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Tailored Multifaceted Strategy for Implementing Fundamental Evidence-Based Nursing Care: An Evaluation Study.
Nurs Rep
December 2024
Department of Internal Medicine, Copenhagen University Hospital Herlev and Gentofte, Gentofte Hospitalsvej 2, 2nd. Floor, DK-2900 Hellerup, Denmark.
: Extensive research has emphasised the persistent challenges and failures in providing hospitalised patients with fundamental evidence-based nursing care, often resulting in grave consequences for patient safety. Recommendations from implementation research indicate that a tailored theory- and research-based implementation strategy targeting contextual determinants can optimise the implementation of evidence-based clinical practice for the benefit of patients. This study evaluated the feasibility of an implementation strategy designed to improve the quality of nursing care by targeting behavioural and environmental barriers in a hospital setting.
View Article and Find Full Text PDFSustainability in Reconstructive Breast Surgery: An Eco-audit of the Deep Inferior Epigastric Perforator Flap Pathway.
Plast Reconstr Surg Glob Open
December 2024
From the Division of Surgery and Interventional Science, University College London, London, United Kingdom.
Background: The deep inferior epigastric perforator (DIEP) flap provides an effective and popular means for autologous breast reconstruction. However, with the complexity of the pathway, the environmental impact of the pathway has yet to be evaluated.
Methods: A retrospective analysis of 42 unilateral DIEPs at a single reconstructive center was performed.
Research on the innovation of early warning mechanisms of major public health emergencies for poverty alleviation and marginal populations: a case study of Fujian Province.
Front Public Health
December 2024
School of Economics and Management, Sanming University, Sanming, China.
Poverty alleviation is critical for sustainable development. Establishing a major public health emergency warning and prevention mechanism for poverty alleviation and marginal populations can effectively determine the overall risk situation and primary risk components in diverse regions. It is conducive to formulate specific policies for risk prevention and control of public health emergencies to prevent the occurrence of poverty relapses.
View Article and Find Full Text PDFImplementing and evaluating a project to enable and encourage Caribbean data-sharing.
Rev Panam Salud Publica
December 2024
The University of the West Indies at Cave Hill Bridgetown, Saint Michael Barbados The University of the West Indies at Cave Hill, Bridgetown, Saint Michael, Barbados.
The CaribData project, funded by the Inter-American Development Bank and implemented by The University of the West Indies, aims to enhance data-handling, -sharing and reuse capabilities in the Caribbean. The project focuses on four main objectives: developing an online data-handling platform, creating a sustainable training and mentoring program, launching a data communication initiative and conducting data availability audits. To evaluate its progress, CaribData integrates two implementation science frameworks, RE-AIM (for Reach, Effectiveness, Adoption, Implementation, Maintenance) and the Consolidated Framework for Implementation Research.
View Article and Find Full Text PDFMultifaceted approach to reduce duplicate therapy errors in the emergency department.
BMJ Open Qual
December 2024
Department of Emergency Medicine, Changi General Hospital, Singapore.
Medication errors continue to pose a significant risk to patient safety, accounting for half of the avoidable harm in healthcare systems around the world. In emergency departments (EDs), factors such as high patient loads and emergent nature of care increase the likelihood of such errors. An audit conducted at the ED of Changi General Hospital Singapore from January 2019 to July 2022 revealed that the duplicate therapy error comprised 31% of all reported medication errors.
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