SEARCH · PubMed Health

Results for “implementation science”

Explore indexed PubMed citations for clinical trials, systematic reviews and public health research. Read source abstracts and follow each citation to its original PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 775 records · Page 43Linked to original sources

PubMed1998

[Community nursing from the viewpoint of public health].

Findings of health science as to the incidence and dynamics of health problems and the knowledge to optimize health promotion, prevention and patient treatment as well as international comparisons indicate that the potentials of nursing--understood as a system of nurses, nursing institutions and nursing science differentiated in itself--are not exhausted to their full extent within the German system of social health assurance. Following the introductory reflections on the relation between public health and nursing, being relatively young multi-disciplines of health science in Germany, this paper tries to identify and to describe the related deficiencies and approaches for their rectification by means of the four phases of the Public Health Action Cycle--assessment: of problems and fixing of priorities; policy formulation: selection, negotiation and fixing of strategies; assurance: organisation, implementation and control as well as evaluation: evaluation of the strategy and its results. This paper is the revised version of the basic lecture that the author gave on the occasion of the Fourth International Symposium of Nursing Science in Osnabrück in November 1996.

Community Health Nursing↗

PubMed1996

"Current topics in health sciences librarianship": a pilot program for network-based lifelong learning.

The long-term objective of this project is to make health sciences librarians more effective in their role by using emerging technologies to deliver timely continuing education (CE) programs to them regardless of their physical location. The goals of the one-year planning project at the William H. Welch Medical Library are to plan, implement, and evaluate a pilot CE program that includes (1) a three-day general-interest session organized in four tracks: Market Forces and Management, Information Technology and the Internet, Publishing and Copyright, and Education; (2) a one-day special topic session on the Informatics of the Human Genome Project; and (3) an electronic poster session in parallel with the general-interest session. The program will be offered in three simultaneous formats: (1) on-site, in a distance-learning classroom in Baltimore; (2) as a telecourse, in a similar classroom outside Washington, DC; and (3) online, via the World Wide Web. An electronic proceedings of the entire program will be published on the Web to serve as a continuously available CE resource for health sciences librarians. This paper gives an overview of the planning process, presents a status report on the programmatic and technical implementation of the pilot project at its midpoint, and discusses future directions for the program.

Certification↗

PubMed2005

Public Health Service policies on research misconduct. Final rule.

This final rule removes 42 CFR part 50, subpart A, "Responsibilities of Awardee and Applicant Institutions for Dealing With and Reporting Possible Misconduct in Science," and replaces it with a new, more comprehensive part 93, "Public Health Service Policies on Research Misconduct." The proposed part 93 was published for public comment on April 16, 2004. The final rule reflects both substantive and non-substantive amendments in response to public comments and to correct errors and improve clarity, but the general approach of the NPRM is retained. The purpose of the final rule is to implement legislative and policy changes applicable to research misconduct that occurred over the last several years, including the common Federal policies and procedures on research misconduct issued by the Office of Science and Technology Policy on December 6, 2000.

Confidentiality↗

PubMed1997

Challenges in defining and developing the field of rural mental disorder preventive intervention research.

An overview of selected issues and challenges in defining and developing the field of rural preventive intervention research is presented. One fundamental challenge is to clarify the distinguishing characteristics of prevention science in rural contexts. Other challenges are evident in the need to address: the lack of consensus on conceptual and methodological approaches to this field, limited empirical study to date, the tremendous diversity of rural populations, and inconsistencies in the usage of the term "rural". This article suggests the organization of a work group to formulate and implement a clear research agenda. In addition, several general questions are discussed that, if addressed, might serve to better define and further develop the field. These questions concern the implications of multiple approaches to prevention science in rural contexts, the classification of rural populations, the functional relevance of rural residence in the etiology of specific disorders, the application of extant etiological models to interventions designed specifically for rural populations, the conduct of rural area prevention needs assessments, the development of models for collaboration between intervention researchers and rural community stakeholders, and strategies to engage rural residents in preventive interventions.

Community Mental Health Services↗

PubMed2006

[Family health nursing in Germany: a process of consensus finding as basis].

The "Project design- and consensus phase for implementation of the Family Health Nurse in Germany" ordered by the German professional association for nurses (DBfK) was realized by the Institute of Nursing Science at the University of Witten/Herdecke. Aim of this study was to find out if there is a consensus between eleven stakeholders from ten different institutions of the German health care system before starting the real "pilot project for the feasibility of the Family Health Nurse in Germany", which should strengthen the prevention and the health promotion in Germany corresponding to the WHO's policy framework "Health 21". The investigation included also the identification of the need and the complexity of the new role for nurses and midwives. Furthermore, a statement should be made about the virtual feasibility. Methodically, multi-level analyses were used. First, the stakeholders were interviewed about the possible role of the Family Health Nurse in Germany. All their statements were determined by qualitative content analyses. From these results different areas of responsibilities for the Family Health Nurse in Germany were developed by using the scenario technique. These scenarios were discussed by the stakeholders in focus groups and revised several times until five consented scenarios could be developed. The contents of the scenarios were generalized and structured to according the variables target group, reason for care, need, access, skills, settlement and financing. Like that, the characteristic features of the new areas of responsibilities for the Family Health Nurse in Germany could be defined. Finally, all stakeholders formulated the consensus for the implementation of the planned pilot project with an integrated educational course for nurses and midwives, which immediately has started in autumn 2005 with an accompanying research evaluation.

Family Nursing↗

PubMedDate not supplied

Evaluation of the effectiveness of a Web-based graduate epidemiology course.

An online epidemiology course was developed, implemented, and evaluated for graduate nursing students through the collaborative efforts of nursing faculty and information, education, and instructional design staff of the library at a health sciences university. This epidemiology course is a core curriculum course for graduate nursing students. The course was piloted with 14 students (one student in Romania); the initial online offering ran concurrently with a traditional classroom section. Extensive evaluation data were collected and analyzed to compare the effectiveness of the classroom and distance-learning formats. Areas of evaluation included objective measures, such as midterm and final examination scores and content analysis comparisons, as well as subjective ratings by the students of time commitments, course objectives, technical aspects of the web-based course, areas of satisfaction or dissatisfaction, and self-confidence regarding epidemiology and computer skills. Recommendations for course development, implementation, and evaluation for similar distance-learning courses will be included.

Computer-Assisted Instruction↗

PubMed1997

Implementing a comprehensive approach to managing faculty roles, rewards, and development in an era of change.

The current environment in which medicine is taught and practiced requires that medical schools pay increased attention to the faculty member's roles, rewards, career development, and productivity. Medical schools must make strategic decisions about the allocation of resources that can nurture their faculties and support the activities in academic and community settings in which faculty are involved. From 1993 to 1995 Allegheny University of the Health Sciences (formerly Medical College of Pennsylvania and Hahnemann University) designed a comprehensive system for the professional development of faculty. This system is based upon expanded categories of faculty academic activity and scholarship. New programs were implemented to reorient faculty toward conducting and documenting the expanded array of scholarly activities. The main characteristics of the new system are the establishment of formally defined performance expectations, the vertical alignment of the individual faculty member's objectives with the department's mission and the school's mission, and an increasing emphasis upon faculty interdependence, accountability, and use of sound business practices. The authors describe these and other aspects of the design of the new system in detail and report initial results and lessons learned from the system's implementation, evaluation, and dissemination throughout the university. The long-term success of this comprehensive professional development program will be assessed over time by observing how this institution advances its mission in a well-planned and cost-effective manner that retains talented, productive, and professionally fulfilled faculty.

Academic Medical Centers↗

PubMed1984

Statewide articulation for allied health: a conceptual model in action.

Under the auspices of the Kentucky Council on Higher Education, and with the aim of delineating issues in allied health education and making recommendations for alleviating the issues, an indepth, two-year study was completed in 1975. The primary recommendations pertained to the development of a statewide plan for allied health education that would result in an articulated statewide system permitting entry and exit of prepared personnel at a variety of levels and improving inter-institutional efforts to share educational resources. In the following four years a foundation was laid for developing the system. An articulated system of allied health education was developed in six disciplinary clusters to serve as a model for other states: clinical laboratory, dental auxiliaries, dietetics/nutrition, rehabilitation therapies, radiological science, and respiratory therapy programs. All levels of programs within each discipline cluster existing in Kentucky are included in the system. The study includes a design phase and an implementation phase. During the design phase, six discipline advisory groups developed articulation models for the programs in each discipline. Implementation phase accomplishments include signed transfer agreements, development of model and core curricula, design for graduate follow-up, publications, development of manpower models, and increased cooperation among project participants.

Allied Health Personnel↗

PubMed2002

Adjusting to progress: interactions between the National Library of Medicine and health sciences librarians, 1961-2001.

Most health sciences librarians would agree that the National Library of Medicine's (NLM's) leadership and its services have been highly beneficial to the field, but this does not prevent specific NLM actions--or lack of action--from being perceived as annoying or infuriating. Over the past forty years, NLM's interactions with health sciences librarians have been affected by significant additions to NLM's mission and services, the expansion of NLM's direct user groups, and the growing range of possible relationships between health sciences librarians and NLM. The greatest friction between NLM and health services librarians occurs when there is a fundamental change in the way NLM carries out its mission-a change that adds to the web of relationships that link librarians and NLM and prompts corresponding changes in the way other libraries do business. Between 1961 and 2001, there were two such fundamental changes: the implementation of the National Network of Libraries of Medicine and the development and promotion of services targeted toward individual health professionals. On a lesser scale, each new service that connects NLM and health sciences librarians is another potential source of irritation, ready to flare up when the service is interrupted, changed, or eliminated. Other factors--including strong personalities, mistakes, and poor communication--add to, but do not cause, the intermittent problems between NLM and its most longstanding and engaged user group. These problems are in essence the price we pay for the leadership and vision of NLM's directors and for NLM's success in developing excellent services and in enhancing them based on advice from librarians and other users.

History, 20th Century↗

PubMedDate not supplied

GIS-based urban modelling: practices, problems, and prospects.

"This paper reviews the practices, problems, and prospects of GIS-based urban modelling. The author argues that current stand-alone and various loose/tight coupling approaches for GIS-based urban modelling are essentially technology-driven without adequate justification and verification for the urban models being implemented. The absolute view of space and time embodied in the current generation of GIS also imposes constraints on the type of new urban models that can be developed. By reframing the future research agenda from a geographical information science (GISci) perspective, the author contends that the integration of urban modelling with GIS must proceed with the development of new models for the informational cities, the incorporation of multi-dimensional concepts of space and time in GIS, and the further extension of the feature-based model to implement these new urban models and spatial-temporal concepts according to the emerging interoperable paradigm."

Demography↗

PubMed2003

Delivering more effective treatment to adolescents: Improving the juvenile drug court model.

Juvenile drug courts (JDC) emerged in response to a perceived need to intervene more effectively in the substance abuse-delinquency cycle. The influx of drug and alcohol offenders, lack of other juvenile justice system interventions, and positive experiences with adult drug courts helped drive interest in adapting the drug court model for juveniles. This article: (1) provides an overview of substance use and the juvenile justice system; (2) describes the current status of JDC programs; and (3) proposes a model for planning, implementing and evaluating JDCs based on adolescent drug use and treatment research as well as current JDC models. The lack of science-based JDC models and empirically sound JDC evaluations has limited the effectiveness of JDCs. The proposed model is designed to create a new generation of JDCs that maximizes the effectiveness of local resources and delivers research-based interventions to youth and families impacted by substance abuse and delinquency.

Adolescent↗

PubMed2001

Development of a genetics education workshop curriculum for Native American college and university students.

The long-term goal of Genetic Education for Native Americans (GENA), a project funded by the National Human Genome Research Institute (NHGRI), is to provide a balance of scientific and cultural information about genetics and genetic research to Native Americans and thereby to improve informed decision making. The project provides culturally sensitive education about genetic research to Native American medical students and college and university students. Curriculum development included focus groups, extensive review of available curricula, and collection of information about career opportunities in genetics. Special attention was focused on genetic research to identify key concepts, instructional methods, and issues that are potentially troublesome or sensitive for Native Americans. Content on genetic research and careers in genetics was adapted from a wide variety of sources for use in the curriculum. The resulting GENA curriculum is based on 24 objectives arranged into modules customized for selected science-related conference participants. The curriculum was pretested with Native American students, medical and general university, health care professionals, and basic scientists. Implementation of the curriculum is ongoing. This article describes the development and pretesting of the genetics curriculum for the project with the expectation that the curriculum will be useful for genetics educators working in diverse settings.

Curriculum↗

PubMed1990

Strategies in the education of humane physicians.

Various reforms to change the character of medical education have been implemented since the 1960s at American medical schools. The public demand for a more "humane" physician resulted in the incorporation of new sciences in the medical curriculum--behavioral sciences in the 1960s and 1970s and humanities in the 1980s. It is argued that broader structural changes in the American health care system underlie the need for these educational reforms, which in practice allow the medical profession to maintain its autonomy and control over its work. For comparison the curricular innovations in medical education in the Nordic countries are examined.

Behavioral Sciences↗

PubMedDate not supplied

The important role of international exchange in the development of medical informatics in developing countries: a report from China.

China is a developing country, and so is inferior to the developed countries in many aspects of science and technology. It is similarly a new member in the world ranking of the application of computers in biomedicine. However, since implementing the policy of reform and opening to the outside world in 1976, China has achieved greater success in biomedical signal and image processing, biomedical data processing, computer-aided diagnosis, computerized hospital management, etc. China's development shows that international exchange and cooperation are very important for the development of medical informatics in developing countries, and the application of computers in biomedicine has progressively spread all over the world and is increasingly taking root in the hearts of the people.

China↗

PubMed1996

[Ethical principles and guidelines for scientific experiments on animals]

These present guidelines issue from the recognition that human beings, in their need to solve the problems of their existence, cannot dispense with experimentation on animals, while on the other hand the ethical principle of reverence for life lays upon them the charge of protecting animals. They reflect the conviction that scientists, as responsible members of the community should, of their own accord, devise, implement and ensure the observance of the measures necessary to achieve the optimal resolution of this conflict. The Swiss Academy of Medical Sciences and the Swiss Academy of Sciences therefore jointly formulated the following Ethical Principles and Guidelines for Scientific Experiments on Animals, which were adopted at the meetings of their Senates in the spring of 1983 to serve as a code of conduct for all scientists and members of allied professions practising in Switzerland. In 1993, the Ethical Committee of the Academies revised the Ethical Principles and Guidelines in the light of the experience and new knowledge gained in the meantime. This revised edition was approved on May, 7th, 1994 by the Senate of the Swiss Academy of Sciences and on February, 24th, 1995 by the Senate of the Swiss Academy of Medical Sciences. (The complete English version of the "Ethical Principles and Guidelines for Scientific Experiments on Animals" has been published in ALTA 25, 379-384, 1997.)

Journal Article↗

PubMed2001

Is problem-based learning a quality approach to education in health sciences?

The Faculty of Health Sciences at McMaster University has pioneered, experimented and finally excelled in the application of problem-based learning (PBL) as an entire medical curriculum for the past 35 years. However, the general practice of PBL by other medical schools around the globe has progressed slowly. In theory, PBL as an educational philosophy has long been considered as a quality cognitive concept and was adopted by many medical schools via curriculum reform to improve students' learning attitude. In practice, what is the experimental evidence for PBL meeting the expectation of a quality education in health sciences? How do we differentiate problems associated with PBL philosophy per se from those associated with the ways PBL are handled and implemented? I will address these questions from the perspective of the assessment of performance of students, graduates and practising physicians from the PBL track compared to those from the conventional track based on literature information. Ample evidence suggests that PBL is superior in producing more compassionate physicians and graduates with lifelong learning and leadership quality. But, some educators and administrators are still skeptical that the benefits from PBL may be too marginal to justify the resources required in sustaining it. In this presentation, the assessment of PBL, in both theoretical and practical terms, will be discussed using McMaster PBL as a convenient example because of its relatively long history in practising PBL in medical education.

Education, Medical↗

PubMed2005

European Pharmacopoeia (EP), USDA and MAFF standards--will they ever be harmonised under the VICH umbrella?

Harmonisation of standards can have benefits for both users and manufacturers of vaccines. It also helps regulatory authorities when products are assessed to have a uniform standard in different regions. The first priority for harmonisation has to be the elimination of duplicate testing for the same purpose, for example tests for safety, immunogenicity and batch potency. A further priority is to harmonise batch-testing requirements first, since duplication of testing affects production batches. Fish vaccines present particularities as far as harmonisation between regions is concerned because of geographical, climatic and other factors. A commitment from regulatory authorities and manufacturers is a precondition for harmonisation. The different parties should commit themselves to harmonisation within a reasonable time and to implementing their decisions promptly. When there is a commitment on the part of all participants to work together in developing common science-based regulatory standards, then the optimal conditions exist. Harmonisation is time-consuming and costly but in the end the benefits can no doubt exceed the investment. Harmonisation also needs a forum since the present terms of reference of regulatory and standardisation bodies do not cover this. The only forum at present is the International Cooperation on Harmonization of Technical Requirements for Registration of Veterinary Products (VICH), which is a tripartite activity involving the European Union, Japan and the U.S.A. Before deciding to propose inclusion in the VICH programme, a preliminary study should be carried out to assess the benefits expected, the obstacles to harmonisation and the feasibility of achieving a satisfactory result. In the framework of VICH, there have been some successful harmonisation projects for veterinary vaccines: residual formaldehyde determination, and residual moisture determination. A harmonised proposal for mycoplasma testing is now available for public comment. Work on extraneous agents testing for avian and mammalian viral vaccines is well advanced.

Animals↗

PubMed2006

Behavior therapy: other interventions for tic disorders.

This chapter reviewed other behavioral interventions for TS and discussed their efficacy. Clearly, the majority of behavioral interventions (habit/reversal excluded) have not been systematically evaluated enough to be deemed empirically supported monotherapies for TS. In addition to reviewing these interventions, recent advances in behavioral research on TS and a function-based model of treatment development and implementation were presented. Both of these areas are in their infancy, but point to exciting new directions in the application of behavioral sciences to the understanding of TS.

Behavior Therapy↗