Journal of evaluation in clinical practice最新文献

{"title":"Knowledge, Attitude, and Practice Toward Liver Fibrosis/Cirrhosis and Traditional Chinese Medicine Treatment Among Medical Staff","authors":"Aize Xie,&nbsp;Sarisak Soontornchai,&nbsp;Somchai Bovornkitti,&nbsp;Dewen Mao,&nbsp;Qinglan Shi,&nbsp;Jianpeng You","doi":"10.1111/jep.14261","DOIUrl":"10.1111/jep.14261","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Rationale</h3>\u0000 \u0000 <p>Liver fibrosis is a critical stage in the progression from liver injury to cirrhosis or tumor formation. Traditional Chinese medicine (TCM) has shown certain effectiveness in treating liver fibrosis. However, there is currently a lack of knowledge, attitude, and practice (KAP) studies regarding this topic.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aims and Objectives</h3>\u0000 \u0000 <p>This study aimed to assess medical staff's KAP toward liver fibrosis/cirrhosis and TCM treatment, and to explore the association between KAP scores and demographic factors.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Demographic information and KAP scores were collected through a self-administered questionnaire.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A total of 262 questionnaires were collected, with 155 (69.82%) females and a mean age of 32.83 ± 8.17 years. Mean knowledge, attitude, and practice scores were 15.99 ± 4.58, 22.69 ± 4.11, and 23.09 ± 3.36, respectively. Working in a teaching hospital (OR = 3.562, 95% CI: 1.214–10.448) was independently associated with adequate knowledge. Knowledge score (OR = 1.104, 95% CI: 1.026–1.186) was independently linked to a positive attitude. Knowledge (OR = 1.263, 95% CI: 1.166–1.368) and attitude score (OR = 1.105, 95% CI 1.010–1.198) were independent predictors of proactive practice. Pathway analysis revealed that knowledge positively affected attitude (β = 0.24, <i>p</i> &lt; 0.001) and practice (β = 0.30, <i>p</i> &lt; 0.001), and attitude directly influenced practice (β = 0.22, <i>p</i> &lt; 0.001).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Medical staff demonstrated adequate knowledge, a negative attitude, and proactive practices regarding liver fibrosis/cirrhosis and TCM treatment. Targeted educational programs, interdisciplinary training, and awareness campaigns should be implemented to improve attitudes and promote proactive patient care.</p>\u0000 </section>\u0000 </div>","PeriodicalId":15997,"journal":{"name":"Journal of evaluation in clinical practice","volume":"31 1","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143006725","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":"Women's Lives and Birth Experiences Are Important! Evaluation of Women's Perceptions of Respectful Maternal Care: The Mother-Friendly Hospital Difference","authors":"Elif Dağlı,&nbsp;Feyza Aktaş Reyhan,&nbsp;Betül Uncu","doi":"10.1111/jep.14316","DOIUrl":"10.1111/jep.14316","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>The aim of this study is to determine women's perceptions of respectful maternity care, the effect of giving birth in a mother-friendly hospital on this perception and other factors affecting this perception.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>The philosophy of a mother-friendly hospital includes respectful maternity care. Few quantitative studies have been conducted in Turkey to assess the prevalence of respectful maternity care during childbirth and none have examined the difference between respectful maternity care in mother-friendly and nonmother-friendly hospitals.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This descriptive and comparative study was conducted between December 2023 and September 2024 with 319 primiparous women who applied to the Obstetrics and Gynecology Outpatient Clinic of a mother-friendly and a nonmother-friendly hospital in Turkey for postpartum follow-up. The data were collected face-to-face using the Descriptive Characteristics Form and Women's Perception of Respectful Maternity Care Scale. For data analysis, <i>χ</i>² and independent samples <i>t</i> test methods were used in SPSS 26 program.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>In the study, a significant difference was obtained between the Perception of Respectful Maternity Care Scale scores of women according to the type of hospital where the birth was performed and the level of education (<i>p</i> &lt; 0.05). The mean scale scores of women who gave birth in a mother-friendly hospital and whose educational level was secondary education and above were higher than other women (<i>p</i> &lt; 0.05). There was no significant difference between the scale scores of women according to the variables of age, employment status, place of residence, number of pregnancies and the last pregnancy being planned (<i>p</i> &gt; 0.05).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions and Implications for Practice</h3>\u0000 \u0000 <p>It was determined that women's perception of respectful maternity care was highly positive, and the factors affecting this perception were delivery in a mother-friendly hospital and educational level. The current study may contribute to the development of policies for the dissemination of mother-friendly practices and the provision of respectful birth services, and may also support efforts to improve the quality of care.</p>\u0000 </section>\u0000 </div>","PeriodicalId":15997,"journal":{"name":"Journal of evaluation in clinical practice","volume":"31 1","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11744910/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143006744","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":"Experiences of Intern Nurses Returning From Distance Education to Clinical Practice During the COVID-19 Pandemic: A Qualitative Study","authors":"Şeyda Dülgerler,&nbsp;Hacer Demirkol,&nbsp;Gülay Yılmaz,&nbsp;Esra Engin","doi":"10.1111/jep.14305","DOIUrl":"10.1111/jep.14305","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Rationale</h3>\u0000 \u0000 <p>The present study aimed to understand the experiences of intern nurses returning to clinical practice after a year-long distance education during the pandemic.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The study was conducted using the qualitative content analysis method. The participants were 32 intern nurses. The data included specific narratives on the experience of intern nurses returning from distance education to clinical practice during the pandemic. Data were collected through a total of four focus group interviews. Data analysis was conducted using an inductive qualitative analysis approach.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The content analysis identified three main categories. The category ‘Feelings during Clinical Practice’ included the subcategories ‘fear’, ‘uncertainty’ and ‘intolerance’. The category ‘Challenges during Clinical Practice’ included the subcategories ‘sleep problems’, ‘alienation from clinical placement’, ‘lack of knowledge and experience’, ‘hospital staff’, ‘difficulty reaching nurse educator’ and ‘lack of protective equipment’. The category ‘Suggestions for Clinical Practice’ included the subcategories ‘psychological support’, ‘case discussion and academic counselling’ and ‘protective equipment support’.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The study revealed that intern nurses faced various challenges in clinical settings following their year-long distance education. The results may help nurse educators understand the experiences of intern nurses returning to clinical practice after a year-long distance education and determine the teaching strategies to be followed in specific situations like pandemics in the future.</p>\u0000 </section>\u0000 </div>","PeriodicalId":15997,"journal":{"name":"Journal of evaluation in clinical practice","volume":"31 1","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143006722","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 of Children's Perceived Nursing Image Scale: A Validity and Reliability Study","authors":"Vildan Apaydin Cirik,&nbsp;Bahar Aksoy,&nbsp;Murat Bektaş","doi":"10.1111/jep.14315","DOIUrl":"10.1111/jep.14315","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>Professional knowledge and awareness of children begins to create at the age of 3–5, and the professional knowledge have acquired at this age was effective in their future career decision-making. This study aimed to develop the Children's Perceived Nursing Image Scale (CPNIS) and evaluate its psychometric properties.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The methodological study was carried out in a cross-sectional, descriptive, and correlational design. This study was conducted with 614 children aged 8–11 between 21 January–April 2022. The data were collected using a Child Information Form and the CPNIS. The CPNIS is a scale compatible with the deductive approach. The data were analysed using various statistical methods including descriptive statistics (numbers and percentages), t-tests, factor analysis, and correlation analysis. Item-total score analysis, the Intraclass Correlation Coefficient (ICC), and the internal consistency were employed to evaluate the reliability of the measurements. Three-stage cross-sectional study, which followed the STROBE checklist was conducted: (1) development of items, (2) assessing content validity and (3) validity and reliability of the scale.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The CPNIS is a valid scale consisting of four factors as subdimensions. The total Cronbach's alpha of the scale is 0.93. The scale explained 46.4% of the total variance. The scale Test-Retest analysis, the total ICC value of the scale was found to be 0.84 and <i>p</i> = 0.001.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Evaluation of the children's perceived nursing image can contribute to the identification of children with negative perceptions in clinics and the planning of interventions that will lead to positive perceptions.</p>\u0000 </section>\u0000 </div>","PeriodicalId":15997,"journal":{"name":"Journal of evaluation in clinical practice","volume":"31 1","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143006718","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 Health Literacy Level of Caregivers of Individuals With Diabetes on Care Activities and Supportive Behaviours","authors":"Vahide Semerci Çakmak,&nbsp;Zahide Akeren,&nbsp;Ebru Sönmez Sarı,&nbsp;Servet Kalyoncuo","doi":"10.1111/jep.70000","DOIUrl":"10.1111/jep.70000","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>To determine the effect of the health literacy levels of caregivers of individuals with T2DM on caregiving activities and supportive behaviours.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Cross sectional study. The sample for the study comprised of people who provided care for 442 individuals who were diagnosed with diabetes. The data were collected using the Personal Information Form, HLS-14 and D-CASS. Descriptive statistics, Independent samples <i>t</i> test, One-Way ANOVA and multiple linear regression analysis were used to analyse the data.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>According to the results of the multiple linear regression analysis, the model was found to be statistically significant, and the variables that were incorporated into the model were able to explain 68.1% of the variance. Among the variables included in the model, HLS-14, educational status, employment status, income status and diabetes-related education were found to affect the care activities and supportive behaviours of caregivers of individuals with diabetes.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>In the research, it was determined that care activities and supportive behaviours were higher in those with higher levels of HL, higher levels of education, those who were not employed, those with higher income levels, and those who received education about diabetes. Nurses should develop training programmes to increase the HL levels of caregivers.</p>\u0000 </section>\u0000 </div>","PeriodicalId":15997,"journal":{"name":"Journal of evaluation in clinical practice","volume":"31 1","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11744916/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143006743","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":"Boosting Dietary Compliance After Bariatric Surgery: Winning Tactics for Patients","authors":"Ling Deng,&nbsp;Yuli Tao,&nbsp;Nianxing Li","doi":"10.1111/jep.14317","DOIUrl":"10.1111/jep.14317","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Bariatric metabolic surgery has emerged as a pivotal intervention for managing obesity, with strict adherence to postoperative nutritional guidelines being paramount for patient outcomes. This study seeks to evaluate dietary compliance levels and the factors that influence them among patients who have undergone bariatric surgery, offering insights to enhance clinical strategies.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>Our research encompassed patients who underwent bariatric metabolic surgery at our institution from February 2022 to December 2023. We utilised a validated dietary compliance scale to assess how well patients followed postoperative nutritional advice. To determine factors linked to dietary compliance, we conducted Pearson correlation and logistic regression analyses.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The study comprised 176 individuals who underwent bariatric metabolic surgery, with a concerning 60.23% exhibiting inadequate dietary compliance. The Pearson correlation analysis revealed significant correlations between poor dietary compliance and several demographic factors: age (<i>r</i> = −0.516), gender (<i>r</i> = 0.467), educational attainment (<i>r</i> = −0.605) and monthly household income (<i>r</i> = −0.558). Logistic regression analysis confirmed age (OR = −2.157, 95% CI: −3.120 to −1.403), gender (OR = 2.006, 95% CI: 1.821–2.665), education level (OR = −3.081, 95% CI: −4.147 to −1.679), and average monthly family income (OR = −2.847, 95% CI: −3.516 to −1.225) as independent predictors of poor dietary compliance in post-bariatric metabolic surgery patients.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The high incidence of poor dietary compliance among patients following bariatric metabolic surgery is a significant concern and is notably influenced by demographic variables such as age, gender, education and economic status. It is imperative for healthcare professionals to consider these variables when developing personalised interventions aimed at improving dietary compliance within this patient group.</p>\u0000 </section>\u0000 </div>","PeriodicalId":15997,"journal":{"name":"Journal of evaluation in clinical practice","volume":"31 1","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143006714","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":"Impact of the Implementation of a Short Stay Observation Unit Associated With Admitter-Rounder Model Onto Other Internal Medicine Units in a French University Hospital","authors":"Michaël Hoang,&nbsp;Aurélie Brunet,&nbsp;Lucie Lhuaire,&nbsp;Catherine Vallet,&nbsp;Yohan N'Guyen","doi":"10.1111/jep.14318","DOIUrl":"10.1111/jep.14318","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Few data on the impact of specific interventions against Emergency Rooms ‘or Hospitals overcrowding are available in France.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>In the present report, we retrospectively investigated the impact of the implementation of a short-stay observation unit associated with the admitter-rounder model, especially onto the other in-patient internal medicine units in a French University Hospital.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>During the first 100 days, 242 patients were admitted into the short-stay observation unit. The median length of stay (LOS) was 5 days, but it was lower during the first and third parts with the admitter-rounder model than during the second part without: 4 versus 6 days (<i>p</i> = 0.007).</p>\u0000 \u0000 <p>Internal medicine bed-spaced patients accounted for 19.5% of the bed-spaced patients during the study period versus 28.1% during the same period the previous year (<i>p</i> = 0.04). The median LOS increased significantly in two units of internal medicine: 10 versus 8 days (<i>p</i> = 0.005) and 10 versus 8 days (<i>p</i> = 0.01) during the study period versus the same period the previous year, respectively.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>The reduced number of Internal Medicine bed-spaced patients, the reduced LOS of patients in short-stay observation unit when associated with the admitter-rounder model and the increase of LOS among some of the in-patient internal medicine units observed in this study should be evaluated elsewhere.</p>\u0000 </section>\u0000 </div>","PeriodicalId":15997,"journal":{"name":"Journal of evaluation in clinical practice","volume":"31 1","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11734765/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142983451","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 Association Between Medication Adherence and Rational Drug Use Knowledge and Health Literacy in Older Adults Residing in Nursing Homes","authors":"Nesrin İlhan,&nbsp;Cemile Savci,&nbsp;Sevinc Yildirim","doi":"10.1111/jep.14303","DOIUrl":"10.1111/jep.14303","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Medication adherence is a crucial factor in managing and treating chronic diseases in older adults. Health literacy (HL) skills and rational drug use (RDU) knowledge are important for individuals to make informed decisions about medication adherence behaviours.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>This study was conducted to determine the association between medication adherence and rational drug use knowledge and health literacy in older adults residing in nursing homes.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The cross-sectional study was conducted with 121 older adults residing in a nursing home in Turkey. The data were collected using the Participant Information Form, the Medication Adherence Report Scale (MARS-5), the Rational Drug Use Scale (RDUS), and The Turkish version of the European Health Literacy Survey Questionnaire (HLS EUEU-Q-TR).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The mean age of the older adults was 69.92 ± 6.45 years and 76.9% were male. The mean score of MARS-5 was 21.80 ± 3.55. Among older adults, 43.8% were found to have inadequate RDU knowledge, 28.9% had inadequate HL, and 46.3% had problematic-limited HL. The RDU knowledge was a statistically significant strong predictor of medication adherence (R² = 0.495, <i>p</i> &lt; 0.001). The HL was a statistically significant predictor of medication adherence (R² = 0.037, <i>p</i> &lt; 0.05).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The study found that medication adherence among older adults residing in nursing homes was moderate, RDU knowledge and HL levels were low, and medication adherence increased as RDU knowledge and HL levels increased.</p>\u0000 </section>\u0000 </div>","PeriodicalId":15997,"journal":{"name":"Journal of evaluation in clinical practice","volume":"31 1","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143006733","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 Nursing Students' Artificial Intelligence Anxiety on Their Knowledge of Robotic Surgery: The Mediating Role of Individual Innovativeness","authors":"Ozlem Soyer Er,&nbsp;Esra Pinarkaya Ozpinar","doi":"10.1111/jep.14313","DOIUrl":"10.1111/jep.14313","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>This study aims of determine the mediating role of individual innovativeness in the effect of nursing students' artificial intelligence anxiety on their robotic surgery knowledge level.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>This study was cross-sectional type.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>It was conducted with 391 students. Artificial Intelligence Anxiety Scale, Robotic Surgery and Robotic Surgery Nursing Knowledge Level Survey and Individual Innovativeness Scale were used to collect data. PROCESS Macro methods were used.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>There was a negative, very weak and significant relationship among artificial intelligence anxiety and individual innovativeness and level of robotic surgery nursing knowledge. There was a positive, very weak and significant relationship among students' individual innovativeness and level of robotic surgery nursing knowledge. Individual innovativeness mediated the relationship among artificial intelligence anxiety and level of robotic surgery nursing knowledge.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Individual innovativeness contributes to reducing the artificial intelligence anxiety to increase the robotic surgery knowledge levels of students.</p>\u0000 </section>\u0000 </div>","PeriodicalId":15997,"journal":{"name":"Journal of evaluation in clinical practice","volume":"31 1","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142983516","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":"Length of Hospital Stay and Its Predictions Among Patients With Exacerbations of Chronic Respiratory Diseases","authors":"Haya Tabaza,&nbsp;Rana Abu Farha,&nbsp;Lobna Gharaibeh,&nbsp;Mohammad Alwahsh,&nbsp;Oriana Awwad","doi":"10.1111/jep.14308","DOIUrl":"10.1111/jep.14308","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Chronic respiratory disorders such as asthma and chronic obstructive pulmonary disease (COPD) may deteriorate into acute exacerbations requiring hospitalization. Assessing the predictors of prolonged hospital stays could help identify potential interventions to reduce the burden on patients and healthcare systems.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>This study aimed to identify the risk factors attributed to prolonged hospital stays among patients admitted with acute exacerbations of chronic respiratory disorders in Jordan.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A retrospective cohort study was conducted by reviewing the demographic and clinical characteristics of hospitalized patients with asthma and COPD exacerbations between January 2017 and July 2021. The recorded variables were checked for their independence. Simple and stepwise multivariate linear regressions were then performed to identify variables associated significantly with a longer hospital length of stay (LOS).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A total of 896 cases were evaluated. The mean ± SD stay was 5.66 ± 3.40 days, whereas the median (IQR) was 5.00 (4.00) days. Variables associated significantly with prolonged LOS in the multivariate analysis were female gender (<i>β</i> = 0.089, <i>p</i> = 0.011), pulmonary hypertension (<i>β</i> = 0.093, <i>p</i> = 0.004), allergic rhinitis (<i>β</i> = 0.086, <i>p</i> = 0.007), ICU admission (<i>β</i> = 0.096, <i>p</i> = 0.003), requirement for mechanical ventilation (<i>β</i> = 0.102, <i>p</i> = 0.002), higher total number of medications (<i>β</i> = 0.281, <i>p</i> &lt; 0.001) and the number of exacerbation-related medications (<i>β</i> = 0.200, <i>p</i> &lt; 0.001). However, smoking (<i>β</i> = −0.091, <i>p</i> = 0.008) was significantly associated with a shorter LOS.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Gender, pulmonary hypertension, allergic rhinitis, ICU admission, mechanical ventilation, the number of medications and smoking were significantly related to LOS. These findings emphasize the importance of patients' demographics and their clinical status in determining LOS, hence providing protective interventions to shorten it.</p>\u0000 </section>\u0000 </div>","PeriodicalId":15997,"journal":{"name":"Journal of evaluation in clinical practice","volume":"31 1","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142983495","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}