Objective: To conduct an exploratory process evaluation of the Ontario Ministry of Health and Long-Term Care' s (MOHLTC) New Graduate Nursing Initiative implemented by one home care agency. Methods: Qualitative data were gathered online, stored electronically and then analyzed using an Affinity Diagram. Results: Seven groupings of participants' comments were created: advertising and external information dissemination; orientation; internal dissemination; impact of the program; transition to the workforce; pay/benefits; and retention. Participants viewed many aspects of the program favourably but identified the following areas for improvement: comprehensibility of the Health Force Ontario website (advertising and external information); orientation of new graduates (orientation); and communication of information about the initiative to existing staff (internal dissemination). Conclusions: This exploratory study points to both strengths and weaknesses of the New Graduate Nursing Initiative. Further study of the implementation of this policy is recommended. RésuméObjectif : Effectuer une évaluation exploratoire des processus de la Garantie d' emploi pour les diplômés en soins infirmiers -une initiative du ministère de la Santé et des Soins de longue durée de l'Ontario -mise en oeuvre dans un établissement de soins à domicile. Méthodologie : Des données qualitatives ont été recueillies en ligne et enregistrées numériquement, puis elles ont été analysées au moyen d'un diagramme d' affinités. Résultats : Les commentaires des participants ont été regroupés en sept catégories : recrutement et diffusion de l'information externe; orientation; diffusion interne; impact du programme; transition sur le marché du travail; salaire et avantages sociaux; et rétention. Les participants estiment que plusieurs aspects du programme sont favorables, mais indiquent les points suivants, qui pourraient être améliorés : la clarté du site Web Professions Santé Ontario (recrutement et information externe); l' orientation des nouveaux diplômés (orientation); et la communication au personnel en place de renseignements au sujet de l'initiative (diffusion interne). Conclusions : Cette étude exploratoire indique à la fois les forces et les faiblesses de la Garantie d' emploi pour les diplômés en soins infirmiers de l'Ontario. Nous recom-
Increases in schoolyard bullying and physical inactivity have become important issues to many stakeholders. Peers Running Organized Play Stations (PROPS) is a program designed to address these two issues in elementary schools. Using a "train the trainer" approach, PROPS was introduced to 41 schools. Results of a process evaluation indicate that the implementation rate was 39%. Resources were identified by some respondents as an implementation facilitator. A variety of barriers to implementation were identified: The PROPS program was not a component of anyone's job at the school level, teachers or parent volunteers are needed to run the program, and there is no funding to purchase equipment or storage bins for the equipment. In addition, support for PROPS is vulnerable to changing environments. This process evaluation points to some needed changes for long-term sustainability of the program while highlighting challenges associated with implementing a program in the elementary school setting.
This report is a description of a balanced scorecard design and evaluation process conducted for the health information management department at an urban non-teaching hospital in Canada. The creation of the health information management balanced scorecard involved planning, development, implementation, and evaluation of the indicators within the balanced scorecard by the health information management department and required 6 months to complete. Following the evaluation, the majority of members of the health information management department agreed that the balanced scorecard is a useful tool in reporting key performance indicators. These findings support the success of the balanced scorecard development within this setting and will help the department to better align with the hospital's corporate strategy that is linked to the provision of efficient management through the evaluation of key performance indicators. Thus, it appears that the planning and selection process used to determine the key indicators within the study can aid in the development of a balanced scorecard for a health information management department. In addition, it is important to include the health information management department staff in all stages of the balanced scorecard development, implementation, and evaluation phases.
Objective: To explore the perceptions of family members regarding the importance of an electronic personal health record (EPHR) called MyChart as a healthcare information source to support the care of their loved ones within a long term care (LTC) facility in Toronto, Ontario. Methods: One hundred and fifty eight family members of the patients in six LTC units at the hospital were given a survey to determine their perceptions regarding the utility of the content items within an EPHR that was recently adopted by the LTC institution. Results: The response rate was 41% (n = 65). Many family members (n = 48) felt it was important to have access to their loved one's EPHR. Respondents ranked test results (38%; n = 25), doctor's clinical notes (26%; n = 17), medication lists (15%; n = 10) and upcoming appointments (11%; n = 7) as the number one most important content item that they would want to have access to. In addition to the standard content items found within an EPHR, family members requested electronic access to a variety of additional medical content items that are not currently offered within the EPHR, such as status alerts. Overall, they felt that an EPHR would enhance communication between the care team and the family, however 30% of family members identified concerns linked to security and confidentiality of the electronic health record information. Conclusions: Family members felt that an EPHR would be an important tool in the LTC facility to assist with information exchange between care providers and the family. It is important to consider that the additional information requested beyond what is traditionally found in an EPHR as well as the specific communication concerns raised, may be limited to a LTC setting.
Standardization is lacking on practices to prevent TT-CMV. Although there are barriers to harmonizing practices, the apparent shift to policies acknowledging LR as a sufficient protection is likely to continue.
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