Samantha Freeman, Janelle Yorke, Paul Dark
Critically ill patients' experience of agitation: A qualitative meta-synthesis
Nursing in critical care
address low state physical education pe quantity quality law implementation elementary schools new york city department education nycdoe delivered multilevel intervention pe works 20152019 included districtled audit school pelaw implementation feedback coaching principals using reach effectiveness adoption implementation maintenance reaim implementation science framework assessed primary multilevel drivers success approach increasing adherence pe quantity quality law conducted indepth semistructured interviews districtlevel personnel n17 elementary school administrators n18 pe teachers n6 202021 interview results suggested several key reaim drivers successful pe law implementation reach ensure higherneed schools receive necessary initial support improve pe later focus lowerneed schools provide support tailored school needs penalties improve pe adoption increase priority pe district school levels eg audit feedback appear elevate pes priority streamline data collection feedback reports collectingreporting much information burdensome leads lack focus involve qualified ie skilled school administration pe programmingpedagogy districtlevel personnel work collaboratively schools build strong trusting districtschool relationships maintenance provide ongoing districtlevel support schools involve parents advocate quality pe pe audits feedback coaching peafc guide schools establishing longterm plans successfully implementing perelated law future research examine impact peafc elsewhere eg secondary schools districts