About The Authors |
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ix | |
Contributing Authors |
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xii | |
Foreword |
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xxxix | |
Introduction |
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xii | |
Unit 0: Setting The Stage |
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1 | (28) |
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1 Transforming Nursing Through Knowledge: The Conceptual And Programmatic Underpinnings Of RNAO's BPG Program |
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3 | (26) |
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4 | (1) |
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The Vision: A Paradigmatic Change in Nursing |
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5 | (4) |
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5 | (1) |
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The Caring-Competence Dichotomy |
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6 | (1) |
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The Caring-Curing Dichotomy |
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7 | (1) |
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Redefining Caring as Cognitive, Physical, and Relational Work |
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7 | (1) |
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Caring: An Individual and Collective Responsibility |
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8 | (1) |
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Origins and Evolution of RNAO's Best Practice Guidelines Program |
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9 | (10) |
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BPG Program: Design and Purposeful Evolution |
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11 | (1) |
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Key Features of RNAO's BPG Program |
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12 | (3) |
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15 | (3) |
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Monitoring, Evaluation, and Research |
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18 | (1) |
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The BPG Program: From Local Impact to Seismic Transformation of Nursing Practice Globally |
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19 | (3) |
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The BPG Program as a Collective Identity |
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21 | (1) |
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22 | (2) |
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24 | (1) |
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25 | (4) |
Unit 1: Guideline Development: First Pillar For Success |
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29 | (64) |
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2 The Anatomy Of A Rigorous Best Practice Guideline Development Process |
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31 | (38) |
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32 | (5) |
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Best Practice Guidelines: Why? |
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32 | (1) |
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Science of Guideline Development: Setting the Standards |
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33 | (4) |
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RNAO and Best Practice Guidelines |
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37 | (15) |
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39 | (1) |
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RNAO's Seven-Step Guideline Development Process |
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39 | (10) |
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Guideline Development Enhancements |
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49 | (3) |
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RNAO's Evolution in Guideline Development |
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52 | (2) |
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54 | (1) |
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54 | (2) |
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Appendix A: Detailed Timelines for Guideline Development Processes |
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56 | (3) |
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Appendix B: Example of Priority-Identification Matrix |
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59 | (2) |
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Appendix C: Terms of Reference Template |
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61 | (1) |
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RNAO Best Practice Guideline Panel |
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61 | (4) |
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Appendix D: RNAO Health Education Fact Sheet |
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65 | (2) |
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Appendix E: Tools for Quality Appraisal of the Literature |
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67 | (1) |
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Appendix F: RNAO Statement on Levels of Evidence Used in Systematic Reviews/Guidelines |
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68 | (1) |
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3 Creating Healthy Workplaces: Enabling Clinical Excellence |
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69 | (24) |
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70 | (1) |
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Initiation of Healthy Work Environments (HWE) BPGs |
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70 | (8) |
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Definition of a Healthy Work Environment |
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71 | (1) |
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71 | (5) |
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HWE BPG Development Methodology |
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76 | (1) |
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Developing HWE BPGs: Where to Start |
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77 | (1) |
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The Foundational HWE BPGs |
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78 | (4) |
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Effective Nursing Leadership |
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79 | (1) |
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79 | (1) |
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Staffing, Workload, and Structure |
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79 | (1) |
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79 | (1) |
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Workplace Culture and Diversity |
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79 | (1) |
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Workplace Health, Safety, and Well-Being of the Nurse |
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80 | (1) |
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Pilot Implementation and Evaluation |
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80 | (2) |
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Creating Healthy Workplaces |
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82 | (4) |
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Healthy Work Environments and the Impact on Healthcare Settings |
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82 | (4) |
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86 | (1) |
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HWE BPGs: Evaluating Implementation Processes and Outcomes |
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86 | (2) |
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Case Study: HWE BPGs and Clinical Excellence: Scarborough and Rouge Hospital's Experience |
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87 | (1) |
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88 | (1) |
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88 | (1) |
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89 | (1) |
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89 | (4) |
Unit 2: Implementation Science: Second Pillar For Success |
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93 | (146) |
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4 Forging The Way With Implementation Science |
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95 | (22) |
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96 | (15) |
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Multilevel and Multifaceted Implementation |
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96 | (2) |
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Micro-Level/Individual Nurse Implementation |
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98 | (4) |
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Meso-Level/Organizational Level Implementation |
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102 | (8) |
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Macro-Level/Health System Implementation |
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110 | (1) |
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Latest Perspectives on Implementation Science |
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111 | (2) |
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Integrated Knowledge Translation and Patient Engagement |
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111 | (1) |
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Technology-Enabled Knowledge Translation |
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112 | (1) |
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Arts-Based Knowledge Translation |
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112 | (1) |
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113 | (1) |
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113 | (1) |
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113 | (1) |
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114 | (1) |
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115 | (2) |
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5 Technology As An Enabler Of Evidence-Based Practice |
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117 | (24) |
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118 | (1) |
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118 | (1) |
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RNAO Nursing Best Practice Guidelines App |
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119 | (2) |
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121 | (12) |
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123 | (2) |
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Key Features and Potential Benefits |
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125 | (3) |
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Nursing Order Sets in Action |
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128 | (3) |
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Nursing Order Set Case Studies |
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131 | (1) |
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Case Study: Nursing Order Sets in Home Care |
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131 | (1) |
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Case Study: Nursing Order Sets in Acute Care |
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132 | (1) |
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Case Study: Nursing Order Sets in Long-Term Care |
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132 | (1) |
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eHealth BPG: Adopting eHealth Solutions |
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133 | (4) |
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Key Individual/Organization Recommendations |
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135 | (1) |
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Key Education Recommendations |
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135 | (1) |
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Key System/Policy Recommendations |
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136 | (1) |
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137 | (1) |
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138 | (1) |
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138 | (3) |
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6 Best Practice Spotlight Organization: Implementation Science At Its Best |
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141 | (26) |
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142 | (1) |
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142 | (2) |
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143 | (1) |
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143 | (1) |
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144 | (3) |
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145 | (2) |
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BPSO Implementation Strategies |
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147 | (2) |
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RNAO Coaching and Consultation |
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147 | (1) |
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A Systematic Implementation Process |
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148 | (1) |
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149 | (8) |
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149 | (1) |
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150 | (4) |
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154 | (1) |
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155 | (1) |
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Monitoring and Reporting Progress |
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155 | (1) |
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156 | (1) |
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156 | (1) |
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156 | (1) |
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Summary of BPSO Requirements |
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157 | (1) |
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158 | (1) |
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159 | (1) |
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Conclusion and Future Considerations |
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159 | (1) |
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160 | (1) |
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160 | (3) |
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Appendix A: Steps to Becoming a Best Practice Spotlight Organization (BPSO) |
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163 | (4) |
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7 The Bpso Pioneers: Creating, Sustaining, And Expanding Evidence-Based Cultures Through The Bpso Designation |
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167 | (20) |
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168 | (15) |
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Case Study: Saint Elizabeth |
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169 | (5) |
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Case Study: West Park Healthcare Centre |
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174 | (5) |
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Case Study: Sunnybrook Health Sciences Centre |
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179 | (4) |
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183 | (1) |
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183 | (1) |
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183 | (2) |
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Build Relationships and Trust |
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183 | (1) |
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Create an Empowering Work Environment |
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184 | (1) |
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Create a Culture That Supports Knowledge Development and Integration |
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184 | (1) |
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184 | (1) |
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Balance Complex Environments and Manage Competing Values and Priorities |
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185 | (1) |
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185 | (2) |
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8 Creating Evidence-Based Cultures Across The Health Continuum |
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187 | (30) |
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188 | (1) |
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188 | (22) |
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Case Study: Toronto Public Health BPSO Experience |
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189 | (3) |
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Case Study: Bluewater Health BPSO Experience |
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192 | (4) |
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Case Study: North Bay Nurse Practitioner-Led Clinic BPSO Experience |
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196 | (5) |
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Case Study: Bayshore HealthCare Ltd.: BPSO Experience |
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201 | (3) |
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Case Study: St. Michael's Hospital BPSO Experience |
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204 | (6) |
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Concluding Perspectives From the BPSO Organizational Leaders |
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210 | (1) |
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211 | (1) |
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211 | (1) |
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212 | (5) |
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9 Enhancing The Evidence-Based Nursing Curriculum And Competence In Evidence-Based Practice |
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217 | (22) |
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218 | (1) |
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From Candidacy to Designation |
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219 | (1) |
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Purpose of Academic BPSOs |
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220 | (1) |
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Becoming an Academic Best Practice Spotlight Organization |
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221 | (6) |
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Building a Culture of Evidence |
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222 | (2) |
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Establishing Structural Supports |
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224 | (1) |
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224 | (1) |
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Developing an Academic BPSO Action Plan |
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224 | (2) |
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Establishing an Infrastructure |
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226 | (1) |
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Integrating BPGs Into the Curriculum |
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227 | (3) |
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Designing Multilevel BPG-Related Learning Objectives |
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227 | (3) |
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Reinforcing Supports and Overcoming Challenges for Sustained Change |
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230 | (2) |
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BPG Integration in Academia: Measuring Success |
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232 | (2) |
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Supporting Evidence-Based Education Through Research |
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234 | (1) |
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235 | (1) |
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235 | (1) |
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236 | (3) |
Unit 3: Scaling Up, Scaling Out, And Scaling Deep: System-Wide Implementation |
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239 | (46) |
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10 Scaling Up And Out: System-Wide Implementation Initiatives |
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241 | (24) |
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242 | (1) |
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Scaling: The Goal of Diffusion and Innovation |
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242 | (19) |
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Scaling Up: Key Considerations |
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242 | (1) |
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243 | (1) |
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Case Study: Mental Health and Addiction Initiative |
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244 | (5) |
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Case Study: Tobacco Intervention Initiative |
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249 | (5) |
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Case Study: Prevention of Falls and Injury From Falls in the Older Adult |
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254 | (7) |
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261 | (1) |
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262 | (1) |
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262 | (3) |
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11 Evidence-Based Practice In Long-Term Care |
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265 | (20) |
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266 | (1) |
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266 | (1) |
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267 | (7) |
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Vision, Mission, and Values |
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267 | (1) |
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268 | (1) |
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The LTC Best Practice Coordinators |
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269 | (5) |
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LTC Best Practice Guidelines Program Evaluation |
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274 | (1) |
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Impact of the Program on the Long-Term Care Sector |
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274 | (3) |
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Case Study: Extendicare Haliburton |
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275 | (1) |
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Case Study: Tilbury Manor |
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276 | (1) |
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Further Scaling Up Through Adaptation of the RNAO Best Practice Spotlight Organization |
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277 | (5) |
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Purpose and Adaptations of the BPSO Program to Long-Term Care |
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277 | (3) |
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Case Study: The Impact of LTC-BPSO at St. Peter's Residence |
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280 | (2) |
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282 | (1) |
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282 | (1) |
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282 | (3) |
Unit 4: Inspiring And Managing Implementation On A Global Scale |
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285 | (108) |
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12 RNAO's Global Spread Of BPGS: The BPSO Designation Sustainability And Fidelity |
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287 | (32) |
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288 | (1) |
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Rogers' Diffusion of Innovation and RNAO's BPG Program Success |
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288 | (20) |
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The Elements of Diffusion: Factors and Characteristics |
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289 | (7) |
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BPSO Designation: Successful Diffusion at the Organizational Level |
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296 | (5) |
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BPSO Host Model: Successful Diffusion at the Macro Global Level |
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301 | (2) |
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The BPSO Orientation Program |
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303 | (2) |
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NQuIRE Data System as a Fidelity and Quality Assurance Strategy |
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305 | (1) |
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Use of Technology to Provide Education and Consultation |
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306 | (1) |
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Approaches to Translation |
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306 | (1) |
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Ongoing BPSO Designation Requirements and Opportunities |
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306 | (2) |
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308 | (5) |
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309 | (1) |
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BPSO Spread, Sustainability, and Quality Monitoring Through Training Trainers |
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309 | (4) |
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313 | (1) |
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313 | (1) |
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314 | (5) |
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13 Bpso Host: A Model For Scaling Out Globally |
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319 | (14) |
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320 | (1) |
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Nursing Care in the Spanish Health System |
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320 | (1) |
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The Spanish Experience of Implementing RNAO BPGs |
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321 | (9) |
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Building a Successful Initiative |
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321 | (1) |
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322 | (2) |
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324 | (3) |
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327 | (1) |
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328 | (1) |
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329 | (1) |
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330 | (1) |
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331 | (1) |
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331 | (2) |
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14 Overcoming Context And Language Differences: BPSO Trailblazers In China |
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333 | (26) |
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334 | (1) |
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The Background of Introducing BPSOs in China |
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334 | (1) |
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Establishing Academic and Service BPSOs in China |
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334 | (2) |
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Building Up the BPSO Team |
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335 | (1) |
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Selecting and Translating BPGs |
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335 | (1) |
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Integrating BPGs Into Nursing Education: The BUCM Experience |
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336 | (4) |
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337 | (3) |
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Implementing BPGs Into Clinical Nursing Practice: The DongZhiMen Hospital Experience |
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340 | (10) |
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Assessing Facilitators and Barriers to BPG |
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343 | (2) |
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Developing Implementation Strategies |
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345 | (3) |
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Monitoring BPG Use and Evaluating Outcomes |
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348 | (1) |
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349 | (1) |
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Achievements of the BPSO Designation in China |
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350 | (3) |
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Achievements by the Academic BPSO |
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350 | (2) |
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Achievements by the Service BPSO |
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352 | (1) |
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Challenges and Solutions to BPSO Implementation |
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353 | (2) |
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353 | (1) |
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354 | (1) |
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Attitudes, Knowledge, and Practices in Evidence-Based Nursing |
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354 | (1) |
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Future Prospects of China BPSOs |
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355 | (1) |
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355 | (1) |
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Introduction of EBN Into TCM Nursing |
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355 | (1) |
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BPSO Designation Expansion |
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355 | (1) |
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356 | (1) |
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356 | (1) |
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357 | (2) |
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15 The Latin-American BPSO Experience: A Consortium Model |
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359 | (34) |
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360 | (28) |
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Case Study: The Experience of FCI-IC in Implementing RNAO Evidence-Based Guidelines |
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361 | (9) |
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Case Study: The Experience of FOSCAL in Implementing RNAO Evidence-Based Guidelines |
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370 | (10) |
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Case Study: The Experience of Clinica las Condes in Implementing RNAO Evidence-Based Guidelines |
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380 | (8) |
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The Latin America BPSO Consortium: From Strength to Greater Strength |
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388 | (1) |
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389 | (1) |
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390 | (1) |
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390 | (3) |
Unit 5: Evaluating Outcomes, Proving Results: Third Pillar For Success |
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393 | (70) |
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16 Evaluating BPG Impact: Development And Refinement Of Nquire |
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395 | (38) |
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396 | (2) |
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History and Purpose of NQuIRE |
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398 | (1) |
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The Donabedian Model of Structure, Process, and Outcomes and NQuIRE Indicators |
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398 | (3) |
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Taxonomy of Quality Measures |
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399 | (2) |
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Frequency of Data Collection |
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401 | (1) |
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NQuIRE Indicator Development Process |
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401 | (5) |
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Purposeful Evolution of NQuIRE |
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403 | (1) |
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NQuIRE Indicators: Refinement |
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404 | (2) |
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406 | (1) |
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NQuIRE International Advisory Council |
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406 | (1) |
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NQuIRE Security and Privacy |
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407 | (2) |
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NQuIRE Data Quality Framework |
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409 | (12) |
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Responding to the BPSOs to Enhance Data Quality |
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410 | (2) |
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The Data Quality Framework |
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412 | (1) |
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Four Components of the NQuIRE Data Quality Framework |
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412 | (9) |
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Summary of NQuIRE Data Quality Framework |
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421 | (1) |
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Future Directions: Evidence Boosters and BPSO-NQuIRE Evaluation Model |
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421 | (1) |
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422 | (2) |
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BPSO-NQuIRE Evaluation Model: Strategic Focus |
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423 | (1) |
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424 | (1) |
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424 | (1) |
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425 | (3) |
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Appendix A: Evidence Boosters Demonstrating BPG Impact in BPSO |
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428 | (5) |
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17 Value For Money: Measuring The Economic Impact Of BPSOS In Australia |
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433 | (30) |
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434 | (2) |
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436 | (1) |
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ANMF (SA Branch): The Australian BPSO Host |
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436 | (1) |
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The Australian BPSO Model |
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437 | (4) |
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The Beginnings of the BPSO Host Model |
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437 | (4) |
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BPSO and BPG Implementation |
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441 | (16) |
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Phase 1 Pilot Site 1: Central Adelaide Rehabilitation Service (CARS) |
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441 | (1) |
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Phase 1 Pilot Site 2: Northern Adelaide Local Health Network (NALHN) |
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441 | (1) |
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442 | (3) |
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BPSO Phase 1: Evaluation Results and Findings |
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445 | (12) |
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457 | (1) |
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Measuring Economic Outcomes of the Australian BPSO Designation |
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457 | (3) |
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Economic Impact of BPG Implementation Shown Through Cost Benefit Analysis |
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457 | (1) |
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Other Savings That Are Related to Reduction in Restraint |
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458 | (2) |
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460 | (1) |
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460 | (1) |
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460 | (3) |
Unit 6: Next Steps: From Practice To Policy |
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463 | (32) |
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18 Scaling Deep To Improve People's Health: From Evidence-Based Practice To Evidence-Based Policy |
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465 | (30) |
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466 | (1) |
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466 | (1) |
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The Necessity but Insufficiency of an Evidence-Based Approach |
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467 | (1) |
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Foundational Ideas and Conceptual Framework for Advocacy |
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468 | (22) |
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The Two Pillars for Advancing Healthy Public Policy |
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468 | (8) |
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Stages of Policy Advocacy |
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476 | (1) |
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Case Study: Linking Evidence and Advocacy for Supervised Injection Services in Ontario |
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477 | (8) |
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Case Study: Linking Evidence and Advocacy for Funding Offloading Devices in Ontario |
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485 | (5) |
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490 | (1) |
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491 | (1) |
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491 | (4) |
Index |
|
495 | |