1,720,956 research outputs found

    Disuguaglianze della salute e profesione infermieristica: risorse e criticità per la equità del sistema sanitario

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    Obiettivi: L’equità è uno degli indicatori della qualità del sistema sanitario, assieme all’efficacia, all’efficienza, all’empowerment e all’equipment; letta come orizzontale o verticale in termini di accesso alle cure, fruibilità del servizio, continuità assistenziale. E’ relativa alle politiche sociosanitarie e ai valori che connotano le professioni. La ricerca ha voluto rilevare quanto la professione infermieristica in Italia percepisca il problema dell’equità. Materiali e metodi: E’ stata effettuata una ricerca bibliografica per gli ultimi dieci anni sulla banca dati di Pubmed. Alla parola nursing sono stati abbinati i termini di equity, inequities, inequalities e disparities. Considerate anche le riviste infermieristiche, gli atti dei Congressi IPASVI e le diverse versioni del Codice Deontologico. Intervistati testimoni privilegiati della professione, effettuata l’etnografica di eventi culturali e somministrato un questionario valutativo. Risultati: Gli articoli per le parole chiave: inequities (177), equity (425), disparities (1.261), inequalities (29.569); numeri ridotti se ricercati i termini nel titolo: inequities (2), equity (25), disparities (42), inequalities (11). Limitata produzione letteraria italiana, ma significative le interviste ai testimoni e l’etnografia. Il questionario ha rivelato una discreta percezione del problema. Conclusioni: L’equità è un aspetto valoriale della professione, ma gli studi sono ancora limitati. Gli articoli analizzati e le interviste raccolte, rivelano un interesse delle problematiche assistenziali degli immigrati e per il concetto di advocacy. L’equità per gli infermieri è un elemento identitario che riesce a mobilizzare risorse individuali per affrontare le criticità del sistema, con un quadro finale però in cui la professione deve trovare ulteriori punti di forza e maggiori ambiti di sviluppo e autonomia

    La comunicazione negata: studio pilota sulle criticití  relazionali della professione infermieristica

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    Introduzione. In letteratura sono pressoché assenti studi sula comunicazione infermieristica quando viene negata, ciò fa sorgere il quesito sul perché rifuggire la relazione con il paziente. Obiettivi. Valutare le criticití  nella comunicazione infermieristica al fine di costruire una base analitica per uno studio più approfondito. Materiali e metodi. Osservazione partecipata (cover) durante uno stage di tirocinio, utilizzando un diario dell'osservazione e prendendo in esame il contesto di lavoro e relazionale di un reparto internistico.Risultati. Nella maggioranza dei casi si rifugge la comunicazione, riducendo i tempi di contatto con i pazienti, in altri la si ricerca anche quando non espressamente richiesta dal paziente. Conclusioni. Fuggire la relazione può essere un indicatore di insicurezza professionale. L'Altro significativo cui si nega la relazione, diventa lo specchio in cui il professionista ritrova le sue debolezze. Considerare questi elementi favorisce la dimensione terapeutica. Lo studio si rivela elemento di partenza potenziale per un lavoro che possa avere maggior peso con un campione più ampio e in contesti più articolati.Parole chiave: comunicazione, infermiere, osservazione partecipante, relazione terapeutica._________________________Communication denied: a pilot study on critical relationship in nursingABSTRACTIntroduction. In literature there are few studies on denied nursing communication/relationship and why this communication/relationship is avoided. Goals. Evaluate criticism in communication/relationship in nursing in order to build an analytical basis for further study. Materials and methods. Participant observation during internship placements, diary and notes taken during the observation, furthermore the whole work context as well as the relationship in a internal medicine department were taken into consideration.Results. In the majority of cases communication is avoided, reducing the time of contact with patients, in others it is sought even when not expressly required by the patient. Conclusion. Escape relationship may be an indicator of professional insecurity. The denied relationship is a mirror in which the practitioner finds its weaknesses. Considering these elements promotes the therapeutic path. The study gave interesting and relevant insights which can be considered as starting point for further research on the field with a wider sample.Parole chiave: comunication, nurse, participant observation, therapeutic relationshi

    Nursing Leadership during Italy’s Economic Miracle (1950–1970)

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    Between the 1950s and 1970s, Italy experienced far-reaching social reforms, following economic improvements to living conditions and the country’s industrial structure. The reforms were driven by the youth protests that swept across the entire Western world (May 1968 in France) and by the workers’ struggles in Italy (“Hot Autumn”). In the nursing world, these changes foreshadowed significant transformations on three levels: a) Professional: the growth of leadership roles and positions that helped make the profession increasingly active and visible within Italian society; b) Unions: nurses played a key role in struggles to obtain better working conditions (wages, shifts, staffing levels) and supported the establishment of a universal public health system; c) Scientific: nurses became involved in experiments aimed at developing innovative care methods, particularly in psychiatric hospitals. These three levels often overlapped. The objective of this study is to elucidate the evolutionary trajectory of the transformations that occurred in the nursing profession during the aforementioned period

    Going Beyond Counting First Authors in Author Co-citation Analysis

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    The 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

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    “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

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    We 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

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    We 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

    Author Index

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    koamabayili/VECTRON-author-checklist: VECTRON author checklist

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    We 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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