proceedings of the virtual 3 rd uk implementation science research conference virtual CORD-Papers-2022-06-02 (Version 1)

Title: Proceedings of the Virtual 3(rd) UK Implementation Science Research Conference: Virtual conference. 16 and 17 July 2020
Published: 2020-12-17
Journal: Implement Sci
DOI: 10.1186/s13012-020-01062-3
DOI_URL: http://doi.org/10.1186/s13012-020-01062-3
Author Name: Bawab Noura
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Author Name: Moullin Joanna C
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Author Name: Bugnon Olivier
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Author Name: Taylor Natalie
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Author Name: Pearson Mark
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Author Name: Rushton Alita
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Author Name: Seward N
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Author Name: Hanlon C
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Author Name: Gibney A
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Author Name: Seward N
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Author Name: Hanlon C
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Author Name: Colbourn T
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Author Name: Murdoch J
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Author Name: Prince M
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Author Name: Venkatapuram S
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Author Name: To Wilson
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Author Name: Green James S A
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sha: cdeaf6c7db3c2f96b1e137d68626f27318e20648
license: cc-by
license_url: https://creativecommons.org/licenses/by/4.0/
source_x: Medline; PMC
source_x_url: https://www.medline.com/https://www.ncbi.nlm.nih.gov/pubmed/
pubmed_id: 33327951
pubmed_id_url: https://www.ncbi.nlm.nih.gov/pubmed/33327951
pmcid: PMC7744255
pmcid_url: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7744255
url: https://www.ncbi.nlm.nih.gov/pubmed/33327951/ https://doi.org/10.1186/s13012-020-01062-3
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Keywords Extracted from Text Content: EPIAS BCR research-to-practice Arm 1 Sobia Khan * spinal cord Sobia HFPs ROI Health Services lowand Heart DCM Pragmatic-Explanatory Continuum Indicator body IPC lower- taxpayer's Cardiac lean NSPCC DART services peer-topeer blood friends ethnicallydiverse Freetown Pranav V 4 Conflicts pregnant women Sobia Khan MoHS oral survivors € DfID Emma.smith@NSPCC.org.uk SSIs HCPs Knee NHS trusts left Implementer Bangladesh, Khadjesari 1 patient-pharmacist London NHS Plan-Do-Study-Act UK Cervical AoC. BCRs poorly-resourced outer context-mechanism-outcome DHIs people cardiac patients Nick Sevdalis 1 non-NSPCC heart [1] patients NHS-led EHE Ensure LMICs HPHB OptiMine patient culturally-tailored PLA NSPCC OASI2 U5M Sierra Leone Nathan Peiffer-Smadja 3 Hani Baragwanath Hospital (CHBH) foetus Nataliya Brima 1 PRECIS-2 GRADE-CERQual [5 children coronavirus participants HOUVAST Stakeholder-led OASI COVID-19 lowerresourced women RECODE-DCM cancer UK [3 Oral US evidence-to-practice woven US$ ARP ISC 3 I PARiHS inner Esmita Charani 3 covid-19 CBO Ontario CFs cardiac CMOcs NASSS Reach:15 McPin HSS men Survivors NSPCC 2016-2021 line OASI1 London boroughs 7&6 co-senior knee RAMESES self-isolate RECODE-DCM Enviro-Scan prescriber CEA NCT02940873 Patients PLA Madagascar K/HOOS SPAIR Soweto UNICEF Nepal, Peru facial OASI2 santésuisse 2018/10366-6 SLCN Hani Baragwanath Hospital OASI1 São Paulo (FAPESP) pharmaSuisse children participants UK Fundação Marie-Sklodowska Curie grant curafutura adolescents SLT/teacher SMS MRC-Wits CPD National Cancer Institute (NCI Cancer Research UK patients PACTR201808107241133 patient REPPP
Extracted Text Content in Record: First 5000 Characters:α equal co-senior authors Background: The Swiss federal government promoted the evaluation of an interprofessional patient support model, including regular motivational interviews (patient-pharmacist), medication adherence and patientreported outcomes monitoring and interactions with physicians. The aim of this 15-month study was to evaluate the implementation process of a programme tailored to patients with type 2 diabetes, taking at least one oral antidiabetic treatment. This is a prospective, multi-centric, observational, cohort study using a hybrid implementation-effectiveness design and the Framework for the Implementation of Services in Pharmacy (FISpH) [1] . Outcomes were assessed at each stage of the implementation process using both quantitative and qualitative methods. A set of implementation measures reported on the process (number of pharmacies going through the stages), outcomes (e.g. reach, fidelity) and impact (influencing factors and implementation strategies). Describes the indicators of progress along the implementation process. Two-hundred-twelve patients were included to benefit from the support programme in 27 pharmacies. The mean inclusion rate per pharmacy was 8 patients (SD 6, range: 1-29). We observed a step-by-step implementation process: 1) internal organisation: teaching and coaching of the pharmacy team, identification of eligible patients, 2) preparation of inter-professional collaboration: information and local networking with physicians; and 3) relationship building with patients. Main influencing factors were pharmacists' skills in motivational interviewing, support from pharmacy owners, pre-existing local inter-professional networks and profitability of the programme. This evaluation provided evidence regarding the implementation capacity and acceptability of the programme by pharmacy teams, patients with diabetes and physicians: a promising start for interprofessional chronic care services. The impact of the work environment on the mental health of doctors is internationally recognised. However, research syntheses on interventions that provide support, advice and/or treatment to sick doctors have not fully taken account of intervention complexity and heterogeneity, the multiple dimensions of the issue, nor the challenges of implementing strategies to address mental ill-health in doctors. We: 1) conducted a realist review of interventions to improve doctors' and medical students' mental ill-health, engaging throughout with a diverse group of stakeholders; 2) developed recommendations to support tailoring, implementation, monitoring and evaluation of these strategies. Realist review, conducted and reported consistent with RAMESES standards. Research and policy sources identified through bibliographic database searches, purposive searches, and stakeholder engagement. Extracted data analysed using a realist lens to identify explanatory context-mechanism-outcome configurations (CMOcs) of mental ill-health in doctors and medical students. Results: 179 sources were included, 45% of which were from the USA and 74% of which were published in 2009 or later. The synthesis produced 19 CMOcs (processes, relationality, balance, and implementation) explaining how mental ill-health develops in the workplace and how strategies can be implemented to reduce mental ill-health. Trust was identified as highly important in explaining the interplay between implementation strategy, intervention development, and the broader workplace context. Traditional malnutrition models of care apply individualised, dietitian administered nutrition care. Shifting to systematised and/or interdisciplinary alternatives is an important step towards improved service efficiencies, effectiveness, and patient reported experience measures. This study consequently applied a nominal group technique approach with experts in field to identify and prioritise low-value nutrition care practices for de-implementation. Method: Workshops using the nominal group technique were undertaken at eight hospitals across Queensland, Australia administered by a single experienced clinician/implementation expert. Purposively sampled dietitians and nutrition assistants were asked the question "What highly individualised malnutrition care activities do you think we could replace with systematised, interdisciplinary malnutrition care?". Each participant was provided opportunity to individually list and present responses, discuss them as a group, and then vote for the highest priorities; each participant was allowed five votes. Results: Nine workshops were conducted across eight sites. Dietitians (51) and assistants (12) identified 101 dietetics actions to replace with systematised, interdisciplinary alternatives. These were spread across screening (n=5), assessment (n=31), diagnosis (n=2), intervention (n= 45), and monitoring and evaluation (n=18) domains of the nutrition care process. Actions that received the highest number of nominal group
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