Journal of evaluation in clinical practice最新文献

{"title":"Bearing the Burdens of Medical Uncertainty","authors":"Bjørn Hofmann,&nbsp;Paul K. J. Han","doi":"10.1111/jep.70323","DOIUrl":"https://doi.org/10.1111/jep.70323","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Rationale</h3>\u0000 \u0000 <p>Uncertainty comes in many kinds, is ubiquitous in all parts of clinical work, and is burdensome to physicians, patients, proxies and policy makers. Moreover, it leads to a range of adverse responses such as excessive testing and interventions, overdiagnosis and overtreatment. While the technical aspects of uncertainty are widely accounted for, the burdens of uncertainty need closer scrutiny.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aims and Objectives</h3>\u0000 \u0000 <p>The aim of this article is to investigate the complex burden of uncertainty for clinicians: as health professionals, carers for patients, and human beings facing the unknown.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>A conceptual analysis is applied introducing a case to illustrate the diverse aspects of uncertainty reviewed in the literature.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>We identify six types of burdens of uncertainty: cognitive, emotional, behavioural, social, moral and existential and show how they play out for clinicians in clinical care for their patients, as health professionals, as caregivers and human beings. Moreover, we suggest specific strategies for bearing these various types of burdens of uncertainty in all roles.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Bearing the burdens of uncertainty is crucial for professional integrity, well-being, and communication with patients, but also for improving the quality, safety, efficiency and sustainability of healthcare.</p>\u0000 </section>\u0000 </div>","PeriodicalId":15997,"journal":{"name":"Journal of evaluation in clinical practice","volume":"31 8","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145619093","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 Holistic Nursing Programme Based on 24 h Holter Monitoring for Coronary Angiography Patients in the Perioperative Period","authors":"Ting Liu,&nbsp;ShuangJiao Xu,&nbsp;Pingping Wang","doi":"10.1111/jep.70326","DOIUrl":"https://doi.org/10.1111/jep.70326","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>This study developed, implemented, and evaluated the effectiveness of a holistic nursing program based on 24 h Holter monitoring for patients undergoing coronary angiography, aiming to improve nursing quality and reduce the incidence of coronary complications during the perioperative period.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Eighty patients who underwent coronary angiography from Jan 2023 to Dec 2023 were randomly divided into a study group and a control group. The control group received routine care, while the experimental group received targeted holistic care based on dynamic electrocardiogram monitoring.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The score of nursing quality in the experimental group was significantly higher than the control group (<i>p</i> ＜ 0.05), and the incidence of complications in the experimental group was significantly lower than the control group (<i>P</i> ＜ 0.05). the two groups were comparable.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The overall nursing based on 24 h dynamic electrocardiogram monitoring can significantly improve the nursing quality of coronary angiography and reduce the occurrence of complications.</p>\u0000 </section>\u0000 </div>","PeriodicalId":15997,"journal":{"name":"Journal of evaluation in clinical practice","volume":"31 8","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jep.70326","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145619092","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":"Healthcare Professionals' Perspectives on Addressing Patients' Medication Adherence in Primary Care Settings","authors":"Tiffany R. Martinez,&nbsp;Antoinette M. Schoenthaler,&nbsp;Devin M. Mann,&nbsp;Hayley Belli,&nbsp;Harris R. Bearnot,&nbsp;Ian Lustbader,&nbsp;Saul Blecker","doi":"10.1111/jep.70322","DOIUrl":"https://doi.org/10.1111/jep.70322","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Medication nonadherence is a common issue among patients with hypertension. Healthcare professionals often overlook medication nonadherence due to limited tools, time constraints, and competing demands. Integrating pharmacy medication fill data into electronic health records (EHRs) presents an opportunity to enhance medication adherence measurement and monitoring in real-time. This study identified facilitators and barriers to addressing adherence to antihypertensive medications by Medical Assistants (MAs), Registered Nurses (RNs), and Primary Care Providers (PCPs) in primary care settings.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We conducted a qualitative study with, 15 healthcare professionals (5 MAs, 5 RNs, and 5 PCPs) caring for patients with hypertension. Semi-structured interviews, guided by the Consolidated Framework for Implementation Research (CFIR), explored barriers and facilitators related to screening and addressing medication non-adherence during primary care clinical encounters. Thematic analysis and deductive coding were used to analyze the data.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Four major themes emerged: motivation, work infrastructure, capability, and opportunity. MAs and PCPs were motivated to discuss medication adherence and build relationships. Capability varied; RNs were confident in their counseling skills based on their training and patient trust, and PCPs described adherence counseling as part of their role, particularly through motivational interviewing. Work infrastructure presented structural hurdles due to RN workflow limitations and MA role constraints. Opportunity to address non-adherence were constrained by tight schedules and competing clinical demands during brief visits.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>RNs and PCPs felt capable in their ability to address medication adherence but cited time and competing demands as significant barriers; conversely, MAs reported motivation but were limited by their role. These findings suggest opportunities for effective management of medication adherence in practice settings through a more coordinated strategy across multiple healthcare professionals.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Trial Registration</h3>\u0000 \u0000 <p>ClinicalTrials.gov; NCT05349422; https://clinicaltrials.gov/ct2/show/NCT05349422.</p>\u0000 </section>\u0000 </div>","PeriodicalId":15997,"journal":{"name":"Journal of evaluation in clinical practice","volume":"31 8","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145619041","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":"“Both the Training and the Coffee Afterwards Mattered a Lot”—Factors of Importance in a Complex Intervention After Acute Hospitalization: Perspectives of Older Adults With Frailty","authors":"Rikke Larsen Rasmussen,&nbsp;Laurine Nilsson,&nbsp;Mette Holst,&nbsp;Morten Villumsen,&nbsp;Jane Andreasen","doi":"10.1111/jep.70321","DOIUrl":"https://doi.org/10.1111/jep.70321","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Rationale</h3>\u0000 \u0000 <p>Older adults with frailty often face functional decline and limitations in doing everyday activities after being discharged from acute hospital admission affecting their health and quality of life. However, engaging them in training interventions can be challenging.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aims and Objectives</h3>\u0000 \u0000 <p>The aim of this study was to evaluate a combined training, nutrition, and social intervention from the perspective of newly discharged older adults with frailty participating in the intervention.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Semi-structured interviews were conducted with 14 participants of whom 10 were interviewed twice. Data were analyzed using a theory-based evaluation approach using a CIMO (Context–Intervention–Mechanism–Outcome) framework, followed by subsequent analysis of key elements.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The study found that a skilled and person-centered physiotherapist was crucial to making strength training feasible for participants, resulting in adherence and effort in training, although continuation after the intervention was challenged by different aspects such as geography and social factors. Including goal setting and test results could potentially be relevant motivational tools, but goal setting was not implemented well, according to the experiences of the participants. The social part of the intervention was important for encouraging participation and the well-being of participants, as groups were cohesive, and participants were accepting of each other. Participants did not recall the nutritional intervention very well, and it seemingly only had a small impact.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The physiotherapist's approach was essential for ensuring compliance and motivation for strength training for the older adults with frailty. Furthermore, fostering social cohesion within training groups could be important for promoting compliance and participant well-being. Factors influencing the continuation of training should be considered to ensure its long-term sustainability. Further research is warranted on incorporating nutritional guidance to enhance the impact of interventions for newly discharged older adults with frailty.</p>\u0000 </section>\u0000 </div>","PeriodicalId":15997,"journal":{"name":"Journal of evaluation in clinical practice","volume":"31 8","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145626386","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":"Risk of Bias Assessment of Randomized Controlled Trials: From the 1994 Cochrane Collaboration Toolkit to ROBUST-RCT","authors":"Rafael Leite Pacheco,&nbsp;Rachel Riera","doi":"10.1111/jep.70328","DOIUrl":"https://doi.org/10.1111/jep.70328","url":null,"abstract":"&lt;p&gt;In March 1994, the Cochrane Collaboration issued its inaugural formal guidance on the methodology for conducting and updating systematic reviews, presented as a section within the Cochrane Collaboration toolkit. This section, titled ‘Section VI: Preparing and Maintaining Systematic Reviews’, offered directives for assessing the methodological quality of randomized controlled trials incorporated into the reviews. It drew upon a prior study by Moher et al. [&lt;span&gt;1&lt;/span&gt;], which systematically appraised scales and checklists devised to evaluate trial quality, including the Jadad scale [&lt;span&gt;2&lt;/span&gt;]. The authors concluded that none of the existing scales at that time could be recommended without concerns.&lt;/p&gt;&lt;p&gt;The newly proposed framework for assessing methodological quality rested on four bias domains, termed ‘categories’ within the document: selection, performance, exclusion, and detection. The selective reporting of significant results was also noted as a criterion that might prove pertinent in certain contexts, though it was not considered as a fundamental domain.&lt;/p&gt;&lt;p&gt;The evaluation system delineated three possible ratings for the overall risk of bias: low, moderate, or high. Review authors were tasked with determining whether the trials fulfilled valid criteria across all domains (signifying a trial with a low risk of bias), whether some criteria were only partially satisfied (indicating a moderate risk), or whether one or more criteria remained unmet (denoting a high risk of bias).&lt;/p&gt;&lt;p&gt;This underscores that the necessity of striking a balance between complexity and methodological rigour was already a matter of concern.&lt;/p&gt;&lt;p&gt;In October 1996, Section VI was revised and reissued as a standalone publication, henceforth titled the Cochrane Collaboration Handbook. This third edition emphasizes the importance of critically appraising studies, shifting away from the earlier terminology of methodological quality assessment.&lt;/p&gt;&lt;p&gt;The principal recommendation retained the same four bias domains: selection, performance, attrition, and detection. The domain formerly designated as exclusion bias was renamed as attrition bias. The evaluation framework preserved its established logic for classifying the overall risk of bias as low, moderate, or high.&lt;/p&gt;&lt;p&gt;In 1999, the Cochrane Handbook was refined into its fourth version, preserving the recommendations for trial assessment with no substantial alterations. The fourth version of the handbook had some minor updates, including changes to its name in different versions. For example, version 4.2.1 [&lt;span&gt;3&lt;/span&gt;] was named ‘Cochrane Reviwers' Handbook’ while version 4.2.6 [&lt;span&gt;4&lt;/span&gt;] was named ‘Cochrane Handbook for Systematic Reviews of Interventions’, a designation that endures in the present version.&lt;/p&gt;&lt;p&gt;In the 11th volume of the Cochrane Collaboration Methods Groups Newsletter, released in June 2007, Julian Higgins and Douglas Altman foreshadowed the principal attributes of an innovative ","PeriodicalId":15997,"journal":{"name":"Journal of evaluation in clinical practice","volume":"31 8","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jep.70328","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145619042","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":"Prevalence and Associated Factors of Burnout Among Obstetrics and Gynecology Nurses: A Cross-Sectional Analysis","authors":"Yali Chen,&nbsp;Jingjing Cai","doi":"10.1111/jep.70315","DOIUrl":"10.1111/jep.70315","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Job burnout significantly impacts the quality and safety of clinical nursing care. Given the unique demands of obstetric and gynecological (OB/GYN) nursing, addressing burnout in this workforce is critical for safeguarding both nurse well-being and patient outcomes. This study aimed to investigate the prevalence of job burnout and identify its contributing factors among OB/GYN nurses, with the goal of providing evidence-based guidance for clinical nurse management and healthcare policy.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A cross-sectional survey was conducted with nurses in the OB/GYN department of our hospital between July 1 and August 31, 2024. The Nursing Burnout Scale (validated previously for nursing populations) was used to assess burnout levels, and multiple linear regression analysis was applied to identify potential influencing factors.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A total of 116 OB/GYN nurses participated. The mean job burnout score was 158.64 ± 16.07, which corresponds to a moderate level of burnout based on the scale's established criteria. Correlation analysis showed significant associations between burnout scores and educational level (r = 0.558), number of children (r = 0.527), professional title (r = 0.604), years of nursing experience (r = 0.622), and average monthly income (r = 0.606) (all <i>p</i> &lt; 0.05). Multiple linear regression further confirmed these variables as significant predictors of job burnout (all <i>p</i> &lt; 0.05).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>OB/GYN nurses in this study experience moderate levels of job burnout, influenced by multiple personal and professional factors. These findings support the need for targeted interventions—such as tailored support programs for nurses with varying experience or family structures—and highlight the value of using such data to inform hospital management strategies and healthcare policies aimed at reducing burnout and enhancing nursing care quality and safety.</p>\u0000 </section>\u0000 </div>","PeriodicalId":15997,"journal":{"name":"Journal of evaluation in clinical practice","volume":"31 8","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145549564","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":"Toward More Precise Health Care Through Relational Mapping","authors":"Stephen Buetow","doi":"10.1111/jep.70308","DOIUrl":"10.1111/jep.70308","url":null,"abstract":"<div>\u0000 \u0000 <p>Precision health seeks to personalize care by accounting for individual variation but is too often reduced to ‘personalized biological’ interventions. This reductionism overlooks the existential and psychosocial dimensions of health. To address this gap, this paper introduces the <i>relatome</i> as a conceptual framework that systematically and comprehensively records relational patterns, including how patients build trust, prefer to receive information, and approach decision-making. By extending precision health into the relational domain, the relatome makes care more precise in guiding patient experience and treatment effectiveness. As a transferable component of the patient's clinical record, it also helps providers coordinate understanding across systems and settings, preserving psychosocial insights often lost during care transitions. Unlike static genetic data, these relational patterns are updated based on patient feedback and provider observations. Realizing the potential of the relatome requires addressing five sets of implementation challenges: conceptual and epistemic, technical and infrastructural, continuity and system design, equity and participation, and evaluation and investment.</p>\u0000 </div>","PeriodicalId":15997,"journal":{"name":"Journal of evaluation in clinical practice","volume":"31 8","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145549557","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":"Midwives' Views and Experiences of Practice to Delivered in Water: A Qualitative Study","authors":"Buse Nur Kisa,&nbsp;Resmiye Ozdilek","doi":"10.1111/jep.70318","DOIUrl":"10.1111/jep.70318","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>This study aimed to reveal the experiences of midwives who assisted women giving birth water.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>A phenomenological design, which is one of the qualitative research methods, was used in the study that was conducted with freelance midwives between June and August 2023. The sample of the study consisted of 14 midwives who met the inclusion criteria and agreed to participate in the research. Data were collected face to face using a ‘Descriptive Information Form’ and a ‘Semi-Structured Interview Form’ and were analysed using the thematic analysis method and the MAXQDA Analytics Pro2020 software.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>Midwives' narratives about water birth were grouped under three themes: water birth process, water birth team, and evaluation of water birth. The eight categories that made up these themes were conveniences, difficulties, characteristics of the team, equipment used during birth, difficulties in using the equipment, prenatal preparation, midwives' self-evaluations, and views about pregnant women's experiences.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>According to this study, midwives talked more about the category of convenience than difficulties regarding the water birth process. It was determined that all midwives repeated the code of comforting the pregnant woman, which is in the convenience category under the theme of the water birth process. The most frequently stated difficulty was ensuring that the water was kept as clean as possible. Midwives reported that they most frequently observed that pregnant women gave birth more easily in water.</p>\u0000 </section>\u0000 </div>","PeriodicalId":15997,"journal":{"name":"Journal of evaluation in clinical practice","volume":"31 8","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145549348","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":"Lessons From the COVID-19 Pandemic: The Role of Interventions in Relieving Mental Stress","authors":"Raaj Tiagi","doi":"10.1111/jep.70317","DOIUrl":"10.1111/jep.70317","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>The COVID-19 pandemic has significantly impacted healthcare workers’ mental health worldwide. Although increased stress, anxiety, and burnout are well documented, there is limited evidence on the effectiveness of workplace interventions such as infection prevention and control (IPC) and personal protective equipment (PPE) training in mitigating these effects.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>To examine the association between IPC training, PPE training, and consistent adherence to safety protocols with self-reported mental health outcomes among healthcare workers in Canada during the COVID-19 pandemic.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This study analyzed data from 12,727 healthcare workers who responded to a 2021 Statistics Canada crowdsource survey. Logistic regression models assessed the relationship between mental health status (same/better vs worse compared to pre-pandemic) and three predictors: sufficient IPC training, sufficient PPE training, and consistent protocol adherence, controlling for demographic and occupational factors.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Adequate IPC and PPE training, along with consistent adherence to protocols, were significantly associated with better self-reported mental health outcomes across healthcare worker groups. Regional differences and survey design limitations affecting generalizability are acknowledged.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Basic workplace interventions such as IPC and PPE training and adherence to safety protocols may help protect healthcare workers’ mental health during public health crises. Policymakers should prioritize these feasible, low-cost measures to mitigate pandemic-related psychological distress.</p>\u0000 </section>\u0000 </div>","PeriodicalId":15997,"journal":{"name":"Journal of evaluation in clinical practice","volume":"31 8","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145504996","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":"Response to Armitage: Reconsidering the Ethical Landscape of AI-Generated Clinical Documentation","authors":"Q. Wilton Sun,&nbsp;Jennifer E. Miller,&nbsp;Sarah C. Hull","doi":"10.1111/jep.70313","DOIUrl":"10.1111/jep.70313","url":null,"abstract":"","PeriodicalId":15997,"journal":{"name":"Journal of evaluation in clinical practice","volume":"31 8","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145504661","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}