ORCID Profile
0000-0003-0939-5777
Current Organisation
Tsinghua University
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Publisher: BMJ
Date: 06-2023
DOI: 10.1136/BMJOPEN-2022-070799
Abstract: Large-scale, multisite hospital improvement initiatives can advance high-quality care for patients. Implementation support is key to adoption of change in this context. Strategies that foster collaboration within local teams, across sites and between initiative developers and users are important. However not all implementation strategies are successful in all settings, sometimes realising poor or unintended outcomes. Our objective here is to develop guiding principles for effective collaborative implementation strategies for multi-site hospital initiatives. Mixed-method realist evaluation. Realist studies aim to examine the underlying theories that explain differing outcomes, identifying mechanisms and contextual factors that may trigger them. We report on collaborative strategies used in four multi-site initiatives conducted in all public hospitals in New South Wales, Australia (n ). Using an iterative process, information was gathered on collaborative implementation strategies used, then initial programme theories hypothesised to underlie the strategies’ outcomes were surfaced using a realist dialogic approach. A realist interview schedule was developed to elicit evidence for the posited initial programme theories. Fourteen participants from 20 key informants invited participated. Interviews were conducted via Zoom, transcribed and analysed. From these data, guiding principles of fostering collaboration were developed. Six guiding principles were distilled: (1) structure opportunities for collaboration across sites (2) facilitate meetings to foster learning and problem-solving across sites (3) broker useful long-term relationships (4) enable support agencies to assist implementers by giving legitimacy to their efforts in the eyes of senior management (5) consider investment in collaboration as effective well beyond the current projects (6) promote a shared vision and build momentum for change by ensuring inclusive networks where everyone has a voice. Structuring and supporting collaboration in large-scale initiatives is a powerful implementation strategy if contexts described in the guiding principles are present.
Publisher: Elsevier BV
Date: 07-2023
Publisher: American Psychological Association (APA)
Date: 03-2021
DOI: 10.1037/CNS0000243
Publisher: Hogrefe Publishing Group
Date: 12-11-2021
DOI: 10.1027/1614-0001/A000337
Abstract: Abstract. Autonomous Sensory Meridian Response (ASMR) is a pleasurable, tingling sensation induced by exposure to specific, audio-visual triggers, producing feelings of relaxation and euphoria. This article examines the relationship between ASMR propensity using a recently developed self-report measure (ASMR-15), Big-Five personality factors, and sensory-processing sensitivity (SPS), in a general population. Thus far, the ASMR-15 has only been validated on self-selected ASMR-specific s les, and so it is yet to be determined whether the measure may be adapted to assess ASMR in a non-specialized s le. To address this, N = 187 undergraduate psychology students were recruited for a survey study. ASMR was related to greater Openness and SPS, and lower Conscientiousness. A confirmatory factor analysis was undertaken on the ASMR-15, largely replicating the factor structure previously demonstrated. As a result, the ASMR-15 may be useful for researchers interested in further exploring ASMR experiences in both specialized and non-specialized s les.
Publisher: BMJ
Date: 11-2022
DOI: 10.1136/BMJOPEN-2021-059330
Abstract: To address the challenges of rapidly changing healthcare, governments and health services are increasingly emphasising healthcare delivery models that are flexible, person centred, cost-effective and integrate hospital services more closely with primary healthcare and social services. In addition, such models increasingly embed consumer codesign, integration of services, and leverage digital technologies such as telehealth and sophisticated medical records systems. This paper provides a study protocol to describe a method to elicit consumer and healthcare provider needs and expectations for the development of innovative care models. A literature review identified six key models of care, supported by a common theme of consumer-focused care, along with the international evidence supporting the efficacy of these models. A mixed-methods study of the needs and expectations of consumer members and health providers who reside or work in the area of a new hospital catchment will be undertaken. They will complete a community-specific and provider-specific, short demographic questionnaire (delivered during the recruitment process) and be assigned to facilitator-coordinated online workshops comprising small focus groups. Follow-up interviews will be offered. Culturally and linguistically erse members and Aboriginal and Torres Strait Islander Elders and their communities will also be consulted. Data will be analysed thematically (qualitative) and statistically (quantitative), and findings synthesised using a triangulated approach. The results will be actively disseminated through peer-reviewed journals, conference presentations and in a report to stakeholders. This study was reviewed and approved by the relevant Ethics Committee in New South Wales, Australia.
Publisher: BMJ
Date: 02-2023
DOI: 10.1136/BMJOPEN-2022-066270
Abstract: To undertake a synthesis of evidence-based research for seven innovative models of care to inform the development of new hospitals. Umbrella review. Interventions delivered inside and outside of acute care settings. Children and adults with one or more identified acute or chronic health conditions. PsycINFO, Ovid MEDLINE and CINAHL. Clinical indicators and mortality, healthcare utilisation, quality of life, self-management and self-care and patient knowledge. A total of 66 reviews were included, synthesising evidence from 1272 primary studies across the 7 models of care. Virtual care was the most common model studied, addressed by 47 (73%) of the reviews. Common outcomes evaluated across reviews were clinical indicators and mortality, healthcare utilisation, self-care and self-management, patient knowledge, quality of life and cost-effectiveness. The findings indicate that the innovative models of healthcare we identified in this review may be effective in managing patients with a range of acute and chronic conditions. Most of the included reviews reported evidence of comparable or improved care. A consideration of local infrastructure and in idual patient characteristics, such as health literacy, may be critical in determining the suitability of models of care for patients and their implementation in local health systems. 10.17605/OSF.IO/PS6ZU.
Publisher: Hindawi Limited
Date: 26-10-2023
DOI: 10.1155/2023/7105751
Publisher: American Psychological Association (APA)
Date: 03-2019
DOI: 10.1037/CNS0000168
Publisher: Springer Science and Business Media LLC
Date: 03-06-2021
DOI: 10.1038/S41564-021-00915-X
Abstract: The emergent fungal pathogen Candida auris exhibits high resistance to antifungal drugs and environmental stresses, impeding treatment and decontamination
No related grants have been discovered for Natalie Roberts.