1,720,959 research outputs found
Teall, Alice interview for the Miami Valley College of Nursing and Health Oral History Project
Get PDFCarol Holdcraft interviewed Alice Teall on February 19, 2009 about the founding of the Wright State University College of Nursing and Health. In the interview, Teall discusses her career and her decision to come to Wright State as a student and later faculty member with the College of Nursing and Health
Implementing an Evidenced-Based Quality Improvement Project to Standardize Foot Screening in Adults with Type 2 Diabetes
Full text linkIntroduction: In the United States, over 37 million adults have type 2 diabetes mellitus (T2DM), with 23% of them unaware of their condition. Diabetes contributes to significant health complications, including over 270,000 deaths, 16 million emergency visits, and 7.8 million hospitalizations annually. Individuals with T2DM are prone to peripheral arterial disease and neuropathy; approximately 25% of people with diabetes will develop a foot ulcer during their lifetime, leading to significant medical expenses, lost productivity, and reduced quality of life. Regular screening and education can prevent up to 85% of diabetes-related amputations. Evidenced- based practice guidelines recommend integrating a process for standardized foot screening in primary care.
Purpose: The purpose of this project was to standardize foot screening for patients with T2DM within a comprehensive primary care clinic.
Methods: This quality improvement project standardized foot screening using the Inlow's 60-Second Diabetic Foot Screen, a validated, rapid screening tool created for primary care that includes use of the 10-g monofilament test and key risk stratification scoring. Utilizing the Plan-Study-Do-Act model, an educational in-service during the project kick-off provided an opportunity for clinicians and staff to practice using the Inlow’s Screen. The healthcare team involved in integrating the standardized screening in practice included four family medicine physicians, two nurse practitioners, one licensed practical nurse, nine medical assistants, the office manager, and several nonclinical office specialists.
Results: Pre-implantation data was collected from primary care visits to evaluate the percent of patients with T2DM who received an annual foot exam within the four weeks prior to the project; the data revealed 49.8% of patients with T2DM (n=287) received a foot exam utilizing a monofilament tool. Following project implementation, 55% of adults with T2DM seen in the office (n=209) had a completed comprehensive foot exam. Based on scores from the Inlow's 60-Second Diabetic Foot Screen, three patient referrals were placed for specialist evaluation of their DFU risks.
Implications for Practice: Implementation of an evidenced-based, standardized foot screening in primary care can result in an increase of completed foot exams for individuals with T2DM. Leadership buy-in and team collaboration is needed to create an environment that supports practice change.No embarg
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
Outcome Evaluation of an Evidence-based Quality Improvement Initiative to Integrate Health and Wellness Coaching in Advanced Nursing Practice
Full text linkChronic diseases linked to lifestyle behaviors are the leading causes of preventable morbidity and mortality in the United States (Centers for Disease Control and Prevention, 2017). To provide effective prevention and management of chronic illness requires clinicians to motivate individuals to achieve self-determined goals and to sustain healthy lifestyle behaviors, and yet studies document that about 25% of providers do not have adequate knowledge and skills to create effective partnerships (Bos-Touwen, Trappenburg, van der Wulp, Schuurmans, & de Wit, 2017; Greene, Sacks, Hibbard, & Overton, 2017). Providers who use health and wellness coaching techniques in practice can enhance motivation, improve well-being, and bridge the gap between recommendations and behavior change (Clark et al., 2014; Lawson et al., 2013; Mettler et al., 2014; Smith et al., 2013).
The purpose of this DNP project was to evaluate how family nurse practitioners (FNPs) perceive their ability to use health and wellness coaching techniques in clinical practice after participation in an evidence-based quality improvement (EBQI) initiative to understand and implement coaching skills. Three consecutive cohort groups of FNP students completed a coaching program during the final year of their educational program. An outcome evaluation was completed using an online survey to report their perceptions and confidence in supporting patient self-management. Survey respondents reported use and effectiveness of coaching techniques, and agreed that the coaching initiative caused them to consider their own wellness.
This DNP project informs subsequent EBQI efforts intended to impact clinician ability to offer effective support for health, wellness, and self-management of chronic disease. Next steps include addressing how coaching can be implemented for specific populations, including but not limited to those with obesity, heart disease, and/or mental health disorders like depression. A five-year embargo was granted for this item
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
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