Journal of evaluation in clinical practice
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Problem-solving skills are some of the leading strategies for dynamism in the content and quality of nursing care. ⋯ For this reason, revising the national nursing curriculum with programmes that develop emotional intelligence and solution-focused thinking skills will enable nursing students to better manage the nursing process in clinical and field practices.
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Developing a feasible and sensitive evaluation strategy for a new mental health service is a challenge that requires consideration of what a service is trying to achieve and what a 'good' outcome might look like. Perinatal mental illnesses are complex in their causes and treatment. Mother Baby Units provide specialist perinatal mental health care to parents experiencing mental illness in the perinatal period, with evaluations demonstrating clinical and social outcomes. There has however been remarkably little research on how MBUs achieve these outcomes. ⋯ Articulating the approach to evaluation provides a contribution to evaluation knowledge for others evaluating complex public health interventions. The relational nature of perinatal mental health experiences challenges individualistic approaches to care delivery, funding and evaluation. As part of service establishment, there is a need to consider what a 'good' outcome of care might be and to develop evaluation approaches that capture the relational components of recovery as well as the factors that support families to sustain change.
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The current study was conducted to measure the prevalence of stress, anxiety, depression, and sleep quality and identify predisposing factors of psychological distress among young adults during the pandemic. ⋯ Nearly half of the young adults experienced varying degrees of stress, anxiety, and depression, and most had poor sleep quality. The insufficiency of outbreak measures, poor sleep quality, using alcohol, and feelings of despair were mutual predictive factors of stress, anxiety, and depression.
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Vaccine Hesitancy Among Family Doctors and Family Health Workers: Prevalence and Associated Factors.
The aim of the study was to determine the prevalence of vaccine hesitancy among family doctors and family health workers regarding vaccines included in the childhood vaccination calendar and to identify factors that may be associated with vaccine hesitancy among participants. ⋯ In conclusion, the results of this study indicate that vaccine hesitancy is common among healthcare workers, that vaccine hesitancy is associated with factors such as age, working years, and having children, and that individuals with vaccine hesitancy hold various misconceptions about vaccines.
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Neck pain is a major cause of disability worldwide, and current rehabilitation strategies show limited effectiveness. Subgrouping patients by their primary pain and disability drivers can help tailor treatments. At this end, the Pain and Disability Drivers Management (PDDM) was developed and has demonstrated preliminary effectiveness in the management of low back pain. Nevertheless, the PDDM model was only validated for this population. Adapting this framework to patients with neck pain would provide a more global view of the patient's experience of pain and support a genuine biopsychosocial intervention. ⋯ Through a modified DELPHI study, the PDDM model was updated and adapted to people with neck pain. Subsequent steps include clinical integration and measures of efficacy when used for assessment/treatment.