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    Muutospuhe sairaalan johtoryhmäkokouksissa

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    Tämän pro gradu -tutkielman tavoitteena on kuvata, millaista muutospuhe on sairaalan johtoryhmäkokouksissa. Tutkielmassa on tarkasteltu muutospuheen sisällöllisiä ja toiminnallisia tasoja. Sisällöllisillä tasoilla tarkoitetaan muutokseen liitettyjä merkityksiä ja toiminnallisilla tasoilla viitataan erilaisiin tapoihin osallistua muutoskeskusteluihin. Tutkielma on laadullinen ja analyysimenetelmänä on aineistolähtöinen sisällönanalyysi. Tutkimuskohteena on suomalaisen sairaalan kolmen toimialuetason ja kolmen vastuualuetason johtoryhmäkokouksen vuorovaikutus, jossa keskustellaan muutoksesta. Muutos antaa siis kehykset johtoryhmäjäsenten vuorovaikutukselle. Tutkimuksessa havainnoitiin johtoryhmäkokouksista tallennettuja videoaineistoja. Muutokseen liitetyt merkitykset jaoteltiin neljään pääkategoriaan ja kahdeksaantoista alakategoriaan. Muutokselle annetaan hallitsemattomuuden ja epämukavuuden merkityksiä. Lisäksi muutos merkityksentyy muualta tulevaksi mutta toisaalta myös mahdollisuudeksi. Muutospuheen osallistumistavat luokiteltiin kolmeen pääkategoriaan ja yhteentoista alakategoriaan. Muutospuheeseen osallistutaan tekemällä päätöksiä, ilmaisemalla yhteenkuuluvuutta ja vetoamalla hierarkiaan. Muutospuheen osallistumisessa korostuu etenkin sudetason vuorovaikutus. Johtoryhmien jäsenten merkityksenannot ja muutoskeskustelun osallistumistavat toisiintuvat johtoryhmäkokousten vuorovaikutuksessa. Tulosten perusteella näyttää siltä, että sairaalan johtoryhmäkokousten muutospuhe on dynaamista ja relationaalista. Sairaalaorganisaation rakenteita ylläpidetään ja muokataan muutospuheessa. Muutospuhe on suhdekeskeistä ja sairaalan sosiaaliset rakenteet tulevat näkyviksi niin muutokselle annetuissa merkityksissä kuin muutospuheeseen osallistumisessa. Johtoryhmien rajapinnat ovat jatkuvassa liikkeessä ja niistä neuvotellaan muutospuheessa. Tutkielman tuloksia voidaan soveltaa organisaatioiden muutosprosesseissa ja moniammatillisten työtiimien viestinnän kehittämisessä.unknown accessibilityei tietoa saavutettavuudest

    Change Talk in Hospital Management Groups

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    Recent national healthcare reforms have resulted in many changes to healthcare organizations. When social realities are enacted in social interactions, changes also occur in communication through discourses. In public hospitals, middle management groups form one important platform for change talk. This study aimed to identify and understand how change talk emerges in management group meetings. Data were collected from 10 hospital meetings, and change-related interactions were explored by analyzing sensemaking and positioning. In the data, change talk took three forms: collaboration, control and confrontation. These forms consisted of change discourses (change as a possibility, concealed change and enforced change) and simultaneously negotiated positions (expert position, power/powerlessness position and cohesion/opposition position). The findings suggest that middle managers use sensemaking power through discourses. Positioning is also of vital importance in directing change talk because it defines the power relations in the change process.peerReviewe

    Going Beyond Counting First Authors in Author Co-citation Analysis

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    The 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

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    “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

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    We 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

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    We 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

    Author Index

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    koamabayili/VECTRON-author-checklist: VECTRON author checklist

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    We 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
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