally enabled transformation in English provider organizations. The Programme applied benefits realization management techniques to promote and demonstrate transformative outcomes. This work was part of an independent national evaluation of the GDE Programme.

Driving digital health transformation in hospitals: a formative qualitative evaluation of the English Global Digital Exemplar programme.

Background: There is currently a strong drive internationally towards creating digitally advanced healthcare systems through coordinated efforts at a national level. The English Global Digital Exemplar (GDE) programme is a large-scale national health information technology change programme aiming to promote digitally-enabled transformation in secondary healthcare provider organisations by supporting relatively digitally mature provider organisations to become international centres of excellence.

Aim: To qualitatively evaluate the impact of the GDE programme in promoting digital transformation in provider organisations that took part in the programme.

Interorganizational Knowledge Sharing to Establish Digital Health Learning Ecosystems: Qualitative Evaluation of a National Digital Health Transformation Program in England.

Background: The English Global Digital Exemplar (GDE) program is one of the first concerted efforts to create a digital health learning ecosystem across a national health service.

Objective: This study aims to explore mechanisms that support or inhibit the exchange of interorganizational digital transformation knowledge.

Methods: We conducted a formative qualitative evaluation of the GDE program.

Promoting inter-organisational knowledge sharing: A qualitative evaluation of England's Global Digital Exemplar and Fast Follower Programme.

Background: The Global Digital Exemplar (GDE) Programme was designed to promote the digitisation of hospital services in England. Selected provider organisations that were reasonably digitally-mature were funded with the expectation that they would achieve internationally recognised levels of excellence and act as exemplars ('GDE sites') and share their learning with somewhat less digitally-mature Fast Follower (FF) sites.

Aims: This paper explores how partnerships between GDE and FF sites have promoted knowledge sharing and learning between organisations.

Using Blueprints to promote interorganizational knowledge transfer in digital health initiatives-a qualitative exploration of a national change program in English hospitals.

Objective: The Global Digital Exemplar (GDE) Program is a national attempt to accelerate digital maturity in healthcare providers through promoting knowledge transfer across the English National Health Service (NHS). "Blueprints"-documents capturing implementation experience-were intended to facilitate this knowledge transfer. Here we explore how Blueprints have been conceptualized, produced, and used to promote interorganizational knowledge transfer across the NHS.

Formative independent evaluation of a digital change programme in the English National Health Service: study protocol for a longitudinal qualitative study.

Introduction: Many countries are launching large-scale, digitally enabled change programmes as part of efforts to improve the quality, safety and efficiency of care. We have been commissioned to conduct an independent evaluation of a major national change programme, the Global Digital Exemplar (GDE) Programme, which aims to develop exemplary digital health solutions and encourage their wider adoption by creating a learning ecosystem across English National Health Service (NHS) provider organisations.

Methods And Analysis: This theoretically informed, qualitative, longitudinal formative evaluation comprises five inter-related work packages.

Technological Capabilities to Assess Digital Excellence in Hospitals in High Performing Health Care Systems: International eDelphi Exercise.

Background: Hospitals worldwide are developing ambitious digital transformation programs as part of broader efforts to create digitally advanced health care systems. However, there is as yet no consensus on how best to characterize and assess digital excellence in hospitals.

Objective: Our aim was to develop an international agreement on a defined set of technological capabilities to assess digital excellence in hospitals.

Theoretical and methodological considerations in evaluating large-scale health information technology change programmes.

Background: Attempts to achieve digital transformation across the health service have stimulated increasingly large-scale and more complex change programmes. These encompass a growing range of functions in multiple locations across the system and may take place over extended timeframes. This calls for new approaches to evaluate these programmes.

How effective are interventions designed to help owners to change their behaviour so as to manage the weight of their companion dogs? A systematic review and meta-analysis.

Objective: The present review sought to evaluate whether - and to what extent - targeting owners' behaviour is an effective way to reduce the problem of overweight and obesity among companion dogs.

Methods: A systematic search of electronic databases identified 14 studies that evaluated the effect of an intervention targeting owners' behaviour on (i) the owner's behaviour or (ii) the weight, (iii) body fat, or (iv) body condition of the dog. We coded aspects of the study design (e.

Using research on self-regulation to understand and tackle the challenges that owners face helping their (overweight) dogs lose weight.

The present research sought to (i) understand the challenges that dog owners encounter in helping their pet lose weight, and (ii) develop and test an intervention designed to help dog owners to deal with these challenges. A series of focus groups (N = 79 dog owners, veterinarians, and industry experts) informed the content of an intervention designed to prompt owners to form if-then plans (or "implementation intentions") identifying challenges (e.g.

The role of adult attachment orientation and coping in psychological adjustment to living with skin conditions.

Background: Skin conditions can be associated with significant psychological distress. Investigation of attachment orientation and associated use of coping strategies is a promising perspective from which to investigate psychological adjustment to skin conditions.

Objectives: To examine the role of adult attachment orientation, conceptualized as two dimensions - attachment avoidance and attachment anxiety - in psychological adjustment [appearance-related distress and skin-related quality of life (QoL)], and the mediating role of two coping strategies - defeatism and activity.

Using classification and regression tree modelling to investigate response shift patterns in dentine hypersensitivity.

Background: Dentine hypersensitivity (DH) affects people's quality of life (QoL). However changes in the internal meaning of QoL, known as Response shift (RS) may undermine longitudinal assessment of QoL. This study aimed to describe patterns of RS in people with DH using Classification and Regression Trees (CRT) and to explore the convergent validity of CRT with the then-test and ideals approaches.

Experiences of rosacea and its treatment: an interpretative phenomenological analysis.

Background: While rosacea is a chronic skin condition, it can often have a large psychosocial impact on the individual. There is therefore a need to understand the experience of living with rosacea from the patient perspective.

Objectives: To examine the experience of living with rosacea and the experience of seeking and receiving treatment.

Linking quality-of-life measures using the International Classification of Functioning, Disability and Health and the International Classification of Functioning, Disability and Health-Children and Youth Version in chronic health conditions: the example of young people with hemophilia.

Objective: This study aimed to measure the health and functioning of children with hemophilia in Europe using the International Classification of Functioning, Disability and Health (ICF) and the International Classification of Functioning, Disability and Health-Children and Youth Version (ICF-CY) as a frame of reference and items from health-related quality-of-life instruments as a measurement tool within a European data set.

Design: Based on the results of linkage of items from the hemophilia-specific health-related quality-of-life questionnaire for children and adolescents to ICF/ICF-CY, the categories most relevant for the description of health and functioning of children with hemophilia were identified for each domain of the ICF/ICF-CY. Using data from the European Study of Clinical, Health, Economic, and Quality-of-Life Outcomes of Hemophilia treatment on 446 children, the frequency of impairments in body structures and body functions, restrictions in activities and participation, and barriers in contextual factors were calculated.

Breast self-examination among Polish women of procreative age and the attached significance.

The aim of the study was to check whether and how frequently Polish women of procreative age examine their breasts, what this is conditioned by, and whether such self-examination has diagnostic significance. In this study, survey by questionnaire of 492 women of procreative age was conducted. Breast self-examination (BSE) was conducted by 82.

Complementary and alternative care within cancer care.

In this paper the authors will describe the emergence of CAM within cancer care by summarizing developments in research, practice and delivery, and outline the context within supportive and palliative care and highlight the parallels within the emergence of this specialty. It will be illustrated how the users, patients and their families are increasingly shaping service, provision and describe initiatives, both regional and national, which put the patients' perspective at the heart of decision making for the future CAM research and service delivery. The paper makes an attempt to identify and discuss briefly integrative medicine and describe the variety of forms and venues in which integrative medicine can be practiced by oncologists to treat cancer patients.

Care of a patient with acute leukemia based on a Dutch specialized model of oncology nursing.

Within the University Hospital Vrije Universiteit autologous and allogenic SCT are practiced. The hematology ward has 18 beds 3 of which are isolation rooms with laminar airflow and six day-care beds. In a year about 20 allogeneic and some 50 autologous SCT take place.

Professional information, education and counselling as prerequisites for quality cancer care.

The importance of psychosocial factors in the cancer journey for both patients and their careers has been recognized, yet, there is still a great gap between the theory and the practice. The majority of cancer patients express universal need and stress the importance of having good relationships with health-care professionals and receiving good-quality information. There is still much to do when it comes to informing cancer patients.

Communication with patients and their families, who undergo bone marrow transplantation.

Bone marrow transplantation (BMT) is a widely accepted treatment for malignant and nonmalignant diseases. With advances such as autologous and allogenic stem cell transplant, umbilical cord blood transplant, and improved biomedical support therapies, the need to evaluate the impact technology on the patient and the family continues to be an important aspect of medical and nursing research. BMT has been described as a procedure associated with isolation of the patient, prolonged hospitalizations, rapid fluctuations in medical conditions, frequent and often life-threatening infections, and graft-versus-host disease (GVHD).

The possibilities of surgical cover of skin defect in locally advanced breast cancer.

Three types of surgical procedure were applied to cover skin defect in locally advanced breast cancer after simple mastectomy. The skin defect was impossible for primary suture. In four cases we used latissimus dorsi myocutaneous flap with a very good effect.

Surgical treatment in Paget's disease of the breast.

The extent of the operation in Paget's disease of the breast depends largely on the degree of clinical advancement of neoplasm as well as counter-indications for breast conserving therapy. Despite the increasing use of breast conserving therapy, rather few such operations of this kind have been performed in our department. We have carried out 29 mastectomies and only 6 breast conserving operations.