Implementation Experience Research Articles

Examining the Impact of PBIS Experience on MTSS Implementation in Secondary Schools: A Mixed Methods Study

This sequential explanatory mixed methods study with a complementarity rationale examined the differential experiences of MTSS implementation in three Positive Behavior Interventions and Supports (PBIS)-implementing and three non-implementing secondary schools in the Midwestern United States. Using a survey and follow-up interviews with a sample of 25 secondary school leadership team (SLT) members, this study sought to understand (1) their beliefs and attitudes toward MTSS prior to implementation and (2) unique barriers and facilitators to MTSS implementation in secondary education following initial MTSS implementation. Overall, the results of this study indicated that generally, SLT members had positive beliefs and attitudes toward MTSS prior to implementation which were maintained a year later at follow-up. Additionally, several differential barriers and facilitators to implementation emerged between PBIS and non-PBIS schools, though shared barriers and facilitators were also evident. Lastly, experience with PBIS differentially impacted the experiences of SLT members from PBIS and non-PBIS schools. Implications for secondary school practitioners, schools, and local educational agencies are discussed.

International experience and standards of implementation of innovative technologies in document management in Ukraine

The article discusses international experience and standards of implementation of innovative technologies in the processes of document management, which significantly affects the efficiency of the organization and contributes to the rapid and effective development of information technology. One of the main goals of information technology implementation is to ensure efficient document management, which includes the creation, implementation, processing, storage and transfer of documents. Therefore, the implementation of electronic document management systems and document automation is an important element of using international standards to develop strategies that include effective recommendations adapted to local requirements. Such integration will help improve document management systems, increase efficiency and transparency.

Barriers and facilitators of implementing a health literacy-based intervention in Portugal

Abstract Background Despite the effectiveness of cervical cancer screening (CCS) in reducing mortality rates, disparities persist in access to screening among women with low health literacy, often termed ‘hard-to-reach women’. Health literacy-based interventions can help promote screening uptake. Based on a health literacy-based intervention for CCS implemented in Lisbon with the support of community workers, this study explores barriers and facilitators of the implementation process as perceived by these actors. Methods The intervention consisted of educational sessions on cervical cancer and CCS aimed at 246 women, implemented in community settings in 2023-2024. Within a mixed-methods approach, a pre-and post-intervention survey was applied to assess willingness to screen, and two focus groups were conducted with 10 community workers on their implementation experiences. Descriptive analysis and content analysis were performed where appropriate. Results Of the 665 women invited, 37% were enrolled in the sessions; 91% completed the follow-up. Community workers valued the informative content as adequate to raise awareness. Implementation facilitators included women’s trust in collaborating organisations and a complement of peer recruitment. Challenges included the additional workload of community workers, finding creative strategies to engage women, scheduling the sessions that best suited women’s time demands, and limited spaces to accommodate several group sessions. Proposed solutions to overcome barriers included increasing the time availability of community workers to support participants’ recruitment and session delivery, conducting itinerant and open sessions, and integrating the sessions within the organisation’s health-promoting activities. Conclusions Health literacy-based interventions are helpful in raising CCS awareness. Tailored interventions sensitive to context demands may contribute to successful actions. Key messages • Health literacy interventions can be key to promoting cervical cancer screening among hard-to-reach women. • Tailored community-based interventions may help address barriers to cervical cancer screening.

Evidence-Based Programs in France: Insights and Strategies for Implementation Support

Abstract Issue In France, both regional and national health institutions increasingly support and fund the implementation of evidence-based programs (EBP), promoted at the national level by the French Public Health agency. Description of the problem practitioners who implement EBP face several operational questions: scaling issues, implementation in specific and varying contexts, integration and adjustment to daily regional practices. Results/effects In 2023, the French Society for Public Health initiated a collaborative effort to create a platform for discussion among practitioners, researchers, and decision-makers involved in EBP implementation. The first step was to assess EPB implementation experiences, using 3 types of data: an analysis of 6 documented EBP (capitalization works), an online questionnaire answered by 29 stakeholders, and four focus groups with funders, researchers, practitioners, and institutions. Data analysis was based on thematic content analysis and structural data analysis. Lessons Different ways to implement EBP were identified through a typology. The results highlight favorable conditions and levers for EPB implementation in France: • Facilitate access and adoption of EBP by concerned stakeholders, including through clear communication and knowledge sharing; • Strengthen and value support for implementation support (i.e., providing necessary resources and continuous monitoring); • A ‘favorable environment’ is also required (i.e. regional context acceptability and information on program themes or topics); • Breadthen perspectives and promote mutual learning through sharing and comparing implementation experiences across regions; • Value transferability and adaptation studies, which are key to enable EBP adaptations to account for context specificities while maintaining effectiveness. The platform’s next steps are to develop deployment tools and structure an advocacy strategy to mobilize stakeholders around the issue. Key messages • Achieving wide-scale implementation of EBP requires to tackle key implementation issues such as scaling, context adaptation, etc. and to give support to implementing stakeholders. • A collaborative assessment helped identify levers and barriers to EBP implementation in France. Involvement in EBP fosters an evidence-based mindset among practitioners.

The influence of project-based learning on promoting students’ self-confidence and learning motivation in Nguyen Tat Thanh University English language classes

As Nguyen Tat Thanh University in Ho Chi Minh City, Viet Nam, has recently implemented project-based learning for non-English majors for the first time, this research desired to discover the perceptions of students on the method as well as whether project-based learning is effective to enhance students’ motivation and self-confidence. The study was conducted with the implementation of qualitative and quantitative research methods. Data were collected through questionnaires with the participation of 100 non-English major freshmen at Nguyen Tat Thanh University and semi-structured interviews carried out with a total of 3 English lecturers and 15 students in the same English class. The findings showed that there was an increase in both students’ confidence and motivation level during the project-based learning class. In addition, the research indicated positive feedback and perception of the students to the experience of PBL implementation in developing their language skills and proficiency.

Assessing CellaVision peripheral blood and advanced RBC application software's impact on hematologic morphology reporting: Real-world implementation experience in a large Veterans Affairs hospital.

This quality improvement study, conducted at the Kansas City Veterans Affairs Medical Center in Kansas City, Missouri, examined the change in patient reporting after transitioning from manual to CellaVision software-guided differentials and slide reviews. The primary focus was blasts and schistocytes, given their clinical significance. Three months of manual and CellaVision patient data were examined between May 2022 and February 2023. Blast and schistocyte patients were standardized to the total specimens performed and compared using 2-sample proportion testing. Other red blood cell (RBC) morphologies were also compared using this statistical analysis. Blast and schistocyte reporting after technologist review statistically increased after implementing the CellaVision software. This finding was most prevalent for low-percentage blasts. In addition, both morphologies experienced varying degrees of false-positive reporting, with 33% for low-percentage blasts and 91.7% for schistocytes. Other RBC morphologies displayed different levels of change, which could be clinically significant. The CellaVision software's increased sensitivity to blasts and schistocytes may benefit patient care, especially those with hematologic disorders. The software's high false-positive rate can be reduced by implementing quality metrics that prioritize clinically significant cells. This can be accomplished by implementing a CellaVision Champion to monitor reporting changes, perform patient lookbacks through the software, and provide technologist education. In addition, adopting a more stringent grading scale for schistocytes could also improve the high false-positive rate. Overall, CellaVision provides the ability to enhance hematology quality metrics by providing access to how patient cells are categorized and offering prompt education.

СТРАТЕГІЧНЕ ПЛАНУВАННЯ ЯК ОСНОВА ВПРОВАДЖЕННЯ ЕКОЛОГІЧНОЇ ВІДПОВІДАЛЬНОСТІ ПІДПРИЄМСТВ ІНДУСТРІЇ ГОСТИННОСТІ В УКРАЇНІ

The hospitality industry, which is experiencing a crisis in Ukraine, today needs transformation and greening of its own activities. The implementation of environmental responsibility of hospitality service providers is not just a condition for their competitiveness, but opens up a wide range of directions for the development of industry enterprises in future. The purpose of the research: to analyze the existing documents of medium and long-term planning at the regional level on individual examples, to determine promising directions for the formation of environmental responsibility of enterprises in the hospitality industry. The subject of the study: practical experience of planning and implementation of environmental responsibility among hospitality service providers at the regional level. Research methods: in the research process, general scientific and special methods of scientific knowledge were used, namely abstraction, induction and deduction, analogy and qualitative comparison, analysis of causes and consequences. Research hypothesis: the only way to ensure environmental responsibility in the field of hospitality is a conscious attitude of regional authorities and owners of enterprises providing hospitality services to existing environmental problems. The main results of the research: the analysis of publications by domestic and foreign scientists, as well as strategic and programmatic documents of regional development in Ukraine allowed to draw conclusions about the state of social responsibility in the western and eastern regions, determining that most documents lack any measures regarding the environmental responsibility of service providers hospitality Originality and practical significance of the study: the proposed tree of goals for framework development strategy of environmental responsibility is an unified tool that can be detailed according to the stage of development and financial capacity of hospitality establishments. Conclusions: the proposals presented in the course of the study regarding the formation of environmental responsibility of hospitality service providers are appropriate according to the current situation and can be used to overcome the systemic crisis in the industry, to develop its competitiveness for attraction a new domestic and foreign consumers

Expert consensus on the passive immunization prevention of infant respiratory syncytial virus infection in China

Respiratory syncytial virus (RSV) infection, which has the very heavy disease burdens, is the most common viral pathogen that seriously threatens the health of infants and young children. In order to better guide and standardize the clinical diagnosis, treatment, monitoring and immunization prevention and control of RSV infection in China, the Chinese Preventive Medicine Association jointly organized multidisciplinary experts to form a special working group, drawing on the implementation experience of foreign passive immunization prevention of RSV, integrating the existing evidence and the latest progress as a problem oriented, and putting forward the expert consensus on the passive immunization prevention of infant RSV infection in China in the future. The aim is to answer some professional questions about RSV infection and its immunoprophylaxis, especially passive immunoprophylaxis, in order to provide reference for the practice of immunoprophylaxis for professionals in medical institutions, disease prevention and control institutions and community health service centers at all levels.

Experience of implementation and approaches for further automation in unmanned aerial counting of pacific salmon in the Okhotsk district of Khabarovsk Region

Experience of implementation and approaches for further automation in unmanned aerial counting of pacific salmon in the Okhotsk district of Khabarovsk Region

Expert consensus on the passive immunization prevention of infant respiratory syncytial virus infection in China

Respiratory syncytial virus (RSV) infection, which has the very heavy disease burdens, is the most common viral pathogen that seriously threatens the health of infants and young children. In order to better guide and standardize the clinical diagnosis, treatment, monitoring and immunization prevention and control of RSV infection in China, the Chinese Preventive Medicine Association jointly organized multidisciplinary experts to form a special working group, drawing on the implementation experience of foreign passive immunization prevention of RSV, integrating the existing evidence and the latest progress as a problem oriented, and putting forward the expert consensus on the passive immunization prevention of infant RSV infection in China in the future. The aim is to answer some professional questions about RSV infection and its immunoprophylaxis, especially passive immunoprophylaxis, in order to provide reference for the practice of immunoprophylaxis for professionals in medical institutions, disease prevention and control institutions and community health service centers at all levels.

Telemedicine technologies in allergology: implementation experience in clinical practice, problems and perspectives

In 2020, the need for widespread restriction of social contacts around the world has raised the issue of alternative types of medical care and, in particular, the development of online consultations with physicians of subspecialties. However, even before the Covid-19 pandemic, telemedicine technologies were demonstrating their ability to save financial and time resources, increase access to health services and improve adherence to treatment for patients with allergic diseases. Despite some technical and legal difficulties associated with the organization of remote appointments, the clinic of the National Research Center – Institute of Immunology Federal Medical-Biological Agency managed to successfully implement a platform for telemedicine consultations. During the period from 1.09.2020 to 19.04.2024, 4675 patients were consulted, 945 of whom filled out a questionnaire on the quality of medical care provided. According to the results of analyzing the obtained data, we observed high patient satisfaction with the new medical service as well as economic profitability of the project. The purpose of this article is to provide a visual overview of the world and domestic experience of telemedicine implementation in the clinical practice of an allergist, to tell about the way of organization and operation of the platform for telemedicine consultations in the National Research Center – Institute of Immunology Federal Medical-Biological Agency, and to highlight the current state of the problem.

Evaluating the effects, implementation experience and political economy of primary healthcare facility autonomy reforms within counties in Kenya: a mixed methods study protocol

IntroductionThere is a growing emphasis on improving primary healthcare (PHC) services and granting frontline service providers more decision-making autonomy. In October 2023, Kenya enacted legislation mandating nationwide facility autonomy. There...

Social Innovation Management to Support Integrated Care: Insights from an Italian Revelatory Case Study

This research deals with Social Innovation (SI) and integrated and connected care in the hospital care, presenting a successful experience of telemedicine's implementation within the Italian context. Nowadays integrated care and connected care are relevant concepts for delivering people-centered healthcare; though their operationalization is challenging and requires accounting for systems' complexity. In this regard, SI may be a catalyst, since it consists in a kind of innovation motivated by social needs. Extant research on SI in healthcare is scant and fragmentary, overlooking operational features and enabling conditions. Considering these gaps, the paper investigates the potential contribution of SI management to integrated and connected care. For the purpose, it offers a revelatory case study, concerning the pediatric research hospital Gaslini (Genoa, Italy), which is, to our knowledge, the first Italian public hospital to have hired a SI manager. By referring to a telemedicine pilot project, the study analyzes main features of the SI management process and its approach to promote integrated and connected care. Research data are analyzed by combining Gioia methodology and systems thinking. The resulting grounded theory model is causal loops-shaped and highlights virtuous mechanisms of SI unveiling generative voids and existing skills.

Experience of interdisciplinary projects implementation in the training of pre-serviced IT-specialists

Abstract The problems of contemporary IT specialists’ training in terms of the high requirements to their mathematical and computational thinking skills as well as the urgency of raising their motivation to mastering math and algorithmization are discussed in the paper. It is pointed out that initial university courses should involve the students in the experiences that focus pre-service IT-specialists on the deep understanding of a mathematical backround and an algorithmic nature of any coding task, demonstrate them the role of math in the analysis of algorithm characteristics, and importance of math knowledge in for successful IT-career. One of such experiences presented by the authors is involving the pre-service IT-specialists into the work upon the interdisciplinary projects. The said activity is elaborated basing on the core didactic principles of PBL with the focus on the interdisciplinary project peculiarities. The goal, stages and results of the said PBL are described and analyzed in terms of its impact on the students’ awareness of mathematical knowledge value in their vocational activity. The levels of of formation of the IT-specialists’ awareness of mathematical knowledge value are established and determined. The survey and monitoring program were developed and realized which showed the changes in the distribution of pre-service IT-specialists by the levels of the said awareness for their future IT career. The prospects of further research are outlined in terms of holding the empirical research for the verification of the offered PBL activity impact on the motivation to IT-specialists’ learning mathThe software module’s core components are distinguished and the set of requirements in terms of their design are formulated according to the logic of the components work.

Evaluation of the Implementation of a Novel Fluid Resuscitation Device in the Prehospital Care of Sepsis Patients: Application of the Implementation Outcomes Framework

Objectives Early identification and fluid resuscitation are recognized performance measures within sepsis care. Despite fluid resuscitation, fluid goals are often not achieved in the prehospital environment. Furthermore, description of implementation process and evaluation of implementation success are historically underreported in prehospital research. The objective of this study was to contextualize and evaluate the system-wide implementation of a novel fluid resuscitation device, the LifeFlow PLUS®, in the treatment of prehospital sepsis patients. Methods A single urban emergency medical services (EMS) system internally decided to adopt a novel fluid resuscitation device. This EMS system added the device to the clinical care guidelines of suspected sepsis patients. Prior to and during implementation of the new guidelines, several strategies were undertaken to promote consistent, appropriate system-wide use of the device. A mixed methods study design was deployed. Surveys of EMS clinicians and leaders assessed perceptions of the device and sepsis education prior to field implementation of the device. Clinician and leader semi-structured interviews assessed implementation experience and device adoption. Document analysis evaluated deployment of implementation strategies. Data were triangulated to contextualize implementation and evaluate success. Results Clinician (88%) and leader (91%) confidence in appropriate clinician device use and device superiority for sepsis care (73 and 100%, respectively) were high. Clinicians (58%) were less likely to view the device as easy to implement compared to leaders (73%). Three themes were developed from semi-structured interviews, including “exposure” to the device, “reinforcing factors” to prompt device use, and “clinician buy-in.” Twenty unique implementation strategies (e.g., dynamic trainings, mandating change) were used to promote successful system-wide device adoption. Conclusions The overall implementation success of this novel fluid resuscitation device was moderate. Barriers to adoption included complexity of clinical decision-making and ease of device use. Facilitators to adoption included the use of multiple modes of education, clinical reminders, presenting evidence of device benefit, and prehospital culture. Prior to future prehospital implementation programs, EMS systems should focus on identifying and addressing key barriers and facilitators to improve adoption.

Automated Optimum Extrusion Die Design and Profile Quality Control Based on Simulation

The paper presents the experience of development and implementation of an integrated approach of extrusion simulation with the automated design of the dies as a new way to speed up the technology development and its optimisation based on the QForm UK Extrusion simulation program and QForm Extrusion Die Designer (QExDD) design system. Bearing and prechamber optimisation types are considered for the porthole design. Welding quality and possible streaking lines in the profile are analysed for the tool construction with optimised prechamber contour.

Using New Technologies in Professional Education: Implementation Experience and Efficiency

Using New Technologies in Professional Education: Implementation Experience and Efficiency

The best fit for your audience: using integrated evaluation methods for data collection at informal science events

ABSTRACT Carefully designed evaluations of informal science events are key to gaining insights into their efficacy and impact on audiences. However, traditional approaches to evaluation, such as interviews and questionnaires, can be disruptive to the audience experience of science events. There is therefore a need to develop and implement new evaluation methods that match the dynamic and transient contexts of informal science events, and that are integrated into the experience of the event. In this article, we outline the development and implementation of a set of novel integrated evaluation methods used to evaluate performances of Lines of Best Fit, a science-themed improvised comedy show founded in Sydney, Australia. We outline the methods used to collect both quantitative and qualitative data from audiences at these events and provide reflections on the benefits and limitations of this approach based on our experiences of implementation across nine performances in different venues.

Practical experience in the implementation of innovative building materials and products

The improvement and creation of new production technologies is largely determined by the level of innovation in the field of materials science. In this paper, the experience of practical implementation of innovative building materials and products made of light steel thin-walled structures in the real sector of the economy is considered. Suggestions are given for possible use in state programs for the restoration and development of new territories of Russia. The problem of economic recovery, creation of new jobs, implementation of development programs for specific subjects of new territories can be solved by consolidating the subjects of the Russian Federation and forming professional construction teams on the basis of specialized enterprises of the subject of the Russian Federation for the implementation of state programs. The authors, if necessary, offer services for training and transfer of scientific and technical knowledge to Customer specialists at the place of construction of prefabricated facilities.

Information Modeling Implementation in PAO “Rosneft” as Challenge of Digitization in Construction Industry

Key goals of construction industry modernization and quality improvement are the introduction of information modeling which is an effective tool for increasing the enterprise competitiveness through the quality of design and construction, resource optimization and efficiency of interaction between process participants throughout the entire life cycle.The article presents information modeling (3D design) in PAO “Rosneft” with respect to the tasks of ensuring adaptation to design procedure in the company and the transition to full-scale 3D design. The choice of software is justified, real examples of completed pilot projects using information modeling are described, and information modeling implementation are presented. The experience in information modeling implementation helps companies to choose one or another software, and become familiar with the process at PAO “Rosneft”. As a result of the digital transformation of design processes, a model of the life cycle management system of capital construction project is developed, the basis of which is its information model. In addition, the main problems that require solutions for the successful information modeling implementation are identified, i.e., shortcomings of domestic software, shortage or absence of highly qualified personnel, unwillingness of customers to work with technical information, efficiency decrease of the organization due to the introduction of a new approach to project implementation into existing processes, resistance from employees, customers and contractors of construction, and installation works.The information modeling introduction in the PAO “Rosneft” allow to achieve goals for im[1]port substitution of technologies and prepare a worthy response to global geopolitical challenges.