Joann E Kirchner
Datos Biográficos
| ID | 219355 |
|---|---|
| NOMBRE | Joann E Kirchner |
| NOMBRES | Joann E |
| APELLIDO | Kirchner |
| FIRMA | KIRCHNER J E |
| AFILIACIONES | Central Arkansas Veterans Healthcare System |
| ORCID | 0000-0002-2090-4248 |
| VERIFICADO | Sí |
| TOTAL DE OBRAS | 15 |
| TOTAL DE CITAS | 9 |
| TOTAL COMO AUTOR | 15 |
| TOTAL COMO EDITOR | 0 |
| PRIMER AÑO DE PUBLICACIÓN | 2002 |
| AÑO MÁS RECIENTE DE PUBLICACIÓN | 2024 |
| ÍNDICE H | 1 |
Implementation of LGBTQ+ affirming care policies in the Veterans Health Administration
Background: In the United States Department of Veterans Affairs (VA), veterans who are lesbian, gay, bisexual, transgender, queer, and similar gender and sexual minoritized people (LGBTQ+) experience health disparities compared to cisgender, heterosexual veterans. VA's LGBTQ+ Health Program created two healthcare policies on providing LGBTQ+ affirming care (healthcare that is inclusive, validating, and understanding of the LGBTQ+ population). The…
A participant-randomized pilot hybrid II trial of group cognitive processing therapy for incarcerated persons with posttraumatic stress and substance use disorder symptoms
Adapting Caring Contacts for Veterans in a Department of Veterans Affairs Emergency Department
Transitions in care, such as discharge from an emergency department (ED), are periods of increased risk for suicide and effective interventions that target these periods are needed. Caring Contacts is an evidence-based suicide prevention intervention that targets transitions, yet it has not been widely implemented. This pilot study adapted Caring Contacts for a Department of Veterans Affairs (VA) ED setting and population, created an implementati…
Implementing and Sustaining SHARE
Although incarcerated women are a highly victimized population, therapy for sexual violence victimization (SVV) sequela is not routinely offered in prison. SHARE is a group therapy for SVV survivors that was successfully implemented and sustained in a women’s correction center. Here, we aimed to identify implementation factors and strategies that led to SHARE’s success and describe incarcerated women’s perspectives on the program. We conducted a …
Strategy Configurations Directly Linked to Higher Hepatitis C Virus Treatment Starts
BACKGROUND: The Department of Veterans Affairs (VA) cares for more patients with hepatitis C virus (HCV) than any other US health care system. We tracked the implementation strategies that VA sites used to implement highly effective new treatments for HCV with the aim of uncovering how combinations of implementation strategies influenced the uptake of the HCV treatment innovation. We applied Configurational Comparative Methods (CCMs) to uncover c…
The health equity implementation framework
BACKGROUND: Researchers could benefit from methodological advancements to advance uptake of new treatments while also reducing healthcare disparities. A comprehensive determinants framework for healthcare disparity implementation challenges is essential to accurately understand an implementation problem and select implementation strategies. METHODS: We integrated and modified two conceptual frameworks-one from implementation science and one from …
Use of concept mapping to characterize relationships among implementation strategies and assess their feasibility and importance
BACKGROUND: Poor terminological consistency for core concepts in implementation science has been widely noted as an obstacle to effective meta-analyses. This inconsistency is also a barrier for those seeking guidance from the research literature when developing and planning implementation initiatives. The Expert Recommendations for Implementing Change (ERIC) study aims to address one area of terminological inconsistency: discrete implementation s…
A refined compilation of implementation strategies
BACKGROUND: Identifying, developing, and testing implementation strategies are important goals of implementation science. However, these efforts have been complicated by the use of inconsistent language and inadequate descriptions of implementation strategies in the literature. The Expert Recommendations for Implementing Change (ERIC) study aimed to refine a published compilation of implementation strategy terms and definitions by systematically …
Hospital Executives’ Perceptions of End-of-Life Care
Hospital executives are key stakeholders in the hospital setting. However, despite extensive medical and nursing literature on the importance of end-of-life (EOL) care in hospitals, little is known about hospital executives’ perceptions of the provision of EOL care in their facilities. The objective of this study was to capture hospital executives’ perceptions of the provision of EOL care in the hospital setting. This descriptive, naturalistic ph…
Psychological Traumas of War
Purpose: With nearly 3 million US troops having deployed for Operations Enduring Freedom, Iraqi Freedom, and New Dawn (OEF/OIF/OND) since the conflicts began, an estimated 2 million children have been separated from a parent. This manuscript describes a collaborative project between a state's Veterans Healthcare System, a branch of the American Counseling Association, and a medical university on the OEF/OIF/OND deployment experience. Methods: The…
Combat-related Parental Deployment
This manuscript describes a qualitative study using focus group methods to gain insight into how combat-related parental deployments affect preschool-age children. Using the Resiliency Model of Role Performance for Service Members, Veterans, and their Families, the authors found that decreases in social connection and individual assets impacted the role performance of all family members. As parental role performance deteriorated, similarly did th…
Partnering With Communities to Address the Mental Health Needs of Rural Veterans
PURPOSE: Many veterans who face mental illness and live in rural areas never obtain the mental health care they need. To address these needs, it is important to reach out to community stakeholders who are likely to have frequent interactions with veterans, particularly those returning from Operations Enduring and Iraqi Freedom (OEF/OIF). METHODS: Three community stakeholder groups-clergy, postsecondary educators, and criminal justice personnel-ar…
Creating a Quality-Improvement Dialogue
There is a growing consensus that a hybrid of two common approaches to quality improvement (QI), local participatory QI and expert QI, might be the best method for achieving quality care. Achieving such a hybrid requires that content experts establish an ongoing dialogue with both frontline staff members and managers. In this study we examined frontline staff members' and managers' preferences regarding how to conduct such a dialogue, and we prov…
Rural‐Urban Differences in Health Care Benefits of a Community‐Based Sample of At‐Risk Drinkers
Context: Different types of health plan costcontainment strategies (eg, gatekeeping, selective contracting, and cost‐sharing) may affect the utilization of behavioral health services differently in urban and rural areas Purpose: This research compares the cost‐containment strategies used by the health plans of insured at‐risk drinkers residing in rural and urban areas Methods: A screening instrument for at‐risk drinking was administered by phone …
Depressive Disorders and Alcohol Dependence in a Community Population
Creating a Quality-Improvement Dialogue
There is a growing consensus that a hybrid of two common approaches to quality improvement (QI), local participatory QI and expert QI, might be the best method for achieving quality care. Achieving such a hybrid requires that content experts establish an ongoing dialogue with both frontline staff members and managers. In this study we examined frontline staff members' and managers' preferences regarding how to conduct such a dialogue, and we prov…
Combat-related Parental Deployment
This manuscript describes a qualitative study using focus group methods to gain insight into how combat-related parental deployments affect preschool-age children. Using the Resiliency Model of Role Performance for Service Members, Veterans, and their Families, the authors found that decreases in social connection and individual assets impacted the role performance of all family members. As parental role performance deteriorated, similarly did th…
Depressive Disorders and Alcohol Dependence in a Community Population
Rural‐Urban Differences in Health Care Benefits of a Community‐Based Sample of At‐Risk Drinkers
Context: Different types of health plan costcontainment strategies (eg, gatekeeping, selective contracting, and cost‐sharing) may affect the utilization of behavioral health services differently in urban and rural areas Purpose: This research compares the cost‐containment strategies used by the health plans of insured at‐risk drinkers residing in rural and urban areas Methods: A screening instrument for at‐risk drinking was administered by phone …
Creating a Quality-Improvement Dialogue
There is a growing consensus that a hybrid of two common approaches to quality improvement (QI), local participatory QI and expert QI, might be the best method for achieving quality care. Achieving such a hybrid requires that content experts establish an ongoing dialogue with both frontline staff members and managers. In this study we examined frontline staff members' and managers' preferences regarding how to conduct such a dialogue, and we prov…
Partnering With Communities to Address the Mental Health Needs of Rural Veterans
PURPOSE: Many veterans who face mental illness and live in rural areas never obtain the mental health care they need. To address these needs, it is important to reach out to community stakeholders who are likely to have frequent interactions with veterans, particularly those returning from Operations Enduring and Iraqi Freedom (OEF/OIF). METHODS: Three community stakeholder groups-clergy, postsecondary educators, and criminal justice personnel-ar…
Psychological Traumas of War
Purpose: With nearly 3 million US troops having deployed for Operations Enduring Freedom, Iraqi Freedom, and New Dawn (OEF/OIF/OND) since the conflicts began, an estimated 2 million children have been separated from a parent. This manuscript describes a collaborative project between a state's Veterans Healthcare System, a branch of the American Counseling Association, and a medical university on the OEF/OIF/OND deployment experience. Methods: The…
Combat-related Parental Deployment
This manuscript describes a qualitative study using focus group methods to gain insight into how combat-related parental deployments affect preschool-age children. Using the Resiliency Model of Role Performance for Service Members, Veterans, and their Families, the authors found that decreases in social connection and individual assets impacted the role performance of all family members. As parental role performance deteriorated, similarly did th…
Use of concept mapping to characterize relationships among implementation strategies and assess their feasibility and importance
BACKGROUND: Poor terminological consistency for core concepts in implementation science has been widely noted as an obstacle to effective meta-analyses. This inconsistency is also a barrier for those seeking guidance from the research literature when developing and planning implementation initiatives. The Expert Recommendations for Implementing Change (ERIC) study aims to address one area of terminological inconsistency: discrete implementation s…
A refined compilation of implementation strategies
BACKGROUND: Identifying, developing, and testing implementation strategies are important goals of implementation science. However, these efforts have been complicated by the use of inconsistent language and inadequate descriptions of implementation strategies in the literature. The Expert Recommendations for Implementing Change (ERIC) study aimed to refine a published compilation of implementation strategy terms and definitions by systematically …
Hospital Executives’ Perceptions of End-of-Life Care
Hospital executives are key stakeholders in the hospital setting. However, despite extensive medical and nursing literature on the importance of end-of-life (EOL) care in hospitals, little is known about hospital executives’ perceptions of the provision of EOL care in their facilities. The objective of this study was to capture hospital executives’ perceptions of the provision of EOL care in the hospital setting. This descriptive, naturalistic ph…
The health equity implementation framework
BACKGROUND: Researchers could benefit from methodological advancements to advance uptake of new treatments while also reducing healthcare disparities. A comprehensive determinants framework for healthcare disparity implementation challenges is essential to accurately understand an implementation problem and select implementation strategies. METHODS: We integrated and modified two conceptual frameworks-one from implementation science and one from …
Strategy Configurations Directly Linked to Higher Hepatitis C Virus Treatment Starts
BACKGROUND: The Department of Veterans Affairs (VA) cares for more patients with hepatitis C virus (HCV) than any other US health care system. We tracked the implementation strategies that VA sites used to implement highly effective new treatments for HCV with the aim of uncovering how combinations of implementation strategies influenced the uptake of the HCV treatment innovation. We applied Configurational Comparative Methods (CCMs) to uncover c…
Adapting Caring Contacts for Veterans in a Department of Veterans Affairs Emergency Department
Transitions in care, such as discharge from an emergency department (ED), are periods of increased risk for suicide and effective interventions that target these periods are needed. Caring Contacts is an evidence-based suicide prevention intervention that targets transitions, yet it has not been widely implemented. This pilot study adapted Caring Contacts for a Department of Veterans Affairs (VA) ED setting and population, created an implementati…
Implementing and Sustaining SHARE
Although incarcerated women are a highly victimized population, therapy for sexual violence victimization (SVV) sequela is not routinely offered in prison. SHARE is a group therapy for SVV survivors that was successfully implemented and sustained in a women’s correction center. Here, we aimed to identify implementation factors and strategies that led to SHARE’s success and describe incarcerated women’s perspectives on the program. We conducted a …
A participant-randomized pilot hybrid II trial of group cognitive processing therapy for incarcerated persons with posttraumatic stress and substance use disorder symptoms
Implementation of LGBTQ+ affirming care policies in the Veterans Health Administration
Background: In the United States Department of Veterans Affairs (VA), veterans who are lesbian, gay, bisexual, transgender, queer, and similar gender and sexual minoritized people (LGBTQ+) experience health disparities compared to cisgender, heterosexual veterans. VA's LGBTQ+ Health Program created two healthcare policies on providing LGBTQ+ affirming care (healthcare that is inclusive, validating, and understanding of the LGBTQ+ population). The…
Medicine (14 obras) · Psychology (11 obras) · Health Policy Implementation Science (8 obras) · Nursing (8 obras) · Political science (6 obras) · Psychiatry (6 obras) · Psychological intervention (6 obras) · Public health (5 obras) · Computer Science (4 obras) · Health care (4 obras)