1,720,959 research outputs found
Review: On discharge planning: dynamic complex processes – uncertainty, surprise and standardisation
No full textDischarge decision-making for older people on an Acute Medical Unit. An ethnographic study
No full textHealth care policy consistently reflects the need for increased involvement of patients and relatives, or a shared decision-making approach in the care decisions of older people. It has been proposed that these approaches will improve patient experience and efficiency in acute care and discharge planning for older people. Despite this, poor discharge experiences for older people with a lack of involvement are consistently reported and receive much public, clinical and academic attention. This doctoral project synthesises policy and research to date and aims to explore and understand the processes by which discharge decisions are made for older people returning to the community from an acute medical unit in the English NHS. An ethnographic approach was used across two research phases. The first phase focussed on older patients’ experiences of discharge decision-making. The second phase focussed on the practice of discharge decision-making. Methods used included observation, interviews with patients and relatives, group interviews with professionals and the collection of documentary evidence. Data were analysed using the constant comparative method. Findings indicated that there was no conceptual space for shared decision-making to occur on the unit and that care was punctuated by an ingrained pace focus. Health professionals prepared for the battle of discharge decision-making, patients felt guilt and illegitimacy and relatives were put upon to support discharge. It was concluded that the AMU had a rigid temporal structure that lacked flexibility for shared decision-making to take place and for the complex needs of older people to be fully acknowledged. This structure was continually reinforced by targets and policy. For improvements in the uptake of patient-centred care initiatives, such as shared decision-making, and for improved experiences of discharge decision-making, existing policy needs to be reconsidered
An occupational therapist ethnographer on an Acute Medical Unit: using reflexivity to understand situational identities and the weight of expectation
No full text137 Discharge decision-making for Older People in the Acute Medical Unit - an Ethnographic Study
No full textDischarge decision making for older people. A review of the literature using a qualitative synthesis
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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
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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