1,720,963 research outputs found
Registered Nurses experiences, knowledge and practice of kangaroo care for preterm babies in two Neonatal Intensive care units in South Island of New Zealand
Get PDFInternational research acknowledges that there are multi-dimensional factors that affect the implementation of kangaroo care in the neonatal intensive care unit. While it is accepted that the nurse plays an important role in stimulating the implementation of kangaroo care, its success as a neonatal care strategy pivots on infant readiness, parental readiness and parental availability. In addition, interprofessional collaboration and teamwork are necessary for safe implementation. Kangaroo care is a simple and cost-effective health strategy that has well documented effects for its contribution towards improving well-being and health outcomes for premature babies and their parents. Its benefits when applied to preterm babies in the neonatal intensive care are immediate and cumulative. Importantly research has shown that the benefits and implications of kangaroo care for health go beyond the neonatal intensive care.
However, little is known about New Zealand registered nurses’: experiences of their role in the implementation of kangaroo care; knowledge of the underpinning evidence supporting the therapeutic value of kangaroo care for premature babies; and current level of practice of kangaroo care.
Aim: The aim of this study was to explore registered nurses’ experiences, knowledge and practice of kangaroo care and to highlight factors that promote or hinder the uptake of kangaroo care for preterm babies in two neonatal intensive care units in New Zealand.
Methods: Using a purposive sampling strategy, 14 registered nurses, who met the inclusion criteria, participated. This was a qualitative, semi-structured interview-based study. The participants guided the flow of the interviews. Inductive thematic analysis, as outlined by Braun and Clarke, allowed for rich-description and interpretation of the participant-generated meanings. Coded data was grouped into themes and sub-themes.
Results: Four main themes were generated from the data. Importantly the findings from this study highlighted that nurses in New Zealand know about kangaroo care and use it in everyday clinical practice. The snapshots of clinical practice provided by the nurses strengthened what is known about the effects of kangaroo care on the baby and the parents. The nurses made it apparent that applying kangaroo care was implicit in the ICU when babies were most likely to be at a critical phase in their development and recovery.
Most of the nurses named the lack of standardisation of practice and out-dated nursing practice mind-sets as influential to the variable implementation of daily kangaroo care for the growing preterm baby. Half of the nurses highlighted that staffing, heavy workloads, the busy, crowded, and noisy environment of less acute areas were influential to the limited practice of kangaroo care for stable growing preterm babies.
Conclusion: This study identified organisational support for the practice of kangaroo care in the neonatal intensive care unit. Also, that kangaroo care was being implemented, albeit irregularly. It established that facilitating parental readiness, affording clear local practice guidelines, providing continuing education initiatives for staff as well as parents may invigorate the practice of kangaroo care within the neonatal intensive care unit
Registered Nurses experiences, knowledge and practice of kangaroo care for preterm babies in two Neonatal Intensive care units in South Island of New Zealand
No full textInternational research acknowledges that there are multi-dimensional factors that affect the implementation of kangaroo care in the neonatal intensive care unit. While it is accepted that the nurse plays an important role in stimulating the implementation of kangaroo care, its success as a neonatal care strategy pivots on infant readiness, parental readiness and parental availability. In addition, interprofessional collaboration and teamwork are necessary for safe implementation. Kangaroo care is a simple and cost-effective health strategy that has well documented effects for its contribution towards improving well-being and health outcomes for premature babies and their parents. Its benefits when applied to preterm babies in the neonatal intensive care are immediate and cumulative. Importantly research has shown that the benefits and implications of kangaroo care for health go beyond the neonatal intensive care.
However, little is known about New Zealand registered nurses’: experiences of their role in the implementation of kangaroo care; knowledge of the underpinning evidence supporting the therapeutic value of kangaroo care for premature babies; and current level of practice of kangaroo care.
Aim: The aim of this study was to explore registered nurses’ experiences, knowledge and practice of kangaroo care and to highlight factors that promote or hinder the uptake of kangaroo care for preterm babies in two neonatal intensive care units in New Zealand.
Methods: Using a purposive sampling strategy, 14 registered nurses, who met the inclusion criteria, participated. This was a qualitative, semi-structured interview-based study. The participants guided the flow of the interviews. Inductive thematic analysis, as outlined by Braun and Clarke, allowed for rich-description and interpretation of the participant-generated meanings. Coded data was grouped into themes and sub-themes.
Results: Four main themes were generated from the data. Importantly the findings from this study highlighted that nurses in New Zealand know about kangaroo care and use it in everyday clinical practice. The snapshots of clinical practice provided by the nurses strengthened what is known about the effects of kangaroo care on the baby and the parents. The nurses made it apparent that applying kangaroo care was implicit in the ICU when babies were most likely to be at a critical phase in their development and recovery.
Most of the nurses named the lack of standardisation of practice and out-dated nursing practice mind-sets as influential to the variable implementation of daily kangaroo care for the growing preterm baby. Half of the nurses highlighted that staffing, heavy workloads, the busy, crowded, and noisy environment of less acute areas were influential to the limited practice of kangaroo care for stable growing preterm babies.
Conclusion: This study identified organisational support for the practice of kangaroo care in the neonatal intensive care unit. Also, that kangaroo care was being implemented, albeit irregularly. It established that facilitating parental readiness, affording clear local practice guidelines, providing continuing education initiatives for staff as well as parents may invigorate the practice of kangaroo care within the neonatal intensive care unit
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
An analysis of donated breast milk from the Human Milk Bank at Christchurch Women’s Hospital and its proposed impact on the nutritional status of moderate to late preterm infants from the Neonatal Intensive Care Unit, Christchurch Women’s Hospital, New Zealand.
Get PDFBackground: The presence of human milk banks allows the use of pasteurised donated breast milk in Neonatal Intensive Care Units (NICUs), which has been shown to have benefits for preterm infant recipients. There is, however, limited research on moderate to late (32/0 to 36/6 week) preterm infants as a NICU population. The use of a human milk analyser allows human milk banks to determine the nutrient composition of donated breast milk, which could further help improve the nutritional and growth status of infants through individualised fortification procedures.
Objectives: This study was in two phases: Phase one – to determine the macronutrient (fat, protein, carbohydrate), and energy content of donor breast milk from the Human Milk Bank, NICU, Christchurch Women’s Hospital; the impact that pasteurisation or maternal characteristics – such as gestational age or sex of the donor’s infant, lactation weeks of the donor, or whether the donor’s infant was currently preterm or term; and whether nutritional labelling of milk could help with individualised fortification procedures.
Phase two – to compare the nutritional status of moderate to late preterm infants (32/0 to 36/6 weeks) in the NICU at Christchurch Women’s Hospital prior to the Neonatal Human Donor Milk Bank opening (i.e. 2013) with matched donor milk recipient infants born after donor milk became available (i.e. 2016/2017), with respect to: demographics, nutrition interventions, and nutrition and growth outcomes.
Design: Phase one was an observational milk analysis study, using a human milk analyser to analyse 63 samples of donor breast milk from 27 donor mothers. Phase two was a retrospective comparison audit of 71 matched pairs of moderate to late (32/0 to 36/6 week) preterm infants from two cohorts, matched by gestational age, sex and twin status.
Results: For phase one, donated breast milk samples showed a wide variation in the concentration of energy and macronutrients. There was a significant (p≤0.001) but small (≤3%) difference between pre- and post-pasteurisation samples of donated breast milk for energy, fat and total carbohydrate. The main impact of maternal characteristics was the lactation weeks of the donor and whether the milk was term, which were both significantly inversely associated with protein concentration (both p<0.001). For phase two, there was a significant increase in the percentage of infants who were exclusively breast milk fed in the NICU (p<0.001), from 27% to 72%, and an increase in breastfeeding discharge rates from 21% to 40%, when donor breast milk was available. In the first week of life, energy and fat intakes were significantly greater for donor milk recipients by 4.9kcal/kg/day and 0.6g/kg/day respectively.
Conclusion: There is a large variation in the energy and macronutrient composition of breast milk donated by New Zealand women. This is very useful to know in order to tailor fortification of pasteurised donor milk for preterm NICU infants. These results also suggest that the use of pasteurised donor breast milk in the Christchurch NICU may be responsible for improved aspects of moderate to late preterm infants’ nutritional status
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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