(精选)NHS临床指南 Getting Guidelines into Practice Lessons Learned from Research教学课件.pptVIP

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(精选)NHS临床指南 Getting Guidelines into Practice Lessons Learned from Research教学课件.ppt

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Getting Guidelines into Practice: Lessons Learned from Research;Outline;Question;Practice Guideline Evaluation and Adaptation Cycle (Graham et al, 2005);Developing Guidelines;Levels of Evidence: RNAO;Appraising Guidelines;Appraising Guidelines;Copyright ?2010 Canadian Medical Association or its licensors;RNAO Toolkit;Contents of Toolkit;Implementing Guidelines;Facilitators: Questions;Study: Facilitators and Barriers;Study: Facilitators and Barriers;Study: Facilitators and Barriers;Facilitators ;Lessons Learned;Sustaining ;;Sustainability: Questions;Only 2 of 1000 sources screened for a literature review about the diffusion of innovations in health service organisations included the term sustainability (Greenhalgh et al., 2005) Shorter-term perspectives are the focus of health services research, possibly due to: Limited availability of long-term funding Different time perspectives of policy cycles across health care sectors Disengagement of project leaders towards the end of projects;Study: Determinants of the Sustained Use of Research (SURE) ;Sustainability;The Issue;The Topics;Results;Sustainability Status at Year 2;Sustainability Status at Year 2;Sustainability Status at Year 3;Facilitators for Sustained or Expanded Long-Term Use of Guidelines;Implications;Implications;SURE Study Conclusions ;Spread;Research, Exchange and Impact for System Support (REISS) ;REISS Research Co-Investigators;REISS: 5 Projects ;Project 1: Best Practice Champions;Background;Background;Research Questions;Interpretation QUAL + QUAN;Participants;Participants: Healthcare Sector;Participants: Position;Findings;Findings ;Diffusion Strategies of Champions;Spread Within Organization by Setting;Spread Beyond Organization by Setting;Factors Associated with Spread: Logistic Regression Analysis;Discussion;Implications;Future Research;Study 3: Spreading Innovation – The Best Routes to Best Practices;Results;Phase 2 Hospital (Acute) ;Phase 2 Community Home Visiting ;Lessons Learned ;Implications