1,720,967 research outputs found
The Reasons for Unfinished Nursing Care during the COVID-19 Pandemic: An Integrative Review.
Full text linkBackground: The concept of unfinished nursing care (UNC) describes nursing interventions required by patients and families that nurses postpone or omit. UNC reasons have been documented; however, no studies have summarised the underlying factors triggering the UNC during the pandemic. Therefore, the aim was to synthesise the available studies exploring factors affecting UNC during a pandemic. Methods: We conducted an integrative review following Whittemore and Knafl's framework according to the Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) guidelines. PubMed, the Cumulative Index to Nursing and Allied Health Literature (CINAHL) and the Scopus databases were searched for primary studies that collected data from 1 January 2020 to 1 May 2023. Both qualitative and quantitative studies assessing the reasons for UNC were eligible and evaluated in their quality using the Critical Appraisal Skills Programme and the Mixed Methods Appraisal Tool. Results: Four studies were included-three qualitative and one cross-sectional. The reasons for UNC have been documented at the following levels: (a) system (e.g., new healthcare system priorities); (b) unit (e.g., ineffective work processes); (c) nurse management (e.g., inadequate nurse manager's leadership); (d) nurse (e.g., nurses' attitudes, competences, performances); and (e) patient (increased demand for care). Conclusion: The reasons for UNC during the COVID-19 pandemic are different to those documented in the pre-pandemic times and reflect a pre-existing frailty of the National Health Service towards nursing care
Le decisioni infermieristiche e le missed nursing care: risultati di una scoping review [Decision Making process and missed nursing care: findings from a scoping review]
No full textDecision Making process and missed nursing care:
findings from a scoping review. Introduction. Several
aspects of the Missed Care (MNC) model have been studied
(conceptual aspects, causes, process, measurement instruments,
outcomes) however, the decision-making processes influencing
the MNC have not yet been settled into an accessible
guide. Objective. To describe (a) the terms most used in the
literature to define the decision-making processes influencing
the MNC, (b) the conceptual models, as well as (c) the
available tools. Method. A scoping review was carried out
in March-August 2020 by consulting the following databases:
Cochrane Library, Pubmed, Scopus, CINAHL Complete,
PsycINFO. Of the 385 retrieved studies, 92 abstracts were
evaluated and 36 studies included. Results. Four terms are
used to address the process of nursing intervention delivered
on time, postponed or missed: (a) Priority setting; (b)
Prioritisation of clinical care; (c) Implicit rationing; and (d)
Time scarcity. While the lack of time expresses the common
denominator, a substantial difference emerges between priority
setting and rationing: the first establishes a preferential
sequence of activities with the result of delaying those less
significant; the second leads to unfinished nursing care. Decision
models to date have not considered the processes influencing
MNC; therefore, the available measurement instruments
are also of little use. Conclusions. The decisionmaking
processes underlying MNC have not yet been well
understood, and described using different terms. Reliable instruments
to measure them are still lacking
Self-Care Practices as a Mediator between Workaholism and Sleep–Wake Problems during COVID-19
No full textSelf-care practices are considered an important resource for workers’ psychophysical
well-being. These resources were especially relevant during the COVID-19 outbreak, during which
both workaholism and sleep–wake problems were documented. Our study aimed to examine
whether workaholism could predict sleep–wake quality through the mediating effects of self-care
practices. A convenient sample of 405 Italian workers (71.1% females; mean age = 42.58 10.68 years)
completed the Self-Care Practices Scale, Mini-Sleep Questionnaire, and Working Excessively and
Working Compulsively Scale during the first lockdown in Italy in 2020. The main results showed
that workaholism directly affected sleep–wake quality, suggesting that high levels of workaholism
increased the likelihood of sleep–wake problems being reported. At the same time, people with high
levels of workaholism reported scarce use of self-care practices and, in turn, lower sleep–wake quality.
Our findings confirm the importance of monitoring the quality of life at work to protect workers’
sleep–wake cycle quality and investing in self-care. Both individual and organizational efforts can
help break the vicious cycle of workaholism and sleep–wake disorders
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
Nurses prioritization processes to prevent delirium in patients at risk: Findings from a Q-Methodology study
No full textBackground: This study aimed at (a) exploring how nurses prioritise interventions to prevent delirium among patients identified at risk and (b) describing the underlying prioritisation patterns according to nurses' individual characteristics. Methods: There was used the Q -methodology a research process following specific steps: (a) identifying the concourse, (b) the Q -sample, and (c) the population (P -set); (d) collecting data using the Q -sort table; (e) entering the data and performing the factor analysis; and (f) interpreting the factors identified. Results: There were involved 56 nurses working in medical, geriatric and log -term facilities (46; 82.2 %). The preventive intervention receiving the highest priority was 'Monitoring the vital parameters (heart rate, blood pressure, oxygen saturation)' (2.96 out of 4 as the highest priority; CI 95 %: 2.57, 3.36). Two priority patterns emerged among nurses (explained variance 44.78 %), one 'Clinical -oriented' (36.19 %) and one 'Family/caregiver-oriented' (8.60 %) representing 53 nurses out 56. Conclusion: Alongside the overall tendency to prioritise some preventive interventions instead of others, the priorities are polarised in two main patterns expressing two main individual characteristics of nurses. Knowing the existence of individual patterns and their aggregation informs how to shape educational interventions. (c) 2024 The Author(s). Published by Elsevier Inc. This is an open access article under the CC BY -NC -ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/
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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