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Implementation
The importance of implementation is widely recognized in the medical field,
and drug treatment for medical conditions offers a useful analogy. The
correct drug must be given and in sufficient dosage to obtain the desired
effect. Moreover, there is always a need to monitor drug use because many
patients do not follow the prescribed drug regimen. When drug monitoring
occurs, changes can be quickly made so the effect of the drug can be
accurately assessed. Otherwise, the physician cannot determine if the use of
a particular drug is having the intended effect.
What is implementation?
-Implementation refers to a “specific set of activities designed to put into
practice an activity or program” (fixsen, Naoom, Blasé, Friedman, and
Wallance, 2005),p.5.).
For variety of reasons, major changes can occur, so that the new program is
not an accurate reproduction of the original version. Strong program
implementation requires strength in several dimensions; three important one
are fidelity, adaptation, and dosage.
• Fidelity is the extent to which all the major elements of the original
program are faithfully reproduced.
• Adaptation is the extent to which the program is changed or modified.
• Dosage refers to how much of the original program is delivered.
Why is Implementation important in all
program delivery for all outcomes?
Evidence for the importance of implementation has been obtained in
multiple areas including educating, mental health, health care, community-
based initiatives, technology, industry, and management (durlal and Dupre,
2008; Eixsen, Naoom, Blasé, Fried, & Wallance, 2005). Moreover,
implementation is important regarldless of characteristics of the target
population, the type of program, and specific program goals.
It is possible to think of different points along a continuum as reflecting poor,
medium, or high quality implementation and to relate these points to the probability
of program success. In general:
• Programs are unlikely to achieve any of their goals if they are implemented
poorly.
• Programs implemented with moderate levels of quality run risk of failing to
achieve their goals or of achieving reduce benefits.
• High quality programs are more likely to be successful in achieving and
minimizing participant benefits compared with programs of low or moderate
quality.
• Health
- Health is the absence of illness, injury and disease. Health as a fundamental
nursing concept involves both mental and physiological well being, and it
changes over a patient’s lifetime.
• Illness
-Illness is a fundamental nursing concept that defines a deviation from health
with three stages: the onset of illness, the acceptance of the state of illness
and the convalescence or recovery stage. A nurse’s role in illness includes
monitoring and interpreting symptoms, administering medication and self-
care information, and caring for patients who are incapacitated by illness,
such as administering intravenous fluids to a patient dehydrated from fever
and vomiting.
• Stress
-Nurses work to make patients more comfortable, and a big part of nursing
care includes reducing patient stress. Nurses care for patients who
experience stress from being weekened due to illness or injury, being
removed from a familiar environment and taken to a hospital or emergency
room, waiting for test results, undergoing uncomfortable or painful
procedures and not knowing what is happening to them. Nurses explain
procedures to patients, listen to patients concers and answer questions,
protect patients, privacy and ask how patients are feeling. The goal is to
calm them feel more physically and emotionally comfortable.
• Health Promotion
-In “Fundamental Concepts and Skills for Nursing”, Susan deWit and
patricia O’Neill explain that it’s the responsibility of every nurse to promote
better health by informing patients of things such as illness prevention
methods, safe health practices and healthy lifestyle choices. Nurses promote
health by discussing weight and exercise issues, nutrition, the risks for
drinking, smoking and drug use, and other self-care that increases their
quality and length of life.
MONTHLY HEALTH
ACTIVITIES OF DOH
JANUARY
• LIVER CANCER AND VIRAL HEPATITIS AWARENESS PREVENTION MONTH
• NATIONAL DEWORMING MONTH
• SCHISTOSOMIASIS AWARENESS AND MASS DRUG ADMINISTRATION
MONTH
• ZERO WASTE MONTH
• AUTISM CONSCIOUSNESS WEEK-3RD WEEK
• NATIONAL CANCER CONSCIOUSNESS WEEK-3RD WEEK
• GOITER AWARENESS WEEK-4TH WEEK
• WORLD LEPROSY DAY-LAST SUNDAY
FEBRUARY
• NATIONAL DOWN SYNDROME CONSCIOUSNESS MONTH
• NATIONAL HEALTH INSURANCE MONTH
• ORAL HEALTH MONTH
• PHILIPPINE HEART MONTH
• MENTAL RETARDATION WEEK FOR THE PREVENTION OF SEXUAL ABUSE AND
EXPLOITATION-2ND WEEK
• LEPROSY CONTROL WEEK-LAST WEEK
• NATIONAL RARE DISEASE WEEK-LAST WEEK
• WORLD CANCER DAY-FEBRUARY 4
• INTERNATIONAL CHILDHOOD CANCER DAY-FEBRUARY 15
MARCH