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Using behavioural science to improve antibiotic stewardship in Canadian long-term care homes: Protocol for a multi-center cluster randomized quality improvement study.
Can Commun Dis Rep
January 2025
Data, Surveillance and Foresight Branch, Public Health Agency of Canada, Ottawa, ON.
Background: Antimicrobial resistance (AMR) is associated with significant human and financial costs, particularly among vulnerable populations like older adults living in long-term care homes (LTCHs). Urinary tract infection (UTI) is the leading indication for antibiotic use in this population, with some estimates suggesting that up to 70% of these prescriptions may be avoidable.
Objective: The purpose of this study is to develop and test novel behavioural science-informed antimicrobial stewardship (AMS) quality improvement strategies in Canadian LTCHs, which aim to decrease unnecessary testing and treatment for residents who lack the minimum clinical signs and symptoms of UTI.
Multi-methods process evaluation of the SToP (See, Treat, Prevent) trial: a cluster randomised, stepped wedge trial to support healthy skin.
EClinicalMedicine
November 2024
Wesfarmers Centre of Vaccines and Infectious Diseases, Telethon Kids Institute, University of Western Australia, Nedlands, WA, Australia.
Background: Healthy skin is important for maintaining overall physical and cultural health and wellbeing. However, remote-living Australian Aboriginal children contend with disproportionally high rates of (Strep A) infected impetigo. The SToP Trial was a large stepped-wedge cluster randomised trial of See, Treat, and Prevent (SToP) skin health activities implemented between 2019 and 2022 in the Kimberley region of Western Australia, during which a decrease in impetigo was observed.
View Article and Find Full Text PDFFactors Influencing Nurses' Decisions to Leave or Remain in the Home and Community Care Sector During the COVID-19 Pandemic.
Healthcare (Basel)
November 2024
VHA Home HealthCare, 30 Soudan Avenue, Suite 600, Toronto, ON M4S 1V6, Canada.
Home and community care (HCC) nurses experienced increased occupational challenges during the COVID-19 pandemic, including increased workloads, job stressors, and occupational risks, like virus exposure. The objective of this study was to elucidate what factors influenced nurses' decisions to stay in their role, take a temporary leave, or exit HCC during the COVID-19 pandemic. A secondary analysis of data collected using a cross-sectional online open survey distributed among HCC Registered Practical Nurses across Ontario between June and September 2022 was conducted.
View Article and Find Full Text PDFFrom the Bedside to the Boardroom: Developing Physician Leaders to Manage Tomorrow's Healthcare Challenges.
Front Health Serv Manage
November 2024
James L. Hill Jr., MD, FACHE , is COO of University Hospitals Parma Medical Center in Parma, Ohio, and an assistant professor of anesthesiology and perioperative medicine at Case Western Reserve School of Medicine in Cleveland, Ohio .
Article Synopsis
- Physicians are taking on leadership roles beyond direct patient care, which helps improve healthcare quality and drive change within organizations.
- Their clinical expertise is essential in balancing high-quality patient care with the financial challenges that healthcare organizations encounter.
- Physicians possess a unique credibility that allows them to significantly impact strategic decisions, organizational culture, and overall patient outcomes in their institutions.
Voices From the Field: A Quality Improvement Project for Progressive Tinnitus Management 2.0.
Am J Audiol
December 2024
Veterans Integrated Service Network 20, VA Boise Health Care, ID.
Purpose: Tinnitus is a common health condition in the general population, with increased prevalence among military Veterans. Tinnitus is, in fact, the most prevalent military service-connected disability. There is no cure for tinnitus, but interventions are available to help patients manage their reactions to tinnitus and reduce its functional impact.
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