BMC Health Services Research最新文献

{"title":"Economic burden of cardiovascular diseases among elderly patients in Iran: a case from a developing country.","authors":"Mohammad Tasavon Gholamhoseini, Sepideh Arjomand Kermani, Vahid Yazdi-Feyzabadi, Reza Goudarzi","doi":"10.1186/s12913-024-11808-0","DOIUrl":"10.1186/s12913-024-11808-0","url":null,"abstract":"<p><strong>Background: </strong>Cardiovascular diseases (CVDs) are the leading cause of mortality and morbidity worldwide, particularly among the aging population. This study aims to evaluate the economic burden of CVDs among Iranians aged 60 years and older.</p><p><strong>Methods: </strong>A cost-of-illness study was conducted using a prevalence-based approach from a societal perspective. Cost analysis employed the bottom-up micro-costing method to assess direct medical and non-medical costs, while indirect costs were calculated using the human capital approach. Data were sourced from medical records of individuals aged 60 and older with CVDs registered in the hospital information systems of public and private hospitals in southeastern Iran. Additionally, structured face-to-face interviews were conducted with 160 caregivers or relatives serving as companions of elderly patients, using a structured questionnaire to gather data on healthcare utilization. Sensitivity analyses were performed, along with projections of the future economic burden of CVDs.</p><p><strong>Results: </strong>The annual total cost of CVDs among people aged 60 years and above in Iran was estimated at US$ 1,885,091,171.7 (about 1.88 billion), equivalent to 1.27% of the Iran's GDP in 2021. Direct medical costs accounted for 90.62% of the total, with 54.72% attributed to ambulatory care. The average cost of CVDs per patient was US$ 446.2. The results of two-way sensitivity analysis provided an estimated cost range between US$ 1.2 billion and US$ 2.7 billion. By 2030, the total cost of CVDs is projected to reach US$ 21 billion.</p><p><strong>Conclusions: </strong>The elderly population with CVDs imposes a growing economic burden on Iran's healthcare system and society. This underscores the urgent need for effective and cost-effective interventions to prevent and manage CVDs in Iran.</p>","PeriodicalId":9012,"journal":{"name":"BMC Health Services Research","volume":"24 1","pages":"1355"},"PeriodicalIF":2.7,"publicationDate":"2024-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11539600/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142590051","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Diagnosis and treatment of patients with gastroesophageal reflux disease - a systematic review of cost-effectiveness and economic burden.","authors":"Petra Maresova, Lukas Rezny, Jan Hruska, Blanka Klimova, Lee L Swanstrom, Kamil Kuca","doi":"10.1186/s12913-024-11781-8","DOIUrl":"10.1186/s12913-024-11781-8","url":null,"abstract":"<p><strong>Background: </strong>This study aims to review the existing knowledge on the cost-effectiveness and item costs related to the diagnosis and treatment of gastroesophageal reflux disease (GERD) patients at different stages.</p><p><strong>Methods: </strong>The study adhered to the PRISMA guidelines. The systematic search involved several steps: finding and identifying relevant articles, filtering them according to the set criteria, and examining the final number of selected articles to obtain the primary information. The number of articles published between 2013 and September 2024 in the Web of Science and PubMed databases was considered. The CHEERS checklist was used for the risk of bias assessment. Ultimately, 36 studies were included.</p><p><strong>Results: </strong>Regarding the cost-effectiveness of GERD treatment, Proton pump inhibitors (PPIs) appeared to be the dominant solution for non-refractory patients. However, this might change with the adoption of the novel drug vonoprazan, which is more effective and cheaper. With advancements in emerging technologies, new diagnostic and screening approaches such as Endosheath, Cytosponge, and combined multichannel intraluminal impedance and pH monitoring catheters should be considered, with potential implications for optimal GERD management strategies.</p><p><strong>Discussion: </strong>The new diagnostic methods are reliable, safe, and more comfortable than standard procedures. PPIs are commonly used as the first line of treatment for GERD. Surgery, such as magnetic sphincter augmentation or laparoscopic fundoplication, is only recommended for patients with treatment-resistant GERD or severe symptoms.</p><p><strong>Other: </strong>Advances in emerging technologies for diagnostics and screening may lead to a shift in the entire GERD treatment model, offering less invasive options and potentially improving patients' quality of life.</p>","PeriodicalId":9012,"journal":{"name":"BMC Health Services Research","volume":"24 1","pages":"1351"},"PeriodicalIF":2.7,"publicationDate":"2024-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11539747/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142581664","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Adoption and perception of prescribable digital health applications (DiGA) and the advancing digitalization among German internal medicine physicians: a cross-sectional survey study.","authors":"Lasse Cirkel, Fabian Lechner, Nadine Schlicker, Jan Leipe, Felix Mühlensiepen, Ivica Grgic, Martin C Hirsch, Sebastian Kuhn, Johannes Knitza","doi":"10.1186/s12913-024-11807-1","DOIUrl":"10.1186/s12913-024-11807-1","url":null,"abstract":"<p><strong>Background: </strong>Therapeutic digital health applications (DiGAs) are expected to significantly enhance access to evidence-based care. Since 2020, German physicians and psychotherapists have been able to prescribe approved DiGAs, which are reimbursed by statutory health insurance. This study investigates the usage, knowledge and perception of DiGAs as well as the growing digitalization among internal medicine physicians in Germany.</p><p><strong>Methods: </strong>A web-based survey was distributed at the 2024 annual congress of the German Society for Internal Medicine. Participants could respond by scanning a QR code or directly on a tablet.</p><p><strong>Results: </strong>A total of 100 physicians completed the survey, with a mean age of 43.4 years. The majority were internal medicine physicians (85%). Of the respondents, 31% had already prescribed DiGAs, and 29% had tested one. Self-rated knowledge of DiGAs was low (median score 3.17/10). The main barriers identified were lack of knowledge about effective implementation (60%), lack of time for patient onboarding (27%), and concerns about patient adherence (21%). However, 92% believed that DiGAs could improve care, and 88% expressed interest in specific digital health training. The majority (64%) stated that digitalization had a positive impact on medical care and 39% of physicians expected their daily workload to decrease due to digitalization. In addition, 38% believed that the physician-patient relationship would improve as a result of digitalization.</p><p><strong>Conclusions: </strong>While physicians widely acknowledged the potential benefits of DiGAs, adoption and understanding remain limited. Specific training in digital health is crucial to accelerate digitalization in internal medicine.</p>","PeriodicalId":9012,"journal":{"name":"BMC Health Services Research","volume":"24 1","pages":"1353"},"PeriodicalIF":2.7,"publicationDate":"2024-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11539441/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142590047","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Self protective health care in childhood cancer survivors from the perspective of survivors, parents, and professionals: a qualitative study.","authors":"Masumeh Akbarbegloo, Mahnaz Sanaeefar, Mehrdad Karimi, Marzieh Hoseini","doi":"10.1186/s12913-024-11730-5","DOIUrl":"10.1186/s12913-024-11730-5","url":null,"abstract":"<p><strong>Introduction: </strong>Childhood cancer survivors experience many health problems that they must protect themselves from their destructive physical and psychological effects. Understanding experiences of children about self-protective care will help health care providers manage long-term care plans. Therefore, this study was conducted with the aim of exploring self-protection care in childhood cancer survivors.</p><p><strong>Methods: </strong>This is a phenomenological study that was conducted in the clinics and cancer care centers of Urmia and Khoy in Iran. 27 participants were selected by purposive sampling until data saturation. The data was collected using a semi-structured and in-depth face to face interview. Content analysis approach used for data analysis and MAXQUDA 10 software used for data management.</p><p><strong>Results: </strong>Data analysis led to the emergence of \"self-protection health care\" as a main category, two categories \"maintaining physical health\" and \"keeping a strong mindset\" and 9 sub-categories including \"abstain activities that may cause harm\", \"refusing contact with others for possible infection\", \"monitoring symptoms and side-effects of cancer coming back\", \"avoiding unhealthy diet\", \"knowing about cancer from similar others\", \"keep away negative thoughts and emotions\", \"drawing on spiritual resources\", \"creating a bridge to life again\" and \"being healthy for the sake of one's family\".</p><p><strong>Conclusion: </strong>According to the results of this study, self-protection is one of the most important cares for childhood cancer survivors. Over time, the influence of the clinical team and parents on children's health care diminishes. Therefore, they should promote their health and well-being behaviors and use a variety of protective approaches to self-care.</p>","PeriodicalId":9012,"journal":{"name":"BMC Health Services Research","volume":"24 1","pages":"1349"},"PeriodicalIF":2.7,"publicationDate":"2024-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11539309/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142581818","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Quality of family planning counseling and associated factors among reproductive age women who are current contraceptive users at Dessie town health facilities east Amhara, 2023.","authors":"Nigusie Abebaw, Berihun Haile, Amare Workie, Wondwosen Mebratu, Molla Getie","doi":"10.1186/s12913-024-11833-z","DOIUrl":"10.1186/s12913-024-11833-z","url":null,"abstract":"<p><strong>Background: </strong>The role of counseling in Family Planning is to care a woman in navigating the process of choosing a contraceptive method that will allow her to fulfill her family planning goals and exercise her reproductive health rights. The effectiveness and appropriateness of family planning counselling play a crucial role in a client's decision-making process regarding contraception. The decision for a client to use contraception with effectively and properly it should be ultimately achieved the quality of family planning counclling. The aim of this research is to assess quality of family planning counseling and associated factors among reproductive age women at Dessie town health facilities, east Amhara, Ethiopia, and 2023.</p><p><strong>Methods: </strong>A facility based cross-sectional study was conducted from December 1, 2022- January 30, 2023. Study subjects were selected by using systematic random sampling method. Data was be collected by exit interview of the women and analyzed by SPSS version 26.  Bivariable and Multi variable logistic regression were executed to identify associated factors with quality of family planning counseling and the P- Value <0.05 on Multi variable analysis was considered as significantly associated with the dependent variable.</p><p><strong>Result: </strong>The proportion of women receiving good quality family planning counselling in this study was 36.5%.  Contraceptive source [AOR=2.03, 95%CI (1.09, 3.75)], Contraceptive currently used [AOR=0.43, 95%CI (0.26, 0.73)], separate room for family planning counseling [AOR=3.38, 95%CI (1.09, 3.75)] and availability of all methods [AOR=3.10, 95%CI (1.85, 5.21)]were significantly associated with quality of family planning counselling.</p><p><strong>Conclusion: </strong>The proportion of women obtaining good quality FP counseling in this study low. Type of contraceptives currently used, source of contraceptives, separate room for providing family planning counseling and availability of all methods of family planning in the facility are significantly associated with quality of family planning counseling. Therefore, all health profession could be given proper counseling to increase the quality of family planning.</p>","PeriodicalId":9012,"journal":{"name":"BMC Health Services Research","volume":"24 1","pages":"1345"},"PeriodicalIF":2.7,"publicationDate":"2024-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11536775/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142581791","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"An exploration of patient safety culture in NICUs: a convergent parallel mixed-method study.","authors":"Mohadese Babaie, Manijeh Nourian, Foroozan Atashzadeh-Shoorideh, Houman Manoochehri, Malihe Nasiri","doi":"10.1186/s12913-024-11644-2","DOIUrl":"10.1186/s12913-024-11644-2","url":null,"abstract":"<p><strong>Background: </strong>Safety culture, as a component that improves the quality of safety and health care for neonates, serves as foundation for providing professional and high-quality care by creating positive insight among employees. This study aimed to explore the safety culture concept in neonatal intensive care units (NICUs).</p><p><strong>Methods: </strong>This convergent parallel mixed-method study included Quantitative, Qualitative, and Integrated parts. In the Quantitative part, the psychometric properties of the Persian version of \"Hospital Survey on Patient Safety Culture\" were examined among physicians and nurses in NICUs. CFA was performed on the data obtained from 342 participants. The Qualitative section data were collected through in-depth and semi-structured interviews with 24 staff to understand the concept of safety culture. Data were analyzed through the Elo & Kyngäs approach. The interpretation of the results and the convergence of the data was done using the Onwuegbuzie and Teddlie method.</p><p><strong>Results: </strong>The initial CFA showed that the 12-dimensional model did not align well with indices. Subsequently, based on T-values, six heterogeneous items were eliminated. The revised 11-dimensional model consisting of 36 items showed an acceptable fit during the second CFA. In the qualitative part, five main categories of \"Constructive interactions\", \"Management's commitment to neonatal safety\", \"Organizational supportive climate\", \"Professional development\", and \"Planning and implementation of neonatal developmental care\" were obtained. The comparison of the results showed that the dimensions of the quantitative part, except for \"Overall perceptions of patient safety\", were also present in the qualitative part, but they were different in some aspects. New findings in the qualitative study such as \"Striving for mutual empowerment\", \"Constructive criticism in teamwork\", \"Efficient supervision procedures\", \"Inexperienced staff' leading\" and \"Provision of care assistance equipment and facilities\" were not found in the dimensions of the quantitative part. The main categories \"Acquiring professional competence\" and \"Planning and implementation of neonatal developmental care\" were not align with the dimensions identified in the quantitative study.</p><p><strong>Conclusion: </strong>The findings shed light on previously unexplored aspects of the safety culture concept within the nursing profession, leading to a better understanding and evolution of this concept in Iranian NICUs. The new definition obtained in this study can enhance nursing knowledge on safe care and improve patient safety culture in the NICUs in Iran and globally.</p>","PeriodicalId":9012,"journal":{"name":"BMC Health Services Research","volume":"24 1","pages":"1348"},"PeriodicalIF":2.7,"publicationDate":"2024-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11539453/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142581658","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Compulsory treatment at home: an interview study exploring the experiences of an early group of patients, relatives and mental-health workers.","authors":"D A de Waardt, I C de Jong, M Lubben, I Haakma, C L Mulder, G A M Widdershoven","doi":"10.1186/s12913-024-11787-2","DOIUrl":"10.1186/s12913-024-11787-2","url":null,"abstract":"<p><strong>Background: </strong>When introduced in 2020, the Netherlands' Compulsory Mental Healthcare Act included provisions for compulsory community treatment (CCT) and compulsory treatment in patients' homes (CTH). Although CCT has been incorporated into mental health care in many countries, its effectiveness is debated. We know of no other countries in which CTH has been adopted. The aim of this study is to evaluate how an early group of participants experienced CTH. They were drawn from three stakeholder groups: patients, relatives and mental-health workers.</p><p><strong>Methods: </strong>In total, 17 open interviews were conducted with six patients, five relatives and six mental-health workers. All had experience with CTH. Thematic analysis was used to analyze the interviews.</p><p><strong>Results: </strong>Five themes were identified: 1). Reasons for applying for a court order with options for CTH. The reasons included preventing harm, avoiding hospitalization, and providing a safety net. 2.) Participants' experiences with CTH in practice. The four most noteworthy experiences were related to the process of applying for a court order; compulsory home visits and the compulsory use of medication; the involvement of relatives during treatment; and the influence of CTH on the relationship between patients and relatives.  3.) The advantages and disadvantages of CTH. The most important advantages were avoiding hospitalization; improving medication adherence; facilitating easy access to care; early signaling of deterioration; early intervention; and regained autonomy. The most important disadvantages were restricted autonomy; fewer options for monitoring compared to hospitalization; and problems regarding control of patient behavior. 4.) Participants' preferences. All preferred CTH to hospitalization. 5.) Participants' suggestions for improving CTH. These included the need not only to provide patients with better information, but also to improve the involvement of relatives during treatment.</p><p><strong>Conclusion: </strong>The interviewees found that CTH might help to avoid hospitalization by providing stakeholders with more options for arranging effective care at home. Although this suggests that initial experiences of CTH under the new Dutch mental health law were positive, it is still uncertain whether CTH as currently implemented really differs from CCT.</p>","PeriodicalId":9012,"journal":{"name":"BMC Health Services Research","volume":"24 1","pages":"1346"},"PeriodicalIF":2.7,"publicationDate":"2024-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11539426/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142581663","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Linking theory and practice to advance sustainable healthcare: the development of maturity model version 1.0.","authors":"Marieke Sijm-Eeken, Hans C Ossebaard, Aleksandra Čaluković, Bram Temme, Linda W Peute, Monique W Jaspers","doi":"10.1186/s12913-024-11749-8","DOIUrl":"10.1186/s12913-024-11749-8","url":null,"abstract":"<p><strong>Background: </strong>Climate change and increased awareness of planetary health have made reducing ecological footprints a priority for healthcare organizations. However, improving healthcare's environmental impact remains difficult. Numerous researchers argue these difficulties are caused by healthcare's environmental impact being multidimensional, influenced throughout the healthcare chain, and often has downstream consequences that are hard to identify or to measure. Even though existing research describes many successful approaches to reduce healthcare's environmental impact, a robust multidimensional framework to assess this impact is lacking. This research aims at developing a maturity model for sustainable healthcare that could be used for self-assessment by healthcare professionals to identify improvement actions and for sharing best practices in environmental sustainability.</p><p><strong>Methods: </strong>A design-oriented approach for maturity model development was combined with an expert panel and six case studies to develop, refine and expand the maturity model for environmentally sustainable healthcare.</p><p><strong>Results: </strong>A maturity model was developed containing four domains: 'Governance', 'Organization Structures', 'Processes', and 'Outcomes and Control'. Applying the model in real-world environments demonstrated the model's understandability, ease of use, usefulness, practicality and ability to identify improvement actions for environmental sustainability in healthcare organizations.</p><p><strong>Conclusions: </strong>This study found that healthcare practitioners could apply the maturity model developed and tested in this study in several hours without training to help them gain valuable insights into the environment footprint of the healthcare setting they worked in. Systematically implementing the model developed in this study could help address the urgent need to mitigate the substantial environmental impact of healthcare. These implementations can help evaluate and improve the maturity model.</p>","PeriodicalId":9012,"journal":{"name":"BMC Health Services Research","volume":"24 1","pages":"1350"},"PeriodicalIF":2.7,"publicationDate":"2024-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11539419/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142581778","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The integration of human and non-human actors to advance healthcare delivery: unpacking the role of actor-network theory, a systematic literature review.","authors":"Tadhg Ryan, Nuala Ryan, Briga Hynes","doi":"10.1186/s12913-024-11866-4","DOIUrl":"10.1186/s12913-024-11866-4","url":null,"abstract":"<p><strong>Background: </strong>There is an increasing public, societal and policy imperative for effective integration of healthcare delivery systems. Central to integration in healthcare is a focus on people-centred health, access, patient empowerment, interprofessional teamwork and collaboration between all healthcare stakeholders - difficult to achieve in current silo-driven bureaucratic health organisations. Therefore, actor-network theory (ANT) offers a theoretical approach to understanding the complexities of healthcare delivery by unpacking the type of actor's interplay between social elements and immaterial objects, their interactions, interdependencies and power dynamics.</p><p><strong>Aims: </strong>The first of its type, this systematic review aims to identify, synthesise, and appraise extant literature on the use and application of ANT in healthcare contexts.</p><p><strong>Methods: </strong>This systematic review was conducted in accordance with PRISMA guidelines and registered with PROSPERO. The authors generated a search strategy utilising 31 Boolean terms, conducting electronic searches of MEDLINE, CINAHL Complete, SCOPUS, PubMed, APA PsycINFO, Business Source Complete and Academic Search Complete. The studies obtained were evaluated for inclusion based on their alignment with the specified inclusion and exclusion criteria. Studies were independently evaluated by the authors, with all data synthesised using a thematic analysis.</p><p><strong>Results: </strong>From an initial 2,533 studies, the systematic review included 103 studies which utilised ANT within a healthcare context. The analysis of the studies identified trends in the application of ANT across healthcare which we categorised into four themes: healthcare delivery systems, technology and data, integrated care, and innovation management. The findings demonstrated variability and fragmentation in the application of ANT, often diverging from its fundamental principles.</p><p><strong>Conclusions: </strong>Decluttering the literature suggests three dimensions for understanding the relationships of actors, unidimensional ANT - based on single actors, bi-dimensional ANT, the relationship between two actors and multi-dimensional ANT, where human and non-human actors interact to impact healthcare outcomes. The limited number of studies on the use of ANT for integrated healthcare research highlights both its importance to the topic and the considerable research gap that must be addressed.</p>","PeriodicalId":9012,"journal":{"name":"BMC Health Services Research","volume":"24 1","pages":"1342"},"PeriodicalIF":2.7,"publicationDate":"2024-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11536900/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142575441","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Validity and reliability of the Turkish version of the Implementation Leadership Scale in the context of nurses.","authors":"Ahmet Yıldız","doi":"10.1186/s12913-024-11721-6","DOIUrl":"10.1186/s12913-024-11721-6","url":null,"abstract":"<p><strong>Background: </strong>The implementation of evidence-based practices (EBPs) in healthcare is of critical importance, and nursing leadership plays a significant role in this process; however, there is a lack of validated instruments to measure the effectiveness of implementation leadership for EBPs. This study aims to evaluate the validity and reliability of the Turkish version of the Implementation Leadership Scale (ILS) within the context of nursing.</p><p><strong>Methods: </strong>Data were obtained through a cross-sectional study. The original ILS was first translated into Turkish and then back into English. The scale was administered to 343 nurses working in a training and research hospital in Türkiye. Content validity was assessed with input from 10 experts. The data set was randomly divided into two subsamples to evaluate the construct validity of the ILS. Exploratory factor analyse (EFA) was conducted in sub-sample 1 (n = 172) and Confirmatory factor analyse (CFA) was conducted in sub-sample 2 (n = 171). Reliability was assessed using Cronbach's alpha values, test-retest reliability, item-total statistics, and split-half reliability.</p><p><strong>Results: </strong>The content validity index was calculated to be 0.96, indicating high validity. EFA revealed that the scale consists of four factors with eigenvalues greater than 1, and these factors together explained a high proportion of the total variance (77.10%). Confirmatory factor analysis results (χ2 / df = 1.29; CFI = 0.98; GFI = 0.94; AGFI = 0.91; NFI = 0.94; RMSEA = 0.04) confirmed that the Turkish version of the ILS maintains the original four-factor structure (Proactive, Knowledgeable, Supportive, and Perseverant leadership). Cronbach's alpha values (0.80-0.88) and intraclass correlation coefficients (ICC) (0.78-0.86) were found to be high. Item-total correlations (0.38-0.63) and the Spearman-Brown coefficient (0.75) were above acceptable levels.</p><p><strong>Conclusion: </strong>The findings suggest that the Turkish version of the ILS is a valid and reliable tool for assessing implementation leadership in evidence-based practice (EBP) among nurses. This version of the ILS could contribute to further research on implementation leadership in Türkiye, international comparisons of EBP leadership, and the development of EBP practices.</p>","PeriodicalId":9012,"journal":{"name":"BMC Health Services Research","volume":"24 1","pages":"1347"},"PeriodicalIF":2.7,"publicationDate":"2024-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11539699/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142581822","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}