Background: A gap exists between scientific discovery and implementation and adoption of research findings in healthcare and public health practice. This gap is due to the fact that research on treatment efficacy and safety in clinical trials ends prematurely with the publication of results, leaving a lack of knowledge of treatment effectiveness in real-world clinical and community settings. Comparative effectiveness research (CER) can facilitate the translation of research findings, reducing the gap between discovery and adoption into practice. Getting CER findings to patients and healthcare providers requires efforts to disseminate and train providers to successfully implement and sustain change in the healthcare setting. Advanced practice registered nurses (APRNs) are instrumental in the implementation of evidence-based research in primary care settings and an important group to target for the dissemination of research findings. There are numerous implementation training programs, but none focus specifically on APRNs.
Objective: The objective of this article is to describe the infrastructure established to develop a 3-day implementation training program for APRNs and an implementation support system.
Method: A description of the processes and strategies is provided, including stakeholder engagement through focus groups and the formation of a multistakeholder program planning advisory team, which includes APRNs, organization leaders, and patients. The program also includes curriculum development and program planning as well as the development of an implementation toolkit.
Results: Stakeholders were instrumental in shaping the implementation training program, including the content of the curriculum and the program agenda. In addition, the unique perspective of each stakeholder group contributed to the selection of the CER findings disseminated through the intensive training program.
Conclusion: It is important that strategies to address the lack of implementation training opportunities for APRNs be discussed and disseminated within the healthcare community. This article discusses the plan to address implementation training for APRNs through the development of an implementation curriculum and toolkit for APRNs.
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http://dx.doi.org/10.1097/XEB.0000000000000376 | DOI Listing |
JMIR Pediatr Parent
January 2025
School of Public Health, Physiotherapy and Sports Science, University College Dublin, Dublin 4, Ireland.
Background: Preteen girls of lower socioeconomic position are at increased risk of physical inactivity. Parental support, particularly from mothers, is positively correlated with girls' physical activity levels. Consequently, family-based interventions are recognized as a promising approach to improve young people's physical activity.
View Article and Find Full Text PDFComput Inform Nurs
January 2025
Author Affiliations: Center for the Study of Healthcare Innovation, Implementation & Policy, VA Greater Los Angeles Health Care (Dr Brunner and Ms Amano), CA; Michael E. DeBakey VA Medical Center (Dr Davila), Houston, TX; Department of Medicine-Health Services Research, Baylor College of Medicine (Dr Davila), Houston, TX; VA Ann Arbor Healthcare System (Dr Krein), MI; Division of General Medicine, Department of Internal Medicine, University of Michigan Medical School (Dr Krein), Ann Arbor; Office of Nursing Services, Veterans Health Administration (Dr Sullivan and Ms Church), Washington, DC; Center of Innovation for Veteran-Centered and Value-Driven Care, Seattle VA Medical Center (Dr Sayre), WA; University of Washington School of Public Health (Dr Sayre), Seattle; Center for Healthcare Organization and Implementation Research, VA Bedford Healthcare System (Dr Rinne), MA; and Division of Pulmonary and Critical Care Medicine, Department of Medicine, Geisel School of Medicine, Dartmouth University (Dr Rinne), MA.
Transitions from one EHR to another can be enormously disruptive to care. Nurses are the largest group of EHR users, but nurse experiences with EHR transitions have not been well documented. We sought to understand nurse experiences with an EHR transition at the US Department of Veterans Affairs.
View Article and Find Full Text PDFJMIR Public Health Surveill
December 2024
Beijing Youan Hospital, Capital Medical University, Beijing, China.
Background: There is limited literature available regarding the knowledge and use of HIV pre-exposure prophylaxis (PrEP) among men who have sex with men (MSM) with sexually transmitted infections (STIs).
Objective: This study's objective was to explore the HIV PrEP cascade stages (knowledge, willingness to use, and use) among MSM with STIs in China, in order to promote the implementation of PrEP in this population.
Methods: A cross-sectional study was conducted using a respondent-driven sampling method in 19 cities in China, from January to August 2022.
J Neurotrauma
January 2025
Zuckerberg San Francisco General Hosptial and Trauma Center, University of California, San Francisco, San Francisco, California, USA.
Outpatient care following nonhospitalized traumatic brain injury (TBI) is variable, and often sparse. The National Academies of Sciences, Engineering, and Medicine's 2022 report on highlighted the need to improve the consistency and quality of TBI care in the community. In response, the present study aimed to identify existing evidence-based guidance and specific clinical actions over the days to months following nonhospitalized TBI that should be prioritized for implementation in primary care.
View Article and Find Full Text PDFPhys Eng Sci Med
January 2025
Faculty of Engineering, Department of Biomedical Engineering, Universiti Malaya, Kuala Lumpur, Malaysia.
Neointimal coverage and stent apposition, as assessed from intravascular optical coherence tomography (IVOCT) images, are crucial for optimizing percutaneous coronary intervention (PCI). Existing state-of-the-art computer algorithms designed to automate this analysis often treat lumen and stent segmentations as separate target entities, applicable only to a single stent type and overlook automation of preselecting which pullback segments need segmentation, thus limit their practicality. This study aimed for an algorithm capable of intelligently handling the entire IVOCT pullback across different phases of PCI and clinical scenarios, including the presence and coexistence of metal and bioresorbable vascular scaffold (BVS), stent types.
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