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

Analysis of the Effect of Preoperative Eye Position Fixation Training in Patients With Pterygium: A Randomized Controlled Trial. 翼状胬肉患者术前眼位固定训练效果分析：随机对照试验

IF 2.2 3区医学

Evaluation & the Health Professions Pub Date : 2024-10-15 DOI: 10.1177/01632787241291246

Xueqin Chu, Fan Chen, Bei Chen, Huarong Wu

引用次数: 0

Health Care Utilization and Perceived Quality of Care in a Colombian Indigenous Health Organization. 哥伦比亚土著医疗机构的医疗服务利用率和医疗服务质量感知。

IF 2.2 3区医学

Evaluation & the Health Professions Pub Date : 2024-10-04 DOI: 10.1177/01632787241288225

Aynslie Hinds, Beda Suárez Aguilar, Yercine Duarte, Dorian Ospina, John Harold Gómez Vargas, Javier Mignone

引用次数: 0

Self-Regulated Learning and Learning Outcomes in Undergraduate and Graduate Medical Education: A Meta-Analysis. 医学本科生和研究生教育中的自我调节学习与学习成果：一项 Meta 分析。

IF 2.2 3区医学

Evaluation & the Health Professions Pub Date : 2024-10-03 DOI: 10.1177/01632787241288849

Binbin Zheng, Ting Sun

{"title":"Self-Regulated Learning and Learning Outcomes in Undergraduate and Graduate Medical Education: A Meta-Analysis.","authors":"Binbin Zheng, Ting Sun","doi":"10.1177/01632787241288849","DOIUrl":"https://doi.org/10.1177/01632787241288849","url":null,"abstract":"Self-regulated learning (SRL) plays a pivotal role in medical education. There is a pressing need for a meta-analytical review to comprehensively evaluate the effect sizes of SRL strategies across diverse learning outcomes and levels of medical trainees. A meta-analysis was executed by searching five databases and resulted in 61 studies that met our inclusion criteria. A three-level meta-analysis was performed to examine the association between SRL strategies and various levels of learning outcomes (i.e., affective, cognitive, and behavioral learning outcomes). Moderator analyses were conducted using meta-regression, considering factors such as types of learning outcomes, training levels, SRL subscales, and quality of the studies. The analysis yielded an average effect size of .212, using Pearson's correlation coefficient, demonstrating a positive and significant association between SRL strategies and overall learning outcomes. Although our moderator analyses indicated that SRL subscales and study quality did not significantly influence the relationship between SRL strategies and learning outcomes, SRL strategies had a more pronounced effect on affective outcomes than on test scores, behavioral outcomes, and mental health outcomes. In addition, the association between SRL strategies and learning outcomes were significantly higher among the clerkship phase of undergraduate medical education than the pre-clerkship phase.","PeriodicalId":12315,"journal":{"name":"Evaluation & the Health Professions","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2024-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142371427","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

Professionalism in Residency Training: The Learning Environment for Professionalism Survey. 住院医师培训中的职业精神：专业精神学习环境调查。

IF 2.2 3区医学

Evaluation & the Health Professions Pub Date : 2024-09-28 DOI: 10.1177/01632787241286912

Anna Byszewski, Alexander Pearson, Heather Lochnan, Donna L Johnston, Sharon Whiting, Timothy J Wood

{"title":"Professionalism in Residency Training: The Learning Environment for Professionalism Survey.","authors":"Anna Byszewski, Alexander Pearson, Heather Lochnan, Donna L Johnston, Sharon Whiting, Timothy J Wood","doi":"10.1177/01632787241286912","DOIUrl":"https://doi.org/10.1177/01632787241286912","url":null,"abstract":"Role modelling is important in developing professionalism with a need for reliable, evidence-based tools to assess professionalism in the learning environment (LE). The Learning Environment for Professionalism (LEP) survey is brief, anonymous and balanced assessing medical trainees' and attendings' positive and negative professionalism behaviours that can be tracked longitudinally and identify problem areas in the LE. Seven training programs agreed to facilitate administration of the LEP survey at four hospitals in Ottawa, Canada. The survey was carried out iteratively between 2013 and 2020. A total of 3783 LE ratings of training programs and hospitals were assessed longitudinally using univariate linear regression. A Bonferroni corrected p-value of ≤.0045 was used to account for multiple comparisons. Positive professional behaviours were observed across time with some of the negative behaviors having improved. A negative signal was found, with attendings appearing to be treating patients unfairly because of their financial status, ethnic background, sexual or religious preferences. Applying LEP survey longitudinally across diverse training programs and institutions is feasible and may assist programs to identify areas requiring attention and acknowledging areas of exemplary professionalism. Continuous monitoring of LE to meet requirements of accrediting bodies can also be considered an important quality improvement metric.","PeriodicalId":12315,"journal":{"name":"Evaluation & the Health Professions","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2024-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142344416","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

Factors Influencing the Translation of Evidence Into Clinical Practice for Hospital Allied Health Professionals in Terms of the Domains of Behaviour Change Theory: A Systematic Review. 从行为改变理论的领域看影响医院专职医疗人员将证据转化为临床实践的因素：系统综述。

IF 2.2 3区医学

Evaluation & the Health Professions Pub Date : 2024-09-23 DOI: 10.1177/01632787241285993

Jacqueline Batchelor, Cameron Hemmert, Isabelle Meulenbroeks, Crystal Tang, Reema Harrison, Rajna Ogrin, Andrew Baillie, Mitchell Sarkies

{"title":"Factors Influencing the Translation of Evidence Into Clinical Practice for Hospital Allied Health Professionals in Terms of the Domains of Behaviour Change Theory: A Systematic Review.","authors":"Jacqueline Batchelor, Cameron Hemmert, Isabelle Meulenbroeks, Crystal Tang, Reema Harrison, Rajna Ogrin, Andrew Baillie, Mitchell Sarkies","doi":"10.1177/01632787241285993","DOIUrl":"https://doi.org/10.1177/01632787241285993","url":null,"abstract":"This systematic review provides an overview of the unique challenges allied health professions face in the translation and implementation of evidence into practice, which remain relatively under reported and uninformed by a theoretical basis of behaviour change. MEDLINE, EMBASE, CINAHL and Scopus databases from 2010 to 2022 were searched for primary study designs resulting in 21 articles included in this review (PROSPERO: 2022 CRD42022314996). Allied health disciplines reported in the review were mainly from occupational therapy, physiotherapy, dietetics, and speech pathology. The most frequently reported implementation determinants across the Theoretical Domains Framework were identified as 'environmental context and resources', and 'knowledge'. The results also identified a greater influence of 'social influences' and 'beliefs about consequences' in implementation. Implementing evidence into clinical practice is a multifaceted, complex process, and the use of the Theoretical Domains Framework provided a systematic approach to understanding the drivers behind the target behaviours. However, there is a paucity of studies across the allied health professions that describe implementation strategies used and their impact. Many of the studies focused on implementation by the individual clinician rather than the role organizations can play in the translation of evidence into practice.","PeriodicalId":12315,"journal":{"name":"Evaluation & the Health Professions","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2024-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142307474","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 Use of Contribution Analysis in Evaluating Health Interventions: A Scoping Review. 在评估健康干预措施时使用贡献分析：范围审查。

IF 2.2 3区医学

Evaluation & the Health Professions Pub Date : 2024-09-08 DOI: 10.1177/01632787241281745

David Buetti, Michael Fitzgerald, Cassandra Barber, Patrick R Labelle, Isabelle Bourgeois, Tim Aubry, Erin Cameron, Claire E Kendall

{"title":"The Use of Contribution Analysis in Evaluating Health Interventions: A Scoping Review.","authors":"David Buetti, Michael Fitzgerald, Cassandra Barber, Patrick R Labelle, Isabelle Bourgeois, Tim Aubry, Erin Cameron, Claire E Kendall","doi":"10.1177/01632787241281745","DOIUrl":"https://doi.org/10.1177/01632787241281745","url":null,"abstract":"Contribution Analysis (CA) is a promising theory-based evaluation approach for complex interventions, yet its application in health interventions remains largely unexplored. To bridge this gap, we conducted a scoping review to examine the extent of such applications and the methodologies, strengths, and limitations of this approach in health programming. Our comprehensive search strategy was developed and used in 15 databases to identify peer-reviewed articles from 1999 to 2023 that focused on using CA to evaluate health interventions. We then implemented rigorous double- and triple-screening processes for abstracts and full-text papers, respectively. Data were extracted and narratively summarized. Our review found seven relevant studies, which showed that CA has been employed in health promotion programs, health policies, and targeted health issues such as nutrition, cardiovascular disease, substance misuse, and suicide prevention. The studies identified strengths of using CA, including its flexible impact evaluation approach, capacity to inform decision-making, and potential to enhance understanding of health programs and policies. However, challenges such as how to determine suitable evidence levels and how to best manage resource intensity were also identified. The limited number of studies indicates that CA is still a novel approach, whereas the variation in the reporting of the studies suggests that this approach could benefit from more standardized methods and detailed stakeholder engagement strategies.","PeriodicalId":12315,"journal":{"name":"Evaluation & the Health Professions","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2024-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142153502","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

Real Patient Participation in Workplace-Based Assessment of Health Professional Trainees: A Scoping Review. 基于工作场所的卫生专业培训生评估中的真实患者参与：范围审查。

IF 2.2 3区医学

Evaluation & the Health Professions Pub Date : 2024-09-01 Epub Date: 2023-05-31 DOI: 10.1177/01632787231180275

Arwa Nemir, Marion Pearson, Vanessa Kitchin, Kerry Wilbur

{"title":"Real Patient Participation in Workplace-Based Assessment of Health Professional Trainees: A Scoping Review.","authors":"Arwa Nemir, Marion Pearson, Vanessa Kitchin, Kerry Wilbur","doi":"10.1177/01632787231180275","DOIUrl":"10.1177/01632787231180275","url":null,"abstract":"The aim of this scoping review is to outline the existing landscape of how real patients participate in the workplace-based assessment of trainees across diverse healthcare professions. In 2019-2020, the authors searched MEDLINE, EMBASE, CINAHL, PsycINFO, ERIC, and Web of Science databases for studies that included descriptions of experiences whereby patients received care from a health professional trainee and participated in workplace-based assessments of that trainee. Full-text articles published in English from 2009 to 2020 were included in the search. Of the 8770 studies screened; 77 full-text articles were included. Analysis showed that strategies for patient participation in workplace-based assessment varied widely. Aspects studied ranged from validation of an assessment tool to evaluation of the impact of an educational intervention on trainees' performance. Assessment of patient satisfaction was the most common approach to patient involvement. The majority of studies were conducted in North America and in the context of physician training. Formal patient participation in the assessment of health professional trainees appears heterogeneous across health professions. Gaps in the literature are evident; therefore, this review points to an inclusive approach to workplace-based assessment to ensure patient feedback of the trainees who care for them is represented.","PeriodicalId":12315,"journal":{"name":"Evaluation & the Health Professions","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11351003/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9540655","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

Commentary: Key Aspects of Multimodal Prehabilitation in Surgical Patients With Cancer. A Practical Approach to Integrating Resistance Exercise Programs. 评论:肿瘤手术患者多模式康复的关键方面。综合抗阻运动计划的实用方法。

IF 2.2 3区医学

Evaluation & the Health Professions Pub Date : 2024-09-01 Epub Date: 2023-11-30 DOI: 10.1177/01632787231218993

Roberto Laza-Cagigas, Marcos Seijo, Ian Swaine, Tara Rampal, Fernando Naclerio

{"title":"Commentary: Key Aspects of Multimodal Prehabilitation in Surgical Patients With Cancer. A Practical Approach to Integrating Resistance Exercise Programs.","authors":"Roberto Laza-Cagigas, Marcos Seijo, Ian Swaine, Tara Rampal, Fernando Naclerio","doi":"10.1177/01632787231218993","DOIUrl":"10.1177/01632787231218993","url":null,"abstract":"Surgical prehabilitation aims to optimise patients' physiological reserves to better withstand the stress of surgery, reduce the risk of postoperative complications, and promote a faster and optimal recovery. The purpose of this commentary is to outline the key aspects of prehabilitation before surgery for cancer which seem to impact its effectiveness and wider implementation. Particular attention is paid to the role and integration of resistance training programmes as a key component of multimodal prehabilitation for patients with cancer. We firstly analyse some of the barriers currently hindering the implementation of prehabilitation programmes in the National Health Service (United Kingdom). Later, we describe essential aspects of resistance training design, such as exercise modality and order execution, volume and intensity, rest periods between sets or exercises, and workout frequency. Furthermore, we propose a methodology to use the perception of effort to control patients' progression during a prehabilitation programme.","PeriodicalId":12315,"journal":{"name":"Evaluation & the Health Professions","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11351001/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138458942","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

Disability-Adjusted Life Expectancy and Cognitive Function among Community-Dwelling Adults. 居住在社区的成年人的残疾调整预期寿命和认知功能。

IF 2.2 3区医学

Evaluation & the Health Professions Pub Date : 2024-09-01 Epub Date: 2023-05-24 DOI: 10.1177/01632787231177473

Sanghun Nam, Brian Downer, Suna Cha, Jae-Sung Choi, Seungmin Yang, Ickpyo Hong

{"title":"Disability-Adjusted Life Expectancy and Cognitive Function among Community-Dwelling Adults.","authors":"Sanghun Nam, Brian Downer, Suna Cha, Jae-Sung Choi, Seungmin Yang, Ickpyo Hong","doi":"10.1177/01632787231177473","DOIUrl":"10.1177/01632787231177473","url":null,"abstract":"We aimed to calculate disability-adjusted life expectancy (DALE) for Korean older adults based on their sex, educational attainment, and residential region across their cognitive status. We included 3,854 participants (aged 65-91 years) from the Korean Longitudinal Study of Aging's seventh survey data. The participant's cognitive function status (normal, moderately impaired, or severely impaired) was determined based on cognitive examination and physical function independence, which was used to calculate their DALE. Females with normal cognition had higher DALE (7.60 years, Standard Deviation (SD) = 3.88) than males (6.76, SD = 3.40); however, both sexes had comparable DALE for cognitive impairment. In contrast, the DALE values increased with higher educational achievements. Regarding residential areas, the DALE value for participants with normal cognition and moderate impairment was the highest among urban dwellers, while DALE for participants with severely impaired cognitive function was highest among rural dwellers; however, there were no statistically significant differences based on residential conditions. Our findings suggest that demographic characteristics should be considered when developing health policies and treatment strategies to meet the needs of the aging population in Korea.","PeriodicalId":12315,"journal":{"name":"Evaluation & the Health Professions","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9865809","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

Fading Focus: Addressing the Association Between Challenge Stressors, Role Blurring, Insomnia, Fatigue, and Workplace Cognitive Failure. 焦点逐渐消失：解决挑战压力、角色模糊、失眠、疲劳和职场认知失败之间的关联。

IF 2.2 3区医学

Evaluation & the Health Professions Pub Date : 2024-09-01 Epub Date: 2024-07-18 DOI: 10.1177/01632787241264597

Homayoun Pasha Safavi, Mona Bouzari

引用次数: 0