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Evaluation and Program Planning Apr 2017This article challenges the conventional wisdom in mainstream evaluation regarding the process for developing specific, measurable, attainable, relevant, and time-bound...
This article challenges the conventional wisdom in mainstream evaluation regarding the process for developing specific, measurable, attainable, relevant, and time-bound (SMART) objectives. The article notes several advantages of mainstreaming the SMART method including program capacity building and being able to independently monitor progress toward process and outcome objectives. It is argued the one size fits all approach for writing SMART objectives is misleading. The context in which the evaluation is conducted is a key deciding factor in how and when the SMART criteria should be applied. Without an appreciation of the evaluation context, mainstream users may be developing objectives that are far from smart. A case example is presented demonstrating a situation where a stepwise, rather than simultaneous application of the SMART criteria was necessary. Learning from this case, recommendations are forwarded for adjusting how SMART criteria should be presented in mainstream evaluation manuals/guides.
Topics: Awareness; Goals; Health Knowledge, Attitudes, Practice; Health Promotion; Humans; Leadership; Organizational Case Studies; Out-of-Hospital Cardiac Arrest; Program Development; Program Evaluation
PubMed: 28056403
DOI: 10.1016/j.evalprogplan.2016.12.009 -
Implementation Science : IS Apr 2015Implementation science has progressed towards increased use of theoretical approaches to provide better understanding and explanation of how and why implementation...
BACKGROUND
Implementation science has progressed towards increased use of theoretical approaches to provide better understanding and explanation of how and why implementation succeeds or fails. The aim of this article is to propose a taxonomy that distinguishes between different categories of theories, models and frameworks in implementation science, to facilitate appropriate selection and application of relevant approaches in implementation research and practice and to foster cross-disciplinary dialogue among implementation researchers.
DISCUSSION
Theoretical approaches used in implementation science have three overarching aims: describing and/or guiding the process of translating research into practice (process models); understanding and/or explaining what influences implementation outcomes (determinant frameworks, classic theories, implementation theories); and evaluating implementation (evaluation frameworks). This article proposes five categories of theoretical approaches to achieve three overarching aims. These categories are not always recognized as separate types of approaches in the literature. While there is overlap between some of the theories, models and frameworks, awareness of the differences is important to facilitate the selection of relevant approaches. Most determinant frameworks provide limited "how-to" support for carrying out implementation endeavours since the determinants usually are too generic to provide sufficient detail for guiding an implementation process. And while the relevance of addressing barriers and enablers to translating research into practice is mentioned in many process models, these models do not identify or systematically structure specific determinants associated with implementation success. Furthermore, process models recognize a temporal sequence of implementation endeavours, whereas determinant frameworks do not explicitly take a process perspective of implementation.
Topics: Evidence-Based Medicine; Humans; Models, Organizational; Program Development; Translational Research, Biomedical
PubMed: 25895742
DOI: 10.1186/s13012-015-0242-0 -
Clinical Obstetrics and Gynecology Sep 2019There is no single framework for a successful obstetric patient safety program. However, there are ample resources for the important components needed to create a... (Review)
Review
There is no single framework for a successful obstetric patient safety program. However, there are ample resources for the important components needed to create a patient safety program. All labor and delivery units should formulate their own quality and safety program that is individualized to the patients and staff that they serve. Here we will lay out the infrastructure as has been supported by the literature and reinforced in our experience.
Topics: Delivery, Obstetric; Female; Humans; Patient Safety; Pregnancy; Program Development; Quality Improvement
PubMed: 31169555
DOI: 10.1097/GRF.0000000000000468 -
American Journal of Pharmaceutical... Jan 2023To design and assess the use of a pharmacy student-delivered preceptor development program. A student-delivered preceptor development program was developed to ensure...
To design and assess the use of a pharmacy student-delivered preceptor development program. A student-delivered preceptor development program was developed to ensure all preceptors received documented preceptor development. A menu of discussion topics and associated teaching sheets were created by the school's office of experiential education. On each rotation, advanced pharmacy practice experience (APPE) students led discussions with their preceptors on a topic chosen by the preceptor and submitted documentation of the education. Preceptors answered a survey related to the amount of information and time required for the program, their preference for different formats of preceptor development, one important thing they learned through the program, and future development topics of interest. Students were interviewed regarding their perceptions and use of the program. A novel student-delivered preceptor development program resulted in documentation of preceptor development for all APPE rotations. Seventy-nine preceptors (31% response rate) participated in the survey. In their responses, preceptors generally agreed that they were able to customize their development and incorporate what they learned into practice, and that the program had a convenient format and was valuable for preparing students to be future preceptors. Students reported that the program improved their confidence in communicating with a supervisor and prepared them for precepting. A student-delivered preceptor development program improved documented preceptor development. The program allowed preceptors to customize development opportunities in a convenient format. It was perceived positively by preceptors who would recommend the program to other schools of pharmacy.
Topics: Humans; Education, Pharmacy; Students, Pharmacy; Preceptorship; Problem-Based Learning; Curriculum; Program Development
PubMed: 35078766
DOI: 10.5688/ajpe8939 -
Nursing For Women's Health Jun 2019Choosing Wisely is a national health care improvement campaign promoting conversations between women and their health care professionals about selecting high-value... (Review)
Review
Choosing Wisely is a national health care improvement campaign promoting conversations between women and their health care professionals about selecting high-value health care practices. It disseminates lists of recommendations and downloadable educational materials from professional societies on its website. In November 2018, we searched for and categorized Choosing Wisely recommendations pertinent to women's health care. Of 78 recommendations, 28 (36%) were related to perinatal care, 22 (28%) were related to gynecologic care, and 28 (36%) were related to women's health and general care. Twelve recommendations (17.6%) were related to antenatal care, 10 (14.7%) to intrapartum and postpartum care, and 10 (14.7%) to cervical cancer screening. These free resources can help frame the shared decision-making process in clinical practice.
Topics: Decision Making; Female; Humans; Pregnancy; Program Development; Quality Improvement; Quality of Health Care; Women's Health Services
PubMed: 31059674
DOI: 10.1016/j.nwh.2019.03.005 -
American Journal of Pharmaceutical... Jun 2017To describe characteristics of faculty development programs designed to facilitate interprofessional education, and to compile recommendations for development,... (Review)
Review
To describe characteristics of faculty development programs designed to facilitate interprofessional education, and to compile recommendations for development, delivery, and assessment of such faculty development programs. MEDLINE, CINAHL, ERIC, and Web of Science databases were searched using three keywords: faculty development, interprofessional education, and health professions. Articles meeting inclusion criteria were analyzed for emergent themes, including program design, delivery, participants, resources, and assessment. Seventeen articles were identified for inclusion, yielding five characteristics of a successful program: institutional support; objectives and outcomes based on interprofessional competencies; focus on consensus-building and group facilitation skills; flexibility based on institution- and participant-specific characteristics; and incorporation of an assessment strategy. The themes and characteristics identified in this literature overview may support development of faculty development programs for interprofessional education. An advanced evidence base for interprofessional education faculty development programs is needed.
Topics: Education, Pharmacy; Faculty; Health Occupations; Humans; Interdisciplinary Studies; Interprofessional Relations; Program Development
PubMed: 28720924
DOI: 10.5688/ajpe81596 -
Rehabilitation Nursing : the Official... 2020The aim of the study was to develop the Healthy Beat Acupunch (HBA) exercise program and evaluate its feasibility for community older adults.
PURPOSE
The aim of the study was to develop the Healthy Beat Acupunch (HBA) exercise program and evaluate its feasibility for community older adults.
DESIGN
Stage I: The Delphi technique was used to consult 16 experts to develop the program. Stage II: A preexperimental, one-group, posttest-only design was used to pilot-test the program feasibility with 31 older adults.
METHODS
After 4 weeks of interventions, participants evaluated the program based on four criteria (simplicity, safety, suitability, and helpfulness) and responded to five open-ended questions.
FINDINGS
The developed HBA program from Stage I includes three phases with 24 motions and takes 40 minutes to complete. Program feasibility in Stage II showed average scores ranged from 8.84 ± 1.32 to 9.97 ± 0.18.
CONCLUSION
Both experts and elderly participants confirmed that the HBA program was simple, safe, suitable, and helpful to older adults.
CLINICAL RELEVANCE
The HBA program provides older adults with a new set of exercise options.
Topics: Acupuncture Therapy; Adult; Feasibility Studies; Female; Geriatrics; Humans; Male; Middle Aged; Program Development
PubMed: 29864046
DOI: 10.1097/rnj.0000000000000157 -
Radiographics : a Review Publication of... Oct 2018Running a successful radiology residency program requires departments to navigate the evolving educational landscape at the departmental, institutional, and national... (Review)
Review
Running a successful radiology residency program requires departments to navigate the evolving educational landscape at the departmental, institutional, and national levels. To attract the best applicants, departments must invest time and money to support the leadership of the program and its faculty to provide innovative educational opportunities in a positive learning environment while simultaneously complying with all of the requirements of the Accreditation Council for Graduate Medical Education. The key administrative requirements of a successful radiology residency program are described and can be grouped into (a) essential administrative components, (b) the clinical learning environment review and self-study process, and (c) resident recruitment. Ten specific strategies for running a successful residency program are also presented. The goal is for this article to serve as a guide for not only existing diagnostic and interventional radiology residency programs but also newly formed programs that are in the process of seeking accreditation. RSNA, 2018.
Topics: Curriculum; Education, Medical, Graduate; Humans; Internship and Residency; Program Development; Radiology
PubMed: 30303785
DOI: 10.1148/rg.2018180016 -
Global Heart Dec 2016Successful prevention of cardiovascular diseases in the North Karelia Project and Finland has drawn international attention, particularly as cardiovascular diseases and... (Review)
Review
Successful prevention of cardiovascular diseases in the North Karelia Project and Finland has drawn international attention, particularly as cardiovascular diseases and more generally noncommunicable diseases have become the leading cause of premature mortality in the world. The questions have often been asked about what were the main reasons for success and whether or not the experience could be transferred elsewhere. The main lesson is that the possibilities and potential of cardiovascular prevention are great. The principles of population-based prevention are universal and are expressed in the strategies of World Health Organization. But, the practical implementation of the preventive work must be tailored to local cultural, social, and administrative (political) situations. This paper discusses many elements of the work in North Karelia and Finland that were likely important for success.
Topics: Cardiovascular Diseases; Finland; Health Promotion; Humans; Program Development; Risk Factors; World Health Organization
PubMed: 27938823
DOI: 10.1016/j.gheart.2016.10.015 -
Journal of Nuclear Medicine Technology Sep 2018Program development and review are a central part of institutional and industry quality assurance. Traditional approaches, although well established, present several...
Program development and review are a central part of institutional and industry quality assurance. Traditional approaches, although well established, present several barriers that could undermine the integrity of the process and the quality of outcomes. Here, a new approach to program development and design is explored with the goal of enhancing outcomes for students and institutions.
Topics: Accreditation; Program Development
PubMed: 29724798
DOI: 10.2967/jnmt.118.208272