1,720,968 research outputs found
The challenges to integrating care via telehealthcare device usage across the spectrum of end-user needs
No full textA methodology for evaluating wound care technologies in the context of treatment and care
No full textBackground: the question of whether particular methodologies can generate knowledge of a sufficiently rigorous and relevant standard to guide patients’ interventions is regularly debated. This debate tends to be polarised between those who advocate the randomised controlled trial (RCT) as the ultimate scientific methodology and those who find RCTs wanting in terms of the information derived and their limited generalisability beyond the immediate trial population. This paper argues for a suite of methodologies that can evaluate wound care interventions; it also details a novel methodology for use in complex chronic and palliative wound care.Aim: to outline a methodology that can evaluate the clinical performance of wound care products in the context of complex treatment and care.Methods: the methodology is informed by the UK Medical Research Council framework for the design of complex evaluations, and is an N-of-1 design.Results: a novel methodology for evaluating the effectiveness of wound care technologies in complex chronic wound care and palliative wound care has been proposed.Conclusion: the methodology requires validation in prospective studies. The purpose of this paper is to open a constructive debate.Conflict of interest: non
Disconnection: the user voice within the wound dressing supply chain
No full textAim: this study examined the user voice in England’s National Health Service (NHS) wound dressing supply chain.Background: the impetus for this work came from involvement in a collaboration between industry and clinicians, entitled Woundcare Research for Appropriate Products. Experiences from that study highlighted the notable absence of research about the impact of the supply chain on the users of dressings.Method: interview data are presented following an outline of the grounded theory method used. These data were obtained from key stakeholders (n = 41) within the wound dressing supply chain such as nurses, manufacturers, distributors, professional organizations, government organizations and user groups.Results: the consequences of supply disconnection revealed haphazard supply, unmet user needs and lack of information transfer between player groups.Conclusions and implications for nursing management: these consequences explain the lack of user voice in the supply chain and have far-reaching implications for nursing management, through purchasing decisions and nurses’ management of wound car
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
A methodology for a structured survey of the healthcare literature related to medical device users
No full textThis article reports on the structured literature survey methodology, which was used to identify how and at what stage users of medical devices are engaged in the medical device technology cycle, including methods and tools for evaluating device outcomes.This was not a conventional systematic review of the literature.The stated purpose of the survey is broader than synthesizing best evidence to inform an area of practice and policy, as undertaken in a conventional systematic review.The survey was systematic in the sense that an explicit search strategy was used with inclusion and exclusion criteria to minimize sampling bias. An established qualitative methodology, framework analysis, was used to organize and synthesize major findings from a broad range of healthcare literature.The search strategy and thematic analysis are presented, to contribute to the literature on review strategies, together with the major findings concerning users and medical device
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
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