1,720,994 research outputs found
Exploration of the use of the Australasian Triage Scale in a metropolitan emergency department in Aotearoa-New Zealand
No full textFull Text is available to authenticated members of The University of Auckland only.Aim: To explore staff perceptions and patient outcomes associated with the use of the Australasian Triage Scale (ATS) in a metropolitan emergency department (ED) in Aotearoa-New Zealand.
Methods: A two-phase, mixed-methods, convergent design (QUAL+QUAN) was employed. Research was conducted at a single ED setting in Aotearoa-New Zealand. In phase one, in-depth interviews of ED Triage Nurses and Emergency Medicine Senior Medical Officers were sought, to explore their perceptions on the use of the ATS in relation to the adult ED population. The interview data were thematically analysed to determine overarching themes. In phase two, a retrospective audit of electronic medical records was used to measure patient outcomes in relation to their ATS category assignment. Patient outcomes were also measured in relation to whether, or not, they had received medical assessment and treatment within the Australasian College of Emergency Medicine’s (ACEM) time-to-treatment timeframes.
Findings: In phase one, 23 in-depth interviews were conducted, generating four over-arching themes: perceptions of the use of the ATS at an organisational; clinical practice; and patient level; and a lack of visibility of the ATS. Numerous barriers to the use of the tool were identified across these themes including: a lack of educational support, large patient volumes, and acuity, and the limited relevance of the tool in practice. Phase two analysed 60,152 presentations to the study ED over a 12-month period. Results showed a parallel trend of increasing rates of hospital admissions, critical care type admissions, and in-hospital deaths with the increasing urgency of the ATS category assigned (p <0.0001). NZ Maaori and Pacific patients were found to be increasingly assigned less urgent ATS categories, while NZ and Other European patients were decreasingly assigned less urgent ATS categories (p <0.0001). Patients who received medical assessment and treatment within ACEM’s time-to-treatment parameters had increased hospital admissions, critical care type admissions and in-hospital deaths (p <0.0001).
Conclusion: Overall, clinicians perceived multiple barriers to the use of the ATS across organisational, clinical practice, and patient levels. Quantitative data supported clinician findings, and identified worse outcomes for patients if they were treated on time. Maaori and Pacific patients were more likely to be assigned a less urgent triage category. Further research is required to understand if this resulted in worse outcomes for these populations
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
koamabayili/VECTRON-author-checklist: VECTRON author checklist
No full textWe have done our best to complete the author checklist relating to the use of animals in the hut study. Note that the objective for the hut study was to evaluate the IRS treatment applications for residual efficacy against Anopheles mosquitoes, including the local An. coluzzii mosquito population. Cows were only used to attract mosquitoes into the huts and no tests were carried out directly on the cows. The author checklist is intended for use with studies where experiments are carried out on animals, which is why we have had such difficulty in completing this for the hut study, as many of the questions do not relate to how the cows were used
Achieving a culture of whanaungatanga: A kaupapa Māori and grounded theory study exploring Māori relational practices as a strategy to transform acute hospital settings in Aotearoa
No full textBackground – Relational practice is a respectful and reciprocal approach to understanding patients’ and whānau (extended family or social grouping) healthcare requirements; however, it has been overshadowed by the task-and-time culture prioritising organisational needs. Māori culture is inherently relational and integrating te ao Māori (Māori worldviews) into the acute hospital setting could positively shift practice. Despite this, little research has been conducted to explore what this might entail.
Aim – To conceptualise relational practice from te ao Māori and generate a culturally grounded theory to explain how Māori relational values and practices can transform relational practice in an acute hospital setting in Aotearoa (New Zealand).
Methods – A kaupapa Māori approach (philosophy and practice) and grounded theory were used to explore the contemporary understandings and experiences of Māori values and practices. Interviews were conducted with 15 Māori staff, patients and whānau from an acute hospital in Tāmaki Makaurau (Auckland).
Findings – This study identified three culturally informed processes that culminated in the theory of achieving a culture of whanaungatanga (belonging and inclusion): tikanga mahi (work ethic), whakawhanaungatanga (developing kinships), and manaakitanga (cultural and social responsibility). Tikanga mahi was the core category to establish the conditions necessary for a culture of whanaungatanga. Central to tikanga mahi are well-defined and conveyed organisational standards, expectations, and values with solid leadership inclusive of Māori. In cultivating a culture of whanaungatanga, staff develop kinships with each other through whakawhanaungatanga and manaakitanga, which is replicated in the relationships they develop with patients and whānau. Whanaungatanga is the symbolic korowai (cloak) embodying leadership, support, and our ethic of care, belonging, inclusion, and safety. A culture of whanaungatanga could transform our understanding and approach to cultural safety and address the shortage of Māori nurses by creating the necessary conditions to support the recruitment and retention of Māori nurses. Embracing Māori values may enhance nurses’ sense of time, fostering relational practice.
Conclusion – While the task-and-time culture is firmly entrenched in nursing, this study has demonstrated the value of integrating Māori values and practices into the acute inpatient hospital setting to reorient relational practice. A systemic approach to organisational culture change is needed to transform practice and prioritise healthcare relationships to improve health equity for Māori
Author-wise bibliometric analysis based on entropy.
No full textAuthor-wise bibliometric analysis based on entropy.</p
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