Background An emergency department is typically a place of high activity where practitioners care for unanticipated presentations, which yields flow culture so that actions secure available beds are prioritised by the practitioners. Objectives How does in an influence nurses’ use research‐based clinical guideline and nutrition screening routine. Methods Ethnographic fieldwork was carried out over three months. The first author followed nurses, medical secretaries doctors department. Data...

The aim of this study is to explore and discuss key challenges associated with having stakeholders take part in co-designing a health care intervention increase mobility older medical patients admitted two departments at hospitals Denmark.The used qualitative design investigate the an five workshops involving professionals, relatives. "Challenges" are understood as "situations being faced something that needs great mental or physical effort order be done successfully therefore tests person's...

Abstract Background The Danish Health Authority recommended the implementation of new types emergency departments. Organizational changes in hospital sector challenged role, identity, and autonomy medical specialists. They tend to identify with their specialty, which can challenge successful change. However, investigations on specialty identity are rare science, how co-existence different identities influences departments needs be explored for development tailored strategies. aim this study...

Purpose To explore the mechanisms of implementation strategy, “oilcloth sessions” and understand explain ripple effects oilcloth sessions as a strategy to implement new emergency department. Design/methodology/approach A qualitative design was used whereby data were collected using field notes from an ethnographic study follow-up semi-structured interviews with staff, managers key employees who participated in sessions. The analysis inspired by realist evaluation approach generative...

<title>Abstract</title> <bold>Background</bold> It is well-established that mobility very limited among older hospitalized patients and associated with several negative outcomes. Therefore, this mixed-methods study aimed to quantify 24-hour levels in acutely admitted adults simultaneously explore clinical practice regards mobilization through an ethnographic field study. <bold>Methods</bold> Over a 6-week period, hospital was assessed 44 geriatric by SENS motion® activity sensors the wore...

Purpose Subacromial Pain Syndrome (SAPS) is a common persistent pain condition. Exercise-based care first-line recommendation, but an insufficient exercise dose hampers effectiveness. This study explores individual and contextual barriers facilitators for delivery of adherence to exercise-based in people with SAPS.

Aim Many older medical patients experience persistent functional limitations after hospitalization, such as dependency in activities of daily living, recurring fall incidents and increased mortality. Therefore, activity mobilization during hospitalization are essential to prevent decline patients. No previous studies have explored how the social context influences health professionals decide whether or not mobilize This qualitative study aimed explore contextual circumstances affect mobility...

Social distancing policies to ensure physical distance between people have become a crucial strategy in the battle against spread of coronavirus. The aim this project is analyze and compare social implemented Denmark Sweden 2020. Despite many similarities two countries, their response coronavirus pandemic differed markedly. Whereas authorities initiated mandatory regulations severe restrictions, Swedish predominantly promoted voluntary recommendations.The an interdisciplinary collaboration...

With the outbreak of COVID-19 pandemic, Denmark and Sweden’s governments health authorities implemented social distancing measures as main strategy to limit spread coronavirus. In Denmark, these were mostly mandatory, whereas in Sweden they primarily voluntarily based. The aim this study was explore how young adults retrieved perceived information during pandemic what their experiences everyday life with measures. To end, 30 Danish Swedish between 18 25 years interviewed. participants...

Introduction Older medical patients (&gt;65 years) represent 54% of the admissions to Danish and emergency departments. Acute bed-rest during hospitalisation are independent risk factors for death dependency in older patients. Even short hospitalisations associated with increased activities daily living after discharge. Interventions that increase mobility therefore important. The purpose this protocol is describe intervention design WALK-Copenhagen project, aimed at increasing 24 hours...

The aim of this study was to identify the most common barriers and facilitators physicians perceive regarding their role in promotion mobility older adults hospitalized for medical illness as part on an intervention promote mobility. Twelve at two departments were interviewed face-to-face using semi-structed interviews based Theoretical Domains Framework. physicians’ perceived promoting were: patients being too ill, department’s interior does not fit with mobility, a culture bedrest, job,...

Social distancing measures have been a key component in government strategies to mitigate COVID-19 globally. Based on official documents, this study aimed identify, compare and analyse public social policy adopted Denmark Sweden regarding the coronavirus from 1 March 2020 until October 2020. A difference was greater emphasis laws executive orders (sticks) Denmark, which allowed country adopt many stricter than Sweden, relied mostly general guidelines recommendations (sermons). The main...

Selecting appropriate strategies to target barriers implementing interventions represents a considerable challenge in implementation research and practice. The aim was investigate what categories of were selected by health care practitioners their managers co-design process how they justified these aimed at facilitating the WALK-Cph intervention.

Shared decision making (SDM) about medicine with older poly-medicated patients is vital to improving adherence and preventing medication-related hospital admissions, but it difficult achieve in practice. This study’s primary aim was provide insight into the extent of SDM medication decisions Emergency Department (ED) compare how aligns patients’ preferences needs. We applied a mixed-methods design investigate from two perspectives: (1) observational measurements observing patient involvement...

Abstract Background There is a long-standing debate in implementation research on whether adaptations to evidence-based interventions (EBIs) are desirable health care. If an intervention adapted and not delivered as conceived planned, it said have low fidelity. The WALK-Cph project was developed based the assumption that involving stakeholders co-design processes would facilitate fidelity of increase mobility acutely admitted older medical patients its two hospitals Denmark. purpose this...

Aim Clinical guidelines recommend non-surgical treatment before surgery is considered in patients eligible for knee replacement. Surgical provided by orthopedic surgeons and exercise therapy physical therapists. The aim of this study was to identify perceived facilitators barriers–among therapists–towards coordinated surgical replacement using pre-operative home-based with one exercise. Methods This qualitative embedded within the QUADX-1 randomized trial that investigates a model Physical...

More than 70% of patients admitted to emergency departments (EDs) in Denmark are older with multimorbidity and polypharmacy vulnerable adverse events poor outcomes. Research suggests that patient involvement shared decision-making (SDM) could optimize the treatment polypharmacy. The become more aware potential outcomes and, therefore, often tend choose less medication. However, implementing SDM clinical practice is challenging if it does not fit into existing workflows healthcare systems.The...

Denmark and Sweden initially adopted different responses to the COVID-19 pandemic although two countries share many characteristics. responded swiftly with mandatory restrictions. In contrast, relied on voluntary restrictions a more "relaxed" response during first wave of pandemic. However, increased rates cases led new approach that involved restrictions, thus making Sweden's similar Denmark's in second pandemic.The aim was investigate compare extent which populations considered be...

<h3>Introduction</h3> Subacromial Pain Syndrome (SAPS) is a common persistent pain condition. Exercise-based care recommended as first-line, but an insufficient exercise dose hampers effectiveness. This study explores individual and contextual barriers facilitators for delivery of adherence to exercise-based in people with SAPS. <h3>Materials Methods</h3> In this exploratory qualitative study, we recruited participants involved the management SAPS Denmark by snowball purposive sampling Oct...

Abstract Lack of mobility during hospitalization is a common problem in older adults (+65) and associated with an elevated risk hospital-associated disability. In recent study, we have shown that there unclarity among health professionals on priorities responsibilities concerning mobility, barriers to the promotion are present. Also, years, it has become clear in-hospital inactivity rooted hospital culture multi-dimensional multi-professional interventions required incorporate implement into...

<title>Abstract</title> Background Early diagnosis of alcohol-related liver disease (ALD) can improve survival if it leads to alcohol abstention or very light consumption. It is possible screen for fibrosis, an asymptomatic condition ALD that lead cirrhosis, by easy and noninvasive approach called transient elastography. has not yet been established whether screening fibrosis reduces consumption among individuals with use disorders compared usual treatment. In addition, important address...

Abstract Background Physical locations play an essential yet often overlooked role in healthcare implementation processes. Implementation Science frameworks such as the Theoretical Domains Framework, Consolidated Framework for Research, and Context framework acknowledge importance of physical environment, but they treat it a passive backdrop change. However, from cultural geographic perspective, spaces places are dynamic, influencing behavior, social structures, acceptance new practices....