Browsing by Author "Straus, Sharon"
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- ItemGeriMedRisk, a telemedicine geriatric pharmacology consultation service to address adverse drug events in long-term care: a stepped-wedge cluster randomized feasibility trial protocol (ISRCTN17219647)...(0000-00-00) Ho, Joanne Man-Wai; Tung, Jennifer; Maitland, Janine; Mangin, Derelie; Thabane, Lehana; Pavlin, J Michael; Alfonsi, Jeffrey; Holbrook, Anne; Straus, Sharon; Benjamin, SophiyaBackground Multimorbidity polypharmacy and older age predispose seniors to adverse drug events ADE Seniors with an ADE experience greater morbidity mortality and health care utilization compared to their younger counterparts To mitigate and manage ADEs among this vulnerable population we designed a geriatric pharmacology consultation service connecting clinicians with specialist physicians and pharmacists and will investigate the feasibility and acceptability of this complex intervention in the long term care setting prior to conducting a larger efficacy trial Methods Design We will conduct a cluster randomized feasibility trial and qualitative analysis of GeriMedRisk among four long term care homes in the Waterloo Wellington region from May 1 to December 31 2017 The primary outcome is the feasibility and acceptability of GeriMedRisk and the stepped wedge cluster randomized controlled trial design We hypothesize that GeriMedRisk is a feasible intervention and its potential to decrease falls and drug related hospital visits can be evaluated with a stepped wedge cluster randomized controlled trial design Discussion This mixed methods study will inform a larger efficacy trial of GeriMedRisk s ability to decrease adverse drug events among seniors in the long term care setting Ethics and dissemination The Hamilton Integrated Research Ethics Board granted the approval for this study protocol 2812 We plan to disseminate the results of this study in peer reviewed journals and also to our partners and stakeholders Trial registration ISRCTN clinical trials registry ISRCTN17219647 March 27 2017
- ItemSupporting evidence-based practice for nurses through information technologies.(2010-05-03) Doran, Diane M; Haynes, R Brian; Kushniruk, André; Straus, Sharon; Grimshaw, Jeremy; Hall, Linda McGillis; Dubrowski, Adam; Di Pietro, Tammie; Newman, Kristine; Almost, Joan; Nguyen, Ha; Carryer, Jennifer; Jedras, DawnPURPOSE To evaluate the usability of mobile information terminals such as personal digital assistants PDAs or Tablet personal computers to improve access to information resources for nurses and to explore the relationship between PDA or Tablet supported information resources and outcomes BACKGROUND The authors evaluated an initiative of the Nursing Secretariat Ontario Ministry of Health and Long Term Care which provided nurses with PDAs and Tablet PCs to enable Internet access to information resources Nurses had access to drug and medical reference information best practice guidelines BPGs and to abstracts of recent research studies METHOD The authors took place over a 12 month period Diffusion of Innovation theory and the Promoting Action on Research Implementation in Health Services PARIHS model guided the selection of variables for study A longitudinal design involving questionnaires was used to evaluate the impact of the mobile technologies on barriers to research utilization perceived quality of care and on nurses job satisfaction The setting was 29 acute care long term care home care and correctional organizations in Ontario Canada The sample consisted of 488 frontline nurses RESULTS Nurses most frequently consulted drug and medical reference information Google and Nursing PLUS Overall nurses were most satisfied with the Registered Nurses Association of Ontario RNAO BPGs and rated the RNAO BPGs as the easiest resource to use Among the PDA and Tablet users there was a significant improvement in research awareness values and in communication of research There was also for the PDA users only a significant improvement over time in perceived quality of care and job satisfaction but primarily in long term care settings IMPLICATIONS It is feasible to provide nurses with access to evidence based practice resources via mobile information technologies to reduce the barriers to research utilization