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Related Concept Videos

Nursing Implementation01:15

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Implementation is the execution of the nursing care plan developed during the planning phase.
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Role of Communication in the Nursing Process II: Planning and Implementation01:25

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Several factors are considered while creating a patient's care plan. Motivation is a factor in improving communication, and patients often require encouragement to try different approaches involving significant change. It is essential to involve the patient and family in decisions about the plan of care to determine whether the suggested methods are acceptable. Consider meeting critical comfort and safety needs before introducing new communication methods and techniques. Allow adequate time...
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Electrochemistry is the science involved in the interconversion of electrical and chemical reactions. Such reactions are called reduction-oxidation, or redox reactions. These important reactions are defined by changes in oxidation states for one or more reactant elements and include a subset of reactions involving the transfer of electrons between reactant species. Electrochemistry as a field has evolved to yield sufficient insights on the fundamental principles of redox chemistry and multiple...
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Equilibrium and Balance01:15

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The inner ear assumes dual functionalities of auditory perception and equilibrium maintenance. The vestibule is the organ responsible for balance. This organ contains mechanoreceptors, specifically hair cells, endowed with stereocilia, which aid in deciphering information regarding the position and motion of our heads. Two intrinsic components, the utricle and saccule, help perceive head position, while the semicircular canals track head movement. Neurological messages initiated in the...
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Energy Balance01:19

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The human body gets energy from the three macronutrients: carbohydrates, proteins, and fats. Energy is released when the chemical bonds in the organic compounds present in the food are broken down. The energy content of food is measured in kilocalories (kcal), defined as the amount of heat required to raise the temperature of one kilogram of water by one degree Celsius. This value is determined by measuring the temperature change of the water surrounding a calorimeter after the complete...
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The Participant-Reported Implementation Update and Score PRIUS: A Novel Method for Capturing Implementation-Related Data Over Time
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EvidenceNOW: Balancing Primary Care Implementation and Implementation Research.

David Meyers1, Therese Miller2, Janice Genevro2

  • 1Agency for Healthcare Research and Quality, Rockville, Maryland david.meyers@ahrq.hhs.gov.

Annals of Family Medicine
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PubMed
Summary
This summary is machine-generated.

The Agency for Healthcare Research and Quality

Keywords:
health services researchpractice facilitationprimary care

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Area of Science:

  • Health Services Research
  • Implementation Science
  • Primary Care Practice Transformation

Background:

  • The Agency for Healthcare Research and Quality (AHRQ) is dedicated to improving healthcare quality through evidence generation and dissemination.
  • In 2015, AHRQ launched EvidenceNOW, its largest primary care research initiative to date, with a $112 million investment.
  • EvidenceNOW aimed to disseminate patient-centered outcomes research evidence to over 1,500 primary care practices.

Purpose of the Study:

  • To study how quality-improvement support can enhance primary care practices' capacity to implement evidence-based care.
  • To evaluate the effectiveness of external quality-improvement support in disseminating and implementing research evidence.
  • To develop a blueprint for investing in and strengthening the primary care delivery system.

Main Methods:

  • EvidenceNOW funded seven implementation research grants for external quality-improvement support.
  • Practices received support to implement evidence-based cardiovascular care.
  • Rigorous internal evaluations and an overarching external evaluation with harmonized outcome measures were conducted.

Main Results:

  • The initiative involved over 1,500 primary care practices.
  • It addressed the complexities of balancing implementation and research goals.
  • The project generated insights into designing large-scale clinical practice transformation initiatives.

Conclusions:

  • EvidenceNOW is expected to provide a model for strengthening the primary care system and improving evidence-based care delivery.
  • Understanding the initiative's design offers valuable insights for future implementation research and policy.
  • The findings aim to improve the timeliness and impact of research investments on American health.