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Early recognition and treatment of malnutrition in primary- and homecare
Points of interest concerning implementation
The program of this meeting
• Exchange experiences
• Malnourished and afterwards?
• Toolkit
• Point of interest concerning implementation
‘ Elevator Pitch’
• Use an attracting introduction• Should be 40 seconds maximum (=100 words)
– Introduce yourself– A concrete description of the project– The content of your request– Why is this person the one you are
requesting – What can participating bring him/her
• Finish with a question or invite the person to start a conversation with you (by provoked curiosity)
• Bring with passion, be convinced by yourself, be assertive and show courage
Types of persons involving the implementation of a renewal
EarlyMajority
Laggards
EarlyAdopters
Innovators
LateMajority
From: Rogers, Diffusion of innovation
Facilitate Inform Support Convince Oblige
With which general practitioner/healthcare team to start?
• Pioneer• Ambassador• Enthusiastic healthcare manager• Difficult general practitioner• Example team• ………..
Think, when not known yet, with which general practitioner(s) or healthcare teams you want to start
Project plan
Name project
Milestone2 Milestone 3 Results project
Action
ActionActio
n
Action
Action
Action
Action
Action
Milestone1
December January March April
Actions projectplan
• Name of the project• Formulate the goal (take wishes and
possibilities in consideration)• Determine milestones
– Chronological– Use past perfect
• Determine actions for each milestone (see checklist)
• Make a planning and distribute the tasks
N.B. Make, if necessary, preconditions
Use of different media
posters, pencils, cups, key-cords, advertisements, commercials,t-shirts, etc.
clinical education, lecture, presentation, video/DVD, article, brochure, etc.
training, personal advice, coaching, etc.
A B C
Interaction
When media of each categoryare used the result is more than A+B+C
Eff
ect
ivit
y
Vision Skills Stimulation Resources Plan of action
Plan of action
Plan of action
Plan of action
Plan of action
Resources
Resources
Resources
Resources
Stimulation
Stimulation
Stimulation
Stimulation
Skills
Skills
Skills
Skills
Vision
Vision
Vision
Vision
Renewal
Confusion
Stress
Insecurity
Delay
Frustration
False start
Ersösz
applyapply hearhear
knowknowunderstandunderstand
integrateintegrate
Stadia of changes
DecisionDecision
Preview
Reflection
Active change
Consolidation Relapse
PERMANENT EXIT
Information
Negotiation Recognition
Temporary exit
Stages Problems Interventions
Hear Not listening/readingNo contact colleagues
Summarized informationPersonal approach key personsBrochure
Know No needConsidering it as irrelevantNot enough knowledge
CasusConfrontation with (consequences) behaviorSummarized messageRepeat often
Understand
Too complexSee disadvantagesDoubts
Good instruction (materials)Easy measurementsReflectionDiscussionDiscuss resistanceEvidence basedConsult experts or experienced colleagues
Apply Insufficient resourcesLacking skillsNegative reactions
TrainingSupervisorInformal experimentAssess bottlenecksFitted solutionMake results visible
Integrate ForgetRelapseInsufficient results
RemindersRegular measurements and discussion of resultsResponsibility
Features of innovation
• Relative benefit: better than what is currently used?
• Compatibility: does it fit to current available things?
• Complexity: Hard to understand/use?• Divisibility: Can there be experimented?• Visibility: Are results visible?
Rogers, E. (1983). Diffusion of innovations. New York: Free Press.
Implementation Tips
• Method by means of project– Ambitious and concrete goals– Project groups (composition!)– Formation project leader– Connect to current developments (attention to
elderly/ageing)– Good preparation and time schedule
• Multidisciplinary approach– Agreements (LESA)– Evaluation
• Customize the products of the toolkit
• PR & communication
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