Last data update: Oct 28, 2024. (Total: 48004 publications since 2009)
Records 1-2 (of 2 Records) |
Query Trace: Kossover-Smith RA[original query] |
---|
Developing indicators to evaluate systems thinking and application in state injury and violence prevention programs
Wilkins NJ , Kossover-Smith RA , Hogan SA , Espinosa R , Wilson LF . New Dir Eval 2021 2021 (170) 67-80 Systems thinking principles are increasingly recognized as an important part of public health research and practice. However, the extent to which systems thinking is being integrated into public health practice, and its impact on health outcomes, is largely unknown. This is in part due to the paucity of options for measuring systems thinking at the organizational level and in the context of public health practice. Building on existing frameworks of public health competencies, infrastructure, and systems thinking principles, this article proposes a conceptual model and corresponding indicators for measuring organizational systems thinking and application within state public health departments. We describe our process for developing this model and indicators, drawing from both research and practice-based evidence on systems thinking, and offer a set of indicators for measuring organizational-level systems thinking in the context of public health practice. © 2021 American Evaluation Association and Wiley Periodicals LLC. This article has been contributed to by US Government employees and their work is in the public domain in the USA. |
One needle, one syringe, only one time? A survey of physician and nurse knowledge, attitudes, and practices around injection safety
Kossover-Smith RA , Coutts K , Hatfield KM , Cochran R , Akselrod H , Schaefer MK , Perz JF , Bruss K . Am J Infect Control 2017 45 (9) 1018-1023 BACKGROUND: To inform development, targeting, and penetration of materials from a national injection safety campaign, an evaluation was conducted to assess provider knowledge, attitudes, and practices related to unsafe injection practices. METHODS: A panel of physicians (n = 370) and nurses (n = 320) were recruited from 8 states to complete an online survey. Questions, using 5-point Likert and Spector scales, addressed acceptability and frequency of unsafe practices (eg, reuse of a syringe on >1 patient). Results were stratified to identify differences among physician specialties and nurse practice locations. RESULTS: Unsafe injection practices were reported by both physicians and nurses across all surveyed physician specialties and nurse practice locations. Twelve percent (12.4%) of physicians and 3% of nurses indicated reuse of syringes for >1 patient occurs in their workplace; nearly 5% of physicians indicated this practice usually or always occurs. A higher proportion of oncologists reported unsafe practices occurring in their workplace. CONCLUSIONS: There is a dangerous minority of providers violating basic standards of care; practice patterns may vary by provider group and specialty. More research is needed to understand how best to identify providers placing patients at risk of infection and modify their behaviors. |
- Page last reviewed:Feb 1, 2024
- Page last updated:Oct 28, 2024
- Content source:
- Powered by CDC PHGKB Infrastructure