Nora Mueller
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View article: Advancing the Field of Deimplementation: Perspectives on Low-Value Clinical Preventive Services
Advancing the Field of Deimplementation: Perspectives on Low-Value Clinical Preventive Services Open
These findings offer guidance for future work, including advancing methods; testing strategies specific to low-value clinical preventive services; and engaging patients, families, and communities in deimplementation efforts.
View article: Disparities in receipt of high-priority clinical preventive services
Disparities in receipt of high-priority clinical preventive services Open
Introduction The purpose of this paper is to examine potential disparities in the receipt of high-priority, clinical preventive services among adults. Methods The study is based on a cross-sectional survey from the Agency for Healthcare Re…
View article: Awareness of Racial and Ethnic Bias and Potential Solutions to Address Bias With Use of Health Care Algorithms
Awareness of Racial and Ethnic Bias and Potential Solutions to Address Bias With Use of Health Care Algorithms Open
Importance Algorithms are commonly incorporated into health care decision tools used by health systems and payers and thus affect quality of care, access, and health outcomes. Some algorithms include a patient’s race or ethnicity among the…
View article: From precision medicine to precision care: Choosing and using precision medicine in the context of multimorbidity
From precision medicine to precision care: Choosing and using precision medicine in the context of multimorbidity Open
Rapid advances in precision medicine promise dramatic reductions in morbidity and mortality for a growing array of conditions. To realize the benefits of precision medicine and minimize harm, it is necessary to address real-world challenge…
View article: Respiratory Protection Perceptions among Malian Health Workers: Insights from the Health Belief Model
Respiratory Protection Perceptions among Malian Health Workers: Insights from the Health Belief Model Open
Reusable respiratory protective devices called elastomeric respirators have demonstrated their effectiveness and acceptability in well-resourced healthcare settings. Using standard qualitative research methods, we explored the feasibility …
View article: The Prevalence of Dissemination and Implementation Research and Training Grants at National Cancer Institute–Designated Cancer Centers
The Prevalence of Dissemination and Implementation Research and Training Grants at National Cancer Institute–Designated Cancer Centers Open
Background Dissemination and implementation (D&I) research is a key factor in the uptake and use of evidence-based cancer control interventions. National Cancer Institute (NCI)–designated cancer centers are ideal settings in which to furth…
View article: Screening for colorectal cancer in people ages 45–49: research gaps, challenges and future directions for research and practice
Screening for colorectal cancer in people ages 45–49: research gaps, challenges and future directions for research and practice Open
We explore challenges for implementing new recommendations to begin screening for colorectal cancer in people ages 45–49. Challenges include the costs, limited evidence, and ensuring health equity. We also offer solutions and recommendatio…
View article: Applying an equity lens to characterizing the process and reasons for an adaptation to an evidenced-based practice
Applying an equity lens to characterizing the process and reasons for an adaptation to an evidenced-based practice Open
Background: Adaptations to evidence-based practices (EBPs) are common but can impact implementation and patient outcomes. In our prior research, providers in routine care made a fidelity-inconsistent adaptation to an EBP that improved heal…
View article: “NOTHING TO BE WORRIED ABOUT YET”: PERCEPTIONS OF COLORECTAL CANCER AMONG INDIVIDUALS BELOW THE AGE OF 50.
“NOTHING TO BE WORRIED ABOUT YET”: PERCEPTIONS OF COLORECTAL CANCER AMONG INDIVIDUALS BELOW THE AGE OF 50. Open
National guidelines recommend regular screening for colorectal cancer (CRC) begin at age 50. Recent research however showed rates rising among adults below the age of 50 despite declining overall rates of CRC. Screening guidelines have not…
View article: Providers’ Perceptions of Barriers to Optimal Communication With Patients During the Postcolonoscopy Experience
Providers’ Perceptions of Barriers to Optimal Communication With Patients During the Postcolonoscopy Experience Open
Introduction: Colonoscopy screening is an effective method of detecting and preventing colorectal cancer. Standard procedure for most colonoscopies (98%) is to use conscious sedation, which can cause short-term cognitive impairment postpro…
View article: Patient Centeredness in Electronic Communication: Evaluation of Patient-to-Health Care Team Secure Messaging
Patient Centeredness in Electronic Communication: Evaluation of Patient-to-Health Care Team Secure Messaging Open
This evaluation is an important step toward understanding the content and socioemotional tone that is part of the secure messaging exchanges between patients and health care team members. Our findings were encouraging; however, there are o…
View article: Social vs. practical problems in attaining a colonoscopy: Different patient profiles?
Social vs. practical problems in attaining a colonoscopy: Different patient profiles? Open
Background: Colonoscopy is an effective procedure for identifying precancerous polyps and cancerous lesions, but it is unlike other cancer screening tools in that it requires sedation and thus assistance from at least one other individual.…
View article: Patient‐centred care is a way of doing things: How healthcare employees conceptualize patient‐centred care
Patient‐centred care is a way of doing things: How healthcare employees conceptualize patient‐centred care Open
Background Patient‐centred care is now ubiquitous in health services research, and healthcare systems are moving ahead with patient‐centred care implementation. Yet, little is known about how healthcare employees, charged with implementing…
View article: Qualitative Analysis of Origins and Evolution of an Elastomeric Respirator-based Hospital Respiratory Protection Program.
Qualitative Analysis of Origins and Evolution of an Elastomeric Respirator-based Hospital Respiratory Protection Program. Open
Elastomeric respirators (elastomerics) may serve as one alternative to disposable N95 respirator use in healthcare. We explored factors which drove elastomeric adoption and continued use in a large academic medical center. We conducted sem…
View article: Surgeons’ Disclosures of Clinical Adverse Events
Surgeons’ Disclosures of Clinical Adverse Events Open
Surgeons who reported they were less likely to discuss preventability of the adverse event, or who reported difficult communication experiences, were more negatively affected by disclosure than others. Quality improvement efforts focused o…