Journal of evaluation in clinical practice最新文献

{"title":"The Impact of Nurses' Attitudes Toward Ethical Principles on Care Behaviours: A Cross-Sectional Study","authors":"Ayşegül Yıldız İçigen,&nbsp;Sinem Sönmez","doi":"10.1111/jep.70223","DOIUrl":"https://doi.org/10.1111/jep.70223","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>This study aims to determine the impact of nurses' attitudes toward ethical principles on their care behaviours in Turkey.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>This study is a cross-sectional, descriptive, and correlational research.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This cross-sectional study was conducted with 390 actively working nurses in Turkey, selected using a known population sampling method. The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) checklist for cross-sectional studies was used in reporting this study.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The nurses' mean age was 29.7 ± 1.26 years, and 87.4% held a bachelor's degree. It was found that 57.4% of the nurses encountered ethical issues in the hospital, while 92.4% did not consult the hospital ethics committee when facing ethical dilemmas. The mean scores on the ethical attitudes and care behaviours scales showed a statistically significant increase with age and education level (<i>p</i> &lt; 0.05). A significant positive correlation was found between nurses' attitudes toward ethical principles and their care behaviours scores (<i>r</i> = 0.639, <i>p</i> &lt; 0.001).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>This study revealed that ethical attitudes and care behaviours are influenced by age and education level and that nurses' attitudes toward ethical principles affect their care behaviours.</p>\u0000 </section>\u0000 </div>","PeriodicalId":15997,"journal":{"name":"Journal of evaluation in clinical practice","volume":"31 5","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144705345","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluating Physician and Manager Perspectives on EHR Usage in Turkey: A Factor Analysis Approach","authors":"Songul Cinaroglu,&nbsp;Simge Kamalı","doi":"10.1111/jep.70214","DOIUrl":"https://doi.org/10.1111/jep.70214","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aims and Objectives</h3>\u0000 \u0000 <p>Understanding the perspectives of health professionals about Electronic Health Records (EHRs) is pivotal for better management of health information systems (HIS). The purpose of this study is to examine explanatory factors of usage of EHRs according to the physician and hospital manager's evaluations.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A survey was administered in three hospitals in the İzmir metropolitan area, and 202 physicians and hospital administrators participated in this study. The internal consistency of the questionnaire was assessed using Cronbach's Alpha (0.74), and the suitability of the factor analytical model was assessed using KMO (0.79) and Bartlett's test (X² = 1720.97, <i>p</i> &lt; 0.001). Exploratory factor analysis was performed with Varimax rotation to determine the factors underlying the model. Then, confirmatory factor analysis (CFA) was performed to reveal the latent structure of the model.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The performance of CFA model is statistically significant (<i>p</i> &lt; 0.0001), acceptable at moderate level (X²/df = 3,81) the goodness-of-fit indices are good (CFI = 0,87; GFI = 0,76; NFI = 0,83; AGFI = 0,70). Three factors explain the latent structure of this model and evaluations of physician and hospital managers towards the usage of EHRs named as: <i>benefits of usage of EHRs</i>; <i>concerns about the usage of EHRs</i> and <i>the effect of EHRs on the quality of work, efficiency, access to the information and safety</i>.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Study results highlight the necessity of comprehending the EHR from the perspectives of health professionals and managers by focusing on the advantages of EHRs, concerns towards the deployment of EHR systems, and the improvement effects of EHR in work quality, efficiency, and HIS.</p>\u0000 </section>\u0000 </div>","PeriodicalId":15997,"journal":{"name":"Journal of evaluation in clinical practice","volume":"31 5","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144705403","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Facilitating Access and Adherence to Physical Activity and Exercise for Service Users With Neurological Conditions in the Community: A Service Evaluation","authors":"Caroline Appel,&nbsp;James Alexander,&nbsp;Simon Conroy,&nbsp;Cherry Kilbride","doi":"10.1111/jep.70146","DOIUrl":"https://doi.org/10.1111/jep.70146","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Rationale</h3>\u0000 \u0000 <p>Many service users with neurological conditions do not meet the recommended physical activity requirements. Cultivating early and ongoing access to physical activity and exercise opportunities is vital to improve or maintain function and general health in this vulnerable group.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>To evaluate the impact of a pathway that aimed to facilitate access and adherence to physical activity and exercise for service users with neurological conditions.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A London-based NHS healthcare team providing community neurorehabilitation developed a pathway in co-production with public health, local authority, third sector parties and service users to facilitate physical activity and exercise opportunities. First, NHS neurophysiotherapists offered a bespoke programme on exercise, physical activity and education to service users for up to 12 weeks. The pathway continued in local gyms, supported by a fitness instructor, for at least a further 12 weeks. Using a pre–post design, outcomes relating to function, strength and physical activity were recorded at baseline, 6–12 weeks (health care) and 6 weeks later (telephone survey after transition to local gyms). Data analysis was descriptive.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Thirty-five service users (20 men), mean (SD) age 60 (15), with a range of neurological conditions, were eligible and included. Ten participants dropped out: eight (23%) for medical reasons, two (6%) for other reasons. Due to the COVID-19 pandemic, four (11%) service users could not transition when facilities closed in March 2020. Analysis showed potential beneficial effects on function, strength and physical activity for service users as well as reduced waiting times to access the NHS and local gyms.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Outcomes suggested the pathway enabled service users to access and adhere to physical activity and exercise following neurorehabilitation. This evaluation included small numbers but could inform service development and future studies.</p>\u0000 </section>\u0000 </div>","PeriodicalId":15997,"journal":{"name":"Journal of evaluation in clinical practice","volume":"31 5","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jep.70146","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144705342","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cross-Cultural and Psychometric Validation of the Ageism in the Organizational Context Scale in Nursing Students","authors":"Jack Roberto Silva Fhon,&nbsp;Zoila Esperanza Leitón-Espinoza,&nbsp;Orfelina Arpasi-Quispe,&nbsp;Maritza Evangelina Villanueva-Benites,&nbsp;Catalina Olimpia Bello-Vidal,&nbsp;Walter Capa-Luque","doi":"10.1111/jep.70215","DOIUrl":"https://doi.org/10.1111/jep.70215","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>To conduct the cross-cultural and psychometric validation of the ‘Ageism in the Organizational Context Scale’ with Peruvian nursing students.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This is a methodological quantitative study conducted with 882 nursing students between February and August 2023. For the adaptation process, the forward-backward method of the original version from Portuguese to Spanish was used. The content analysis was performed with the participation of specialist judges, while for the internal structure of the construct, confirmatory factor analysis and measurement invariance with multigroup confirmatory factor analysis were used.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Content validity was 0.93. The best internal structure of the construct is represented by the bi-factor model for the 14-item scale (CFI and TLI &gt; 0.97, RMSEA = 0.057 and SRMR = 0.028). The measurement invariance by sex for the four levels (configural, metric, strong and strict) is also satisfactorily fulfilled. The internal consistency of the bifactor model according to the hierarchical omega (&gt; 0.85) and the H coefficient for the latent construct (&gt; 0.90) presented high reliability. In addition, the ordinal alpha coefficient and McDonald omega presented high precision (≥ 0.85).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The Ageism in the Organizational Context Scale adapted to the Peruvian version with 14 items showed excellent validity evidence based on the internal structure of the construct for a bifactor model and high reliability for the general score and for the two dimensions in nursing students. Identifying ageism towards the older population among nursing students is important in the training of future nurses, eliminating prejudice and improving the quality of care in this population.</p>\u0000 </section>\u0000 </div>","PeriodicalId":15997,"journal":{"name":"Journal of evaluation in clinical practice","volume":"31 5","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144705401","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Beyond Regional Boundaries: Insights From ICU Nursing Practices in Western China to Advance Global Strategies Patient Experience Strategies","authors":"Minyue Sun,&nbsp;Yuqi Shen,&nbsp;Luo Min,&nbsp;Lili Huang,&nbsp;Wan Li","doi":"10.1111/jep.70212","DOIUrl":"https://doi.org/10.1111/jep.70212","url":null,"abstract":"&lt;div&gt;\u0000 \u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Background&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;As front-line caregivers in high-risk settings, intensive care unit (ICU) nurses worldwide play a pivotal role in redefining patient-centered critical care. Their daily practices not only influence individual patient outcomes and experiences but also provide transferable insights that can inform evidence-based and humanistic models of care. By examining how ICU nurses improve patient experiences—through structured communication frameworks, family engagement protocols, and innovative approaches to pain management—we can integrate these strategies into clinical workflows, professional education, and policy development. Such efforts have the potential to elevate service awareness among ICU nursing teams globally, improve care quality, and address persistent gaps in patient satisfaction.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Objectives&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;To assess the practices of ICU nurses in enhancing patient experience in a specific province of Western China and to identify key influencing factors, providing insights that can inform ICU practices globally.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Methods&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;A cross-sectional survey was conducted from August to September 2024 using convenience sampling. It involved 242 ICU nurses from 43 tertiary hospitals and 19 secondary or lower-tier hospitals in the province. The research team's self-designed questionnaire gauged the nurses' contributions to patient experience enhancement.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Results&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Out of 242 distributed questionnaires, 226 were valid, yielding a response rate of 93.4%. The proficiency of ICU nurses in improving patient experiences was rated as moderate. While the adherence to a responsibility system in overall nursing was satisfactory, the implementation in areas such as basic care, humanistic nursing, rehabilitative continuity of care, and nursing technology was moderate. Multiple linear regression analysis indicated that hospital level and professional designation significantly influenced the nurses' practices in enhancing patient experiences.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Conclusions&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;The current situation of ICU nursing practices in enhancing patient experience is not optimistic. It is crucial to focus more on the experiential aspects of ICU care. This should involve enhancing both theoretical and practical training for nurses, and improving their awareness and skills in enhancing patient experiences. Additionally, the study highlights the importance of combining resources, technology, and humanistic care, providing valuable insights f","PeriodicalId":15997,"journal":{"name":"Journal of evaluation in clinical practice","volume":"31 5","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144705402","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Analysis of the Effects of Nursing Students' Competencies and Attitudes Towards the Nursing Profession on Their Attitudes Towards Clinical Practice","authors":"Figen Çalışkan,&nbsp;Hanim Elveren,&nbsp;Eylem Deniz,&nbsp;Kübra Aygün","doi":"10.1111/jep.70203","DOIUrl":"https://doi.org/10.1111/jep.70203","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Nursing education encompasses both theoretical knowledge and clinical practice. Nursing students can find the opportunity to increase their competences by applying the knowledge they have learnt in theoretical education in clinical practice. A multitude of factors influence the efficacy of clinical practice. It is expected that students will develop professional competencies before graduation and cultivate a positive attitude towards the nursing profession and clinical practice.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>The objective of this study is to examine the influence of nursing students’ competencies and their attitudes toward the profession on their attitudes toward clinical practice.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The study employed a correlational design. This study was conducted in a hospital between February 27 and August 25, 2023, and included 585 nursing students who agreed to participate in the study. The study used the Nursing Students' Attitudes towards Clinical Practices Scale, the Attitude Scale for Nursing Profession, and the Competency Inventory of Nursing Students as data collection tools together with the Descriptive Information Form. Structural equation modelling was used to analyse the research data.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The study revealed that nursing students' competencies and attitudes toward the profession influence their attitudes toward clinical practices.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Nursing students' attitudes and competencies towards the profession should be taken into consideration throughout their education to enhance the efficacy and quality of clinical practice.</p>\u0000 </section>\u0000 </div>","PeriodicalId":15997,"journal":{"name":"Journal of evaluation in clinical practice","volume":"31 5","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144705343","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Living Will: A Cross-Sectional Study on the Perspective, Knowledge, and Clinical Use of General Practitioners in Portugal","authors":"Mariana Batista Maciel,&nbsp;Luísa Castro,&nbsp;Rui Nunes","doi":"10.1111/jep.70213","DOIUrl":"https://doi.org/10.1111/jep.70213","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Rationale</h3>\u0000 \u0000 <p>In Portugal, living wills—legal documents allowing individuals to express healthcare preferences in case of future incapacity—have been recognized since 2012. Despite this, public engagement remains limited, and previous studies have highlighted both public unawareness and knowledge gaps among healthcare professionals.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aims and Objectives</h3>\u0000 \u0000 <p>This study aimed to assess the perspectives, knowledge, and clinical use of living will among Portuguese General Practitioners (GPs), given their pivotal role in promoting health literacy and patient autonomy.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A cross-sectional, quantitative survey was conducted among Portuguese GPs, using a 30-item online questionnaire that covered demographics, knowledge, attitudes, and clinical practices. Non-parametric statistical analyses, including Spearman correlation and the Mann-Whitney test, were used to assess associations.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A total of 392 GPs answered the questionnaire, with a median age of 35 years. In their clinical practice, almost half of healthcare professionals have had conversations with their patients about Advance Directives (ADs), although 22.3% were unable to locate a living will in the Portuguese Public Healthcare Service Electronic System. The median number of correct answers to the 14 questions that require knowledge about the Portuguese law of ADs was 10, with a minimum of 5 and a maximum of 14. Most doctors reported that fewer than 1% of their patients have inquired about ADs.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Despite recognizing the importance of living wills, GPs seldom address them in consultations, often due to limited knowledge and practical barriers. Findings underscore the need for targeted training and public awareness initiatives to promote advanced care planning in primary care settings.</p>\u0000 </section>\u0000 </div>","PeriodicalId":15997,"journal":{"name":"Journal of evaluation in clinical practice","volume":"31 5","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144705404","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinical Pharmacy Services in County Hospitals in China: Insights From a National Cross-Sectional Study","authors":"Shuting Huang,&nbsp;Jie Xiao,&nbsp;Qing Wang,&nbsp;Lei Chen,&nbsp;Yuhan Tan,&nbsp;Yining Cheng,&nbsp;Wenzheng Xie,&nbsp;Ping Xu","doi":"10.1111/jep.70226","DOIUrl":"https://doi.org/10.1111/jep.70226","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Clinical pharmacy services have gained high recognition worldwide, but are still unevenly developed and inequitable. This study aims to explore the setting and implementation of clinical pharmacy services in county hospitals in China and to identify the associated factors, as well as the perceptions and demands of healthcare professionals.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A national cross-sectional survey of clinical pharmacy services in county hospitals in China from April to October 2023. Data were obtained from questionnaire surveys of stakeholders including leaders of pharmacy departments, pharmacists, doctors, and nurses in county hospitals in China. Data was analyzed using descriptive statistics, chi-square test, <i>t</i>-test and Wilcoxon rank sum test.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A total of 1510 questionnaires were collected from 362 county hospitals in 15 provinces in China. The median number of clinical pharmacists in county hospitals was 3 (2−5), far less than the requirement. More than 80% of the hospitals have established working mode and procedures of clinical pharmacy services, but only around 30% of them have incentive policy and charge for services. At present, over 60% of county hospitals consistently provide prescription review. Clinical pharmacy services significantly contributed to the rational use of medication and were highly valued by both doctors and nurses.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The findings indicated that clinical pharmacy services were embedded into daily work of clinical pharmacists, which was highly recognized by healthcare professionals. However, the implementation and sustainability of these services in county hospitals are still restricted by inadequate resources, incomplete systems, and insufficient competence.</p>\u0000 </section>\u0000 </div>","PeriodicalId":15997,"journal":{"name":"Journal of evaluation in clinical practice","volume":"31 5","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144705341","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Parent's Help-Seeking For, and Care Of, a Sick or Injured Child During COVID-19 Pandemic Lockdowns: A National Online Survey in Türkiye","authors":"Bahar Aksoy,&nbsp;Sarah Neill","doi":"10.1111/jep.70211","DOIUrl":"https://doi.org/10.1111/jep.70211","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>This study aimed to investigate how COVID-19 lockdowns in Türkiye influenced parents' actions when their child was ill or injured and how they perceived the impact of the lockdown on the severity of their child's illness and the treatment received.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This descriptive, and cross-sectional mixed method was conducted with 104 parents whose children experienced illness or injury during the pandemic lockdowns between July and September 2022. Data was collected through online survey using snowball sampling method. Descriptive statistics and pearson's chi-square test were used for statistical analysis, while free-text data was subjected to thematic analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Of the parents who sought medical help, 51.7% reported their child being admitted to hospital, and 29.8% noted their child had a chronic health illness. These parents were more likely to report that changes in health services affected their child's treatment compared to those with children without a long-term health issue (45.1% vs. 12.3%, <i>p</i> &lt; 0.001). The experiences of parents seeking help for their sick or injured child during the lockdown were categorized into three main themes: the lockdown's impact on the child, health service accessibility during the lockdown, and parental help-seeking behavior during lockdown.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>It is concluded in this study that during COVID-19 lockdowns, pediatric nurses should guide parents regarding when and where to seek medical assistance to mitigate potential complications resulting from reduced parental help-seeking behavior.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Practice Implications</h3>\u0000 \u0000 <p>To ensure the uninterrupted monitoring and treatment of children with chronic health issues during lockdowns, it is advisable to expand telemedicine practices.</p>\u0000 </section>\u0000 </div>","PeriodicalId":15997,"journal":{"name":"Journal of evaluation in clinical practice","volume":"31 5","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144705346","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Development and Validation of a Reablement Competency Scale for Home Health Therapists in Taiwan","authors":"Hsiao-Wei Yu,&nbsp;Tzu-Ying Chiu","doi":"10.1111/jep.70227","DOIUrl":"https://doi.org/10.1111/jep.70227","url":null,"abstract":"<div>\u0000 \u0000 <p><b>Background:</b> Taiwan's long-term care policy prioritizes the integration of home health services with reablement. Herein, we designed a scale to evaluate reablement competencies among home health therapists using Sorensen's framework and assess the reablement competencies of home health therapists with experience in reablement in Taiwan.</p>\u0000 <p><b>Methods:</b> We employed a modified Delphi method to develop the assessment scale. The finalized 32-item scale exhibited satisfactory reliability and content validity following a three-round Delphi consensus process.</p>\u0000 <p><b>Results:</b> The findings indicated that home health therapists with in-person collaboration experience with home care assistants achieved higher competency scores than those without the collaboration experience. Additionally, reablement competencies were specifically associated with experience in reablement services rather than general clinical healthcare experience.</p>\u0000 <p><b>Conclusion:</b> In alignment with Taiwan's long-term care policy on reablement, this evidence-based study assessed the competencies required for reablement service providers. In the future, practitioners should focus on the unique contextual skills of reablement at long-term settings, while fostering in-person interdisciplinary collaboration between home health therapists and home care assistants to further enhance reablement competencies in practice.</p>\u0000 </div>","PeriodicalId":15997,"journal":{"name":"Journal of evaluation in clinical practice","volume":"31 5","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144705344","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}