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- Wallin, Jeanette, et al.
(författare)
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Discrepancy in responses to the surprise question between hemodialysis nurses and physicians, with focus on patient clinical characteristics : A comparative study
- 2023
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Ingår i: Hemodialysis International. - : John Wiley & Sons. - 1492-7535 .- 1542-4758. ; 27:4, s. 454-464
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Tidskriftsartikel (refereegranskat)abstract
- Introduction: The surprise question (SQ) "Would I be surprised if this patient died within the next xx months" can be used by different professions to foresee the need of serious illness conversations in patients approaching end of life. However, little is known about the different perspectives of nurses and physicians in responses to the SQ and factors influencing their appraisals. The aim was to explore nurses' and physicians' responses to the SQ regarding patients on hemodialysis, and to investigate how these answers were associated with patient clinical characteristics. Methods: This comparative cross-sectional study included 361 patients for whom 112 nurses and 15 physicians responded to the SQ regarding 6 and 12 months. Patient characteristics, performance status, and comorbidities were obtained. Cohen's kappa was used to analyze the interrater agreement between nurses and physicians in their responses to the SQ and multivariable logistic regression was applied to reveal the independent association to patient clinical characteristics. Findings: Proportions of nurses and physicians responding to the SQ with "no, not surprised" was similar regarding 6 and 12 months. However, there was a substantial difference concerning which specific patient the nurses and physicians responded "no, not surprised", within 6 (kappa = 0.366, p < 0.001, 95% CI = 0.288-0.474) and 12 months (kappa = 0.379, p < 0.001, 95% CI = 0.281-0.477). There were also differences in the patient clinical characteristics associated with nurses' and physicians' responses to the SQ. Discussion: Nurses and physicians have different perspectives in their appraisal when responding to the SQ for patients on hemodialysis. This may reinforce the need for communication and discussion between nurses and physicians to identify the need of serious illness conversations in patients approaching the end of life, in order to adapt hemodialysis care to patient preferences and needs.
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- Adelfio, Marco, 1980, et al.
(författare)
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Disentangling the compact city drivers and pressures: Barcelona as a case study
- 2018
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Ingår i: Norsk Geografisk Tidsskrift. - : Informa UK Limited. - 1502-5292 .- 0029-1951. ; 72:5, s. 287-304
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Tidskriftsartikel (refereegranskat)abstract
- The compact city is globally acknowledged as the most adequate urban model to encourage sustainable urban development. Its validity is often assumed, despite the lack of clarity on what such compactness entails. The knowledge gap is even wider regarding how different drivers and pressures influence the development of more compact cities. Therefore, the authors analyse indirect and underlying processes (drivers) and more direct events, actions, and processes (pressures) affecting compact city development. Since compact city driving forces are extensively influenced by local situations, their research focused on district-level case studies within the compact city of Barcelona Municipality. Mixed methods were used, and the authors used both qualitative and quantitative data. The results revealed that drivers and pressures can both support and counteract compact city qualities and therefore any intervention has to be tailored to local conditions. In particular, the results of the in-depth analysis of local pressures and their progression over time foster an understanding of context-related nuances, thereby shifting attention from taken-for-granted compact city qualities to the driving forces that produce beneficial compactness. The authors conclude that the diversity of drivers and pressures requires the involvement of a multiplicity of stakeholders and actors in urban planning, implementation, and management.
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- Adelfio, Marco, 1980, et al.
(författare)
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GISualization: visualized integration of multiple types of data for knowledge co-production
- 2019
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Ingår i: Geografisk Tidsskrift. - : Informa UK Limited. - 0016-7223. ; 119:2, s. 163-184
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Tidskriftsartikel (refereegranskat)abstract
- Urban planning deals with multiple layers of information stemming from concurrent activities and stakeholders intervening in urban development. For a better management of complexity more comprehensiveness and data integration are needed. This study develops an adaptive and iterative mixed-method approach for knowledge production in urban transformation processes. Specific research questions relate to data integration from different sources and facilitation of co-production of knowledge beyond triangulation. A new multi-layer framework, GISualization, has been developed in the context of a research project exploring compact city qualities. The framework is structured through five data layers, representing different methods for data collection and different grades of complexity, richness and interpretation: basic statistics; advanced statistics; exogenous quali-quantitative descriptions; exogenous qualitative descriptions; and endogenous qualitative descriptions. Thus, data stem from both quantitative and qualitative sources. Our study has proven that GISualization is a methodological framework that enables analysis and visualization of complex data in a rich format. The approach is closely related to analytical eclecticism and abductivity. It embodies a collaborative communication platform that provides a language to navigate between heterogeneous data, information and methods. The GISualization framework opens up for broader stakeholder involvement and community participation extending research into the domain of transdisciplinary knowledge production.
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- Adelfio, Marco, 1980, et al.
(författare)
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Social Activity in Gothenburg’s Intermediate City: Mapping Third Places through Social Media Data
- 2020
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Ingår i: Applied Spatial Analysis and Policy. - : Springer Science and Business Media LLC. - 1874-4621 .- 1874-463X. ; 13:4, s. 985-1017
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Tidskriftsartikel (refereegranskat)abstract
- This research focuses on the intermediate city, composed of urban areas located right outside the city center typically maintaining an in-between urban/suburban character. It aims to explore the degree to which this segment of the city exhibits urban activity and social life through the identification of activity areas in the so-called Third Places. Four intermediate city neighborhoods in Gothenburg, Sweden are adopted as case areas and are analyzed using a twofold approach. First, socio-economic statistics provide a quantitative understanding of the case areas and, second, geolocated Social Media Data (SMD) from Foursquare, Google Places and Twitter makes it possible to identify the intermediate city’s urban activity areas and socially preferred urban spaces. The findings suggest that a) the four analyzed intermediate city areas of Gothenburg all have a degree of social activity, especially where economic activities are clustered together; b) Third Places in more affluent areas tend to be linked to commodified consumption of urban space while neighborhoods with lower income levels and higher ethnic diversity seem to emphasize open public space as Third Places; and c) nowadays the typology of Third Places has evolved from the types identified in previous decades to include additional types of places, such as those you pass on the way to something else (e.g. gas and bus stations). The study has verified the value of SMD for studies of urban social life but also identified a number of topics for further research. Additional sources of SMD should be identified to secure a just representation of Third Places across diverse social groups. Furthermore, new methods for effective cross validation of SMD with other types of data are crucial, including e.g. statistics, on-site observations and surveys/interviews, not least to identify Third Places that are not frequently present (or are misrepresented) in SMD.
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