{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,27]],"date-time":"2025-09-27T00:07:22Z","timestamp":1758931642171,"version":"3.44.0"},"reference-count":16,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2025,8,19]],"date-time":"2025-08-19T00:00:00Z","timestamp":1755561600000},"content-version":"vor","delay-in-days":18,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000102","name":"Health Resources and Services Administration","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000102","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Evaluation Clinical Practice"],"published-print":{"date-parts":[[2025,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Rural residents face many health disparities and challenges. Rural health networks form to address the specific needs of a community by bringing together multiple individuals and organisations; however, there is limited literature on the evaluation of these networks.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objective<\/jats:title><jats:p>To evaluate a network's effectiveness in three areas: (1) capacity to achieve change in palliative care education, (2) key results of collaborative efforts, and (3) extent to which grant activities were implemented.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Grant required evaluation measures were used to answer area one and three: key sector representation, network organisational assessment, external environmental scan, and SWOT analysis. To answer area two, knowledge and commitment to change were evaluated after a palliative care symposium.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The network was proficient or excelling in all 15 areas of a Network Organisational Assessment and represented all 38 key sectors representing the focus of network (palliative care). Through repeated external environment scans and analysis of the strategic plan, the network continually evaluated the landscape in which it operated enabling the network to adapt and capitalise on opportunities. The outcome evaluation of the network's symposium revealed that most participants reported improvement in their ability to impact patient outcomes (59%), overall confidence and performance (65%), and knowledge of palliative care (78%). Nearly all participants reported better communication and collaboration with a multidisciplinary team (96% and 97% respectively) and intent to apply what they learned in their team (97%). Practice changes included commitment to improving their patient education, communication, and teamwork.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The network's evaluation demonstrated its effectiveness in three areas. This article adds to the limited literature on network evaluation by presenting practical tools to grow, engage, and evaluate a network so other rural health networks can replicate these evaluations to assess their effectiveness.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jep.70249","type":"journal-article","created":{"date-parts":[[2025,8,20]],"date-time":"2025-08-20T06:28:12Z","timestamp":1755671292000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Process &amp; Outcome Evaluation of a Rural Health Network to Assess Effectiveness"],"prefix":"10.1111","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3432-660X","authenticated-orcid":false,"given":"Sarah","family":"Mollman","sequence":"first","affiliation":[{"name":"College of Nursing South Dakota State University Brookings South Dakota USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-2198-7303","authenticated-orcid":false,"given":"Kelly","family":"Boyd","sequence":"additional","affiliation":[{"name":"Avera Health Sioux Falls South Dakota USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1456-6630","authenticated-orcid":false,"given":"Charlene","family":"Berke","sequence":"additional","affiliation":[{"name":"Avera Health Sioux Falls South Dakota USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-7580-0621","authenticated-orcid":false,"given":"Mari","family":"Perrenoud","sequence":"additional","affiliation":[{"name":"Avera Health Sioux Falls South Dakota USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-0707-3728","authenticated-orcid":false,"given":"Vonda","family":"Reed","sequence":"additional","affiliation":[{"name":"Avera Health Sioux Falls South Dakota USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-0523-2644","authenticated-orcid":false,"given":"Carol","family":"Stewart","sequence":"additional","affiliation":[{"name":"Mount Marty University Yankton South Dakota USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,8,19]]},"reference":[{"key":"e_1_2_10_2_1","unstructured":"Centers for Disease Control and Prevention [CDC] About Rural Health (2017) https:\/\/www.cdc.gov\/ruralhealth\/about.html."},{"key":"e_1_2_10_3_1","unstructured":"United Health Foundation [UHF] Rural Population in South Dakota (2020a) https:\/\/www.americashealthrankings.org\/explore\/annual\/measure\/pct_rural\/state\/SD."},{"key":"e_1_2_10_4_1","unstructured":"United Health Foundation [UHF] Explore Multiple Chronic Conditions (2020b) https:\/\/www.americashealthrankings.org\/explore\/annual\/measure\/CHC\/population\/CHC_LT_25k\/state\/SD."},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1177\/10901981211060330"},{"key":"e_1_2_10_6_1","unstructured":"Rural Health Information Hub [RHIH] Rural Health Disparities (2022) https:\/\/www.ruralhealthinfo.org\/topics\/rural\u2010health\u2010disparities."},{"key":"e_1_2_10_7_1","unstructured":"Rural Health Information Hub [RHIH] Rural Healthcare Quality (2025) https:\/\/www.ruralhealthinfo.org\/topics\/health-care-quality#quality-improvement-support."},{"key":"e_1_2_10_8_1","unstructured":"Rural Health Information Hub [RHIH] Defining Rural Health Networks and Coalitions (2017a) https:\/\/www.ruralhealthinfo.org\/toolkits\/networks\/1\/definition."},{"key":"e_1_2_10_9_1","unstructured":"Rural Health Information Hub [RHIH] Needs for and Barriers to Developing Health Networks in Rural Areas (2017b) https:\/\/www.ruralhealthinfo.org\/toolkits\/networks\/1\/rural-needs-barriers."},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.rr7306a1"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1177\/15248399221117160"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1089\/jpm.2022.0024"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1177\/26323524231179977"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.14574\/ojrnhc.v23i2.750"},{"key":"e_1_2_10_15_1","doi-asserted-by":"crossref","unstructured":"J.O'Hara P.Shevlin M.Brown andG.McNamara Educational Networks: A Key Driving Force for School Development in a Time of Crisis and Change. SHS Web of Conferences (2021) 98 02003 https:\/\/doi.org\/10.1051\/shsconf\/20219802003.","DOI":"10.1051\/shsconf\/20219802003"},{"key":"e_1_2_10_16_1","unstructured":"Rural Health Information Hub [RHIH] Importance of Sustainability Planning for Networks and Coalitions (2017c) https:\/\/www.ruralhealthinfo.org\/toolkits\/networks\/6\/importance-of-sustainability."},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1007\/s13142-013-0220-5"}],"container-title":["Journal of Evaluation in Clinical Practice"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jep.70249","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,9,26]],"date-time":"2025-09-26T11:10:39Z","timestamp":1758885039000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jep.70249"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,8]]},"references-count":16,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2025,8]]}},"alternative-id":["10.1111\/jep.70249"],"URL":"https:\/\/doi.org\/10.1111\/jep.70249","archive":["Portico"],"relation":{},"ISSN":["1356-1294","1365-2753"],"issn-type":[{"type":"print","value":"1356-1294"},{"type":"electronic","value":"1365-2753"}],"subject":[],"published":{"date-parts":[[2025,8]]},"assertion":[{"value":"2025-03-15","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-08-01","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-08-19","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70249"}}