Evaluation & the Health Professions最新文献

{"title":"Evaluation of the Effects of the Strengthening Families Program in Quebec Adolescents and Parents Living in Challenging Family Conditions.","authors":"Sylvie Hamel, Carl Lacharité, Michael Cantinotti, Andrée-Anne Lepage, Jean Montambeault, Chantal Chicoine","doi":"10.1177/01632787251341460","DOIUrl":"https://doi.org/10.1177/01632787251341460","url":null,"abstract":"<p><p>The Strengthening Families Program (SFP) has recognized value in preventing criminality and drug use in adolescents from underprivileged backgrounds. The objective of this study was to measure the effects of a 14-week version of this program targeting adolescents 12-16 years old in two medium-sized Quebec municipalities, using a repeated-measure design. The study participants were: 1) an intervention group, consisting of 71 adolescents and 61 parents who participated in the SFP between January 2018 and December 2019; and 2) a comparison group, consisting of 57 adolescents and 56 parents. Multivariate longitudinal regression indicates that the SFP reinforces some protective factors, such as the parent-child relation, as well as some key dimensions of family strengths. However, no effect was observed on parenting practices or adolescents' social behaviour. The differences between the intervention and control groups, the clinical significance of the results, and challenges of evaluating the SFP are discussed.</p>","PeriodicalId":12315,"journal":{"name":"Evaluation & the Health Professions","volume":" ","pages":"1632787251341460"},"PeriodicalIF":2.2,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144127066","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}

{"title":"A Descriptive and Correlational Study Assessing the Integration of Digital Health into Brazil's Dentistry Master's Degree Programs.","authors":"Jessica Nobrega Dantas, Marco Antonio Dias da Silva","doi":"10.1177/01632787251333780","DOIUrl":"https://doi.org/10.1177/01632787251333780","url":null,"abstract":"<p><p>Dental education faces a significant challenge in preparing future professionals for a world increasingly driven by Digital Health (DH) innovations. However, it is not known whether or how DH content is being included in the training of future dental teachers in Brazil. This study aimed to evaluate the extent of DH content integration in Brazilian Dentistry Master's programs. From April to June 2023, data from the Sucupira platform and institutional websites were utilized to evaluate all Dentistry Master's programs in Brazil. Statistical analysis assessed the impacts of five factors: geographical location, program type, administrative category, program score, and association with a Teledentistry unit on offering up-to-date content. Out of 92 identified programs, 77 had available documents for analysis. A total of 2,161 courses were found, 1,523 with detailed information. DH curricular content was found in 4 courses. No relationship was observed between the offering of DH and factors like program type (professional or academic) (<i>p</i> = 1.00), university administrative category (public or private) (<i>p</i> = .144), region (<i>p</i> = .638), program quality rating (<i>p</i> = .792), or association with a Teledentistry unit (<i>p</i> = 1.00). These findings highlight a concerning gap in the incorporation of DH-related content into Brazil's dentistry master's programs, underscoring the need to address this deficiency.</p>","PeriodicalId":12315,"journal":{"name":"Evaluation & the Health Professions","volume":" ","pages":"1632787251333780"},"PeriodicalIF":2.2,"publicationDate":"2025-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143980599","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}

{"title":"Corrigendum to Cross-national Psychometric Evaluation of the Jefferson Scale of Empathy-Medical Student Version.","authors":"","doi":"10.1177/01632787251330968","DOIUrl":"https://doi.org/10.1177/01632787251330968","url":null,"abstract":"","PeriodicalId":12315,"journal":{"name":"Evaluation & the Health Professions","volume":" ","pages":"1632787251330968"},"PeriodicalIF":2.2,"publicationDate":"2025-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143970877","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}

{"title":"The Status of Presenteeism Among Clinical Nurses in China: A Systematic Review and Meta-Analysis.","authors":"Xiang Zeng, Kun Wang, Ya Le Guo, Zhao Lan Wang, Jun Wen Li","doi":"10.1177/01632787251329968","DOIUrl":"https://doi.org/10.1177/01632787251329968","url":null,"abstract":"<p><p><b>Background:</b> With the evolution of healthcare, the demand for medical services is rising. Nurses, facing high workloads and job indispensability, are at risk of presenteeism due to health issues, which impairs their focus and productivity. Nursing is a high-risk, high-stress profession, and compared to other medical personnel, nurses are more susceptible to presenteeism. Presenteeism can have severe consequences for nursing staff, the quality of care, and healthcare institutions. Although previous studies have explored the prevalence of presenteeism among nurses, there are variations in reported data due to differences in regions and assessment tools, and there is a scarcity of meta-analyses specifically addressing the prevalence of presenteeism among Chinese nurses. <b>Objectives:</b> The study systematically assesses the incidence rate of presenteeism among nurses and evaluates the impact of various factors, including gender, marital status, department, professional title, position, education level, and employment relationship, on the incidence rate of presenteeism. <b>Design:</b> Systematic review and meta-analysis. <b>Date Sources:</b> The following databases were searched: China National Knowledge Infrastructure (CNKI), Wanfang Database, VIP Database, China Biomedical Literature Database (CBM), PubMed, Web of Science, Embase, CINAHL, and PsycINFO. The search covered all literature published before June 15, 2024. <b>Review Methods:</b> Researchers independently conducted all literature screening, quality assessment, and data extraction and analysis. The average scores and standard deviations of the Chinese version of the Health and Productivity Loss (SPS-6) scale were pooled using Stata 14.0 with a random-effects meta-analysis. Finally, subgroup analysis was employed to explore the sources of heterogeneity between studies. <b>Result:</b> In this systematic review and meta-analysis, a total of 26 studies were included, involving 12,366 clinical nurses from China. Our findings indicate that the overall average score for absenteeism was 16.48 (95% CI: 15.64-17.32). Furthermore, subgroup analysis revealed that female nurses, married nurses, those with the title of nurse practitioner, clinical nurses, those with a secondary vocational education, contract nurses, and nurses from the ICU had higher presenteeism scores. <b>Conclusion:</b> The level of presenteeism among clinical nurses in China is moderate. Female nurses, married nurses, those with the title of nurse practitioner, clinical nurses, nurses with a secondary vocational education, contract nurses, and those from the ICU exhibit more pronounced presenteeism. These findings may provide a theoretical basis for hospital managers to address and manage presenteeism. <b>Registration:</b> PROSPERO number: CRD42024557555.</p>","PeriodicalId":12315,"journal":{"name":"Evaluation & the Health Professions","volume":" ","pages":"1632787251329968"},"PeriodicalIF":2.2,"publicationDate":"2025-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143994253","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}

{"title":"Factors Associated With the Workforce Participation Intentions of Australian Primary Health Care Nurses and Midwives.","authors":"Danny Hills, Cressida Bradley, Manan Mehta","doi":"10.1177/01632787251331713","DOIUrl":"https://doi.org/10.1177/01632787251331713","url":null,"abstract":"<p><p><b>Introduction:</b> Primary health care (PHC) is fundamental to supporting individual and community health and well-being. There is a need to better understand factors impacting on PHC nurses' and midwives' intentions to remain in PHC work. <b>Methods:</b> Data were obtained from the 2022 Australian Primary Health Care Nurses Association (APNA) Workforce Survey, conducted online in the final quarter of 2022. Logistic regression modelling was employed to identify explanatory factors of intention to remain working in PHC over the next 12 months (Model 1) and over the next 2-5 years (Model 2). <b>Results:</b> There were 3,749 valid survey responses. Key predictors determined included elements of rurality, stress at work and access to computer resources in Model 1 (<i>n</i> = 2995), and years of nursing experience, being First Nations, working full-time or part-time, pay and conditions, and access to education and training in Model 2 (<i>n</i> = 3,004). In both models, aspects of job satisfaction and working to full scope of practice were key predictors of intention to remain in PHC work. <b>Conclusions:</b> Key fixed and modifiable explanatory factors identified in this research point to the need for a range of local, organisational and broader-scale initiatives to support the ongoing recruitment and retention of nurses and midwives in PHC practice.</p>","PeriodicalId":12315,"journal":{"name":"Evaluation & the Health Professions","volume":" ","pages":"1632787251331713"},"PeriodicalIF":2.2,"publicationDate":"2025-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143763344","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}

{"title":"Mediating Effect of Emotional Labour on the Role Pressure and Silence Behaviour of Nurses.","authors":"Lianci He, Jianhua Liu, Rong Sun, Yuan Deng, Ling Tang, Shaochuan Chen","doi":"10.1177/01632787251329029","DOIUrl":"https://doi.org/10.1177/01632787251329029","url":null,"abstract":"<p><p>This study investigates the mediating effect of emotional labour on role stress and silence behaviour among nurses in a women-children special hospital to provide theoretical support and practical guidance for nursing management. A cross-sectional design was used. Data were collected from a grade-A tertiary women-children special hospital used convenience sampling. A path analysis of the relationships among emotional labour, role stress and silence behaviour was conducted using structural equation modelling (SEM).Statistical analysis of data and construction of SEM were conducted using the General Information Questionnaire, Role Stressors Scale, Emotional Labour Scale and Silence Behaviour Scale as survey tools along with SPSS 22.0 and AMOS 24.0 software. A total of 1,145 valid questionnaires were recovered, with an effective recovery rate of 98.5%. The respondents' scores for role stress, emotional labour and silence behaviour were 35.49 ± 4.47, 40.67 ± 5.49 and 10.14 ± 3.79, respectively. Pearson's correlation analysis revealed a positive correlation between emotional labour and role stress and silence behaviour. The SEM analysis showed that emotional labour was a mediator for role stress. Emotional labour functions as a mediator between role stress and silence behaviour among nurses in the women-children special hospital. As such, nursing managers must take nurses' emotional management skills seriously to reduce their role stress.</p>","PeriodicalId":12315,"journal":{"name":"Evaluation & the Health Professions","volume":" ","pages":"1632787251329029"},"PeriodicalIF":2.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143763345","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}

{"title":"A Multidisciplinary Model for the Governance of Clinical Innovation: Insights From a Qualitative Study of Australian Doctors.","authors":"Miriam Wiersma, Ian Kerridge, Wendy Lipworth","doi":"10.1177/01632787251324662","DOIUrl":"10.1177/01632787251324662","url":null,"abstract":"<p><p>Clinical innovation by doctors involves the development and use of interventions that have not been formally evaluated according to the usual standards of evidence-based medicine. While the distinction between research and innovation has been discussed theoretically, little is known about how doctors working in different specialty areas define and understand clinical innovation and how they distinguish it from other related practices. In order to address this gap, this qualitative interview study explored how doctors from diverse specialties defined and understood clinical innovation. Thirty-one semi-structured interviews were conducted with Australian doctors from surgery, reproductive medicine, and cancer care. While participants defined clinical innovation in similar ways, they also identified several morally and clinically salient characteristics that distinguish different types of innovation. Based on these findings, we developed a multidisciplinary governance model for clinical innovation that accounts for its diversity and complexity. This governance model offers clear guidance for determining what types of oversight are most appropriate for different types of clinical innovation. Its benefits include that it can be applied across diverse medical specialties and used alongside existing models, such as those used to identify clinical innovation.</p>","PeriodicalId":12315,"journal":{"name":"Evaluation & the Health Professions","volume":" ","pages":"1632787251324662"},"PeriodicalIF":2.2,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143669259","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}

{"title":"Measurement Invariance of the Basic Psychological Need Satisfaction Subscale Between Individuals With Psychiatric and Non-psychiatric Disabilities.","authors":"Heerak Choi, Aaron J Kaat","doi":"10.1177/01632787251327681","DOIUrl":"https://doi.org/10.1177/01632787251327681","url":null,"abstract":"<p><p>This study aimed to examine the measurement invariance of the Basic Psychological Need Satisfaction Subscale (BPNSS) and compare the latent factor means of basic psychological needs between individuals with psychiatric and non-psychiatric disabilities. This cross-sectional study included 97 individuals with psychiatric and 102 individuals with non-psychiatric disabilities. Prior to comparing scores on basic psychological needs across these groups, we evaluated the measure invariance of the BPNSS and confirmed scalar invariance. Individuals with psychiatric disabilities had significantly lower autonomy scores than those with non-psychiatric disabilities. There were no significant mean differences in competence and relatedness between the groups. These findings suggest wide applicability of the BPNSS across individuals with psychiatric and non-psychiatric disabilities. Practitioners should support individuals with psychiatric disabilities to improve their autonomy. Replication with large, diverse samples is crucial to validate the findings and investigate intragroup variances.</p>","PeriodicalId":12315,"journal":{"name":"Evaluation & the Health Professions","volume":" ","pages":"1632787251327681"},"PeriodicalIF":2.2,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143647865","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}

{"title":"Estimating Mediation Effects in ABAB Reversal Designs.","authors":"Matthew J Valente, Jinyong Pang, Judith J M Rijnhart, John Ferron, Milica Miočević","doi":"10.1177/01632787231217000","DOIUrl":"10.1177/01632787231217000","url":null,"abstract":"<p><p>Single-Case Experimental Designs (SCEDs), or N-of-1 trials, are commonly used to estimate intervention effects in many disciplines including in the treatment of youth mental health problems. SCEDs consist of repeated measurements of an outcome over time for a single case (e.g., student or patient) throughout one or more baseline phases and throughout one or more intervention phases. The manipulation of the baseline and intervention phase make the SCED a type of interrupted time series design, which is considered one of the most effective experimental designs for causal inference. An important step towards understanding why interventions are effective at producing a change in the outcome is through the investigation of mediating mechanisms. Hypotheses of mediating mechanisms involve an intervention variable which is hypothesized to affect an outcome through its effect on a mediating variable. Little work has attempted to combine mediation analysis and ABAB reversal designs. Therefore, the goals of this paper are to define, estimate, and interpret mediation effects for ABAB reversal designs. An empirical example is used to demonstrate how to estimate and interpret the mediation effects. R code is provided for researchers interested in estimating mediation effects in single-case reversal designs.</p>","PeriodicalId":12315,"journal":{"name":"Evaluation & the Health Professions","volume":" ","pages":"129-142"},"PeriodicalIF":2.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142667625","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}

{"title":"Improving Teacher-Child Relationships Using Relationship-Focused Reflection: A Case Study.","authors":"Rianne J Bosman, Peter F de Jong, Helma M Y Koomen","doi":"10.1177/01632787241250366","DOIUrl":"10.1177/01632787241250366","url":null,"abstract":"<p><p>This study evaluated LLInC (Leerkracht-Leerling Interactie Coaching in Dutch, or Teacher Student Interaction Coaching), an intervention targeted at teachers' mental representations to improve dyadic teacher-child relationship quality. Four teachers and eight children from Dutch elementary schools participated in this single case study. Teachers themselves selected two children with whom they experienced a difficult relationship. The results indicated that teachers' global judgments of relationship quality improved from pretest to posttest for almost all teacher-child dyads. Day-to-day perceptions of conflict, closeness, and self-efficacy improved for a few teacher-child dyads, and especially for teacher-child dyads of the second targeted child. This implies that LLInC is especially helpful when carried out for at least two teacher-child dyads. The results of this study suggest that LLInC is promising, especially with regard to teachers' global relationship perceptions. However, LLInC should be further evaluated using a larger, representative sample, especially with regard to day-to-day perceptions of relationship quality.</p>","PeriodicalId":12315,"journal":{"name":"Evaluation & the Health Professions","volume":" ","pages":"16-29"},"PeriodicalIF":2.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11909776/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142767600","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}