Using the Knowledge‐to‐Action Framework to understand experiences of breastfeeding guideline implementation: A qualitative study

2020 ◽  
Vol 28 (7) ◽  
pp. 1670-1685 ◽  
Author(s):  
Antonio Jesús Ramos‐Morcillo ◽  
David Harillo‐Acevedo ◽  
Maria Ruzafa‐Martinez
Keyword(s):  
Qualitative Study ◽  
Guideline Implementation ◽  
Knowledge To Action

scholarly journals Introducing the Canadian Thoracic Society Framework for Guideline Dissemination and Implementation, with Concurrent Evaluation

2013 ◽  
Vol 20 (4) ◽  
pp. 263-264 ◽  
Author(s):  
Samir Gupta ◽  
Christopher Licskai ◽  
Anne Van Dam ◽  
Louis-Philippe Boulet
Keyword(s):  
Guideline Implementation ◽  
Discussion Board ◽  
Production Cycle ◽  
Dissemination And Implementation ◽  
Research Knowledge ◽  
Knowledge To Action ◽  
Action Team ◽  
Guideline Dissemination ◽  
Collaboration And Communication ◽  
Action Process

The Canadian Thoracic Society (CTS) is leveraging its strengths in guideline production to enable respiratory guideline implementation in Canada. The authors describe the new CTS Framework for Guideline Dissemination and Implementation, with Concurrent Evaluation, which has three spheres of action: guideline production, implementation infrastructure and knowledge translation (KT) methodological support. The Canadian Institutes of Health Research ‘Knowledge-to-Action’ process was adopted as the model of choice for conceptualizing KT interventions. Within the framework, new evidence for formatting guideline recommendations to enhance the intrinsic implementability of future guidelines were applied. Clinical assemblies will consider implementability early in the guideline production cycle when selecting clinical questions, and new practice guidelines will include a section dedicated to KT. The framework describes the development of a web-based repository and communication forum to inventory existing KT resources and to facilitate collaboration and communication among implementation stakeholders through an online discussion board. A national forum for presentation and peer-review of proposed KT projects is described. The framework outlines expert methodological support for KT planning, development and evaluation including a practical guide for implementers and a novel ‘Clinical Assembly – KT Action Team’, and in-kind logistical support and assistance in securing peer-reviewed funding.

scholarly journals The development of guideline implementation tools: a qualitative study

CMAJ Open ◽  
2015 ◽  
Vol 3 (1) ◽  
pp. E127-E133 ◽  
Author(s):  
A. R. Gagliardi ◽  
M. C. Brouwers ◽  
O. K. Bhattacharyya
Keyword(s):  
Qualitative Study ◽  
Guideline Implementation

scholarly journals Large Health Systems’ Prevention Guideline Implementation: A Qualitative Study

2018 ◽  
Vol 54 (1) ◽  
pp. S88-S94 ◽  
Author(s):  
Julia A. Doherty ◽  
Sally J. Crelia ◽  
Mark W. Smith ◽  
Sarah F. Rosenblum ◽  
Ellen M. Rumsey ◽  
...  
Keyword(s):  
Qualitative Study ◽  
Health Systems ◽  
Guideline Implementation ◽  
Prevention Guideline

Qualitative study on “hydropic degeneration” of The hepatocytes in viral hepatitis

1990 ◽  
Vol 48 (3) ◽  
pp. 568-569
Author(s):  
Le Meizhao ◽  
Ye Ming ◽  
Song Xiaoming ◽  
Xu Jiazhang
Keyword(s):  
Qualitative Study ◽  
Viral Hepatitis ◽  
Chronic Active Hepatitis ◽  
Microscopic Observation ◽  
Hydropic Degeneration ◽  
Light Microscopic Observation ◽  
Biopsy Specimens ◽  
Endoplasm Reticulum ◽  
Mixed Fluid ◽  
Peripheral Cytoplasm

“Hydropic degeneration” of the hepatocytes are often found in biopsy of the liver of some kinds of viral hepatitis. Light microscopic observation, compareted with the normal hepatocytes, they are enlarged, sometimes to a marked degree when the term “balloning” degeneration is used. Their cytoplasm rarefied, and show some clearness in the peripheral cytoplasm, so, it causes a hydropic appearance, the cytoplasm around the nuclei is granulated. Up to the present, many studies belive that main ultrastructural chenges of hydropic degeneration of the hepatocytes are results of the RER cristae dilatation with degranulation and disappearance of glycogen granules.The specimens of this study are fixed with the mixed fluid of the osmium acidpotassium of ferricyanide, Epon-812 embed. We have observed 21 cases of biopsy specimens with chronic severe hepatitis and severe chronic active hepatitis, and found that the clear fields in the cytoplasm actually are a accumulating place of massive glycogen. The granules around the nuclei are converging mitochondria, endoplasm reticulum and other organelles.

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