1,720,964 research outputs found
Towards Age-Friendly Hospitals in Developing Countries: A Case Study in Iran
No full textBackground: Developing countries such as Iran are experiencing a growth in the elderly population. This is a challenge for healthcare providers and their families. This study investigated the extent in which hospitals at Tehran meet the criteria of age-friendly hospitals.Methods: In this descriptive study, using convenience sampling, 26 hospitals were selected in Tehran, the capital city of Iran. The instrument was a checklist included 50 items in the three dimensions of information and training of service providers, management systems in health care centers, physical environment and accessibility of hospitals.Results: Most hospitals were in a good condition regarding physical environment and access to public transportation, but in a poor condition for special healthcare programs for the elderly, teaching principles of geriatrics and gerontology, interaction of medical staff, physicians and nurses with senior patients and systems of priority for them.Conclusion: Due to the growing elderly population, it is necessary for health policymakers, especially in developing countries, to consider seriously the issue of elderly healthcare and their need for special outpatient and inpatient services
Explanation Caring Works in Nursing Homes: A Qualitative Study
No full textObjectives The use of long term care services has risen and this trend is expected to continue as the population reaches to old age. Since older people who live in nursing homes need holistic care, the purpose of this study was to explore the characteristics of caring delivery in nursing homes.
Methods & Materials This study was conducted with a qualitative approach using conventional qualitative content analysis. The study included 23 Iranian participants including 14 elderly people, 7 caregivers and 2 managers. Data were collected with semi-structured interviews and continued to the point of data saturation. Analysis of the data was performed continually and concurrently with the data collection using a comparative method.
Results 2 themes emerged from 595 open codes, including: available care and care as an unpleasant task. Nine subthemes indicated participants’ experiences and understandings of the caring delivered in nursing home.
Conclusion Current delivered care is of the routine kind, which focuses on physical aspects, although there is some psychological care, too. The findings of this research can be used as a guideline for managers and care planners in nursing homes to pay more attention to physical and psychological care needs of elders. Also, clinical training for care givers and provision programs for treatment and supervision are recommended
Barthel Index and Clinical Outcome in Elderly
No full textObjectives: Among the elderly patients who are admitted in emergency departments, there is a sub-population of frail elderly who needs particular attention. The purpose of this study was to explore relationship between Barthel index and clinical outcome in elderly patients aged over 60 during a week follow up after initial admission.
Methods & Materials: The method was a prospective cohort study. Fifty men and 56 women patients who were admitted in emergency department and met our inclusion criteria (age over 60 and having consent) were included in the study. All patients had been followed for 4 weeks after initial admission.
Results: During the follow up period, 81.1% of total patients were discharged home, 8.5% were still hospitalized and 10.4% were died. The result showed that for every extra unit of total Barthel index, the chance of discharging home in comparison with death is increased by 20%. More over; for every one year patients aged more, total Barthel index is decreased by 23% of score unit.
Conclusion: The findings of this study suggest that the elder patients with less Barthel index score are more likely to experience death and bad clinical outcome and need particular attention's
The Lived Experience of Spirituality by the Elderly Parents of Children with Intellectual Disability: A Phenomenological Study
No full textObjectives: Over the next 30 years there will be a considerable increase in the number of elderly parents of children with intellectual disability. The present article is a part of a phenomenological study on the lived experience of elderly parents of children with intellectual disability which focuses on the issue of spirituality. There is insufficient scientific evidences related to this important phenomenon.
Methods & Materials: Based on a purposeful sampling, ten elderly parents of children with intellectual disability (5 mothers and 5 fathers) took part in the un-structured deep interviews. The data were analyzed using a Colaizzi phenomenological approach.
Results: “Spirituality” was one of the four identified emergent themes. The other emergent themes were “Bitterness” ,”Emotional attachment”, ”Support satisfaction”. Despite of having difficulties in caregiving to the child with disability, the parents appreciate God and consider the child as his will. They also trust in God when facing problems.
Conclusion: In the current study, spirituality was emerged as an important theme. The participants do believe that having a child with disability is God's will and even his bless. In this way of thinking, suffering and sorrows become tolerable, less painful and even valuable. Spirituality could be considered as a part of care plans for the elderly parents of children with intellectual disability. Since this phenomenon is a process it would be better to investigate that by Grounded Theory approach
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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