Abstract：
BACKGROUND:How humans think and make decisions is important in understanding behaviour. Hence an understanding of cognitive processes among physicians may inform our understanding of behaviour in relation to evidence implementation strategies. A personality theory, Cognitive-Experiential Self Theory (CEST) proposes a relationship between different ways of thinking and behaviour, and articulates pathways for behaviour change. However prior to the empirical testing of interventions based on CEST, it is first necessary to demonstrate its suitability among a sample of healthcare workers. OBJECTIVES:To investigate the relationship between thinking styles and the knowledge and clinical practices of doctors directly involved in the management of acute coronary syndromes. METHODS:Self-reported doctors' thinking styles (N = 74) were correlated with results from a survey investigating knowledge, attitudes, and clinical practice, and evaluated against recently published acute coronary syndrome clinical guidelines. RESULTS:Guideline-discordant practice was associated with an experiential style of thinking. Conversely, guideline-concordant practice was associated with a higher preference for a rational style of reasoning. CONCLUSION:Findings support that while guidelines might be necessary to communicate evidence, other strategies may be necessary to target discordant behaviours. Further research designed to examine the relationships found in the current study is required.
journal_name
Implement Scijournal_title
Implementation science : ISauthors
Sladek RM,Bond MJ,Huynh LT,Chew DP,Phillips PAdoi
10.1186/1748-5908-3-23subject
Has Abstractpub_date
2008-04-25 00:00:00pages
23issn
1748-5908pii
1748-5908-3-23journal_volume
3pub_type
杂志文章abstract：BACKGROUND:Measurement-based care is an evidence-based practice for depression that efficiently identifies treatment non-responders and those who might otherwise deteriorate [1]. However, measurement-based care is underutilized in community mental health with data suggesting fewer than 20 % of behavioral health provide...
journal_title：Implementation science : IS
pub_type： 杂志文章,多中心研究,随机对照试验
doi：10.1186/s13012-015-0313-2
更新日期：2015-09-07 00:00:00
abstract：BACKGROUND:The continuing gap between available evidence and current practice in health care reinforces the need for more effective solutions, in particular related to organizational context. Considerable advances have been made within the U.S. Veterans Health Administration (VA) in systematically implementing evidence...
journal_title：Implementation science : IS
pub_type： 杂志文章
doi：10.1186/1748-5908-3-30
更新日期：2008-05-29 00:00:00
abstract：BACKGROUND:To better understand the efficacy of various implementation strategies, improved methods for describing and classifying the nature of these strategies are urgently required. The aim of this study was to develop and pilot the feasibility of a taxonomy to classify the nature and content of implementation strat...
journal_title：Implementation science : IS
pub_type： 杂志文章
doi：10.1186/1748-5908-8-32
更新日期：2013-03-15 00:00:00
abstract：BACKGROUND:Translation of evidence-based interventions into hospital systems can provide immediate and substantial benefits to patient care and outcomes, but successful implementation is often not achieved. Existing literature describes a range of barriers and facilitators to the implementation process. This systematic...
journal_title：Implementation science : IS
pub_type： 杂志文章
doi：10.1186/s13012-018-0726-9
更新日期：2018-02-23 00:00:00
abstract：BACKGROUND:Varenicline and bupropion, efficacious smoking cessation medications, have had suboptimal impact due to barriers at the patient, practitioner and system level. This study explored the feasibility of a web-assisted tobacco intervention offering free prescription smoking cessation medication by mail if the smo...
journal_title：Implementation science : IS
pub_type： 临床试验,杂志文章
doi：10.1186/s13012-015-0329-7
更新日期：2015-10-01 00:00:00
abstract：BACKGROUND:Implementing new practices, such as health information technology (HIT), is often difficult due to the disruption of the highly coordinated, interdependent processes (e.g., information exchange, communication, relationships) of providing care in hospitals. Thus, HIT implementation may occur slowly as staff m...
journal_title：Implementation science : IS
pub_type： 杂志文章
doi：10.1186/1748-5908-5-95
更新日期：2010-11-29 00:00:00
abstract：BACKGROUND:Implementation of multifaceted interventions typically involves many diverse elements working together in interrelated ways, including intervention components, implementation strategies, and features of local context. Given this real-world complexity, implementation researchers may be interested in a new mat...
journal_title：Implementation science : IS
pub_type： 杂志文章
doi：10.1186/s13012-020-01070-3
更新日期：2020-12-11 00:00:00
abstract：BACKGROUND:Significant gaps related to measurement issues are among the most critical barriers to advancing implementation science. Three issues motivated the study aims: (a) the lack of stakeholder involvement in defining pragmatic measure qualities; (b) the dearth of measures, particularly for implementation outcomes...
journal_title：Implementation science : IS
pub_type： 杂志文章
doi：10.1186/s13012-015-0287-0
更新日期：2015-07-22 00:00:00
abstract：BACKGROUND:Adapting promising health care interventions to local settings is a critical component in the dissemination and implementation process. The Veterans Health Administration (VHA) rural transitions nurse program (TNP) is a nurse-led, Veteran-centered intervention designed to improve transitional care for rural ...
journal_title：Implementation science : IS
pub_type： 杂志文章
doi：10.1186/s13012-017-0653-1
更新日期：2017-10-23 00:00:00
abstract：BACKGROUND:Effective provider-parent communication can improve childhood vaccination uptake and strengthen immunisation services in low- and middle-income countries (LMICs). Building capacity to improve communication strategies has been neglected. Rigorous research exists but is not readily found or applicable to LMICs...
journal_title：Implementation science : IS
pub_type： 杂志文章
doi：10.1186/1748-5908-6-125
更新日期：2011-12-02 00:00:00
abstract：: Delirium occurs in up to 65% of older hip fracture patients. Developing delirium in hospital has been associated with a variety of adverse outcomes. Trials have shown that multi-component preventive interventions can lower delirium rates. The objective of this study was to implement and evaluate the effectiveness of ...
journal_title：Implementation science : IS
pub_type： 杂志文章
doi：10.1186/1748-5908-5-81
更新日期：2010-10-22 00:00:00
abstract：BACKGROUND:Evaluating the impact of recommendations based upon health technology assessment (HTA) represents a challenge for both HTA agencies and healthcare policy-makers. Using a psychosocial theoretical framework, this study aimed at exploring the factors affecting physician intention to adopt HTA recommendations. T...
journal_title：Implementation science : IS
pub_type： 杂志文章
doi：10.1186/1748-5908-1-8
更新日期：2006-03-31 00:00:00
abstract：BACKGROUND:Osteoarthritis is a leading cause of pain and disability worldwide. Despite research supporting best practice, evidence-based guidelines are often not followed. Little is known about the implementation of non-surgical models of care in routine primary care practice. From a knowledge mobilisation perspective,...
journal_title：Implementation science : IS
pub_type： 杂志文章
doi：10.1186/s13012-020-01055-2
更新日期：2020-10-28 00:00:00
abstract：BACKGROUND:Considerable racial and socio-economic disparities exist in breast cancer. In spite of the existence of numerous evidence-based interventions (EBIs) aimed at reducing breast cancer screening barriers among the underserved, there is a lack of uptake or sub-optimal uptake of EBIs in community and clinical sett...
journal_title：Implementation science : IS
pub_type： 临床试验,杂志文章
doi：10.1186/s13012-015-0334-x
更新日期：2015-10-14 00:00:00
abstract：BACKGROUND:Counselling on health-related lifestyles is key to the prevention and management of chronic diseases. After comprehensive study of determinants of its delivery in general practice and strategies to improve, we composed a tailored improvement program, which included communication skills training, online patie...
journal_title：Implementation science : IS
pub_type： 杂志文章,随机对照试验
doi：10.1186/s13012-016-0460-0
更新日期：2016-08-11 00:00:00
abstract：BACKGROUND:Worksites are important locations for interventions to promote health. However, occupational programs with documented efficacy often are not used, and those being implemented have not been studied. The research in this report was funded through the American Reinvestment and Recovery Act Challenge Topic 'Path...
journal_title：Implementation science : IS
pub_type： 杂志文章
doi：10.1186/1748-5908-5-73
更新日期：2010-10-08 00:00:00
abstract：BACKGROUND:Theories, models, and frameworks (TMF) are foundational for generalizing implementation efforts and research findings. However, TMF and the criteria used to select them are not often described in published articles, perhaps due in part to the challenge of selecting from among the many TMF that exist in the f...
journal_title：Implementation science : IS
pub_type： 杂志文章
doi：10.1186/s13012-018-0836-4
更新日期：2018-11-22 00:00:00
abstract：BACKGROUND:With the current funding climate and need for advancements in implementation science, there is a growing demand for grantsmanship workshops to increase the quality and rigor of proposals. A group-based implementation science-focused grantsmanship workshop, the Implementation Development Workshop (IDW), is on...
journal_title：Implementation science : IS
pub_type： 杂志文章
doi：10.1186/s13012-016-0429-z
更新日期：2016-05-06 00:00:00
abstract：BACKGROUND:Healthcare systems are not well designed to help people maintain or improve their health. They are generally not person-focused or well-coordinated. The objective of this study is to evaluate the effectiveness of the Health Teams Advancing Patient Experience: Strengthening Quality (Health TAPESTRY) approach ...
journal_title：Implementation science : IS
pub_type： 杂志文章,随机对照试验
doi：10.1186/s13012-016-0407-5
更新日期：2016-04-05 00:00:00
abstract：BACKGROUND:Scaling up complex health interventions to large populations is not a straightforward task. Without intentional, guided efforts to scale up, it can take many years for a new evidence-based intervention to be broadly implemented. For the past decade, researchers and implementers have developed models of scale...
journal_title：Implementation science : IS
pub_type： 杂志文章,评审
doi：10.1186/s13012-016-0374-x
更新日期：2016-01-29 00:00:00
abstract：BACKGROUND:Assessing the quality of primary care is becoming a priority in national healthcare agendas. Audit and feedback on healthcare quality performance indicators can help improve the quality of care provided. In some instances, fewer numbers of more comprehensive indicators may be preferable. This paper describes...
journal_title：Implementation science : IS
pub_type： 杂志文章
doi：10.1186/1748-5908-2-11
更新日期：2007-04-02 00:00:00
abstract：BACKGROUND:Fecal incontinence has a high prevalence in the nursing home population which cannot be explained by co-morbidity or anatomic and physiological changes of aging alone. Our hypothesis is that fecal incontinence can be prevented, cured, or ameliorated by offering care staff knowledge of best practice. However,...
journal_title：Implementation science : IS
pub_type： 杂志文章,多中心研究,随机对照试验
doi：10.1186/s13012-015-0263-8
更新日期：2015-05-23 00:00:00
abstract：BACKGROUND:Implementing change in primary care is difficult, and little practical guidance is available to assist small primary care practices. Methods to structure care and develop new roles are often needed to implement an evidence-based practice that improves care. This study explored the process of change used to i...
journal_title：Implementation science : IS
pub_type： 杂志文章
doi：10.1186/1748-5908-3-3
更新日期：2008-01-16 00:00:00
abstract：BACKGROUND:Shared decision-making is not widely implemented in healthcare. We aimed to set a research agenda about promoting shared decision-making through continuing professional development. METHODS:Thirty-six participants met for two days. RESULTS:Participants suggested ways to improve an environmental scan that h...
journal_title：Implementation science : IS
pub_type： 杂志文章
doi：10.1186/1748-5908-6-68
更新日期：2011-07-05 00:00:00
abstract：BACKGROUND:Patients with chronic illness typically receive ambulatory treatment from multiple health professionals. Connectedness between these professionals may influence their clinical decisions and the coordination of patient care. We aimed to describe and analyze connectedness in a regional network of health profes...
journal_title：Implementation science : IS
pub_type： 杂志文章
doi：10.1186/1748-5908-6-67
更新日期：2011-07-03 00:00:00
abstract：BACKGROUND:For early stage breast cancer, randomized controlled trials (RCTs) have shown that patient decision aids (PtDAs), when used by surgeons, result in increased patient knowledge about options and different patient treatment choices as compared to standard care. Yet, recent data suggests that PtDAs are used by l...
journal_title：Implementation science : IS
pub_type： 杂志文章
doi：10.1186/s13012-014-0174-0
更新日期：2014-11-29 00:00:00
abstract：BACKGROUND:The WISE (Whole System Informing Self-management Engagement) approach encompasses creating, finding, and implementing appropriate self-care support for people with long-term conditions. A training package for primary care to introduce the approach was developed and underwent formative evaluation. This entail...
journal_title：Implementation science : IS
pub_type： 杂志文章
doi：10.1186/1748-5908-5-7
更新日期：2010-01-29 00:00:00
abstract：BACKGROUND:Adverse drug events could often be prevented. One of their main causes is that patients rarely know how to detect them. Another cause is inadequate communication between patients and physicians. If patients were to be effectively trained in detecting and reporting adverse drug events, this should help to pre...
journal_title：Implementation science : IS
pub_type： 杂志文章,随机对照试验
doi：10.1186/1748-5908-8-69
更新日期：2013-06-19 00:00:00
abstract：BACKGROUND:While it is recommended that childcare services implement policies and practices to support obesity prevention, there remains limited evidence to inform policy and practice. The aim of this study is to examine the effectiveness of performance review and facilitated feedback in increasing the implementation o...
journal_title：Implementation science : IS
pub_type： 杂志文章,多中心研究,随机对照试验
doi：10.1186/s13012-019-0865-7
更新日期：2019-02-18 00:00:00
abstract：BACKGROUND:Every safety-critical industry devotes considerable time and resource to investigating and analysing accidents, incidents and near misses. The systematic analysis of incidents has greatly expanded our understanding of both the causes and prevention of harm. These methods have been widely employed in healthca...
journal_title：Implementation science : IS
pub_type： 杂志文章
doi：10.1186/s13012-017-0695-4
更新日期：2017-12-28 00:00:00
