1,721,009 research outputs found
Hospital and home care nurses' experiences and perspectives on collaborative discharge planning when cancer patients receiving palliative care are discharged home from hospitals
No full textAims and objectives: To explore nurses’ experiences and perspectives on discharge collaboration when
cancer patients receiving palliative care are sent home from hospitals.
Background: Cancer patients receiving palliative care experience multiple transitions between the hospital
and their home. Poor discharge collaboration is a major cause of preventable hospital readmissions. Better
collaborative discharge planning could improve the management and care for these patients outside the
hospital setting. Previous research has mostly been conducted in non-cancer populations. Further
research regarding both home care nurses’ and hospital nurses’ perspectives on the collaboration is
required.
Design: A qualitative study with descriptive and explorative design.
Methods: Data were collected through 10 individual, semi-structured interviews of nurses working at two
oncology wards at a university hospital and home care services in four different municipalities within the
hospital’s catchment area. Data were analyzed using systematic text condensation. COREQ-guidelines
were adhered to in the reporting of this study.
Results: Three categories emerged from the data analysis: lack of familiarity and different perceptions lead
to distrust; inefficient communication creates a need for informal collaboration; and delayed discharge
planning challenges optimal collaboration.
Conclusions: The nurses lacked an understanding of each other’s work-situation, which created a
collaboration characterized by distrust, misunderstandings and misconceptions regarding each other’s
abilities to care for the patient. This led to inefficient communication, relying on individual knowledge,
informal communication and personal networking. In turn, this created delays in the discharge planning,
resulting in poorly prepared discharges often lacking necessary equipment and documentation.
Relevance to clinical practice: To improve the care of cancer patients receiving palliative care outside the
hospital setting, better communication is a key factor to promote confidence and understanding between
nurses working in different levels of healthcare
Hospital and home care nurses' experiences and perspectives on collaborative discharge planning when cancer patients receiving palliative care are discharged home from hospitals
Full text linkMaster i sykepleie - klinisk forskning og fagutviklingAims and objectives: To explore nurses’ experiences and perspectives on discharge collaboration when
cancer patients receiving palliative care are sent home from hospitals.
Background: Cancer patients receiving palliative care experience multiple transitions between the hospital
and their home. Poor discharge collaboration is a major cause of preventable hospital readmissions. Better
collaborative discharge planning could improve the management and care for these patients outside the
hospital setting. Previous research has mostly been conducted in non-cancer populations. Further
research regarding both home care nurses’ and hospital nurses’ perspectives on the collaboration is
required.
Design: A qualitative study with descriptive and explorative design.
Methods: Data were collected through 10 individual, semi-structured interviews of nurses working at two
oncology wards at a university hospital and home care services in four different municipalities within the
hospital’s catchment area. Data were analyzed using systematic text condensation. COREQ-guidelines
were adhered to in the reporting of this study.
Results: Three categories emerged from the data analysis: lack of familiarity and different perceptions lead
to distrust; inefficient communication creates a need for informal collaboration; and delayed discharge
planning challenges optimal collaboration.
Conclusions: The nurses lacked an understanding of each other’s work-situation, which created a
collaboration characterized by distrust, misunderstandings and misconceptions regarding each other’s
abilities to care for the patient. This led to inefficient communication, relying on individual knowledge,
informal communication and personal networking. In turn, this created delays in the discharge planning,
resulting in poorly prepared discharges often lacking necessary equipment and documentation.
Relevance to clinical practice: To improve the care of cancer patients receiving palliative care outside the
hospital setting, better communication is a key factor to promote confidence and understanding between
nurses working in different levels of healthcare.publishedVersio
Nursing students’ clinical learning: Combining simulation training with nursing home practice
Full text linkBackground: The traditional clinical practice model for first-year nursing students in Norwegian nursing education is placement in nursing homes for six to eight weeks supervised by on-site registered nurses. In nursing homes, increased care complexity, high workloads, and a limited number of registered nurses serving as student supervisors can pose significant challenges to students’ clinical learning. Simulation training may provide an evidence-based learning alternative during students’ clinical practice period. However, research on clinical practice models that combine simulation training with clinical practice in nursing homes for first-year nursing students is limited internationally and unexplored in a Norwegian context.
Aim: The overall aim of this thesis is to gain knowledge by investigating firstyear students’ experiences with and relevant outcomes of simulation training combined with clinical practice in nursing homes in a Norwegian context. To achieve the overall aim, we initially identified elements in simulation training (based on the National League for Nursing (NLN) Jeffries Simulation Theory) associated with student outcomes of satisfaction and self-confidence (Paper I). Second, student experiences of multiple simulation training as a supplement during the students’ clinical practice period were investigated (Paper II). The Clinical Learning Environment Comparison Survey (CLECS) was then translated and tested for its psychometric properties (Paper III). The CLECS was used in the final investigation, in which student outcomes regarding knowledge acquisition, self-efficacy, and fulfilment of clinical learning needs were examined after integrating the simulation training as a partial replacement for clinical hours during the students’ clinical practice period (Paper IV).
Methods: A multimethod design was employed. First, a study with a cross-sectional design using the NLN questionnaire (n = 187) was conducted to identify associations. Data were analysed using descriptive and correlation statistics (Paper I). The second study, which investigated student experiences (n = 27) had a qualitative descriptive study design with focus group interviews. Data were analysed using systematic text condensation (Paper II). The third study had a cross-sectional design with a longitudinal component (n = 122), and the CLECS’ psychometric properties were investigated using validity and reliability statistics (Paper III). The fourth study had an experimental design with pre- and post-test comparisons of an intervention group (n = 52) versus a control group (n = 48) to examine student outcomes using a knowledge test and the General Self-Efficacy Scale. Furthermore, a descriptive, survey-based comparison was used to examine the fulfilment of clinical learning needs in the intervention group using the CLECS. Data in the fourth study were analysed using descriptive and inferential statistics (Paper IV).
Results: Active learning was significantly associated with satisfaction, while active learning and clear objectives were associated with self-confidence (Paper I). Three categories of student experiences were identified: enhancing the reasoning behind care, transferring knowledge and experiences between learning environments, and enhancing the sense of mastery (Paper II). The CLECS had acceptable construct validity and internal consistency, and most subscales displayed moderate to good test-retest reliability (Paper III). The mean improvement in knowledge acquisition from the pre- to post-test was higher in the intervention group than in the control group, and the difference was statistically significant, with a moderate to high effect size. No significant difference in self-efficacy improvement was observed. The intervention group scored the simulation training significantly higher on meeting their clinical learning needs compared with the nursing homes. Learning needs within the nursing process, self-efficacy, and the teaching–learning dyad especially excelled, showing moderate to high effect sizes (Paper IV).
Conclusions: This thesis suggests that simulation training (based on a theoretical framework), either as a supplement to or as a partial replacement for clinical hours, combined with clinical practice in nursing homes, might be of great benefit for Norwegian first-year nursing students. Active student engagement in simulation training may increase both student satisfaction and self-confidence, and the first-year students experienced enhanced knowledge, confidence, and mastery due to the simulation training after attending simulation training combined with clinical practice. Active student engagement, collective reflections, and feedback from facilitators and peers in the simulation training seemed pivotal for promoting the students’ clinical learning during the practice period. The CLECS (Norwegian version) was proven adequate for evaluating clinical learning to meet students’ learning needs and; combining simulation training with clinical practice in nursing homes was positively associated with knowledge acquisition and with meeting the clinical learning needs of first-year students, especially within the areas of the nursing process, self-efficacy, and the teaching-learning dyad
Uhøflighet på operasjonsstua – anestesisykepleieres erfaringer
Full text linkBakgrunn. Anestesisykepleiere jobber daglig tett på andre yrkes grupper i et høyteknologisk miljø og under tidvis krevende omstendigheter. Godt teamarbeid er essensielt for å gjennom føre arbeidet inne på en operasjonsstue. En arbeidssituasjon som i utgangspunktet opp leves som stressende, vil kunne få negative konsekvenser. Arbeidsmiljø, arbeidsglede, kommunikasjon og samarbeid blir markant redusert av uhøflig oppførsel.
Hensikt. Hensikten med denne studien var å få kunnskap om hvilke erfaringer og opplevelser anestesisykepleiere har vedrørende uhøflighet og samarbeidsklima på operasjonsstuene.
Metode. I studien er det benyttet kvalitativ metode med et deskriptivt, utforskende design. Data er samlet inn via to fokusgruppe intervjuer med totalt 8 anestesisykepleiere. Datamaterialet ble analysert ved hjelp av kvalitativ innholds analyse.
Resultater. Fire temaer ble identifisert: ‘varierende høflighet blant medarbeidere’, ‘uhøflighet ødelegger arbeidsgleden’, ‘uhøflig kommunikasjon skaper konflikter’ og ‘mestrings strategier ved uhøflighet’. Samtlige informanter hadde rike beskrivelser av egne erfaringer med uhøflig het. Når de ble stående i slike situasjoner, følte de ubehag og reagerte med sjokk, apati, sinne og et ønske om å komme seg videre med arbeidet. Flere mente at slike situasjoner ble hengende igjen i en tid etterpå. Informantene beskrev det som et sjokk å være ny ut dannet eller student da de som ferske i faget oftere opp levde uhøflig oppførsel på jobb.
Konklusjon. Resultatene tyder på at anestesi sykepleiere er velkjent med temaet uhøflighet på operasjonsstua. Det er indikasjoner for at det er et røft arbeidsmiljø, men informantene mener kulturen er i endring. Uhøflighet oppleves som ubehagelig og anestesi sykepleiere stiller spørsmålstegn ved hvorfor det må være slik på jobb. Informantene var samstemte i at dette er noe de blir vant til etterhvert, men at dette likevel er problematisk.publishedVersio
Uhøflighet på operasjonsstua – anestesisykepleieres erfaringer
No full textBakgrunn. Anestesisykepleiere jobber daglig tett på andre yrkes grupper i et høyteknologisk miljø og under tidvis krevende omstendigheter. Godt teamarbeid er essensielt for å gjennom føre arbeidet inne på en operasjonsstue. En arbeidssituasjon som i utgangspunktet opp leves som stressende, vil kunne få negative konsekvenser. Arbeidsmiljø, arbeidsglede, kommunikasjon og samarbeid blir markant redusert av uhøflig oppførsel.
Hensikt. Hensikten med denne studien var å få kunnskap om hvilke erfaringer og opplevelser anestesisykepleiere har vedrørende uhøflighet og samarbeidsklima på operasjonsstuene.
Metode. I studien er det benyttet kvalitativ metode med et deskriptivt, utforskende design. Data er samlet inn via to fokusgruppe intervjuer med totalt 8 anestesisykepleiere. Datamaterialet ble analysert ved hjelp av kvalitativ innholds analyse.
Resultater. Fire temaer ble identifisert: ‘varierende høflighet blant medarbeidere’, ‘uhøflighet ødelegger arbeidsgleden’, ‘uhøflig kommunikasjon skaper konflikter’ og ‘mestrings strategier ved uhøflighet’. Samtlige informanter hadde rike beskrivelser av egne erfaringer med uhøflig het. Når de ble stående i slike situasjoner, følte de ubehag og reagerte med sjokk, apati, sinne og et ønske om å komme seg videre med arbeidet. Flere mente at slike situasjoner ble hengende igjen i en tid etterpå. Informantene beskrev det som et sjokk å være ny ut dannet eller student da de som ferske i faget oftere opp levde uhøflig oppførsel på jobb.
Konklusjon. Resultatene tyder på at anestesi sykepleiere er velkjent med temaet uhøflighet på operasjonsstua. Det er indikasjoner for at det er et røft arbeidsmiljø, men informantene mener kulturen er i endring. Uhøflighet oppleves som ubehagelig og anestesi sykepleiere stiller spørsmålstegn ved hvorfor det må være slik på jobb. Informantene var samstemte i at dette er noe de blir vant til etterhvert, men at dette likevel er problematisk
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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