Evaluation & the Health Professions最新文献_第2页

Cross-National Validation of a Health-Related Quality of Life Measure in Five Latin American Countries: Invariance of the 8-Item Short Form Health Survey (SF-8) and Proposed 6-Item Version (SF-6). 五个拉丁美洲国家健康相关生活质量测量的跨国验证：8项简短健康调查（SF-8）和建议的6项版本（SF-6）的不变性

IF 1.9 3区医学

Evaluation & the Health Professions Pub Date : 2026-09-01 Epub Date: 2026-01-07 DOI: 10.1177/01632787251415568

Tomás Caycho-Rodríguez, Lindsey W Vilca, Julio Torales, Marlon Elías Lobos-Rivera, Diana Ximena Puerta-Cortés, Agueda Muñoz-Del-Carpio-Toia, Carlos Carbajal-León, Luis Hualparuca-Olivera, Mario Reyes-Bossio, Rodrigo Moreta-Herrera, Pablo D Valencia, Daniel E Yupanqui-Lorenzo, Antonio Ventriglio

{"title":"Cross-National Validation of a Health-Related Quality of Life Measure in Five Latin American Countries: Invariance of the 8-Item Short Form Health Survey (SF-8) and Proposed 6-Item Version (SF-6).","authors":"Tomás Caycho-Rodríguez, Lindsey W Vilca, Julio Torales, Marlon Elías Lobos-Rivera, Diana Ximena Puerta-Cortés, Agueda Muñoz-Del-Carpio-Toia, Carlos Carbajal-León, Luis Hualparuca-Olivera, Mario Reyes-Bossio, Rodrigo Moreta-Herrera, Pablo D Valencia, Daniel E Yupanqui-Lorenzo, Antonio Ventriglio","doi":"10.1177/01632787251415568","DOIUrl":"10.1177/01632787251415568","url":null,"abstract":"The objective was to analyze the factorial structure, reliability, and cross-national measurement invariance of the 8-item Short Form Health Survey (SF-8) in 1,940 individuals from five Latin American countries (El Salvador, Honduras, Guatemala, Colombia, and Venezuela). Five CFA models were estimated based on previous findings and considerations of the content validity. The results indicated that the two-factor model (physical and mental health) without items 1 and 5 provided the best fit across all countries. Item 5 was removed due to low factor loadings in all estimated models and across all countries, while item 1 was removed because it was too general, making it difficult to determine whether it measured physical or mental health. The six-item version (SF-6) demonstrated adequate reliability and strict invariance across all countries in the invariance sequence models. The reported differences in physical and mental health dimensions were negligible and minor among all countries. In conclusion, a 6-item version of the Short Form Health Survey (SF-6) was proposed, which is better represented by two dimensions (physical and mental health) and is invariant across Latin American countries.","PeriodicalId":12315,"journal":{"name":"Evaluation & the Health Professions","volume":" ","pages":"247-260"},"PeriodicalIF":1.9,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145910795","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Psychometric Analyses of the Italian 8-Item, 9-Item, and 12-Item Versions of the Depression, Stress and Anxiety Scale. 意大利抑郁、压力和焦虑量表8项、9项和12项版本的心理测量分析。

IF 1.9 3区医学

Evaluation & the Health Professions Pub Date : 2026-09-01 Epub Date: 2025-09-20 DOI: 10.1177/01632787251380550

Paolo Soraci, Mark D Griffiths, Elena Del Fante, Renato Pisanti, Giulia Marafioti, Rocco Servidio, Elisa Chini, Attila Szabo

{"title":"Psychometric Analyses of the Italian 8-Item, 9-Item, and 12-Item Versions of the Depression, Stress and Anxiety Scale.","authors":"Paolo Soraci, Mark D Griffiths, Elena Del Fante, Renato Pisanti, Giulia Marafioti, Rocco Servidio, Elisa Chini, Attila Szabo","doi":"10.1177/01632787251380550","DOIUrl":"10.1177/01632787251380550","url":null,"abstract":"The present study aimed to validate the Italian 8-item, 9-item, and 12-item versions of the Depression, Anxiety and Stress Scale-21 (DASS-21), addressing the need for shorter yet psychometrically robust measures. Two studies were conducted with different samples. In Study 1 (n = 541), confirmatory factor analysis (CFA) and reliability testing of the short-form versions of the DASS were performed, and their convergent validity with life satisfaction and mental well-being was examined. Study 2 (n = 321) extended this validation by reassessing factor structure, reliability, and convergent validity using constructs associated with psychological distress, including positive and negative affect, self-esteem, and perceived stress. Results demonstrated that all short-form versions retained the three-factor structure of the original DASS-21, with overall sufficient fit indices, especially the 9-item model. Reliability metrics confirmed internal consistency (all Cronbach's alpha and McDonald's omega ≥0.70). Convergent validity analyses indicated strong correlations between the short-form versions of DASS-21 (min = 0.675, max = 0.956) and associated psychological constructs, aligning with theoretical expectations. The scales captured the relationships between psychological distress, positive and negative affect, perceived stress, mental well-being, self-esteem, and life satisfaction. Findings suggest that the Italian versions of the DASS-8, DASS-9, and DASS-12 provide feasible and reliable alternatives to the DASS-21 for assessing depression, anxiety, and stress, supporting their usefulness in clinical and research contexts, particularly in circumstances in which brevity is essential.","PeriodicalId":12315,"journal":{"name":"Evaluation & the Health Professions","volume":" ","pages":"299-316"},"PeriodicalIF":1.9,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13379616/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145091656","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Evaluating Co-construction in Dyadic Conversations: A Pilot Study on Older Adults with Dementia and Healthy Older Adults in Taiwan. 评价二元对话中的共同建构：台湾老年痴呆患者与健康老年人的初步研究。

IF 1.9 3区医学

Evaluation & the Health Professions Pub Date : 2026-09-01 Epub Date: 2025-08-26 DOI: 10.1177/01632787251369036

Meng-Ju Tsai

{"title":"Evaluating Co-construction in Dyadic Conversations: A Pilot Study on Older Adults with Dementia and Healthy Older Adults in Taiwan.","authors":"Meng-Ju Tsai","doi":"10.1177/01632787251369036","DOIUrl":"10.1177/01632787251369036","url":null,"abstract":"This study highlights the importance of quantitatively evaluating conversation turns (CTs) and speaking roles (SRs) in dyadic conversations between Mandarin-Chinese-speaking older adults with dementia (OADs) and healthy older adults (HOAs). Evaluating CTs and SRs provides comprehensive insights into how conversation processes and content are collaboratively co-constructed. Four mutually familiar dyads, each consisting of one OAD and one HOA, participated in five weekly 10-min conversations. Results revealed asymmetrical contributions in CTs, with HOAs assuming significantly more CTs to facilitate the conversation, but symmetrical contributions in SRs, indicating balanced involvement from both groups in shaping content. HOAs frequently took obligatory and nonobligatory CTs as the Animator or Author, supporting OADs in engaging meaningfully as the Author or Principal. These conversational behaviors reflect cultural values prevalent among Mandarin Chinese speakers, such as modesty, loyalty, and solidarity. Thus, integrating CT and SR evaluations provides valuable insights into conversational co-construction, particularly critical in dementia conversation research. However, findings are context-specific and culturally influenced and require cautious interpretation. In future research, these evaluative tools should be expanded to diverse populations and conversational contexts to enhance understanding of conversational dynamics across different cultures.","PeriodicalId":12315,"journal":{"name":"Evaluation & the Health Professions","volume":" ","pages":"354-366"},"PeriodicalIF":1.9,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144948400","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Health Sciences Evidence-Based Practice Questionnaire: Adaptation to Turkish Culture, Validity and Reliability Study in Physiotherapists. 健康科学循证实践问卷：适应土耳其文化，物理治疗师的效度和信度研究。

IF 1.9 3区医学

Evaluation & the Health Professions Pub Date : 2026-09-01 Epub Date: 2025-09-04 DOI: 10.1177/01632787251376312

Ayşe Nur Şahin Balık, Manolya Acar

{"title":"The Health Sciences Evidence-Based Practice Questionnaire: Adaptation to Turkish Culture, Validity and Reliability Study in Physiotherapists.","authors":"Ayşe Nur Şahin Balık, Manolya Acar","doi":"10.1177/01632787251376312","DOIUrl":"10.1177/01632787251376312","url":null,"abstract":"This study adapted the Health Sciences Evidence-Based Practice (HS-EBP) Questionnaire, which measures evidence-based practice knowledge and attitudes, into Turkish and tested its validity and reliability among physiotherapists in Turkey. Data were obtained from 268 physiotherapists. The Quality of Professional Life (PRoQOL) Scale, Resistance to Change Scale (RCS), Maslach Burnout Inventory (MBI), and Information Literacy Self-Efficacy Scale (ILSES) were used concurrently to test the convergent validity. The confirmatory factor analysis (CFA) was created to examine construct validity. The reliability of the Turkish HS-EBP questionnaire was evaluated by internal consistency (Cronbach's alpha), correlation values between items and total scores, and test-retest reliability (intraclass correlation coefficient (ICC). The Cronbach's alpha of the scale (0.985) demonstrated high internal consistency and test-retest reliability (ICC = 0.992). The item-total correlations ranged from 0.528 to 0.867. The MDC for the scale was determined to be 7.518. The fit indices (χ2/sd) were 2.331, RMSEA 0.071, SRMR 0.062, IFI 0.907, CFI 0.906, GFI 0.862, and TLI 0.917. There was a positive statistically significant correlation between the Turkish HS-EBP questionnaire and PRoQOL, ILSES, and a negative correlation between RCS, MBI subscores (p < 0,05). The Turkish version of the HS-EBP questionnaire is a practical, valid, and reliable scale that measures the knowledge, skills, beliefs, and attitudes of Turkish-speaking physiotherapists.","PeriodicalId":12315,"journal":{"name":"Evaluation & the Health Professions","volume":" ","pages":"327-340"},"PeriodicalIF":1.9,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144991965","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Application of Nurse-Led Graded Diaphragmatic Functional Training in Mechanically Ventilated Patients in the Intensive Care Unit: A Randomized Controlled Study. 护士主导的分级膈肌功能训练在重症监护室机械通气患者中的应用：一项随机对照研究。

IF 1.9 3区医学

Evaluation & the Health Professions Pub Date : 2026-08-31 DOI: 10.1177/01632787261482141

Xufeng Wu, Jianjian Zhang, Yuqing Wang, Yang Yang, Xin Meng, Yuyan Wu, Aihong Pan

{"title":"Application of Nurse-Led Graded Diaphragmatic Functional Training in Mechanically Ventilated Patients in the Intensive Care Unit: A Randomized Controlled Study.","authors":"Xufeng Wu, Jianjian Zhang, Yuqing Wang, Yang Yang, Xin Meng, Yuyan Wu, Aihong Pan","doi":"10.1177/01632787261482141","DOIUrl":"https://doi.org/10.1177/01632787261482141","url":null,"abstract":"Prolonged mechanical ventilation can impair diaphragmatic function and hinder weaning. This study evaluated the effect of nurse-led graded diaphragmatic functional training in mechanically ventilated ICU patients. In this single-center randomized controlled trial, 120 adult patients receiving mechanical ventilation in the intensive care unit of a tertiary hospital in Hefei from February to December 2024 were randomly assigned to either the intervention group (n = 60) or the control group (n = 60). The control group received routine rehabilitation care and early mobilization, while the intervention group received nurse-led graded diaphragmatic training in addition to standard care. Ultrasound was used to evaluate end-inspiratory diaphragm thickness, end-expiratory diaphragm thickness, diaphragm thickening fraction, diaphragmatic excursion, incidence of ventilator-associated pneumonia (VAP), and successful weaning rates before and 7 days after intervention. A total of 54 patients in the intervention group and 56 in the control group completed the study. After 7 days of intervention, the intervention group had significantly higher end-inspiratory diaphragm thickness, end-expiratory diaphragm thickness, diaphragm thickening fraction, diaphragmatic excursion, and weaning success rate, and a significantly lower incidence of VAP compared to the control group (p < 0.05). Nurse-led graded diaphragmatic functional training improves diaphragmatic function, enhances weaning success, reduces ventilator-associated pneumonia, and promotes recovery in mechanically ventilated ICU patients.","PeriodicalId":12315,"journal":{"name":"Evaluation & the Health Professions","volume":" ","pages":"1632787261482141"},"PeriodicalIF":1.9,"publicationDate":"2026-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148864060","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Association Between Clinical Variables and Dyspnea-Related Fear of Movement in Patients With Chronic Obstructive Pulmonary Disease: A Cross-Sectional Study. 慢性阻塞性肺疾病患者的临床变量与呼吸困难相关的运动恐惧之间的关联：一项横断面研究

IF 1.9 3区医学

Evaluation & the Health Professions Pub Date : 2026-08-24 DOI: 10.1177/01632787261480734

Çağla Nur Yetim, Saniye Aydoğan Arslan, Selma Demir

{"title":"Association Between Clinical Variables and Dyspnea-Related Fear of Movement in Patients With Chronic Obstructive Pulmonary Disease: A Cross-Sectional Study.","authors":"Çağla Nur Yetim, Saniye Aydoğan Arslan, Selma Demir","doi":"10.1177/01632787261480734","DOIUrl":"https://doi.org/10.1177/01632787261480734","url":null,"abstract":"This study aimed to examine the relationship between dyspnea-related fear of movement and clinical variables in patients with Chronic Obstructive Pulmonary Disease (COPD). The cross-sectional study included 59 patients with COPD. Perception of dyspnea (Modified Medical Research Council Dyspnea Scale (mMRC)), functional exercise capacity (6-min walk test (6MWT)), respiratory function (spirometry), maximal inspiratory and expiratory pressures (MIP/MEP- mouth pressure measurement device), quadriceps (QS) muscle strength (digital dynamometer), balance (Mini-Balance Evaluation Systems Test (Mini-BESTest)), and dyspnea-related fear of movement (Breathlessness Beliefs Questionnaire (BBQ)) were assessed. The perception of fear of movement associated with dyspnea was found to be related to mMRC, Global Initiative for Chronic Obstructive Lung Disease (GOLD) stage, spirometry, digital dynamometer, 6MWT and Mini-BESTest (r = .318- .488, p < .05), but not to MIP, MEP and other clinical variables (p > .05). Regression analysis showed that fear of movement due to dyspnea explained 9% of the variance in QS muscle strength, 15% in 6MWT distance, and 9% in Mini-BESTest score. Fear of movement due to dyspnea was identified as a clinically relevant factor in COPD patients, with BBQ scores notably higher than those reported in previous studies, and affected QS muscle strength, balance, and functional exercise capacity.","PeriodicalId":12315,"journal":{"name":"Evaluation & the Health Professions","volume":" ","pages":"1632787261480734"},"PeriodicalIF":1.9,"publicationDate":"2026-08-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148812069","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Score Standardization of the European Health Literacy Survey Questionnaire Short Form (HLS-EU-Q16) in a Sample of Brazilian Adults. 欧洲健康素养调查问卷简表（HLS-EU-Q16）在巴西成年人样本中的得分标准化

IF 1.9 3区医学

Evaluation & the Health Professions Pub Date : 2026-08-24 DOI: 10.1177/01632787261479346

Fábio L Mialhe, Flávio Rebustini

{"title":"Score Standardization of the European Health Literacy Survey Questionnaire Short Form (HLS-EU-Q16) in a Sample of Brazilian Adults.","authors":"Fábio L Mialhe, Flávio Rebustini","doi":"10.1177/01632787261479346","DOIUrl":"https://doi.org/10.1177/01632787261479346","url":null,"abstract":"Health literacy (HL) is considered by the World Health Organization an important determinant of health, and several instruments have been developed to measure this construct in populations. However, beyond their evidence of validity of content and internal structure, the standards used to interpret the scores of these instruments must also be validated to avoid incorrect classifications and decision-making, a process known as standardization. The purpose of this study was to assess the normative data of scores from the Brazilian version of the European Health Literacy Survey Questionnaire short form (HLS-EU-Q16) in a sample of Brazilian adults. The study involved 783 Brazilian adults with a mean age of 38.6 years. Data were collected using the HLS-EU-Q16 instrument and analyzed using discriminant analysis and decision trees. The results indicated that using a dichotomous criterion to categorize individuals' HL levels - low and high HL - provided better evidence of validity for discriminating individuals with different HL levels in Brazil than the three-level classification criteria proposed by the instrument's original authors. The findings of this study reiterate the need to standardize instrument scores for the populations in which they will be used, avoiding incorrect classifications, as well as unnecessary costs to public health.","PeriodicalId":12315,"journal":{"name":"Evaluation & the Health Professions","volume":" ","pages":"1632787261479346"},"PeriodicalIF":1.9,"publicationDate":"2026-08-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148812181","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Development and Validation of the ReTos Scale as a Support Tool for Fall Risk Assessment in a Large Sample of Older Italian Inpatients. ReTos量表在意大利老年住院患者大样本中作为跌倒风险评估支持工具的开发和验证。

IF 1.9 3区医学

Evaluation & the Health Professions Pub Date : 2026-08-11 DOI: 10.1177/01632787261476234

Laura Rasero, Paolo Iovino, Angela Brandi, Monica Simonetti, Riccardo Tartaglia, Tommaso Bellandi

{"title":"Development and Validation of the ReTos Scale as a Support Tool for Fall Risk Assessment in a Large Sample of Older Italian Inpatients.","authors":"Laura Rasero, Paolo Iovino, Angela Brandi, Monica Simonetti, Riccardo Tartaglia, Tommaso Bellandi","doi":"10.1177/01632787261476234","DOIUrl":"https://doi.org/10.1177/01632787261476234","url":null,"abstract":"Aim of this study was to develop and evaluate the validity and reliability of the ReTos (Regione Toscana) scale for identifying older inpatients at risk of falls. 15,159 inpatients aged ≥65 years from 41 Italian hospitals were enrolled with six-month follow-up. Items were generated through literature review and expert consensus. Content validity was assessed by a multidisciplinary panel. Exploratory factor analysis (EFA) examined dimensionality. Internal consistency was estimated using McDonald's Omega. Criterion-related validity was tested through logistic regression, and discriminative performance assessed using the area under the ROC curve. Mean age was 79 years (52.7% female). During follow-up, 278 patients experienced at least one fall (incidence 0.59 per 1,000 patient-days). EFA reduced the original 22 items to 11 items across five factors: motor disorders, mental state, diseases/medications, anamnesis and sensory impairment. Several items were significantly associated with fall occurrence. Internal consistency was acceptable (Ω = 0.79). Discriminative performance was modest (AUC = 0.62; 95% CI 0.58-0.66), with sensitivity 0.70 and specificity 0.52 at a cut-off ≥7; positive predictive value was low (0.03), reflecting low event incidence. The ReTos scale demonstrated satisfactory psychometric properties but modest discriminative performance, supporting its use as an adjunct to clinical judgment rather than a stand-alone tool.","PeriodicalId":12315,"journal":{"name":"Evaluation & the Health Professions","volume":" ","pages":"1632787261476234"},"PeriodicalIF":1.9,"publicationDate":"2026-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148706070","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Organizational Climate and Individual Resilience as Bidirectional Predictors of Career Compromise: A Longitudinal Mixed-Methods Investigation in Tertiary Healthcare Settings. 组织氛围和个人弹性作为职业妥协的双向预测因子：一项在三级医疗机构的纵向混合方法调查。

IF 1.9 3区医学

Evaluation & the Health Professions Pub Date : 2026-07-22 DOI: 10.1177/01632787261470858

Yulin Zeng, Ping Han

{"title":"Organizational Climate and Individual Resilience as Bidirectional Predictors of Career Compromise: A Longitudinal Mixed-Methods Investigation in Tertiary Healthcare Settings.","authors":"Yulin Zeng, Ping Han","doi":"10.1177/01632787261470858","DOIUrl":"https://doi.org/10.1177/01632787261470858","url":null,"abstract":"This 18-month longitudinal mixed-methods study employed an explanatory sequential design QUAN→qual examining 412 healthcare workers (nurses and physicians) from four tertiary hospitals in China to explore the bidirectional relationships between organizational climate, individual resilience, and career compromise. Quantitative data were collected at baseline, 9 months, and 18 months using validated instruments: Practice Environment Scale-Nursing Work Index, Connor-Davidson Resilience Scale-10, and Career Compromise Scale. Random-intercept cross-lagged panel models (RI-CLPM) examined bidirectional relationships. Semi-structured interviews (n = 45) conducted at the third timepoint explored mechanisms underlying quantitative patterns, analyzed via thematic analysis. RI-CLPM revealed significant bidirectional effects. Organizational climate at baseline predicted increased resilience at 9 months and reduced career compromise at 18 months. Resilience predicted improved perceptions of organizational climate and lower career compromise. Career compromise predicted decreased resilience and more negative climate perceptions. Qualitative themes highlighted support mechanisms, resilience adaptation, and decision-making dynamics, showing that positive organizational climates enhance resilience through psychological safety and development opportunities, reducing career compromise. Organizational climate, resilience, and career compromise demonstrate reciprocal relationships over time, supporting a dynamic systems perspective. Interventions should simultaneously target organizational factors and individual capacities to optimize healthcare workforce retention. Findings inform evidence-based policies for tertiary hospital management.","PeriodicalId":12315,"journal":{"name":"Evaluation & the Health Professions","volume":" ","pages":"1632787261470858"},"PeriodicalIF":1.9,"publicationDate":"2026-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148561242","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Commentary: Strengthening Emergency Response in Global Healthcare Systems for Nuclear and Radiological Emergencies. 评论：加强全球卫生保健系统对核和辐射紧急情况的应急反应。

IF 1.9 3区医学

Evaluation & the Health Professions Pub Date : 2026-07-13 DOI: 10.1177/01632787261467999

Nguyen Ngoc Hoang Linh, Jeza M Abdul Aziz, Mohammad Rashidul Hashan, Phan Minh Khoi, Minh Quan Le, Le Ba Dat Ho, Tran Hai Vi, Ngoc Phuong Hong Tao, Zhilin Zhang, Nguyen Tien Huy

{"title":"Commentary: Strengthening Emergency Response in Global Healthcare Systems for Nuclear and Radiological Emergencies.","authors":"Nguyen Ngoc Hoang Linh, Jeza M Abdul Aziz, Mohammad Rashidul Hashan, Phan Minh Khoi, Minh Quan Le, Le Ba Dat Ho, Tran Hai Vi, Ngoc Phuong Hong Tao, Zhilin Zhang, Nguyen Tien Huy","doi":"10.1177/01632787261467999","DOIUrl":"https://doi.org/10.1177/01632787261467999","url":null,"abstract":"Global geopolitical tensions are quickly increasing the threat of significant transboundary radiological emergencies. The past nuclear and radiological disasters have highlighted critical deficiencies, yet the international healthcare system is still inadequately equipped for extensive nuclear and radiological crises. Our analysis of contemporary vulnerabilities, focusing on ongoing near-miss scenarios at the Zaporizhzhia Nuclear Power Plant and persistent systemic gaps in low- and middle-income countries (LMICs). The primary gap is the misalignment between global policy frameworks and frontline clinical preparedness. We suggest enhancing healthcare education, incorporating mental health into emergency preparedness strategies, strengthening early warning systems and transboundary radiological emergency response, and improving the availability of medical countermeasures. A standardized strategy is essential to enhance resilience in the face of future nuclear and radiological emergencies.","PeriodicalId":12315,"journal":{"name":"Evaluation & the Health Professions","volume":" ","pages":"1632787261467999"},"PeriodicalIF":1.9,"publicationDate":"2026-07-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148430217","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0