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Journal of the American College of... Oct 2018
Topics: Cardiology; Humans; Leadership; Program Development
PubMed: 30360832
DOI: 10.1016/j.jacc.2018.09.029 -
Nurse Education Today Oct 2022Access to comprehensive, integrated, multidisciplinary care is one of the most urgent and actionable recommendations of the Advanced Breast Cancer Global Alliance.... (Review)
Review
BACKGROUND
Access to comprehensive, integrated, multidisciplinary care is one of the most urgent and actionable recommendations of the Advanced Breast Cancer Global Alliance. However, access to specialist breast care units, and specialist breast cancer nurses is variable, influenced by access to specialist education and role recognition. To date, there has not been a synthesis of evidence regarding educational programmes related to advanced breast cancer education for nurses.
OBJECTIVES
The aim of this review was to determine the content, mode of delivery, assessment and outcomes of education programmes related to advanced breast cancer for nurses.
REVIEW METHODS
A systematic review was undertaken, according to the Joanna Briggs Institute's mixed methods review methodology.
DATA SOURCES
MEDLINE, PUBMED, CINAHL, Scopus, PsycInfo, Joanna Briggs Institute, Web of Science and grey literature sources were systematically searched. Eleven publications met the inclusion criteria. Data relating to programme content, mode of delivery, assessment and outcomes were extracted and analysed.
RESULTS
This review identifies a limited number of educational programmes within this specialist area of nursing practice. Shortcomings in the development, implementation and evaluation of advanced breast cancer education programmes included limited use of educational standards, theoretical frameworks and patient and public involvement to inform programme development. Evaluation of education programmes related to advanced breast cancer relied predominantly on self-reported learning, with limited consideration of the impacts of education on service delivery, patient experience or quality of care.
CONCLUSIONS
Future development of advanced breast cancer education programmes must consider the alignment of programme content and learning outcomes with existing educational and competency standards. Evaluation of educational programmes in this field must endeavour to enhance rigour of methods, incorporating standardised questionnaires, and multiple methods and sources of data to evaluate the broader impacts of advanced breast cancer education for nurses.
Topics: Breast Neoplasms; Female; Health Education; Humans; Learning; Program Development
PubMed: 35908406
DOI: 10.1016/j.nedt.2022.105477 -
Journal of Cancer Survivorship :... Jun 2015This manuscript will describe institutional changes observed through goal analysis that occurred following a multidisciplinary education project, aimed at preparing...
PURPOSE
This manuscript will describe institutional changes observed through goal analysis that occurred following a multidisciplinary education project, aimed at preparing health care professionals to meet the needs of the growing numbers of cancer survivors.
METHOD
Postcourse evaluations consisted of quantitative questionnaires and follow-up on three goals created by each participating team, during the 3-day educational program. Evaluations were performed 6, 12, and 18 months postcourse for percent of goal achievement. Goals were a priori coded based on the Institute of Medicine's survivorship care components along with two additional codes related to program development and education.
RESULTS
Two hundred and four teams participated over the four yearly courses. A total of 51.6 % of goals were related to program development, 21 % to survivorship care interventions, 20.9 % on educational goals, and only 4.7 % related to coordination of care, 1.4 % on surveillance, and 0.4 % related to prevention-focused goals. Quantitative measures postcourse showed significant changes in comfort and effectiveness in survivorship care in the participating institutions.
CONCLUSION
During the period 2006-2009, health care institutions focused on developing survivorship care programs and educating staff, in an effort to prepare colleagues to provide and coordinate survivorship care, in cancer settings across the country.
IMPLICATIONS FOR CANCER SURVIVORS
Goal-directed education provided insight into survivorship activities occurring across the nation. Researchers were able to identify survivorship care programs and activities, as well as the barriers to developing these programs. This presented opportunities to discuss possible interventions to improve follow-up care and survivors' quality of life.
Topics: Continuity of Patient Care; Delivery of Health Care; Health Personnel; Health Services Needs and Demand; Humans; National Health Programs; Neoplasms; Patient Care Planning; Program Development; Quality of Life; Surveys and Questionnaires; Survival Rate; Survivors; United States
PubMed: 25216608
DOI: 10.1007/s11764-014-0397-8 -
Substance Abuse Treatment, Prevention,... Nov 2012Health policies and programs are increasingly being driven by people from the community to more effectively address their needs. While a large body of evidence supports... (Review)
Review
Health policies and programs are increasingly being driven by people from the community to more effectively address their needs. While a large body of evidence supports peer engagement in the context of policy and program development for various populations, little is known about this form of engagement among people who use drugs (PWUD). Therefore, a narrative literature review was undertaken to provide an overview of this topic. Searches of PubMed and Academic Search Premier databases covering 1995-2010 were conducted to identify articles assessing peer engagement in policy and program development. In total, 19 articles were included for review. Our findings indicate that PWUD face many challenges that restrict their ability to engage with public health professionals and policy makers, including the high levels of stigma and discrimination that persist among this population. Although the literature shows that many international organizations are recommending the involvement of PWUD in policy and program development, our findings revealed a lack of published data on the implementation of these efforts. Gaps in the current evidence highlight the need for additional research to explore and document the engagement of PWUD in the areas of policy and program development. Further, efforts to minimize stigmatizing barriers associated with illicit drug use are urgently needed to improve the engagement of PWUD in decision making processes.
Topics: Drug Users; Health Policy; Humans; Policy Making; Program Development; United States
PubMed: 23176382
DOI: 10.1186/1747-597X-7-47 -
Frontiers in Public Health 2022Although middle-aged adults in Korea are vulnerable to depression, there are few preventive interventions for depression in middle adulthood. Studies consistently... (Review)
Review
BACKGROUND
Although middle-aged adults in Korea are vulnerable to depression, there are few preventive interventions for depression in middle adulthood. Studies consistently suggest that interventions that include both spouses are effective in decreasing depression and relationship distress. Considering the busy lives of middle-aged couples, it is essential to develop an online-coaching blended couple-oriented intervention. This study aimed to describe the development, implementation, and evaluation of an online-coaching blended couple-oriented intervention using an online program and coaching videoconference to prevent middle-aged couples' depression; this was done using an intervention mapping (IM) protocol.
METHODS
Six steps of IM were used to systematically develop a tailored multi-level intervention specific to middle-aged couples' depression. These steps of the IM protocol involve needs assessment, formulation of change objectives, theory-based methods, and practical strategies for program design, program development, program implementation, and program evaluation.
RESULTS
The results of the six steps were as follows: (a) middle-aged couples' needs and mental health problems were identified through a scoping review study, mixed-method study, and expert interviews; (b) six performance objectives (POs) were formulated based on the results of Step 1, and intrapersonal, interpersonal, and temporal/transpersonal determinants were identified based on the self-transcendence theory. Change objectives were developed by combining POs with determinants; (c) self-regulated learning was chosen for theoretical teaching methods and practical strategies to change the determinants of each level; (d) four modules consisting of 16 sessions were developed based on the self-transcendence theory; (e) experts evaluated the program and coaches were trained; and (f) the evaluation plan for the program's feasibility, acceptability, usability, and preliminary effects was developed.
DISCUSSION
The systematic process using IM allowed us to develop an online-coaching blended couple-oriented intervention to prevent depression and promote couples' relationships. The primary effects of this newly developed program should be evaluated in future studies. This may lead to the increased adoption and implementation of evidence-based and tailored interventions for psychological wellbeing in middle adulthood.
Topics: Depression; Learning; Mentoring; Program Development; Program Evaluation
PubMed: 35719656
DOI: 10.3389/fpubh.2022.882576 -
JAMA Network Open Jun 2021The current program-centric algorithm for the National Resident Matching Program (NRMP) primarily uses the program's ranking of students to determine a match. Concerns...
IMPORTANCE
The current program-centric algorithm for the National Resident Matching Program (NRMP) primarily uses the program's ranking of students to determine a match. Concerns that the existing algorithm favors programs over students, recent findings that the program's ranking of applicants is not associated with resident performance, and disruptions of existing screening methods and metrics have prompted reevaluation of the current algorithm relative to a student-centric algorithm, in which student ranking of programs is primary and program ranking of students is secondary.
OBJECTIVE
To compare program-centric and student-centric algorithms for the NRMP participants.
DESIGN, SETTING, AND PARTICIPANTS
This cross-sectional study used randomized computer-generated data reflecting the NRMP match for 2018, 2019, and 2020, capturing more than 50 000 students and more than 4000 programs in 23 specialties, to compare the 2 algorithms.
EXPOSURES
The same simulated students, programs, and rankings were exposed to the 2 algorithms, running 2300 simulations in the overall analysis and 1000 simulations in each of 23 specialties.
MAIN OUTCOMES AND MEASURES
The percentage of students who did and did not match, the percentage of students who matched to their top-ranked and top-5-ranked programs, and the program's rank of the last student matched per position were examined.
RESULTS
The 2 algorithms were not different in percentage of students matched overall (eg, for 2020, program-centric: 59% [95% CI, 57%-61%]; student-centric: 58% [95% CI, 56%-60%]; P = .73). The student-centric algorithm, relative to the program-centric algorithm, matched a significantly higher percentage of students to their first-ranked program (eg, for 2020, 50% [95% CI, 48%-52%] vs 14% [95% CI, 13%-15%]; P < .001) and to their top-5-ranked programs (eg, for 2020, 60% [95% CI, 58%-62%] vs 46% [95% CI, 44%-48%]; P < .001). However, the last position was filled with students who had lower program rankings in the student-centric algorithm vs the program-centric algorithm (2 [95% CI, 1-2] vs 8 [95% CI, 6-10]; P < .001).
CONCLUSIONS AND RELEVANCE
In this study, the 2 algorithms were not different in the percentage of students matched overall. However, the student-centric algorithm matched a significantly higher percentage of students to their preferred programs. The program-centric algorithm was associated with a lower program's last matched student rank. Further research is needed on the algorithms' associations with cost and time demands in the match, postmatch resident and program performance, and fit with a changing environment.
Topics: Algorithms; Cross-Sectional Studies; Humans; Internship and Residency; Program Development; School Admission Criteria; Students, Medical
PubMed: 34132792
DOI: 10.1001/jamanetworkopen.2021.13769 -
Clinical Nephrology 2015The history of organ shortage has been approached differently by different countries. This review tries to discuss the inverted funnel approach of Iran. (Review)
Review
INTRODUCTION
The history of organ shortage has been approached differently by different countries. This review tries to discuss the inverted funnel approach of Iran.
METHODS
The whole history of transplants in the country can be divided in three phases of legally regulated living unrelated kidney donation, legislation of brain death donation and lastly how it has been implemented. In each phase, there have been attempts to clarify the role of each sector: the government, professionals, and the public.
RESULTS
Based on more than 20 years of experience, it has been shown that kidney transplants from brain dead donors (BDDs) increased from 0.4 per million population (pmp) in 2000 to 2.9 pmp in 2005, 7.9 in 2010, and 15.1 pmp in 2013 and it could eventually change the rate from living source from 20.1 pmp, 24.5 pmp, 21.8 pmp, and 19.5 pmp in these years, respectively.
DISCUSSION
It has been shown that the government began to take part when it was convinced that an organ procurement program from BDDs is not a luxury program but can lessen the economic burden on the health budget and be supported by legislations and budget allocation. Professionals took the responsibility not only to make decision makers and the public aware of the subject and adapt the national protocols to consider the general population concerns, but also to train as many medical teams as possible nationwide. Persistence and publishing the results can pave the way for the public to accept the program and take their own responsibilities to solve the problem of organ shortage by taking the opportunity to give life to others after the death of a loved one.
Topics: Humans; Kidney Transplantation; Program Development; Tissue Donors; Tissue and Organ Procurement
PubMed: 25725250
DOI: 10.5414/cnp83s090 -
Progress in Community Health... 2015Successful community groups have the capacity to mobilize community assets to address needs. Capacity-building education is integral to building competent communities.
BACKGROUND
Successful community groups have the capacity to mobilize community assets to address needs. Capacity-building education is integral to building competent communities.
OBJECTIVES
A community-university team developed and pilot tested an education program for community advocates from disadvantaged neighborhoods with high chronic disease burden.
METHODS
The Community Advocacy and Leadership Program (CALP) included eight monthly workshops, a mini-grant opportunity, and technical assistance. A nominal group with community health practitioners, focus group with community advocates, and a literature search comprised a triangulated educational needs assessment. A participating pretest with 35 community health practitioners guided curriculum refinement. Seven representatives from three community groups in a medically underserved South Carolina county participated in pilot implementation and evaluation. Qualitative and quantitative data informed the process and impact evaluation.
RESULTS
The mean knowledge score at 1 month after the program was 77% (range, 52%-96%). The mean score on post-program self-assessment of skills improvement was 3.8 out of a possible 4.0 (range, 3.6-4.0). Two groups submitted successful community mini-grant applications for playground improvements, and the third group successfully advocated for public funding of neighborhood park improvements. Participants reported favorable impressions and both personal and community benefits from participation.
CONCLUSIONS
A community-university partnership successfully conducted a local educational needs assessment and developed and pilot tested a capacity development program within a CBPR partnership. Successes, challenges, and lessons learned will guide program refinement, replication, and dissemination.
Topics: Capacity Building; Community-Based Participatory Research; Consumer Advocacy; Health Promotion; Health Status Disparities; Leadership; Poverty Areas; Program Development
PubMed: 25981431
DOI: 10.1353/cpr.2015.0003 -
JMIR MHealth and UHealth Mar 2019Approximately 70,000 adolescents and young adults (AYA) are diagnosed with cancer each year in the United States. Sarcomas carry a particularly high symptom burden and...
BACKGROUND
Approximately 70,000 adolescents and young adults (AYA) are diagnosed with cancer each year in the United States. Sarcomas carry a particularly high symptom burden and are some of the most common cancers among AYA. Recent work has documented significant levels of unmet needs among AYA with cancer, particularly the need for psychosocial support. Mobile technology may be a cost-effective and efficient way to deliver a psychosocial intervention to AYA with cancer and cancer survivors.
OBJECTIVE
The two aims of this study were to (1) develop a pilot version of a mobile-based mindfulness and social support program and (2) evaluate program usage and acceptability. An exploratory aim was to examine change in psychosocial outcomes.
METHODS
Thirty-seven AYA with sarcoma or sarcoma survivors, parents, and health care providers participated in the study. Semistructured interviews were conducted with 10 AYA, parents of five of the adolescents, and six health care providers. Themes from the interviews helped to inform the development of a mobile-based mindfulness pilot program and a companion Facebook-based social support group. Twenty AYA consented to participate in a single-arm pre-post evaluation of the program; 17 downloaded the app and joined the Facebook group. Seven of these participants had participated in the semistructured interviews. Six additional health care providers consented to participate in the evaluation stage.
RESULTS
On average, participants completed 16.9 of the 28 unique sessions and used the mindfulness app for a mean 10.2 (SD 8.2) days during the 28-day evaluation period. The majority of participants (16/17) engaged in the social group and posted at least one reply to the moderator's prompts. The mean number of responses per person to the moderator of the social group was 15.2 of 31 (49%, range 0%-97%). Both AYA and health care providers responded positively to the Mindfulness for Resilience in Illness program and offered useful recommendations for improvements. Exploratory psychosocial analyses indicated there were no significant differences from pretest to posttest on measures of perceived social support, mindfulness, body image, or psychological functioning.
CONCLUSIONS
This study offers preliminary support for the feasibility and acceptability of a mobile-based mindfulness and Facebook-based social support program for AYA with sarcoma. The feedback from AYA and health care providers will assist in creating a fully developed intervention.
TRIAL REGISTRATION
ClinicalTrials.gov NCT03130751; https://clinicaltrials.gov/ct2/show/NCT03130751.
Topics: Adolescent; Cancer Survivors; Female; Humans; Male; Mindfulness; Mobile Applications; Program Development; Sarcoma; Social Support
PubMed: 30882352
DOI: 10.2196/10921 -
American Journal of Pharmaceutical... Aug 2018To describe the design and evaluation of a six-month longitudinal faculty development program designed to promote experience and skills in scholarly writing among...
To describe the design and evaluation of a six-month longitudinal faculty development program designed to promote experience and skills in scholarly writing among pharmacy practice faculty. Writer's Block uses a scheduled weekly writing time, peer support, and multiple accountability measures to promote progress in manuscript writing. Faculty participation, satisfaction, and manuscript writing progress were used to evaluate the program's success. Demographic data describing faculty participation in at least one of three cohorts of Writer's Block were collected. Satisfaction was determined using an anonymous online survey. Writing progress was determined through reporting of weekly manuscript word counts and submission to a peer-reviewed journal. Twelve assistant professors participated in one or more program cohorts to develop 20 manuscripts. Twelve (60%) manuscripts were submitted to a peer-reviewed journal. Of these, 10 (83%) have been published or accepted for publication, and one (8%) is undergoing peer review. The majority of participants agreed or strongly agreed that the program was helpful in starting and advancing manuscript writing. Specific program components meant to encourage writing accountability, such as monthly meetings, reporting word counts, and setting a weekly writing schedule, were highly valued. This program is the first described writing-focused faculty development program among pharmacy practice faculty. It successfully engaged pharmacy practice faculty members in the scholarly writing process, evidenced by participation in the program, participant satisfaction, and documented progress in manuscript development.
Topics: Education, Pharmacy; Faculty, Pharmacy; Humans; Medical Writing; Peer Review; Program Development; Publishing; Scholarly Communication
PubMed: 30181674
DOI: 10.5688/ajpe6556