The Experts below are selected from a list of 48837 Experts worldwide ranked by ideXlab platform
Hiroyuki Aihara - One of the best experts on this subject based on the ideXlab platform.
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development and clinical outcomes of an endoscopic submucosal dissection Fellowship Program early united states experience
Surgical Endoscopy and Other Interventional Techniques, 2020Co-Authors: Phillip S Ge, Christopher C Thompson, Hiroyuki AiharaAbstract:BACKGROUND/AIMS: Adoption of endoscopic submucosal dissection (ESD) in the USA is challenging due to limited training opportunities. We describe the development of an ESD Fellowship Program in the USA and evaluate outcomes of ESD performed during this experience. METHODS: A 1-year ESD Fellowship was implemented under close supervision from a recognized ESD expert. The curriculum was tailored to the trainee based on their background and prior endoscopic training. Under the expert's discretion, the trainee started by assisting cases and was gradually allowed to begin performing portions of ESD, with increasing difficulty as determined by technical progress, until complete procedures could be performed. Technical characteristics, outcomes, and adverse events were recorded. RESULTS: A total of 72 consecutive ESD cases were performed during the training period, in which the trainee assisted/observed 19 cases, partially performed 18 cases, and mainly performed 26 cases. Mean lesion diameter was 44.5 mm, with 79.2% colorectal cases. The trainee more frequently performed procedures with lower degree of fibrosis (p = 0.016). En bloc, complete, and curative resection was achieved in 84.7, 81.2, and 76.8% of cases, with no significant differences in resection outcomes or adverse events from trainee involvement. CONCLUSIONS: ESD can be safely and effectively taught within a 1-year advanced endoscopy Fellowship. This was possible in the USA, even with limited gastric lesions, due to a progression focusing on easier portions of complex ESD procedures and advancing as technical progress allowed. Importantly, there was no increase in adverse event rate with trainee involvement in complex ESD cases.
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development and clinical outcomes of an endoscopic submucosal dissection Fellowship Program early united states experience
Surgical Endoscopy and Other Interventional Techniques, 2020Co-Authors: Christopher C Thompson, Hiroyuki AiharaAbstract:Adoption of endoscopic submucosal dissection (ESD) in the USA is challenging due to limited training opportunities. We describe the development of an ESD Fellowship Program in the USA and evaluate outcomes of ESD performed during this experience. A 1-year ESD Fellowship was implemented under close supervision from a recognized ESD expert. The curriculum was tailored to the trainee based on their background and prior endoscopic training. Under the expert’s discretion, the trainee started by assisting cases and was gradually allowed to begin performing portions of ESD, with increasing difficulty as determined by technical progress, until complete procedures could be performed. Technical characteristics, outcomes, and adverse events were recorded. A total of 72 consecutive ESD cases were performed during the training period, in which the trainee assisted/observed 19 cases, partially performed 18 cases, and mainly performed 26 cases. Mean lesion diameter was 44.5 mm, with 79.2% colorectal cases. The trainee more frequently performed procedures with lower degree of fibrosis (p = 0.016). En bloc, complete, and curative resection was achieved in 84.7, 81.2, and 76.8% of cases, with no significant differences in resection outcomes or adverse events from trainee involvement. ESD can be safely and effectively taught within a 1-year advanced endoscopy Fellowship. This was possible in the USA, even with limited gastric lesions, due to a progression focusing on easier portions of complex ESD procedures and advancing as technical progress allowed. Importantly, there was no increase in adverse event rate with trainee involvement in complex ESD cases.
Christopher C Thompson - One of the best experts on this subject based on the ideXlab platform.
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development and clinical outcomes of an endoscopic submucosal dissection Fellowship Program early united states experience
Surgical Endoscopy and Other Interventional Techniques, 2020Co-Authors: Phillip S Ge, Christopher C Thompson, Hiroyuki AiharaAbstract:BACKGROUND/AIMS: Adoption of endoscopic submucosal dissection (ESD) in the USA is challenging due to limited training opportunities. We describe the development of an ESD Fellowship Program in the USA and evaluate outcomes of ESD performed during this experience. METHODS: A 1-year ESD Fellowship was implemented under close supervision from a recognized ESD expert. The curriculum was tailored to the trainee based on their background and prior endoscopic training. Under the expert's discretion, the trainee started by assisting cases and was gradually allowed to begin performing portions of ESD, with increasing difficulty as determined by technical progress, until complete procedures could be performed. Technical characteristics, outcomes, and adverse events were recorded. RESULTS: A total of 72 consecutive ESD cases were performed during the training period, in which the trainee assisted/observed 19 cases, partially performed 18 cases, and mainly performed 26 cases. Mean lesion diameter was 44.5 mm, with 79.2% colorectal cases. The trainee more frequently performed procedures with lower degree of fibrosis (p = 0.016). En bloc, complete, and curative resection was achieved in 84.7, 81.2, and 76.8% of cases, with no significant differences in resection outcomes or adverse events from trainee involvement. CONCLUSIONS: ESD can be safely and effectively taught within a 1-year advanced endoscopy Fellowship. This was possible in the USA, even with limited gastric lesions, due to a progression focusing on easier portions of complex ESD procedures and advancing as technical progress allowed. Importantly, there was no increase in adverse event rate with trainee involvement in complex ESD cases.
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development and clinical outcomes of an endoscopic submucosal dissection Fellowship Program early united states experience
Surgical Endoscopy and Other Interventional Techniques, 2020Co-Authors: Christopher C Thompson, Hiroyuki AiharaAbstract:Adoption of endoscopic submucosal dissection (ESD) in the USA is challenging due to limited training opportunities. We describe the development of an ESD Fellowship Program in the USA and evaluate outcomes of ESD performed during this experience. A 1-year ESD Fellowship was implemented under close supervision from a recognized ESD expert. The curriculum was tailored to the trainee based on their background and prior endoscopic training. Under the expert’s discretion, the trainee started by assisting cases and was gradually allowed to begin performing portions of ESD, with increasing difficulty as determined by technical progress, until complete procedures could be performed. Technical characteristics, outcomes, and adverse events were recorded. A total of 72 consecutive ESD cases were performed during the training period, in which the trainee assisted/observed 19 cases, partially performed 18 cases, and mainly performed 26 cases. Mean lesion diameter was 44.5 mm, with 79.2% colorectal cases. The trainee more frequently performed procedures with lower degree of fibrosis (p = 0.016). En bloc, complete, and curative resection was achieved in 84.7, 81.2, and 76.8% of cases, with no significant differences in resection outcomes or adverse events from trainee involvement. ESD can be safely and effectively taught within a 1-year advanced endoscopy Fellowship. This was possible in the USA, even with limited gastric lesions, due to a progression focusing on easier portions of complex ESD procedures and advancing as technical progress allowed. Importantly, there was no increase in adverse event rate with trainee involvement in complex ESD cases.
Judy E Davidson - One of the best experts on this subject based on the ideXlab platform.
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benefits of a regional evidence based practice Fellowship Program a test of the arcc model
Worldviews on Evidence-based Nursing, 2017Co-Authors: Son Chae Kim, Caroline E Brown, Laurie Ecoff, Anamaria Gallo, Jaynelle F Stichler, Judy E DavidsonAbstract:Background The Advancing Research and Clinical practice through close Collaboration (ARCC) model postulates that improvement in nurses’ evidence-based practice (EBP) beliefs results in improved EBP implementation, which in turn improves nurse-related outcomes, such as nurses’ job satisfaction and group cohesion. However, there is a dearth of interventional studies that evaluate the relationships among these variables. Aims This study evaluated whether a regional EBP Fellowship Program improved participants’ EBP beliefs, EBP implementation, job satisfaction, group cohesion, and group attractiveness, and examined the relationships among these improvements, using structural equation modeling. Methods A pretest–posttest design was used among three annual cohorts of a regional, 9-month EBP Fellowship Program, from 2012 to 2014, in San Diego, California. Matched pretest and posttest questionnaires, including EBP Beliefs, EBP Implementation, Job Satisfaction, Group Cohesion, and Group Attractiveness scales, were analyzed (N = 120). Results Paired t-tests showed statistically significant improvements in EBP beliefs, EBP implementation, job satisfaction, and group cohesion (p < .05). Structural equation modeling showed that improvement in EBP implementation had no direct effect on improvements in job satisfaction, group cohesion, or group attractiveness. However, improvement in EBP beliefs had direct effects on improvements in job satisfaction (β = .24; p = .002) and group attractiveness (β = .22; p = .010). Linking Evidence to Action A regional, collaborative EBP Fellowship Program was effective in improving EBP beliefs, EBP implementation, job satisfaction, and group cohesion. Improvement in EBP beliefs appears to have had direct effects on improvements in job satisfaction and group attractiveness. Regional Fellowship Programs that educate and support EBP champions and their mentors may enhance EBP adoption in nursing practice across multiple health care institutions.
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predictors of evidence based practice implementation job satisfaction and group cohesion among regional Fellowship Program participants
Worldviews on Evidence-based Nursing, 2016Co-Authors: Son Chae Kim, Caroline E Brown, Laurie Ecoff, Anamaria Gallo, Jaynelle F Stichler, Judy E DavidsonAbstract:Background A regional, collaborative evidence-based practice (EBP) Fellowship Program utilizing institution-matched mentors was offered to a targeted group of nurses from multiple local hospitals to implement unit-based EBP projects. The Advancing Research and Clinical Practice through Close Collaboration (ARCC) model postulates that strong EBP beliefs result in high EBP implementation, which in turn causes high job satisfaction and group cohesion among nurses. Aims This study examined the relationships among EBP beliefs, EBP implementation, job satisfaction, group cohesion, and group attractiveness among the Fellowship Program participants. Methods A total of 175 participants from three annual cohorts between 2012 and 2014 completed the questionnaires at the beginning of each annual session. The questionnaires included the EBP beliefs, EBP implementation, job satisfaction, group cohesion, and group attractiveness scales. Results There were positive correlations between EBP beliefs and EBP implementation (r = 0.47; p <.001), as well as EBP implementation and job satisfaction (r = 0.17; p = .029). However, no statistically significant correlations were found between EBP implementation and group cohesion, or group attractiveness. Hierarchical multiple regression models showed that EBP beliefs was a significant predictor of both EBP implementation (β = 0.33; p <.001) and job satisfaction (β = 0.25; p = .011). However, EBP implementation was not a significant predictor of job satisfaction, group cohesion, or group attractiveness. Linking Evidence to Action In multivariate analyses where demographic variables were taken into account, although EBP beliefs predicted job satisfaction, no significant relationship was found between EBP implementation and job satisfaction or group cohesion. Further studies are needed to confirm these unexpected study findings.
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regional evidence based practice Fellowship Program impact on evidence based practice implementation and barriers
Clinical Nursing Research, 2013Co-Authors: Son Chae Kim, Caroline E Brown, Laurie Ecoff, Judy E Davidson, Anamaria Gallo, Kathy Klimpel, Mary A WicklineAbstract:This quasi-experimental, pre- and posttest study evaluated the impact of a 9-month collaborative regional evidence-based practice (EBP) Fellowship Program on practice, attitude, knowledge, and perceived barriers associated with implementation of EBP. Three annual cohorts (N=142) of nurses attending a Fellowship Program from 2008 to 2010 participated in this study. Paired t tests showed statistically significant increases in practice (+.82; p<.001) and knowledge/skills (+.78; p<.001) associated with EBP, but showed no change in attitude (+.16; p=.198). All four Barriers subscales showed statistically significant decreases (-.10 to -.31; p=.036 to <.001). Hierarchical multiple regression analyses showed that the barriers explained 6.8%, 8.9% and 13.9% of variances in practice, attitude and knowledge/skills, respectively. The collaborative regional Fellowship Program improved the practice and knowledge/skills associated with EBP. The barriers were significant predictors of the EBP implementation among the targeted group of nurses participating in the Fellowship Program.
Son Chae Kim - One of the best experts on this subject based on the ideXlab platform.
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benefits of a regional evidence based practice Fellowship Program a test of the arcc model
Worldviews on Evidence-based Nursing, 2017Co-Authors: Son Chae Kim, Caroline E Brown, Laurie Ecoff, Anamaria Gallo, Jaynelle F Stichler, Judy E DavidsonAbstract:Background The Advancing Research and Clinical practice through close Collaboration (ARCC) model postulates that improvement in nurses’ evidence-based practice (EBP) beliefs results in improved EBP implementation, which in turn improves nurse-related outcomes, such as nurses’ job satisfaction and group cohesion. However, there is a dearth of interventional studies that evaluate the relationships among these variables. Aims This study evaluated whether a regional EBP Fellowship Program improved participants’ EBP beliefs, EBP implementation, job satisfaction, group cohesion, and group attractiveness, and examined the relationships among these improvements, using structural equation modeling. Methods A pretest–posttest design was used among three annual cohorts of a regional, 9-month EBP Fellowship Program, from 2012 to 2014, in San Diego, California. Matched pretest and posttest questionnaires, including EBP Beliefs, EBP Implementation, Job Satisfaction, Group Cohesion, and Group Attractiveness scales, were analyzed (N = 120). Results Paired t-tests showed statistically significant improvements in EBP beliefs, EBP implementation, job satisfaction, and group cohesion (p < .05). Structural equation modeling showed that improvement in EBP implementation had no direct effect on improvements in job satisfaction, group cohesion, or group attractiveness. However, improvement in EBP beliefs had direct effects on improvements in job satisfaction (β = .24; p = .002) and group attractiveness (β = .22; p = .010). Linking Evidence to Action A regional, collaborative EBP Fellowship Program was effective in improving EBP beliefs, EBP implementation, job satisfaction, and group cohesion. Improvement in EBP beliefs appears to have had direct effects on improvements in job satisfaction and group attractiveness. Regional Fellowship Programs that educate and support EBP champions and their mentors may enhance EBP adoption in nursing practice across multiple health care institutions.
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predictors of evidence based practice implementation job satisfaction and group cohesion among regional Fellowship Program participants
Worldviews on Evidence-based Nursing, 2016Co-Authors: Son Chae Kim, Caroline E Brown, Laurie Ecoff, Anamaria Gallo, Jaynelle F Stichler, Judy E DavidsonAbstract:Background A regional, collaborative evidence-based practice (EBP) Fellowship Program utilizing institution-matched mentors was offered to a targeted group of nurses from multiple local hospitals to implement unit-based EBP projects. The Advancing Research and Clinical Practice through Close Collaboration (ARCC) model postulates that strong EBP beliefs result in high EBP implementation, which in turn causes high job satisfaction and group cohesion among nurses. Aims This study examined the relationships among EBP beliefs, EBP implementation, job satisfaction, group cohesion, and group attractiveness among the Fellowship Program participants. Methods A total of 175 participants from three annual cohorts between 2012 and 2014 completed the questionnaires at the beginning of each annual session. The questionnaires included the EBP beliefs, EBP implementation, job satisfaction, group cohesion, and group attractiveness scales. Results There were positive correlations between EBP beliefs and EBP implementation (r = 0.47; p <.001), as well as EBP implementation and job satisfaction (r = 0.17; p = .029). However, no statistically significant correlations were found between EBP implementation and group cohesion, or group attractiveness. Hierarchical multiple regression models showed that EBP beliefs was a significant predictor of both EBP implementation (β = 0.33; p <.001) and job satisfaction (β = 0.25; p = .011). However, EBP implementation was not a significant predictor of job satisfaction, group cohesion, or group attractiveness. Linking Evidence to Action In multivariate analyses where demographic variables were taken into account, although EBP beliefs predicted job satisfaction, no significant relationship was found between EBP implementation and job satisfaction or group cohesion. Further studies are needed to confirm these unexpected study findings.
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regional evidence based practice Fellowship Program impact on evidence based practice implementation and barriers
Clinical Nursing Research, 2013Co-Authors: Son Chae Kim, Caroline E Brown, Laurie Ecoff, Judy E Davidson, Anamaria Gallo, Kathy Klimpel, Mary A WicklineAbstract:This quasi-experimental, pre- and posttest study evaluated the impact of a 9-month collaborative regional evidence-based practice (EBP) Fellowship Program on practice, attitude, knowledge, and perceived barriers associated with implementation of EBP. Three annual cohorts (N=142) of nurses attending a Fellowship Program from 2008 to 2010 participated in this study. Paired t tests showed statistically significant increases in practice (+.82; p<.001) and knowledge/skills (+.78; p<.001) associated with EBP, but showed no change in attitude (+.16; p=.198). All four Barriers subscales showed statistically significant decreases (-.10 to -.31; p=.036 to <.001). Hierarchical multiple regression analyses showed that the barriers explained 6.8%, 8.9% and 13.9% of variances in practice, attitude and knowledge/skills, respectively. The collaborative regional Fellowship Program improved the practice and knowledge/skills associated with EBP. The barriers were significant predictors of the EBP implementation among the targeted group of nurses participating in the Fellowship Program.
Phillip S Ge - One of the best experts on this subject based on the ideXlab platform.
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development and clinical outcomes of an endoscopic submucosal dissection Fellowship Program early united states experience
Surgical Endoscopy and Other Interventional Techniques, 2020Co-Authors: Phillip S Ge, Christopher C Thompson, Hiroyuki AiharaAbstract:BACKGROUND/AIMS: Adoption of endoscopic submucosal dissection (ESD) in the USA is challenging due to limited training opportunities. We describe the development of an ESD Fellowship Program in the USA and evaluate outcomes of ESD performed during this experience. METHODS: A 1-year ESD Fellowship was implemented under close supervision from a recognized ESD expert. The curriculum was tailored to the trainee based on their background and prior endoscopic training. Under the expert's discretion, the trainee started by assisting cases and was gradually allowed to begin performing portions of ESD, with increasing difficulty as determined by technical progress, until complete procedures could be performed. Technical characteristics, outcomes, and adverse events were recorded. RESULTS: A total of 72 consecutive ESD cases were performed during the training period, in which the trainee assisted/observed 19 cases, partially performed 18 cases, and mainly performed 26 cases. Mean lesion diameter was 44.5 mm, with 79.2% colorectal cases. The trainee more frequently performed procedures with lower degree of fibrosis (p = 0.016). En bloc, complete, and curative resection was achieved in 84.7, 81.2, and 76.8% of cases, with no significant differences in resection outcomes or adverse events from trainee involvement. CONCLUSIONS: ESD can be safely and effectively taught within a 1-year advanced endoscopy Fellowship. This was possible in the USA, even with limited gastric lesions, due to a progression focusing on easier portions of complex ESD procedures and advancing as technical progress allowed. Importantly, there was no increase in adverse event rate with trainee involvement in complex ESD cases.
