Journal of evaluation in clinical practice最新文献

{"title":"Barriers and Facilitators to the Implementation of Advance Care Planning: A Qualitative Study at National and Organizational Levels","authors":"Linn Brøderud, Reidun Førde, Maria Romøren, Astrid Klopstad Wahl, Reidar Pedersen","doi":"10.1111/jep.70131","DOIUrl":"https://doi.org/10.1111/jep.70131","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Aging population, enhanced medical opportunities, increased costs and emphasis on patient participation make advance care planning (ACP) important and it provides an evidence-based framework to ensure patient autonomy in future healthcare decisions. Despite the extensive international research literature supporting ACP, implementation seems challenging. Implementing complex interventions like ACP probably requires a system-wide approach. However, there is scarce research on the barriers and facilitators to ACP implementation as perceived at national and organizational levels.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>To explore the barriers and facilitators affecting ACP implementation as perceived at national and organizational levels.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Fifteen in-depth individual interviews were conducted with stakeholders at national and organizational levels. A semi-structured interview guide was used, targeting overarching conditions and framework factors that could have an impact. Data was analysed using thematic analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Barriers to ACP implementation described by participants included: Lack of prioritization of ACP at all levels; paradigms and culture of healthcare delivery, personal barriers and attitudes, and lack of competence; lack of collaboration and documentation between levels of healthcare; and lack of systems, routines, time and resources within healthcare services. Facilitators included: Cultural change; support in priority setting; national guideline and incentives; management commitment and support; systems, routines and local implementation efforts; ACP capacity building, implementation competence, and ethical reflection; dissemination of the benefits of ACP, including public education; and better collaboration and communication between levels of healthcare.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>There appear to be significant barriers and facilitators to ACP implementation as perceived at the national and organizational levels of healthcare. Although ACP implementation appears to require a combination of top-down and bottom-up initiatives, national and organizational barriers and facilitators seem important in setting priorities in clinical practice, with an emphasis on financial incentives. An overarching cultural change of healthcare delivery that supports interventions such as ACP appears to be criti","PeriodicalId":15997,"journal":{"name":"Journal of evaluation in clinical practice","volume":"31 4","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jep.70131","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144244911","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":"The Relationship Between Person-Organization Fit and Job Embeddedness in Nursing: The Mediating Role of Workplace Happiness","authors":"Ayşe Karadaş,&nbsp;Mehmet Gülşen,&nbsp;Nurşah Tatoğlu","doi":"10.1111/jep.70159","DOIUrl":"https://doi.org/10.1111/jep.70159","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Person-organization fit and job embeddedness affect nurse performance and turnover intention, thus disrupting the functioning of the organization.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>This study aimed to ascertain the mediating role of workplace happiness in the relationship between person-organization fit and job embeddedness in nursing.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Conducted as a descriptive and cross-sectional study, this study included 240 nurses working at a public hospital between January 15 and March 15, 2024. Data were collected using a descriptive information form, the Person-Organization Fit Scale, the Global Job Embeddedness Scale, and the Happiness at Work Scale. Statistical analyses were undertaken using IBM SPSS Statistics version 26 and the PROCESS Makro v4.2 plug-in.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The findings revealed that person-organization fit significantly and positively affected workplace happiness and workplace happiness significantly and positively affected job embeddedness. Furthermore, the indirect effect of person-organization fit on job embeddedness was significant; therefore, workplace happiness mediated the relationship between person-organization fit and job embeddedness.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>This study's results reveal that ensuring nurses' person-organization fit and increasing their workplace happiness levels contribute significantly to increasing their level of job embeddedness. Healthcare organizations and nurse managers play a crucial role in improving job embeddedness. Nurse managers can improve nurses' levels of job embeddedness by developing strategies to promote person-organization fit and increase workplace happiness.</p>\u0000 </section>\u0000 </div>","PeriodicalId":15997,"journal":{"name":"Journal of evaluation in clinical practice","volume":"31 4","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jep.70159","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144244910","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":"Children at Risk: A Cross-Sectional Study of Mothers' Awareness and Practices Regarding Chemical Product Labels at Home","authors":"Bahise Aydın,&nbsp;Nazan Çakırer Çalbayram","doi":"10.1111/jep.70163","DOIUrl":"https://doi.org/10.1111/jep.70163","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Children's exposure to chemical products at home poses significant health risks, making mothers' awareness and label-reading practices crucial for ensuring household safety.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>This study aimed to determine the frequency of mothers reading labels on chemical products and their knowledge of label symbols.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This descriptive cross-sectional study included 352 mothers whose children were between the ages of 6–18 years. Data were collected through an online survey using the Sociodemographic and Descriptive Characteristics Data Form and the Chemical Label Symbols Information Questionnaire.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>It was found that 65.6% of the mothers were interested in chemical product labels, 38.9% always read the information on the label, and 70.5% believed that the information on the label was useful. The label symbol that mothers knew the most was the symbol for airing the room after use (94.9%) and the least was the symbol for acute poisoning (50.6%). It was found that the frequency of label reading increased as the number of family members and the number of children decreased (<i>p</i> &lt; 0.05).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>It was determined that although mothers were highly aware of the symbols on chemical product labels, the frequency of label reading was insufficient. Children's health is at risk due to the excessive use of chemical products at home.</p>\u0000 </section>\u0000 </div>","PeriodicalId":15997,"journal":{"name":"Journal of evaluation in clinical practice","volume":"31 4","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jep.70163","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144244796","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":"Long Term Patient Experiences After Bariatric and Metabolic Surgery: A Phenomenological Study","authors":"Defne Dizlek Bayraktar,&nbsp;Emine Catal","doi":"10.1111/jep.70166","DOIUrl":"https://doi.org/10.1111/jep.70166","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>It is important to know what individuals experience in the complex long-term process after bariatric and metabolic surgery, this information is now more sought after. It can be used to improve patient care management by better understanding individuals' long-term life experiences after bariatric and metabolic surgery.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>This qualitative study aimed to determine the long-term experiences of patients who underwent bariatric and metabolic surgery using a phenomenological design.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The study was conducted as qualitative research. It included 16 volunteers who underwent bariatric and metabolic surgery at least 5 years ago. Its data was collected using a semi-structured in-depth interview method. The collected data were analysed through a content, descriptive, and thematic analysis process and supported by the participants' metaphors.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>In the study, 10 of the participants were female and six were male. Only one of the participants underwent adjustable gastric band surgery, the others underwent sleeve gastrectomy. Content analysis of the data revealed four main themes. These were: ‘emotions and thoughts created by bariatric surgery’, ‘gains brought by the new body’, ‘difficulties brought by the new body’, ‘the point reached in the journey of process’.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Long Term Patient Experiences after Bariatric and Metabolic Surgery, which were both positive and negative, provide information about the participant's postsurgical process and what can be done to improve it and help patients in their recovery.</p>\u0000 </section>\u0000 </div>","PeriodicalId":15997,"journal":{"name":"Journal of evaluation in clinical practice","volume":"31 4","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jep.70166","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144244841","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":"The Blind Call for More Research","authors":"Jacob Alexander de Ru","doi":"10.1111/jep.70155","DOIUrl":"https://doi.org/10.1111/jep.70155","url":null,"abstract":"&lt;p&gt;“&lt;i&gt;Fortunately I believe we have not yet gone so far as our friends in the USA where, I am told, some editors of journals will return an article because tests of significance have not been applied,&lt;/i&gt;” was written more than half a century ago in one of the most influential papers in medical history [&lt;span&gt;1&lt;/span&gt;].&lt;/p&gt;&lt;p&gt;Unfortunately, recently an editor indeed returned a manuscript stating: “with that said, I urge you to conduct a more formal study of the usefulness of this maneuver in anesthetized patients and report your result.” Though at first glance this might not be a too strange remark, the ‘maneuver’ in this case is just a simple and harmless head-turn.&lt;/p&gt;&lt;p&gt;A can't oxygenate, can't ventilate, can't intubate situation means that a patient cannot breathe because he/she is under anesthesia, and doesn't get oxygen because the anesthesiologist cannot secure the airway. A can't oxygenate, can't ventilate, can't intubate situation may result in a life-threatening situation thus, a movement as simple as turning the patient's head can be worth every penny.&lt;/p&gt;&lt;p&gt;During Drug Induced Sleep Endoscopy (DISE), a diagnostic procedure used in case of obstructive sleep apnea syndrome (OSAS), we noticed that turning the head while the patient is under anesthesia can open the airway if it is obstructed by the base of the tongue. The head-turn is a routine part of the procedure as it might be an indicator of the effect of positional therapy for OSAS.&lt;/p&gt;&lt;p&gt;The ‘instructions for authors’ of the specific journal we had in mind states: ‘ “Freestanding” Letters to the Editor also may discuss matters of general interest to anesthesiologists, without specific linkage to recently published articles,’ and, “Letters to the Editor should be brief (250 to 750 words).”&lt;/p&gt;&lt;p&gt;Therefore, we wrote a 250 words letter to the editor with the advice for colleagues to try, based on our experience during DISE, a simple head-turn for non-traumatic cases of can't oxygenate, can't ventilate, can't intubate situation [&lt;span&gt;2&lt;/span&gt;].&lt;/p&gt;&lt;p&gt;Even the editor found our “idea interesting and perhaps useful to many anesthesiologists.”&lt;/p&gt;&lt;p&gt;Unfortunately, since ‘evidence based’ became the magic words in medicine, the focus seems to have shifted from clear and logical thinking to an adopted creed for more and more research. However, in many cases we do not need more research to improve healthcare or to learn easy tips and tricks. To quote Hill concerning tests of significance: “&lt;i&gt;yet there are innumerable situations in which they are totally unnecessary – because the difference is grotesquely obvious, because it is negligible, or because, whether it be formally significant or not, it is too small to be of any practical importance&lt;/i&gt; [&lt;span&gt;1&lt;/span&gt;].”&lt;/p&gt;&lt;p&gt;Chalmers, Sackett and Silagy wrote: “&lt;i&gt;when care has such striking effects, (…) carefully controlled research is seldom necessary to identify whether the prescriptions and proscriptions of doctors and other health professio","PeriodicalId":15997,"journal":{"name":"Journal of evaluation in clinical practice","volume":"31 4","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jep.70155","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144244913","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":"Optimised Hybrid Attention-Based Capsule Network Integrated Three-Pathway Network for Chronic Disease Detection in Retinal Images","authors":"M. Mohamed Yaseen,&nbsp;Thulasi Bai Vijayan","doi":"10.1111/jep.70126","DOIUrl":"https://doi.org/10.1111/jep.70126","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Over the past 20 years, researchers have concentrated on generating retinal images as a means of detecting and classifying chronic diseases. Early diagnosis and treatment are essential to avoid chronic diseases. Manually grading retinal images is time-consuming, prone to errors, and lacks patient-friendliness. Various Deep Learning (DL) algorithms are employed to detect chronic diseases from retinal fundus images. Also, these methods have some disadvantages, such as overfitting, computational cost, and so on.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>The proposed research aims to develop Optimized DL based system for detecting chronic diseases in retinal images and solving existing issues.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methodology</h3>\u0000 \u0000 <p>Initially, the retinal images are pre-processed to clean and organize the data. Normalization and HSI Colour Conversion are the techniques used for pre-processing. Inception-V3, ResNet-152 and a Convolutional Vision Transformer (Conv-ViT) are used to perform feature extraction. The classifier is an Optimized Hybrid Attention-based Capsule Network. An optimization is included in the proposed model to increase the classifier s performance.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The proposed approach attains accuracies of 99.05 % and 99.15% using Diabetic Retinopathy 224 × 224 (2019 Data) and the APTOS-2019 dataset, respectively. The superior performance of the proposed technique highlights its effectiveness in this domain.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The implementation of such automated methods can significantly improve the efficiency and accuracy of chronic disease diagnosis, benefiting both healthcare providers and patients.</p>\u0000 </section>\u0000 </div>","PeriodicalId":15997,"journal":{"name":"Journal of evaluation in clinical practice","volume":"31 4","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144135596","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":"The Effect of Assessment of Physiotherapy Practice on the Clinical Practice Performance of Physical Therapy Students in Pediatrics: A Comparative Study","authors":"Ting-Ting Ma,&nbsp;Qi Zhang,&nbsp;Hong-Xia Li","doi":"10.1111/jep.70128","DOIUrl":"https://doi.org/10.1111/jep.70128","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>To investigate how Physical therapy (PT) students’ clinical practice performance is affected by the assessment of physiotherapy practice (APP).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Students enroled at Capital Medical University's Rehabilitation School of Medicine between 2016 and 2019 were included in this study. Students enroled in 2018 and 2019 were assigned to the observation group, while those enroled in 2016 and 2017 were assigned to the control group. The clinical practice model handled by APP tools was given to students in the observation group, whereas the standard clinical practice model was given to students in the control group. Following the practice, students completed a questionnaire survey and took the graduation exam, which consisted of a theoretical examination and a practical examination. The two groups’ performances on these assessments were compared.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The observation group outperformed the control group in both theoretical and practical assessment results (<i>p</i> &lt; 0.05). Following their internship, the observation group showed considerably higher improvements in the acquisition of theoretical knowledge, training in clinical thinking and the operation ability than the control group (<i>p</i> &lt; 0.05). However, no significant differences were found between the groups in communication skills, teamwork ability, and safety risk management (<i>p</i> &gt; 0.05).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The practice teaching model under APP management is superior to the traditional clinical practice model in improving students’ theoretical knowledge, clinical reasoning, and practical skills in pediatric PT. However, both models showed similar outcomes in developing communication skills, teamwork ability, and safety risk management. These findings suggest that APP can be an effective tool for enhancing specific aspects of clinical practice performance in PT education.</p>\u0000 </section>\u0000 </div>","PeriodicalId":15997,"journal":{"name":"Journal of evaluation in clinical practice","volume":"31 4","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144135558","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":"The Effect of Internal Entrepreneurship on Patient-Centered Care Competence in Nursing Services","authors":"Mustafa Erdoğan,&nbsp;Harun Kirilmaz,&nbsp;Ali Arslanoğlu","doi":"10.1111/jep.70121","DOIUrl":"https://doi.org/10.1111/jep.70121","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>This study aimed to determine the internal entrepreneurship levels and patient-centered care competencies of nurses and to examine the effect of internal entrepreneurship characteristics on nurses' patient-centered care competence.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Internal entrepreneurship is defined as innovative activities within organizations. In the healthcare field, the transition from physician-centered care to patient-centered care has gained importance. It is thought that increasing nurses' internal entrepreneurship characteristics will positively contribute to improving the quality of patient-centered care practices.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>This descriptive and cross-sectional study was conducted between October and November 2019 in a university hospital in Turkey. The sample consisted of 580 nurses who voluntarily agreed to participate in the study. Data were collected using the Nurse Information Form, the Internal Entrepreneurship Scale, and the Patient-Centered Care Competence Scale. Data were analyzed using independent sample t-test, one-way analysis of variance (ANOVA), correlation analysis, and regression analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The study found that nurses had high levels of internal entrepreneurship and patient-centered care competence. There was a statistically significant and positive relationship between internal entrepreneurship and patient-centered care competence (<i>r</i> = 0.888, <i>p</i> &lt; 0.001). Regression analysis showed that internal entrepreneurship had a significant effect on patient-centered care competence (R² = 0.789, <i>p</i> &lt; 0.001). Among the sub-dimensions of internal entrepreneurship, risk-taking and proactivity were found to have the strongest impact on patient-centered care competence. In addition, socio-demographic characteristics such as age, marital status, education level, and years of experience caused significant differences in internal entrepreneurship and patient-centered care competence levels.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The study concluded that increasing nurses' internal entrepreneurship characteristics positively contributes to enhancing their competence in providing patient-centered care. It is recommended to support and develop nurses' internal entrepreneurship characteristics to improve the quality of patient-centered care practices.</p>\u0000 </section>\u0000 </div>","PeriodicalId":15997,"journal":{"name":"Journal of evaluation in clinical practice","volume":"31 4","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144135559","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":"Leveraging Qualitative Insights for Dashboard Development to Address Perinatal Health Inequalities in Maternity, Neonatal and Perinatal Services","authors":"Olufisayo Olakotan,&nbsp;Jennifer N. W. Lim,&nbsp;Mina Bhavsar,&nbsp;Farah Siddiqui,&nbsp;Rabina Ayaz,&nbsp;Gillian O'Brady Henry,&nbsp;Thillagavathie Pillay (Tilly)","doi":"10.1111/jep.70130","DOIUrl":"https://doi.org/10.1111/jep.70130","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Perinatal health inequalities, referring to disparities in maternal and neonatal outcomes among different ethnic groups, persist despite numerous calls to action. A quality improvement initiative, such as the perinatal health inequality dashboard, could serve as a tool to provide real-time data, highlight trends and patterns, and capture and analyse disparities in maternal and neonatal outcomes across various population groups.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>To explore the development process of the perinatal health inequality dashboard and conduct a preliminary evaluation of the barriers and facilitators in effectively presenting data and highlighting disparities in maternal and neonatal outcomes on the dashboard in the Leicester, Leicestershire, and Rutland (LLR) region in the United Kingdom.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>A qualitative study was conducted at the University Hospital of Leicester (UHL) involving the dashboard development team and end users, who are clinicians specializing in obstetrics, neonatal care, and perinatal mental health from the Leicester, Leicestershire, and Rutland (LLR) region. Ten clinicians were interviewed using a semi-structured approach over a 3-month period. The data were analysed using thematic analysis following Braun and Clarke's method.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The study findings are presented in two sections: the dashboard development process and dashboard evaluation. Key themes in the development process include data sourcing, integration, and accuracy in neonatal care. Evaluation themes focus on the potential impact of the dashboard, a user-friendly interface, balancing qualitative and quantitative data, sustainability through continuous oversight, and system integration and interoperability. These findings offer critical insights for the ongoing refinement and effective deployment of the dashboard.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The dashboard has the potential to improve health outcomes based on clinicians' insights. However, continuous refinement and modification of its functionality are necessary to address the challenges associated with its use.</p>\u0000 </section>\u0000 </div>","PeriodicalId":15997,"journal":{"name":"Journal of evaluation in clinical practice","volume":"31 4","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jep.70130","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144117824","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":"The Use of Puzzles as a Teaching Technique in Nursing Education: A Randomized Controlled Study","authors":"Nadiye Barış Eren,&nbsp;Bahar Çiftçi","doi":"10.1111/jep.70118","DOIUrl":"https://doi.org/10.1111/jep.70118","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>This study aimed to examine the influence of puzzle-based teaching methods on nursing students' levels of knowledge, motivation for learning, and academic self-efficacy.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The study employed a randomized controlled pretest-posttest experimental design conducted between January and June 2024 at Atatürk University's Faculty of Nursing. A total of 70 first-year nursing students participated, and the intervention and control groups were assigned through random selection. Both groups underwent interactive theoretical instruction on “Excretory Activities” for 2 h across 1 week. However, the intervention group received additional training through puzzle booklets designed by the researchers, while the control group was limited to theoretical instruction. Data collection instruments included the Personal Information Form, Achievement Tests, the Instructional Material Motivation Scale (IMTS), and the Academic Self-Efficacy Scale (ASES). Data were analyzed using SPSS 22 software.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Findings</h3>\u0000 \u0000 <p>The puzzle-based teaching approach notably improved students' knowledge, motivation, and self-efficacy. Posttest results for the intervention group showed significant increases in the IMTS sub-dimensions of “Attention,” “Appropriateness,” “Confidence,” and “Satisfaction” (<i>p</i> &lt; 0.05). Additionally, the intervention group achieved higher total IMTS and Knowledge Test scores (β = 0.896, <i>p</i> = 0.001) than the control group. Regression analysis indicated that puzzle application substantially and positively affected motivation sub-dimensions and knowledge levels. The academic self-efficacy scores of the intervention group were also significantly greater than those of the control group (<i>p</i> &lt; 0.05).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Puzzle-based teaching techniques positively affected knowledge, learning motivation, and academic self-efficacy. These findings highlight the potential of innovative teaching methods in nursing education, suggesting that puzzle-based approaches can effectively enhance learning processes and outcomes.</p>\u0000 </section>\u0000 </div>","PeriodicalId":15997,"journal":{"name":"Journal of evaluation in clinical practice","volume":"31 4","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jep.70118","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144117823","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}