1,720,959 research outputs found
The decision-making experiences of caregivers regarding feeding tube placement in community dwelling adults
No full textDespite the increase in feeding tube placement as people live longer with chronic illness, the research is scarce regarding how to care for the caregiver of individuals with chronic illnesses especially with percutaneous endoscopic gastrostomy feeding tubes (PEG). This study aims to explore the caregiver’s experience regarding decision-making for PEG feeding tube placement in community dwelling adults. PEG feeding tubes are placed when individuals are unable to orally consume adequate nutrition. PEG feeding tubes ensure that individuals are able to meet their nutritional needs, but they can be accompanied by complications and other challenges that may affect daily living. Subsequently, caregivers may be involved in order to help manage care, which could lead to caregiver burden if there is lack of support. The National Institute of Nursing Research’s recent movement towards relieving caregiver burden and enhancing quality of life support the importance of this study.
A descriptive phenomenological study was conducted at six post-acute care rehabilitation and skilled nursing facilities in Houston, Texas and the surrounding areas. Caregivers had some role in the decision-making for PEG feeding tube placement and intended to spend at least 4 hours per day providing direct care. Purposive sampling, data collection, and data analysis using Colaizzi’s method was conducted simultaneously. The transcripts were read and re-read with significant themes and meanings placed into a word document. They were then categorized into subthemes and placed in an excel spreadsheet for identification of overlapping themes.
Although all participants expressed there was no regret in the decision to place a PEG feeding tube because it was a necessity and best for the patient, they expressed concerns about lack of education that was provided before and after PEG feeding tube placement as well as concerns about the complications. The findings suggest the need for support and adequate preparation from nurses in order to relieve caregiver burden and improve care.
Examining medication dosage calculation exam scores in undergraduate nursing students: Simulation compared to classroom instruction
No full textMedication administration is a primary responsibility of nurses, and clinical education is critical to preventing medication errors and maintaining patient safety. Nurse educators struggle to determine the most effective teaching strategy related to this skill. This dissertation study aimed to examine the effect of participating in a simulation activity versus a lecture-style review on medication calculation exam scores.
A quasi-experimental posttest-only design recruited prelicensure baccalaureate nursing students (n = 93) to participate in a simulation lab activity before taking the medication exam. The new simulation activity was created and facilitated using the Healthcare Simulation Standards of Best Practice as a guide (INACSL, Decker, et al., 2021; INACSL, McDermott, et al., 2021; INACSL, Persico, et al., 2021; INACSL, Watts, et al., 2021). The intervention group’s results were compared to a historical control group (n = 105) who received a lecture-style review session in a classroom environment prior to the exam.
An independent samples t-test revealed that students in the intervention group had higher exam scores (M=89.14, SD=14.19) compared to the control group (M=82.29, SD=17.28; t (195) = 3.06, p= .003). Participants in the intervention group were more likely to pass the exam in fewer attempts compared to the control group (X2 = 7.34, p = .007). Independent samples t-tests were also used to analyze exam scores on one-step (“review”) medication calculations versus multi-step (“new”) medication calculations between the intervention and control groups. There was no significant difference in scores on the review items between the intervention and control groups. However, participants in the intervention group scored higher on the new items (M = 70.22, SD = 12.334) as compared to the control group (M = 64.48, SD = 14.410, t (196) = 3.019, p = .003, two-tailed). The findings of this study indicate that undergraduate students who participate in a medication simulation prior to taking their medication exam may perform better than students who only attended a lecture-style review in the classroom
The lived experiences of Black women who managed college studies while experiencing intimate partner violence
No full textIntimate partner violence (IPV) is a preventable problem that affects individuals of various ages, ethnic groups, and socioeconomic groups. This phenomenological study addressed the following research question: “How did Black women manage their college studies while concurrently experiencing intimate partner violence?” Semi-structured open-ended interview questions were used during individual virtual interviews of 15 cisgender women who were at least 18 years old, who speak, read, write, and understand the English language, and experienced IPV while in enrolled in college. Data was analyzed using Colaizzi’s (1978) method of analysis. This study provides insight on how Black women who concurrently experienced IPV while enrolled in college coped and managed the demands of their college studies, how the abuse impacted their studies, and what professors should know about students who experience IPV
Caregiver experiences\u27 relating to the educational gap regarding feeding tube placement
Get PDFDespite the increase in feeding tube placement as people live longer with chronic illnesses, the research is scarce regarding how to care for the caregiver of individuals with chronic illnesses especially with percutaneous endoscopic gastrostomy feeding tubes (PEG). Caregivers should receive psychosocial support and education about the PEG feeding tube
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
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