Journal of evaluation in clinical practice最新文献

{"title":"Transforming Patient-Reported Outcome Measurement With Digital Health Technology","authors":"Liam Jackman,&nbsp;Rakhshan Kamran","doi":"10.1111/jep.70107","DOIUrl":"https://doi.org/10.1111/jep.70107","url":null,"abstract":"<p>Healthcare is shifting from a provider-centric to a patient-centric model, emphasizing the integration of patient-reported outcome measures (PROMs) into routine practice. PROMs enhance shared decision-making and provide valuable insights into patient well-being, yet their widespread implementation is hindered by logistical challenges, time constraints, and infrastructure limitations. Digital health solutions offer a promising approach to overcoming these barriers by streamlining PROM administration, improving accessibility, and optimizing clinical integration. This article explores the transition from paper-based to digital PROM administration, the advantages of computerized adaptive testing (CAT), and the broader considerations necessary to ensure effective implementation. By leveraging digital tools and informatics strategies, healthcare systems can facilitate the meaningful adoption of PROMs to improve patient-centred care. This article can be used to advance PROM implementation across various clinical settings.</p>","PeriodicalId":15997,"journal":{"name":"Journal of evaluation in clinical practice","volume":"31 4","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jep.70107","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143883988","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":"Digital Tools to Support the Systematic Review Process: An Introduction","authors":"Lena Schmidt,&nbsp;Ian Cree,&nbsp;Fiona Campbell,&nbsp;WCT EVI MAP group","doi":"10.1111/jep.70100","DOIUrl":"https://doi.org/10.1111/jep.70100","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>The introduction of systematic reviews in medicine has prompted a paradigm shift in employing evidence for decision-making across various fields. Its methodology involves structured comparisons, critical appraisals, and pooled data analysis to inform decision-making. The process itself is resource-intensive and time-consuming which can impede the timely incorporation of the latest evidence into clinical practice.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>This article introduces digital tools designed to enhance systematic review processes, emphasizing their functionality, availability, and independent validation in peer-reviewed literature.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We discuss digital evidence synthesis tools for systematic reviews, identifying tools for all review processes, tools for search strategy development, reference management, study selection, data extraction, and critical appraisal. Emphasis is on validated, functional tools with independently published method evaluations.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Tools like EPPI-Reviewer, Covidence, DistillerSR, and JBI-SUMARI provide comprehensive support for systematic reviews. Additional tools cater to evidence search (e.g., PubMed PICO, Trialstreamer), reference management (e.g., Mendeley), prioritization in study selection (e.g., Abstrackr, EPPI-Reviewer, SWIFT-ActiveScreener), and risk bias assessment (e.g., RobotReviewer). Machine learning and AI integration facilitate workflow efficiency but require end-user informed evaluation for their adoption.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The development of digital tools, particularly those incorporating AI, represents a significant advancement in systematic review methodology. These tools not only support the systematic review process but also have the potential to improve the timeliness and quality of evidence available for decision-making. The findings are relevant to clinicians, researchers, and those involved in the production or support of systematic reviews, with broader applicability to other research methods.</p>\u0000 </section>\u0000 </div>","PeriodicalId":15997,"journal":{"name":"Journal of evaluation in clinical practice","volume":"31 3","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jep.70100","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143879874","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":"Perspectives of People Living With Type 2 Diabetes About Physical Activity Promotion: Can Community Pharmacies be Part of the Solution?","authors":"Ruben Viegas,&nbsp;Izabela Moura,&nbsp;Afonso Cavaco,&nbsp;Filipa Duarte Ramos,&nbsp;Romeu Mendes,&nbsp;Filipa Alves da Costa","doi":"10.1111/jep.70105","DOIUrl":"https://doi.org/10.1111/jep.70105","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Rationale</h3>\u0000 \u0000 <p>People living with type 2 diabetes (T2D) benefit from regular physical activity (PA) to reduce cardiovascular risk and better manage comorbidities. Pharmacists can provide support to increase physical activity by leveraging the regular interactions on their daily community pharmacy practice.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aims and Objectives</h3>\u0000 \u0000 <p>This study aimed to explore the perspectives of people living T2D about their engagement in PA using pharmacies as the subject of interest to collect this information.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This study followed a focus group technique using a semi-structured guide. People living with T2D were recruited in community pharmacies resorting to typical case sampling. Five in person focus group interviews with 23 patients living with T2D were conducted by the research team. Interviews were recorded following consent, transcribed <i>verbatim</i>, coded independently by two researchers and analysed using the socio-ecologic model.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A total of 23 people living with T2D were interviewed. Aspects determining PA engagement ranged from individual aspects such as physical limitations; interpersonal aspects such as having a reference pharmacist; organisational aspects such as activities done through the pharmacy; community aspects such as the cost of exercise activities and policy aspects such as information registry.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>This study suggests that community pharmacies are currently not considered by people living with diabetes as a source for behaviour change linked to PA but explores possible ways on how this could become a reality in the future.</p>\u0000 </section>\u0000 </div>","PeriodicalId":15997,"journal":{"name":"Journal of evaluation in clinical practice","volume":"31 3","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143879875","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":"Holiday Impact on Trends in Quality of Acute Coronary Syndrome Care","authors":"Ruize Guo,&nbsp;Mengyang Liu,&nbsp;Lei Yu,&nbsp;Qianni Li,&nbsp;Shuang Hou,&nbsp;Meina Liu","doi":"10.1111/jep.70109","DOIUrl":"https://doi.org/10.1111/jep.70109","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Acute coronary syndrome (ACS) is a common and serious cardiovascular disease with high morbidity and mortality. Timely diagnosis and treatment can help reduce the mortality of patients, but the arrival of the holidays may affect the quality of ACS treatment.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>To analyse the trends in the treatment quality of ACS care and the holiday season effect.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Joinpoint regression was performed to measure the overall trend in adherence rate of QIs from 1 January 2016, to 30 June 2020. The trends in emergency care quality over time was quantised by average monthly percentage change (AMPC). Interrupted time series were used to analyse the holiday season effect of the Spring Festival.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The completion rates of five QIs (QI2, QI4, QI5, QI7, QI8) showed a continuous upward trend between 1 January 2016 and 30 June 2020, with QI4 showing the fastest upward trend between month 35 and month 38 (AMPC = 24.31%, <i>p</i> &lt; 0.05). The completion rates of QI3, QI6 and QI9 showed an increasing trend at the beginning of the study and a decreasing trend at the later stages. Results of ITS model showed that there were immediate changes in rates of nine QIs before and after Chinese Spring Festival, with the largest decrease was in QI5 in phase 2 (level change = −13.94%, <i>p</i> &lt; 0.05) and the highest increase was in QI4 in phase 4 (level change = 27.71%, <i>p</i> &lt; 0.05). Excluding the effects of the holiday, completion rates continue to increase across the eight QIs.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Quality of care in ACS declined around the Spring Festival. Excluding the effect of holidays, the quality of ACS disease care showed an improving trend, especially in integrated care and multidisciplinary collaboration.</p>\u0000 </section>\u0000 </div>","PeriodicalId":15997,"journal":{"name":"Journal of evaluation in clinical practice","volume":"31 3","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143879876","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":"Serious Adverse Events: A Replicability and Validation Study of Naranjo Causality Assessment Tool in a Canadian Clinical Setting","authors":"Pallavi Pradhan,&nbsp;Sonia Corbin,&nbsp;Shweta Todkar,&nbsp;Maude Lavallée,&nbsp;Isabelle Cloutier,&nbsp;Rosalie Darveau,&nbsp;Julie Méthot,&nbsp;Anick Bérard,&nbsp;Marie-Eve Piché,&nbsp;Jacinthe Leclerc","doi":"10.1111/jep.70110","DOIUrl":"https://doi.org/10.1111/jep.70110","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Rationale</h3>\u0000 \u0000 <p>Patient safety has become a major concern in healthcare today as 5%–10% of patients experience serious adverse events (SAE) during their hospital stay. The causal assessment of SAE is the responsibility of healthcare professionals (HCP), who use their judgment or a standardize tool. Whether those two methods are replicable to provide similar results remains unclear.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>Our aim was to evaluate if causality assessment performed by HCP is replicable when systematically assessed with the Naranjo tool and to validate its performance in Canadian clinical context.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We performed pilot retrospective cohort study which included patients with SAE admitted to a Quebec hospital in 2021. Twelve SAE were randomly selected, and two reviewers independently assessed their causality using Naranjo tool. Inter-rater reliability among two reviewers and between HCP was evaluated. Along with criterion validity, sensitivity and specificity were calculated for validation study.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Weighted kappa was 0.92 (good inter-rater reliability) where kappa was 0.84 (good agreement between reviewers). No causality assessment by HCP was documented leading to impossibility in computing replicability. The Naranjo tool showed positive monotonic correlation with expert opinion resulting in <i>r</i>_s = 0.208 (<i>p</i> &lt; 0.001). Classification of Naranjo scores to binary variables resulted in sensitivity of 1.00 and specificity of 0.31.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Our study suggested that Naranjo tool is reliable and valid to be used in a clinical setting and was able to classify all drug products involved in the occurrence of SAE. Larger scale studies need to be conducted in real-time clinical settings to investigate its performance and utility.</p>\u0000 </section>\u0000 </div>","PeriodicalId":15997,"journal":{"name":"Journal of evaluation in clinical practice","volume":"31 3","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jep.70110","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143871837","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":"Nurses' Perceptions of Patient Safety Culture and Voice Behaviors: A Descriptive and Correlational Study","authors":"Ayşegül Yilmaz,&nbsp;Ayşe Yildiz Keskin,&nbsp;Betül Sönmez","doi":"10.1111/jep.70046","DOIUrl":"https://doi.org/10.1111/jep.70046","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Patient safety culture and nurses' voice behavior have critical importance in healthcare settings because they influence the quality of care. Therefore, it is important to determine nurses' voice behaviors regarding patient safety.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>In this study, it was aimed to determine nurses' perceptions of patient safety culture and voice behavior, the relationship between these two variables, and predictors of voice behavior.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A descriptive and correlational study. The study was conducted using convenience sampling method between September 2022 and March 2023 with a total of 753 nurses in all units (except managers) of two public university hospitals in Türkiye (<i>n</i> = 753). The data were collected using the Hospital Survey on Patient Safety Culture and the Employee Voice Scale. Multivariate analyses included hierarchical linear regression.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A moderate and positive significant correlation was found between the positive response total mean score of the patient safety culture and the total employee voice score. In addition, it was determined that the total patient safety culture score, feedback about errors and openness in communication from the patient safety culture sub-dimensions, shift work, and education status were the variables that significantly determined the voice behaviors of nurses.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The study empirically demonstrates that it is necessary to improve the perception of patient safety culture among nurses and hospital administrators, especially the perception of nonpunitive responses to errors, to increase nurses' voice behaviors.</p>\u0000 </section>\u0000 </div>","PeriodicalId":15997,"journal":{"name":"Journal of evaluation in clinical practice","volume":"31 3","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jep.70046","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143853068","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 Effects of Fear of COVID-19 and Perceived Social Support on Postpartum Depression: A Path Analysis","authors":"Mehtap Uzun Aksoy,&nbsp;Eda Şimşek Şahin,&nbsp;Aliye Doğan Gangal,&nbsp;Şengül Yaman Sözbir,&nbsp;Ayten Şenturk Erenel","doi":"10.1111/jep.70098","DOIUrl":"https://doi.org/10.1111/jep.70098","url":null,"abstract":"&lt;div&gt;\u0000 \u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Rationale&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Postpartum depression is a significant health problem that negatively affects maternal and fetal health and should be carefully evaluated by health professionals in extraordinary situations such as disasters and pandemics. This study aimed to examine the effects of fear of COVID-19, perceived social support, and some socio-demographic and obstetric characteristics of women on the risk of postpartum depression during the pandemic period using path analysis.&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;This cross-sectional study was conducted with 226 women over 18 years of age, literate, gave birth at term, were between 2 weeks and a year postpartum, could use smartphones, and had not had COVID-19. The data were collected using the instruments Personal Information Form, the Fear of COVID-19 Scale (FCV-19S), the Edinburgh Postnatal Depression Scale (EPDS), and the Multidimensional Scale of Perceived Social Support (MSPSS). Data were collected via online survey method between 14 November 2020 and 30 December 2020.&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;The prevalence of risk of postpartum depression was 35.8%. The mean FCV-19S score was 19.72 ± 6.75, the mean MSPSS score was 56.69 ± 17.49, and the mean EPDS score was 10.03 ± 6.21. Binary logistic regression analysis showed that risk factors associated with postpartum depression risk in postpartum women during the pandemic family type (OR: 0.316, &lt;i&gt;p&lt;/i&gt; = 0.05), satisfaction with childbirth experience (OR: 5.907, &lt;i&gt;p&lt;/i&gt; = 0.003), fear of COVID-19 (OR: 1.104, &lt;i&gt;p&lt;/i&gt; &lt; 0.001), and perceived social support (OR: 0.942, &lt;i&gt;p&lt;/i&gt; &lt; 0.001). According to the path analysis, the &lt;i&gt;χ&lt;/i&gt;&lt;sup&gt;2&lt;/sup&gt;/degree of freedom value of the model is 1.35 and GFI: 0.99, AGFI: 0.96, CFI: 0.98, RMSEA: 0.040, NFI: 0.94, NNFI: 0.93, SRMR: 0.041 for path analysis. Path analysis revealed that having a nuclear family (&lt;i&gt;β&lt;/i&gt; = 1.33), perceived social support (&lt;i&gt;β&lt;/i&gt; = −0.13), having a history of depression (&lt;i&gt;β&lt;/i&gt; = 3.61), fear of COVID-19 (&lt;i&gt;β&lt;/i&gt; = 0.14), and satisfaction with the birth experience (&lt;i&gt;β&lt;/i&gt; = −2.56) had a direct negative effect on the risk of PPD during the pandemic.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Conclusion&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;The findings suggest that strengthening social support, helping her cope with the fear of COVID-19, having a good birth process, and reasonable evaluation of their mental health history can alleviate the risk of PPD during the pandemic period. On the other hand, our findings may guide the development of prevention and intervention approaches for factors that directly and indirectly affect women's PPD risk during the pa","PeriodicalId":15997,"journal":{"name":"Journal of evaluation in clinical practice","volume":"31 3","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143852725","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":"A Conceptual Mapping Exercise of Deprivation of Liberty Safeguards in Residential & Community Care Using Hodges' Model and Threshold Concepts","authors":"Peter Jones","doi":"10.1111/jep.70085","DOIUrl":"https://doi.org/10.1111/jep.70085","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Rationale</h3>\u0000 \u0000 <p>This article combines recent work on a generic model of care called ‘Hodges' Health Career—Care Domains—Model’ and the threshold concepts framework, with the issue of deprivation of liberty Safeguards. Created within higher education for health and social care, Hodges' model is used relationally with a practice-based emphasis to explore the Deprivation of Liberty Safeguards in residential care.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aims and Objectives</h3>\u0000 \u0000 <p>The context is long-term care for people living with learning disability, dementia and chronic physical health problems. That is, people unable to live in their own home (even with support) who are cared for in residential, and nursing homes and specialised/intensive care units. Hodges' model, which can also be described as a conceptual framework, is combined with threshold concepts to illustrate how deprivation of liberty safeguards can be integrated in theory and practice.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The study is descriptive and draws on the author's experience as a community mental health nurse for older adults and nursing home liaison. The emphasis is practice-based, adopting a conceptual mapping approach supported by discussion and literature.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Resources are provided and avenues for further and ongoing study are also given in conclusion.</p>\u0000 </section>\u0000 </div>","PeriodicalId":15997,"journal":{"name":"Journal of evaluation in clinical practice","volume":"31 3","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143853069","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 Association Between Nurses' Gerontological Competencies and Attitudes Toward Older Adults","authors":"Tuğba Solmaz,&nbsp;Tuba Korkmaz Aslan","doi":"10.1111/jep.70101","DOIUrl":"https://doi.org/10.1111/jep.70101","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>This paper investigated the association between nurses' gerontological competencies and attitudes toward older adults.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>A descriptive and correlation research design was used in the study following the STROBE guidelines.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A total of 332 registered nurses from the medical faculty of a university hospital were included in the study. Data collection was conducted using a personal information form, the UCLA Geriatrics Attitudes (UCLA-GA) Scale, and the Gerontological Nursing Competence (GeroNursingCom) Scale.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Female participants had a higher UCLA-GA score than males (<i>p</i> &lt; 0.05). Married participants had a higher UCLA-GA score than single ones (<i>p</i> &lt; 0.05). Participants working for more than 19 years had a higher UCLA-GA score than those working for 1–10 years (<i>p</i> &lt; 0.05). Married participants had a higher GeroNursingCom score than single ones (<i>p</i> &lt; 0.05). Participants working for more than 19 years had a higher GeroNursingCom score than those working for 1–10 years (<i>p</i> &lt; 0.05). There was no significant correlation between UCLA-GA and GeroNursingCom scores (<i>p</i> &gt; 0.05).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The results of the present study indicate that gender, marital status, age and work experience of the participating nurses affect their attitudes towards older adults. Effective training methods and implementation of appropriate policies are recommended to improve the geriatric care competencies of nurses working in hospitals and to improve their attitudes towards older adults.</p>\u0000 </section>\u0000 </div>","PeriodicalId":15997,"journal":{"name":"Journal of evaluation in clinical practice","volume":"31 3","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143853067","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":"Paediatric Palliative Care in Clinical Practice: Ethical Issues in Advance Care Planning and End-of-Life Decisions","authors":"Anamarija Meglič,&nbsp;Ajda Lisec","doi":"10.1111/jep.70094","DOIUrl":"https://doi.org/10.1111/jep.70094","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Rationale</h3>\u0000 \u0000 <p>This study examines ethical challenges faced by a paediatric palliative care (PPC) team when making end-of-life (EOL) decisions for children with life-limiting conditions.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>To assess the team's attitudes towards ethical issues and propose innovative solutions.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The data was collected in 2022 at the University Children's Hospital Ljubljana. A researcher-made questionnaire was developed based on team experience. Ten PPC team members participated anonymously, evaluating ethical concerns in communication, decision-making, and patient characteristics. Mann–Whitney <i>U</i> test was used to analyze the data.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Ethical issues emerge when coordinating treatment opinions becomes challenging, resulting in excluding a child from PPC. Situations involving communication, differing healthcare opinions, and patient characteristics were seen as ethical issues, highlighting the importance of communication and shared decision-making.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Ethical complexities in paediatric EOL care require adept communication and interdisciplinary teamwork. Poor communication may be associated with excluding children from PPC. Innovative strategies and ongoing training are vital to address these challenges effectively, ensuring optimal care for children and their families.</p>\u0000 </section>\u0000 </div>","PeriodicalId":15997,"journal":{"name":"Journal of evaluation in clinical practice","volume":"31 3","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jep.70094","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143853070","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}