• Title/Summary/Keyword: Implementation strategies

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Applying Theory Informed Global Trends in a Collaborative Model for Organizational Evidence-based Healthcare

  • Lockwood, Craig
    • Journal of Korean Academy of Nursing Administration
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    • v.23 no.2
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    • pp.111-117
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    • 2017
  • Getting evidence in to practice tends to focus on strategies, theories and studies that aim to close the gap between research knowledge and clinical practice. The evidence to practice gap is more about systems than individual clinician decision making. The absence of evidence for administration and management in the organization of healthcare is persistent. Teaching nurses and providing evidence as the solution to evidence-based healthcare is no longer axiomatic. Previous studies have concluded that unit level strategies integrate multi-professional teams with organizational needs and priorities. This 'best fit' approach that characterizes how healthcare is structured and delivered. The published literature shows that increased readiness for change is aligned with integrated approaches informed by conceptual models. The Joanna Briggs Collaboration is the largest global collaboration to integrate evidence within a theory informed model that brings together academic centres, hospitals and health systems for evidence synthesis, transfer and implementation. The best approaches to implementation are tailored to local culture and context, benchmark against international evidence, combine a theory informed model and stakeholder perspectives to improve the structure and processes of health care policy and practice.

Risk Identification and Management Strategies for BIM Projects

  • Ng, Ron C.W.;Cheng, Jack C.P.;Das, Moumita
    • International conference on construction engineering and project management
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    • 2020.12a
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    • pp.103-113
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    • 2020
  • The construction industry is undergoing a digital transformation in which Building Information Modelling (BIM) is a key technology. The potential of BIM in several areas such as design optimization, time management, cost management, and asset management/facility management (AM/FM) is widely acknowledged by the AECO (Architecture, Engineering, Construction, and Operation) industry around the world. However, BIM implementation in construction projects is faced with problems such as project delay and cost overruns. The lack of identification of risks in BIM projects and standard guidelines on mitigation techniques furthers poor performance, dissatisfaction, and disputes between employers and project participants, which results in low BIM adoption rates. Therefore, the objective of this paper is to identify the potential risks in BIM implementation under the primary categories - (1) technical, (2) contractual, (3) management-related, and (4) personnel-related risks in BIM projects and present solutions to reduce, manage, and mitigate risks. To meet the objective of this paper, a survey was designed and conducted in the Hong Kong construction industry in which over 140 respondents from different disciplines, with experience in BIM projects, have participated. Based on the analysis of the survey data, the most severe and frequently occurring BIM risks and their potential mitigation strategies were identified and discussed in this paper.

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Bridging the Gap: Follow-up Strategies for Effective Software Architecture Implementation

  • Abdullah A H Alzahrani
    • International Journal of Computer Science & Network Security
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    • v.24 no.7
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    • pp.1-10
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    • 2024
  • Software architecture are High-level design decisions shaping a software system's components, structure, and interactions. It can be a blueprint for development, evolution, and ongoing maintenance. This research investigates the communication practices employed by software architects and developers to ensure adherence to the designed software architecture. It explores the factors influencing the selection of follow-up methods and the impact of follow-up frequency on successful implementation. Findings reveal that formalized follow-up procedures are not yet a ubiquitous element within the software development lifecycle. While electronic communication, particularly email, appears to be the preferred method for both architects and developers, physical and online meetings are utilized less frequently. Interestingly, the study suggests a potential confidence gap, with architects expressing concerns about developers' ability to faithfully implement the architecture. This may lead to architects providing additional clarification. Conversely, while most developers reported confidence in their software knowledge, overly detailed architecture documentation may pose challenges, highlighting the need for architects to consider alternative communication strategies. A key limitation of this study is the sample size, restricting the generalizability of the conclusions. However, the research offers valuable preliminary insights into the communication practices employed for architecture implementation, paving the way for further investigation with a larger and more diverse participant pool.

Medical Profit Planning Model and Innovative Strategies to Improve Profitability Management in Hospitals (병원의 수익성 관리개선을 위한 의료이익계획모형 및 혁신.합리화전략 개발연구)

  • Hwang, In-Kyoung
    • Korea Journal of Hospital Management
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    • v.1 no.1
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    • pp.83-107
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    • 1996
  • This study discusses how to rationalize or innovate the managerial practice of the profitability-deteriorated hospitals in Korea, and attempts to suggest proper planning models and strategies to reorient them. For these purposes, the hospitals' financial indicators were analysed, the process of profit planning were reviewed, and strategic assessment were made, using relevant data. The analysis shows that failures both in proper capital investment to fixed assests and in effective containment of operating costs have been causing the worsening of profitability. For the improvement of the profitability management, seven procedural and behavioral strategies were suggested from the innovative and rationalizing perspectives, together with necessary prerequisite conditions to be equipped with for their implementation. This study concludes that the top management should attempt the changs on their own initiative.

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A Comprehensive Study on Patient Flow Improvement Solutions and Their Implementation Strategies in an Outpatient System (대형 병원 외래 시스템의 환자 흐름 개선방안의 적용 전략에 관한 연구)

  • Lee, Young-Woo;Lee, Tae-Sik
    • IE interfaces
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    • v.23 no.1
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    • pp.1-11
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    • 2010
  • There are various ways to manage the patient flow of the hospital outpatient system. However, it is difficult to apply many implementation solutions to the real outpatient system at once. Because first, the expected effects of each different solution are very much depend on the real situation of the system and applied other solutions, and second, owing to the limited resources, each solution should be implemented according to the priority. In order to overcome these difficulties, this paper focuses on proposing the comprehensive subset of implementation solutions, which is one of the most effective among various kinds of subsets, and verifying the effects of it. The comprehensive subset of solutions is derived from conducting design of experiments and simulation which determine the optimum set of different solutions and analyze the particular interactions and priority order among them. This implementation strategy can solve the difficulties of applying different kinds of various solutions to the hospital outpatient system.

An Empirical Study on the Correlation among Innovative Strategies, Motivation, Level of Implementing Innovative Activities and Business Performance in Taiwan's High-tech Manufacturers

  • Chung, Yi-Chan;Hsu, Yao-Wen;Chiu, Chung-Ching;Chen, Ching-Piao;Tsai, Chih-Hung
    • International Journal of Quality Innovation
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    • v.9 no.3
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    • pp.93-112
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    • 2008
  • This study explores the influence of Taiwan's high-tech manufacturers' innovative strategy and innovation motivation concerning the implementation of innovative activities, as well as the influence of innovative activities implementation on business performance. The two intermediate variables, industry group and enterprise scale are also considered. Through a review of the relevant literature, a theoretical model of the influence relationship is developed, while an empirical analysis is simultaneously conducted on Taiwan's high-tech manufacturers. The research result shows that the internal driving force of innovative activities has a significant impact on the level of implementing technological innovative activities and cultural innovative activities. The external driving force of innovative activities has a significant impact on the level of implementing market innovative activities and management innovative activities. Companies adopting self-developed technology and purchased as well as self-developed technology strategies, perform better than those adopting purchased new technology or those with neither purchased nor self-developed technology strategies, at implementing technological innovative activities and cultural innovative activities. The level of implementing innovative activities has a significant influence on business performance (cost reduction and product/service differentiation). For the intermediate variables of "industry group" and "enterprise scale", it is proven in this study that they have no significant influence on the level of innovative activity implementation or business performance.

Implementation and Evaluation of a Health Promoting School Program (건강증진학교 수행 및 효과평가)

  • Lee, Eun-Young;Choi, Bo-Youl;Shin, Young-Jeon;Kim, Seok-Hyeon;Sohn, Ae-Ree;Ahn, Dong-Hyun
    • Korean Journal of Health Education and Promotion
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    • v.26 no.2
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    • pp.87-101
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    • 2009
  • Objectives: The purpose of this study was to develop strategies for creating health promoting school and to evaluate the implementation and its effect on the school. Methods: Based on WHO's Health Promoting School, we developed 5 strategies and implementing process for creating health promoting school and undertook The implementation process included workshops to raise awareness of the health promoting school, establishment of a school health team, review of the health needs of its community, development of an action plan, and practice of activities and reflect on program. Seventeen teachers (male 35.3%, female 64.7%) and 248 students (male 51.2%, female 47,6%) had completed pretest and posttest. Results: It was increasing in school's social environment, community relationship, personal skill and health service among components of HPS. However, there were no significant differences in self-reported health status and health behaviors among teachers. Although there were no significant changes in self-esteem, self-efficacy and BMI, there were significantly increasing in health knowledge, physical activities and fruit and vegetable intakes among students of a pilot school. Conclusion: Strategies for a creating health promoting school were appropriate to implement in school and they would also make a contribution to improve health knowledge and health behaviors in elementary school students.

Succeeding Factors and Barriers to Implementing Quality Improvement Programs (의료 질 향상 사업의 성공요인과 실패요인)

  • Choi, Kui Son;Lee, Sun Hee;Cho, Woo-Hyun;Kang, Hye-Young;Chae, Yoo Mi
    • Quality Improvement in Health Care
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    • v.8 no.2
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    • pp.146-159
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    • 2001
  • Background : To propose effective strategies for successful implementation of QI in health care institutions, by identifying facilitating factors and barriers to conducting QI programs. Methods : In order to examine empirical evidence on the success factors or barriers to QI implementation in hospitals, a literature study was performed on the basis of MEDLINE search. Among the identified literature. 13 provided reliable findings and basis comprehensive discussion on this issue and thus were selected for in-depth analysis. A mailed questionnaire survey was conducted for hospital CEOs and QI directors of hospitals with 400 beds or greater to investigate what attributes of their organizations they perceived as success factors or obstacles to QI implementation. Result : The analysis of selected literature and survey results presented that the primary factors considered to be most important as successful implementation of QI were: strong support from hospital CEOs, setting higher priority for QI activities, continuous and persistent efforts in QI activities, and active participation of clinical staffs. The barriers identified in this study were : the lack of orientation and understanding of QI concepts, low level of interest and participation of physician in QI programs, the lack of evaluation and rewarding system for QI activities. Conclusion : By identifying factors that affect facilitation of QI, the study results will be of great use for either institutions being in the early stage of evolving QI or those looking for better strategies to achieve more active and persistent QI implementation in their institutions.

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Transforming Pre-service Teachers into Data-Driven Educators: A Developmental Research

  • Huijin SEOK ;Jiwon LEE ;Eunjeong SONG ;Jeongmin LEE
    • Educational Technology International
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    • v.24 no.2
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    • pp.169-202
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    • 2023
  • This study aims to develop instructional design strategies included in educational programs that can effectively improve the educational data literacy of pre-service teachers. We used the design and development model proposed by Richey and Klein and investigated its internal and external validity. Internal validity assessment involved the input of five experts who evaluated the initial instructional strategies. We conducted an educational data literacy education program with 29 pre-service teachers from Korean colleges and graduate schools for external validity. The effectiveness of the program was verified by the Wilcoxon Rank Sum Test, which revealed a meaningful statistical difference between Wilcoxon Rank Sum Test post-scores after the four weeks of online classes. Therefore, this study developed instructional strategies followed by the steps of data-based decision-making: the final instructional strategies encompass 21 strategies, categorized for implementation before, during, and after classes, accompanied by 38 detailed guidelines. This approach bears notable significance as it encapsulates actionable and effective instructional strategies thoughtfully tailored to the unique circumstances and educational setting of the field, as well as the specific characteristics and requirements of the learners.