Journal of evaluation in clinical practice
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Implementation of clinical practice guidelines, an important strategy in the prevention of pressure injuries, enables the nurse to interpret evidence-based guideline recommendations, reduce errors, ensure compliance and standardisation of complex processes, manage patient-related risks and systematically regulate all preventable conditions. ⋯ This study demonstrated that the SPIPP- Adult Checklist 2.0 is a valid tool. Interventions using the evidence-based checklist should be integrated into the workflow and provide the best opportunity for successful and sustainable pressure injury prevention.
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Randomized Controlled Trial
The effect of breastfeeding education with digital storytelling on fathers' breastfeeding self-efficacy.
There is growing evidence that fathers play an important role in the breastfeeding process and that fathers need education about breastfeeding. In our age of rapidly developing technology, the use of new teaching techniques in the education of fathers will provide more effective results. ⋯ In the current study, the effect of using digital storytelling method in breastfeeding education on fathers' breastfeeding self-efficacy was found to be significantly higher than routine education. It is recommended that this new method be used in education and counselling and that studies be conducted to examine its effect on breastfeeding behaviour and fathers' breastfeeding support.
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Objective Structured Clinical Examinations (OSCEs) are widely used for assessing clinical competence, especially in high-stakes environments such as medical licensure. However, the reuse of OSCE cases across multiple administrations raises concerns about parameter stability, known as item parameter drift (IPD). AIMS & OBJECTIVES: This study aims to investigate IPD in reused OSCE cases while accounting for examiner scoring effects using a Many-facet Rasch Measurement (MFRM) model. ⋯ These findings suggest that while OSCE cases demonstrate sufficient stability for reuse, continuous monitoring is essential to ensure the accuracy of score interpretations and decisions. The study provides an objective threshold for detecting concerning levels of IPD and underscores the importance of addressing examiner scoring effects in OSCE assessments. The MFRM model offers a robust framework for tracking and mitigating IPD, contributing to the validity and reliability of OSCEs in evaluating clinical competence.
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One of the important considerations to select the appropriate outcome measures is determining if the tool is relevant to patients. Despite the availability of various performance-based tests to objectively assess function, it is unknown which performance-based tests best capture important aspects of function after hip or knee arthroplasty. ⋯ Our ICF-based content analysis revealed that the existing performance-based tests covered certain OA core set activity and participation categories, but overlooked multiple categories. This analysis can serve as a guide for researchers and clinicians in selecting suitable performance-based tests or a battery of tests to assess function following hip or knee arthroplasty.
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Randomized Controlled Trial
Application of midnight-noon ebb-flow combined with five-element music therapy in continuous nursing of patients with chronic wounds.
To investigate the effect of Midnight-noon Ebb-flow combined with five-element music therapy in the continuous nursing of patients with chronic wounds. ⋯ Midnight-noon Ebb-flow combined with five-element music therapy is a nursing intervention program with considerable benefits for the treatment of chronic wounds, such as effective progress in wound health outcomes, alleviation of patients' anxiety, depression, and pain symptoms, and consequently improvement in quality of life.