Using implementation science to build intimate partner violence screening and referral capacity in a fracture clinic.
Rationale, aims, and objectives: Over the past two decades, research informing good clinical practices related to intimate partner violence (IPV) has been plentiful, yet partner violence screening remains challenging to translate into action. In spite of the documented efficacy of routine screening...
| Publicado en: | Journal of Evaluation in Clinical Practice Vol. 25; no. 3; pp. 381 - 390 |
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| Autores principales: | , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
Jun2019
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=136522095&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 136522095 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 13561294 EV1 jtl: Journal of Evaluation in Clinical Practice issn: 13561294 maglogo: Y pubinfo: dt: Jun2019 vid: 25 iid: 3 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 136522095 136522095 136522095 10.1111/jep.13128 136522095 ppf: 381 ppct: 9 formats: tig: atl: Using implementation science to build intimate partner violence screening and referral capacity in a fracture clinic. aug: au: Rodrigues, Jessica J. Buhariwala, Pearl Velonis, Alisa J. O'Campo, Patricia affil: MAP Centre for Urban Health Solutions, St. Michael's Hospital, Toronto Canada sug: subj: Program Implementation Intimate Partner Violence Diagnosis Health Screening Referral and Consultation Trauma Centers Multidisciplinary Care Team Medical Practice, Evidence-Based Human Conceptual Framework Research Personnel Technology, Medical Communication Physicians Canada Hospitals, Urban ab: Rationale, aims, and objectives: Over the past two decades, research informing good clinical practices related to intimate partner violence (IPV) has been plentiful, yet partner violence screening remains challenging to translate into action. In spite of the documented efficacy of routine screening for women of reproductive age and the availability of validated screening instruments, many IPV screening programmes lack the components necessary for success. In Toronto, a multidisciplinary team of researchers and clinicians is using the tools of implementation science to scale up an evidence‐based IPV screening and response programme in an urban orthopaedic clinic where prior screening attempts have been ineffective. Methods: Using the Active Implementation Framework as a guide, researchers collected data across multiple sources to inform the first stage of implementation. Analysis focused on identifying the characteristics of the clinic that support or hinder implementation of new processes, evidence‐based screening practices that fit with the clinic, and characteristics of a strong implementation team. Results: Through this process, researchers and clinicians uncovered organizational strengths and weaknesses related to IPV screening that may not have been identified previously. The need to incorporate technology into our screening processes became apparent, as did the importance of shared communication and colearning between clinicians and researchers. Conclusions: The benefits of investing in the preparatory phases of implementation are discussed. Without undertaking the process of gathering and analysing data, examining the factors that support effective and sustainable implementation, and investing in the creation of a strong implementation team, it is likely that decisions about our screening approaches would have resulted in a less‐effective and sustainable process. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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