1,720,970 research outputs found
[Nurses and Organizational Citizenship Behavior: contribution to the Italian validation of the Podsakoff et al. scale]
No full textWorkers engaging in Organizational Citizenship Behaviour (OCB) can benefit colleagues, organization and stakeholders. Such behavior is vital to the efficacy of health care organizations as they can have a positive effect on the quality of care and users' satisfaction. Therefore, it is important to assess such behaviour with a valid and reliable instrument
Prosocial Behaviour in Palliative Nurses: Psychometric Evaluation of the Prosociality Scale
Full text linkAim: The aim of this study was to examine the psychometric properties of a prosociality scale within the palliative nursing context, and then examine the impact of prosocial behaviour in relation to job and educational satisfaction among palliative nurses.\ud
Methods: An online cross-sectional survey was conducted in 25 Italian palliative care centres, with a total of\ud
107 nurses completing the prosociality scale by Caprara et al (2005). Exploratory and confirmatory factor analyses were\ud
examined to evaluate a multidimensional model of prosociality.\ud
Results: A three-factor solution with a second order factor\ud
fitted the data well. The three dimensions extracted were labelled as helping, empathy, and sharing. Participants reported high levels of prosociality. In addition, prosociality was positively associated with job and educational satisfaction.\ud
Conclusions: The prosociality scale was valid and reliable when tested with palliative nurses. Although prosociality may be embedded in nurses’ personalities, this quality should be actively promoted to expand and improve the culture and the ethics of nursing
Intervento complesso per migliorare il controllo del dolore da cancro nei malati ospedalizzati
No full textBackground: il dolore cancro-correlato continua ad essere un problema sanitario importante a livello mondiale. Secondo le proiezioni dell’Organizzazione Mondiale della Sanità (OMS), entro il 2021 si registreranno 15 milioni di nuove diagnosi di tumore, con 9 milioni di decessi per tale patologia. L’incidenza del dolore in vari stadi della malattia è pari al 51% con un incremento sino al 74-90% negli stadi avanzati e terminali. Nonostante la disponibilità di analgesici efficaci, di linee guida pubblicate e di programmi di formazione rivolti ai professionisti della salute, il dolore non è valutato e trattato secondo quanto indicato dalle linee guida internazionali. Obiettivo della tesi è di dare visibilità del percorso metodologico adottato per individuare un intervento complesso finalizzato al
miglioramento del controllo del dolore da cancro nei malati ospedalizzati, e la predisposizione del protocollo di studio con obiettivo di valutare l’efficacia del programma individuato. Metodologie/progetto: Il Programma Pac-IFicO è un intervento articolato, con molteplici componenti rivolto alle èquipe di cura. Sono stati condotti focus group con il personale dei
reparti reclutati (5) per identificare possibili barriere locali ad un controllo ottimale del dolore; è stato predisposto materiale informativo per i pazienti, un programma di formazione svolto dai responsabili dei reparti ed un intervento a livello di organizzazione del reparto. Il principale end-point dello studio è la percentuale di pazienti con dolore severo. Tra gli end-point secondari sono compresi gli oppioidi somministrati in reparto, le conoscenze in tema di gestione del dolore e la qualità della gestione dello stesso. Il programma prevede di reclutare circa 500 pazienti oncologici e l’intera popolazione degli operatori presenti nei servizi reclutati (medici e infermieri). La dimensione di questo campione è sufficiente, dopo gli aggiustamenti statistici per il clustering, a far rilevare una
diminuzione assoluta del primo end-point dal 20 al 9%.
Risultati/Discussione: E’ stata condotta una revisione della letteratura relativamente all’esperienza italiana di “Ospedale senza dolore”; si sono definiti i componenti dell’intervento complesso, individuato un set di criteri di valutazione dell’intervento formativo e definito il protocollo di sperimentazione con approvazione del Comitato Etico (centrale e periferici) e registrato lo studio. Questa ricerca si propone di individuare e analizzare un approccio sperimentale complesso finalizzato al controllo del dolore e rivolto alle èquipe di cura
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
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
Elements Characterising Multicomponent Interventions Used to Improve Disease Management Models and Clinical Pathways in Acute and Chronic Heart Failure: A Scoping Review
Full text linkThis study aimed to summarise different interventions used to improve clinical models and pathways in the management of chronic and acute heart failure (HF). A scoping review was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) statement. MEDLINE (via PubMed), Embase, The Cochrane Library, and CINAHL were searched for systematic reviews (SR) published in the period from 2014 to 2019 in the English language. Primary articles cited in SR that fulfil inclusion and exclusion criteria were extracted and examined using narrative synthesis. Interventions were classified based on five chosen elements of the Chronic Care Model (CCM) framework (self-management support, decision support, community resources and policies, delivery system, and clinical information system). Out of 155 SRs retrieved, 7 were considered for the extraction of 166 primary articles. The prevailing setting was the patient’s home. Only 46 studies specified the severity of HF by reporting the level of left ventricular ejection fraction (LVEF) impairment in a heterogeneous manner. However, most studies targeted the populations with LVEF ≤ 45% and LVEF < 40%. Self-management and delivery systems were the most evaluated CCM elements. Interventions related to community resources and policy and advising/reminding systems for providers were rarely evaluated. No studies addressed the implementation of a disease registry. A multidisciplinary team was available with similarly low frequency in each setting. Although HF care should be a multi-component model, most studies did not analyse the role of some important components, such as the decision support tools to disseminate guidelines and program planning that includes measurable targets
“25 febbraio – 28 marzo 2020 il mio vissuto al tempo del Covid-19”: narrazioni di un gruppo di infermieri che lavorano in Canton Ticino: "25 February - 28 March 2020 my experience at the time of Covid-19": narratives of a group of nurses who worked in the Canton of Ticino
Full text linkINTRODUCTION: In February 2020 the first case of COVID-19 arrived in Canton Ticino. Since then, many things have changed at great speed, especially in health organ-izations, and these changes have had a strong impact on the nursing profession. The objective of this research was: to investigate the experiences of nurses at different organi-zational levels who were confronted with the COVID pandemic in the first month in which it occurred. METHODS: Narrative Research. The data collection was carried out involving a group of 20 nurses working in different contexts and roles in Canton Ticino. The collected narrations were analyzed through a thematic analysis of their content using Nvivo 12®. RESULTS: The thematic analysis of the narrations made it possible to define 26 themes and 6 macro-themes: Pandemic, What changes, Communication, Emotions/experiences, Role and image, Interprofessional collaboration. The results of this research make it possible to understand how a heterogeneous group of nurses experienced the particular period of pandemic in Canton Ticino and which reflections were derived from it. Some of the aspects highlighted can be compared with what is present in the international liter-ature on the subject in order to find common ways of action for the nursing leadership, in the different Countries, facing the need to organize, manage and support nursing professionals in this and future pandemic situations. CONCLUSIONS: The results of this research can be used both at an organisational and educational level and can be the starting point for future research.
KEY WORDS: nurse, experiences, narrations, thematic analysis, COVID-19.ABSTRACT INTRODUZIONE: Nel mese di febbraio 2020 il primo caso di COVID-19 è arrivato in Canton Ticino. A partire da quel momento molte cose sono cambiate a grande velo-cità soprattutto nelle organizzazioni sanitarie e questi cambiamenti hanno avuto un forte impatto sulla professione infermieristica. L’obiettivo di questa ricerca era: Indagare i vis-suti di infermieri che nei diversi livelli organizzativi si sono trovati confrontati con la pan-demia COVID nel primo mese in cui si è manifestata. METODI: Ricerca Narrativa. La raccolta dati è avvenuta coinvolgendo un campione composto da 20 infermieri che lavorano in contesti e ruoli diversi in Canton Ticino. Le narrazioni raccolte sono state analizzate attraverso un’analisi tematica del loro contenuto usando Nvivo 12®. RISULTATI: L’analisi tematica delle narrazioni ha permesso di definire 26 temi e 6 macrotemi: Pandemia, Cosa cambia, Comunicazione, Emozioni/vissuti, Ruolo e imma-gine, Collaborazione interprofessionale. I risultati di questa ricerca permettono di com-prendere come un gruppo eterogeneo di infermieri ha vissuto il particolare periodo di manifestazione e diffusione della pandemia in Canton Ticino e quali riflessioni ne sono derivate. Alcuni aspetti evidenziati si possono confrontare con quanto presente nella let-teratura internazionale sul tema per trovare vie di azione comuni per la leadership infer-mieristica che, nei diversi Paesi, si trova confrontata con il dover organizzare, gestire e sostenere i professionisti infermieri in questa e future pandemie. CONCLUSIONI: I risultati di questa ricerca possono essere utilizzati sia a livello orga-nizzativo che a livello formativo e possono rappresentare il punto di partenza per future ricerche. PAROLE CHIAVE: infermiere, vissuti, narrazioni, analisi tematica, COVID-1
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
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