1,720,957 research outputs found
Use of Agitation Scale Decision Scoring Grid to Improve Care of Agitated/Anxious Patients in DSU
No full textReducing Hospital-Acquired Infections: Implementing Dual registered Nurse Verification for Foley Catheter and Central Line Indications
No full textUse of Agitation Scale Decision Scoring Grid to Improve Care of Agitated/Anxious Patients in DSU
No full textHAPI- Related BIPAP in DSU
No full textBackground: Most medical-device related pressure injuries develop when skin or underlying tissues are subjected to a sustained pressure or shear from medical devices. Dressings have shown substantial biomechanical effectiveness in alleviating facial tissue deformations and stresses by providing localized cushioning to the tissue at risk. Our units (DSU and SDU) provide for the monitoring and care of patients with moderate or potentially severe physiologic instability requiring technical support but not necessarily artificial support such as patients on BIPAP management. In the 4 months (June-Sept 2019) before the project initiation, one patient per month had BIPAP related pressure injury.
Purpose: This Hospital Acquired Pressure Injury Improvement was initiated to reduce and eliminate BIPAP related pressure injuries using evidence-based solutions and to identify problem areas promptly for early treatment and prevention.
Methods/Approach: Design: Evidence-based Practice Setting: DSU and SDU Participants for clinical outcomes: Patients using BIPAP Procedures: Historic data was obtained from leadership. Unit nurses acquired curagel nasal silicone pads and engaged respiratory therapy in the project. Staff members were educated in new procedures: alternating mask use between full mask and total face mask every 6 hours, incorporating skin assessment under medical device during 4 eyes, Skin Braden Scores, use of silicone pads, documentation of HAPI. Random chart audits were done to evaluated compliance and clinical outcomes. Results: Between October 2019 through March 2020, there were no BIPAP related HAPI and audits demonstrated 100% compliance on all measures.
Conclusion: Alternating face masks, and application of silicone pads were effective in eliminating pressure injuries related to BIPAP use. Under normal conditions, the interventions produced complete elimination of pressure ulcer.
Implications for practice: Application of evidence to a significant care issue resulted in zero occurrence of BIPAP-related HAPI from October 2019 to March 2020. Audits will continue to help keep project on track. Education and re-education will be done as needed for continued success.https://digitalcommons.providence.org/prov_rn_conf_all/1036/thumbnail.jp
Use of Agitation Scale Decision Scoring Grid to Improve Care of Agitated/Anxious Patients in DSU
No full text
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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