- Health Policy Implementation Science
- Interprofessional Education and Collaboration
- Primary Care and Health Outcomes
- Mental Health and Patient Involvement
- Health Systems, Economic Evaluations, Quality of Life
- Chronic Disease Management Strategies
- Migration, Ethnicity, and Economy
- Frailty in Older Adults
- Clinical practice guidelines implementation
- Sustainable Supply Chain Management
- Middle East and Rwanda Conflicts
- Evaluation and Performance Assessment
- Geriatric Care and Nursing Homes
- Healthcare Systems and Technology
- Complex Systems and Decision Making
- Politics and Conflicts in Afghanistan, Pakistan, and Middle East
- Food, Nutrition, and Cultural Practices
- Service and Product Innovation
- Parental Involvement in Education
- Delphi Technique in Research
- Energetic Materials and Combustion
- Family Support in Illness
- Ophthalmology and Visual Impairment Studies
- Environmental Sustainability in Business
- Nursing Roles and Practices
Government Sadiq College Women University
2022
Hazara University
2022
University of Toronto
2017-2021
Bahawal Victoria Hospital
2021
St. Michael's Hospital
2014-2019
St Andrew's Healthcare
2016
Complexity thinking is increasingly being embraced in healthcare, which often described as a complex adaptive system (CAS). Applying CAS to healthcare an explanatory model for understanding the nature of system, and stimulate changes transformations within valuable. A seminar series on systems complexity hosted at University Toronto 2016 offered number insights applications perspectives that we explore here. We synthesized topics from this into set six how fosters deeper accepted ideas...
older patients admitted to hospitals are at risk for hospital-acquired morbidity related immobility. The aim of this study was implement and evaluate an evidence-based intervention targeting staff promote early mobilisation in general medical inpatient units.the implementation multi-component tailored local context 14 academic Ontario, Canada. primary outcome patient mobilisation. Secondary outcomes included length stay (LOS), discharge destination, falls functional status. targeted were...
OBJECTIVES. The purpose of this pilot study was to determine whether mixing a multinutrient fortifier approximately one half the human milk fed each day for finite period after discharge improves nutrient intake and growth predominantly milk–fed low birth weight infants. We also assessed impact intervention on exclusivity feeding. METHODS. Human (≥80% feeding per day) (750–1800 g) infants (n = 39) were randomly assigned at hospital either control or an group. Infants in group discharged from...
Background Health systems often fail to use evidence in clinical practice. In maternal and perinatal health, the majority of maternal, fetal newborn mortality is preventable through implementing effective interventions. To meet this challenge, WHO's Department Reproductive Research partnered with Knowledge Translation Program at St. Michael's Hospital (SMH), University Toronto, Canada establish a collaboration on knowledge translation (KT) called GREAT Network (Guideline-driven, priorities,...
To address challenges related to selecting a valid, reliable, and appropriate readiness assessment measure in practice, we developed an online decision support tool aid frontline implementers healthcare settings this process. The focus of paper is describe multi-step, end-user driven approach developing for use during the planning stages implementation. A multi-phase, was used develop test usability tool. First, measures that are were identified from systematic review. Second, mapping...
Few training opportunities are available for implementation practitioners; we designed the Practicing Knowledge Translation (PKT) to address this gap. The goal of PKT is train practitioners use evidence and apply science in healthcare settings. aim study was describe evaluate participant theories, models, frameworks (TMFs), knowledge, self-efficacy, satisfaction feedback on course.PKT delivered between September 2015 February 2016 through a 3-day workshop, 11 webinars. We assessed using an...
Background: Amblyopia is the leading cause of visual impairment in children, adolescents, and middle-aged adults, characterized by a loss binocularity significant reduction best-corrected acuity (BCVA). It clinically defined as difference two or more lines BCVA between eyes. Traditional treatment approaches, such patching therapy, are effective but often limited compliance issues. Binocular spectacle prescription has emerged promising alternative, addressing both refractive correction...
Much importance has been placed on assessing readiness for change as one of the earliest steps implementation, but measuring it can be a complex and daunting task. Organizations individuals struggle with how to reliably accurately measure change. Several measures have developed help organizations assess readiness, these are often underused due difficulty selecting right measure. In response this challenge, we will develop test prototype decision support tool that is designed guide interested...
Policymakers have cited several barriers to using evidence in policy decisions, including lack of research relevance and timeliness. In recent years, reports focused on the successes challenges researcher–policymaker collaborations, a form engagement intended help overcome use policymaking. Although these often demonstrate an increase relevance, rarely do they provide concrete methods enhancing timeliness, which is surprising given policymakers’ expressed need receive “rapid-response”...
Although implementation models broadly recognize the importance of social relationships, our knowledge about applying network analysis (SNA) to formative, process, and outcome evaluations health system interventions is limited. We explored applications adopting an SNA lens inform planning, engagement execution, evaluation. used Health Links, a province-wide program in Canada aiming improve care coordination among multiple providers high-needs patients, as example intervention. At planning...
Bed rest for older hospitalized patients places them at risk hospital-acquired morbidity. We previously evaluated an early mobilization intervention and found it to be effective improving rates decreasing length of stay on internal medicine units. The aim this study was conduct a replication evaluating the impact evidence-informed surgery, psychiatry, medicine, cardiology inpatient A multi-component tailored local context seven hospitals in Ontario, Canada. primary outcome patient measured...
How does leadership emerge and function when multiple health care organizations come together to form a network? In this qualitative comparative case study, we draw on distributed theory examine the practices that manifested during implementation of three coordinated networks. Thirty leaders providers participated in semistructured interviews. Interview data were inductively analyzed using thematic analysis. Although established response same policy initiative, each differed its approach...
10 WLT SEPTEMBER / OCTOBER 2015 photo : cary loren D unya Mikhail is a native Iraqi, forced to leave her home in 1996 be able write poetry without censorship. Her sense of loss for homeland permeates writing. Published both Arabic and English, recent book, The Iraqi Nights (2014), reimagines what it means an exile. cadence subject builds on previous work Diary Wave Outside the Sea (2009) War Works Hard (2006). began publishing as student at University Baghdad, where writers that resisted...
Social and emotional learning (SEL) has been lauded as important for student success. However, little guidance is available how educators, scholars, policymakers can work together to improve SEL implementation in public schools across the state. Here, we describe CalHOPE Student Support – an effort "sow seeds" of California. Invoking metaphor a garden, first discuss historic developments California that readied ground such work. Then, lift up voices education leaders who have catalysts...
10 WLT SEPTEMBER / OCTOBER 2015 photo : cary loren D unya Mikhail is a native Iraqi, forced to leave her home in 1996 be able write poetry without censorship. Her sense of loss for homeland permeates writing. Published both Arabic and English, recent book, The Iraqi Nights (2014), reimagines what it means an exile. cadence subject builds on previous work Diary Wave Outside the Sea (2009) War Works Hard (2006). began publishing as student at University Baghdad, where writers that resisted...
The world has been witnessing various waves of terrorism and violent extremism for more than last 2000 years. modern wave its roots in the post-Cold War era, with rigorous transformation since incident 9/11 2001. consequent Global on Terror, which manifested an unparalleled global kinetic response, now again instigated a revitalized inquiry into how ends. This question is fact twofold. On one hand, it asks underlying causes to be explored, that result individuals commencing terrorist...
The International Journal of Integrated Care (IJIC) is an online, open-access, peer-reviewed scientific journal that publishes original articles in the field integrated care on a continuous basis.IJIC has Impact Factor 2.913 (2021 JCR, received June 2022)The IJIC 20th Anniversary Issue was published 2021.
The International Journal of Integrated Care (IJIC) is an online, open-access, peer-reviewed scientific journal that publishes original articles in the field integrated care on a continuous basis.IJIC has Impact Factor 5.120 (2020 JCR, received June 2021)