Journal of evaluation in clinical practice最新文献_第6页

Complexity-Laden Health Experienced by Under-Resourced Communities- Systemic Forces and Unequal Effects 资源不足社区所经历的复杂健康-系统力量和不平等影响。

IF 2.1 4区医学 Q3 HEALTH CARE SCIENCES & SERVICES

Journal of evaluation in clinical practice

Pub Date : 2026-01-22 DOI: 10.1111/jep.70370

Michele Battle-Fisher

引用次数: 0

Implementation Strategies to Improve Outpatient Mental Health Treatment Initiation for Primary Care Patients With Suicidal Thoughts and Behaviours: A Scoping Review 改善有自杀想法和行为的初级保健患者的门诊心理健康治疗启动的实施策略：范围审查。

IF 2.1 4区医学 Q3 HEALTH CARE SCIENCES & SERVICES

Journal of evaluation in clinical practice

Pub Date : 2026-01-22 DOI: 10.1111/jep.70362

Eric S. Crosby, Eleanor Turi, Danielle Eisenman, Emilie Famiglio, Gabriela Khazanov, Shari Jager-Hyman, Courtney Benjamin Wolk

Background

Primary care is a common healthcare contact before suicide. When suicide risk is identified in primary care, patients are often referred to specialty outpatient mental health care. However, many do not initiate care. Strategies to improve the initiation of specialty outpatient mental health care among adults in primary care settings with suicidal thoughts and/or behaviours remain unclear.

Methods

This scoping review operationalized implementation strategies used in primary care to facilitate the initiation of specialty mental health care. We used established methodology and followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews. MEDLINE, CINAHL, Embase, PsycInfo, and Google Scholar were searched for peer-reviewed articles in English that contained implementation strategies to improve the initiation of specialty outpatient mental health care among adults in primary care settings with suicidal thoughts and/or behaviours. We excluded abstracts, editorials, grey literature, and studies focused on intensive outpatient or partial hospitalisation programmes. At least two independent reviewers screened, completed a full-text review, and extracted study data. Implementation strategies were labelled and defined using the Expert Recommendations for Implementing Change (ERIC) strategies and operationalized using recommended reporting guidelines.

Results

Of the 606 citations screened, five studies were retained. An average of 8.6 unique strategies per study were identified. No study used an established taxonomy of strategies to label and define strategies nor stated all recommended reporting details. Common strategies aligned with ERIC strategies to ‘promote adaptability’, ‘develop and implement tools for quality monitoring’, ‘remind clinicians’, ‘facilitate relay of clinical data to providers’ and ‘centralise technical assistance’. Studies generally reported strategies' actions, targets, timing, and outcomes, but inconsistently reported strategy actors, dose, and justification.

Conclusion

Greater specification of implementation strategies to improve the initiation of specialty outpatient mental health care among adults in primary care settings with suicidal thoughts and/or behaviour is needed.

背景：初级保健是自杀前常见的保健接触。当在初级保健中发现自杀风险时，患者通常被转介到专科门诊精神卫生保健。然而，许多人并没有开始治疗。改善初级保健机构中有自杀想法和/或行为的成人的专科门诊精神卫生保健的启动策略尚不清楚。方法：本研究回顾了在初级保健中使用的可操作的实施策略，以促进专业精神卫生保健的开展。我们使用既定的方法，并遵循系统评价的首选报告项目和范围评价的元分析扩展。MEDLINE， CINAHL, Embase， PsycInfo和谷歌Scholar检索了同行评议的英文文章，这些文章包含实施策略，以改善初级保健机构中有自杀想法和/或行为的成年人的专业门诊精神卫生保健的启动。我们排除了摘要、社论、灰色文献和集中于强化门诊或部分住院方案的研究。至少有两名独立审稿人进行筛选，完成全文审查，并提取研究数据。使用实施变革（ERIC）战略的专家建议对实施战略进行标记和定义，并使用推荐的报告指南进行操作。结果：在筛选的606篇引文中，有5篇研究被保留。每项研究平均确定了8.6种独特的策略。没有研究使用既定的策略分类来标记和定义策略，也没有说明所有建议的报告细节。与ERIC战略一致的共同战略是“促进适应性”、“开发和实施质量监测工具”、“提醒临床医生”、“促进将临床数据传递给提供者”和“集中技术援助”。研究一般报告了策略的行动、目标、时间和结果，但不一致地报告了策略的参与者、剂量和理由。结论：需要更详细的实施策略，以改善初级保健机构中有自杀念头和/或行为的成年人的专业门诊精神卫生保健的启动。

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引用次数: 0

Dealing With Worsening Ethics in Biomedical Research, a Loose Cannon in the Growth of New Generations of Scientists 应对日益恶化的生物医学研究伦理，新一代科学家成长中的“大炮”。

IF 2.1 4区医学 Q3 HEALTH CARE SCIENCES & SERVICES

Journal of evaluation in clinical practice

Pub Date : 2026-01-22 DOI: 10.1111/jep.70366

Guido Frosina

Introduction

Reputation is of fundamental importance in science. It translates into the consideration, trust, and credibility that the scientific community exudes with the public. A growing number of events that undermine the quality and integrity of scientific research undermine the trust people place in it, facilitate the spread of an anti-scientific culture, and, above all, affect the development of new generations of scientists.

Methods

Major categories of research integrity issues that emerged over the past decade were analysed, including citation rate, conflict of interest, predation, quality, reproducibility, translation, and transparency.

Results

Many scientists downplay the problem of declining ethics in biomedical research, confident that errors and fraud in scientific research will be exposed and eliminated sooner or later. They forget that this self-correcting process of science almost invariably takes years, during which costly and potentially serious consequences can arise. Furthermore, the intense competition that has always driven scientific research progress prevents many from undertaking clean-up efforts that could prove detrimental under current research evaluation systems.

Conclusion

The time has come to adopt practical measures to mitigate the negative consequences of the deterioration of ethics in biomedical research. We outline possible interventions to address the main ethical issues that have emerged over the past decade.

声誉在科学中是至关重要的。它转化为科学界向公众散发的考虑、信任和信誉。越来越多的事件破坏了科学研究的质量和完整性，破坏了人们对科学研究的信任，促进了反科学文化的传播，最重要的是，影响了新一代科学家的发展。方法：分析了过去十年出现的研究诚信问题的主要类别，包括引用率、利益冲突、掠夺、质量、可重复性、翻译和透明度。结果：许多科学家淡化了生物医学研究中伦理道德下降的问题，相信科学研究中的错误和欺诈迟早会被揭露和消除。他们忘记了科学的这种自我纠正过程几乎总是需要数年时间，在此期间可能会产生代价高昂且可能严重的后果。此外，一直推动科学研究进步的激烈竞争阻止了许多人开展清理工作，而在目前的研究评估制度下，这些工作可能被证明是有害的。结论：是时候采取切实措施减轻生物医学研究伦理恶化的负面影响了。我们概述了可能的干预措施，以解决过去十年中出现的主要伦理问题。

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引用次数: 0

Do Funders, Regulators, and Ethics Bodies Support Informative Trials? A Content Analysis of Global Guidance Documents 资助者、监管机构和伦理机构支持信息试验吗？全球指导性文件内容分析。

IF 2.1 4区医学 Q3 HEALTH CARE SCIENCES & SERVICES

Journal of evaluation in clinical practice

Pub Date : 2026-01-22 DOI: 10.1111/jep.70356

Sarah R. Prowse, Miriam Brazzelli, Hanne Bruhn, Shaun Treweek

Background

Trials are often poorly designed, address unimportant questions, or are conducted in ways that limit their usefulness. This contributes to research waste and undermines evidence-based healthcare. We examined whether guidance from funders, regulators, and ethics review bodies supports the planning and approval of informative trials, with a focus on resources available to investigators and the role of oversight organizations.

Methods

We conducted a directed qualitative content analysis of guidance documents from funders, regulators, and ethics review bodies across 13 countries and three multinational organizations. Documents were analysed using a coding framework based on the five conditions for trial informativeness identified by Zarin and colleagues: Importance, Design, Feasibility, Integrity, and Reporting.

Results

The final content analysis contains 37 guiding documents, including 13 documents from funders, 14 from regulators, and 10 addressing the ethics of trials. While contextual examples varied, many of the recommended processes or actions to improve trial informativeness were consistent across global guidance from funders, regulators, and those with ethical oversight. The aspects of Design and Integrity were particularly well represented, whereas guidance on improving Feasibility was limited.

Conclusion

The five key aspects of trial informativeness were reasonably described in some capacity across all forms of guidance, but may benefit from further examples or elaboration. Further research is needed to explore how trial guidelines and other supporting documents might incorporate more flexible, context-sensitive approaches that reduce bureaucratic burden without compromising ethical and scientific rigour.

背景：试验通常设计不良，解决不重要的问题，或者以限制其有用性的方式进行。这造成了研究浪费，破坏了基于证据的医疗保健。我们考察了资助者、监管机构和伦理审查机构的指导是否支持信息性试验的规划和批准，重点关注调查人员可用的资源和监督组织的作用。方法：我们对来自13个国家和3个跨国组织的资助者、监管机构和伦理审查机构的指导文件进行了直接定性内容分析。使用基于Zarin及其同事确定的五个试验信息性条件的编码框架对文件进行分析：重要性、设计、可行性、完整性和报告。结果：最终的内容分析包含37份指导性文件，其中13份来自资助者，14份来自监管机构，10份涉及试验伦理。虽然背景例子各不相同，但许多改善试验信息的推荐过程或行动在全球资助者、监管机构和道德监督者的指导下是一致的。设计和完整性的方面得到了很好的体现，而关于改进可行性的指导则很有限。结论：试验信息性的五个关键方面在所有形式的指导中都得到了合理的描述，但可能受益于进一步的例子或阐述。需要进一步的研究，以探索试验准则和其他支持性文件如何纳入更灵活、对情况敏感的方法，从而在不损害伦理和科学严谨性的情况下减轻官僚负担。

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引用次数: 0

Impact of a Structured Music Intervention on Patient Recovery and Nursing Care in Percutaneous Coronary Intervention: A Randomised Controlled Trial 结构化音乐干预对经皮冠状动脉介入治疗患者康复和护理的影响：一项随机对照试验。

IF 2.1 4区医学 Q3 HEALTH CARE SCIENCES & SERVICES

Journal of evaluation in clinical practice

Pub Date : 2026-01-14 DOI: 10.1111/jep.70363

Selda Mert, Önder Topbaş, Canan Baydemir, Tayfun Şahin, Hanefi Özbek

Background

Music is recognised as a holistic therapeutic intervention that enhances evidence-based, person-centred, and humanised nursing care, thereby facilitating patient recovery. This study examined the effects of a structured music intervention on patient recovery and nursing care in individuals undergoing percutaneous coronary intervention (PCI).

Method

The study is a randomised controlled trial. The sample comprised 210 patients, including 105 in the music group (MG) and 105 in the control group (CG), all of whom were scheduled to undergo PCI at a university hospital located in northwestern Türkiye. Data were collected using a Patient Information Form, the Vital Signs Assessment Form, the Numerical Rating Scale, the State-Trait Anxiety Inventory, the Perianesthesia Comfort Scale, and the Patient Satisfaction with Nursing Care Quality Questionnaire. Participants in the MG listened to instrumental pieces in the Rast, Acemashiran, and Hüseyni modes of Classical Turkish Music, whereas those in the CG received routine care only. In both groups, vital signs, pain, anxiety, comfort, and satisfaction with the quality of nursing care were measured before and after the procedure.

Results

Following PCI, patients who received music therapy experienced fewer complications, demonstrated greater physiological stability (lower respiratory and heart rates, reduced systolic and diastolic blood pressure, and increased oxygen saturation levels), had decreased pain intensity, reduced analgesic requirements, lower state anxiety levels, and higher satisfaction with nursing care. Overall, music exerted beneficial effects on the care process for both patients and nurses.

Conclusion

The findings indicate that music can be safely and effectively integrated into routine nursing care as a humane and person-centred intervention. By supporting both physiological and psychological recovery, music contributes to improved patient outcomes and enhances nursing practice. These results highlight its potential applicability beyond PCI, suggesting that music therapy may be valuable across various clinical and interdisciplinary healthcare settings.

背景：音乐被认为是一种全面的治疗干预，可以增强循证、以人为本和人性化的护理，从而促进患者康复。本研究探讨了结构化音乐干预对经皮冠状动脉介入治疗（PCI）患者康复和护理的影响。方法：采用随机对照试验。样本包括210例患者，其中音乐组105例（MG）和对照组105例（CG），所有患者都计划在位于西北部的一所大学医院接受PCI治疗。采用患者信息表、生命体征评定表、数值评定量表、状态-特质焦虑量表、围麻醉舒适量表和患者护理质量满意度问卷进行数据收集。MG组的参与者听了古典土耳其音乐的Rast、Acemashiran和h seyni模式的器乐作品，而CG组的参与者只接受了常规护理。两组患者在手术前后分别测量生命体征、疼痛、焦虑、舒适度和对护理质量的满意度。结果：PCI后，接受音乐治疗的患者并发症更少，生理稳定性更高（呼吸和心率降低，收缩压和舒张压降低，血氧饱和度升高），疼痛强度降低，镇痛需求减少，状态焦虑水平降低，护理满意度更高。总的来说，音乐对病人和护士的护理过程都有有益的影响。结论：音乐作为一种人性化、以人为本的干预手段，可以安全有效地融入到日常护理中。通过支持生理和心理康复，音乐有助于改善患者的治疗效果，并加强护理实践。这些结果强调了它在PCI之外的潜在适用性，表明音乐疗法可能在各种临床和跨学科医疗保健环境中有价值。

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引用次数: 0

IF 2.1 4区医学 Q3 HEALTH CARE SCIENCES & SERVICES

Journal of evaluation in clinical practice

Pub Date : 2026-01-14 DOI: 10.1111/jep.70365

Samuel Atiku, Olufisayo Olakotan, Kehinde Owolanke

Background

Clinical documentation is a major contributor to physician burnout, and artificial intelligence (AI) scribes are increasingly being adopted to help reduce the burden of documentation. These tools automatically generate clinical notes from patient–provider conversations using speech recognition and natural language processing. However, their usability and effectiveness still remain an issue.

Aim

To synthesise the existing evidence on usability-related barriers and facilitators influencing the adoption and use of AI scribes for clinical documentation in healthcare settings.

Method

The scoping review employed the methodology developed by Arksey and O'Malley in 2005 and further expanded by Levac and Colquhoun in 2010. We searched PubMed, Scopus, Ovid MEDLINE, and Web of Science to identify relevant studies published in English between 2015 and 2025. All findings were reported according to PRISMA guidelines for scoping reviews.

Results

Of 4588 identified records, 14 studies met the inclusion criteria and employed qualitative, quantitative, and mixed-methods. AI scribes were consistently associated with reduced cognitive load, faster documentation, improved work–life balance, and positive user experience. However, common barriers included frequent errors, excessive note length, limited formatting options, and poor integration with electronic health records (EHR). Editing demands varied by clinician experience, with some finding that time savings were lost when substantial corrections were needed. Overall, usability was rated more favourably in routine or protocol-driven visits, with mixed outcomes reported on long-term burnout and workflow impact.

Conclusion

AI scribes show promise in reducing documentation burden and improving clinical workflow, but important usability challenges remain. Enhancing accuracy, streamlining integration, and allowing greater customization will be essential to support broader adoption and sustained use in clinical practice.

背景：临床文件是医生职业倦怠的主要原因，越来越多的人采用人工智能（AI）抄写员来帮助减轻文件的负担。这些工具使用语音识别和自然语言处理，从患者与提供者的对话中自动生成临床记录。然而，它们的可用性和有效性仍然是一个问题。目的：综合现有的关于可用性相关障碍和促进因素的证据，这些障碍和促进因素影响了在医疗保健环境中采用和使用人工智能抄写器进行临床记录。方法：范围评估采用Arksey和O'Malley于2005年开发的方法，并由Levac和Colquhoun于2010年进一步扩展。我们检索了PubMed、Scopus、Ovid MEDLINE和Web of Science，以确定2015年至2025年间发表的相关英文研究。所有发现均根据PRISMA范围审查指南进行报告。结果：在鉴定的4588份记录中，14项研究符合纳入标准，采用定性、定量和混合方法。人工智能抄写员始终与减少认知负荷、加快文档编制速度、改善工作与生活的平衡以及积极的用户体验有关。然而，常见的障碍包括频繁的错误、过多的注释长度、有限的格式化选项以及与电子健康记录（EHR）的集成不良。编辑要求因临床医生的经验而异，一些人发现，当需要进行大量修改时，节省的时间就会浪费掉。总体而言，在常规或协议驱动的访问中，可用性被评为更有利，报告的长期倦怠和工作流程影响的结果不一。结论：人工智能抄写员在减轻文档负担和改善临床工作流程方面表现出希望，但重要的可用性挑战仍然存在。提高准确性、简化集成和允许更大程度的定制，对于支持临床实践中更广泛的采用和持续使用至关重要。

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引用次数: 0

Content Validation of the Proactive Health Intentions Scale for Pre-Frailty Older Adults: A Delphi Study 主动健康意向量表的内容验证：一项德尔菲研究。

IF 2.1 4区医学 Q3 HEALTH CARE SCIENCES & SERVICES

Journal of evaluation in clinical practice

Pub Date : 2026-01-14 DOI: 10.1111/jep.70359

Ke Tang, Yueping Li, Lingli Yang, Jin Yao, Ruixue Yin, Xianhong Chen, Yu Liu, Shuijuan Deng, Ya Jiang, Chunlan Zhou

Objectives

Pre-frail older adults are at high risk for adverse health outcomes. Enhancing their proactive health behaviours is crucial for healthy ageing. This study aimed to develop and establish the content validity of a theory-driven Proactive Health Intention Scale for this population.

Methods

A two-round Delphi study was conducted. Of the 36 experts invited, 16 completed the first round. Fifteen experts proceeded to complete the second round. The study was grounded in the Theory of Planned Behaviour (TPB). Content validity was assessed using the expert consensus criterion, defined as an item receiving a rating of 4 (relevant) or 5 (very relevant) from ≥ 70% of the panel.

Results

The expert panel demonstrated strong engagement (a 44.4% response rate in Round 1 and a 93.8% retention rate in Round 2) and high authority (Cr = 0.88). After two rounds, a high consensus was achieved, with 49 out of 52 assessed items (94.2%) meeting the predefined validity criterion. The final scale encompasses five TPB dimensions: past behaviour, behavioural intention, attitude, subjective norms and perceived behavioural control.

Conclusions

The Delphi process resulted in a 50-item Proactive Health Intention Scale with excellent content validity. This study provides a robust, theory-informed scale for measuring proactive health intentions in pre-frail older adults.

Practice Implications

The scale can be used by researchers and clinicians to assess intentions, identify barriers and facilitators, and inform the development of targeted interventions to promote proactive health behaviours in this vulnerable group.

目的：体弱前老年人存在不良健康结局的高风险。加强他们的主动保健行为对健康老龄化至关重要。本研究旨在发展并建立一个理论驱动的积极健康意向量表的内容效度。方法：采用两轮德尔菲法。在受邀的36位专家中，有16位完成了第一轮。15名专家继续完成第二轮。这项研究以计划行为理论（TPB）为基础。使用专家共识标准评估内容效度，定义为从≥70%的专家组中获得4（相关）或5（非常相关）评级的项目。结果：专家小组表现出了很强的参与度（第一轮的回复率为44.4%，第二轮的保留率为93.8%）和高权威性（Cr = 0.88）。经过两轮，达到了高度共识，52个评估项目中有49个（94.2%）符合预定义的效度标准。最终量表包括五个城市规划方面：过去的行为、行为意图、态度、主观规范和感知的行为控制。结论：采用德尔菲法编制的主动健康意向量表具有良好的内容效度。本研究提供了一个强大的，有理论依据的量表，用于测量体弱前老年人的主动健康意向。实践意义：研究人员和临床医生可以使用该量表来评估意图，确定障碍和促进因素，并为制定有针对性的干预措施提供信息，以促进这一弱势群体的主动健康行为。

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引用次数: 0

Examining Relational Coordination Among Nurses and Nursing Assistants in VA Community Living Centers 退伍军人事务部社区生活中心护士和护理助理关系协调研究。

IF 2.1 4区医学 Q3 HEALTH CARE SCIENCES & SERVICES

Journal of evaluation in clinical practice

Pub Date : 2026-01-12 DOI: 10.1111/jep.70360

Princess Nash, Emma Quach, Valerie Clark, Shibei Zhao, A. Lynn Snow, Christine W. Hartmann

Aims

The Veterans Health Administration (VA) is the largest healthcare entity in the United States dedicated to serving Veterans. The VA has focused on improving resident-centered care through increased communication and strengthened relationships among staff who work in Community Living Centers (CLCs). This study employed the Relational Coordination (RC) survey to assess communication and relationships among nurses and nursing assistants in CLCs.

Methods

The study is a secondary analysis of relational coordination data as reported by nurses and nursing assistants from 8 VA CLCs. As part of a parent study of person-centered care implementation, these CLCs were selected from the national population of 134 CLCs for high resident-level quality indicators and artifacts of culture change. The Relational Coordination Survey was administered to assess dimensions of communication (timeliness, frequency, accuracy, and problem-solving vs. blaming) and relationship (shared goals, shared knowledge, and mutual respect). A total of 153 nurses and 133 nursing assistants responded (25% response rate). Within-group and between-group mean ratings for each dimension were computed and classified via the survey benchmarks as ‘weak,’ ‘medium,’ or ‘strong.’

Results

Nursing assistant ratings met benchmarks for ‘strong’ when assessing the frequency of communication with both fellow nursing assistants and with nurses. Nurse ratings also met benchmarks for ‘strong’ when assessing communication frequency with fellow nurses, though ‘moderate’ when assessing communication frequency with nursing assistants. For domains of timely, accurate, and problem-solving communication, ratings by nurses and nursing assistants were ‘weak.’ Shared goals and mutual respect fell into the weak category for within-role and across-role relationships for nurses and nursing assistants. Nursing assistant ratings for shared knowledge with nurses fell into the moderate rating category.

Conclusions

High frequency of communication may co-exist with low quality of communication and relationships.

目的：退伍军人健康管理局（VA）是美国最大的医疗保健实体，致力于为退伍军人服务。退伍军人事务部通过加强社区生活中心工作人员之间的沟通和关系，致力于改善以居民为中心的护理。本研究采用关系协调（RC）调查评估护理中心护士和护理员之间的沟通和关系。方法：对8个VA基层护理中心的护士和护理员报告的关系协调数据进行二次分析。作为以人为本的护理实施的家长研究的一部分，这些社区从全国134个社区中选择出来，用于高居民水平的质量指标和文化变化的人工产物。关系协调调查被用来评估沟通的维度（及时性、频率、准确性、问题解决vs.责备）和关系（共同目标、共享知识和相互尊重）。共有153名护士和133名护理员回复，回复率为25%。每个维度的组内和组间平均评分被计算出来，并通过调查基准被分类为“弱”、“中等”或“强”。结果：在评估与其他护理助理和护士的沟通频率时，护理助理的评分达到了“强”的基准。在评估与其他护士的沟通频率时，护士的评分也达到了“强”的基准，但在评估与护理助理的沟通频率时，护士的评分为“中等”。在及时、准确和解决问题的沟通方面，护士和护理助理的评分“较弱”。在角色内关系和跨角色关系中，共同目标和相互尊重属于较弱的类别。护理助理与护士分享知识的评分属于中等评分类别。结论：高频率的沟通可能与低质量的沟通和关系并存。

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引用次数: 0

Patients' Waiting Times in Operating Rooms and Relevant Reasons 病人在手术室的轮候时间及原因。

IF 2.1 4区医学 Q3 HEALTH CARE SCIENCES & SERVICES

Journal of evaluation in clinical practice

Pub Date : 2026-01-12 DOI: 10.1111/jep.70361

Çağla Islatti Mutlu, Manar Aslan

Background

Effective management of the operating room serves as a connector between patients and healthcare teams and institutions. This study monitored the surgical process of patients between the periods when they left their clinic to undergo a surgical operation and when they came back to their clinic after the surgery, to identify the waiting times spent in the waiting areas and to determine the reasons that cause patients to wait.

Methods

This is a longitudinal follow-up study. Surgical operations related to the clinics of general surgery, otorhinolaryngology, orthopaedics and traumatology conducted in a university hospital and within the business hours were followed up for 30 business days. Data were collected from 416 patients who underwent elective surgical operations between May and October 2019. Descriptive statistics and covariance analysis were used to analyse the data.

Results

The patients waited in nine areas during the surgical operation. The operating room occupancy rate was 62.01 ± 21.47%. The mean preoperative waiting time was 41.36 ± 28.86 min, the mean postoperative waiting time was 27.30 ± 16.07 min and the mean total waiting time was 65.84 ± 34.17 min. The most common reasons for waiting were the delay in completing the previous surgery (33.8%), preparation of the team (23.8%), preparation of the tables and equipment (16.1%), the reasons related to the personnel (13%) and cleaning of the operating room (9.2%). They had to wait in the T3 (31.68 ± 24.04 min), T4 (10.37 ± 16.68 min) and T8 (25.00 ± 15.79 min) areas for the longest period. Delay in completing the previous surgery (51.5%), which accounted for the largest portion of waiting time in area T3, preparation of the tables and equipment (44.8%) in area T4 and personnel-related factors (23.8%) in area T8 were the primary reasons for prolonged patient waiting times.

Conclusion

This study found that patients experienced long waiting times due to various factors, which can be reduced through organizational improvements. Planning of the operating room and effective communication among team members are key factors in these arrangements.

背景：手术室的有效管理是患者与医疗团队和机构之间的桥梁。本研究对患者从离开诊所接受手术到手术后回到诊所的手术过程进行了监测，以确定患者在等待区等待的时间，并确定导致患者等待的原因。方法：这是一项纵向随访研究。在一所大学医院的普通外科、耳鼻喉科、整形外科和创伤科诊所进行的手术在营业时间内进行了30个工作日的随访。数据收集自2019年5月至10月期间接受选择性外科手术的416名患者。采用描述性统计和协方差分析对数据进行分析。结果：患者在手术过程中有9个等候区。手术室入住率为62.01±21.47%。术前平均等待时间为41.36±28.86 min，术后平均等待时间为27.30±16.07 min，平均总等待时间为65.84±34.17 min。最常见的等待原因是之前的手术延迟完成（33.8%），其次是团队准备（23.8%），桌子和设备准备（16.1%），人员相关原因（13%）和手术室清洁（9.2%）。T3区（31.68±24.04 min）、T4区（10.37±16.68 min）、T8区（25.00±15.79 min）等待时间最长。T3区、T4区和T8区患者等待时间延长的主要原因分别是术前手术延误（51.5%）、术前手术台及设备准备（44.8%）和人员因素（23.8%）。结论：本研究发现，由于各种因素，患者的等待时间较长，可以通过组织改进来减少。手术室的规划和团队成员之间的有效沟通是这些安排的关键因素。

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引用次数: 0

Factors Affecting Health Practices in Adolescent Pregnant Women: A Cross-Sectional Study 影响青少年孕妇健康行为的因素：一项横断面研究。

IF 2.1 4区医学 Q3 HEALTH CARE SCIENCES & SERVICES

Journal of evaluation in clinical practice

Pub Date : 2026-01-12 DOI: 10.1111/jep.70358

Gonul Kurt, Hamide Arslan Tarus, Zekiye Turan

<div> <section> <h3> Objective</h3> <p>Adolescent pregnancy is a global issue. In adolescent pregnant women, health practices which are the activities that positively influence maternal, foetal, and neonatal health can be associated with various socio-demographic, psychological, and environmental factors. These can impact the outcomes of the pregnancy and the well-being of both mother and foetal. This study aims to identify health practices and associated factors among adolescent pregnant women.</p> </section> <section> <h3> Methods</h3> <p>A cross-sectional study was conducted at a tertiary-care hospital. The sample of the study was calculated using a known population sample equation. A total of 128 pregnant women participated including 55 adolescents and 73 adult pregnant women. Data were collected using the ‘Participant Description Questionnaire’ and the ‘Health Practice Questionnaire-II (HPQ-II)’. The research data analysed in this study were obtained from pregnant women who attended an antenatal follow-up clinic and who obtained informed consent to participate in this study. Data analysis was performed using SPSS for Windows Version 22.0 (IBM Corporation, Armonk, New York, USA). Comparative statistical analyses employed the independent sample <i>t</i>-test and the one-way analysis of variance (ANOVA) test; kwhen a difference was detected by ANOVA, the source of this difference was identified using the Tukey test. The Pearson correlation test was used to identify relationships between pairs of continuous variables.</p> </section> <section> <h3> Results</h3> <p>The average total HPQ-II score among adolescent pregnant women was 110.6 ± 14.3 compared to 121.3 ± 12.2 among adult pregnant women. Average total HPQ-II scores differed significantly between adolescent and adult pregnant women (<i>p</i> < 0.001). Average total HPQ-II scores among adolescent pregnant women differed significantly according to income level (<i>p</i> < 0.05) and prenatal care status (<i>p</i> < 0.001) while it was significant differences between HPQ-II scores and education level (<i>p</i> < 0.05), health insurance status (<i>p</i> < 0.001), and employment status (<i>p</i> < 0.05) in adult pregnant women.</p> </section> <section> <h3> Conclusions</h3> <p>The reported health practices among adolescent pregnant women were poor than those among adult pregnant women in this study. Additionally, as income level increased, health practices among adolescent pregnant women also improved. Moreover, adolescent pregnant women who regularly attended antenatal follow-ups maintained better health practices. Additionally, adult pregnant women who had comp

目的：青少年怀孕是一个全球性问题。在青春期怀孕妇女中，对产妇、胎儿和新生儿健康产生积极影响的保健做法可能与各种社会人口、心理和环境因素有关。这些都会影响怀孕的结果以及母亲和胎儿的健康。本研究旨在确定青春期怀孕妇女的保健习惯和相关因素。方法：在某三级医院进行横断面研究。该研究的样本是使用已知的总体样本方程计算的。共有128名孕妇参与，其中包括55名少女和73名成年孕妇。使用“参与者描述问卷”和“健康实践问卷- ii （HPQ-II）”收集数据。本研究分析的研究数据来自于参加产前随访诊所并获得知情同意参加本研究的孕妇。数据分析使用SPSS for Windows Version 22.0 （IBM Corporation, Armonk, New York， USA）。比较统计分析采用独立样本t检验和单因素方差分析（ANOVA）检验；当方差分析检测到差异时，使用Tukey检验确定差异的来源。使用Pearson相关检验来确定连续变量对之间的关系。结果：青少年孕妇的平均总HPQ-II评分为110.6±14.3，成年孕妇的平均总HPQ-II评分为121.3±12.2。青少年孕妇和成年孕妇的平均总HPQ-II得分差异显著(p)。结论：本研究中青少年孕妇报告的健康习惯较成年孕妇差。此外，随着收入水平的提高，怀孕少女的保健做法也有所改善。此外，定期参加产前随访的少女孕妇保持了较好的保健习惯。此外，完成高中或高等教育、有工作并有健康保险的成年孕妇表现出更好的保健习惯。因此，建议增加对怀孕少女的后续随访，评价她们的保健做法，并根据她们的需要提供教育和咨询服务。在研究范围内，少女孕妇获得保健服务的机会少于成年孕妇。

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