Implementation fidelity of intravenous ferric carboxymaltose administration for iron deficiency anaemia in pregnancy: a mixed-methods study nested in a clinical trial in Nigeria DOI Creative Commons
Opeyemi Akinajo, Kristi Sidney Annerstedt, Aduragbemi Banke‐Thomas

и другие.

Implementation Science Communications, Год журнала: 2024, Номер 5(1)

Опубликована: Июль 23, 2024

Abstract Background Iron deficiency anaemia is common among pregnant women in Nigeria. The standard treatment oral iron therapy, which can be sub-optimal due to side effects. Intravenous ferric carboxymaltose (FCM) an evidenced-based alternative with a more favourable effect profile requiring administration according standardized protocol. In this study, we assessed the fidelity of administering single dose FCM protocol and identified factors influencing implementation fidelity. Methods We used mixed-method approach sequential explanatory design nested clinical trial across 11 facilities Lagos Kano States, Guided by conceptual framework fidelity, quantitatively adherence directly observing every alternate administration, using intervention procedure checklist, compared median facility state. Qualitative assessment was conducted via in-depth interviews 14 skilled health personnel (SHP) from nine purposively selected facilities, semi-structured interview guide. analyzed quantitative data descriptive inferential statistics Stata thematic analysis analyze transcribed NVivo. Results A total 254 administrations were observed study sites, majority secondary (63%), followed primary healthcare (PHCs) (30%). Overall, as per moderate (63%) varied depending on level. lowest level PHCs (36%). Median, showed significant differences ( p = 0.001) but not state 0.889). Teamwork availability protocols are facilitation strategies that contributed high However, institutional/ logistical barriers contextual influenced levels some facilities. Conclusions Collaborative teams access operating resulted PHCs, low complexities, thereby quality delivery. Nigeria, scale-up will require attention staff strength, teamwork protocols, order optimize its impact pregnancy.

Язык: Английский

Implementing a social innovation for community-based peer support for immigrant mothers in Sweden: a mixed-methods process evaluation DOI Creative Commons
Per Kåks, Linnea Stansert Katzen, Mats Målqvist

и другие.

Frontiers in Public Health, Год журнала: 2024, Номер 11

Опубликована: Янв. 11, 2024

Introduction A South African social innovation based on peer support for mothers was contextualized in southern Sweden. The objective of the project to expectant women and young children immigrant communities access public services that would benefit maternal child health. This study aimed assess how intervention implemented, what contextual barriers facilitators were, implementation perceived by those who delivered received it. Methods used mixed methods with a convergent parallel design followed Medical Research Council guidance process evaluations complex interventions. Semi-structured interviews ( n = 19) were conducted supporters, client mothers, key stakeholders involved intervention. qualitative data analyzed using content analysis. Quantitative supporters' activities collected during contacts presented descriptively. Results five supporters had 1,294 which 507 first-time contacts. reach as wide, dose tailored individual needs. Barriers included community mistrust services, norms gender roles parenting, funding challenges. facilitated organization's reputation, network, experience, third-sector affiliation. Peer tended prioritize linking clients other over educational components intervention, sometimes doing more than originally planned. Implementation strategies building trust, multiple outreach venues, internal structures, providing practical assistance an entry point comprehensive psychosocial support. personal connection between highly valued, relationships enabled them address sensitive topics. experienced blurred line professional roles. Conclusions variety navigate identified facilitators. Trust central both factor strategy implementation. It is valuable maintain balance flexibility adherence function supporters. Further research needed evaluate effects

Язык: Английский

Процитировано

2
İşyerinde sosyal hizmet bağlamında yaş dostu işveren DOI
Enes Atay, Burak Küsmez, Sefa Ulu

и другие.

Nevşehir Hacı Bektaş Veli Üniversitesi SBE Dergisi, Год журнала: 2024, Номер unknown

Опубликована: Дек. 10, 2024

İşyerinde sosyal hizmet, çalışanların ilişkide olduğu tüm sistemleri göz önüne alan insanların 7 gün 24 saatini düşünerek onların iyilik halini arttırmayı hedefleyen hizmetin özelleştirilmiş bir alanıdır. Dünya üzerindeki demografik dönüşüm sonucunda önemi artan yaşlılık, işyerleri özelinde dikkate değer olmalıdır. Bu doğrultuda ortaya çıkan yaş dostu işveren kavramı, işyerlerinde ayrımcılığına maruz kalan çalışanlar için önlemler geliştirmekte ve ayrıca işyerinde eğitim farkındalık programları düzenleme, esnek çalışma saatleri sağlama, mentorluk oluşturma, sağlık refah sunarak hem de işyerinin daha iyi olumlu ilişkiler ile yönetilmesini sağlamaktadır. makalede “yaş işveren” kavramı hizmet bağlamında incelenmiştir. inceleme içerisinde yaşlı geliştirmiş programlardan bahsedilmiştir. Yaş zaman içinde literatürde geniş yer edinmiş ekosistemine dönüşmüştür. kavramlar yapılan çalışmalar aktarılırken konunun anlaşılabilmesi tablo şekillerle açıklamalar desteklenmiştir. Kavramsal yapıldıktan sonra yazarlar tarafından geliştirilen “işyerinde ekosistemi” modeli oluşturulmuştur. model olan uygulama önerisi niteliği taşımaktadır. önerilen hizmetleri işverenlerin sağlaması noktasında hali yüksek huzurlu ortamı sağlayacağı düşünülmektedir.

Процитировано

0
Professionals’ Fidelity-Adaptation Attitudes: Relation to Implementation Determinants and Work-Life Consequences – A Cluster Analysis DOI Creative Commons
Johanna Zetterlund, Henna Hasson, Margit Neher

и другие.

Global Implementation Research and Applications, Год журнала: 2024, Номер 4(2), С. 167 - 178

Опубликована: Июнь 4, 2024

Abstract Evidence-based interventions have the potential to improve health and well-being, but their effectiveness depends, among other things, on challenging act of balancing between fidelity adaptation, referred as fidelity-adaptation dilemma. After initial implementation, it is primarily professionals delivering evidence-based end users that face dilemma, research about how relate perceive limited. This study aims describe professionals’ attitudes towards dilemma investigate associations professional individual organisational implementation determinants, characteristics, work-life consequences for professionals. Using a cross-sectional design, 103 working with an parental support programme ABC (All Children in Focus) were surveyed consequences. Data analysed using two-step cluster analysis. Three profile groups summarize attitudes: one preferring (the adherers, n = 31), adaptations adapters, 50), dual view adaptation double-minded, 18). The ones fidelity, reported higher levels skills, knowledge, openness, work-related self-efficacy, meaning work, possibilities development, lower level role conflict unreasonable tasks compared adapters. Professionals positive attitude reports experiencing more job resources demands who are adaptation. shows at play during sustainment phase suggest has life.

Язык: Английский

Процитировано

0
Implementation fidelity of intravenous ferric carboxymaltose administration for iron deficiency anaemia in pregnancy: a mixed-methods study nested in a clinical trial in Nigeria DOI Creative Commons
Opeyemi Akinajo, Kristi Sidney Annerstedt, Aduragbemi Banke‐Thomas

и другие.

Implementation Science Communications, Год журнала: 2024, Номер 5(1)

Опубликована: Июль 23, 2024

Abstract Background Iron deficiency anaemia is common among pregnant women in Nigeria. The standard treatment oral iron therapy, which can be sub-optimal due to side effects. Intravenous ferric carboxymaltose (FCM) an evidenced-based alternative with a more favourable effect profile requiring administration according standardized protocol. In this study, we assessed the fidelity of administering single dose FCM protocol and identified factors influencing implementation fidelity. Methods We used mixed-method approach sequential explanatory design nested clinical trial across 11 facilities Lagos Kano States, Guided by conceptual framework fidelity, quantitatively adherence directly observing every alternate administration, using intervention procedure checklist, compared median facility state. Qualitative assessment was conducted via in-depth interviews 14 skilled health personnel (SHP) from nine purposively selected facilities, semi-structured interview guide. analyzed quantitative data descriptive inferential statistics Stata thematic analysis analyze transcribed NVivo. Results A total 254 administrations were observed study sites, majority secondary (63%), followed primary healthcare (PHCs) (30%). Overall, as per moderate (63%) varied depending on level. lowest level PHCs (36%). Median, showed significant differences ( p = 0.001) but not state 0.889). Teamwork availability protocols are facilitation strategies that contributed high However, institutional/ logistical barriers contextual influenced levels some facilities. Conclusions Collaborative teams access operating resulted PHCs, low complexities, thereby quality delivery. Nigeria, scale-up will require attention staff strength, teamwork protocols, order optimize its impact pregnancy.

Язык: Английский

Процитировано

0