1,721,002 research outputs found
Determination of perception of patient safety culture in hospitals and of health staff and patient attitudes about patient safety
No full textÇalışmanın amacı, sağlık çalışanlarının ve toplumun hasta güvenliği konusundaki görüşlerini değerlendirmek ve kamu hastanelerindeki güvenlik kültürü algılama düzeyini belirlemektir. Araştırmanın örneklemini, sağlık çalışanı anketi için, Konya il merkezinde bulunan tüm kamu genel hastaneleri ve merkez ilçelere bağlı rastgele seçilen 12 sağlık ocağı personeli oluşturdu. Toplum örneklemi için aynı sağlık ocağı bölgesinde yaşayan yetişkinlere küme örnekleme yöntemiyle ulaşıldı. Çalışmaya 156 hekim, 183 hemşire ve 150 diğer sağlık çalışanı (ebe, sağlık memuru ATT) ile toplumdan 240 kişi alındı. Veri toplamada Sağlık Çalışanı Hasta Güvenliği Anket Formu, Toplum Hasta Güvenliği Anket Formu ve Hastane Hasta Güvenliği Kültürü Anketinin Türkçesi kullanıldı. Veriler, ortalama, standart sapma ve yüzdelerle özetlendi. Katagorik verilerin gruplar arası karşılaştırılmasında Ki-Kare testinden yararlanıldı. Güvenlik kültürü ile ilgili skor ortalamalarının karşılaştırılmasında tek yönlü varyans analizi ve varyansların homojenliğine göre post hoc testlerinden yararlanıldı. Karşılaştırılacak ortalamanın iki tane olması halinde t testi uygulandı. Sağlık çalışanlarının % 23'ü ve toplumdaki bireylerin % 22'sinin kendisi veya ailesinden birinin tıbbi hataya maruz kaldığı belirlendi. Hata sonucu ciddi zarar görenlerin oranı sağlık çalışanlarında % 27 ve toplumda % 36 idi. Sağlık çalışanları (% 38) ve toplum (% 33) tıbbi hatadan dolayı hatayı yapan kişiyi sorumlu tutmaktaydı. Daha güvenli bakım almada hastaların da sorumluluğu olduğu görüşü sağlık çalışanlarında daha yüksek bulundu (sağlık çalışanı % 78; toplum % 63). Tıbbi hata sebebi olarak sağlık çalışanları ?uzun çalışma saatleri nedeniyle yorgunluk ve stresi? gösterirken (% 77), toplum için ?hekimlerin hastalara yeterince vakit ayırmaması? (% 73) en önemli sebepti. Hasta güvenliği alt alanlarına tüm sağlık çalışanlarının verdiği olumlu cevap yüzdeleri, ?birimler içinde ekip çalışması? (% 75), ?güvenliğin kapsamlı algılanması? (% 63) için yüksek bulunurken, ?hataların raporlanma sıklığı? (% 15), ?hataya karşı cezalandırıcı olmayan yanıt? (% 19) alanlarında düşük bulundu. Alt alan olumlu skor yüzdeleri benchmark skorla karşılaştırıldığında 12 alt alandan dokuzunda daha düşük bulundu. Hekimlerin % 78'i, hemşirelerin % 86'sı ve diğer sağlık personelinin % 89'unun hatalı olayları hiç rapor etmedikleri saptandı. Çok sayıda kişi önlenebilir tıbbi hatalar sebebiyle zarar görmektedir. Hasta güvenliği konusunda tüm sağlık çalışanları ve hastalar sorumluluk almalı, hasta güvenliği kültürünü geliştirmek kurumların öncelikli konusu olmalıdırThe aim of the study is to determine the levels of patient safety culture in hospitals and health staff and public views about patient safety. The sampling of the study consisted of 12 randomly chosen health staffs who work in local health centers and state hospitals in both Konya city centre in order to fill out the questionnaire of health staff. The adults who live by these local clinics and state hospitals were reached by means of cluster sampling in order to be used for community sampling. A hundred fifty six physicians, 183 nurses and 150 other health staff (midwife, health officers, emergency medicine technician) and 240 people from the community participated in the study. In order to collect the data, Health Staff Patient Safety Questionnaire Form and Community Patient Safety Questionnaire Form and Hospital Survey on Patient Safety Culture that was developed by Agency for Healthcare Research and Quality and that was later translated into Turkish were used. The means, standard deviation and percentages of the data were given in the study. The Chi-Square test was used to compare categorical data among groups. One Way ANOVA was used to compare mean scores concerning safety culture and post hoc tests were used depending on homogeneity of variances. The t test was used when mean scores to be compared were two. It was found that 23% of the health staffs and 22% of the people in the community themselves or one of their family members were exposed to medical error. The percentage of those who suffered seriously as a result of medical error was 27% in health staff and 36% in the community. Thirty eight percent of the health staffs and 33% of the people in the community held those who made the medical error responsible. It was also discovered that more health staff thought that patients had also responsibility in taking safer care in hospital while less people from the community thought so (78% of health staffs; 63% of people). While health staffs stated that medical errors were because of stress as staffs in hospitals worked more than they should (77%), people in the community said that the most important reason for the errors were because physicians did not spare enough time fort he patients (73%). The percentages of positive answers concerning sub areas about patient safety culture were indicated by health staffs who work hospital are as follows; ?team work among units? (75%), ?comprehensive safety perception? (63%) were found high; however, ?reporting frequency of errors? (15%), ?no punishment response to the errors? (19%) were found low. When positive score percentages concerning sub areas were compared with via benchmarking, 9 out of 12 sub areas were found lower. It was also established that 78% physicians, 86% of nurses and 89% of the other health staff did not report any medical errors. Many people suffer from preventable medical errors. All of the health staffs and patients should take responsibility about patient safety and related institutions should give priority to develop patient safety culture
The Effect on quality of home care of dependent elderlies that the tradition family caregiver
No full textDünyada ve Ülkemizde enfeksiyon hastalıkları yerini kronik hastalıklara bırakmakta, yaşlı ve dolayısıyla bağımlı nüfus artmaktadır. Yaşlı bakımında evde bakım hizmetlerinin payı ve önemi giderek artmakta; bu durum ailedeki bakım vericilerin eğitiminin yeniden ve daha kapsamlı bir şekilde ele alınmasını zorunluluk haline getirmektedir. Araştırma, aile içi bakım vericileri eğitmenin bağımlı yaşlıların evde bakım kalitesine etkisini ölçmek amacıyla tek gruplu deneysel araştırma olarak planlandı. Karaman il merkezinde basit rastgele yöntemle belirlenen bir sağlık ocağında Katz Bağımlılık ölçeğine göre bağımlı olan 48 yaşlı ve aile içi bakım vericisine Evde Bakım Kalitesi ölçeği ve Aile İçi Bakım Verici anketi Nisan 2003 'te ilk kez uygulandı. Bakım vericilere yaşlı bakımıyla ilgili eğitim yapıldı. Bağımlı yaşlıların yaş ortalaması 74.6 ± 8.4 (65-97) idi. Bağımlı yaşlıların tüm alanlardaki toplam 70 soruda olumlu durum puan ortalaması eğitim öncesi 43.40 ± 7.23, eğitim sonrası 44.25 ± 7.50 idi. Aile içi bakım vericilerin yaş ortalaması 49.6 ± 15.7 (23-87) idi. Aile içi bakım vericilerin 24 soruda aldıkları olumlu durum puan ortalaması eğitim öncesi 13.97 ± 2.07, eğitim sonrası 14.16 ± 2.14 idi. Yaşlıların bağımlılık alanlarından banyo yapma-kişisel hijyen, giyinme, tuvalete gitme, hareket etme, yemek yeme ve toplam puan ortalaması eğitim sonrasında eğitim öncesine göre daha yüksekti. Sonuç olarak, yaşlılara ve aile içi bakım vericilere sağlık profesyonelleri tarafından eğitim verilmesi yaşlı bakım kalitesine olumlu etki yapmaktadır.The infection disease in all around the world and in our country have been leaving their places to the chronic disease. As a result of this the number of the elder and dependent population is increasing. The importance and the share of the home care, is increasing day by day in care of older adults. This situation shows that the training of the family caregivers should be taken from the beginning in a wider comprehensive way. By this research We aimed to measure the effects on quality of home care of the dependent older adult of the training of their family caregiver To do this a mono group experimental research has been planned. The study has been done on 48 older people and their family caregiver according to Katz's Dependency Inventory with random sample method in an ordinary health center in Karaman city center. The improved quality of home care inventory and family caregiving questionnaire were first applied to the dependent elderlies and family care givers in April 2003. The family caregivers has been givenabout elderly care. The questionnaires were carried out again after 8 weeks from the first application. The age average of the dependent elderlies were 74.6 ± 8.4 (65-97).In 70 questions about different fields the positive points average of the dependent elderlies were: pre-training 43.40 ± 7.23; post-training 44.25 ± 7.50. The age average of the family caregivers were 49.6 ± 15.7 (23-87). In 24 questions the positive points average of the family caregivers were: pre-training 13.97 ± 2.07; post-training 14.16 ± 2.14. In the depended field of the elderlies like; bathing, personal hygiene, dressing, toilet, transferring, eating; total positive situation points average post-training higher than pre- training. As a results, to elderlies and to family caregivers to give training by the health professionals, that effects positive on quality of elderly care
Going Beyond Counting First Authors in Author Co-citation Analysis
Full text linkThe present study examines one of the fundamental aspects of author co-citation analysis (ACA) - the way co-citation
counts are defined. Co-citation counting provides the data on which all subsequent statistical analyses and mappings
are based, and we compare ACA results based on two different types of co-citation counting - the traditional type that
only counts the first one among a cited work's authors on the one hand and a non-traditional type that takes into
account the first 5 authors of a cited work on the other hand. Results indicate that the picture produced through this non-traditional author co-citation counting contains more coherent author groups and is therefore considerably clearer. However, this picture represents fewer specialties in the research field being studied than that produced through the traditional first-author co-citation counting when the same number of top-ranked authors is selected and analyzed. Reasons for these effects are discussed
Variations on the Author
Full text link“Variations on the Author” discusses two of Eduardo Coutinho’s recent films (Um Dia na Vida, from 2010, and Últimas Conversas, posthumously released in 2015) and their contribution to the general question of documentary authorship. The director’s filmography is characterized by a consistent yet self-effacing form of authorial self-inscription: Coutinho often features as an interviewer that rather than express opinions propels discourses; an interviewer that is good at listening. This mode of self-inscription characterizes him as an author who is not expressive but who is nonetheless markedly present on the screen. In Um Dia na Vida, however, Coutinho is completely absent form the image, while Últimas Conversas, on the contrary, includes a confessional prologue that moves the director from the margins to the center of his films. This article examines the ways in which these works stand out in the filmography of a director who offers new insights into the notion of cinematic authorship
Appropriate Similarity Measures for Author Cocitation Analysis
Full text linkWe provide a number of new insights into the methodological discussion about author cocitation analysis. We first argue that the use of the Pearson correlation for measuring the similarity between authors’ cocitation profiles is not very satisfactory. We then discuss what kind of similarity measures may be used as an alternative to the Pearson correlation. We consider three similarity measures in particular. One is the well-known cosine. The other two similarity measures have not been used before in the bibliometric literature. Finally, we show by means of an example that our findings have a high practical relevance.information science;Pearson correlation;cosine;similarity measure;author cocitation analysis
Dispelling the Myths Behind First-author Citation Counts
Full text linkWe conducted a full-scale evaluative citation analysis study of scholars in the XML research field to explore just how different from each other author rankings resulting from different citation counting methods actually are, and to demonstrate the capability of emerging data and tools on the Web in supporting more realistic citation counting methods. Our results contest some common arguments for the continued
use of first-author citation counts in the evaluation of scholars, such as high correlations between author rankings by first-author citation counts and other citation
counting methods, and high costs of using more realistic citation counting methods that are not well-supported by the ISI databases. It is argued that increasingly available digital full text research papers make it possible for citation analysis studies to go beyond what the ISI databases have directly supported and to employ more
sophisticated methods
koamabayili/VECTRON-author-checklist: VECTRON author checklist
No full textWe have done our best to complete the author checklist relating to the use of animals in the hut study. Note that the objective for the hut study was to evaluate the IRS treatment applications for residual efficacy against Anopheles mosquitoes, including the local An. coluzzii mosquito population. Cows were only used to attract mosquitoes into the huts and no tests were carried out directly on the cows. The author checklist is intended for use with studies where experiments are carried out on animals, which is why we have had such difficulty in completing this for the hut study, as many of the questions do not relate to how the cows were used
Author-wise bibliometric analysis based on entropy.
No full textAuthor-wise bibliometric analysis based on entropy.</p
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