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Who's using NPT?
Surviving heart attack - at the The Mayo Clinic Professor Victor M Montori and his co-investigators at the Knowledge Encounter Research Unit are conducting a randomized trial of a decision aid to help patients who have survived a heart attack determine their risk of death with and without post-myocardial infarction medications versus usual care. Nurse practitioners are to use the decision aid with the patients at the bedside. In conjunction with the randomized trial they are conducting an assessment based on NPT to determine the factors that will enable and hinder the normalization of these decision aids in routine hospital care of patients surviving a heart attack in the US.
Embedding evidence in primary care -
at Keele University Stephanie Tooth and Professor Pauline
Ong are exploring the ways that NPT can help us understand problems in changing clinical practice around musculoskeletal disorders in primary care in the UK.
Reconfiguring primary care for people with depression - although depression is a common illness real improvements are possible in the organization and delivery of care. At the University of Melbourne, Professor Jane Gunn is leading an international team investigating ways to improve Australian primary care responses to depression. The ReORDER study uses a combination of complex adaptive systems theory and NPT to understand and promote improvement in primary care mental health services.
Improving nutrition in hospital - up to 60% of older people in hospital are at risk of poor nutrition. Prof Paula Moynihan at Newcastle University leads a national project - the MAPP-MAL study - that aims to improve the 'food journey' from production to consumption, and so improve the nutritional status of older people. NPT provides a framework for understanding how new food products and processes can be embedded in hospital care.
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