Implementation Of Best Practices Research Articles

On the criminal law measures of regulation of surrogacy in foreign countries

The relevance of the article is termined by the fact that the surrogacy industry is currently rapidly developing. This is not only an effective way to help couples who do not have the opportunity to conceive children on their own, but also a big business. The cost of commercial surrogacy is quite high. This correct and useful deed quickly turned into a high-budget illegal event. It involves transnational criminal organizations. In this connection, the attitude towards surrogacy around the world is diverse and ambiguous. There are countries where this act is prohibited under threat of punishment. The aim of the study is to comprehensively study the legal problems of regulating relations associated with surrogacy. The research methodology is based on the analysis of the criminal law regulation of similar relations in foreign countries, implementation of best practices in the legislation of the Russian Federation as well as improvement of regulatory legal acts in matters of assisted reproduction and protection of individuals from illegal exploitation. The author came to the conclusion that it is necessary to adopt uniform standards for all countries that regulate surrogacy, which would take into account the interests of all the parties involved and create a mechanism for crim-inal law counteraction to shadow surrogacy.

Establishing a Community of Practice among Leaders Providing Technical Assistance: Lessons Learned before and during the COVID-19 Pandemic

The prevalence of youth behavioral health problems before and during the COVID-19 pandemic justifies continued investment in comprehensive school behavioral health systems that link education and behavioral health partners. Technical assistance (TA) providers typically build capacity among school-community partners to advance implementation of best practices in school behavioral health. The pandemic created major disruptions in the delivery of interventions and caused TA providers to adjust the what, where, when, why, and how they provided consultation and support to partners. The TA Community of Practice (TACoP) brought together seasoned TA providers to share knowledge and resources and engage in problem-solving as they struggled in their unique roles as change agents. This article describes the value of the TACoP in responding to immediate and novel challenges, such as collaboration, community-building, and practice-based issues, within

Nurses' roles in changing practice through implementing best practices: A systematic review.

Nurses play an important role in the implementation of best practices. However, the role of nurses in changing practice by implementing best practices requires further exploration. No systematic review was found that summarised the best available evidence on the roles of nurses in changing practice through the implementation of best practices. This study summarised the best available evidence on the roles of nurses in changing practice through the implementation of best practices. A systematic review was used to search for studies in the English language, where a best practice was implemented in a clinical context and which included findings regarding the roles of nurses when implementing best practices. Scopus, EBSCOhost (Academic Search Ultimate, APA PsycInfo, CINAHL with Full Text, ERIC, Health Source: Nursing/Academic Edition, MasterFILE Premier, MEDLINE Complete), PUBMED, and ScienceDirect databases were searched from January 2013 to June 2021. The search generated 1343 citations. After removing duplicates and applying eligibility criteria, 27 studies were included. Five definite roles were identified as follows: leadership, education and training, collaboration, communication and feedback and development and tailoring of the best practice. These roles are interrelated, but equally crucial in order to implement best practices. This study found five interrelated but equally crucial nurse roles in changing practice through the implementation of best practices.ContributionThe study’s findings and gaps identified can be used for further nursing research, improving practice change and health outcomes through the implementation of best practices and the role nurses can play in this process.

ALGORITHM FOR ORGANIZING AND CONDUCTING A SUCCESSFUL INTEREST REPRESENTATION ADVOCACY CAMPAIGN

Today, social advocacy is an effective tool for social change that influences attitudes, relations in the society, strengthens civil society, and contributes to the opening of democratic spaces for the implementation of best practices in social work and social equality. Social workers are aiming at helping people who are suffering from unemployment, violations of rights, difficult life circumstances, discrimination, etc. Thus social workers are in the constant process of individual work with vulnerable groups and often use interest representation as an intervention (protection of rights, representation of interests of individuals/groups of people to gain access to services, etc).
 
 The article analyzes several legal provisions that regulate advocacy, in particular, determining the basic rights of citizens and their associations. An algorithm for a successful advocacy campaign to represent the interests of vulnerable groups is proposed, which consists of eight stages (identification of social problems and goal setting, problem analysis, and goal setting, targeting, finding and identifying allies, identifying resources, creating a work plan, implementing a plan, monitoring and evaluation).
 
 The peculiarities and difficulties that may arise during the planning and implementation of the advocacy campaign are identified (weakness of the initiative group working on advocacy campaign planning; refusals and inaction of a certain "target" (representative of the authority)) advocacy team); too long campaign and, as a result, exhaustion of the initiative group; difficult confrontations of stakeholders who resist and have strong ties to the government; the unfavorable political situation for the social problem that needs to be solved; corruption schemes). Therefore, it is critical to focus on the systematic information component of the campaign (through constant communication with stakeholders), the availability of information to be conveyed to the target audience, be an attentive and timely response to arguments, and evidence of vulnerable groups affected by advocacy. It is emphasized that an important aspect of planning and implementing an advocacy campaign is to form a coalition and expand partnerships with other organizations that work in the context of a particular social problem or want to expand their activities.

Assessing the Underlying Drivers of Change over Two Decades of Land Use and Land Cover Dynamics along the Standard Gauge Railway Corridor, Kenya

Land cover has been modified by anthropogenic activities for thousands of years, although the speed of change has increased in recent decades, particularly driven by socio-economic development. The development of transport infrastructure can accelerate land use land cover change, resulting in impacts on natural resources such as water, biodiversity, and food production. To understand the interaction between land cover and social–ecological drivers, changing land cover patterns and drivers of change must be identified and quantified. This study documents land cover dynamics along the Standard Gauge Railway (SGR) corridor in Kenya and evaluates the underlying drivers of this change from 2000 to 2019. The study utilised GIS and remote sensing techniques to assess the land use and land cover changes along the SGR corridor, while correlational and regression analyses were used to evaluate various drivers of the changes. Results showed that built-up areas, bare lands, water bodies, croplands and forests increased by 144.39%, 74.73%, 74.42%, 9.32% and 4.85%, respectively, while wetlands, grasslands and shrub lands reduced by 98.54%, 67.00% and 33.86%, respectively. The underlying drivers responsible for these land use and land cover dynamics are population growth, urbanisation, economic growth and agro-ecological factors. Such land cover changes affect environmental sustainability, and we stress the need to adequately identify and address the cumulative social and environmental impacts of mega-infrastructure projects and their interacting investments. The findings of this study provide an evidence base for the evaluation of the social–ecological impacts of the SGR and the implementation of best practices that will lead to enhanced sustainability in the development corridors in Kenya and beyond.

"Trends in corporate governance practices at the level of companies listed on the Bucharest stock exchange "

"The purpose of this paper is to study the interest given to governance practices in Romania, but also the motivational and non-motivational factors existing in this regard. The research is conducted on a sample of 160 companies listed on the Bucharest Stock Exchange, for the years 2015-2019 (pre-pandemic period) and 2020. Information on the degree of implementation of good practices was obtained by using the Declaration “Apply or Explain”. For a better comparability, the extracted data were divided into 4 categories, namely: the provisions of the Governance Code were observed; they were not respected; they have been partially complied with; section missing. For each data found, one point was awarded to the corresponding section and zero points to the other sections, then a summary of the total scores obtained for each category was made. The results of the study indicate that, in general, companies do not give due importance to the recommendations of the Romanian Governance Code, having a rather reserved character due to the costs involved in fulfilling them."

Implementation of peer support in mental health services: A systematic review of the literature.

Peer support within mental health services has a growing evidence base and aligns with current policies of recovery-oriented care. Despite these advantages, widespread implementation of peer support remains limited, likely due to various methodological and implementation issues. Researchers have noted the importance of utilizing an implementation framework to understand best practices for implementation. Therefore, the purpose of the current study was to synthesize the existing literature on the implementation of peer support interventions and identify barriers and facilitators using an implementation framework. The Consolidated Framework for Implementation Research (CFIR) was used to organize the literature obtained in the systematic search and synthesize best practices for implementation. The systematic search identified 19 published articles that were coded for relevant information including implementation barriers and facilitators. The review highlighted a number of important elements for implementation within the CFIR domains, including clear role definition, a flexible organizational culture, and education for peer and nonpeer staff. Implementation barriers included an organizational culture without a recovery focus, allied practitioners' beliefs about peer support, and an unclear peer role. The results of this review provide a summary of best practices for the implementation of peer support in mental health services that can be used by researchers and service providers in future implementation. These practices should continue to be tested and reworked as the climate of recovery-oriented services within mental health organizations evolves. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

Genomic and Bioinformatic Resources for Perennial Fruit Species.

In the post-genomic era, data management and development of bioinformatic tools are critical for the adequate exploitation of genomics data. In this review, we address the actual situation for the subset of crops represented by the perennial fruit species. The agronomical singularity of these species compared to plant and crop model species provides significant challenges on the implementation of good practices generally not addressed in other species. Studies are usually performed over several years in non-controlled environments, usage of rootstock is common, and breeders heavily rely on vegetative propagation. A reference genome is now available for all the major species as well as many members of the economically important genera for breeding purposes. Development of pangenome for these species is beginning to gain momentum which will require a substantial effort in term of bioinformatic tool development. The available tools for genome annotation and functional analysis will also be presented.

Digital photography in the evaluation and management of female patients with congenital adrenal hyperplasia: A standardized protocol for quality improvement

Digital photography can be securely stored in the medical record and enhance documentation of physical exam findings and monitor wound healing. A standardized protocol that respects the dignity of the patient and maintains the fidelity of objective documentation is needed for patients with differences in sexual development (DSD) and congenital adrenal hyperplasia (CAH). The purpose of this study was to evaluate the feasibility, acceptability, and applications of a HIPAA-compliant digital photography protocol in the care of female patients with CAH. A protocol for standardized digital imaging including consent, permission, data capture, and storage in the electronic medical record (EMR) was implemented. Patients undergoing physical examination during multidisciplinary CAH clinic visits, preoperative evaluation, and postoperative follow-up from October 2020 through May 2021 were included. Male patients with CAH, patients with clitoromegaly or urogenital sinus not from CAH, and patients seen through telehealth were excluded. Consent was obtained from caregivers and permission from patients. Images of the exam were taken during clinic visits or at the time of surgery with no identifying features included. Images were directly uploaded into the patient's chart in the HIPAA-protected EMR separate from other clinical documentation and not stored on personal devices. There were 17 patients with CAH seen with median age 6 years (range 2 weeks-18 years). There was a median of 3 photos per patient during the study period with cooperation from both the patient and their caregiver. Amongst the patients seen, 6 patients underwent reconstruction with a median of 10 photos per patient. Images were available and used for preoperative planning and counseling. Patients with previous images did not require repeat examinations and were subjected to fewer genital examinations. Fewer providers were present during exams. Images taken by providers and caregivers during the postoperative period were used to monitor wound healing and surgical outcomes. Protocol implementation improved patient care by reducing the number of exams and number of providers present, enhancing clinical documentation, and providing a means of tracking the physical exam over time. This was in concordance with guidelines for limiting exams for patients with DSD and CAH. Implementation of best practices for medical photography was important in respecting patient dignity and confidentiality. Implementation of standardized digital photography was feasible and acceptable to patients and caregivers. Digital images reduced the need for repeat physical examination and provided a visual means of enhancing clinical documentation.

Impact of a pediatric oncology nutrition program: Lessons learnt over a decade.

The management of malnutrition in children with cancer remains a challenge in low-middle-income countries (LMICs). We describe our pediatric oncology nutrition program and its impact over the past decade. We evaluated the impact of our nutrition program in accordance with the International Society of Paediatric Oncology-Paediatric Oncology in Developing Countries (SIOP PODC) Nutritional Program Evaluation in the areas of service delivery (number served, increments in delivery, number of trained care providers), patients at-risk (proportion identified with malnutrition at diagnosis/follow-up), and efficiency of nutritional interventions (proportion assessed, proportion achieved healthy weight, clinicians trained). We analyzed available data for trends between 2009 and 2020, and comparisons were made using the Fisher t test. This study was approved by our institutional ethics committee. From 2010 to 2020, 17749 children treated at our center were beneficiaries of the nutritional program, including assessment and intervention. During this period, trained pediatric nutritionists increased from 2 to 8; SIOP PODC level from 2 to 3-4, and nutrition budget increased 15-fold. At diagnosis (n=5618) and six-month follow-up (n=2674), 59.6% and 51.2% children were undernourished, 34.8% and 43% well nourished, and 4.7% and 5.7% overnourished. From 2016 onward, fewer children were undernourished at follow-up-69.5% (2016), 60% (2018), 54% (2019), and 55% (2020, P<0.001). The program helped train over 500 clinicians in nutrition. Improved financial support and capacity building have helped build and sustain an effective nutrition program. Priority areas include implementation of best practices, early nutritional intervention, continued education, and locally relevant research.

Trends in college student mental health and help-seeking by race/ethnicity: Findings from the national healthy minds study, 2013–2021

BackgroundA considerable gap in knowledge exists around mental health trends in diverse racial and ethnic adolescent and young adult populations. The purpose of this study is to examine annual trends for mental health and help-seeking by race/ethnicity in a national sample of college students. MethodsSurvey data come from >350,000 students at 373 campuses that participated in the Healthy Minds Study between 2013 and 2021. Analyses are descriptive in nature focusing on year-by-year prevalence and help-seeking rates for each racial/ethnic group. ResultsIn 2020–2021, >60% of students met criteria for one or more mental health problems, a nearly 50% increase from 2013. Mental health worsened among all groups over the study period. American Indian/Alaskan Native students experienced the largest increases in depression, anxiety, suicidal ideation, and meeting criteria for one or more mental health problem. Students of color had the lowest rates of mental health service utilization. The highest annual rate of past-year treatment for Asian, Black, and Latinx students was at or below the lowest rate for White students. Although Arab American students experienced a 22% increase in prevalence, there was an 18% decrease in treatment. LimitationsResponse rates raise the potential of nonresponse bias. Sample weights adjust along known characteristics, but there may be differences on unobserved characteristics. ConclusionsFindings have important implications for campus mental health programming and underscore the urgency of reducing mental health inequalities in college student populations through the identification and implementation of best practices both in clinical settings and through system-level change.

Independence of clinical events committees: A consensus statement from clinical research organizations

BackgroundRandomized clinical trials are the gold standard to assess the causal relationship between an intervention and subsequent outcomes, also known as clinical endpoints. In order to limit bias, central clinical events committees (CEC) are established to ensure consistent event reporting across participating centers, as well as complete and accurate ascertainment of endpoints. However, defining independence is challenging. MethodsThis consensus statement was generated by teleconferences and electronic communications among clinical research organizations from the United States, Europe and Australia. This document does not constitute regulatory guidance. ResultsAn independent CEC is defined when the adjudicators are not primarily involved in designing, funding, sponsoring, organizing, conducting, analyzing or regulating the clinical trial for which they serve as an adjudicator, beyond their role as CEC member. Moreover, independence requires absence of conflicts of interest with the steering committee, sponsor, grant giver, manufacturer, coordinating center, other independent committees, core laboratories, medical monitor, safety physician, participating clinical sites, statistician or data manager, regulatory agencies or authorities, which could influence (or be perceived to influence) a member's objectivity in evaluating trial data. Such conflicts of interest include financial benefits, directing or advisory role (paid or unpaid), decision-making position, as well as being a direct relative. An independent adjudicator has no other role within a clinical trial. ConclusionsThis consensus statement presents a standardized definition of an independent CEC to be considered by clinical research organizations, manufacturers, and investigators. In addition, it provides recommendations on best practices for implementation of an independent CEC.

Species distribution modeling to inform transboundary species conservation and management under climate change: promise and pitfalls

Spatially explicit biogeographic models are among the most used methods in conservation biogeography, with correlative species distribution models (SDMs) being the most popular among them. SDMs can identify the potential for species’ and community range shifts under climate change, and thus can inspire, inform, and guide complex and adaptive conservation management planning efforts such as collaborative transboundary conservation frameworks. However, SDMs are rarely developed collaboratively, which would be ideal for conservation applications of such models. Further, SDMs that are applied to conservation often do not follow best practices of the field, which are particularly important for applications in climate change contexts for which model extrapolation into potentially novel climates is necessary. Thus, while there is substantial promise, particularly among machine-learning based SDM approaches, there are also many pitfalls to consider when applying SDMs to conservation, and especially in the context of transboundary management under climate change. Here, we summarize these pitfalls and the key steps to mitigate them and maximize the promise of applying SDMs to facilitate transboundary conservation planning under climate change. We argue that conservation modeling capacity must be elevated among practitioners such that they can easily implement best practices when using SDMs, especially regarding: 1) avoiding model overcomplexity, 2) addressing input data bias, and 3) accounting for uncertainty in model extrapolations and projections. While our discussion centers mainly on the pitfalls and opportunities of applying the most popular correlative SDM algorithm, Maxent, our suggestions can also be generalized to a range of other SDM tools. Overall, improved training in, tools for, and implementation of best practices in biogeographic models such as SDMs hold great promise to facilitate and help guide complex, transboundary collaborations for long-term planning of conservation under climate change.

First Nations Response to Covid‐19 Pandemic

Stanley et al. describe the successes of the Aboriginal and Torres Strait Islander (TSI) communities as global exemplars of controlling the COVID-19 pandemic.1 Despite challenges similar to those facing Indigenous populations world-wide, the authors conclude that the remarkably low morbidity and mortality in these communities due to COVID-19 can be attributed to rapid implementation of best practices and Indigenous leadership alongside transparent communication and collaboration with governmental partners.1, 2 Unfortunately, American Indian/Alaska Native (AI/AN) communities in the United States have suffered disproportionately from COVID-19. According to the Centers for Disease Control, AI/AN people were three to five times more likely to be diagnosed with COVID-19, with twice the mortality rate of non-Hispanic white people.3 This demonstrates the impact of suboptimal health-care delivery due to decades of severe social inequities and limited access to resources.1 Although there is no uniform Indigenous experience, some factors that consistently predispose AI/AN people to health inequity include living in food deserts, crowded, multi-generational households, unemployment, lack of access to technology, distance from health centres and distrust of health-care systems and governments due to historical traumas.3 While data describing COVID-19 in paediatric patients in AI/AN communities are currently limited, extrapolation of the literature allows us to conclude that the burden of the disease may also disproportionately affect the AI/AN children relative to their non-Hispanic white counterparts. Stanley et al. contend that permitting First Nations communities' decision-making power to improve outcomes and effectively partner with governmental and other resources was critical in the success of the Aboriginal and TSI response to COVID-19.1 Based on the achievements of Australian First Nations communities, one may reasonably infer that granting similar trust and control of resources and leadership to AI/AN populations may serve to improve health outcomes in the context of COVID-19 and beyond. All providers who serve AI/AN children must also seek opportunities to partner with local tribes to better understand the priorities, needs and historical experiences of the population, ensure adequate training in culturally sensitive care, thoroughly evaluate the social determinants of health, and leverage cultural assets and resilience to preserve Indigenous identity while improving overall health.4 The Aboriginal and TSI response to COVID-19 offers a stellar example of the strength and success of permitting decision-making by First Nations communities which may provide a means to improve the health of Indigenous populations across the globe.

Noise reduction in the ICU: a best practice implementation project.

Sleep deprivation is a relevant problem among patients hospitalized in ICUs. Further, noise is the most critical disruptive factor according to patients. To implement scientific evidence-based best practices for noise control in an adult ICU. This was an evidence-based implementation project of best practices in noise control, conducted in a high-complexity hospital's adult ICU. The intervention consisted of three steps: baseline audit and identification of barriers, implementation of best practices, and a follow-up audit. No compliance with best practices was detected in the baseline audit. After the implementation phase, the unit reached compliance levels of 78-88% for most of these criteria only one criterion related to noise level did not match the expected compliance. Adherence to best practices regarding noise control was satisfactory, achieving more than 70% compliance in the six audit criteria. Only the noise level did not reach the threshold recommended by the WHO - a difficulty reported in other studies. Best practices related to noise control are essential for managing sleep deprivation in ICUs and include changes in the behaviour of involved professionals.

Characterizing the Pharmacokinetics and Biodistribution of Therapeutic Proteins: An Industry White Paper.

Characterization of the pharmacokinetics and biodistribution of therapeutic proteins (TPs) is a hot topic within the pharmaceutical industry, particularly with an ever-increasing catalog of novel modality TPs. Here, we review the current practices, and provide a summary of extensive cross-company discussions as well as a survey completed by International Consortium for Innovation and Quality members on this theme. A wide variety of in vitro, in vivo and in silico techniques are currently used to assess pharmacokinetics and biodistribution of TPs, and we discuss the relevance of these from an industry perspective, focusing on pharmacokinetic/pharmacodynamic understanding at the preclinical stage of development, and translation to human. We consider that the 'traditional in vivo biodistribution study' is becoming insufficient as a standalone tool, and thorough characterization of the interaction of the TP with its target(s), target biology, and off-target interactions at a microscopic scale are key to understand the overall biodistribution on a full-body scale. Our summary of the current challenges and our recommendations to address these issues could provide insight into the implementation of best practices in this area of drug development, and continued cross-company collaboration will be of tremendous value. SIGNIFICANCE STATEMENT: The Innovation and Quality Consortium Translational and ADME Sciences Leadership Group working group for the absorption, distribution, metabolism, and excretion of therapeutic proteins evaluates the current practices and challenges in characterizing the pharmacokinetics and biodistribution of therapeutic proteins during drug development, and proposes recommendations to address these issues. Incorporating the in vitro, in vivo and in silico approaches discussed herein may provide a pragmatic framework to increase early understanding of pharmacokinetic/pharmacodynamic relationships, and aid translational modeling for first-in-human dose predictions.

Family child care home providers' self-reported nutrition and physical activity practices, self-efficacy, barriers and knowledge: baseline findings from happy healthy homes.

Describe nutrition and physical activity practices, nutrition self-efficacy and barriers and food programme knowledge within Family Child Care Homes (FCCH) and differences by staffing. Baseline, cross-sectional analyses of the Happy Healthy Homes randomised trial (NCT03560050). FCCH in Oklahoma, USA. FCCH providers (n 49, 100 % women, 30·6 % Non-Hispanic Black, 2·0 % Hispanic, 4·1 % American Indian/Alaska Native, 51·0 % Non-Hispanic white, 44·2 ± 14·2 years of age. 53·1 % had additional staff) self-reported nutrition and physical activity practices and policies, nutrition self-efficacy and barriers and food programme knowledge. Differences between providers with and without additional staff were adjusted for multiple comparisons (P < 0·01). The prevalence of meeting all nutrition and physical activity best practices ranged from 0·0-43·8 % to 4·1-16·7 %, respectively. Average nutrition and physical activity scores were 3·2 ± 0·3 and 3·0 ± 0·5 (max 4·0), respectively. Sum nutrition and physical activity scores were 137·5 ± 12·6 (max 172·0) and 48·4 ± 7·5 (max 64·0), respectively. Providers reported high nutrition self-efficacy and few barriers. The majority of providers (73·9-84·7 %) felt that they could meet food programme best practices; however, knowledge of food programme best practices was lower than anticipated (median 63-67 % accuracy). More providers with additional staff had higher self-efficacy in family-style meal service than did those who did not (P = 0·006). Providers had high self-efficacy in meeting nutrition best practices and reported few barriers. While providers were successfully meeting some individual best practices, few met all. Few differences were observed between FCCH providers with and without additional staff. FCCH providers need additional nutrition training on implementation of best practices.

Implementation of Best Practice in the School-based Setting

ABSTRACT A clear gap exists between what evidence states as best practice for school-based occupational therapy and what is feasible for practitioners to implement. Evidence establishes that collaborative and contextual practice have a positive effect on student outcomes. Emerging evidence demonstrates that workload models, as opposed to caseload models, could help meet the range of demands on practitioners in order to improve student outcomes. This study aimed to answer the question: What does the implementation of best practices look like for practitioners following a caseload approach compared to those following a workload approach? As described in this study, a caseload approach is when expectations are based on the number of direct intervention minutes or assigned students, while a workload model considers all of the activities and range of demands on practitioners to meet students’ needs (e.g. indirect services, teacher consultation, and documentation time). School-based practitioners recruited via social media platforms and e-mail completed an online survey to explore their practices. Responses were analyzed using descriptive statistics and nonparametric tests. Results showed a statistically significant difference between the caseload and workload models and the following practices: professional learning community membership, collaboration with teachers, and the amount of time devoted to direct intervention, teacher/staff consultation, family/caregiver training/consultation, behavioral supports, and contextually-based services. The results support the hypothesis that workload models allow for practitioners to better implement best practices in the school setting. Implications for practice include the need for educating school staff on occupational therapy’s role and advocating for a transition to school-based models of practice, such as workload approaches.

Global Health Training Collaborations: Lessons Learned and Best Practices.

Interest in global health training experiences among trainees from higher income countries has grown. The Working Group on Ethics Guidelines for Global Health Training (WEIGHT) clarified best practices in 2010 based on expert consensus. These guidelines address both balancing priorities in international partnerships and local sustainability concerns related to short-term experiences. However, the guidelines can be difficult to implement in actual practice. Because our organization predated the availability of these consensus guidelines, we reviewed our current set of practices for hosting service-learning programs at our rural Ugandan clinic for adherence to the WEIGHT guidelines. The discrete activities and standardized processes developed over 10 years of hosting experiences were grouped into broader hosting categories, with consensus among the hosting and sending volunteer coordinators of our non-governmental organization partnership. These practices were then mapped to the WEIGHT guidelines. We found our implementation strategies map these guidelines into a clear checklist of actions that can be used by coordinators involved in global health training programs. We include some of the historical reasons that led to our current processes, which may help other partnerships identify similar practice gaps. We anticipate that this action-oriented checklist with historical context will help accomplish the difficult implementation of best practices in global health training collaborations.

Content Validity and Reliability of the Pressure Ulcer Knowledge Test and the Knowledge Level of Portuguese Nurses at Long-Term Care Units: A Cross-Sectional Survey.

(1) Background: Improvement in pressure ulcer care depends both on the dissemination of knowledge and its implementation. This study aims to translate the Pressure Ulcer Knowledge Test into Portuguese from Portugal and evaluate the internal consistency of the questionnaire. The second aim is to assess nurses’ pressure ulcer knowledge level. (2) Methods: The Pressure Ulcer Knowledge Test was translated into Portuguese, and the translated test’s internal consistency and content validity were assessed. Further, the authors conducted a cross-sectional survey using the test among 221 nurses working in long-term care units. (3) Results: The Cronbach’s alpha internal coefficient of reliability recorded for the 47 items was 0.738, which is higher than the minimum acceptable level of 0.7. The Cronbach’s alpha for the subscales was 0.709 for prevention/risk and less than 0.5 for staging and wound description. Only two of the 221 nurses achieved a score of 90% correct answers or more. The nurses scored lower in questions related to prevention/risk (Me = 67.4%, IQR = 60.6–75.8% vs. staging: ME = 85.7%, IQR = 71.4–85.7%, description: ME = 85.7%, IQR = 71.4–85.7%, p < 0.001). (4) Conclusion: The internal consistency of the instrument was acceptable. The instrument can accurately measure Portuguese nurses’ knowledge of pressure ulcers, and its information can help improve education and implementation of best practices.