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1.
Artigo em Inglês | MEDLINE | ID: mdl-36011734

RESUMO

This manuscript introduces a new framework for creating innovations in public health-the Framework for Public Health Innovation. The framework was developed through a longitudinal qualitative research study that investigated the process of creating innovative adolescent health programs. Interviews were conducted with a national sample of 26 organizations over two time points. Data collection focused on the process of innovative program development; organizational capacity; training; and technical assistance needs, successes, and barriers. The framework was developed and modified based on interview findings and expert advice; then, the final framework was validated with content experts. The framework illustrates a dynamic process of innovation that begins with dissatisfaction with the status quo, and then, illustrates three necessary components for innovation-space, process, and partnerships. Four categories of innovation, which range in complexity, are proposed: (1) creating a new component to an existing program, (2) adapting an existing program to meet new needs, (3) taking an alternative approach to addressing an existing program, and (4) reframing a health problem from a new perspective. As illustrated by a feedback loop, the resulting innovations disrupt the status quo. This model can be applied to any content area in public health and is useful for both research and practitioners.


Assuntos
Saúde Pública , Adolescente , Humanos , Inovação Organizacional , Desenvolvimento de Programas , Pesquisa Qualitativa
2.
Eval Program Plann ; 94: 102148, 2022 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-35973393

RESUMO

This paper presents an overview of how a plan was developed for evaluating Develop Your Data Mindset: Essentials of Educational Data Use, an online curriculum intended to improve in-service and pre-service educators' knowledge and skills relevant to data utilization. Five categories of assessment, a program evaluation framework, logic model, theory of change, project plan, metrics spreadsheet, and the A+ Inquiry model are synthesized to demonstrate how they supported the development of an evaluation plan. Types of evidence are described to provide an overview of the need for improved instructional supports relevant to educator data utilization, how the activities to develop and implement an online curriculum are appropriate to meet the need, how well the activities are implemented as planned, and the extent to which intended outcomes of the curriculum are achieved. Applying the methods outlined in this paper yielded a plan to help ensure the curriculum would be assessed through a comprehensive evaluation lens. Limitations are acknowledged. Methods described in this paper could be adapted to support program evaluation planning and implementation beyond the scope of this project.


Assuntos
Currículo , Pessoal de Educação , Humanos , Desenvolvimento de Programas , Avaliação de Programas e Projetos de Saúde
3.
J Adv Nurs ; 78(10): 3409-3426, 2022 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-35986591

RESUMO

AIMS: The study aim was to examine the impact of a home-based programme intervention on organizational contexts, implementation processes and organizational capacity outcomes from multicultural, multilingual participants working at community-based organizations. DESIGN: This was a sequential exploratory, mixed-methods longitudinal study using community-based participatory research principles. SAMPLE: Twenty participants from nine multicultural, multilingual community-based organizations were in this public health initiative's intervention to develop community-designed, home-based programmes. METHODS: Capacity building providers delivered the intervention selected by the funders. Workshop outcomes were descriptively measured in April/May 2019. In April/May and November 2019, participants completed surveys about organizational contexts, implementation processes and organizational capacity outcomes, which were analysed with t-tests using the organization as the unit of analysis. Qualitative data were analysed using content analysis. RESULTS: Seven programmes were new and two were modified. As workshop outcomes, 59% of participants reported increased overall implementation knowledge and 74% reported capacity building providers as the most helpful resource. After 6 to 7 months, no statistically significant changes were noted in organizational contexts, implementation processes or organizational capacity outcomes. Participants benefited from capacity building because they had programmes developed, formed partnerships with capacity building providers, gained implementation knowledge, and engaged in networking. CONCLUSION: Participants reported excellent individual and organizational strengths. Many Initiative factors contributed to no statistical changes. Namely, there was no opportunity for baseline data; limited community-based organization engagement in the intervention model selection, timeline and processes; the Initiative's timeline did not fit participants' timeline; insufficient time to develop culturally and linguistically appropriate programmes; late literature review abstracts; lack of adequate, planful and paid capacity building time; and a contract requirement to have the programme due when it was not implementable. These Initiative design factors, as reported by participants, limited the Initiative's home-based programme development. IMPACT: This study highlights the strengths of participants, community-based organizations and capacity building providers. Model selection, timeline and budget were identified as key factors for equitable implementation in multicultural, multilingual organizations.


Assuntos
Fortalecimento Institucional , Pesquisa Participativa Baseada na Comunidade , Pesquisa Participativa Baseada na Comunidade/métodos , Humanos , Estudos Longitudinais , Desenvolvimento de Programas
4.
J Grad Med Educ ; 14(4): 451-457, 2022 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-35991101

RESUMO

Background: Program directors (PDs) are essential to more than 12 000 residency and fellowship programs accredited in the United States. Short PD tenure may affect overall program quality. Reasons why PDs leave the position are multifactorial, and little is known about the reasons why PDs stay in the position. Objective: The authors explored factors related to retention and why family medicine PDs have stayed in their positions long term. Methods: This was a qualitative study of PDs in their roles for 12 or more years drawn from a national sample of family medicine residency PDs. Interviews with semi-structured and structured questions about long-term PD experience were conducted in October and November 2020. Multiple cycles of comparative coding and code network analysis produced constructs describing reasons why some PDs stay in the position long term. Results: Among 17 respondents with a mean tenure of 17.4 years, 3 interrelated constructs consistently emerged that supported PDs: developing the program, support systems, and job rewards. Program development reinforces internal and external support systems and enhances experiencing rewards of the job. Strong support systems enable further program development and job rewards. Conclusions: Family medicine residency PDs who have been in the role 12 or more years continuously work to develop the program, benefit from strong internal and external support systems, and describe many important rewards of the position that help sustain them in the role.


Assuntos
Medicina de Família e Comunidade , Internato e Residência , Medicina de Família e Comunidade/educação , Humanos , Desenvolvimento de Programas , Estados Unidos
5.
Am J Manag Care ; 28(8): 382-389, 2022 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-35981123

RESUMO

OBJECTIVES: CMS' coverage with evidence development (CED) policy allows Medicare beneficiaries to access promising therapies and services while additional data are collected. CED program characteristics are mostly unreported, and qualities associated with retirement of CED data collection requirements are unknown. We aimed to review and systematically describe CED program history and components and report programmatic elements correlated with retirement of CED data collection requirements, while identifying areas for policy improvement. STUDY DESIGN: Systematic review. METHODS: We extracted CED information from the CMS website, ClinicalTrials.gov, PubMed, internet searches, and communication with CMS. RESULTS: There were 27 CED determinations from 2005 to 2022 in 8 therapeutic areas, with the most for cardiovascular diseases (8/27; 30%). Duration of CED programs (range, 1-16 years) and the number of related registries and clinical trials (range, 0-34) were widely variable. Only 4 CEDs have had data collection requirements with continued National Coverage Determination (NCD); 3 relate to cardiovascular therapies, and all have some public availability of findings resulting from CED-related data collection mechanisms. There were 2 instances of NCD revocation and deferral to local coverage decisions. CONCLUSIONS: Changes in the CED program through improving program predictability and transparency with regard to outstanding questions, roles of relevant stakeholders, and requirements for reporting and reevaluation would strengthen the program's effectiveness. Ultimately, these improvements would provide incentives for stakeholder participation in data collection to achieve the goal of increasing access to beneficial therapies and improving clinical outcomes.


Assuntos
Medicare , Doenças não Transmissíveis , Idoso , Humanos , Desenvolvimento de Programas , Sistema de Registros , Estados Unidos
6.
J Contin Educ Nurs ; 53(9): 389-392, 2022 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-36041200

RESUMO

Nursing professional development practitioners are critical to nurse residency program (NRP) development, implementation, and evaluation. Conducting a program evaluation provides an opportunity to collect and analyze data on identified goals and outcome measures and determine if the program components need to modified or changed. Health care organizations need a systematic process for evaluating NRPs to ensure effectiveness of program delivery, provide evidence to demonstrate program value to the organization, report achievement of program outcomes, and for continuous quality improvement. With the growing importance of offering high-quality NRPs, nurses in professional development must critically consider the type of data required to demonstrate program value and use the best tools to collect outcome data. This article discusses a variety of data collection tools that can be selected to measure NRP outcomes. [J Contin Educ Nurs. 2022;53(9):389-392.].


Assuntos
Internato e Residência , Humanos , Desenvolvimento de Programas , Avaliação de Programas e Projetos de Saúde
7.
Nurse Educ Today ; 117: 105477, 2022 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-35908406

RESUMO

BACKGROUND: Access to comprehensive, integrated, multidisciplinary care is one of the most urgent and actionable recommendations of the Advanced Breast Cancer Global Alliance. However, access to specialist breast care units, and specialist breast cancer nurses is variable, influenced by access to specialist education and role recognition. To date, there has not been a synthesis of evidence regarding educational programmes related to advanced breast cancer education for nurses. OBJECTIVES: The aim of this review was to determine the content, mode of delivery, assessment and outcomes of education programmes related to advanced breast cancer for nurses. REVIEW METHODS: A systematic review was undertaken, according to the Joanna Briggs Institute's mixed methods review methodology. DATA SOURCES: MEDLINE, PUBMED, CINAHL, Scopus, PsycInfo, Joanna Briggs Institute, Web of Science and grey literature sources were systematically searched. Eleven publications met the inclusion criteria. Data relating to programme content, mode of delivery, assessment and outcomes were extracted and analysed. RESULTS: This review identifies a limited number of educational programmes within this specialist area of nursing practice. Shortcomings in the development, implementation and evaluation of advanced breast cancer education programmes included limited use of educational standards, theoretical frameworks and patient and public involvement to inform programme development. Evaluation of education programmes related to advanced breast cancer relied predominantly on self-reported learning, with limited consideration of the impacts of education on service delivery, patient experience or quality of care. CONCLUSIONS: Future development of advanced breast cancer education programmes must consider the alignment of programme content and learning outcomes with existing educational and competency standards. Evaluation of educational programmes in this field must endeavour to enhance rigour of methods, incorporating standardised questionnaires, and multiple methods and sources of data to evaluate the broader impacts of advanced breast cancer education for nurses.


Assuntos
Neoplasias da Mama , Neoplasias da Mama/terapia , Feminino , Educação em Saúde , Humanos , Aprendizagem , Desenvolvimento de Programas
8.
BMJ Open ; 12(7): e056605, 2022 07 05.
Artigo em Inglês | MEDLINE | ID: mdl-35790332

RESUMO

INTRODUCTION: Every year 2.4 million deaths occur worldwide in babies younger than 28 days. Approximately 70% of these deaths occur in low-resource settings because of failure to implement evidence-based interventions. Digital health technologies may offer an implementation solution. Since 2014, we have worked in Bangladesh, Malawi, Zimbabwe and the UK to develop and pilot Neotree: an android app with accompanying data visualisation, linkage and export. Its low-cost hardware and state-of-the-art software are used to improve bedside postnatal care and to provide insights into population health trends, to impact wider policy and practice. METHODS AND ANALYSIS: This is a mixed methods (1) intervention codevelopment and optimisation and (2) pilot implementation evaluation (including economic evaluation) study. Neotree will be implemented in two hospitals in Zimbabwe, and one in Malawi. Over the 2-year study period clinical and demographic newborn data will be collected via Neotree, in addition to behavioural science informed qualitative and quantitative implementation evaluation and measures of cost, newborn care quality and usability. Neotree clinical decision support algorithms will be optimised according to best available evidence and clinical validation studies. ETHICS AND DISSEMINATION: This is a Wellcome Trust funded project (215742_Z_19_Z). Research ethics approvals have been obtained: Malawi College of Medicine Research and Ethics Committee (P.01/20/2909; P.02/19/2613); UCL (17123/001, 6681/001, 5019/004); Medical Research Council Zimbabwe (MRCZ/A/2570), BRTI and JREC institutional review boards (AP155/2020; JREC/327/19), Sally Mugabe Hospital Ethics Committee (071119/64; 250418/48). Results will be disseminated via academic publications and public and policy engagement activities. In this study, the care for an estimated 15 000 babies across three sites will be impacted. TRIAL REGISTRATION NUMBER: NCT0512707; Pre-results.


Assuntos
Saúde do Lactente , Cuidado Pós-Natal , Melhoria de Qualidade , Telemedicina , Algoritmos , Sistemas de Apoio a Decisões Clínicas/normas , Recursos em Saúde , Humanos , Saúde do Lactente/economia , Saúde do Lactente/normas , Recém-Nascido , Malaui , Aplicativos Móveis , Projetos Piloto , Cuidado Pós-Natal/economia , Cuidado Pós-Natal/métodos , Cuidado Pós-Natal/normas , Pobreza , Desenvolvimento de Programas/economia , Desenvolvimento de Programas/normas , Melhoria de Qualidade/economia , Melhoria de Qualidade/normas , Qualidade da Assistência à Saúde/economia , Qualidade da Assistência à Saúde/normas , Telemedicina/economia , Telemedicina/métodos , Telemedicina/normas , Zimbábue
9.
Artigo em Inglês | MEDLINE | ID: mdl-35682385

RESUMO

The SAVING project aimed to create a sustainable and active aging program to promote the transition to sustainable aging in residential structures for the elderly (RSEs), developing research activities to apply the best strategies and good practices regarding the promotion of an active, healthy, and sustainable aging regarding social, economic, environmental, and pedagogic aspects. All this innovative methodology was built on a living-lab approach applied in one RSE, that was used as a case study. The results showed that the creation of the SAVING Brigade allowed not only increased reflection and mutual learning, but also created better conditions to face uncertainties and obstacles. Moreover, the use of indicators supported the basic themes and enabled comparison with other studies, between institutions or programs. Finally, the Action Plan acted as a tool for the development of previously defined strategies. It is possible to conclude that the breadth of the concept of quality of life encompasses the physical health of the individual, their psychological state, their social relationships, their perceptions, and the relationship with the characteristics of the context in which they are inserted. Therefore, active, sustainable, and healthy aging should be the goal.


Assuntos
Envelhecimento , Qualidade de Vida , Idoso , Humanos , Desenvolvimento de Programas
10.
Front Public Health ; 10: 882576, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35719656

RESUMO

Background: Although middle-aged adults in Korea are vulnerable to depression, there are few preventive interventions for depression in middle adulthood. Studies consistently suggest that interventions that include both spouses are effective in decreasing depression and relationship distress. Considering the busy lives of middle-aged couples, it is essential to develop an online-coaching blended couple-oriented intervention. This study aimed to describe the development, implementation, and evaluation of an online-coaching blended couple-oriented intervention using an online program and coaching via videoconference to prevent middle-aged couples' depression; this was done using an intervention mapping (IM) protocol. Methods: Six steps of IM were used to systematically develop a tailored multi-level intervention specific to middle-aged couples' depression. These steps of the IM protocol involve needs assessment, formulation of change objectives, theory-based methods, and practical strategies for program design, program development, program implementation, and program evaluation. Results: The results of the six steps were as follows: (a) middle-aged couples' needs and mental health problems were identified through a scoping review study, mixed-method study, and expert interviews; (b) six performance objectives (POs) were formulated based on the results of Step 1, and intrapersonal, interpersonal, and temporal/transpersonal determinants were identified based on the self-transcendence theory. Change objectives were developed by combining POs with determinants; (c) self-regulated learning was chosen for theoretical teaching methods and practical strategies to change the determinants of each level; (d) four modules consisting of 16 sessions were developed based on the self-transcendence theory; (e) experts evaluated the program and coaches were trained; and (f) the evaluation plan for the program's feasibility, acceptability, usability, and preliminary effects was developed. Discussion: The systematic process using IM allowed us to develop an online-coaching blended couple-oriented intervention to prevent depression and promote couples' relationships. The primary effects of this newly developed program should be evaluated in future studies. This may lead to the increased adoption and implementation of evidence-based and tailored interventions for psychological wellbeing in middle adulthood.


Assuntos
Tutoria , Depressão/prevenção & controle , Aprendizagem , Desenvolvimento de Programas/métodos , Avaliação de Programas e Projetos de Saúde
11.
Curr Oncol ; 29(6): 4034-4053, 2022 06 01.
Artigo em Inglês | MEDLINE | ID: mdl-35735431

RESUMO

Adolescent and young adult (AYA, ages 15-39 years) oncology patients are an underserved population with specialized needs. AYA programs are absent from most Canadian centers. We identified a priority list and sequence for new programs to address. Program goals, priorities, and activities were developed through literature review, national consensus documents, and expert opinion. Health care providers (HCPs) involved in AYA cancer care, administrators, and patient and family representatives were engaged to co-develop program goals and activities. A modified Delphi technique was used through two iterations followed by an in-person meeting to prioritize program implementation. Consensus was defined as a mean score of less than 2.0 (not important) or 4.0 or greater (important). Items without consensus (scored between 2.0 and 3.99) were discussed at the in-person meeting. Sixty provincial stakeholders completed the Delphi survey across multiple disciplines. Twenty-seven stakeholders attended the in-person meeting. All goals were deemed important, except development of a research program. Patient implementation tasks ranked highest. Priority sequence of implementation was: patient care first, followed by HCP education; patient and family education; program sustainability plan; evaluation; research; then a model for multidisciplinary tumor board review. These represent key goals for new AYA oncology programs and a priority sequence of implementation.


Assuntos
Oncologia , Neoplasias , Adolescente , Adulto , Canadá , Consenso , Humanos , Neoplasias/terapia , Desenvolvimento de Programas , Adulto Jovem
12.
Health Expect ; 25(4): 1393-1404, 2022 08.
Artigo em Inglês | MEDLINE | ID: mdl-35521681

RESUMO

BACKGROUND: Research and clinical outcomes that matter to people with lived experience can significantly differ from those outcomes studied by researchers. To inform a future Cochrane review of suicide and self-harm prevention interventions, we aimed to work with young people with relevant lived experience to agree on priority outcomes. DESIGN: Four participatory codesign workshops were completed across two sites (New Zealand, United Kingdom) with 28 young people in total. We iteratively adapted the methods over the course of the study. RESULTS: 'Improved coping' and 'safer/more accepting environment to disclose' were the final top-rated outcomes. 'Reduction of self-harm' was considered a low priority as it could be misleading, stigmatizing and was considered a secondary consequence of other improvements. In contrast to typical research outcomes, young people emphasized the diversity of experience, the dynamic nature of improvement and holistic and asset-based framing. Methodologically, dialogue using design materials (personas) to thematically explore outcomes was effective in overcoming the initial challenge of disparate quantitative ratings. DISCUSSION: The results will directly inform the development of a Cochrane review, enabling identification of whether and how outcomes of most importance to young people are measured in trials. Rather than producing discrete measurable outcomes that could be easily added to the systematic review, the young people challenged the academic conceptualization of outcomes, with implications for future evidence synthesis and intervention research, and for future codesign. PATIENT OR PUBLIC CONTRIBUTION: Young people with lived experience were codesigners of the outcomes, and their feedback informed iterative changes to the study methods.


Assuntos
Prioridades em Saúde , Comportamento Autodestrutivo , Adolescente , Humanos , Nova Zelândia , Participação do Paciente , Desenvolvimento de Programas , Comportamento Autodestrutivo/prevenção & controle , Suicídio/prevenção & controle , Resultado do Tratamento , Reino Unido
13.
Health Expect ; 25(4): 1232-1245, 2022 08.
Artigo em Inglês | MEDLINE | ID: mdl-35526274

RESUMO

INTRODUCTION: The importance of meaningfully involving patients and the public in digital health innovation is widely acknowledged, but often poorly understood. This review, therefore, sought to explore how patients and the public are involved in digital health innovation and to identify factors that support and inhibit meaningful patient and public involvement (PPI) in digital health innovation, implementation and evaluation. METHODS: Searches were undertaken from 2010 to July 2020 in the electronic databases MEDLINE, EMBASE, PsycINFO, CINAHL, Scopus and ACM Digital Library. Grey literature searches were also undertaken using the Patient Experience Library database and Google Scholar. RESULTS: Of the 10,540 articles identified, 433 were included. The majority of included articles were published in the United States, United Kingdom, Canada and Australia, with representation from 42 countries highlighting the international relevance of PPI in digital health. 112 topic areas where PPI had reportedly taken place were identified. Areas most often described included cancer (n = 50), mental health (n = 43), diabetes (n = 26) and long-term conditions (n = 19). Interestingly, over 133 terms were used to describe PPI; few were explicitly defined. Patients were often most involved in the final, passive stages of an innovation journey, for example, usability testing, where the ability to proactively influence change was severely limited. Common barriers to achieving meaningful PPI included data privacy and security concerns, not involving patients early enough and lack of trust. Suggested enablers were often designed to counteract such challenges. CONCLUSIONS: PPI is largely viewed as valuable and essential in digital health innovation, but rarely practised. Several barriers exist for both innovators and patients, which currently limits the quality, frequency and duration of PPI in digital health innovation, although improvements have been made in the past decade. Some reported barriers and enablers such as the importance of data privacy and security appear to be unique to PPI in digital innovation. Greater efforts should be made to support innovators and patients to become meaningfully involved in digital health innovations from the outset, given its reported benefits and impacts. Stakeholder consensus on the principles that underpin meaningful PPI in digital health innovation would be helpful in providing evidence-based guidance on how to achieve this. PATIENT OR PUBLIC CONTRIBUTION: This review has received extensive patient and public contributions with a representative from the Patient Experience Library involved throughout the review's conception, from design (including suggested revisions to the search strategy) through to article production and dissemination. Other areas of patient and public contributor involvement include contributing to the inductive thematic analysis process, refining the thematic framework and finalizing theme wording, helping to ensure relevance, value and meaning from a patient perspective. Findings from this review have also been presented to a variety of stakeholders including patients, patient advocates and clinicians through a series of focus groups and webinars. Given their extensive involvement, the representative from the Patient Experience Library is rightly included as an author of this review.


Assuntos
Participação da Comunidade , Saúde Mental , Desenvolvimento de Programas , Telemedicina , Austrália , Canadá , Implementação de Plano de Saúde , Humanos , Uso Significativo , Participação do Paciente , Desenvolvimento de Programas/normas , Telemedicina/organização & administração , Telemedicina/normas , Reino Unido , Estados Unidos
14.
J Nurs Adm ; 52(6): 371-376, 2022 Jun 01.
Artigo em Inglês | MEDLINE | ID: mdl-35608980

RESUMO

ABSTRACT: A paucity of nurses trained in clinical research prompted the development and implementation of a newly licensed nurse residency program in oncology research. The components of the program, funding, curriculum development, preceptor model, and partnerships, are described. Formal evaluation to quantify success in creating a pipeline for the future, increasing retention, and reducing costs is underway and will be reported in a future publication.


Assuntos
Internato e Residência , Enfermeiras e Enfermeiros , Pesquisa em Enfermagem Clínica , Humanos , Desenvolvimento de Programas
15.
PLoS One ; 17(5): e0267785, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35552549

RESUMO

INTRODUCTION: More work is needed on measuring the impact of Sport for Development (SFD) organization and on the managerial structures and processes for change. The purpose of the current study was to analyze the logic model (LM) of a SFD program in Canada that provides training for high school coaches in low socioeconomic communities in Montreal. METHODS: Key actors (i.e., coaches, program administrators, school directors, and sport coordinators; N = 22) were interviewed about their perceptions of the different components of the organization's LM, namely the program's context, the initial problem it addressed, its needs, objectives, input, output, and impacts. FINDINGS: Findings reveal the participants perceived the program as being successful by all key actors. Participants had similar understandings regarding the targeted problem and context, but their views differed regarding their understanding of the program's activities. In addition, the key actors addressed issues of the structure and impacts of the SFD program and made suggestions to improve the program, including clarifying its objectives, reinforcing internal communication, and building stronger partnerships with the partner schools. CONCLUSIONS: Findings from the present study provide recommendations to help improve the organization's LM. In addition, these findings can help researchers and SFD administrators reinforce essential organizational program structures and activities for better management, evaluation, and improved impact on communities.


Assuntos
Esportes , Humanos , Lógica , Organizações , Desenvolvimento de Programas , Avaliação de Programas e Projetos de Saúde , Instituições Acadêmicas
16.
Nurs Womens Health ; 26(3): 215-225, 2022 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-35568062

RESUMO

OBJECTIVE: To evaluate key lessons learned from efforts at increasing engagement in integrated prenatal and opioid use disorder services. DESIGN: An interdisciplinary team consisting of a board-certified obstetrician and registered nurse led the implementation of this multipronged approach driven by several plan-do-study-act cycles to develop an integrated prenatal and opioid use disorder program. SETTING/LOCAL PROBLEM: An urban community health center in Chicago, Illinois, where mental health issues, including substance use, are the leading cause of death for pregnant people. PARTICIPANTS: Connections were made with local harm reduction agencies, substance use treatment facilities, and community outreach programs to develop partnerships with organizations providing existing addiction and maternal-child services in the community. INTERVENTION/MEASURES: Partnership building was achieved through organization needs assessments, dissemination of information about integrated services, and sustained communication. Referral workflow guides and patient education cards were created and distributed to community partners. Incoming referrals were tracked at the clinic site. Use of the referral materials was evaluated via online surveys distributed to community partners. RESULTS: In the 18 weeks of enhanced integration, three patients engaged in services and were initiated on medication for opioid use disorder, two of whom had been referred from agencies targeted in the outreach efforts. Surveys showed that community partners believe the referral guides were easy to use and that the harm reduction information on the patient cards was useful. CONCLUSION: An urban community health center was equipped to provide comprehensive, integrated services to pregnant people with opioid use disorder, but barriers such as community unawareness and stigma impeded engagement. Sustained collaboration with community partners serving pregnant people with opioid use disorder supports program development and linkage to care. Integrated prenatal and opioid use disorder care is feasible, is destigmatizing in nature, and can lead to improved maternal and fetal outcomes.


Assuntos
Transtornos Relacionados ao Uso de Opioides , Comunicação , Feminino , Humanos , Transtornos Relacionados ao Uso de Opioides/terapia , Gravidez , Cuidado Pré-Natal , Desenvolvimento de Programas , Encaminhamento e Consulta
17.
Eval Program Plann ; 92: 102097, 2022 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-35500478

RESUMO

The use of group concept mapping (GCM) for large-scale, multi-site planning has been limited. The Teens Opinions Count (TOC) project utilized the group concept mapping methodology to develop a framework for after school time program development for teens in 16 counties in the Southeast Michigan and Western New York regions. This extensive planning effort demonstrated a large-scale, geographical approach to the implementation of GCM, where multiple sites (in this case counties) simultaneously engaged in independent processes on the same topic, with the purpose of producing separate locale-specific conceptualizations. TOC was the largest GCM project ever conducted in terms of the number of participants and volume of data submitted. This report details GCM recruitment, data collection, data compilation, and analysis of ideas from over 20,000 teens and 2,000 adults. Although implementation was conducted at the county level, many of the separate county-level GCM processes were larger than what is typically encountered in the literature. Operationalizing GCM at such a scale required significant planning, design, communication, and data management solutions. The extensive data collection effort required the need for creative and innovative procedures to engage teens and process the sheer volume of data. The lessons learned are discussed and suggestions for future applications offered.


Assuntos
Comunicação , Processos Grupais , Adolescente , Adulto , Humanos , New York , Desenvolvimento de Programas , Avaliação de Programas e Projetos de Saúde
18.
J Nurs Educ ; 61(5): 276-279, 2022 May.
Artigo em Inglês | MEDLINE | ID: mdl-35522769

RESUMO

BACKGROUND: There is a lack of published literature linking the nursing student experience and program evaluation relationship. A mixed-methods approach was used to improve the nursing student experience through faculty, staff, and student engagement. METHOD: A student experience initiative was launched in 2016. A 3-year plan was developed by an external consultant and steering committee. A process to prioritize improvement needs across all programs was used, with program-specific plans, faculty engagement, and results in a graduate-entry nursing program. RESULTS: Student satisfaction ratings on exit surveys increased from 1 of 10 at the start of the initiative in 2016 to 8 of 10 in 2021. Continuous improvement and engagement are needed to maintain student satisfaction in nursing education. CONCLUSION: This initiative can serve as a framework for other educational partners to consider adopting to enhance the nursing student experience and improve program outcomes. [J Nurs Educ. 2022;61(5):276-279.].


Assuntos
Bacharelado em Enfermagem , Educação em Enfermagem , Estudantes de Enfermagem , Bacharelado em Enfermagem/métodos , Humanos , Desenvolvimento de Programas
19.
Ann Glob Health ; 88(1): 19, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35433286

RESUMO

Background: Faculty development for nurse and physician educators has a limited evidence base in high income countries, and very little research from low- and middle-income countries. Health professions educators in many global settings do not receive training on how to educate effectively. Objective: To pilot and assess a faculty development program aimed at nurse and physician educators at a teaching hospital in rural Haiti. Methods: We developed a program covering a total of 22 topics in health professions education, including applied learning theory as well as nurse and physician targeted topics. We assessed impact through participant assessment of personal growth, participant evaluation of the program, knowledge testing pre and post program, and structured observations of program participants providing teaching during the program. Findings: Nineteen out of 37 participants completed the program. While participant reviews were uniformly positive, a pre- and post-test on general educational topics showed no significant change, and the effort to institute observation and feedback of teaching did not succeed. Conclusions: Our project showcases some benefits of faculty development, while also demonstrating the challenges of instituting faculty development in situations where participants have limited time and resources. We suspect more benefits may emerge as the program evolves to fit the learners and setting.


Assuntos
Docentes , Ocupações em Saúde , Currículo , Haiti , Hospitais de Ensino , Humanos , Desenvolvimento de Programas , Ensino
20.
New Dir Stud Leadersh ; 2022(173): 73-82, 2022 03.
Artigo em Inglês | MEDLINE | ID: mdl-35478336

RESUMO

When it comes to engineering leadership program development, having a well-formulated plan with clear goals and objectives is paramount. Consider your programs to be works-in-progress and be prepared for potential challenges.


Assuntos
Liderança , Humanos , Desenvolvimento de Programas
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