1,720,955 research outputs found
Valutazione dell’applicabilità del modello organizzativo della weeksurgery alle Chirurgia Generale di un Presidio di un’AziendaOspedaliera del Veneto
No full textOBIETTIVI: Lo sviluppo di innovative tecniche chirurgiche ed
anestesiologiche e l’implementazione di modelli organizzativi orientati all’appropriatezza dei percorsi di cura nella gestione dell’assistenza ospedaliera, hanno determinato modifiche dell’attività chirurgica con lo sviluppo della week-surgery (w-s). Lo studio intende valutare l’applicabilità di tale modello alle tre Unità Operative di Chirurgia Generale dell’Ospedale Civile Maggiore nell’A.O. di Verona.
MATERIALI: Dalle schede di dimissione ospedaliera del 2008 sono stati estratti i ricoveri programmati in regime ordinario delle tre U.O. Per il calcolo delle giornate di degenza e dei posti letto dedicati alla w-s sono stati considerati solo i ricoveri con DRG chirurgico, che presentavano in più dell’80% dei casi una degenza post-intervento superiore alle 24h ed inferiore o uguale a 4 giorni. Un ulteriore selezione dei ricoveri è stata effettuata attraverso un audit con gli specialisti chirurghi, sulla base dell’applicabilità del modello organizzativo alle diverse tipologie di intervento.
E’ stata infine calcolata la dotazione di posti letto dedicata e l’organico totale necessario.
RIASSUNTO: Complessivamente 1.340 ricoveri (il 57,8% dei ricoveri ordinari programmati) sono risultati essere ordinari programmati, con DRG chirurgico e aventi una degenza post-intervento superiore alle 24h ed inferiore o uguale a 4 giorni. Di questi, a seguito dell’audit interno, 772 sono stati selezionati per la w-s. Le giornate di degenza per tali ricoveri sono risultate essere 2.504. Considerando un tasso di occupazione dell’80%,
il numero di posti letto dedicabili alla w-s risulta essere di 13-14 su un totale di 60. Si prevede un recupero mensile di 7 turni di assistenza infermieristica.
CONCLUSIONI: L’applicazione del modello organizzativo della weeksurgery integrata tra le tre U.O. sembra rispettoso del criterio di efficienza ed appropriatezza nella gestione del percorso assistenziale in chirurgia generale, comportando una migliore razionalizzazione nell’utilizzo delle risorse umane. Gli eventuali vantaggi sul piano economico gestionale dovranno essere approfonditi con ulteriori studi
Frequency and reasons for missed nursing care: a cross-sectional study in Veneto Region hospital
No full textFrequency and reasons for missed nursing care: a cross-sectional study in Veneto Region hospitals. Introduction: Missed nursing care (MNC) encompasses clinical, relational, and emotional aspects of care that are neglected, delayed, or incomplete as performed by nurses. Aims: 1. To describe the frequency of MNC across various clinical settings within hospitals in the Veneto Region; 2. to identify the underlying motivations for MNC; 3. to analyze the relationship between the characteristics of nurses, organizational factors, and the perceived frequency of MNC. Methods: This cross-sectional exploratory study involved 12 healthcare organizations in the Veneto region. A total of 2,179 nurses and 159 coordinators participated, completing the Unfinished Nursing Care Survey questionnaire. Data was collected on the individual characteristics of the nurses and the organizations involved. Results: The least missed care activities included patient monitoring and surveillance, while the most missed were active/passive mobilization, supervision of support staff, and oral care. The primary reasons for MNC were related to insufficient human resources, unpredictability of workflow, and communication difficulties. Senior nurses were more likely to report MNC (OR 1.026; 95% CI 0.567-0.963), whereas those more satisfied with their role in the unit (OR 0.691; 95% CI 0.585-0.817) and those working in spoke hospitals (OR 0.739; 95% CI 0.567-0.963) were less likely to perceive missed nursing care. Conclusions: The study emphasizes that, generally, nurses perceive that they infrequently miss, omit, or delay care activities, particularly those related to patient monitoring and surveillance
Occurrence and reasons for unfinished nursing care between COVID‐19 and non‐COVID‐19 patients
No full textAim: To compare the occurrence and the reasons for unfinished care among coronavirus disease (COVID-19) and non-COVID-19 patients as perceived by nurses. Background: The recent pandemic has imposed tremendous changes in hospitals in all countries. Introduction: Investigating the occurrence of and the reasons for unfinished care as perceived by nurses working in COVID-19 and non-COVID-19 units might help to gain insights and to address future pandemics. Methods: A comparative cross-sectional study based on the STROBE guideline has been conducted during November 2020-January 2021. The Unfinished Nursing Care Survey, comprising part A (elements) and part B (reasons), was administered online to all 479 nurses working in medical and surgical units converted progressively into COVID-19 and non-COVID-19 units. A total of 90 and 200 nurses participated, respectively. Results: No differences in the unfinished care occurrence have emerged at the overall level between nurses caring for COVID (2.10 out of 5; 95% confidence interval [CI], 1.94-2.27) and non-COVID-19 patients (2.16; 95% CI, 2.06-2.26). Reasons for unfinished care reported significant higher averages among nurses caring for COVID (2.21; 95% CI, 2.10-2.31) as compared with those caring for non-COVID-19 patients (2.07; 95% CI, 2.01-2.14; p = 0.030). Discussion: The overall occurrence of unfinished care was slightly higher compared with pre-pandemic data in all patients. Conclusions: Reasons triggering unfinished care were slightly different and were due to priority setting and human resources issues, which were perceived at higher significance among nurses working in COVID-19 compared with non-COVID-19 units. Implication for nursing and health policies: A clear map of action has emerged that might be valid in the post-COVID-19 era as well as in the case of future pandemics
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
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