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What experiences and difficulties do care home staff face when supporting residents with dementia?
Get PDFGoing Beyond Counting First Authors in Author Co-citation Analysis
Get PDFThe 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
UNDERSTANDING THE EXPERIENCE OF DEMENTIA CARERS
Get PDFThis thesis compromises two papers. The first, is a systematic review looking at the mechanism of change in psychological interventions for dementia carers. The second, is a narrative inquiry into the stories of long distance carers in dementia
Sexuality and Relationships in Health and Social Care Settings – Staff Perspectives and Training Needs
Get PDFExploration of the Psychological Factors Impacting Confidence in, and Comfort with, the Delivery of End-of-Life Care
Get PDFPart 1: Systematic Review Abstract
Objective
To explore the emotional experience of physicians in acute settings when encountering end-of-life conversations and decision making.
Method
Thematic Synthesis of qualitative studies. Medline, PsycINFO, PubMed, BNI, and CIAHL were searched from 1985 to 2021 for studies published in English. Data extraction was informed by a framework created for assessing methodological quality by Polanin, Pigott, Espelage, & Grotpeter (2019) and adapted by Draper et al. (2019).
Results
Of 8429 papers identified, 17 were selected for review. Two themes containing 10 sub-themes described the emotional and psychological factors impacting the experience of end-of-life care, namely: a tension between desire and ability to communicate end-of-life news, and a conflict of hiding versus revealing self across several practical and emotional contexts.
Conclusion
Medical training is only a minor factor influencing how well a person copes with end-of-life care and may sometimes feed negative appraisals. Lack of support from senior colleagues, fear of criticism and a sense of perceived failure were linked to lower self-efficacy in end-of-life care. Beyond learning practical skills, physicians benefit from understanding the psychological factors impacting their experience and in building self-efficacy and observing senior colleagues processing strong and difficult emotions effectively.
Clinical Implications
Promoting personal reflection and sharing of the experiences encountered in end-of-life care, especially modelled from senior colleagues, may contribute to improvements in competence and reduce the impact of heroism, feelings of failure, and avoidance in practice.
Part 2: Empirical Study Abstract
Objective
To investigate whether fear of failure (FOF) influences a clinician’s perception of their confidence and comfortableness with the delivery of end of life (EOL) care, controlling for gender, role, years of experience, and number of EOL conversations.
Methods
Cross-sectional questionnaire study, using the Performance Failure Appraisal Inventory, the Self-Efficacy in Palliative Care scale, the Thanatophobia Scale, and analysed using a two-step multiple regression. Recruitment was across two large NHS hospital trusts in the UK, and national UK professional networks.
Results
Participants included 104 doctors and 101 specialist nurses across 20 hospital specialties.
The study validated the use of the PFAI and its subscales within a novel population. No. of EOL conversations, gender, and role impacted confidence and comfortableness with EOL care. Fearing loss of interest negatively impacted a clinician’s confidence in communicating with patients. Fear of devaluing one’s self-estimate negatively impacted confidence in decision-making, working with others, and self-efficacy.
Conclusion
Three aspects of FOF negatively impacted both doctors’ and nurses’ delivery of EOL care.
Clinical Implications
Further study should explore how FOF develops, sustaining factors, and other areas of clinical practice that FOF impacts, drawing also from FOF research outside the field of medicine. Techniques developed to manage FOF in other populations can now be investigated with a medical population
An Exploration of Factors Which Influence the Decision-Making Processes of Women Aged Sixty and Above When Individuals are Faced with a Medical Treatment Decision
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Variations on the Author
Get PDF“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
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