Exploring theory and practice Curriculum theory and practice. The organization of schooling and further education has long been associated with the idea of a curriculum. But what actually is curriculum, and how might it be conceptualized?
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Abstract This paper presents a case for careful consideration of theory in planning to implement evidence-based practices into clinical care.
As described, theory should be tightly linked to strategic planning through careful choice or creation of an implementation framework. The thesis advanced is that in most studies where there is an attempt to implement planned change in clinical processes, theory is used loosely.
An example of linking theory to intervention design is presented from a Mental Health Quality Enhancement Research Initiative effort to increase appropriate use of antipsychotic medication among patients with schizophrenia in the Veterans Health Administration.
We focus on theories appropriate to change processes in clinical settings, typically complex organizations with multiple functioning parts.
We believe that explicitly outlining and understanding some form of theory that explains the reason for why an intervention may work to induce planned change is a critical step in planning interventions to change provider or patient behavior, particularly in order to promote evidence-based care.
We also believe that the information presented in this paper is relevant and important both for researchers and for people involved in quality improvement activities in health care organizations.
In quality improvement, there may be a reluctance to examine theoretical bases for planning implementation activities and efforts, possibly in part because of a perceived need to differentiate between the nature of quality improvement activities and the nature of research, and in part because a focus on theory may not appear relevant, when the imperative is to act quickly.
A prominent recent example is the administrative data feedback for effective cardiac treatment AFFECT study report of a negative trial of administrative data feedback in attempting to improve hospital performance on key indicators of cardiac care. No explicit theories of individual or organizational behavior change were applied in planning the design and conducting the study.
In his accompanying editorial, Peterson 8 points to additional features that could have been incorporated into this trial that may have enhanced the probability of success.
Implicit in his discussion are theoretical perspectives, such as those underlying the use of opinion leaders to influence key stakeholders within the target organizations in the study, or the concept of intensity or dose of intervention. Underlying the concept of sufficient dose is the mechanism of action: We posit that in interventions to induce planned change in health care, theory provides clues to the mechanism s by which the intervention is successful.
Without explicit attention to theory, many key aspects of the intervention may be ignored.
Another recently published article describes the difficulties in applying evidence from a systematic review of audit and feedback interventions to decision making about how best to use audit and feedback in future intervention efforts.
As a result, little can be learned from prior efforts other than success or failure in specific attempts. Even when theory is used to frame a study, it may then be largely ignored in the development of strategies, interventions, and selection of tools.providing exercise and physical activity You can: Portfolio reference / c.
Identify areas in which further development is required in own professional practice d. Describe the importance of having a personal action plan in place for own development e.
Creating and implementing a physical activity plan 4. 2 A healthy city is an active city: a physical activity planning guide and makes suggestions for policy and practice based on that evidence. Physical activity and health in Europe: evidence for action (2) sets out the facts about health-enhancing.
Process evaluation is used to monitor and document program implementation and can aid in understanding the relationship between specific program elements and program outcomes.
The Standards of Physical Therapy Practice are WCPT’s statement of performance and conditions that they expect physical therapists to aspire to in order to provide high quality physical therapy professional services to society.
To help children develop their initiative, teachers encourage them to choose and plan their own learning activities.
Teachers pose problems, ask questions, and make comments and suggestions that stimulate children's thinking and extend their learning. How to change practice vetconnexx.com 1 12/12/07 A person’s belief in their own ability to adopt a new behaviour also has an impact on whether a change is implemented.
Skills When implementing any new policy or guidance, it is essential to identify the gap.