Christina M Thorpe, Claudia Jacova, Donald M Wilkie
Some pitfalls in measuring memory in animals
Neuroscience and biobehavioral reviews
people concurrent mental health substance use disorders complex biopsychosocial problems risk healthcare needs met nurses positioned meet needs often lack training concurrent disorder management extension community healthcare outcomes echo university new mexico health sciences center 2003 promising technologyenabled collaborative learning model used implement evidencebased practice build capacity among healthcare professionals managing complex chronic health conditions understand echo program concurrent disorder management impacts nurses competency development clinical practice uncover key conditions successful uptake implementation convergent mixedmethods design comprising quantitative uncontrolled beforeandafter study qualitative study using interpretive description methodology echo program concurrent disorder management implemented 2018 quaternary academic hospital centre metropolitan western canada 65 nurses registered program 2018 2020 invited participate study online surveys completed participating nurses n 28 administered baseline six 12 months following entrytoprogram measure changes nurserelated outcomes survey data analyzed using descriptive statistics repeated measures analysis semistructured interviews conducted nurse subgroup n 10 explore developed implemented competencies factors influenced process interview transcripts analyzed using inductive thematic analysis using pillar integration process analyzed results methods provide richer understanding phenomena identified six interrelated key conditions successful uptake implementation evidencebased practice concurrent disorder nursing care echo 1 practice validation opportunities 2 reciprocal trusting relationships interprofessional education context 3 peertopeer experience sharing 4 collaboration experts 5 reinforcement positive attitudes towards ones professional role 6 organizational support outcome measures perspectives experiences collected 12 months indicated echo contributed nurses competency development conditions effective nursing practice changes given challenges implementing clinical guidelines concurrent disorder nursing care results highlight importance understanding key conditions successful uptake implementation informs approaches optimally adapt implementation strategies needs specificities nurses obtain impactful sustainable results