1,720,971 research outputs found
Knowledge, Attitudes, and Perceptions of Advanced Practice Providers Regarding Use of Buffered Versus Non-Buffered Lidocaine Hydrochloride 1% for Interventional Procedural Pain Management in Adults
No full textD.N.P.The purpose of this study was to examine: a) knowledge, attitudes, and perceptions of advanced practice providers (APPs) - nurse practitioners (NPs), and physician assistants (PAs) - regarding the use of buffered versus non-buffered lidocaine hydrochloride 1% for interventional procedural pain management in adults; and b) relationships among socio-demographic variables and knowledge, attitudes, and perceptions of APPs regarding use of buffered versus non-buffered lidocaine hydrochloride 1% within the clinical setting.Procedural pain management by APPs requires adequate knowledge regarding appropriate choice of local anesthetic agent, including buffered versus non-buffered lidocaine hydrochloride 1%. Although non-buffered lidocaine hydrochloride 1% pH is more acidic than human tissue pH, it is often used by APPs.This descriptive study used a survey design. Inclusion criteria were: 1) ≥ 18 years of age; 2) APP: NP and PA; c) administer local anesthetics for interventional procedural pain management in adults; 3) employed by a pain center organization with sites in Arizona and Florida; 4) DEA licensed and board certified; 5) computer access to use the electronic platform of SurveyMonkeyTM; and 6) active pain center organization encrypted email address. The investigator-created 48-item survey had 4 sections: socio-demographics; knowledge; attitudes; and perceptions. The survey contained Likert-type scales and 2 open-ended questions. After Georgetown University Institutional Review Board approval, study staff administered the survey via SurveyMonkeyTM. Descriptive statistics and SPSS (version 25, 2016) were utilized for data analysis. The survey was sent to all 53 eligible APPs. Twenty-nine participants returned completed surveys giving a 54.7% response rate. Mean knowledge score for interventional pain management in adults was 2.8 (SD=1.0) (2 = “moderate knowledge”; 3 = “good knowledge”). Although most participants (68.9%) agreed that buffered lidocaine hydrochloride 1% was effective, only 44.8% reported it more effective than the non-buffered formulation. Most participants (72.4%) reported needing more education regarding appropriate use of buffered lidocaine hydrochloride 1%, which is an important finding
Nurse Practitioners’ Knowledge, Attitudes, and Perceptions Regarding Irritable Bowel Syndrome and Treatment
No full textD.N.P.Study aims were to examine: a) knowledge level of primary care nurse practitioners (NP) regarding Irritable bowel syndrome (IBS) pathophysiology, appropriate diagnosis, and evidence based treatment; b) primary care NPs’ perceptions and attitudes regarding caring for adult IBS patients; and c) correlations between primary care NP’s knowledge level, perceptions, and attitudes and sociodemographic variables including age, gender, years in practice as a primary care NP, and nursing education level.This descriptive, cross-sectional study used a survey design. The investigator-created, 39- item, 4-part survey assessed sociodemographic data, knowledge level, attitudes, and perceptions of NPs providing primary care for patients with IBS. The survey tool used a six-point Likert type scale, multiple choice options, and 2 open-ended questions. Following university IRB approval, the survey was administered via SurveyMonkeyTM through the Florida Association of Nurse Practitioners (FLANP). Statistical analysis included descriptive statistics, one-way ANOVA, and independent samples t test. SPSS (version 24, 2016) computer program was utilized for data analysis.A completed survey was returned by 64 NPs yielding a 0.06% response rate. Knowledge scores were low (M = 2.44; SD = 0.869) for pathophysiology, diagnosis, and treatment. Modest agreement was noted for attitude (M = 4.02; SD = 0.59) and perception (M = 4.41; SD = 0.58) scaled questions scores. Education level, years of NP experience, and age had no relationship with knowledge levels. No difference in knowledge, attitudes, and perceptions was seen between MS/MSN and DNP prepared NP’s regarding IBS diagnosis and treatment. Ninety-six percent of participants reported a need for further education regarding IBS.Reported knowledge deficit regarding appropriate care for IBS patients is an important finding, because this deficit may be related to unnecessary office visits and increased healthcare costs. Further research is warranted to examine these potential outcomes. Participants reporting non-adherence to international clinical guidelines for IBS is a key finding. No significant relationship between NP years of experience and IBS knowledge was found, although there has been reported high frequency of annual primary care visits for IBS. Study participants (98%) recognized their need for additional IBS education, thus making the case to develop and test targeted educational interventions
Integration of Survivorship Care Plans into Standard Care: A Quality Improvement Project
No full textD.N.P.American College of Surgeons’ Commission on Cancer accredited programs are required to provide Survivorship Care Plans (SCPs) to cancer survivors after initial cancer treatment. A critical need exists to evaluate SCP patient outcomes. The primary purpose of this DNP scholarly project was to integrate SCPs into standard care for adult stage I, II, and III breast and colon cancer patients. Secondary aims were to examine the effect of SCPs on participants’ knowledge base regarding their cancer, health promotion and disease prevention, satisfaction with delivery of health care, health-related quality of life (HRQOL), and adherence to follow-up visits and surveillance testing.The IRB approved study was conducted at a hospital-based medical oncology clinic in the Western United States. A quasi-experimental pre/post design was used. Project data were collected pre/post SCP with the Sociodemographic Form, Clinical Data Forms I and II, Medical Outcomes Study Short Form-36 (MOS-SF-36), Patient Satisfaction Questionnaire Short Form (PSQ-18), and Patient Knowledge of Disease Questionnaire (PKDQ). At the follow-up visit, MOS-SF-36, PSQ-18, PKDQ, and open-ended evaluative questionnaire (OEEQ) data were collected.Forty-two participants were enrolled between March 29, 2016 and August 2, 2016. The sample was primarily female (86%), white (97.6%), Hispanic (85.7%), non-high school graduates (61%), and unemployed/retired (78%). Annual incomes were primarily less than $20,000 (78%). Participants were status post treatment for breast cancer (n = 35) or colon cancer (n = 7). All participants returned for follow-up visits. Significant increases in knowledge of disease were observed (pIntegration of the SCP into standard care in this low socio-economic, ethnically diverse sample increased participants’ knowledge about their cancer disease process, and promoted adherence to follow-up visits. Results warrant further testing in a fully powered study of longer duration with diverse cancer diagnoses to examine SCP effect on HRQOL and patient satisfaction with delivery of healthcare
Going 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
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
Appropriate Similarity Measures for Author Cocitation Analysis
Get PDFWe 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
Get PDFWe 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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