This webinar provides an overview of key frameworks for identifying barriers and enablers to implementation, with a focus on the Theoretical Domains Framework (TDF). The TDF synthesizes 128 constructs from 33 theories of behavior change into 12 domains to understand factors influencing healthcare professionals' behaviors. The webinar uses a case study of improving physician hand hygiene to demonstrate how the TDF can be applied to identify potential barriers within domains like Knowledge, Skills, Social Influences, and Environmental Context & Resources.
- Universal health coverage (UHC) aims to ensure all people receive essential health services without financial hardship. This includes equitable access to promotion, prevention, treatment, rehabilitation and palliative care.
- Key challenges to achieving UHC include half the world's population lacking full coverage of essential health services and over 800 million people spending over 10% of household budgets on health care.
- India aims to achieve UHC through programs like Ayushman Bharat which establishes health and wellness centers and provides insurance coverage for secondary and tertiary care through Pradhan Mantri Jan Arogya Yojana (PM-JAY).
PUBLIC PRIVATE PARTNERSHIP IN HEALTH SECTORfarhad240669
This document discusses public-private partnerships (PPPs) in the health sector in Bangladesh. It defines PPPs as contractual agreements between public agencies and private sectors to deliver public services by sharing risks and rewards. The document outlines the goals, objectives, concepts, and principles of PPPs. It discusses global PPP contexts and scenarios in Bangladesh. It examines PPP approaches, targeted outcomes and benefits, challenges, risks, and opportunities of PPPs in the health sector. The key points are accelerating investments, improved quality, timely delivery, reduced costs, and innovative solutions through PPPs in health infrastructure and services.
Universal Health Coverage (UHC) Day 12.12.14, NepalDeepak Karki
This presentation is made on the first ever Universal Health Coverage (UHC) Day 12.12.14 celebration in Nepal by Nepal Health Economics Association (NHEA).
This document provides an overview of health financing, including:
1. It defines health financing and outlines its key principles of raising revenues, pooling risks, and purchasing health services efficiently.
2. It describes different models of health care financing including social health insurance, out-of-pocket payments, and community-based insurance.
3. It discusses the global scenario of health spending, challenges in low and middle income countries, and the need to reduce out-of-pocket costs and improve access to healthcare.
This document provides an overview of policy analysis. It defines policy analysis as a rational, systematic approach to making policy choices in the public sector by generating information on the potential consequences of various policy options. The document then outlines several theoretical approaches to policy analysis, including political systems theory, group theory, elite theory, institutionalism, and rational choice theory. It also describes the typical steps involved in policy analysis, such as identifying the problem, objectives, criteria for evaluation, alternative policies, analysing each policy's potential consequences, and comparing the alternatives.
Health Equity: Why it Matters and How to Achieve itHealth Catalyst
According to the Robert Wood Johnson Foundation, health equity is achieved when everyone can attain their full health potential and no one is disadvantaged from achieving this potential because of social position of any other socially defined circumstance.
Without health equity, there are endless social, health, and economic consequences that negatively impact patients, communities, and organizations. The U.S. ranks last on measures of health equity compared to other industrialized countries. Healthcare contributes to this problem in many ways, including ignoring clinician biases toward certain populations and overlooking the importance of social determinants of health.
Fortunately, there are effective, tested steps organizations can take to tackle their health inequities and disparities (e.g., incorporating nonmedical vital signs into their health assessment processes and partnering with community organizations to connect underserved populations with the services they need to be healthy). Some health systems, such as Allina Health, have achieved impressive results by making health equity a systemwide strategic priority.
This document discusses public health policy frameworks and implementation. It defines key concepts like health, public health, and health policy. It describes the Ottawa Declaration's five action areas for health promotion. It discusses what policy is, attributes of policy, and views policy as the rationalization of values. It examines the role of government in health care and different types of health care systems. It outlines dimensions of policy making like issue filtration, hidden politics, and key considerations around political pragmatism, ideology, finances, and morals. It also discusses models of power in policy making like consensus, pluralist, and elitist models.
This presentation offers critical insights on thinking and acting on health equity.
Bob Gardner, Director of Policy
www.wellesleyinstitute.com
Follow us on twitter @wellesleyWI
The document discusses health sector reforms in India. It provides context on the need for reforms due to fiscal constraints and poor social indicators. Key reforms introduced include decentralization, increasing human resources, financial reforms, reorganizing the existing health system, improving health management information systems, increasing community involvement, and ensuring quality. National initiatives like the National Rural Health Mission aim to promote equity, efficiency, quality and accountability in primary healthcare. The overall goal of health sector reforms is to improve access to healthcare and ultimately population health outcomes.
Public health policy development in developing countries Ruby Med Plus
Public Health policy development in developing countries is addressed by four policy questions:
1. Does the introduction of a health policy at national, international level imply corresponding improvement in the quality of health of a country/population?
2. For effective health systems with efficient outcome: should health related policies be locally/nationally or internationally motivated (initiated)?
3. Should developing countries rely on the West for changes in the health of their population?
4. What is the impact of health policies adopted at the international scene on the health of populations in developing countries?
Tax-based systems finance healthcare through taxes collected from the entire population of taxpayers, allowing risks to be pooled across a large group. This subsidizes care for the poor and sick by transferring wealth from the rich and healthy. However, overuse of free services remains a problem. Pay-as-you-go user fee systems represent a market-based solution but fees disproportionately reduce access for the poor. Risk-based private insurance guarantees entitlement by collecting risk-adjusted premiums but rising costs can cause the poor and sick to lose coverage. Social health insurance compulsorily collects premiums from a broad base to ensure universal coverage unlike private systems. Donor funding significantly finances developing countries' healthcare through government systems or private organizations.
The document summarizes recommendations from the High Level Expert Group on achieving Universal Health Coverage in India. It discusses expanding health coverage to all citizens through a national health package, increasing public spending on health to 3% of GDP, strengthening primary healthcare and developing norms for facilities at each level of care. It also emphasizes improving human resources for health, community participation, and access to medicines. The overall vision is to ensure equitable access to quality health services for all Indians.
This document provides an overview of universal health coverage. It defines universal health coverage as access for all to quality health services without financial hardship. The document discusses why moving toward universal health coverage is important for health, economic, and political benefits. It also examines how countries can accelerate progress through health financing reforms and by raising sufficient funds, pooling resources, and purchasing health services. Key challenges around measuring and achieving equity in universal health coverage are also addressed.
Beyond Reporting: Monitoring and Evaluation as a Health Systems Strengthening...MEASURE Evaluation
This document discusses monitoring and evaluation (M&E) as a health systems strengthening intervention. It presents the World Health Organization's health systems framework, which depicts six building blocks of a health system: service delivery, health workforce, information, medical products and technologies, financing, and leadership and governance. The document argues that strengthening M&E systems can improve all six building blocks by increasing accountability, management, and use of data to strengthen programs. It acknowledges challenges like transitioning to more robust M&E systems and maintaining momentum for improvement.
This document describes two major health care models:
1) The Beveridge model, exemplified by the UK's National Health Service, is government-funded through taxes. It aims to provide universal coverage and control costs.
2) The Bismarck model, originated in Germany, is funded through mandatory employment-based insurance contributions from employers and employees. It features private insurance plans that cover everyone on a non-profit basis. Countries like Germany, France and Japan follow this model.
Both models have advantages and disadvantages in terms of accessibility, costs, quality and redistribution. The Beveridge model provides more centralized and universal access but with longer wait times, while the Bismarck model has higher quality but
This final webinar will emphasise the importance of understanding the problem before brainstorming solutions to better ensure a match between barriers and the solutions.
MORE INFO: http://bit.ly/2KctiLH
The fifth webinar continues the momentum of the series as it focuses on providing concrete approaches for identifying barriers and enablers, emphasising behaviour change approaches.
READ MORE: http://bit.ly/2LOwbj0
The third interactive webinar in the series builds on the second session by focusing on the question: once we have evidence to justify implementing a new patient safety initiative, what next?
This document discusses factors to consider when developing and implementing clinical protocols for older adult patients. It outlines a 4-step process: 1) recognizing areas for improvement, 2) selecting evidence-based protocols, 3) implementing protocols through strategies like education and hardwiring into documentation, and 4) measuring performance through reliable tools. Interprofessional collaboration and support from administrators are also emphasized as key to successful protocol adoption.
This document discusses factors to consider when developing and implementing clinical protocols for older adult patients. It outlines a 4-step process: 1) recognizing areas for improvement, 2) selecting evidence-based protocols, 3) implementing protocols through strategies like education and hardwiring into documentation, and 4) measuring performance through reliable tools. Interprofessional collaboration and support from administrators are also emphasized as key to successful protocol adoption.
This document discusses using behavioral science approaches to improve patient safety programs. It describes a partnership between the Canadian Patient Safety Institute (CPSI) and the Ottawa Centre for Implementation Research to increase the use of behavioral approaches in designing effective change programs. As an example, it outlines a study that used interviews and observations to identify barriers to physician hand hygiene, designed an intervention to address key behavioral domains, and implemented different strategies for medical and surgical staff. The goal is to help organizations optimize change programs and patient safety initiatives through incorporating insights from behavioral science.
Ovretveit implementation science research course 1day sept 11john
1. The document discusses a workshop on implementation science and research, which aims to explain what implementation science is, describe elements of an implementation program, explain strengths and limitations of implementation research studies, and plan an implementation study.
2. Implementation research mostly describes, evaluates and explains an implementation in different real-life settings. It involves assessing elements like content, structure, strategy, and methods using tools like CESSiM and REAIM.
3. Effective implementation is important for improving health outcomes and depends more on how interventions are implemented than just the intervention itself. Factors like context affect implementation success.
This document provides an overview of implementation research. It defines implementation research as using strategies to introduce or change evidence-based health interventions in real world contexts. Implementation research is a multidisciplinary field that seeks to understand and close the gap between evidence and practice. The document discusses conceptual frameworks, methods, outcomes and evidence used in implementation research. It describes both qualitative and quantitative research designs that can be used, including descriptive, analytic, experimental and mixed methods approaches.
An Introduction to Implementation Research_Emily Peca_4.22.13CORE Group
There are often challenges in ensuring all relevant stakeholders are meaningfully engaged throughout the implementation research process. Effective partnerships require ongoing communication and finding the right roles for all parties.
This document discusses various quality improvement theories and models that can be used for infection control, including FADE, PDSA cycles, and total quality management (TQM). It provides examples of how PDSA cycles and TQM principles have been applied in healthcare settings. References are included from literature discussing quality improvement methods for improving care and the use of behavioral theories in infection control. The document also describes the search strategies and collaboration challenges experienced by a group working on applying these quality improvement models.
Implementation Strategies & Outcomes: Advancing the ScienceHopkinsCFAR
This document discusses implementation science and strategies to advance the field. It begins with definitions of implementation and dissemination research. The document then discusses quality gaps in mental healthcare that implementation research aims to address. It reviews evidence-based interventions and conceptual models for measuring implementation outcomes. The rest of the document outlines theories that guide implementation strategies and provides a compilation of 68 strategies grouped into key processes like plan, educate, finance, restructure, quality management, and policy. It concludes by noting that passive dissemination is ineffective, while training is one of the most commonly used strategies.
Evaluating the impact of HTA and ‘better decision-making’ on health outcomescheweb1
This document outlines a conceptual framework for assessing the impact of health technology assessments (HTA). It begins by discussing what is already known about evaluating HTA, including the limited literature on long-term effects and barriers to implementation. The document then presents two case studies and proposes a theory-driven, realist approach to impact assessment using configurations of context, mechanism, and outcomes. Interviews and primary data collection are suggested to test an initial program theory regarding how and why HTA influences policy and practice. The goal is to produce guidance on effective implementation by understanding what works, for whom, and in what contexts.
This document provides an introduction to implementation science. It defines key terms like implementation science, implementation research, and discusses the basic components of implementation research. The components discussed include the evidence-based intervention being implemented, implementation theories/models/frameworks, implementation strategies, implementation outcomes, and stakeholder engagement. Examples are given for implementation frameworks like EPIS and CFIR, as well as for implementation strategies and outcomes. Implementation science aims to bridge the gap between research and practice by understanding how to promote uptake of effective interventions into real-world settings.
Understanding Why, When, and What it Will Take to do Operations and/or Implem...CORE Group
Here are some issues with the objectives and research questions:
- The objectives are not specific enough and focus more on methods rather than the purpose of the research.
- The questions make assumptions that community beliefs are "wrong" rather than trying to understand perspectives.
- Questions 1.1 and 1.2 for the formative research objective are too leading and specific rather than open-ended to understand barriers.
- Objective 2 aims to "prove" effectiveness rather than objectively measure impact, and the questions only measure outcomes rather than factors influencing them.
The objectives and questions should be more open-ended, focus on understanding rather than proving assumptions, and aim to inform program improvement rather than prove effectiveness.
This document provides an overview of implementation research (IR), defining what it is and how it relates to other forms of research. It discusses key IR outcomes like acceptability, feasibility, and fidelity that are commonly studied. The document aims to help participants explain IR, design answerable IR questions, and understand how to measure various IR outcomes. It covers topics like formulating IR problems, prioritizing health issues for research, and developing specific IR objectives and questions. The presentation provides frameworks and examples to help participants better understand IR concepts and apply them to their own work.
1. The document discusses applying a realist approach to understanding researcher development. A realist approach examines the relationship between context, mechanisms, and outcomes.
2. It provides an example of mapping the environmental influences and mechanisms that can impact a PhD student's time to degree completion. Understanding the current situation allows designing changes to support desired outcomes.
3. Applying realism to individual development recognizes that personal attributes and circumstances shape one's "mechanisms." Tailoring development activities to individuals can maximize their learning potential.
This document outlines the process of clinical audit, which involves comparing aspects of patient care against explicit criteria to improve outcomes. It discusses establishing structure, measuring processes, and evaluating outcomes. The document also describes the audit cycle of preparing, selecting criteria, measuring performance, making improvements, and sustaining them over time. Clinical audit is presented as a way for healthcare professionals and organizations to critically examine practices and ensure patients receive optimal care.
Evaluation amidst complexity: 8 questions evaluators should askAnn Larson
This document discusses evaluation approaches for complex adaptive systems. It begins with an overview of complexity and characteristics of complex systems. It then presents 8 questions evaluators should ask to evaluate projects through a complexity lens. The questions focus on issues like understanding history and priorities, accommodating diversity, influencing dynamics, monitoring and adapting to changes. The document provides examples and explanations for each question. It concludes that these questions can help evaluators contribute to the evidence base on influencing behavior in complex systems.
Similar to Webinar 4: Identifying barriers and enablers, and determinants, in theory (20)
As patients and families impacted by harm, we imagine progressive approaches in responding to patient safety incidents – focused on restoring health and repairing trust.
We can change how we respond to healthcare harm by shifting the focus away from what happened, towards who has been affected and in what way. This is your opportunity to hear about innovative approaches in Canada, New Zealand, and the United States that appreciate these human impacts.
This interactive webinar is hosted by Patients for Patient Safety Canada, the patient-led program of the Canadian Patient Safety Institute and the Canadian arm of the World Health Organization Patients for Patient Safety Global Network.
This interactive webinar is part of the world tour series designed by the World Health Organization's Patients for Patient Safety (PFPS) Global Network and hosted by Patients for Patient Safety Canada, the patient-led program of the Canadian Patient Safety Institute, a WHO Collaborating Centre on Patient Safety and Patient Engagement.
The goal of this virtual discussion is to explore practical solutions for keeping seniors safe. The ideas are drawn from real life experiences noting how COVID-19 impacted seniors, their loved ones as well as healthcare workers and leaders.
The focus of the discussion is on identifying safety risks together with practical solutions for seniors who live at home, in residences and long-term care facilities.
After hearing the perspectives of patients, providers and leaders from Indigenous communities on how they perceive safety and what solutions are/ can be implemented, we will leave the session with at least one practical idea for engaging all patients, families and/or the public in improving patient safety.
Healthcare providers and leaders will address three types of silences in healthcare: organizational silence, patient-related silence, and provider to provider silence.
Read More: www.conquersilence.ca
This document discusses teamwork in healthcare and its importance for patient safety. It describes how teamwork skills are often taught through simulations but clinical experience is limited for undergraduates. The intervention described uses a film about a patient falling through the cracks followed by workshops using scenarios to practice and debrief teamwork skills. Key concepts emphasized include shared understanding of goals and plans, involving patients as part of the team, and skills like adaptation, trust, and psychological safety. The overall goal is to apply teamwork knowledge to improve patient outcomes and safety.
Enhanced Recovery After Surgery (ERAS®) is the Enhanced Recovery After Surgery (ERAS®) is the implementation of patient-focused, standardized, evidencefocused, standardized, evidencefocused, standardized, evidencefocused, standardized, evidencefocused, standardized, evidencefocused, standardized, evidence-based, interdisciplinary perioperative guidelines.
Learn more about Enhanced Recovery Canada:
http://ow.ly/hR3j30jsnjR
Dr. Dee Mangin, Professor of Family Medicine and the Associate Chair and Director, Research, at McMaster University, will join practicing pharmacist, and Vice President, Pharmacy Affairs, Sandra Hanna of the Neighbourhood Pharmacy Association of Canada to discuss medication risks, deprescribing and the dangers of polypharmacy in this one hour webinar. Learn more at www.asklistentalk.ca
Joshua Myers, Terry Brock - Fraser Health (BC) - We Want to Hear from You: Fraser Health Real-Time Experience Survey
Leading organizations in Canada invite, listen and act on feedback from patients in their care to improve the safety and quality of care. Explore the three award-winning practices linked below then join us in a conversation to learn more about each approach and reflect on how you may apply it in your organization. This webinar promises practical ideas to help you engage patients in making care safer.
Leading organizations in Canada invite, listen and act on feedback from patients in their care to improve the safety and quality of care. Explore the three award-winning practices linked below then join us in a conversation to learn more about each approach and reflect on how you may apply it in your organization. This webinar promises practical ideas to help you engage patients in making care safer.
Cathy Masuda, Leslie Louie - BC Children's Hospital, an Agency of the Provincial Health Services Authority -Patient's View: Engaging Patients and Families in Patient Safety Incident Reporting
Leading organizations in Canada invite, listen and act on feedback from patients in their care to improve the safety and quality of care. Explore the three award-winning practices linked below then join us in a conversation to learn more about each approach and reflect on how you may apply it in your organization. This webinar promises practical ideas to help you engage patients in making care safer.
Alberta Health Services: Family Volunteers or Advisors Gathering Real-time Patient Experiences
Leading organizations in Canada invite, listen and act on feedback from patients in their care to improve the safety and quality of care. Explore the three award-winning practices linked below then join us in a conversation to learn more about each approach and reflect on how you may apply it in your organization. This webinar promises practical ideas to help you engage patients in making care safer.
Please join CPSI as we conclude our Human Factors webinar series with our final presentation Collaborative "Spaces" and Health Information Technology Design
Professor Benedetta Allegranzi,World Health Organisation
Dr. Benedetta Allegranzi is a specialist in infectious diseases, tropical medicine, infection prevention and control and hospital epidemiology. She currently works at the World Health Organization HQ (Service Delivery and Safety department), leading the "Clean Care is Safer Care" programme. Since 2013, Dr Allegranzi has gathered the title of professor of infectious diseases in the official Italian professorship list and is adjunct professor attached to the Institute of Global Health at the Faculty of Medicine, University of Geneva, Switzerland. She closely collaborates with the team at the IPC and WHO Collaborating Center on Patient Safety, University of Geneva Hospitals (Geneva, Switzerland), as well as with the Armstrong Institute for Patient Safety and Quality, John Hopkins University, (Baltimore, USA) for clinical research projects. She is currently involved in the leadership on the WHO Ebola Response in the field of IPC and supervises IPC activities in Sierra Leone and Guinea. She has experience in clinical management of infectious diseases and tropical medicine, and clinical research in healthcare settings in both developing and developed countries. She has thorough skills and experience in training and education.
She is also the author or coauthor of more than 150 scientific publications, including articles published in high-profile medical journal such as the Lancet, Lancet Infectious Diseases, New England Journal of Medicine and the WHO Bulletin, and six book chapters.
Lori Moore joined GOJO Industries in 2013 as a Clinical Application Specialist. In this position, she provided leadership and support to healthcare organizations as they implemented electronic compliance monitoring (ECM) to more accurately measure hand hygiene performance. She has been a trusted partner to hospital key stakeholders in the development, design and implementation of hand hygiene improvement efforts. Areas of expertise include root cause analysis with targeted solutions, just-in-time coaching and ECM software data analytics. In January 2017, she transitioned to the position of Clinical Educator for Healthcare.
She began her professional career in healthcare in 2010 as a registered nurse in the medical intensive care unit at the Cleveland Clinic Foundation (where she continues to work on the weekends). Her passion for patient safety and quality of care sparked her interest in infection prevention, and she worked as an infection preventionist prior to joining GOJO.
Lori has a well-rounded academic background which includes a Bachelor’s of Arts in Management from Malone College, a Bachelor’s of Science in Nursing from the University of Akron, and a Master’s degree in Public Health from the University of Akron. She is a member of the Association for Professionals in Infection Control and Epidemiology, American Society of Professionals in Patient Safety, and the American Medical Writers Association. She has also earned the credential of Certified Health Education Specialist (CHES) and Certified Professional in Patient Safety (CPPS).
This second interactive webinar in the series will draw upon Dr. Ian Graham's Knowledge to Action cycle and focus specifically on the central role of developing and synthesising evidence of what to implement and which knowledge translation and implementation strategies are most effective for promoting implementation, and developing the knowledge infrastructure to make best use of evidence.
With the introduction of new technologies, there are opportunities to introduce new types of medical errors (i.e. technology-induced errors). Technology-induced errors arise from interactions between citizens, patients and health professionals and the technologies they use to provide health information and health care (Borycki & Kushniruk, 2008).
Evidence demonstrates that communication is one of the leading contributors to adverse events. Transitions of care epitomize this challenge.
WATCH ON DEMAND: https://goo.gl/M1ovsS
Attitude and Readiness towards Artificial Intelligence and its Utilisation: A...ShravBanerjee
AI is a hot topic in recent days... We students of IPGME&R, Kolkata, India have done a study on Attitude, Readiness and Utilization of AI by medical students.
Artificial Intelligence (AI): The theory and development of computer systems able to perform tasks normally requiring human intelligence, such as visual perception, speech recognition, decision-making, and translation between languages.
Our study showed that:
1. Nearly half of the study participants showed a favorable attitude towards role of AI in healthcare
2. Around three-fifth of the participants could define basic concepts of data sciences and AI and were ready to choose AI based applications for healthcare; they were willing to accept AI usage despite feeling a lack of cognitive skills
3. Most of them used AI-based applications for studying (ChatGPT), however, some of them faced difficulties in using them
Thank you!
The Importance of Gratitude in Daily Life.pptxMartaLoveguard
Prezentacja - The Importance of Gratitude in Daily Life
Slide 1: Introduction
Welcome to the presentation on the importance of gratitude in daily life. Today, we'll explore how cultivating gratitude can significantly impact our mental, emotional, and physical well-being.
Slide 2: What is Gratitude?
Gratitude is the practice of acknowledging and appreciating the good things in our lives, big and small. It involves recognizing the positive aspects of our experiences, relationships, and circumstances rather than focusing solely on what's lacking or negative. Cultivating gratitude involves a mindset shift towards abundance and appreciation.
Slide 3: Psychological Benefits
Gratitude plays a crucial role in enhancing mental health by reducing negative emotions such as envy, resentment, and frustration. Research indicates that practicing gratitude promotes more positive emotions like happiness and satisfaction with life. Studies have shown that gratitude can lead to improved overall well-being and a greater sense of fulfillment.
Slide 4: Emotional Resilience
Gratitude fosters emotional resilience by helping individuals cope with stress and adversity more effectively. It encourages a mindset that focuses on solutions and growth rather than dwelling on problems. By finding reasons to be grateful even in challenging times, individuals can develop resilience and maintain a positive outlook.
Slide 5: Social Benefits
Expressing gratitude strengthens relationships by fostering feelings of connection and appreciation. When we show gratitude towards others, it deepens our bonds and encourages reciprocity in kindness and support. Gratitude also enhances empathy and compassion, leading to more meaningful social interactions.
Slide 6: Physical Health Benefits
Gratitude isn't just beneficial for mental and emotional well-being; it also impacts physical health. Research suggests that grateful individuals may experience better sleep, reduced inflammation, and improved immune function. Adopting a grateful mindset can contribute to overall holistic health and well-being.
Slide 7: Cultivating Gratitude
There are practical ways to cultivate gratitude in daily life. Keeping a gratitude journal, where you write down things you're thankful for each day, can help reinforce positive emotions. Additionally, expressing gratitude to others through thank-you notes or verbal appreciation can strengthen relationships and increase overall happiness.
Slide 8: Conclusion
In conclusion, integrating gratitude into our daily routines can lead to profound positive changes in our lives. By focusing on what we are thankful for, we shift our perspective towards abundance and possibilities. Embracing gratitude empowers us to live more fully and joyfully, enhancing both our personal well-being and the quality of our relationships.
5 Must-Have’s in ePCR Software for a More PROFITABLE and EFFICIENT EMS, NEM...Traumasoft LLC
The benefits of an ePCR solution should extend to the whole EMS & NEMT organization, not just certain groups of people or certain departments.
It should benefit EMS crews – making it convenient to enter data and have the tools to increase document accuracy.
It should benefit the back-office by streamlining documentation and billing processes internally and with health facilities.
It should benefit the entire organization by improving workflow efficiency, comply with regulations, reduce costs, and contribute to generating data-driven reports.
To achieve those benefits, ePCR software must have these 5 functions.
Revolutionize Pain Management with Almagia’s PEMF Devices Shop Now.pptxALMAGIA INTERNATIONAL
In this blog, we will dig into some scientific studies that highlight the effectiveness of Almagia’s PEMF devices for sale and how they have transformed the landscape of pain management.
Role of Physiotherapy management in lumbar canal stenosis.Anjali Rana
Lumbar canal stenosis is a narrowing of the spinal canal in the lower back, often causing compression of nerves and resulting in pain, numbness, or weakness in the legs. This condition typically develops gradually, impacting mobility and quality of life, necessitating tailored medical management or surgical intervention for relief.
BLOOD DONATION ppt For medical students..pptxdarshitam0310
Mention safety measures and potential side effects. Provide tips on how to prepare for donations such as staying hydrated and eating well.This concise format covers the essential aspects of blood donation.
CHAPTER THREE: MUDRA AND BANDHA
Chapter 3 Verse 1 Kundalini is the support of yoga practices
As the serpent (Sheshnaga) upholds the earth and its mountains and woods, so kundalini is the support of all the yoga practices.
Chapter 3 Verse 2 Guru’s grace and opening of the chakras
Indeed, by guru's grace this sleeping kundalini is awakened, then all the lotuses (chakras) and knots (granthis) are opened.
Chapter 3 Verse 3 Sushumna becomes the path of prana and deceives death
Then indeed, sushumna becomes the pathway of prana, mind is free of all connections and death is averted.
Chapter 3 Verse 4 Names of sushumna
Sushumna, shoonya padavi, brahmarandhra, maha patha, shmashan, shambhavi, madhya marga, are all said to be one and the same.
Chapter 3 Verse 5 Sleeping goddess is awakened by mudra
Therefore, the goddess sleeping at the entrance of Brahma’s door should be constantly aroused with all effort by performing mudra thoroughly.
This presentation tells about health education for hand wash to children. Every child should know that how to keep hand clean. And maintain the good hand washing practices. Nowadays disease are easily spread through uncleaned hands.germs are habitat in their hands and then it causes different types of diseases.so, we must give the health education for hand washing to every children. And make them practice.
Automated Feedback in Digital Depression Screening: DISCOVER Trial | The Life...The Lifesciences Magazine
A recent study published in The Lancet Digital Health delves into the effectiveness of automated feedback following internet-based depression screenings.
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Reimbursement Bootcamp- Coding, Coverage & Payment lecture by David Farber, K...Levi Shapiro
Presentation by David Farber, King & Spalding LLP, "Reimbursement Bootcamp- Coding, Coverage & Payment". Includes a comparison of FDA and CMS – The Important Differences. Setting Expectations and Understanding Timing. FDA Approval/Clearance vs. CMS (Medicare) Coverage. “Reasonable and Necessary”
CMS coverage determination
(formal or informal);
Focus on health benefits;
Economic data is important;
Superiority endpoint often needed; Focus on Medicare beneficiaries; Public processes; Publishes proposed decisions. Information Considered by CMS. Center for Medicare & Medicaid Services. Clinical evidence (including FDA submissions)
External technology assessments;
Advisory committee recommendations;
Position statements by relevant groups; Expert opinions;
Public comments;
Economic and other cost-effectiveness data;
Other informal opinions. The Basics of Reimbursement
• Coverage
Is the item or service eligible for payment?
• Coding
How is the item or service identified?
• Payment
What are the payment methodologies and amounts?
Medicare Coverage:
Defined Benefit Category
Not Excluded
“Reasonable and necessary for
the diagnosis or treatment
of illness or injury or to improve
the functioning of a malformed
body member.”
— Social Security Act § 1862(a)(1)(A). CMS and Its Contractors Make
Medicare Coverage Decisions
• National Coverage
Determinations (NCDs)
• Local Coverage
Determinations (LCDs)
• Individual Consideration
National Coverage
Determinations (NCD):
National and binding decision by CMS
Coverage and Analysis Group (CAG).
May be requested by anyone
(CMS or external party.)
Public process that generally takes
9-12 months once initiated.
May include certain conditions for coverage (including Coverage with Evidence
Development (CED)). Coverage with Evidence Development (CED). Evidence-based coverage paradigm
that permits CMS to develop
coverage policies for treatments
that are likely to show health benefits
for Medicare beneficiaries but for
which the evidence base is not
sufficiently developed. Two kinds of CED: (1) clinical study
and (2) registry. Local Coverage
Determinations (LCD):
Issued by local Medicare
Administrative Contractors (MACs).
May be requested by anyone
(MAC or external party.)
New formal process in 2019 to
request LCDs.
Limited to particular MAC jurisdiction. Medicare Administrative Contractors. Coding is the “language of
reimbursement.”
Coding operationally links
coverage and payment.
Having a code does not
guarantee reimbursement! TYPE OF CODE, CODING SYSTEM, WHO SETS CODE? WHO USES CODE? Diagnosis, Procedure or Service, Products and Certain Services, Drugs. Current Procedural Terminology (CPT) Codes. Maintained by the AMA CPT Editorial Panel.
Identify medical services furnished by physicians.
5-digit numeric codes with generic descriptors.
Three types of CPT codes. Application process takes at least 15 months for Category I codes, with specific clinical data requirements.
Etiologies of Bipolar disorders. Power Point Presentation ptxseri bangash
www.seribangash.com
Bipolar disorder, formerly known as manic-depressive illness, is a complex psychiatric condition characterized by extreme mood swings that include emotional highs (mania or hypomania) and lows (depression). The etiology of bipolar disorder involves a combination of genetic, biological, and environmental factors. Here's a breakdown of these etiologies:
Genetic Factors:
Family History: Bipolar disorder tends to run in families, suggesting a genetic component. Studies indicate that having a close relative with bipolar disorder increases the risk.
Genetic Studies: Research has identified specific genetic variations associated with bipolar disorder. These include genes involved in neurotransmitter signaling, ion channel function, and circadian rhythms.
Neurobiological Factors:
Neurotransmitter Imbalance: Imbalances in neurotransmitters such as dopamine, serotonin, and norepinephrine are implicated in bipolar disorder. For example, elevated dopamine levels during manic episodes and decreased levels during depressive episodes.
Neuroendocrine Factors: Dysregulation of the hypothalamic-pituitary-adrenal (HPA) axis and abnormal cortisol levels have been observed in individuals with bipolar disorder.
Neuroanatomical Factors:
Brain Structure and Function: Structural and functional abnormalities in certain brain regions are linked to bipolar disorder. These include the prefrontal cortex, amygdala, and hippocampus, which are involved in emotional regulation and cognition.
Environmental Factors:
Stress: Stressful life events, such as trauma, loss, or significant life changes, can trigger or exacerbate episodes of bipolar disorder.
Substance Abuse: Substance use, particularly stimulants or drugs that affect neurotransmitter systems, can precipitate manic episodes or worsen the course of the disorder.
Developmental Factors:
Early Life Experiences: Adverse childhood experiences, including abuse, neglect, or chronic stress, may increase susceptibility to developing bipolar disorder later in life.
Trajectories: Some individuals may have a prodromal phase marked by subthreshold symptoms or other behavioral indicators before full-blown episodes manifest.
D1 Business Opportunity Sharing Slide ( USA ) Short Version
Webinar 4: Identifying barriers and enablers, and determinants, in theory
1. www.ohri.ca | Affiliated with • Affilié à
CPSI National Webinar Series
Knowledge Translation and Implementation Science Education Series
Webinar 4: Identifying barriers and enablers, and determinants
of implementation, in theory
Justin Presseau
Scientist, OHRI
Assistant Professor, uOttawa
@JPresseau
jpresseau@ohri.ca
Andrea Patey
Senior Clinical Research Associate, OHRI
Assistant Professor (Adjunct), Queen’s
@andreapatey
apatey@ohri.ca
Centre for Implementation Research
2. Webinar 4 overview
▶ Situating our progress in the webinar series
▶ Overview of key frameworks for identifying barriers/enablers used in
implementation science
▶ An in-depth consideration of the Theoretical Domains Framework
(TDF)
3. A behavioural perspective to KT and IS
▶ Successful implementation of patient safety programs needs key
actors (patients, healthcare providers, managers and policy makers)
to change their behaviours and/or decisions whilst working in the
complex (ordered chaos) of health care environments
▶ There is a substantial evidence base in behavioural sciences that
can support the development of patient safety programs and
increase the likelihood of success
4. The webinar series – overview
▶ Webinar 1: Introduction to KT and Implementation Science
▶ Webinar 2: Knowledge creation and synthesis
▶ Webinar 3: Who needs to do what, differently, to promote implementation?
▶ Webinar 4: Identifying barriers and enablers, and determinants, in
theory
▶ Webinar 5: Identifying barriers and enablers, and determinants, in practice
▶ Webinar 6: Selecting and evaluating strategies to address barriers and
enablers
Aim: build capacity in the basic principles and practice of Knowledge
Translation and Implementation Science to inform your own patient safety
initiatives
5. Situating ourselves in the webinar series
Knowledge to Action
Framework
Graham et al (2006)
Webinar 2: Focus on
the Knowledge
Creation funnel
Knowledge creation
funnel produces:
- Systematic reviews
(e.g. Cochrane)
- Clinical practice
guidelines
- Decision Aids
- Policy briefs
but… producing and
disseminating these
products does not
guarantee change
6. Situating ourselves in the webinar series
Knowledge to Action
Framework
Graham et al (2006)
Webinar 3: Focus on
identifying the
problem
• Identified gaps between
what evidence suggests
and current performance
• Specified: who needs to do
what, differently
• Used TACT-A to specify
each actors’ behaviour
... but selecting and tailoring
interventions depends on
knowing what to tailor on so
that solutions designed are fit
for purpose
7. Today’s webinar
Knowledge to Action
Framework
Graham et al (2006)
Webinar 4: What helps
and hinders
implementation?
8. ▶Healthcare-associated infections are one of the top 10 causes
of hospital deaths worldwide
• Affects 10% of all patients in acute-care hospitals
▶Physician hand hygiene compliance is an international
problem
• Average reported compliance rate: 49-57%
▶Reasons for poor compliance not well understood
▶Our case study: assume we want to develop a patient safety
initiative to improve physician hand hygiene
Our Case Study to inform our overview:
Physician hand hygiene
9. TACT-A:
Atool for specifying
behaviours Use alcohol-based hand gel
Staff physicians, nurses and residents
Patients receiving care at the hospital
Patient rooms and hallways
Before and after touching a patient
Example 1: a ‘do more’
behavior
Hand hygiene
Now what?
10. Step 1: Who needs to do what, differently?
Whose behaviour need to change, and which behaviours? What is the evidence supporting this?
Step 2: What factors determine whether or not they do it?
What are the barriers and enablers?
Step 3: Which strategies can be effectively used to target
those factors?
Which behaviour change techniques are best suited to specifically target the identified
barriers and enablers
Step 4: How can we robustly measure the outcome?
1
2
3
4
10
(French et al., 2012)
Key Process model: The French Model
11. Step 1: Who needs to do what, differently?
Whose behaviour need to change, and which behaviours? What is the evidence supporting this?
Step 2: What factors determine whether or not they do it?
What are the barriers and enablers?
Step 3: Which strategies can be effectively used to target
those factors?
Which behaviour change techniques are best suited to specifically target the identified
barriers and enablers
Step 4: How can we robustly measure the outcome?
1
2
3
4
11
(French et al., 2012)
Key Process model: The French Model
12. Identifying barriers and enablers: the theory advantage
Hand hygiene seems to be a deceptively simple behaviour yet remains an issue
worldwide.
There are consistent modifiable factors that influence whether a behaviour is
performed or not. Some factors are intuitive; many are not.
✓ Provides a ‘leg-up’ of factors to focus on
✓ Provides a shared language for shared understanding
✓ More Efficient: Helps us to learn from each other and others rather than
starting from scratch each time in each setting
✓ Links to techniques/strategies best suited to address barriers
Advantages of using theory to
understand barriers and enablers
13. But Kurt! Which
theory / model /
framework should
we choose?
“There is nothing
more practical than
a good theory”
15. Theory of Planned
Behaviour
Learning
Theories
Health Action
Process
Approach
Control
Theory
Prototype
Willingness
Model
Job Demand/
Control
Dual
process
models
Operant
conditioning
Self-
determination
theory
Self-
regulation
models
Social Cognitive
Theory
16. ▶Consolidated Framework for Implementation
Research (CFIR)1
▶Theoretical Domains Framework2,3
1Damschroder et al (2009); 2Michie et al (2005); 3Cane et al (2012)
From specific theoretical models to comprehensive
theoretical frameworks
17. ▶ Synthesizes constructs (factors) from published implementation theories
▶ 39 constructs across 5 overarching categories:
• Intervention characteristics
• Outer setting
• Inner setting
• Characteristics of individuals involved
• Process of implementation
Damschroder et al (2009)
Consolidated Framework for Implementation Research (CFIR)
18. I. Intervention characteristics
• Intervention source
• Evidence strength and
quality
• Relative advantage
• Adaptability
• Trialability
• Complexity
• Design Quality and
Packaging
• Cost
II. Outer setting
• Patient needs & resources
• Cosmopolitanism
• Peer pressure
• External policy & incentives
III. Inner setting
• Structural characteristics
• Networks and
communications
• Culture
• Implementation climate
- Tension for change
- Compatibility
- Relative priority
- Organizational
Incentives & Rewards
- Goals and feeback
- Learning climate
• Readiness for
implementation
- Leadership
engagement
- Available resources
- Access to knowledge
and information
IV. Characteristics of
individuals involved
• Knowledge & beliefs about the
intervention
• Self-efficacy
• Stage of change
• Individual identification with
organization
• Other personal attributes
V. Process of implementation
• Planning
• Engaging
- Opinion leaders
- Formally appointed
internal implementation
leaders
- Champions
- External change agents
• Executing
• Reflecting and evaluating
Damschroder et al (2009)
Consolidated Framework for Implementation Research (CFIR)
19. • Broad framework that covers
- Barriers/enablers to performance (outer setting, inner setting,
characteristics of individuals, with focus on the organizational setting)
- Features of the intervention itself (intervention characteristics)
- The process of intervention delivery (process of implementation)
Damschroder et al (2009)
Consolidated Framework for Implementation Research (CFIR)
20. ▶Consolidated Framework for Implementation
Research (CFIR)1
▶Theoretical Domains Framework2,3
1Damschroder et al (2009); 2Michie et al (2005); 3Cane et al (2012)
From specific theoretical models to comprehensive
theoretical frameworks
21. ▶ Decades of research in behavioural sciences about modifiable factors
that determine behaviour across a range of settings
▶ Attempts to make psychological theory more useful to those interested in
applying psychological theory but who do not necessarily have a
background in psychology
▶ Addresses theoretical model overload and synthezises key factors
associated with behaviour change
▶ 33 theories containing 128 constructs distilled into 12 domains that may
explain health-related behaviour change
• Validated in 2012: largely same domains (three split, one removed)2
▶ Provides a list of topics to explore that are known to affect behaviour
▶ Used for understanding barriers and enablers to behaviour change in
patients, healthcare professionals and policymakers
Theoretical Domains Framework (TDF): Background
1Michie et al, 2005; 2Cane et al 2012
22. ▶ Conducting interviews or focus groups with healthcare
professionals to understand their views about what helps and
hinders their performance of a specific behaviour
▶ Interviews with patients to understand barriers and facilitators to
their behaviour
▶ Questionnaires: understanding which domains correlate with
behaviour
▶ Systematic reviews: ‘re-engineering’ interventions to understand
what factors they were targeting
Using the Theoretical Domains Framework (TDF) to identify
barriers and enablers
The TDF advantage
- Applicable to any target, action, context, time, and actor (TACT-A)
- Covers a breadth of factors associated with behaviour
- Linked to strategies / techniques for addressing barriers/enablers (informs
selection and tailoring of implementation interventions)
23. Theoretical Domains Framework
TDF Domains
Knowledge
Skills
Memory, attention and decision processes
Behavioural regulation
Environmental context and resources
Social Influences
Beliefs about capabilities
Intention
Goals
Social/professional role and identity
Beliefs about consequences
Reinforcement
Emotion
Optimism
24. What are the 3 factors needed to prove guilt in criminal law?
25. What are the 3 factors needed to prove guilt in criminal law?
Capability
Opportunity
Motivation
Michie, van Stralen, West (2011)
26. Theoretical Domains Framework
Capability
Opportunity
Motivation
TDF Domains
Knowledge
Skills
Memory, attention and decision processes
Behavioural regulation
Environmental context and resources
Social Influences
Beliefs about capabilities
Intention
Goals
Social/professional role and identity
Beliefs about consequences
Reinforcement
Emotion
Optimism
28. TACT-A:
Atool for specifying
behaviours Use alcohol-based hand gel
Staff physicians, nurses and residents
Patients receiving care at the hospital
Patient rooms and hallways
Before and after touching a patient
Example 1: a ‘do more’
behavior
Hand hygiene
Now what?
29. ▶Definition:
• Existing procedural knowledge,
knowledge about guidelines,
knowledge about evidence and
how that influences what the
participants do
• What do they know & how does
that influence what they do?
Knowledge
Note: All definitions adapted from Cane et al 2012
30. ▶Definition:
• Existing procedural knowledge,
knowledge about guidelines,
knowledge about evidence and how
that influences what the participants do
• What do they know & how does that
influence what they do?
Knowledge
▶ Do they know the evidence
about the need for using
hand gel?
▶ Are they aware of any
guidelines about using hand
gel for hand hygiene?
▶ Do you know the four
moments of hand hygiene?
WHO, 2009
31. ▶Definition:
• An ability or proficiency acquired
through practice
• Objective competence and ability
about the procedural techniques
required to perform the behaviour
• What do they know about how they
should be doing something & how does
that influence whether they do it or not?
Skills
32. ▶Definition:
• An ability or proficiency acquired
through practice
• Objective competence and ability
about the procedural techniques
required to perform the behaviour
• What do they know about how they
should be doing something & how does
that influence whether they do it or not?
Skills
▶ Were they ever trained in the
proper technique for hand
hygiene using hand gel?
▶ Has anyone evaluated their
hand hygiene against
recommended steps?
33. ▶Definition:
• The ability to retain information,
focus selectively on aspects of
the environment and choose
between two or more alternatives
• How does their forgetfulness or
remembering to do it influence
whether or not they actually do it?
• How does their ability to focus on
the behaviour influence whether
or not they do it?
• How do the decisions they make
about the behaviour influence
whether they do it or not?
Memory, attention, decision-making
34. ▶Definition:
• The ability to retain information,
focus selectively on aspects of
the environment and choose
between two or more alternatives
• How does their forgetfulness or
remembering to do it influence
whether or not they actually do it?
• How does their ability to focus on
the behaviour influence whether
or not they do it?
• How do the decisions they make
about the behaviour influence
whether they do it or not?
Memory, attention, decision-making
▶Aware of whether they
ever forget? Any specific
situations when more
likely to forget?
▶Can they take the time to
focus on using hand gel?
▶Ever decide not to?
35. ▶Definition:
• Anything aimed at managing or
changing objectively observed or
measured actions
• Existing strategies the participants
have in place to help them perform
the behaviour
• Strategies the participants would
like to have in place to help them
Behavioural Regulation
36. ▶Definition:
• Anything aimed at managing or
changing objectively observed or
measured actions
• Existing strategies the participants
have in place to help them perform
the behaviour
• Strategies the participants would
like to have in place to help them
Behavioural Regulation
▶ What existing strategies
are already in place to
support them? Do they
use these?
▶ What additional strategies
for they think might help
(note: people typically not
very good at determining
what strategies would
help)
37. ▶Definition:
• Any circumstance of a person's
situation or environment that
discourages or encourages the
development of skills and abilities,
independence, social competence,
and adaptive behaviour
• Focus on physical and resource
factors in which the behaviour is
performed (the setting)
Environmental Context & Resources
38. ▶Definition:
• Any circumstance of a person's
situation or environment that
discourages or encourages the
development of skills and abilities,
independence, social competence,
and adaptive behaviour
• Focus on physical and resource
factors in which the behaviour is
performed (the setting)
Environmental Context & Resources
▶What resources do
they currently have
access to use hand
gel in recommended
way?
▶What aspects of their
work environment
influence whether they
use hand gel?
39. ▶Definition:
• Those interpersonal processes that
can cause individuals to change
their thoughts, feelings, or
behaviours
• External influence from other people,
views of other professions, norms,
leadership, culture, patients and
families, doing what you are told and
how that influences what you do
Social influences
40. ▶Definition:
• Those interpersonal processes that
can cause individuals to change
their thoughts, feelings, or
behaviours
• External influence from other people,
views of other professions, norms,
leadership, culture, patients and
families, doing what you are told and
how that influences what you do
Social influences
▶ Do other team members
influence their use of hand
gel? Who?
▶ Do they think there is an
expectation that they should
use hand gel? Who expects
them to? How important is
that expectation to them?
▶ How do patients and their
families influence use of hand
gel?
41. ▶Definition:
• Perceptions about competence, self-
efficacy and confidence in doing the
behaviour
• Perceived control over engaging in
the behaviour
Beliefs about capabilities
42. ▶Definition:
• Perceptions about competence, self-
efficacy and confidence in doing the
behaviour
• Perceived control over engaging in
the behaviour
Beliefs about capabilities
▶ How confident that they
can use sanitizing gel? At
all recommended times?
• Before touching a patient
• After touching a patient
• After touch patient
surroundings
▶ Is it up to them whether
then can use sanitizing gel
in all recommended
settings?
43. ▶Definition:
• The confidence that things will
happen for the best or that desired
goals will be attained
• Overall assess of
optimistic/pessimistic they are about
whether engaging in the behaviour
will result in positive outcomes
Optimism
44. ▶ Are they optimistic that
using hand gel will lead to
reduced risk of healthcare
associated infection?
▶Definition:
• The confidence that things will
happen for the best or that desired
goals will be attained
• Overall assess of
optimistic/pessimistic they are about
whether engaging in the behaviour
will result in positive outcomes
Optimism
45. ▶Definition:
• Outcomes of a behaviour in
a given situation
• Perceptions about outcomes
and advantages and
disadvantages of performing
the behaviour or pervious
experiences that have
influenced whether the
behaviour is performed or
not.
• What are the good and bad
things that can happen from
what they do and how does
that influence whether they’ll
do it in the future?
Beliefs about consequences
46. ▶Definition:
• Outcomes of a behaviour in
a given situation
• Perceptions about outcomes
and advantages and
disadvantages of performing
the behaviour or pervious
experiences that have
influenced whether the
behaviour is performed or
not.
• What are the good and bad
things that can happen from
what they do and how does
that influence whether they’ll
do it in the future?
Beliefs about consequences
▶ What will happen to them,
their patients, their
colleagues, the organization if
they use hand gel as
recommended?
• Positive and negative
outcomes, short and long
term
▶ What will happen if they do
not use hand gel as
recommended?
47. ▶Definition:
• A dependent relationship, or
contingency, between the
response and a given
stimulus
Reinforcement
48. ▶Definition:
• A dependent relationship, or
contingency, between the
response and a given
stimulus
Reinforcement
▶ How have their experiences
(good and bad) of using hand
gel in the past influenced
whether or not they do it
again?
▶ Are there external incentives
in place to encourage hand
gel use?
49. Intention
▶Definition:
• A conscious decision to
perform a behaviour or a
resolve to act in a certain
way
• How does how inclined they
are to do something
influence whether they will
do it?
50. ▶Definition:
• A conscious decision to
perform a behaviour or a
resolve to act in a certain
way
• How does how inclined they
are to do something
influence whether they will
do it?
Intention
▶Do they intend use
hand gel (prompt: the
4 moments)?
▶Do they want to?
51. ▶Definition:
• Mental representations of
outcomes or end states that
an individual wants to
achieve
• How important is what they
do & does that influence
whether or not they do it?
• Priorities, importance,
commitment to a certain
course of actions or
behaviours Intentions
Goals
52. Goals
▶Is using hand gel a
personal goal? An
institutional goal?
▶How much of a priority is
using hand gel
compared to competing
demands? Which
competing demands
may interfere?
▶Definition:
• Mental representations of
outcomes or end states that
an individual wants to
achieve
• How important is what they
do & does that influence
whether or not they do it?
• Priorities, importance,
commitment to a certain
course of actions or
behaviours Intentions
53. ▶Definition:
• A coherent set of behaviours
and displayed personal
qualities of an individual in a
social or work setting
Social / Professional Role & Identity
54. ▶Definition:
• A coherent set of behaviours
and displayed personal
qualities of an individual in a
social or work setting
• Is the behaviour something
they are supposed to do or
someone else’s role? (When
discussing ‘we’/the collective)
• How does who they are as a
professional influence
whether they do something or
not?
Social / Professional Role & Identity
▶ Is using hand gel part and
parcel of how they see
themselves as clinicians
(identity)
▶ Do they see this as part of
their job? Who else’s role is
it? What are the boundaries
(implicit or explicit) between
professional groups in who
should use hand gel?
55. ▶Definition:
• A complex reaction pattern,
involving experiential, behavioural,
and physiological elements, by
which the individual attempts to
deal with a personally significant
matter or event
• How feelings, affect (positive or
negative) may influence behaviour
Emotions
56. ▶ How do they feel about
using hand gel and how
do those feelings
influence what they do?
▶ Does not using hand gel
evoke worry, regret or
concern?
▶Definition:
• A complex reaction pattern,
involving experiential, behavioural,
and physiological elements, by
which the individual attempts to
deal with a personally significant
matter or event
• How feelings, affect (positive or
negative) may influence behaviour
Emotions
59. ▶Use of an established theoretical framework provides a strong,
replicable basis for identifying barriers and enablers to
implementing a patient safety-related behaviour
• Gives leg-up on factors to consider
• Prevents “re-inventing the wheel”
• Helps to generalize across settings to understand why some strategies may
be effective in some settings and some behaviours but not in others
▶Resulting findings under each can then be used to help select fit-
for-purpose techniques and strategies (webinar 6)
Summary and take home messages
60. Next Webinar
Identifying barriers and enablers, in
practice
May 30th, 2018 noon EST
Lead: Justin and Andrea
In the meantime…
Please send us examples of your own planned/ongoing patient
safety initiatives so that we can directly inform our examples in
the next webinars
Send to: jpresseau@ohri.ca
61. www.ohri.ca | Affiliated with • Affilié à
Justin Presseau
Scientist, OHRI
Assistant Professor, uOttawa
@JPresseau
jpresseau@ohri.ca
Andrea Patey
Senior Clinical Research Associate, OHRI
Assistant Professor (Adjunct), Queen’s
@andreapatey
apatey@ohri.ca
Centre for Implementation Research
Thank you