1,720,981 research outputs found
Technician or artisan? Nurses’ experience of practising within a randomised controlled trial.
No full textService user involvement in mental health education: the interface of policy, practice and education
No full text
Developing values-based education through service user participation
No full textMental health education aims to develop valuesbased practice to support practitioners in clinical decision-making. Values-based practice requires high levels of cultural competence achieved through service user participation in professional preparation. The degree of service user participation remains dependent on the values of programme providers.In this paper, we consider whether strategies to involve service users in mental health professional education can support the principles of valuesbased practice. To do this, we have drawn on the findings from qualitative studies of educators' practices and their views regarding service user involvement. Values-based practice requires self-awareness of values impacting on decisions and knowledge derived from service users' personal accounts. The studies suggest that while opportunities exist for service users to present their accounts, few examples of service user involvement facilitated deeper examination of values underpinning decision-making. Enabling service users to influence values-based practice development requires more authentic participatory approaches. Educators valued the contribution of service users' experiential knowledge to the learning process, but there was less evidence of educators' values base that would model commitment to the empowerment of service users
Patients’ and nurses’ experiences of treatment of common mental health problems in general practice
No full textTrial of problem solving by community psychiatric nurses (CPNs) for anxiety, depression and life difficulties among general practice patients (the CPN-GP study)
No full textContext: Given direct access to (secondary care)
CPNs, UK GPs refer them patients with anxiety,
depression and reactions to life difficulties, but it has
not been established that CPN referral is cost-effective
for these problems, which are often self-limiting.
GP referrals could divert CPNs from the severely
mentally ill and may be an inappropriate use of
scarce resources. However, anxiety and depression
incur enormous suffering and costs in terms of time
lost from work. A previous trial of non-specific CPN
support for such patients suggested referral was no
more effective than usual GP care, but suffered from
a small sample size and high drop-out rate. Specific
therapy may be cost-effective where generic CPN
care is not.
Objectives: To compare the cost-effectiveness of
CPN generic support, specific CPN problem-solving
therapy, and usual GP care.
Design: An RCT with three arms: CPN problem-
solving, generic CPN care, and usual care.
Patients: Practice attenders with at least 4 weeks of
anxiety, depression or reactions to life difficulties.
Outcome measures: Patients were assessed at baseline,
8 and 26 weeks, for symptoms on the CIS-R,
problem severity, social functioning, quality of life,
health service utilisation, and disability days.
Results: CPNs were recruited from four mental
health trusts, and 20 were trained in problemsolving,
with another 20 treating patients with
non-specific support. A total of 75 practices were
recruited, and 245 patients were randomised to the
three arms of the study. The large majority of
patients recovered by the 8-week follow-up. There
were no significant differences found between the
three arms at 8 or 26 weeks in symptoms, social
functioning, or quality of life. Cost data are currently
being analysed and will be presented in
March 2004.
Conclusions: Specialised mental health nurse
support is no better than support from the family
practitioner for patients with milder forms of anxiety,
depression, and life difficulties. Such support
should be reserved for severe and enduring mental
illness
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
- …
