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Application of the Knowledge-to-Action framework in translating nutrition and dietetic knowledge into practice: A systematic review
Get PDFBackground:The Knowledge-to-Action (KTA) framework was first developed in 2006 and has become a widely used tool to support translating evidence into practice. Despite its broad application, no systematic review has examined its use in studies of nutrition research translation. This systematic review (PROSPERO ID: CRD42024613147) aims to describe the characteristics of nutrition translation studies that use the KTA, the application of the KTA stages, and the actors involved in the knowledge translation effort and study quality.Methods:Searches were performed across four databases to include original nutrition studies in English that cite and apply the KTA from 2006 to April 2025. Data were extracted by two independent reviewers. The appraisal of the study quality used the Mixed Methods Appraisal Tool.Results:Twenty-three studies met the inclusion criteria, and most were conducted in a hospital setting (n = 15) by multidisciplinary teams targeting change in healthcare workforce practices. Studies addressed a range of evidence-practice gaps in topics such as malnutrition (n = 5), postsurgical feeding or enteral nutrition (n = 5), infant feeding (n = 2), and dietary patterns (n = 2). The KTA was used flexibly either partly or as a complete cycle, often with integration of other implementation frameworks and mixed methodologies, tailored to project context. Although the quality of studies was generally high, the lack of quantitative baseline data in most studies limited assessment of effectiveness.Conclusion:The KTA framework is an adaptable and valuable tool that has been used to address evidence-practice gaps across broad topics related to nutrition and dietetics
Digital Transformation as a Business Differentiation Strategy for Sustainable Built Environment
No full textThis book brings together cutting-edge exploratory research findings to show how a vision for sustainable communities can be enabled by digital transformation. It attempts to apply existing knowledge about digital transformation and sustainable communities and compare, interpret, diagnose, and evaluate a variety of digital solutions to ascertain their suitability for the delivery of a more sustainable built environment. Chapters examine a breadth of issues including how digital transformations could: Provide digital/physical working/living environments that anticipate emerging lifestylesBlend digital engagements into the physical engagements within the built environmentSupport business and social activity in physical and online venuesUse advanced information and community-oriented technologies for efficient management of urban servicesPromote sustainabilityExpress narratives that celebrate the experience of place and community Leverage transformation of educational systemsFoster linkages between universities, and between universities and businesses· Facilitate working relationships among small and large companiesFoster new processes and arrangements for innovation in the built environmen
If there's a will there'll be an easier way
No full textThe reluctance by young adults to make a will is understandable. After all, estate planning is something to be considered later in life once they have accumulated significant assets or when they have started a family.However, the reality is that life is unpredictable, and having a will in place provides a sense of security and clarity for loved ones left behind
Development of an Audit Tool to Evaluate End of Life Care in the Emergency Department: A Face and Content Validity Study
Get PDFObjectives:Emergency Departments (ED) are increasingly caring for patients with acute, chronic and terminal conditions requiring End of Life Care (EOLC). There is no published and validated tool available to evaluate EOLC delivery of patients dying in the ED. This study describes the face and content validity testing process to develop, refine and test a new and unique audit tool to evaluate EOLC in the ED.Methods: The face and content validation process used a three-round modified-Delphi technique. We consulted 11 experts to assess the proposed 89 items. Face validity explored the overall question of appropriateness and relevance; and content validity examined relevance ratings using the Content Validity Index (CVI) 4-point Likert scale in two rounds. Iterative assessment of ratings led to inclusion (CVI > 0.78), revision (CVI 0.65 to < 0.78) or exclusion (CVI < 0.65) of items from the tool.Results: Of the initial 89 items, 66 were included (CVI > 0.78), 16 items revised (scores 0.65 to < 0.78), seven were removed (scores < 0.65) and two new items suggested. Items covered the constructs patient characteristics, circumstances of death, ED performance, communication and care planning, recognition of dying, care delivery, and needs of families and carers. Scale CVI achieved 0.90. The consolidated list of 81 items achieved acceptable face validity and excellent content validity.Conclusion:Face and content validity of the ED EOLC audit tool achieved acceptable item-CVI scores and an excellent scale-CVI score. We recommend external validation of its components in real-life settings to monitor and set locally relevant clinical practice benchmarks
Cardiovascular Responses of a Stimulus Response Training Scenario
No full textPURPOSE: Optimal training replicates the same psychophysiological responses as real life crucial incidents to enable exposure to, and practice in responding with the perceptual, motor and cognitive deficits know to occur during stressful events. The aim of this investigation was to determine the cardiovascular response of a Stimulus Response Training Scenario in a Specialist Policing unit. METHODS: Fourteen experienced officers (43.5±5yrs, 180.0±9.9cm, 95.6±13.4kg) from a Tier 2 State Police Service (16.1±3.5yrs policing experience, 9.6±3.5yrs unit experience) completed a rolling operational scenario in pairs wearing occupational load (7.7±1.3kg) while being monitored with Polar Team Pro telemetry. Officers underwent a brief (~10 minute) physical training event prior to the start of the scenario which included a jog and calisthenics. The pairs were faced with 10 various use of force situations (average duration (13:33±2:43 min:sec) within a compound which they were to resolve with the most appropriate use of force option, prior to sitting quietly for 20 minutes to recover. Key variables were heart rate (bpm), movement speed (km/hr) and Heart Rate Variability (HRV) measured as rMSSD. RESULTS: There were significant increases in heart rate(F(1.747, 20.970)=146.173, p<0.001), and decreases in HRV (F(1.193, 15.507)=15.015, p<0.001) in the brief PT event from baseline (152.1±11.6bpm, 13.8±9.3ms, average speed 5.5±1.8km/hr) which further increased during the scenario with an average of 159.7±16.2bpm and 5.1±6.8ms, despite an average movement speed of 1.2±0.3km/hr. This heart rate remained significantly elevated and the HRV significantly decreased from baseline at both 10 minutes (131.6±18.5bpm, 5.4±2.6ms) and 20 minutes (114.4±19.7bpm, 8.4±6.3ms) post event (Figure 1). RELEVANCE: Results of this study highlight the appropriateness of stimulus response training in eliciting a significant stress response. This significant cardiovascular response persists for at least 20 minutes after the completion of training. This information is useful in planning training and recovery practices post stimulus response training
Effective Awe‐Inspiring Visual Content Strategy for Social Media Engagement with Ethical Fashion Brands: The Mediating Role of Deontological Ethical Beliefs
No full textThe demand for ethical fashion products has grown in recent years, with consumers caring more about how the product is made. Based on the deontological underpinnings of ethical fashion, the present research provides recommendations to ethical fashion brands by leveraging the emotion of awe through visual representations. This research examines 5362 Instagram posts of five ethical fashion brands and shows that the presence of awe-inspiring visual elements increases consumer engagement on social media for ethical fashion brands. Further, this research identifies the moderating roles of the color green and the size of the visual elements in this context. Two follow-up experiments provide causal evidence for these relationships. Experimental evidence for the role of deontological beliefs as a mediator of the relationship between feelings of awe and social media engagement with ethical fashion brands is also provided. Overall, the findings offer a more nuanced understanding of how ethical fashion brands can develop effective visual advertising campaigns on social media and the underlying process driving the effect, which is consistent with deontological ethics
In Praise of the Surf Photo
No full textOne of surfing’s greatest assets is its visual appeal. Compared to most other activities the surfing aesthetic is particularly enchanting. Capturing this aesthetic via still and video photography provides different gratifications. Surf video captures movement and the dynamic interplay between the surfer and the wave and a still image crystallizes the moment allowing the viewer to take the time to study every aspect in detail. Magazines are well suited to, among other things, the presentation of still photography. Their large format, physicality and permanence means that beautiful photos can be enjoyed at a slow pace, in great detail, and will still be there when you come back to it another time. A surf photo in a magazine or book will grab and hold your attention, and because of this, surfers display an unusual affinity for the analogue in this increasingly digitised world
Development of a patient decision aid for people with chronic low back pain and degenerative disc disease considering lumbar fusion: A mixed-methods study
Get PDFOBJECTIVES: To develop and user-test a patient decision aid providing evidence-based information for people with chronic low back pain (LBP) and degenerative disc disease considering lumbar fusion.DESIGN: Convergent parallel mixed methods study.SETTING: A prototype patient decision aid was developed, guided by the International Patient Decision Aid Standards (IPDAS) criteria, a multidisciplinary steering committee, and insights from previous studies. Participants were recruited via social media and the authors' collaborative networks to refine and evaluate the decision aid.PARTICIPANTS: Individuals who underwent lumbar fusion for chronic LBP and health professionals who manage these patients were purposively sampled.PRIMARY AND SECONDARY OUTCOMES: Semi-structured interviews and questionnaires were used to gather feedback and assess the decision aid's acceptability, usability, and preparedness for decision-making. Framework analysis was used for interview data and descriptive analysis for questionnaires.RESULTS: Sixteen clinicians (5 physiotherapists, 2 rheumatologists, 2 surgeons, 7 general practitioners) and seven patients participated, most rating the prototype's acceptability as 'excellent' or 'good'. Usability (mean [SD], health professionals: 78 [16], patients: 72 [8]) and preparedness for decision-making (health professionals: 73 [14], patients: 72 [10]) also scored highly. However, some viewed the prototype as biased against lumbar fusion, and suggestions to include more personalised information were made.CONCLUSIONS: This study showed that our prototype patient decision aid is acceptable, useful, and prepares patients to make informed decisions about spinal fusion for chronic LBP and degenerative disc disease. Future studies will assess the clinical impact of our decision aid and its optimal distribution timing.</p
Unleashing green innovation: navigating the path with green inclusive leadership, green knowledge management and internal CSR communication
No full textPurpose:Drawing upon the natural resource-based view (NRBV), organizational learning (OL) and contingency theories, this paper aims to develop and test a theoretical framework that examines the impact of green inclusive leadership on green innovation in business-to-business (B2B) context. This framework further examines the simple and serial mediation of green knowledge acquisition and sharing and the moderation of internal corporate social responsibility(CSR) communication.Design/methodology/approach:Using survey questionnaires, authors collected multiwave data from 215 middle managers from different manufacturing and production organizations operating in Pakistan. The hypotheses were inspected using the PROCESS macro.Findings:According to the findings, green inclusive leadership and green innovation are positively associated, and green knowledge acquisition and green knowledge sharing are efficient serial mediators of this relationship. Furthermore, the results suggest that internal CSR communication moderates the serial mediation such that the indirect relationship between green inclusive leadership and green innovation was stronger at high levels of internal CSR communication rather than at lower levels.Practical implications:This research offers implications for manufacturing industry leaders and policymakers. Green inclusive leadership nurtures green knowledge dynamics, making it vital for achieving United Nations’ Sustainable Development Goals and promoting ecological stewardship. Investing in green knowledge processes and transparent internal CSR communication can enhance sustainable innovation and align with broader sustainability goals in organizations predominantly operating under the B2B model.Originality/value:By merging NRBV, OL and contingency theories and drawing links across different genres of literature, this study provides unique insight into leadership, knowledge management, corporate communication, sustainability and CSR and innovation in the B2B sector