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This study was undertaken as part of a larger study, which aimed to develop a multifaceted implementation strategy targeting the perceived barriers, to effectively implement this guideline, to facilitate change in nursing practice, and to reduce the burden of falls in acute care hospitals in Singapore.
This study has shown that antidepressant prescribing by GPs can be changed by a multifaceted implementation strategy based on national guidelines and the time and support to implement these in a multidisciplinary context.
Our previous work has developed a multifaceted implementation model.
Therefore, we developed and pilot tested a multifaceted implementation intervention to improve consideration and receipt of effective pharmacologic treatments for AUD, focusing on primary care settings where patients have the most frequent contact with healthcare systems.
This study reports on the development and evaluation of a multifaceted implementation strategy to support adoption of a nursing clinical practice guideline on the assessment and management of acute pain in a pediatric rehabilitation and complex continuing care hospital.
The intervention consisted of a multifaceted implementation of the Pain, Agitation and Delirium guidelines.
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We developed a tailored multifaceted implementation strategy consisting of reminders, feedback, management support, local opinion leaders, and education.
Single interventions, such as electronic prescription or involvement of a pharmacist in the direct care of ICU patients, have been reported to affect positively the AE occurrence; a prospectively evaluated, multifaceted implementation program has so far been evaluated only for two selected medications [19].
In response to the failure of two published, model-based, fall guidelines implementation projects, it was learnt that understanding local barriers and employing a locally tailored multifaceted implementation strategy are fundamental to successful implementation.
Single interventions, such as electronic prescription or involvement of a pharmacist in the direct care of ICU patients, have been reported to affect positively the AE occurrence; a prospectively evaluated, multifaceted implementation program has so far been evaluated only for two selected medications [ 19].
For the three remaining interventions in this category; an ACP-intervention involving social workers, one multifaceted implementation of a national guideline for the treatment of pneumonia and a care protocol for residents with COPD, a statistical significant difference in hospitalisation between the intervention and control group was not found.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com