1,720,957 research outputs found
Impact of Education on Perinatal Nurse Knowledge, Attitudes, and Practices with Language Interpreter Services: A Quality Improvement Project
No full textD.N.P.There is overwhelming evidence to support that the use of language interpreter services improves healthcare outcomes for patients with limited English proficiency (LEP). While federal legislation mandates that medical facilities provide free and competent translation services to patients with LEP, providers often view these services as inefficient and avoid them even when readily available. The use of education to increase healthcare provider knowledge and utilization of language interpreter services is consistently recommended throughout the literature. This quality improvement (QI) project’s aims were focused on the impact of an online educational module focused on culturally and linguistically appropriate services (CLAS) on perinatal nurse knowledge, attitudes, and practices when caring for patients with LEP. Nurses on a single Labor and Delivery unit were evaluated using a pre- and post-test format. There was a statistically significant improvement (p=.014) in perinatal nurse knowledge post completion of the online education. Qualitative analysis was used to gain understanding of why providers underutilize language services and if enhancing nurse-patient therapeutic relationship through intentional conversation can have an impact on language service use. The results reveal that nurse participants recognize the importance of translation services but find lack of usability and time constraints as barriers to use. After asking a culturally connecting question to a patient with LEP, all participants reported increased likelihood to use language services with that patient in the future. The outcomes of this study demonstrate that a brief online educational module may increase perinatal nurse knowledge on providing CLAS for patients with LEP. Qualitative outcomes provided deeper insight into the complexities of health systems in the United States. Nurses recognized the need for CLAS and desire to provide high quality care however, are frequently met with technological challenges, time constraints, and limited systematic support. Despite these struggles, human connection was found to have a positive influence on care of patients with LEP. This QI project illuminates the need for continued education, systemic support, and technological advancements to increase usability of language interpreter services while also serving as a reminder of the value in human connection between healthcare provider and patient
Internally Regulated Eating, Body Mass Index, and the Influence of COVID Pandemic-Related Lifestyle Changes Among Middle-Aged Women
No full textD.N.P.ABSTRACTObesity is a major cause of preventable disease and mortality, and typical diet and exercise
strategies are largely unsuccessful for weight management long-term. Middle-aged women are at
particular risk for weight gain. Societal changes related to the COVID pandemic have been associated
with poorer eating habits, less activity, and weight gain for many people.
People who eat base their eating on their body’s internal physiological cues for hunger and
fullness are said to follow an internally regulated eating style. This is associated with lower BMI.
This scholarly project used both quantitative and qualitative survey methods to examine the
relationship between internally regulated eating style and BMI in a convenience sample of 85 women,
aged 40-60 years, who were recruited from their primary care clinic. The MIRES instrument was used to
measure internally regulated eating tendencies, and BMI was self-reported. Qualitative survey questions
examined women’s weight changes, eating styles and activity levels, and their perceptions of their body
relative to societal disruptions resulting from the COVID pandemic.
Significant, negative correlations were found between total MIRES scores and BMI, (r = -.253, p
= .019), the food legalizing subscale, (r = -.252, p = .020), and the self-efficacy in responding to physical
satiation cues subscale (r = -.270, p = .012). For all other subscales, except sensitivity to physical hunger
cues, there is a small, not statistically significant negative correlation with BMI. That is, as MIRES scores
increased, BMI decreased.
Qualitative data indicated that 54% of participants gained weight during the COVID pandemic,
and most of these participants’ BMIs were 25 or greater. Increased takeout meals, snacking, sweets,
emotional eating, decreased physical activity, and low motivation were frequently reported. Adaptive
behaviors such as cooking and eating at home, and continued exercise were typical for participants who
avoided weight gain, and their BMIs tended to be less than 25.
The findings from this project can be used to develop effective, non-diet approaches for obesity
prevention and management which focus on internally regulated eating. Further research should focus on
larger, more diverse populations, and on the roles of change, adaptation, and motivation in weight management
Going Beyond Counting First Authors in Author Co-citation Analysis
Get PDFThe 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
Get PDF“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
Get PDFWe 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
Get PDFWe 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
Author-wise bibliometric analysis based on entropy.
No full textAuthor-wise bibliometric analysis based on entropy.</p
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