1,720,989 research outputs found
‘It gives a sense of purpose’ - exploring GP registrars’ views on relational continuity of care: a survey
No full textBackground: relational continuity of care has been shown to improve patient outcomes and clinician satisfaction. However, little is known about how GP registrars, the future workforce in general practice, experience this continuity, especially in the context of evolving workforces and increasing use of remote consultations.Aim: this study aimed to explore GP registrars' views on relational continuity of care and identify personal, training, and practice factors that may influence these views, including the impact of digital/remote consulting.Design & setting: a cross-sectional online survey was conducted among GP registrars in the West Midlands, England. The survey explored registrars' experiences and attitudes towards relational continuity, including the impact of remote consulting.Method: the survey combined Likert-scale and multiple-choice questions with free-text responses. Quantitative data was analysed using descriptive statistics with logistic regression to identify personal and training factors that might influence views. Content analysis was used for qualitative data.Results: 246 responses were received (estimated 14.5% response rate). Registrars valued relational continuity, particularly for patients with long-term conditions. Barriers such as rotational training, high workload, and limited appointment access were reported. Remote consulting was seen as challenging for building relationships but helpful for follow-up encounters. Few personal or training factors influenced views on relational continuity.Conclusion: despite significant barriers, GP registrars highlighted the importance of relational continuity for patient care and clinician satisfaction. Further research is needed to explore how training models impact continuity, and how training and remote consulting can support the experience of relational continuity in practice
The experiences of remote consulting for people with chronic fatigue syndrome/myalgic encephalomyelitis (CFS/ME) and fibromyalgia: a qualitative study
No full textBackground: remote and digital consulting in primary care has rapidly expanded since March 2020. It is important to understand patient experiences, particularly for those living with complex long-term conditions, to identify how care can best be delivered, including within the remote space.Aim: to explore the experiences of people living with Chronic Fatigue Syndrome/Myalgic Encephalomyelitis [CFS/ME] and Fibromyalgia when consulting remotely in primary care.Design & setting: semi-structured interviews with patients living with CFS/ME and fibromyalgia in general practice in EnglandMethod: semi-structured interviews were carried out with 13 participants. The interviews were transcribed and analysed thematically according to a Foucauldian theoretical framework.Results: all participants highlighted needing to feel believed by clinicians. Many reported difficulties with telephone and online consulting due to the lack of physical communication. Positive outcomes were reported when there was a good relationship with a clinician. Continuity in care and recognising the complexity of these conditions were also considered important.Conclusion: this study allowed people living with CFS/ME and Fibromyalgia to describe their experiences when consulting remotely. Participants highlighted needing to feel listened to and felt they benefited from an ongoing relationship with a clinician although this was difficult to achieve when consulting remotely. Some advantages of remoted consulting were reported, particularly when symptoms were troublesome. Flexible access systems with a range of consultation modalities or preferred clinician(s) availability could improve healthcare encounters, particularly given the increased use of remote consulting, in primary care
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
Training primary care staff in delivering the primary care consultation remotely : a systematic review
Full text linkBackground Remote consultations are widely used in primary care and the levels of use have increased hugely since the onset of the Covid-19 pandemic. Despite this, primary care clinicians lack formal training in delivering these. There is a need to understand how training might best be delivered and what evidence there is to support this.
Aim To summarise existing published literature about training primary care staff in conducting primary care consultation remotely, to outline which models of training may be effective and identify unanswered questions for future research.
Design & setting Systematic review of studies in primary care.
Method Databases were searched using a pre-defined search strategy. Title, abstract and full text screening was conducted to identify eligible studies for inclusion in the review. Quality of included studies was assessed, and findings were synthesised to answer the research questions.
Results We included 11 studies. Seven examined training on remote consultations with trainee GPs or residents and four with qualified primary care clinicians. Training described led to overall positive change, including increased confidence and self-efficacy in delivering remote consultations. Furthermore, trainees reported increased use of remote consultations, increased efficiency and increased engagement from patients. Studies where training involved workshops or didactic learning alongside experiential learning resulted in more positive feelings and more confidence about how technology could aid consultations.
Conclusion There is limited evidence on training primary care staff in conducting remote consultations. Available evidence indicates that training has a positive impact on clinician and staff ability to deliver remote consultation
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
- …
