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作者： Williams, Anne-Evan K. The Ohio State University

学位级别：Ph.D.

In a climate of assessment and accountability, school districts are constantly on the search for product solutions to the pressing issue of student reading performance, as assessed by annual state standardized accountability testing. In an attempt to increase student reading growth rates, some districts are turning to formative assessment systems, such as the formative online reading assessment Diagnostic Online Reading Assessment, or DORA (commercially available from Let's Go Learn, Inc.), in order to encourage more differentiated classroom instruction and as a growth monitoring tool for instruction. The implementation of DORA, while top-down in nature, is being done in collaboration with the product developers, whose professional development model utilizes a Concerns-Based Adoption Model (CBAM) framework, providing for extensive administrator support, modeling of usage, using a teacher cohort model, and allowing for teacher concerns to be address during the professional development cycle. The purpose of this study was to examine the effects in student reading growth of the teacher-level implementation decisions and in the top-down, district wide implementation of a formative online reading assessment, as part of district-wide measures to improve student reading performance, and subsequently, student reading test scores. Data was collected from a large, urban school district in Southern California, with a large minority population, many of whom speak English as a second language. Existing student DORA data was collected, while a survey was administered to teachers to collect teacher-level professional development implementation data. Student data and teacher data were analyzed using regression analysis and Hierarchical Linear Modeling to determine 1) the relationship between teacher-level professional development implementation decisions and the overall teacher use of DORA, and 2) the relationship between teacher-level professional development implementation decisi

关键词： Educational Evaluation Educational Software Educational Tests and Measurements Reading Instruction Continuing Education formative assessment professional development reading assessment program implementation

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Nursing students' experiences of a home visiting programme for older adults with multimorbidity (VISITAME project): A phenomenological study

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NURSE EDUCATION TODAY 2023年第1期128卷 105881页

作者： Dobarrio-Sanz, Iria Chica-Perez, Anabel Fernandez-Sola, Cayetano Dolores Ruiz-Fernandez, Maria del Mar Jimenez-Lasserrotte, Maria Manuel Hernandez-Padilla, Jose Univ Almeria Dept Nursing Physiotherapy & Med Almeria 04120 Spain Residencia Mayores Emera Almeria Almeria 04007 Spain Univ Autonoma Chile Fac Ciencias Salud Santiago 7500000 Chile

Introduction: Nursing students should acquire competence in promoting self-care in older adults with chronic multimorbidity, but opportunities for clinical practice are limited. The implementation of a home visiting pro-gramme to community-dwelling older adults with chronic multimorbidity could contribute to nursing students' acquisition of this ***: The aim of our study was to understand the experience of nursing students participating in a home visiting programme to community-dwelling older adults with chronic multimorbidity. Design: Qualitative study based on Gadamer's hermeneutic ***: Twenty-two in-depth interviews were conducted with nursing students participating in a home visiting programme. Data were recorded, transcribed and analysed following the procedure developed by ***: Three main themes were extracted in the data analysis process: (1) 'living the theory. Experience as a catalyst for learning', (2) 'the home visiting programme as a tool for promoting competence in caring for older adults', and (3) 'when learning sparks interest in working with older adults'.Conclusion: The home visiting programme to community-dwelling older adults has an important impact on the personal and professional development of nursing students. The experience of the home visiting programme leads to deep learning that sparks interest in caring for older adults. The implementation of a home visiting programme could be a beneficial strategy for the acquisition of competence to promote health and self-care.

关键词： Nursing students Home visits program implementation Student experiences Aged Learning methods

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Journey to Maternal Health Equity

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JOGNN-JOURNAL OF OBSTETRIC GYNECOLOGIC AND NEONATAL NURSING 2024年第4期53卷 S35-S35页

作者： Dowe, Jennifer Hemmings, Daileann Quadrato, Sarah Hartford Hosp Hartford CT USA

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Perspectives of health care providers referring patients to a newly implemented sexual health program in a Canadian cancer center

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SUPPORTIVE CARE IN CANCER 2021年第12期29卷 7131-7134页

作者： Walker, Lauren M. Sears, Carly S. Booker, Reanne Glaze, Sarah Doll, Corinne Phan, Tien Brennan, Kerrie Robinson, John W. Tom Baker Canc Clin Dept Psychosocial Resources Holy Cross Site2202 2nd St SW Calgary AB T3S 2C1 Canada Univ Calgary Dept Oncol 1331 29th St NW Calgary AB T2N 1N4 Canada

Purpose Screening and discussion about sexual health concerns within cancer care are frequently impeded by lack of access to sexual health resources and lack of fluency with sexual health topics. To address this, a multi-disciplinary sexual health program was developed and piloted in a Canadian tertiary cancer center. The aim of this study was to assess referring health care providers' perspectives on the newly implemented oncology sexual health program. Methods A brief online survey was administered system-wide to cancer care providers to query their perceptions of the pilot multidisciplinary sexual health program, the Oncology and Sexuality, Intimacy and Survivorship (OASIS) program. Results According to survey results, the OASIS program was perceived by health care providers as valuable, helpful for patients, and important for addressing gaps in clinical care. Additional comments indicated an ongoing need for increased access to information about the program and referral procedures. Conclusion Survey results highlight the need for consistent program dissemination efforts to equip health care providers with accessible patient education materials and easily implemented referral procedures. Importantly, providers indicated that they were more likely to raise the topic of sexuality with patients because they had somewhere to refer patients who had sexual concerns. Overall, findings inform efforts to implement sexual health programming within cancer care institutions.

关键词： Cancer Oncology program implementation Sexual health service Sexuality Survivorship

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Perspectives on implementing Individual Placement and Support (IPS) within primary health care settings for adults living in British Columbia, Canada

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BMC PSYCHIATRY 2023年第1期23卷 919-919页

作者： Kwan, Amanda Berinstein, Stephany Morris, Jonathan Barbic, Skye Univ British Columbia Fac Med Dept Occupat Sci & Occupat Therapy Vancouver BC Canada Canadian Mental Hlth Assoc BC Div Vancouver BC Canada Providence Res Vancouver BC Canada Ctr Hlth Evaluat Outcome Sci Vancouver BC Canada

BackgroundIndividual placement and support (IPS) is an evidence-based practice (EBP) designed to help people with severe mental illness re-enter the labour market. Implementing an IPS program within a new context (e.g., primary health care setting) to support populations that are complex and multi-barriered presents a set of unique challenges and considerations. This paper provides community-based perspectives that identify implementation strengths and challenges and highlights potential strategies aimed at addressing emergent *** case study was conducted across three community health centres in British Columbia (BC), Canada, where a novel IPS program was embedded within primary care services. Data collection consisted of open-ended surveys and focus groups with service providers directly involved in program implementation and their associated clinical and managerial support teams (n = 15). Using the updated Consolidated Framework for implementation Research (CFIR) as a guide, we performed deductive thematic analysis to identify key areas impacting IPS *** with existing health care systems and primary health care teams and support from leadership across all levels were identified as both key facilitators and barriers to implementation. Facilitators and barriers were identified across all domains, with those within innovation and process most easily addressed. Four cross-cutting themes emerged for promoting more integrated and sustainable program implementation: investing in pre-implementation activities, supporting a dynamic and flexible program, building from community experiences, and developing a system for shared *** an IPS program embedded within primary health care settings is complex and requires extensive planning and consultation with community-based service providers and decision-makers to achieve full integration. Future practice and policy decisions aimed at supporting employment a

关键词： Individual placement and support program implementation Mental health Vocational rehabilitation Evidence-based practice Community-based research

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Response to "National bowel cancer screening programs: The Emperor's new clothes!"

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PREVENTIVE MEDICINE 2024年 189卷 108156-108156页

作者： Worthington, Joachim Univ Sydney Daffodil Ctr Sydney NSW Australia

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Understanding collaborative implementation between community and academic partners in a complex intervention: a qualitative descriptive study

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BMC HEALTH SERVICES RESEARCH 2023年第1期23卷 606-606页

作者： Clark, Rebecca Gaber, Jessica Datta, Julie Talat, Samina Bomze, Sivan Marentette-Brown, Sarah Gagnon, Cherie Oliver, Doug Lamarche, Larkin Forsyth, Pamela Carr, Tracey Price, David Mangin, Dee McMaster Univ 100 Main St West Hamilton ON L8P 1H6 Canada Canadian Red Cross 5700 Cancross Court Mississauga ON L5R 3E9 Canada Windsor Essex Compass Care Community 6038 Empress St Windsor ON N8T 1B5 Canada Univ Otago Christchurch Christchurch New Zealand

BackgroundCommunity-academic partnerships (CAPs) can improve the relevance, sustainability, and uptake of new innovations within the community. However, little is known about what topics CAPs focus on and how their discussions and decisions impact implementation at ground level. The objectives of this study were to better understand the activities and learnings from implementation of a complex health intervention by a CAP at the planner/decision-maker level, and how that compared to experiences implementing the program at local *** intervention, Health TAPESTRY, was implemented by a nine-partner CAP including academic, charitable organizations, and primary care practices. Meeting minutes were analyzed using qualitative description, latent content analysis, and a member check with key implementors. An open-answer survey about the best and worst elements of the program was completed by clients and health care providers and analyzed using thematic *** total, 128 meeting minutes were analyzed, 278 providers and clients completed the survey, and six people participated in the member check. Prominent topics of discussion categories from the meeting minutes were: primary care sites, volunteer coordination, volunteer experience, internal and external connections, and sustainability and scalability. Clients liked that they learned new things and gained awareness of community programs, but did not like the volunteer visit length. Clinicians liked the regular interprofessional team meetings but found the program *** important learning was about who had "voice" at the planner/decision-maker level: many of the topics discussed in meeting minutes were not identified as issues or lasting impacts by clients or providers;this may be due to differing roles and needs, but may also identify a gap. Overall, we identified three phases that could serve as a guide for other CAPs: Phase (1) recruitment, financial support, and data ownersh

关键词： implementation science Primary health care Community-academic partnerships program implementation Qualitative

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Formalizing the curbside: digitally enhancing access to specialty care

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Proceedings (Baylor University. Medical Center) 2023年第6期36卷 716-720页

作者： Camille Bradley LaPortia Smith Kenneth Youens Bobbie Ann Adair White Glen Couchman Baylor Scott and White Health Family Medicine Lakewood Dallas Texas USA. Department of Internal Medicine Baylor Scott and White Medical Center Round Rock Round Rock Texas USA. Department of Pathology and Laboratory Medicine Baylor Scott and White Medical Center Temple Temple Texas USA. Massachusetts General Hospital Institute of Health Professions Boston Massachusetts USA. Department of Family Medicine Baylor Scott and White Medical Center Temple Temple Texas USA.

Asynchronous medical care has increased in utilization, patient interest, and industry demand. While E-consults have been discussed extensively in the literature, there are rare examples of a multispecialty implementation within a large health system. Here, we describe our experience in implementing an internal E-consult program for asynchronous, nonurgent communication between ambulatory specialists and primary care providers in our large multispecialty regional health system. To ensure adoption of the program, patient, specialist, and primary care physician concerns were systematically addressed. The program commenced in February 2022 with three high referral rate specialties: cardiology, orthopedics, and dermatology. In the 12 months after implementation, 2243 total E-consults were ordered among 505 ordering providers. Dermatology received the most consultations, and we have expanded to 19 specialties and subspecialties available in the program in the first year. Our E-consult implementation experienced substantial growth in a short time period, demonstrating the viability of E-consult utilization for increasing asynchronous access to ambulatory specialists' expertise in a large healthcare system.

关键词： Asynchronous care E-consult curbside consult hospital system program implementation quintuple aim specialty care

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History and physical exam: a retrospective analysis of a clinical opportunity

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BMC MEDICAL EDUCATION 2023年第1期23卷 699-699页

作者： McLinden, David Hailstone, Krista Featherston, Sue Northern Ontario Sch Med Univ 935 Ramsey Lake Rd Sudbury ON P3E 2C6 Canada Huntsville Phys Local Educ Grp 100 Frank Miller Dr Huntsville ON P1H 1H7 Canada Algonquin Family Hlth Team Howland Bldg100 Frank Miller Dr Huntsville ON P1H 1H7 Canada

Background All learners at the Northern Ontario School of Medicine University complete a longitudinal integrated clerkship experience in their third year, which serves to improve learner experience with community and clinical acute and chronic health needs. Early in the program, Muskoka faculty (two of the 15 LIC sites of NOSM U) became aware that learners never had the occasion to complete a full history and physical exam on a real patient with complex needs. Recognizing this as a critical experience, a program was initiated to provide learners with this opportunity. This manuscript reports on the effectiveness and impact of this novel program and outlines the procedure developed to incorporate a similar program should communities see the relevance. Methods Using a mixed method design, feedback was collected from learners and preceptors following the implementation of a novel learning opportunity for clinical clerks. Learners completed a full history and physical exam on volunteer complex patients, with supervision and immediate feedback. Using semi structured surveys, data was collected from each learner and preceptor to determine the program impact and optimize the program. Laurentian University research ethics board, certificate number 6021120. Results Both learners and preceptors agreed this was a valuable experience for learners, a good use of their time and contributed to essential skills including, communication, time management and appropriate data collection. The use of real patients was reported to be very appropriate by learners and faculty and often highlighted gaps in the learner's knowledge that they were then able to address. Conclusion Feedback collected in this study confirms that providing medical learners the opportunity to complete a full history and physical exam with supervision and feedback was significantly beneficial from both a clinical and a skills-based aspect. Requiring learners to complete this task within the established period forced

关键词： program implementation Medical learners Confidence Clinical skills Communication Feedback

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Planning and Implementing Telepsychiatry in a Community Mental Health Setting: A Case Study Report

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COMMUNITY MENTAL HEALTH JOURNAL 2021年第1期57卷 35-41页

作者： Mahmoud, Hossam Naal, Hady Cerda, Snezana Insight Regrp Telehlth 4525 Ravenswood Ave 201 Chicago IL 60640 USA Tufts Univ Sch Med Boston MA 02111 USA Amer Univ Beirut Global Hlth Inst Beirut Lebanon Josselyn Ctr 405 Cent Ave Chicago IL 60093 USA

Healthcare institutions in the United States are increasingly adopting telehealth services given their numerous benefits in enhancing access to care. Despite that, few accounts of such organizational experiences in the literature exist, especially those pertaining to telepsychiatry. In this case study, we report the planning and implementation of a telepsychiatry program adopted by a community mental health organization in suburban Chicago, Illinois from 2017 until 2019. We analyze findings gathered from the organization's secondary archival data, highlighting process and outcome evaluations of the program. Results show high levels of patient engagement compared to in-person service modality. Also, our results show an increase in the number of patients served, efficiency in service delivery, decreases in patient wait time to accessing services, and overall positive feedback from patients, families, and staff members. We discuss the successes and challenges encountered by the organization and synthesize them into practical applications recommended for similar initiatives.

关键词： Telepsychiatry program implementation Community mental health Access to care

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