Category: Nursing

  • Critiquing Quantitative and Qualitative Study

    Critiquing Quantitative and Qualitative Study.

    Nursing research has experienced remarkable growth, providing nurses with a growing evidence base from which to practice (Polit & Beck, 2017).  Qualitative data are collected in a natural setting and the data are not numerical: rather, they are full and rich descriptions from participants (Williamson, 2009). Quantitative research gathers numerical data that strongly influence the quality of the evidence in the study (Polit & Beck, 2017).A key methodologic distinction is between quantitative research, which is most closely allied with positivism, and qualitative research, which is associated with constructivist inquiry (Polit & Beck, 2017). The review of literature can be a valuable tool, to ensure that policies are developed based on a body of evidence that has been systematically synthesized and analyzed (Houde, 2009). Critiquing Quantitative and Qualitative Study. Critiquing a study identifies areas of adequacy and inadequacy in an unbiased manner (Polit & Beck, 2017). The purpose of this paper is to review and critique two research articles, and to compare the advantages and disadvantages of the two articles.

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    Research Articles

               
    The first article chose was a qualitative study in parental perceptions and understanding of SIDS-reduction guidance in a UK bi-cultural urban community by Denise Crane and Helen Ball, 2016. This study aimed to discover how white British and Pakistani mothers in Bradford recall, understand and interpret SIDS-guidance, and to explore whether and how they implement this guidance in caring for their infants (Crane & Ball, 2016). The study also aimed to elicit detailed qualitative explanations for inter-cultural differences in infant care in the Bradford community (Crane & Ball, 2016). In-depth narrative interviews were conducted to obtain data from mothers of 8-12 week old infants (Crane & Ball, 2016). Being a qualitative study, it reflected the real experience and viewpoints of participants.

    The second article was a quantitative case-control study about the socioeconomic factors affecting infant sleep-related deaths in St. Louis by Cathy Hogan, 2014. The study was to identify or determine whether there is a relationship between maternal socioeconomic factors (race, poverty, maternal education, and parity) and sleep-related infant death. The study was conducted using secondary data analysis. The study involved two study populations and the data was collected from matched birth/death certificates and living birth certificates of infants who were born died within the time frame of the study. The study found a significant relationship between race and sleep-related infant death. The study involved numerical data that supported the hypothesis. Being a quantitative study, results that support the researcher’s hypothesis are described as significant (Polit & Beck, 2017). Critiquing Quantitative and Qualitative Study.

    Advantages and Disadvantages

               
    Every method of study has its advantages and disadvantages. The first research article being a qualitative study about the parental perceptions and understanding of SIDS-reduction and guidance mainly aimed at identifying the practices and cultural influences of the mothers in taking care of the infants. The study includes narrative interviews of mothers that helped collect data focusing on understanding the human experience as it is lived (Crane & Ball, 2016). The study emphasized on the dynamic, holistic, and individual aspects of mothers while taking care of their infants (Crane & Ball, 2016). Findings from this study is typically grounded in the real-life experiences of people with first-hand knowledge (Polit & Beck, 2017). This helped to gain a better knowledge of the phenomena. Critiquing Quantitative and Qualitative Study. The study also provided suggestions for individually tailored approaches for SIDS-reduction (Crane & Ball, 2016). The disadvantage of this particular study was a small sample size and the study being, limited to one group of community.

               
    The second study was a quantitative study about the socioeconomic factors affecting infant sleep-related death. This quantitative research was mainly numerical and pointed to objectivity. Also the research had a constructed a theory/framework, that helped the researcher work around it. Secondary data analysis of birth/death certificates and living birth certificates of infants born/died within the time frame, was used in this study (Hogan, 2014). So there was no direct involvement of the human subjects. Numerical data and tables was presented throughout the study. The disadvantages of the study includes the study population which mainly included the African American community (Hogan, 2014). This might have limited the generalizability of the findings. The sample size was information on 26,211 individuals in a 4 year period (2005-2009), which might have consumed the time frame of the study Critiquing Quantitative and Qualitative Study.

    Qualitative Research not Real Science

    Response to claim qualitative research not real science can be answered different ways by people. Qualitative research is always valued for its relevance, but is considered lacking in scientific accuracy. Qualitative researchers undertake in-depth studies that usually reveals pattern and processes suggesting casual interpretations which will need more systematic testing with controlled methods of inquiry (Polit & Beck, 2017). Qualitative research does not have standard rules or procedures that makes the researcher hard to explain how to do analyses. Qualitative and quantitative researches provide outcomes in their own ways that is important to the researches. Critiquing Quantitative and Qualitative Study.  Quantitative data mainly provides numerical data and include a hypothesis to work towards the directions (Eliyahu, 2014). Qualitative research will serve the research with descriptive goals, while the quantitative research will deliver specific variable measures (Sinaga, 2014). The insights of these two studies can help the researchers chose which is the best and appropriate design for the study.

    Conclusion

               
    Understanding the factors that causes the increasing rates of Sudden Infant Death Syndrome is very important for the reduction rates. The two articles critiqued in this paper shows the factors causing the infant sleep-related deaths. Analyzing the different methods of research used in the articles reviewed helps to learn more about the two designs of the study, qualitative and quantitative study. Study designs discovers significant amount of information about the researches. Qualitative study is subjective and quantitative study is analyzed through statistical means (Polit & Beck, 2017). Knowing the different methods of designs used in research helps the researchers choose a better one for any new research. Critiquing Quantitative and Qualitative Study.

     

    References

    Crane, D., & Ball, H. L. (2016). A qualitative study in parental perceptions and understanding

    of SIDS-reduction guidance in a UK bi-cultural community.
    BMC Pediatrics, 161.
    doi: 10.1186/s12887-016-0560-7

    Eliyahu, A. (2014). Understanding different types of research: The difference between

    qualitative and quantitative approaches. Retrieved from:
    http://chronicle.umbmentoring.org/on-methods-whats-the-difference-between-qualitataive-and-quantitative-approaches/

    Hogan. C. (2014). Socioeconomic Factors Affecting Infant Sleep-Related Deaths in St. Louis.

    Public Health Nursing.
    31(1), 10-18. doi: 10.1111/phn.12052

    Houde, S. C. (2009). The systematic review of literature: A tool for evidence-based policy.

    Journal of Gerontological Nursing,
    35(9), 9-12. Critiquing Quantitative and Qualitative Study.

    Polit, D. F., & Beck, C. T. (2012). Nursing research: Generating and assessing evidence for

    nursing practice (9th ed.). Philadelphia, PA: Wolters Kluwer

    Sinaga, A. M. H. P. (2014). Differences Between Qualitative And Quantitative Analysis And

    How It Should Be Applied In Our Research. Retrieved from:  
    http://www.academia.edu/10722206/Difference_Between_Qualitative_And_Quantitative_Analysis_And_How_It_Should_Be_Applied_In_Our_Research

    Williamson, K. M. (2009). Evidence-based practice: Critical appraisal of qualitative evidence.

    Journal of the American Psychiatric Association, 15(3), 202-207. Critiquing Quantitative and Qualitative Study.

     

    Critique Template for a Quantitative Study

    NURS 5052/NURS 6052

    Week 6 Assignment: Application: Critiquing Quantitative, Qualitative, or Mixed Methods Studies (due by Day 7 of Week 7)

    Date: 10/15/2017

    Your name: Sandhya Thomas

    Article reference (in APA style): Hogan. C. (2014). Socioeconomic Factors Affecting Infant Sleep-Related Deaths in St. Louis.
    Public Health Nursing.
    31(1), 10-18. doi: 10.1111/phn.12052

    URL: http://onlinelibrary.wiley.com.ezp.waldenulibrary.org/doi/10.1111/phn.12052/epdf

     

    What is a critique? Simply stated, a critique is a critical analysis undertaken for some purpose. Nurses critique research for three main reasons: to improve their practice, to broaden their understanding, and to provide a base for the conduct of a study. Critiquing Quantitative and Qualitative Study.

    When the purpose is to improve practice, nurses must give special consideration to questions such as these:

     

    Are the research findings appropriate to my practice setting and situation?

    What further research or pilot studies need to be done, if any, before incorporating findings into practice to assure both safety and effectiveness?

    How might a proposed change in practice trigger changes in other aspects of practice?

     

    To help you synthesize your learning throughout this course and prepare you to utilize research in your practice, you will be critiquing a qualitative, quantitative, or mixed methods research study of your choice.

     

    If the article is unavailable in a full-text version through the Walden University Library, you must
    e-mail the article as a PDF or Word attachment to your Instructor.

     
     

    QUANTITATIVE RESEARCH CRITIQUE

     

    Research Problem and Purpose

     

    What are the problem and purpose of the referenced study? (Sometimes ONLY the purpose is stated clearly and the problem must be inferred from the introductory discussion of the purpose.) Critiquing Quantitative and Qualitative Study.
     

    Though the Back to Sleep Campaign that began in 1994 caused an overall decrease in sudden infant death syndrome (SIDS) rates, racial disparity has continued to increase in St. Louis. The purpose of the study is to determine whether there is a relationship between maternal socioeconomic factors and sleep-related infant death in St. Louis.

     

    Hypotheses and Research Questions

     

    What are the hypotheses (or research questions/objectives) of the study? (Sometimes the hypotheses or study questions are listed in the Results section, rather than preceding the report of the methodology used. Occasionally, there will be no mention of hypotheses, but anytime there are inferential statistics used, the reader can recognize what the hypotheses are from looking at the results of statistical analysis.) Critiquing Quantitative and Qualitative Study.

     

    The research question was,” Is there a relationship between socioeconomic factors (level of poverty, race, level of education, and number of children born) pertaining to the mother and infant sleep-related deaths?”

     
     

    Literature Review

     
    What is the quality of the literature review? Is the literature review current? Relevant? Is there evidence that the author critiqued the literature or merely reported it without critique? Is there an integrated summary of the current knowledge base regarding the research problem, or does the literature review contain opinion or anecdotal articles without any synthesis or summary of the whole? (Sometimes the literature review is incorporated into the introductory section without being explicitly identified.)

     

    The quality of the literature review was current and relevant. Citations are included in the literature review that shows evidence of the literature review. There is integration of current knowledge base regarding the research in the background section of the study. The literature review highlighted evidence of variables (level of poverty, race, level of education, and number of children born) that affect parental choices for infant safe sleep.

     

     

    Theoretical or Conceptual Framework

     

    Is a theoretical or conceptual framework identified? If so, what is it? Is it a nursing framework or one drawn from another discipline? (Sometimes there is no explicitly identified theoretical or conceptual framework; in addition, many “nursing” research studies draw on a “borrowed” framework, e.g., stress, medical pathology, etc.)

     

    The theoretical or conceptual framework was to determine whether there are modifiable factors that may reduce racial disparity and the tragedy of infant death. Critiquing Quantitative and Qualitative Study.

     

    Population

     

    What population was sampled? How was the population sampled? Describe the method and criteria. How many subjects were in the sample?

     

    There were two study populations. The study population of all mothers of infants younger than 1 year who resided in St. Louis, MO at the time of the infant’s birth and whose infants died in St. Louis between January 1, 2005 and December 31, 2009 was included as the case set in analysis. The control population was a systematic sampling of all mothers who resided in St. Louis at the time of the infants’ birth and whose infants lived past their first year. The dataset collected included information on 26,211 individuals and represented all birth recorded in St. Louis, MO between January 1, 2005 and December 31, 2009.  Critiquing Quantitative and Qualitative Study. The sample includes matched birth/death certificates and living birth certificates of infant’s who were born/died within the time frame.

     

    Protection of Human Research Participants

     

    What steps were taken to protect human research subjects?

     

    The study was an observational study using secondary data analysis. The Missouri DHSS institutional review board requirements were satisfied to obtain de-identified data.

     

    Research Design

     

    What was the design of the study? If the design was modeled from previous research or pilot studies, please describe.

     

    Quantitative case-control study used secondary data collected by the Missouri Department

    Of Health and Senior Services between 2005 and 2009. Because this observational study compared cases where there was no death, a case-control study was appropriate. Since there was no control over the original data collection, the study falls into the category of observational studies using secondary data analysis.

     

    Instruments and Strategies for Measurement

     

    What instruments and/or other measurement strategies were used in data collection? Was information provided regarding the reliability and validity of the measurement instruments? If so, describe it.

     

    Matched birth/death data were coded according to International Statistical Classification of Diseases and Related Health Problems. The database included information on the study’s outcome variable (whether they had a sleep-related death) and on demographic independent variables, such as mother’s race, whether she was married to the infant’s father, whether she received food stamps, years of education, and parity. The same independent variables were used in analysis if the infant death cases and the nondeath cases. Critiquing Quantitative and Qualitative Study.

     

    Data Collection

     

    What procedures were used for data collection?

     

    Data was collected through secondary data analysis from the matched birth/death data of infants between 2005 and 2009 in St. Louis, MO.

    Data Analysis

     

    What methods of data analysis were used? Were they appropriate to the design and hypotheses?

     

    Descriptive statistics and frequency distributions were generated for each variable. The case and control results were compared once the separate analyses was complete. Since the data being analyzed categorically, the technique of choice was logistic regression. The chi-square test was used to determine if there was a significant relationship between the categorical independent variables. A cross-tabulation was performed to determine the frequency with which the variables occur together. The methods used for data analysis was appropriate to the design and hypotheses.

     

    Interpretation of Results

     

    What results were obtained from data analysis? Is sufficient information given to interpret the results of data analysis?

     

    The results showed Caucasian mothers were significantly less likely than African American mothers (by a factor of OR = .228, p = .005) to experience sleep related infant death. Although poverty was significant in the chi-squared analysis, it was significant in logistic regression. Even though previous researches showed racial disparity regarding sleep-related infant deaths that occurred while co-sleeping, the data presented by the Missouri Department of Health and Senior Services did not provide specific information about the individual deaths beyond unintentional suffocation Critiquing Quantitative and Qualitative Study.

    Sufficient information was given to interpret the results of the data analysis the study included tables of all the findings.

     

     

    Discussion of Findings

     

    Was the discussion of findings related to the framework? Were those the expected findings?  Were they consistent with previous studies? Were serendipitous (i.e., accidental) findings described
    ?

     

    Discussion of findings was related to the framework. Previous research has suggested that socioeconomic factors have an impact on infant sleep-related deaths, this study found a significant relationship only between race and infant sleep-related death. So the study was not consistent with the previous studies. Critiquing Quantitative and Qualitative Study.

     

     

    Limitations

     

    Did the researcher report limitations of the study? (Limitations are acknowledgments of internal characteristics of the study that may help explain insignificant and other unexpected findings, and more importantly, indicate those groups to whom the findings CANNOT be generalized or applied. It is a fact that all studies must be limited in some way; not all of the issues involved in a problem situation can be studied all at once.)

     

    Researcher did report limitations for the study. The study population was a limitation, as it is a largely an African American community. The size of the sample may also limit the validity and the generalizability of the study. Although the sample for mothers who have experienced sleep-related infant deaths is a valid presentation, the sample taken from the mothers who have not experienced sleep-related infant deaths may provide an inaccurate basis for comparison, especially given the size of the sample in relation to the total population. Critiquing Quantitative and Qualitative Study.

     

    Implications

     

    Are the conclusions and implications drawn by the author warranted by the study findings? (Sometimes researchers will seem to ignore findings that don’t confirm their hypotheses as they interpret the meaning of their study findings.)

     

    The conclusions and implications drawn by the author are warranted by the study findings. The results of the study have a social change potential. This study provides evidence that there continues to be racial disparity in ST. Louis, Missouri despite messages of the Back to Sleep Campaign and drastic reductions in sleep-related deaths in Caucasian population. The findings from this study serve to inform the concerned offices that there is a specific demographic group for them to target and educate the dangers of sleep-related infant death. Critiquing Quantitative and Qualitative Study.

     

    Recommendations

     

    Does the author offer legitimate recommendations for further research? Is the description of the study sufficiently clear and complete to allow replication of the study? (Sometimes researchers’ recommendations seem to come from “left field” rather than following obviously from the discussion of findings. If a research problem is truly significant, the results need to be confirmed with additional research; in addition, if a reader wishes to design a study using a different sample or correcting flaws in the original study, a complete description is necessary.)

     

    Author does offers legitimate recommendations for further research. The study did not show significant relationship between maternal level of education, poverty and sleep-related deaths. There were limitations in the study, mainly being the size. Further research in a larger scale maybe beneficial. Critiquing Quantitative and Qualitative Study.

     

    Research Utilization in Your Practice

     

    How might this research inform your practice? Are the research findings appropriate to your practice setting and situation? What further research or pilot studies need to be done, if any, before incorporating findings into practice to assure both safety and effectiveness? How might the utilization of this research trigger changes in other aspects of practice?

     

    Being an OB nurse the research findings are appropriate to my practice setting and situation. Further research should be done including a larger sample size, teen parents and single parents. Rather providing a single message about Sudden Infant Death Syndrome, the education needs to be targeted to the individual. Further research on this topic will trigger changes in practice with a positive outcome.

     

    Critique Template for a Qualitative Study

    NURS 5052/NURS 6052

    Week 6 Assignment: Application: Critiquing Quantitative, Qualitative, or Mixed Methods Studies (due by Day 7 of Week 7)

    Date: 10/15/2017

    Your name: Sandhya Thomas

    Article reference (in APA style): Crane, D., & Ball, H. L. (2016). A qualitative study in parental perceptions and understanding of SIDS-reduction guidance in a UK bi-cultural community.
    BMC Pediatrics, 161.
    doi: 10.1186/s12887-016-0560-7

    URL:http://eds.a.ebscohost.com.ezp.waldenulibrary.org/eds/pdfviewer/pdfviewer?vid=66&sid=5449fa37-5ab8-4d72-b95a-d4cf314731b6%40sessionmgr4009

     
     

    What is a critique? Simply stated, a critique is a critical analysis undertaken for some purpose. Nurses critique research for three main reasons: to improve their practice, to broaden their understanding, and to provide a base for the conduct of a study. Critiquing Quantitative and Qualitative Study.

     

    When the purpose is to improve practice, nurses must give special consideration to questions such as these:

     

    Are the research findings appropriate to my practice setting and situation?

    What further research or pilot studies need to be done, if any, before incorporating findings into practice to assure both safety and effectiveness?

    How might a proposed change in practice trigger changes in other aspects of practice?

     

    To help you synthesize your learning throughout this course and prepare you to utilize research in your practice, you will be critiquing a qualitative, quantitative, or mixed-methods research study of your choice

     

    If the article is unavailable in a full-text version through the Walden University Library, you must
    e-mail the article as a PDF or Word attachment to your Instructor.

     
     

    QUALITATIVE RESEARCH CRITIQUE

     

    Research Issue and Purpose

     

    What is the research question or issue of the referenced study? What is its purpose? (Sometimes ONLY the purpose is stated clearly and the question must be inferred from the introductory discussion of the purpose.)

     

    The research question or issue of the referenced study was, why parents appear to follow some guidelines for SIDS-reduction and not others. The purpose of the study was to discover how white British and Pakistani mothers in Bradford recall, understand and interpret SIDS-guidance, and to explore whether and how they implement this guidance in caring for their infants. This will help explore the cultural context in which infant care is performed in order to inform future public health interventions and similar ethnically diverse populations.

     

    Researcher Pre-understandings

     

    Does the article include a discussion of the researcher’s pre-understandings? What does the article disclose about the researcher’s professional and personal perspectives on the research problem? Critiquing Quantitative and Qualitative Study.

     

    The researchers pre-understanding was not included in the article.

     

    Literature Review

     

    What is the quality of the literature review? Is the literature review current, relevant? Is there evidence that the author critiqued the literature or merely reported it without critique? Is there an integrated summary of the current knowledge base regarding the research problem, or does the literature review contain opinion or anecdotal articles without any synthesis or summary of the whole? (Sometimes the literature review is incorporated into the introductory section without being explicitly identified.)

     

    The quality of the literature review is good. The literature is current and relevant. There is citations for all the evidence that the author critiqued. There is no integrated summary of the current knowledge base regarding the research problem, but the study contains anecdotal article citations, without the summary of the literature review as a whole. Critiquing Quantitative and Qualitative Study.

     

    Theoretical or Conceptual Framework

     

    Is a theoretical or conceptual framework identified? If so, what is it? Is it a nursing framework or one drawn from another discipline? (Sometimes there is no explicitly identified theoretical or conceptual framework; in addition, many “nursing” research studies draw on a “borrowed” framework, e.g., stress, medical pathology, etc.)

     

    A theoretical or conceptual framework for this study was that, differences existed in infant care practices between white British and UK Pakistani mothers. The background of the study also reveals that South Asian infant care protects infants from the most important SIDS-related factors such as cigarette smoking, alcohol consumption, sofa-sharing, prone sleep and solitary sleep.

     

    Participants

     

    Who were the participants? Is the setting or study group adequately described? Is the setting appropriate for the research question? What type of sampling strategy was used? Was it appropriate? Was the sample size adequate? Did the researcher stipulate that information redundancy was achieved?

     

    The participants of the study was mothers of 8-12 week old infants. The setting for the study was at Bradford Royal Infirmary Maternity Unit. The setting was appropriate for the research question. Purposive sampling strategy was used which was appropriate for the study. The interviews were done with 46 participants, 25 white British and 21 Pakistani mothers. The sample size for the study was small. The researcher did not stipulate that information redundancy was achieved. Critiquing Quantitative and Qualitative Study.

     

    Protection of Human Research Participants

     

    What steps were taken to protect human research subjects?

     

    Ethical approval was granted by Durham University and the NHS National Research Ethics Committee of Yorkshire and Humber. R&D Management approval was granted by Bradford Teaching Hospitals NHS Foundation Trust and Bradford Institute for Health Research. Participant’s received oral and written information about the study at recruitment and again prior to the interview when written consent was obtained.

     

     

    Research Design

     

    What was the design of the study? If the design was modeled from previous research or pilot studies, please describe.

     

    The study design was a qualitative, cohort study. The study was based on findings from other studies that showed differences in infant care practices between white British and UK Pakistani mothers. Critiquing Quantitative and Qualitative Study.

     

    Data Collection/Generation Methods

     

    What methods were used for data collection/generation?

    Was triangulation used? 

     

    In depth narrative interviews was conducted to obtain qualitative data. All interviews were conducted and analyzed by one researcher with the guidance and supervision of the second researcher. The interviews were audio-taped and verbatim transcripts were thematically analyzed via a continuous comparative method as they were generated. Themes were discussed and agreed by both researchers. Triangulation was not used in this study.

     

    Credibility

     

    Were the generated data credible? Explain your reasons.

     

    The data that was generated by this study was credible. The participants of the study was mothers of infants 8-12 weeks old, who was aware of the SIDS-reduction guidance, implemented different infant sleeping practices for personal and cultural reasons. Mostly they were verbalizing their own experiences and reasons for doing so.

     

    Data Analysis

     

    What methods were used for data analysis? What evidence was provided that the researcher’s analysis was accurate and replicable?

     

    Narrative interviews was conducted and audio-taped. They were conducted in 4 equal batches from the two ethnic groups concurrently to ensure that developing themes were explored and cross-checked. The interviewer produced verbatim transcripts which were thematically analyzed through a continuous comparative methods as they were generated. Themes were discussed and agreed by both authors. Critiquing Quantitative and Qualitative Study.

     

    Findings

     

    What were the findings?

     

    All mothers were aware of UK SIDS-reduction guidance from leaflets presented to them during antenatal or postnatal interactions with healthcare providers. Pakistani mothers tended to dismiss the guidance as being irrelevant to their cultural practices; white British mothers dismissed, adapted and adopted aspects of the guidance to suit their preferred parenting decisions and personal circumstances. Many mothers misunderstood or misinterpreted the guidance given and explained their infant care behavior according to their social and cultural circumstances. The findings of the study suggests guidance and literature should be actually with acknowledgment, understanding and appreciation of variations in infant caregiving and discussion of the barriers to implementation encountered in different settings.

     

    Discussion of Findings

     

    Was the discussion of findings related to the framework? Were those the expected findings?  Were they consistent with previous studies? Were serendipitous (i.e., accidental) findings described
    ?

     

    The discussion of the findings was related to the framework of the study. Research has not explored why parents appear to follow some SIDS-reduction guidelines and not others. The findings of the study was expected. There was no accidental findings described in the study.

     

    Limitations

     

    Did the researcher report limitations of the study? (Limitations are acknowledgments of internal characteristics of the study that may help explain insignificant and other unexpected findings, and more importantly, indicate those groups to whom the findings CANNOT be generalized or applied. It is a fact that all studies must be limited in some way; not all of the issues involved in a problem situation can be studied all at once.)

     

    The researchers have not reported any limitations in the study. After reviewing the study, the limitations could be the small sample size of the participants and the study was focused only to the mothers of bi-cultural community in Bradford.

     

    Implications

     

    Are the conclusions and implications drawn by the author warranted by the study findings? (Sometimes researchers will seem to ignore findings that don’t confirm their expectations as they interpret the meaning of their study findings.) Critiquing Quantitative and Qualitative Study.

     

    The conclusions and implications drawn by the researchers warranted the study findings. The study suggests that more emphasis needs to be placed on the recommendations that are associated with the greater risk reduction in order to achieve the greatest benefit.

     

    Recommendations

     

    Does the author offer legitimate recommendations for further research?  Is the description of the study sufficiently clear and complete to allow replication of the study? (Sometimes researchers’ recommendations seem to come from “left field” rather than following obviously from the discussion of findings. If a research problem is truly significant, the results need to be confirmed with additional research; in addition, if a reader wishes to design a study using a different sample or correcting flaws in the original study, a complete description is necessary.)

     

    The researchers did not specifically recommend for further research. But recommendations were made for the need for risk minimization in infant sleep recommendations with an individually tailored approach by acknowledging the cultural preferences.

     

    Research Utilization in Your Practice

     

    How might this research inform your practice? Are the research findings appropriate to your practice setting and situation? What further research or pilot studies need to be done, if any, before incorporating findings into practice to assure both safety and effectiveness? How might the utilization of this research trigger changes in other aspects of practice?

     

    The findings are appropriate for my setting. We come across a lot bi-cultural mothers that provides infant care as per their cultural beliefs and practices. Further studies needs to be done how to incorporate the individually tailored approach to help new mothers or parents to be more compliant about following the SIDS-reduction guidance. The utilization of the research can health professional be trained more to be aware and understand of how infant care decisions are mediated and performed, in differing social and cultural environments, and to provide tailored information to allow parents to work within their personal constraints. Critiquing Quantitative and Qualitative Study.

  • NURS 6051 – Assignment: The Nurse Leader as Knowledge Worker Essay

    NURS 6051 – Assignment: The Nurse Leader as Knowledge Worker Essay

    NURS 6051N

    In this Discussion, you will consider a scenario that would benefit from access to data and how such access could facilitate both problem-solving and knowledge formation.

    To Prepare:

    Reflect on the concepts of informatics and knowledge work as presented in the Resources.

    Consider a hypothetical scenario based on your own healthcare practice or organization that would require or benefit from the access/collection and application of data. Your scenario may involve a patient, staff, or management problem or gap. NURS 6051 – Assignment: The Nurse Leader as Knowledge Worker Essay.

    ORDER A CUSTOM-WRITTEN, PLAGIARISM-FREE PAPER NOW

    Part 2:  

    Assignment: The Nurse Leader as Knowledge Worker

    The term “knowledge worker” was first coined by management consultant and author Peter Drucker in his book, The Landmarks of Tomorrow (1959). Drucker defined knowledge workers as high-level workers who apply theoretical and analytical knowledge, acquired through formal training, to develop products and services. Does this sound familiar?

    Nurses are very much knowledge workers. What has changed since Drucker’s time are the ways that knowledge can be acquired. The volume of data that can now be generated and the tools used to access this data have evolved significantly in recent years and helped healthcare professionals (among many others) to assume the role of knowledge worker in new and powerful ways. NURS 6051 – Assignment: The Nurse Leader as Knowledge Worker Essay.

    In this Assignment, you will consider the evolving role of the nurse leader and how this evolution has led nurse leaders to assume the role of knowledge worker. You will prepare a presentation with an info graphic  to educate others on the role of nurse as knowledge worker.

     

    Reference: Drucker, P. (1959). The landmarks of tomorrow. New York, NY: HarperCollins Publishers.

     

    To Prepare:

     

    Review the concepts of informatics as presented in the Resources.

    Reflect on the role of a nurse leader as a knowledge worker.

    Consider how knowledge may be informed by data that is collected/accessed.

    The Assignment:

     

    Explain the concept of a knowledge worker.

    Define and explain nursing informatics and highlight the role of a nurse leader as a knowledge worker.

    Develop a simple infographic to help explain these concepts. NURS 6051 – Assignment: The Nurse Leader as Knowledge Worker Essay.

     

    NOTE: For guidance on infographics, including how to create one in PowerPoint, see “How to Make an Infographic in PowerPoint” as presented in the Resources.

     

    Present the hypothetical scenario you originally shared in the Discussion Forum. Include your examination of the data that you could use, how the data might be accessed/collected, and what knowledge might be derived from that data. Be sure to incorporate feedback received from your colleagues’ replies. NURS 6051 – Assignment: The Nurse Leader as Knowledge Worker Essay.

  • Nursing 6052 – Week 7 – Critiquing Quantitative/ Qualitative Research

    Nursing 6052 – Week 7 – Critiquing Quantitative/ Qualitative Research

    Quantitative & Qualitative Research

    Quantitative and qualitative research have been used by researchers for many years.  In research, these two types are used to draw conclusions to further evidence based practice. “Research methods are the techniques researchers use to structure a study and to gather and analyze information relevant to the research question” (Polit, & Beck, (2017), p. 11). What exactly is quantitative and qualitative research? Quantitative research is an approach for testing objective theories.  This is achieved by examining a relationship among different variables.  These variables can then be measured and number data can be analyzed through statistical procedures. Qualitative research is an approach for exploring and understanding the meaning individuals or groups ascribe to a social or human problem. This is achieved by formulating questions and procedures.  The data is obtained in the participant’s setting and data is analyzed to particulars to general themes. The researcher then makes interpretations of the meaning of the data. Both types of research contain strengths and weaknesses. If the correct method is used and the researcher yields the results that were desired, it can help shape the health care profession in many ways. In this paper, the advantages and disadvantages of the two types of approaches will be discussed in regard to the topic of interest that was selected as well as discussing a valid response to claim that qualitative research is not real science. Nursing 6052 – Week 7 – Critiquing Quantitative/ Qualitative Research.

    BUY A PLAGIARISM-FREE PAPER HERE

    Advantages

    The first article selected involved reviewing central line-associated blood stream infection (CLABSI) rates and examining a hospitals pre- and post implementation of the Society for Healthcare Epidemiology of America (SHEA) guidelines. Hospital-acquired infections, specifically CLABSIs were once thought to be an unavoidable risk. Therefore, the aim of this study was to prove that with the proper guidelines and preventative measures in place, CLABSIs and the deaths associated with them can be decreased. The main advantage of this study was the method of quantitative analysis lead the researchers in yielding statistically great results.

    The second article selected involved interviewing health care staff on the believe that the empowerment of patients to be involved in their care would reduce the burden of health care-associated infections. The active engagement of patients in their care has also been used as a strategy to promote medication adherence, improve patient safety, and foster open communication with health care providers. Nursing 6052 – Week 7 – Critiquing Quantitative/ Qualitative Research. Therefore, “the study set out to examine the level of awareness toward patient empowerment, previous experiences with campaigns, and degree of acceptance toward the introduction of a new empowerment program focused on engaging patients around infection control strategies” (Seale, H., Chughtai, A. A., Kaur, R., Phillipson, L., Novytska, Y., & Travaglia, J. (2015). The main advantage of this article was that it “heavily focused on understanding the human experience and used careful collection and analysis of subjects that are narrative and subjective” (Polit, & Beck, (2017), p. 12).

    Disadvantages

    A few disadvantages were noted within this quantitative study. The single-site retrospective design was of concern. Future studies with a larger more diverse sample size would be of benefit. With this disadvantage, the study limits it generalizability. In addition, randomized prospective studies looking closely at individual interventions may be of benefit. Lastly, the study also employed various methods of data collection. This in return may have impacted the validity and analysis within the study. Nursing 6052 – Week 7 – Critiquing Quantitative/ Qualitative Research.

    A few disadvantages were also noted within the qualitative study. The main disadvantage to the qualitative study was the small sample size of hospital staff that were used. It is important in a research study to have a sufficient number of individuals involved because “generalizability of findings from constructivist inquiries is an issue for potential concern” and decreases validity (Polit, D. F., & Beck, C. T. (2017) p. 12). In addition, the study did not include other health care staff from other departments within the hospital. The interviews were conducted with staff from the surgical unit. It would have been beneficial to see the opinions and answers from those throughout the hospital.

    Response to claim

    Qualitative research is not real science? Absurd it what I call the claim. Why do I call it absurd? Well, as nurses in the healthcare profession qualitative research is done each day with patient interaction by getting the patients point of view on their care and disease process. Nursing 6052 – Week 7 – Critiquing Quantitative/ Qualitative Research.  “Much of the work of clinicians (including pharmacists) takes place within a social, clinical, or interpersonal context where statistical procedures and numeric data may be insufficient to capture how patients and health care professionals feel about patients’ care” (Austin, & Sutton, (2014).

    Qualitative & quantitative are the two main types of research. Qualitative is more of a subjective method of data collection and deals with thoughts, feelings and beliefs, etc. Quantitative research gathers absolute data. It focuses on numeric information and is an objective method of data collection. Quantitative research is often carried out in a lab setting whereas qualitative research occurs in the natural setting. In this sense, it could be assumed that quantitative methods are more scientific because the experiments can be controlled, whereas qualitative is not very reliable due to the susceptible nature.  “It is important to note that although quantitative methods seem to be more scientific, the results are very rigid and do not give us any rich data. Qualitative methods, however, allow us to look further, beyond yes and no, beyond one to five, to give us information which is far more detailed. And through this, we can examine, explore and further theories” (Alhoward. (2011). Using both methods of research together can provide the best end result. Evidence based practices will be delivered in the health care setting.

     

    Critique Template for a Quantitative Study

     

    NURS 5052/NURS 6052

    Week 6 Assignment: Application: Critiquing Quantitative, Qualitative, or

    Mixed Methods Studies

     

    Date:
    January 11, 2018

    Your name:
    Jessica Toney

    Article reference (in APA style):
     Curlej, M. H., Katrancha, E. (2016). One Rural Hospital’s Experience Implementing the Society of Healthcare Epidemiology of America Guidelines to Decrease Central Line Infections.
    Journal of Trauma Nursing.
    Vol. 23, Issue 5, pp. 290-297. Nursing 6052 – Week 7 – Critiquing Quantitative/ Qualitative Research.

     

    URL:

    https://eds-a-ebscohostcom.ezp.waldenulibrary.org/eds/pdfviewer/pdfviewer?vid=3&sid
    =

    3fb92985-309b-4e9d-8252-0eb0e8e630c5%40sessionmgr4008

    ______________________________________________________________________________

     

    QUANTITATIVE RESEARCH CRITIQUE

     

    Research Problem and Purpose

     

    “Hospital-acquired infections, specifically CLABSIs, were once thought to be an unavoidable risk of intensive care. The high use of CVCs (3 million/year in the United States) (Edgeworth, 2009). has created a risk that resulted in a CLABSI rate of 80,000 in the ICU per year and this number climbs to 250,000/year with inclusion of patients outside of the ICU (Mermel.2000) and in 2008 alone, 37,000 CLABSIs occurred among patients receiving outpatient hemodialysis, which has resulted in a major public health problem (Centers for Disease Control and Prevention [CDC], 2011). The purpose of this article was to review the CLABSI rates and examination of the prevention strategies following implementation of the SHEA guidelines” (Curlej, M. H., Katrancha, E. (2016). Nursing 6052 – Week 7 – Critiquing Quantitative/ Qualitative Research.

     

    Hypotheses and Research Questions

     

    “In an effort to take advantage of the Highmark Quality Blue Initiative, information from hospitals detailing their CLABSI surveillance system, quality improvement program, and statistics regarding the CLABSI events, this institution investigated the latest evidence-based recommendations to reduce CLABSIs. Will implementation of the Central Line Bundle and using SHEA guidelines decrease the rates of CLABSIs? (Curlej, M. H., Katrancha, E. (2016).

     

     

    Literature Review

     

    “Hospital-acquired infections (HAIs) affect 1.7 million patients annually and result in 99,000 deaths each year (US Department of Health and Human Services, 2010). There are major categories of HAIs; urinary tract infections that account for 34%, surgical site infections 17%, bloodstream infections 14%, and pneumonia 13%. CLABSIs are a subset of bloodstream infections, and while Klevens et al (2007) estimated that the deaths caused by or associated with an HAI were 98,987 per year, one-third of these were secondary to CLABSIs resulting in a 12.3% mortality rate (U.S. Department of Health and Human Services, 2009). CLABSIs result in prolonged stays in the intensive care unit (ICU) with medical costs averaging an additional $11,971 per patient (Warren et al., 2006). The overall effect of CLABSIs results in annual expenditures of 2.3 million dollars in U.S. hospitals (Blot et al., 2005). However, with preventive measures, these costs could be greatly reduced and perhaps eliminated. Central line-associated bloodstream infections (CLABSIs) can be a devastating complication of intensive care in the hospital. Central venous catheters (CVCs) are venous access devices that end at or near the entry to the heart. While they are often necessary for hemodynamic monitoring and administration of fluids, medications, and total parenteral nutrition, they are not without considerable risk” (Curlej, M. H., Katrancha, E. (2016). Nursing 6052 – Week 7 – Critiquing Quantitative/ Qualitative Research.

     

    Theoretical or Conceptual Framework

     

    The implementation of the SHEA guidelines and Central Line Bundle provided a conceptual framework for CLABSI which led to increased nursing knowledge of hub cleansing and physician dictation of line necessity, and a decrease in femoral line utilization.

     

    Population

     

    “Any patient with a CLABSI infection admitted to this hospital July 2007 to June 2010 (
    N
    = 78). Inclusion criterion was a diagnosed CLABSI per the three levels of criterion set forth by the CDC (2010) as detailed in Table 1. The sample consisted of patients meeting inclusion criteria between July 2007 and June 2010. The sample was divided over three time periods. The sample ranged in age from 26 weeks to 91 years with 61% of the total being male” (Curlej, M. H., Katrancha, E. (2016).

     

    Protection of Human Research Participants

     

    This quantitative analysis does not address the protection of Human Rights

     

     

     

     

    Research Design

     

    “Descriptive retrospective program evaluation examined the hospital’s pre- and post-SHEA implementation methods of decreasing CLABSIs and the subsequent CLABSI rates” (Curlej, M. H., Katrancha, E. (2016).

     

    Instruments and Strategies for Measurement

     

    Charts were used to collect data for measurement. The first chart consisted of “Criterion for Classification of a CLABSIs.” The second chart consisted of the characteristics of each patient in each period that included the number of CLABSIs, rate per 1,000 CVC days, mean patient age, gender, line type, and line location.

     

    Data Collection

     

    “The CLABSI rates were obtained from CDC National Healthcare and Safety Network (CDC, 2010) database. CLABSI rate is calculated by multiplication of CLABSI episodes with 1,000 and then dividing by the total number of CLDs. (CDC, 2010). Data collection was made over three periods, that is, Period 1 (July 2007–June 2008), Period 2 (July 2008–June 2009), and Period 3 (July 2009–June 2010). CLABSI (defined as laboratory-confirmed bloodstream infection in Table 2) event reporting was obtained from NHSN database (CDC, 2011) The outcome of decreasing CLABSI rates was examined and evaluated for compliance to quality improvement strategies. The IV therapy team performed daily inspections on central line management and line insertion compliance. The team located central line insertion departments (interventional radiology, emergency department, and ICU/ critical care unit [CCU]) and identified the certified insertion performers. Nursing 6052 – Week 7 – Critiquing Quantitative/ Qualitative Research. The LSS team gathered data using the “Get Off Your Armchair” (GOYA) method. The GOYA is a method of observation found in the LSS Pocket Tool book (2005) that calls for visiting the site, questioning staff, observing technique, and then documenting quality improvement strategies. Variations were corrected on the spot by providing education on an immediate basis” (Curlej, M. H., Katrancha, E. (2016).

     

    Data Analysis

     

    “Descriptive statistics, including demographic data (age, sex) and comparison of outcomes (femoral line utilization rates [FLURs], dictation of maximal barrier use, nursing care of the line, and necessity dictations), were calculated across the time periods using standard analysis of variance (ANOVA) and correlation techniques. The monthly CLABSI rates over the period of 3 years (July 2007–September 2010) divided into three time periods were evaluated. In addition, an in-depth review of each prevention strategy and compliance to the strategy was analyzed”

    (Curlej, M. H., Katrancha, E. (2016).

     

    Interpretation of Results

     

    CLABSI rates showed a downward trend across the three time periods (1.9, 1.7, and 1.3, respectively). Interventions were introduced at each time period to correct deficiencies. Currently CLABSI rates at this facility remain lower than the baseline of 2.4 for calendar year 2013, 2014, and 2015. An ANOVA was calculated and no significant decrease in the FLUR was observed. The utilization rates and the femoral line days however, decreased. An ANOVA was applied to compare compliance to dictation of MBP between the three time periods. Results showed no change over time for MBP as well as for skin asepsis. Despite a nursing education in-service, baseline re- call was only 30% for nurses on the “Scrubbing the Hub” program. There was an increase in knowledge from this baseline in July 2009 to 86% in November 2009 following the educational intervention, but no significant increase in technique knowledge between November 2009 and May 2010. Chi-square test revealed no changes with 95%. There was a statistically significant increase in line necessity dictations from 55% to 82%. An ANOVA also revealed significant improvement to adherence in dictating line necessity for physicians” (Curlej, M. H., Katrancha, E. (2016). Nursing 6052 – Week 7 – Critiquing Quantitative/ Qualitative Research.

     

    Discussion of Findings

     

    “The collaborative aspects of this program managed to decrease CLABSIs by compliance to the quality improvement strategies. Steady decline was observed in the periods with 1.3/1,000 CLDs at the end of fiscal year 2010. Each individual strategy was scrutinized for compliance and any additional shortcomings were identified and addressed. This retrospective study demonstrated a facilities ability to reduce CLABSI rates over time using the SHEA method. It reinforced the importance of ongoing education and evaluation of the consistent use of the SHEA methodology. Current CLABSI rates continue to stay below the baseline” (Curlej, M. H., Katrancha, E. (2016). Nursing 6052 – Week 7 – Critiquing Quantitative/ Qualitative Research.

     

    Limitations

     

    “The single-site retrospective design of this study limits its generalizability. The study also employed various methods of data collection that may have impacted validity and analysis. Difference in data interpretation due to various sources/methods of observations is also a concern. There are two special approaches in the SHEA guidelines, CHG bathing of ICU patients and CHG sponge dressings for CVCs. These were executed at the end of Period 3 but not evaluated for this study” (Curlej, M. H., Katrancha, E. (2016).

     

    Implications

     

    Yes, the conclusions and implications drawn by the author warranted by the study

     

     

    Recommendations

     

    “Future studies with a larger more diverse sample size would be of benefit. In addition, randomized prospective studies looking closely at individual interventions may be of benefit. Future evaluation of CLABSI rates at this facility should include these 2 items and their impact on the CLABSI rates” (Curlej, M. H., Katrancha, E. (2016).

     

    Research Utilization in Your Practice

     

    I believe that the implementation of such guidelines as those found within SHEA and Central Line Bundle will educate nurses and other staff on how to care and prevent the incidences of Central Line-Associated Bloodstream Infections. There was enough analysis and statistical research complete in order to provide sufficient findings. Nursing 6052 – Week 7 – Critiquing Quantitative/ Qualitative Research.

     

     
     

    Critique Template for a Qualitative Study

     

    NURS 5052/NURS 6052

    Week 6 Assignment: Application: Critiquing Quantitative, Qualitative, or

    Mixed Methods Studies

     

    Date:
    January 11, 2018

    Your name:
    Jessica Toney

    Article reference (in APA style):
    Seale, H., Chughtai, A. A., Kaur, R., Phillipson, L., Novytska, Y., & Travaglia, J. (2015). Empowering patients in the hospital as a new approach to reducing the burden of health care-associated infection: The attitudes of hospital health care workers.
    American Journal of Infection Control
    . Vol. 44, Issue 3, pp. 263-268. Nursing 6052 – Week 7 – Critiquing Quantitative/ Qualitative Research.

     

    URL:
    https://www-sciencedirectcom.ezp.waldenulibrary.org/science/article/pii/

    S0196655315010 378?_rdoc=1&_fmt=high&_origin=gateway&_docanchor=&

    md5=b8429449ccfc9c30159a5f9aeaa92ffb&ccp=y

    _____________________________________________________________________________

     

     

    QUALITATIVE RESEARCH CRITIQUE

     

     

    Research Issue and Purpose

     

    “Patient engagement programs have largely focused on involving the public in various aspects of organizational planning and governance, research, or empowering individuals or groups of individuals in the self-management of chronic conditions. Any approach promoting a culture of safety and the prevention of health care–associated infections (HCAIs) should involve all stakeholders, including by definition the patients themselves. This qualitative study explored the knowledge and attitudes of health care workers toward the concept of patient empowerment focused on improving infection control practices. This study set out to examine the level of awareness toward patient empowerment, previous experiences with campaigns, and degree of acceptance toward the introduction of a new empowerment program focused on engaging patients around infection control strategies” (Seale, H., Chughtai, A. A., Kaur, R., Phillipson, L., Novytska, Y., & Travaglia, J. (2015). Nursing 6052 – Week 7 – Critiquing Quantitative/ Qualitative Research.

     

    Researcher Pre-understandings

     

    The researchers were all professors at Health Universities in Australia who hold PhD degrees. The study was approved by the Human Research Ethics Committee of the South-Eastern Sydney Local Health Distract-Northern Sector. “We thank all the participants who gave their time to take part in the interviews. We also thank Professor Raina MacIntyre, Professor Phillip Crowe, and Professor Julian Gold for their input into the design” (Seale, H., Chughtai, A. A., Kaur, R., Phillipson, L., Novytska, Y., & Travaglia, J. (2015).

     

     

    Literature Review

     

    “Patient engagement programs have largely focused on involving the public in various aspects of organizational planning and governance, research, or empowering individuals or groups of individuals in the self-management of chronic conditions. The active engagement of patients in their care has also been used as a strategy to promote medication adherence, improve patient safety after surgery, and foster open communication with health care providers.
    7
     Since 2009, the World Health Organization has advocated for patient empowerment in health care and has specifically emphasized the role of patients in urging health care workers (HCWs) to comply with hand hygiene (HH) standards. To date, most of the studies examining patient empowerment programs relating to infection control have focused on the knowledge, attitude, and practices of the patients. Relatively few studies have considered the experience of the HCWs themselves. Nursing 6052 – Week 7 – Critiquing Quantitative/ Qualitative Research. Despite universal recognition of the potential value of such an approach, patient engagement remains an underused method of preventing HCAI in Australia. To our knowledge, the knowledge and attitudes of Australian hospital HCWs toward the concept of patient empowerment has not been previously explored” (Seale, H., Chughtai, A. A., Kaur, R., Phillipson, L., Novytska, Y., & Travaglia, J. (2015).

     

    Theoretical or Conceptual Framework

     

    The conceptual framework that was used in the study was conventional content analysis.

     

    Participants

     

    “Clinical staff members (nurses, doctors, and allied health staff) from the department of surgery were invited to participate. Of the participants, 18 were women, 12 were aged ≤34 years, and 20 were registered nurses. Participants covered a broad range of experiences working in health care, ranging from 1-39 years (median, 14 years). Most participants had been working in their current role for a median period of 4.6 years (minimum, 3 weeks; maximum, 32 years). Nursing 6052 – Week 7 – Critiquing Quantitative/ Qualitative Research. Researchers liaised with a senior staff member from the surgical ward to invite staff members to participate. In addition to clinical staff, a member of hospital management and 3 staff members responsible for implementing infection control strategies were interviewed. Participants were recruited into the study when full written consent had been received. A shopping voucher was given to all participants to compensate them for their time” (Seale, H., Chughtai, A. A., Kaur, R., Phillipson, L., Novytska, Y., & Travaglia, J. (2015).

     

    Protection of Human Research Participants

     

    Participation in the study was voluntary and was performed by staff of a hospital and not by patients themselves.
     

     

    Research Design

     

    “A qualitative methodology was used for 3 reasons. First, qualitative research methods are used extensively where the research topic is exploratory, as in the case of this study. Second, such methods are considered both appropriate and valuable in the study of quality improvement processes in health care. Finally, the same methods (semi-structured interviews) has been used in published research on HCAIs. An iterative 2-round process of in-depth interviews was undertaken with hospital HCWs from a major public hospital in Sydney, Australia. The first round of interviews was conducted between June and July 2013, and the second round was conducted between February and September 2014” (Seale, H., Chughtai, A. A., Kaur, R., Phillipson, L., Novytska, Y., & Travaglia, J. (2015). Nursing 6052 – Week 7 – Critiquing Quantitative/ Qualitative Research.

     

    Data Collection/Generation Methods

     

    “Semi-structured interviews were undertaken with 29 staff from a large hospital in Sydney, Australia. An interview guide was developed based on scoping information gathered from a consultation session held with senior surgical staff members at the hospital and on available literature. The guide was pretested with a small sample to ensure it was acceptable (ie, on topic), understandable, and unambiguous and that the open-ended questions would elicit a response from interviewees. Questions addressed the following topics: perceived patient information needs and role-responsibility; understanding of, and experience with, patient empowerment strategies; experience of being asked factual versus challenging questions related to the quality and safety of the patients’ health care; attitudes toward a proposed empowerment intervention; and perceived benefits and perceived barriers and facilitators of participating in such an intervention. Questions were asked in an open-ended manner to allow room for expansion. Paraphrasing and additional questions were added to seek clarification during the interviews. This was to ensure that the study included the widest possible representation of opinions and so that the interview guide could be used in flexible manner. Nursing 6052 – Week 7 – Critiquing Quantitative/ Qualitative Research. For participants with very little understanding of patient empowerment, a short definition was provided to them after the knowledge questions were asked. (Seale, H., Chughtai, A. A., Kaur, R., Phillipson, L., Novytska, Y., & Travaglia, J. (2015).

     

    Credibility

     

    “Member checking was conducted during the interviews to ensure rigor of research and to ensure that participants’ views were represented accurately. This process involved summarizing and feeding back participants’ views at the end of the interview to compare the investigator’s account with participants’ views. The use of member checking in this study was primarily to ensure the study’s descriptive validity. Nursing 6052 – Week 7 – Critiquing Quantitative/ Qualitative Research. Participant recruitment was continued until data saturation was reached (ie. additional interviews produced no new ideas or issues). Participants were also asked to complete a short survey that collected general demographic information” (Seale, H., Chughtai, A. A., Kaur, R., Phillipson, L., Novytska, Y., & Travaglia, J. (2015).

     

    Data Analysis

     

    “All interviews were audio recorded, professionally transcribed verbatim, and analyzed thematically. Transcripts for each taped interview were checked for internal consistency and corroborated with other interviews. The researchers used NVivo 10 (QSR International, Doncaster, VC, Australia) to code the data. After repeated and close reading of the individual interview transcripts, 3 researchers independently constructed a code list of major themes emerging from the data. These code lists were compared and cross-checked, and a final list was compiled. An agreed thematic framework was applied to another subsample of transcripts and further modified. Using this final framework, all the transcripts were analyzed and coded” (Seale, H., Chughtai, A. A., Kaur, R., Phillipson, L., Novytska, Y., & Travaglia, J. (2015).

     

    Findings

     

    “A total of 29 interviews were undertaken with hospital staff members (12 in the first round and 17 in the second round). There was almost unanimous agreement among the participants that patients should be stakeholders or play a role in the prevention of HCAI. What varied was the degree of responsibility or engagement in which participants felt patients should be involved” (Seale, H., Chughtai, A. A., Kaur, R., Phillipson, L., Novytska, Y., & Travaglia, J. (2015). Nursing 6052 – Week 7 – Critiquing Quantitative/ Qualitative Research.

    Discussion of Findings

    “This study explored the opinions of health care workers toward the concept of patient empowerment and the role of the patient in promoting hand hygiene and preventing health care associated infections. Among the participants of this study, there was a strong tendency to relate the concept of empowerment, which was understood to be the process for improving patient safety, primarily to encourage patients to improve their own behaviors, such as improving their or their family’s compliance with personal hygiene or HH, and to the provision of educational material about infection control or HH. Very few participants associated patient empowerment with any on-going exchanges between HCWs and their patients. This view of empowerment reflects an emphasis in current guidelines, which focus on information provision rather than engagement. During the interviews, participants closely related patient empowerment to patient-centered care, a concept with which they were more familiar. This is not unexpected, because apart from the recent predominance of the latter, patient empowerment and patient centeredness are both based on the principles of shared responsibility and the building of partnerships of mutual trust and respect between the caregiver and patient. Structural issues, such as workloads and competing priorities, including the change and quality improvement initiatives, are difficult to manage without commitment, as noted by participants, from senior staff. Participants in this study were open to the idea of patient empowerment because they felt that such a process could improve patient outcomes and communication between patients and their health care providers. Given that staff members are very accepting of the concept of patient-centered care, emphasis should be placed on how patient empowerment builds on from that now well-established approach. The success of patient empowerment fundamentally depends on how well the caregiver and patient can communicate with each other. Health care providers need to promote and enhance the patient’s ability to feel in control. Most of the study participants felt that improved communication would be one of the positive outcomes of an empowerment program; however, many did not link the promotion of participation and buy-in from patients with their own communication skills” (Seale, H., Chughtai, A. A., Kaur, R., Phillipson, L., Novytska, Y., & Travaglia, J. (2015).

     

    Limitations

     
    Some limitation noted within this study were “interviews were only undertaken with a select group of participants from one hospital; therefore, the possibility of other important themes emerging cannot be ruled out and this was a small, qualitative study” (Seale, H., Chughtai, A. A., Kaur, R., Phillipson, L., Novytska, Y., & Travaglia, J. (2015). Nursing 6052 – Week 7 – Critiquing Quantitative/ Qualitative Research

     

    Implications

     
    “Most health organizations have recognized the potential of patient empowerment as a way of improving the HH behaviors of HCWs. Before facilities consider introducing a program such as this, they need to consider the following: (1) whether they have the infrastructure to support the program; (2) the mechanism they are going to use to educate and promote engagement and communication; (3) how they are going to align the culture at the facility toward the approach; and (4) how to evaluate the impact of the program. Although the role of the patient in HH as a means to prevent infection has been recommended by others, patient engagement remains an underused method of preventing HCAIs. By extending the concept of patient empowerment to other infection prevention opportunities, the positive impacts of this intervention will not only extend to the patient but to the system itself” (Seale, H., Chughtai, A. A., Kaur, R., Phillipson, L., Novytska, Y., & Travaglia, J. (2015).

     

    Recommendations

     

    “The findings should be explored further in larger studies to establish whether the issues raised in this study are generalizable to the wider Australian health care community. Issues regarding variation in response between different categories and levels of seniority of staff members need to be explored in a larger quantitative study” (Seale, H., Chughtai, A. A., Kaur, R., Phillipson, L., Novytska, Y., & Travaglia, J. (2015). Nursing 6052 – Week 7 – Critiquing Quantitative/ Qualitative Research.

     

    Research Utilization in Your Practice

     

    Investing in staff development related to patient and family engagement helps staff partner meaningfully with patients and families not only in direct patient care but also in quality and safety initiatives, educational endeavors, evaluation, and research.” This can be concept can my implemented into any practice. “By extending the concept of patient empowerment to a range of infection prevention opportunities, the positive impact of this intervention will not only extend to the patient but to the system itself” (Seale, H., Chughtai, A. A., Kaur, R., Phillipson, L., Novytska, Y., & Travaglia, J. (2015). Nursing 6052 – Week 7 – Critiquing Quantitative/ Qualitative Research

     

    References

    Alhoward. (2015). “Qualitative research isn’t as scientific as quantitative research methods.”

    Received from
    https://alhoward.wordpress.com/2011/11/16/qualitative-research-

    isn’t-as-scientific-as-quantitative-methods/

    Polit, D. F., & Beck, C. T. (2017).
    Nursing research: Generating and assessing evidence for

    nursing practice
    (10th ed.). Philadelphia, PA: Wolters Kluwer. Nursing 6052 – Week 7 – Critiquing Quantitative/ Qualitative Research

    Creswell, J. W., & Creswell, J. D. (2018). Research Design: Qualitative, Quantitative, and Mixed

    Methods Approaches. Fifth Edition. Los Angeles: SAGE, (2018). Retrieved from https://books.google.com/books?hl=en&lr=&id=KGNADwAAQBAJ&oi=fnd&pg=PP1&dq=quantitative+and+qualitative+research&ots=XCEed93gcZ&sig=lSs52Q22qXZ-foMRU1ete9JjWQU#v=onepage&q=quantitative%20and%20qualitative%20research&f=false

    Curlej, M. H., Katrancha, E. (2016). One Rural Hospital’s Experience Implementing the Society

    of Healthcare Epidemiology of America Guidelines to Decrease Central Line Infections.
    Journal of Trauma Nursing.
    Vol. 23, Issue 5, pp. 290-297. Retrieved from https://eds-a-ebscohost-com.ezp.waldenulibrary.org/eds/pdfviewer/pdfviewer?vid=3&sid=3fb92985-309b-4e9d-8252-0eb0e8e630c5%40sessionmgr4008

    Seale, H., Chughtai, A. A., Kaur, R., Phillipson, L., Novytska, Y., & Travaglia, J. (2015).

    Empowering patients in the hospital as a new approach to reducing the burden of health care-associated infection: The attitudes of hospital health care workers.
    American Journal of Infection Control
    . Vol. 44, Issue 3, pp. 263-268. Retrieved from https://www-sciencedirect-com.ezp.waldenulibrary.org/science/article/pii/S0196655315010 378?_rdoc=1&_fmt=high&_origin=gateway&_docanchor=&md5=b8429449ccfc9c30159a5f9aeaa92ffb&ccp=y Nursing 6052 – Week 7 – Critiquing Quantitative/ Qualitative Research

  • Health Promotion Essay

    Please use the patient information provided below for this Health Promotion Essay paper.

    This assignment assesses intended course outcome(s)

    #4 Use information found in patients’ health histories, genograms, and assessments to formulate an individualized plan of nursing care that focuses on the patient’s individual health promotion and disease prevention needs

    ORDER A CUSTOM-WRITTEN, PLAGIARISM-FREE PAPER NOW

    Students will use the information found in Tina’s history, physical exam, and problem list to formulate an individualized health promotion and disease prevention plan of care. Recommendations should be evidence-based and from credible sources Health Promotion Essay. The readings in module eight contains some suggested sources for obtaining health and screening recommendations for your patient.

    The plan for addressing the health promotion and disease prevention needs for your patient should include:

    Demographics:

     

    –          Age, gender and race of patient

     

    –          Education level (health literacy)

     

    –           Access to health care

     

    Insurance/Financial status

     

    –          Is the patient able to afford medications and health diet, and other out-of-pocket expenses?

     

    Screening/Risk Assessment

     

    –          Identified health concerns based on screening assessments and demographic information

     

    Nutrition/Activity

     

    –          What is the patients activity level, is the environment where the patient lives safe for activity

     

    –          Nutrition recommendations based on age, race gender and pre-existing medical conditions

     

    –          Activity recommendations Health Promotion Essay

     

    Social Support

     

    –          Support systems, family members, community resources

     

    Health Maintenance

     

    –          Recommended health screening based on age, race, gender and pre-existing medical conditions

     

    Patient Education:

     

    –          Identified knowledge deficit areas/patient education needs (medication teaching etc).

     

    –          Self-care needs/ Activities of daily living Health Promotion Essay

     

    * The paper should be written and referenced in APA format and be no longer than 4 pages (excluding cover page and references).

     

    Your paper will be evaluated based on the following criteria:

     

    Criteria

    Level 3

    Level 2

    Level 1

    Demographics

    (5%)

    Includes age, race and gender of patient

    Missing one data item

    Missing 2 or more data items

    Insurance/Financial status

    (10%)

    Includes information regarding patient’s insurance status and ability to afford medications and other  out-of-pocket expenses

    Missing some information regarding insurance status and ability to pay for medications and other out-of-pocket expenses.

    Missing information regarding the patients insurance status, ability to pay of medications and other out-of-pocket expenses

    Screening /risk assessment

    (10%)

    Identifies health concerns based on screening assessments and demographic information.

    Missing some information regarding health concerns, by excluding information from screening assessments and demographics

    Health concerns are not identified due to information missing from screening assessments and demographics Health Promotion Essay

    Nutrition/activity

    (20%)

    Completely asses patient’s nutrition and activity levels and makes recommendations based on age, race, gender and pre-existing medical conditions

    Missing some information regarding the patients nutrition and activity levels, make recommendations based on age, race, gender and pre-existing medical conditions

    Most of the information regarding the patient’s nutrition and activity levels are missing, recommendations are missing or not based on the patient’s age, race, gender and pre-existing medical conditions

    Social support

    (10%)

    Identifies support systems such as family members and community resources

    Missing some information regarding support systems such as family members and/or community resources

    Little to no information regarding social support

    Health Maintenance

    (20%)

    Overall health maintenance recommendations made based on age, race, gender and pre-existing medical conditions

    Missing some recommendations, mostly based on age, race, gender and pre-existing medical conditions

    Missing many recommendations, loosely related to age, race, gender and pre-existing medical conditions

    Patient Education

    (20%)

    Identified knowledge deficit areas/patient education needs including self-care needs and activities of daily living

    Missing one or more areas of knowledge deficit/patient education needs including self-care and activities of daily living

    Lacks identification of knowledge deficit areas/patient education needs. Does not consider self-care needs or activities of daily living.

    Organization, spelling and grammar, APA

    (5%)

    Organized, easy to read, no spelling or grammar mistakes, appropriate use of APA Health Promotion Essay

    Organized and easy to read, few spelling or grammar mistakes, few errors in APA

    Disorganized, difficult to read, many spelling and grammar errors mistakes. Does not use APA

    Overall score

    Points

    (60-100)

    Points

    (24-59)

    Points

    ( 0-23)

     

     

    Health History

    Student Documentation

    Model Documentation

    Identifying Data & Reliability

    Tina Jones is a 28 year old African american female AOX4. Pt is reliable historian

    Ms. Jones is a pleasant, 28-year-old African American single woman who presents for a pre-employment physical. She is the primary source of the history. Ms. Jones offers information freely and without contradiction. Speech is clear and coherent. She maintains eye contact throughout the interview.

    General Survey

    Alert and oriented X4. Feels tired because she was just coming from her other job. Health Promotion Essay

    Ms. Jones is alert and oriented, seated upright on the examination table, and is in no apparent distress. She is well-nourished, well-developed, and dressed appropriately with good hygiene.

    Reason for Visit

    Presenting to shadow health hospital clinic for a complete health assessment for a pre-employment physical.

    “I came in because I’m required to have a recent physical exam for the health insurance at my new job.”

    History of Present Illness

    Tina Jones is a 28year old African America female with a history of diabetes and Asthma presenting to get a complete health assessment for a pre-employment physical.

    Ms. Jones reports that she recently obtained employment at Smith, Stevens, Stewart, Silver & Company. She needs to obtain a pre-employment physical prior to initiating employment. Today she denies any acute concerns. Her last healthcare visit was 4 months ago, when she received her annual gynecological exam at Shadow Health General Clinic. Ms. Jones states that the gynecologist diagnosed her with polycystic ovarian syndrome and prescribed oral contraceptives at that visit, which she is tolerating well. She has type 2 diabetes, which she is controlling with diet, exercise, and metformin, which she just started 5 months ago. She has no medication side effects at this time. She states that she feels healthy, is taking better care of herself than in the past, and is looking forward to beginning the new job.

    Medications

    Metformin 850mg twice daily Yaz birth control daily in the morning Flovent MDI twice daily proventil 90mcg/spray 2 puffs as needed for wheezing

    • Fluticasone propionate, 110 mcg 2 puffs BID (last use: this morning) • Metformin, 850 mg PO BID (last use: this morning) • Drospirenone and ethinyl estradiol PO QD (last use: this morning) • Albuterol 90 mcg/spray MDI 2 puffs Q4H prn (last use: three months ago) • Acetaminophen 500-1000 mg PO prn (headaches) • Ibuprofen 600 mg PO TID prn (menstrual cramps: last taken 6 weeks ago) Health Promotion Essay

    Allergies

    Penicillin- Rash, hives cats- sneezing, itchy watery eyes, asthma exacebation No Known food allergies No latex allergies

    • Penicillin: rash • Denies food and latex allergies • Allergic to cats and dust. When she is exposed to allergens she states that she has runny nose, itchy and swollen eyes, and increased asthma symptoms.

    Medical History

    Asthma- diagnosed at age 2 1/2 Diabetes Type 2 – diagnosed at 24 was on metformin but stopped due to side effects

    Health Promotion Essay

    Asthma diagnosed at age 2 1/2. She uses her albuterol inhaler when she is around cats. Her last asthma exacerbation was three months ago, which she resolved with her inhaler. She was last hospitalized for asthma in high school. Never intubated. Type 2 diabetes, diagnosed at age 24. She began metformin 5 months ago and initially had some gastrointestinal side effects which have since dissipated. She monitors her blood sugar once daily in the morning with average readings being around 90. She has a history of hypertension which normalized when she initiated diet and exercise. No surgeries. OB/GYN: Menarche, age 11. First sexual encounter at age 18, sex with men, identifies as heterosexual. Never pregnant. Last menstrual period 2 weeks ago. Diagnosed with PCOS four months ago. For the past four months (after initiating Yaz) cycles regular (every 4 weeks) with moderate bleeding lasting 5 days. Has new male relationship, sexual contact not initiated. She plans to use condoms with sexual activity. Tested negative for HIV/AIDS and STIs four months ago.

    Health Maintenance

    Has been eating healthy and trying to stay active by walking 30-40 mins two times per week and also swimming once a week

    Last Pap smear 4 months ago. Last eye exam three months ago. Last dental exam five months ago. PPD (negative) ~2 years ago. Immunizations: Tetanus booster was received within the past year, influenza is not current, and human papillomavirus has not been received. She reports that she believes she is up to date on childhood vaccines and received the meningococcal vaccine for college. Safety: Has smoke detectors in the home, wears seatbelt in car, and does not ride a bike. Uses sunscreen. Guns, having belonged to her dad, are in the home, locked in parent’s room. Health Promotion Essay

    Family History

    -Father died 2 1/2 ears ago in a car accident. History of high blood pressure,type 2 diabetes and high cholesterol -Mother is still alive. has history of hypertension and high cholesterol. -Brother is overweight -Sister has asthma

    • Mother: age 50, hypertension, elevated cholesterol • Father: deceased in car accident one year ago at age 58, hypertension, high cholesterol, and type 2 diabetes • Brother (Michael, 25): overweight • Sister (Britney, 14): asthma • Maternal grandmother: died at age 73 of a stroke, history of hypertension, high cholesterol • Maternal grandfather: died at age 78 of a stroke, history of hypertension, high cholesterol • Paternal grandmother: still living, age 82, hypertension • Paternal grandfather: died at age 65 of colon cancer, history of type 2 diabetes • Paternal uncle: alcoholism • Negative for mental illness, other cancers, sudden death, kidney disease, sickle cell anemia, thyroid problems

    Social History

    she does not have any children, has never been pregnant and has never been married. she lives with her mother and sister. currently works but is hoping to start a new jop as an accounting clerk at smith, stevens, steward silver company. drinksa alcohol ocassionally when she goes out with friends

    Never married, no children. Lived independently since age 19, currently lives with mother and sister in a single family home, but will move into own apartment in one month. Will begin her new position in two weeks at Smith, Stevens, Stewart, Silver, & Company. She enjoys spending time with friends, reading, attending Bible study, volunteering in her church, and dancing. Tina is active in her church and describes a strong family and social support system. She states that family and church help her cope with stress. No tobacco. Cannabis use from age 15 to age 21. Reports no use of cocaine, methamphetamines, and heroin. Uses alcohol when “out with friends, 2-3 times per month,” reports drinking no more than 3 drinks per episode. Typical breakfast is frozen fruit smoothie with unsweetened yogurt, lunch is vegetables with brown rice or sandwich on wheat bread or low-fat pita, dinner is roasted vegetables and a protein, snack is carrot sticks or an apple. Denies coffee intake, but does consume 1-2 diet sodas per day. No recent foreign travel. No pets. Participates in mild to moderate exercise four to five times per week consisting of walking, yoga, or swimming.

    Mental Health History

    Denies any history of depression or suicidal thoughts. denies any problems with mood. no overall safety concerns.

    Reports decreased stress and improved coping abilities have improved previous sleep difficulties. Denies current feelings of depression, anxiety, or thoughts of suicide. Alert and oriented to person, place, and time. Well-groomed, easily engages in conversation and is cooperative. Mood is pleasant. No tics or facial fasciculation. Speech is fluent, words are clear

    Health Promotion Essay

  • Benchmark – Community Teaching Plan: Community Teaching Work Plan Proposal Week 5

    Benchmark – Community Teaching Plan: Community Teaching Work Plan Proposal Week 5

    Note: This is an individual assignment. Applying what you have learned thus far, develop a community teaching proposal designed to address the needs of
    your
    community.

    Select one of the following as the focus for the teaching plan:

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    Primary Prevention/Health Promotion

    Secondary Prevention/Screenings for a Vulnerable Population

    Bioterrorism/Disaster

    Environmental Issues

    Complete the “Community Teaching Work Plan Proposal.” This will help you organize your plan and create an outline for the written assignment.

    After completing the teaching proposal, review the teaching plan with a community health and public health provider in your local community.

    Request feedback (strengths and opportunities for improvement) from the provider.

    Complete the “Community Teaching Experience” form. Benchmark – Community Teaching Plan: Community Teaching Work Plan Proposal Week 5

    Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

    This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

    You are required to submit this assignment to Turnitin. Please refer to the directions in the Student Success Center.

    Community Teaching Work Plan Proposal

    Directions:
    Develop an educational series proposal for your community using one of the following four topics:

    Bioterrorism/Disaster

    Environmental Issues

    Primary Prevention/Health Promotion

    Secondary Prevention/Screenings for a Vulnerable Population

    Planning Before Teaching:

    Name and Credentials of Teacher:

     

    Estimated Time Teaching Will Last:

    Location of Teaching:

     

    Supplies, Material, Equipment Needed:

    Estimated Cost:

     

    Community and Target Aggregate:

     

    Topic:

    Benchmark – Community Teaching Plan: Community Teaching Work Plan Proposal Week 5

     

     

    Epidemiological Rationale for Topic
    (statistics related to topic):

     

     

     

     

     

    Nursing Diagnosis
    :

     

     

    Readiness for Learning:
    Identify the factors that would indicate the readiness to learn for the target aggregate. Include emotional and experiential readiness to learn. Benchmark – Community Teaching Plan: Community Teaching Work Plan Proposal Week 5.

     

     

     

     

     

     

    Goal:
    Healthy People 2020 (HP2020) objective(s) utilized as the goal for the teaching. Include the appropriate objective number and rationale for using the selected HP2020 objective (use at least one objective from one of the 24 focus areas). If an HP2020 objective does not support your teaching, explain how your teaching applies to one of the two overarching HP2020 goals. Benchmark – Community Teaching Plan: Community Teaching Work Plan Proposal Week 5.

     

     

     

     

     

    How Does This HP2020 Objective Relate to Alma Ata’s
    Health for All
    Global Initiatives
    (See page 116 in the textbook)?

     

     

     

    Develop Behavioral Objectives (Including Domains), Content, and Strategies/Methods
    :

    Behavioral Objective

    and Domain
    Example – Third-grade students will name one healthy food choice in each of the five food groups by the end of the presentation. (Cognitive Domain)

    Content

    (be specific)Example – The Food Pyramid has five food groups which are….Healthy foods from each group are….

    Unhealthy foods containing a lot of sugar or fat are….

    Strategies/Methods

    (label and describe)

    Example – Interactive poster presentation of the  Food  Pyramid. After an explanation of the poster and each food category, allow students to place pictures of foods on the correct spot on the pyramid. Also, have the class analyze what a child had for lunch by putting names of foods on the poster and discussing what food group still needs to be eaten throughout day.

    1.

     

     

     

    1.

    1. Benchmark – Community Teaching Plan: Community Teaching Work Plan Proposal Week 5

    2.

     

     

     

    2.

    2.

    3.

     

     

     

    3.

    3.

    4.

     

     

     

    4.

    4.

     

     

    Creativity
    : How was creativity applied in the teaching methods/strategies?

     

     

     

     

     

    Planned Evaluation of Objectives
    (Outcome Evaluation): Describe what you will measure for each objective and how.

     

     

     

     

     

     

     

     

     

     

    Planned Evaluation of Goal
    :  Describe how and when you could evaluate the overall effectiveness of your teaching plan. Benchmark – Community Teaching Plan: Community Teaching Work Plan Proposal Week 5

     

     

     

     

    Planned Evaluation of Lesson and Teacher
    (Process Evaluation):

     

     

     

     

    Barriers:
    What are potential barriers that may arise during teaching and how will those be handled?

     

     

     

     

    Communication
    : How will you begin your presentation (hook them in)? How will you end your presentation (go out with a bang)? What nonverbal communication techniques will you employ?

     

     

    Benchmark – Community Teaching Plan: Community Teaching Work Plan Proposal 

     

    1

    Unsatisfactory

    0.00%

    2

    Less than Satisfactory

    75.00%

    3

    Satisfactory

    83.00%

    4

    Good

    94.00%

    5

    Excellent

    100.00%

    80.0 %Content

     

    30.0 %Identification of Focus for Community Teaching

    Focus of community teaching is not identified or is incomplete.

    Focus of community teaching is unclear or inconsistent with Functional Health Patterns (FHP) assessment findings.

    Focus of community teaching is clear, but rationale for selection is not included.

    Focus of community teaching is clear, with a detailed explanation of rationale for selection.

    Benchmark – Community Teaching Plan: Community Teaching Work Plan Proposal Week 5

    Focus of community teaching is clear, consistent with Functional Health Patterns (FHP) assessment findings, and supported by explanation of rationale.

    50.0 %Detailed and Comprehensive Community Teaching Work Plan Proposal

    Community teaching proposal is omitted or incomplete.

    Benchmark – Community Teaching Plan: Community Teaching Work Plan Proposal Week 5

    Community teaching proposal is unclear or inconsistent with Functional Health Patterns (FHP) assessment findings, demographic, or the scope of community-based resources.

    Community teaching proposal is clear with a complete summary of each area listed in the assignment criteria.

    Community teaching proposal is clearly described and is well supported by evidence from current literature and statistical/demographic data published on the community. There is a detailed summary of all required areas of the work plan.

    Community teaching proposal is detailed and comprehensive, with supportive evidence and a detailed description of barriers and strategies to overcome barriers. Evidence from current literature and statistical/demographic data published on the community thoroughly supports the proposal in all required areas of the work plan.

    15.0 %Organization and Effectiveness

     

    10.0 %Organization of Proposal, Paragraph Development and Transitions

    Organization of proposal is disjointed. Paragraphs and transitions consistently lack unity and coherence. There are no apparent connections between ideas. Transitions are inappropriate or lacking.

    Some degree of organization is evident. Some paragraphs and transitions may lack logical progression of ideas, unity, coherence, and/or cohesiveness.

    Paragraphs are generally competent, but ideas may show some inconsistency in organization and/or in their relationships to each other.

    A logical progression of ideas between paragraphs is apparent. Paragraphs exhibit a unity, coherence, and cohesiveness.

    Proposal is well-organized and logical. Ideas progress and relate to each other. Paragraph and transition construction guide the reader.

    5.0 %Mechanics of Writing (includes spelling, punctuation, grammar, language use)

    Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice and/or sentence construction are used.

    Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register), sentence structure, and/or word choice are present.

    Some mechanical errors or typos are present, but are not overly distracting to the reader. Correct sentence structure and audience-appropriate language are used.

    Prose is largely free of mechanical errors, although a few may be present. A variety of sentence structures and effective figures of speech are used.

    Writer is clearly in command of standard, written, academic English.

    Benchmark – Community Teaching Plan: Community Teaching Work Plan Proposal Week 5

    5.0 %Format

     

    2.0 %Proposal template is applied correctly.

    Template is not used appropriately or documentation format is rarely followed correctly.

    Template is used, but some elements are missing or mistaken; lack of control with formatting is apparent.

    Template is used, and formatting is correct, although some minor errors may be present.

    Template is fully used; There are virtually no errors in formatting style.

    All format elements are correct.

    3.0 %Research Citations (In-text citations for paraphrasing and direct quotes, and reference page listing and formatting, as appropriate to assignment)

    No reference page is included. No citations are used.

    Reference page is present. Citations are inconsistently used.

    Reference page is included and lists sources used in the paper. Sources are appropriately documented, although some errors may be present.

    Reference page is present and fully inclusive of all cited sources. Documentation is appropriate and style guide is usually correct.

    In-text citations and a reference page are complete. The documentation of cited sources is free of error.

    100 %Total Weightage

    Benchmark – Community Teaching Plan: Community Teaching Work Plan Proposal Week 5

  • NRS 427 Community Teaching Work Plan Proposal

    NRS 427 Community Teaching Work Plan Proposal

    Directions:
    Develop an educational series proposal for your community using one of the following four topics:

    Bioterrorism/Disaster

    Environmental Issues

    Primary Prevention/Health Promotion

    Secondary Prevention/Screenings for a Vulnerable Population

    Planning Before Teaching:

    Name and Credentials of Teacher:

     

    Estimated Time Teaching Will Last:

    Location of Teaching:

     

    Supplies, Material, Equipment Needed:

    Estimated Cost:

     

    Community and Target Aggregate:

    NRS 427 Community Teaching Work Plan Proposal

     

    Topic:

     

     

    Epidemiological Rationale for Topic
    (statistics related to topic):

     

     

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    Nursing Diagnosis
    :

     

     

     

    Readiness for Learning:
    Identify the factors that would indicate the readiness to learn for the target aggregate. Include emotional and experiential readiness to learn. NRS 427 Community Teaching Work Plan Proposal.

     

     

     

     

     

     

    Goal:
    Healthy People 2020 (HP2020) objective(s) utilized as the goal for the teaching. Include the appropriate objective number and rationale for using the selected HP2020 objective (use at least one objective from one of the 24 focus areas). If an HP2020 objective does not support your teaching, explain how your teaching applies to one of the two overarching HP2020 goals.

     

     

     

     

     

    How Does This HP2020 Objective Relate to Alma Ata’s
    Health for All
    Global Initiatives
    (See page 116 in the textbook)?

     

     

     

    Develop Behavioral Objectives (Including Domains), Content, and Strategies/Methods
    :

    Behavioral Objective

    and Domain
    Example – Third-grade students will name one healthy food choice in each of the five food groups by the end of the presentation. (Cognitive Domain)

    Content

    (be specific)Example – The Food Pyramid has five food groups which are….Healthy foods from each group are….

    Unhealthy foods containing a lot of sugar or fat are….

    Strategies/Methods

    (label and describe)

    Example – Interactive poster presentation of the  Food  Pyramid. After an explanation of the poster and each food category, allow students to place pictures of foods on the correct spot on the pyramid. Also, have the class analyze what a child had for lunch by putting names of foods on the poster and discussing what food group still needs to be eaten throughout day.

    1.

     

     

     

    1.

    1.

    2.

     

     

     

    2.

    2.

    3.

     

     

     

    3.

    3.

    4.

     

     

     

    4.

    4.

     

     

    Creativity
    : How was creativity applied in the teaching methods/strategies?

     

     

     

     

     

    Planned Evaluation of Objectives
    (Outcome Evaluation): Describe what you will measure for each objective and how. NRS 427 Community Teaching Work Plan Proposal.

     

     

     

     

     

     

     

     

     

     

    Planned Evaluation of Goal
    :  Describe how and when you could evaluate the overall effectiveness of your teaching plan.

     

     

     

     

    Planned Evaluation of Lesson and Teacher
    (Process Evaluation):

     

     

     

     

    Barriers:
    What are potential barriers that may arise during teaching and how will those be handled?

     

     

     

     

    Communication
    : How will you begin your presentation (hook them in)? How will you end your presentation (go out with a bang)? What nonverbal communication techniques will you employ? NRS 427 Community Teaching Work Plan Proposal.

  • Left Sided Heart Failure Concept Map

    Left Sided Heart Failure Concept Map

    The Map should be about Left-Sided Heart Failure

    Assessment 1 – Concept map and guided questions.

    Information 1 – Getting started.

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    Your first assessment is generating a concept map for left heart failure and answering three questions related to a case study about a patient who has an acute exacerbation of heart failure. When preparing your assignment refer to the criteria and standards in the Learning Guide.

    You can begin this assessment now by finding readings about heart failure and summarising the information under the headings of the pathophysiology template. This information can then be used for your concept map.

    Some readings that you may find helpful to
    start
    your assignment are:

    Your textbook:

    Craft,J.A., Gordon,C.J., Huether,S.E., McCance, K.L., Brashers, V.L. & Rote,N.E.

    (2015).
    Understanding pathophysiology – ANZ adaptation
    (2nd ed.).

    Chatswood, NSW: Elsevier Australia. Chapter 23.

     

    Also:

    Aitken, L., Marshall,A. & Chaboyer, W. (2015).
     ACCCN’s critical care nursing

    (3rd  ed.). Chatswood, NSW: Elsevier Australia. Chapter 10.

     

    Wagner, K.D. (2014).
     High acuity nursing
    (6th ed.). Upper Saddler River, New

    Jersey: Pearson. Chapter13.

     

    (These books are available online from the Western Sydney University library). Left Sided Heart Failure Concept Map.

     

    This is just to begin. You will then find more readings to add to your information.

     

    Remember that the information in your concept map and answers to the questions must correlate with the references that you cite so keep an accurate record when preparing your assignment. The marker of your assessment will check your citations.

     

    An example of a pathophysiology template for a left-sided ischaemic stroke and a concept map using this information has been attached to start you thinking about how you will approach your assignment. The concept map has been generated using Word Left Sided Heart Failure Concept Map. However, if you wish, you may prefer to use a concept map template that you may find on the web.

     

    Below are the Sub-heading that needs to be in the Concept Map.

    Disease

    Definition

    AETIOLOGY

    PATHOGENESIS

    PATHOGENESIS

     
    DIAGNOSIS

    TREATMENT

    COURSE OF DISEASE

    PROGNOSIS

    PREVENTION

    The separate
    Reference page
    for Concept Map. You may have more than 2 reference

    Visually Stimulating,
    add pictures in the background and visually Below is an sample example but this concept map needs to look unique and visually very appealing, please.

    Add pictures of heart, lungs what ever connects to the Map and its information.

    I
    have attached a sample of the concept map of another topic to guide you what information requires in the map. Left Sided Heart Failure Concept Map.

    500 words and it is worth 25 Marks.

    Please see attach other files for questions and Marking Criteria.

     

    stroke_concept_map_map

     

    Pathophysiology template

     

    Disease
    : Ischaemic stroke affecting the dominant left cerebral hemisphere

    Definition
    :
    An ischaemic stroke is death of brain tissue resulting from an occluded artery caused either by an atherosclerotic obstruction or embolus that interrupts blood supply to the area of the brain supplied by the occluded artery. The sudden loss of blood circulation results in a corresponding loss of neurologic function (Jauch, 2014). Left Sided Heart Failure Concept Map.

     

    AETIOLOGY:

    A depletion of blood flow in a cerebral artery resulting from a:

    Thrombus –atherosclerotic plaque that has ruptured in a cerebral artery

    Embolus

    from heart e.g. left atrial thrombus, left ventricular thrombus, atrial fibrillation

    from carotid artery (Craft &Gordon,2011)

     

    PATHOGENESIS:

    Interruption of blood flow to cerebral tissue initiates a biochemical ischaemic cascade.

    Mitochondrial production of ATP ceases èdepolarisation è influx of sodium and calcium and efflux of potassium. Passive inflow of water into cells causes cytotoxic oedema and destruction of cells in infarct core.

    Membrane depolarization also stimulates the release of neurotransmitters. Glutamate release èexcessive calcium influx into nearby neurons (exocitotoxicity) èdestruction of cells by lipolysis, proteolysis and free radicals.

    Mitochondria break down releasing toxins and apoptotic factors.

    Injured brain tissue triggers inflammatory response èrelease of inflammatory mediators ècell death and oedema

    èdestruction of cells in
    infarct core
     ènecrosis

    èischaemic
    penumbra
    around core has diminished blood flow but preserved cellular metabolism.

     

    Areas of necrotic tissue are not able to conduct nerve impulses so functions such as initiating and conveying motor impulses, receiving and interpreting sensory information and speech control will be interrupted.

    (Bautista, 2014; Craft & Gordon, 2011; Maas & Safdieh,2009).

     

    CLINICAL MANIFESTATIONS:

     

    Just superior to the medullary junction, 90% of axons in the left pyramid cross to      the right ® right motor dysfunction.

    The middle cerebral artery supplies the frontal, temporal and parietal lobes as well as the basal ganglia and internal capsule.                                              (Tocco,2011). Left Sided Heart Failure Concept Map

     

    Therefore specific clinical manifestations include:

    Hemiplegia and weakness on right side of body

    Sensory loss on right side

    Inability to see the right visual field of each eye

    Aphasia

    Apraxia

    Dysarthria

    Impaired reasoning

    Behavioural changes

    Problems with memory

    (Bautista, 2014; Craft & Gordon, 2011).

     

    DIAGNOSIS

    Complete history

    Physical and neurological examination

    Brain MRI or CT scan – Essential in differentiating cerebral haemorrhage from ischaemic stroke. MRI is superior as cerebral ischaemia can be identified within minutes and can identify small areas of stroke.

    Other tests for vascular imaging can be used e.g. CT angiography, magnetic resonance angiography

    (Silverman & Rymer, 2009).

     

    TREATMENT

    The emphasis of ischaemic stroke treatment is placed on salvaging potentially reversible ischemic penumbra brain tissue, preventing secondary stroke and minimising longterm disability.                             (Jaunch, 2014).

     

    Reperfusion

    thrombolytic agent (e.g.tPA)

    intra-arterial technique

     

    Neuroprotection

    -antithrombotic therapy (e.g. aspirin)

     

    Nursing management

    Acute phase

    frequent evaluation of neurological status

    frequent evaluation of vital signs

    Monitor oxygen saturation – administer oxygen if required

    Screen for swallowing deficits and manage appropriate hydration and nutrition strategies

    Manage activities of daily living

    Screen for communication deficits and address appropriate communication strategies

    Prevent complications e,g pressure areas, contractures, DVT

    Assess urinary and faecal continence and address appropriately

    Left Sided Heart Failure Concept Map

     

    Rehabilitation

    begin as early as possible by preventing complications, passive and active movement and mobilizing as early as possible.

    Support and encourage activities provided by physiotherapists, occupational therapists and speech therapists

    Education – e.g. lifestyle modification, adherence to medications

    (National Stroke Foundation, 2010).

     

     

    COURSE OF DISEASE

     

    With reperfusion – blood is restored to the area and signs and symptoms gradually resolve

     

    Without treatment – Course is determined by severity of stroke. Ischaemia will extend to penumbra as stroke evolves, signs and symptoms worsen. As  cerebral oedema resolves, and with  structural and functional reorganisation recovery may continue for 6 months to a year. (peak recovery in about 3 months). Requires rehabilitation to optimise function. Left Sided Heart Failure Concept Map.

     

    (Teasell & Hussein, 2014).

    Complications

    Contractures

    Fatigue

    Incontinence

    Mood disturbances

    Falls

    Dysarthria and aphasia

     

    PROGNOSIS

    Stroke prognosis is influenced by factors such as age and stroke severity.

    One in five likely to die within one month of suffering ischaemic stroke.

    Of those who recover about 90% will experience some impairment

    Left Sided Heart Failure Concept Map

    (Dashe,2014)

     

    PREVENTION

    Eliminating modifiable risk factors will prevent an ischaemic stroke.

    Don’t smoke

    Diet high in fruit and vegetables, low in fats and salt

    30 minutes of moderate-intensity physical activity on most days of the week

    Maintain healthy BMI

    Limit alcohol to no more than two standard drinks per day

    (National Stroke Foundation, 2010)

     

    If a history of atrial fibrillation – ensure adherence to anticoagulation therapy.

     

    References

    Bautista, C. (2014). Disorders of Brain Function. In S. Grossman & C. Porth (Eds),

          Porth’s pathophysiology: Concepts of altered health states
    (9
    th
    ed.). (pp489-

    524). Philadelphia: Lippincott Williams & Wilkins.

    Craft, J. & Gordon, C. (2011), Alterations of Neurological Function across the

    Lifespan. In J.Craft, C.Gordon & A. Tiziani (Eds).
    Understanding

          Pathophysiology
    (pp 188-226). Sydney, Australia:Elsevier Australia.

    Dashe, J. F. (2014). Stroke prognosis in adults.
    UpToDate.
    Retrieved from:

    http://www.uptodate.com/contents/stroke-prognosis-in-adults

    Jaunch, E.C. (2014). Ischemic stroke treatment and management, Retrieved from:

    http://emedicine.medscape.com/article/1916852-overview

    Maas, E.B. & Rymer, M.M. (2009). Ischaemic stroke: Pathophysiology and Principles

    of Localization.
    Neurology 13 .
    Retrieved from:

    http://www.turner-white.com/pdf/brm_Neur_V13P1.pdf

    National Stroke Foundation (2010). 
    Clinical guidelines for stroke management

    Melbourne Australia.

    Silverman, I.E. & Rymer, M.M. (2009).
    An atlas of investigation and treatment.

          Ischaemic stroke.
    Clinical publishing:Oxford,U.K. Left Sided Heart Failure Concept Map

    Teasell, R.& Hussein, N. (2014)Brain reorganization, recovery and organizecare.

    In
    Stroke rehabilitation clinician handbook 2014.
    Retrieved from:

    http://www.ebrsr.com/sites/default/files/Chapter%202_Brain%20Reorganization,%20Recovery%20and%20Organized%20Care_June%2018%202014.pdf

    Tocco, S. (2011). Identify the vessel recognize the stroke.
    American Nurse Today

          9
    (6).
        Left Sided Heart Failure Concept Map

  • Using The Data/Information/Knowledge/Wisdom Continuum

    Assignment: Application:

    Using the Data/Information/Knowledge/Wisdom Continuum

    Have you ever gone online to search for a journal article on a specific topic? It is amazing to see the large number of journals that are available in the health care field. When you view the library in its entirety, you are viewing untapped data. Until you actually research for your particular topic, there is little structure. Once you have narrowed it down, you have information and once you apply the information, you have knowledge. Eventually, after thoughtful research and diligent practice, you reach the level of wisdom—knowledge applied in meaningful ways.

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    Are there areas in your practice that you believe should be more fully explored? The central aims of nursing informatics are to manage and communicate data, information, knowledge, and wisdom. This continuum represents the overarching structure of nursing informatics. In this Assignment, you develop a research question relevant to your practice area and relate how you would work through the progression from data to information, knowledge, and wisdom. Using The Data/Information/Knowledge/Wisdom Continuum

    To prepare:

    Review the information in Figure 6–2 in 
    Nursing Informatics and the Foundation of Knowledge
    .

    Develop a clinical question related to your area of practice that you would like to explore.

    Consider what you currently know about this topic. What additional information would you need to answer the question?

    Using the continuum of data, information, knowledge, and wisdom, determine how you would go about researching your question.

    Explore the available databases in the Walden Library. Identify which of these databases you would use to find the information or data you need.

    Once you have identified useful databases, how would you go about finding the most relevant articles and information?

    Consider how you would extract the relevant information from the articles.

    How would you take the information and organize it in a way that was useful? How could you take the step from simply having useful knowledge to gaining wisdom? Using The Data/Information/Knowledge/Wisdom Continuum

    By Day 7 of Week 4

    Write a 4-page paper that addresses the following: MUST BE APA FORMAT

    Summarize the question you developed, and then relate how you would work through the four steps of the data, information, knowledge, wisdom continuum. Be specific.

    Identify the databases and search words you would use. Using The Data/Information/Knowledge/Wisdom Continuum.

    Relate how you would take the information gleaned and turn it into useable knowledge.

    Can informatics be used to gain wisdom? Describe how you would progress from simply having useful knowledge to the wisdom to make decisions about the information you have found during your database search.

    Your paper must also include a title page, an introduction, a summary, and a reference page
    ( YOU CAN ONLY USE THE REFERENCES LISTED BELOW)
    .

     

    American Nurses Association. (2015).
    Nursing informatics: Scope & standards of practice
    (2nd ed.). Silver Springs, MD: Author.

    “Metastructures, Concepts, and Tools of Nursing Informatics”This chapter explores the connections between data, information, knowledge, and wisdom and how they work together in nursing informatics. It also covers the influence that concepts and tools have on the field of nursing. Using The Data/Information/Knowledge/Wisdom Continuum.

    McGonigle, D., & Mastrian, K. G. (2015).
    Nursing informatics and the foundation of knowledge
    (3rd ed.). Burlington, MA: Jones and Bartlett Learning.

    Chapter 6, “Overview of Nursing Informatics”This chapter defines the foundations of nursing informatics (NI). The authors specify the disciplines that are integrated to form nursing informatics, along with major NI concepts.

    Brokel, J. (2010). Moving forward with NANDA-I nursing diagnoses with Health Information Technology for Economic and Clinical Health (HITECH) Act Legislation: News updates.
    International Journal of Nursing Terminologies & Classifications, 21
    (4), 182–185.

    Retrieved from the Walden Library databases.

     

    In this news brief, the author describes the initiatives that NANDA-I will implement to remain abreast of the HITECH legislation of 2009. The author explains two recommendations for the federal government’s role in managing vocabularies, value sets, and code sets throughout the health care system.

    Matney, S., Brewster, P. J., Sward, K. A., Cloyes, K. G., & Staggers, N. (2011). Philosophical approaches to the nursing informatics data-information-knowledge-wisdom framework.
    Advances in Nursing Science, 34
    (1), 6–18. Using The Data/Information/Knowledge/Wisdom Continuum

    Retrieved from the Walden Library databases.

     

    This article proposes a philosophical foundation for nursing informatics in which data, information, and knowledge can be synthesized by computer systems to support wisdom development. The authors describe how wisdom can add value to nursing informatics and to the nursing profession as a whole.

    Rutherford, M. A. (2008).
    Standardized nursing language: What does it mean for nursing practice? OJIN: The Online Journal of Issues in Nursing, 13
    (1). Retrieved from http://www.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/vol132008/No1Jan08/ArticlePreviousTopic/StandardizedNursingLanguage.html

     

    The author of this article provides justification for the use of a standardized nursing language, which will be necessary for incorporating electronic documentation into the health care field. The author defines standardized language in nursing, describes how such a language can be applied in a practice setting, and discusses the benefits of using a standardized language. Using The Data/Information/Knowledge/Wisdom Continuum

    Westra, B. L., Subramanian, A., Hart, C. M., Matney, S. A., Wilson, P. S., Huff, S. M., … Delaney, C. W. (2010). Achieving “meaningful use” of electronic health records through the integration of the Nursing Management Minimum Data Set.
    The Journal of Nursing Administration, 40
    (7–8), 336–343.

    Retrieved from the Walden Library databases.

     

    This article explains the nursing management minimum data set (NMMDS), which is a research-based minimum set of standard data for nursing management and administration. The article describes how the NMMDS can be used to minimize the burden on health care administrators and increase the value of electronic health records within the health care system. Using The Data/Information/Knowledge/Wisdom Continuum.

  • The Systems Development Life Cycle and the Nurse Informaticist Essay Discussion

    The Systems Development Life Cycle and the Nurse Informaticist Essay Discussion

    The systems development life cycle (SDLC) is a model for planning and implementing change within an organization. It is important for many individuals to be represented in the process, especially the end users of the system or the employees who must live with the change. As informatics become more and more widespread throughout the health care field, collaboration between information technology (IT) professionals and health care practitioners is becoming increasingly important. The nurse informaticist is able to combine the perspective of the information technology side with the clinical nursing perspective. The Systems Development Life Cycle and the Nurse Informaticist Essay Discussion

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    While the titles and specific responsibilities of nurse informaticists vary across organizations and practice settings, the fundamental purpose of the role remains the same. Nurse informaticists synthesize their knowledge of how technology can improve health care with an understanding of clinical practice and workflow. This is why nurse informaticists can be instrumental in facilitating the SDLC for informatics in health care. For this Discussion, you examine the relationship between the nurse informaticist and the use of the SDLC. The Systems Development Life Cycle and the Nurse Informaticist Essay Discussion

     

    To prepare:

     

    Review the information in this week’s Learning Resources on the SDLC and the role of the nurse informaticist. Reflect on Chapter 1 of the Dennis, Wixom, and Roth course text and consider how the information about the systems analyst role translates into nursing and health care.

    Consider a recent change in your organization related to the implementation of a new technology or system. How was this change handled? What was the general SDLC process? Who was involved, and what were the outcomes? The Systems Development Life Cycle and the Nurse Informaticist Essay Discussion.

    Identify whether your organization (or one with which you are familiar) has a formal title or position for the nurse informaticist. This position may be called by a different name, such as nurse informatics specialist or informatics analyst, so be sure to review the position description.

    If your organization has a position for the nurse informaticist, what are the responsibilities of that position? If your organization does not have such a position, conduct research in the Walden Library and at credible online sources on the role of the nurse informaticist. The Systems Development Life Cycle and the Nurse Informaticist Essay Discussion.

    Reflect on the role of the nurse informaticist in the overall health care field. How is this position connected to the SDLC? Assess the benefits of having this specialized position within health care organizations and involving the nurse informaticist in the SDLC. The Systems Development Life Cycle and the Nurse Informaticist Essay Discussion.
    Post by tomorrow 8/30/16 550 words in APA format with a minimum of 3 references from the list provided under Required Readings. Apply the level 1 headings as numbered below:

    1) A description of how the systems development life cycle is utilized in your organization (Hospital), or in one with which you are familiar, and assess its effectiveness.

     

    2)  Assess the role of the nurse informaticist in your organization. If the nurse informaticist is not a current position within your organization, provide a description of the generally accepted role of the nurse informaticist based on this week’s Learning Resources and your own research. The Systems Development Life Cycle and the Nurse Informaticist Essay Discussion.

     

    3)  Explain why it is important for the nurse informaticist to be involved in the SDLC process and the overall organizational benefits of having such involvement. The Systems Development Life Cycle and the Nurse Informaticist Essay Discussion.
     

     

     

    Required Readings

     

    Dennis, A., Wixom, B. H., & Roth, R. M. (2015).
    Systems analysis and design
    (6th ed.). Hoboken, NJ: Wiley.

     

    Chapter 1, “The Systems Analyst and Information Systems Development” (pp. 1–34)

     

    In this chapter, the authors clarify the relationship between systems analysts and information systems development. The chapter also covers the basic business applications of information systems. The Systems Development Life Cycle and the Nurse Informaticist Essay Discussion.

     

    McGonigle, D., & Mastrian, K. G. (2015).
    Nursing informatics and the foundation of knowledge
    (3rd ed.). Burlington, MA: Jones and Bartlett Learning.

     

    Chapter 10, “Systems Development Life Cycle: Nursing Informatics and Organizational Decision Making” The Systems Development Life Cycle and the Nurse Informaticist Essay Discussion.

     

     

     

    Chapter 11, “Administrative Information Systems”

     

    Quality, organizational decision making is a requisite to successful advancements in technology. This chapter explores how workplaces respond to the necessity for improved information systems. The Systems Development Life Cycle and the Nurse Informaticist Essay Discussion.

    Anderson, C., & Sensmeier, J. (2011). Nursing informatics scope of practice expands, salaries increase.
    Computers, Informatics, Nursing, 29
    (5), 319–320.

     

    Retrieved from the Walden Library databases.

     

    This article assesses the growing need for informaticists in the health care industry. The combination of clinical and information technology experience that informaticists possess makes them invaluable in assisting in the health care industry’s transition into a heavier use of information systems. The Systems Development Life Cycle and the Nurse Informaticist Essay Discussion.

     

    Houston, S. M. (2012). Nursing’s role in IT projects.
    Nursing Management, 43
    (1), 18–19.

     

    Retrieved from the Walden Library databases.

     

    The societal advancements of information technology (IT) are major factors in the governance of health care organizations. This article gives an overview of how nurse informaticists blend their clinical know-how with IT to improve workflow and patient care.

     

     

     

    McLane, S., & Turley, J. P. (2011). Informaticians: How they may benefit your healthcare organization.
    The Journal of Nursing Administration, 41
    (1), 29–35.

     

    Retrieved from the Walden Library databases.

     

    Nursing informaticists help guide the implementation of information systems into health care organizations. The authors of this article evaluate how informaticists effect change in management and improve meaningful use in nursing practice. The Systems Development Life Cycle and the Nurse Informaticist Essay Discussion.

     

    Prestigiacomo, J. (2012). The rise of the senior nurse informaticist.
    Healthcare Informatics, 29
    (2), 38–43.

     

    Retrieved from the Walden Library databases.

     

    The author of this article highlights the conditions of the health care industry and its growing reliance on data-driven decision making. Nurse informaticists are important in this transition, playing a major role in the development and utilization of electronic health records (EHRs).

     

    Warm, D., & Thomas, B. (2011). A review of the effectiveness of the clinical informaticist role.
    Nursing Standard, 25
    (44), 35–38.

     

    Retrieved from the Walden Library databases.

     

    Health care organizations rely heavily on information management and technology for organizational maintenance and patient care. This article examines the clinical informaticist’s role in facilitating the implementation of health information technology and spearheading clinical risk management. The Systems Development Life Cycle and the Nurse Informaticist Essay Discussion.

  • Worldview Analysis And Personal Inventory Essay

    Worldview Analysis And Personal Inventory Essay

    Based on the required topic study materials, write a reflection about worldview and respond to following:

    In 250-300      words, explain the Christian perspective of the nature of spirituality and      ethics in contrast to the perspective of postmodern relativism within      health care.

    In 250-300      words, explain what scientism is and describe two of the main arguments      against it.

    In 750-1,000      words, answer each of the worldview questions according to your own      personal perspective and worldview: (a) What is ultimate reality? (b) What      is the nature of the universe? (c) What is a human being? (d) What is      knowledge? (e) What is your basis of ethics? (f) What is the purpose of      your existence?

    Remember to support your reflection with the topic study materials. While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines. Worldview Analysis And Personal Inventory Essay.

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    Rubric 

    · Explanation of the Christian perspective of the nature of spirituality and ethics in contrast to the perspective of postmodern relativism is clear, detailed, and demonstrates a deep understanding of the subject. Explanation is supported by topic study materials.

    · Explanation of scientism is clear and accurate. Explanations of two main arguments against scientism are clear and insightful. Details are clearly supported by topic study materials.

    · Each of the worldview questions is answered clearly and with deep personal insight.

    · Thesis is comprehensive and contains the essence of the paper. Thesis statement makes the purpose of the paper clear. Worldview Analysis And Personal Inventory Essay.

    · Writer is clearly in command of standard, written, academic English.

    · Clear and convincing argument presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative.

    · All format elements are correct.

    · Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error. Worldview Analysis And Personal Inventory Essay.

    What Is a Worldview?

    The following definitions are helpful:

    “A set of assumptions or beliefs about reality that affect how we think and how we live” (Cosgrove, 2006, p. 19).

    “The comprehensive perspective from which we interpret all of reality” (Keller, 2012, p. 157).

    Worldview is often described as a set of lenses through which we view the world. As a 
    descriptive
     lens, our worldview influences our perception of the world. What is true? What is reality? As a 
    prescriptive
     lens, our worldview influences our evaluation of what is true. What does it mean? How should we live?

    One may readily see that if one views the nature of the universe as consisting of only physical matter and energy, then that person’s understanding of the meaning of life and how we should live will likely be far different from one whose perception of the universe includes a spiritual realm where life continues after death and goodness is rewarded. Worldview Analysis And Personal Inventory Essay.

    While it is true that all people have their own private worldviews with values and beliefs that have been shaped by culture, education, experiences, and relationships, it is also valuable to speak of shared worldviews, those foundational assumptions or beliefs that many people hold in common. For the sake of this course, the course content will be reduced from the many-shared worldviews to three basic worldview families.

    What Are the Three Basic Worldview Families?

    Though there are many different worldviews, for the purpose of this course they have been simplified into three basic worldview families. There are many variations within these families. Worldview Analysis And Personal Inventory Essay.

    Atheism

    Atheism is the worldview of those who believe only in what their senses can detect–only what may be analyzed and understood in a scientific laboratory. This view believes in no God or spiritual realm. The cosmos consists of only the natural or physical realm of matter and energy. Other names often associated with this worldview family are naturalism and secular humanism. Most whose worldview values and behavior are aligned with atheism prefer to be considered agnostics. These are uncertain of the existence of God, skeptical for the most part, yet open to the possibility. Worldview Analysis And Personal Inventory Essay.

    Pantheism

    Pantheism is the worldview of spiritualism, the belief that “all is God” as the word implies. Pantheists believe in a spiritual realm, but no relational God who has revealed himself to humanity and is actively involved in the lives of those who believe in him. This worldview family consists of the Eastern religions of Hinduism and Buddhism, as well as the more eclectic Western belief known as New Age. Pantheists typically embrace an impersonal oneness of which all humans may become a part, becoming godlike themselves as they reach higher levels of spirituality. Worldview Analysis And Personal Inventory Essay.

     

    Theism

    Theism, or monotheism, is the worldview of the three major religions, Judaism, Christianity, and Islam. Though these three have huge differences rendering them incompatible with each other, they do nonetheless have some similarities. Theists all believe in a single, personal, and relational God who is the creator and sustainer of all that exists. They all likewise believe in absolute truth and morality, and an afterlife. The focus of this course is Christianity, so the course will be comparing these three worldviews: atheism, pantheism, and Christianity.

    Another common worldview name, deism, is somewhat of an enigma–having a basic belief in God, but a God who is not relational or involved in human life. So although falling under the broad category of theism, deists may effectively live as atheists. Many people have complex worldviews that are a mix of various beliefs from the major worldview families. Worldview Analysis And Personal Inventory Essay.

    How Do We Determine Our Worldview?

    There are six components that help to determine worldview. The following questions correspond to each component. Answering each of the following questions for yourself will help you begin thinking about your own worldview:

    What Is Ultimate Reality?

    Does reality consist basically of physical matter and energy, as the atheists believe? Is reality an impersonal spiritual entity that dominates the universe and to which all humans must endeavor to attain unity with, as the pantheists assert, or is there a personal and relational, all-powerful, and sovereign God who exists everywhere, but is separate from the physical world he created, as believed by Christians and other theists? Worldview Analysis And Personal Inventory Essay.

    What Is the Nature of the Universe?

    This is similar to the question above but focuses strictly on what one believes about the natural world. Is the universe strictly physical and yet eternal in one form or another? Is it merely an illusion intended as a battleground for us to work toward enlightenment, or was the universe created by God and far more complex than can be detected by scientists, consisting of both a physical and a spiritual realm?

    What Is a Human Being?

    Is a human basically a biological machine, just a higher level of animal? Is a human a type of god with powers to reach perfection, or is a human an off-the-charts creature designed in the image of God with an eternal spirit like his and similar abilities to reason, seek moral purity, communicate on a high level, create for beauty, and love even those who cannot love in return? Is death the end of existence, or is there a soul that lives on? Does that soul return in another life, or does it return to God and await judgment? Worldview Analysis And Personal Inventory Essay.

    What Is Knowledge?

    Is there such a thing as absolute truth, or is truth relative? Is true knowledge only that which may be acquired and understood through scientific means, or is there also knowledge that only may be acquired by revelation from God? Should you only trust your senses, or should you explore the spiritual realm and seek knowledge from God?

    What Is Your Basis of Ethics?

    How do you know right from wrong? Is morality learned, or is it designed into our conscience? Is there a set of absolute moral standards given by God, or is morality relative, a matter of culture, and what is acceptable to a society? Worldview Analysis And Personal Inventory Essay.

    What the Purpose of Your Existence?

    Is human life as you know it merely the result of some amazing cosmic accident, or is there an underlying meaning to history, a purpose toward which time will culminate? Does life have meaning and purpose for individuals, or is it simply whatever one makes it? Did the Creator design his children with a purpose? If so, what might that be?

    How Do We Test Our Worldview?

    Everyone (not only religious people) forms his or her worldview on the basis of faith (assumptions and presuppositions) and reason. So we must ask ourselves “how reasonable or consistent is our worldview?” Are there any contradictions that are apparent? Testing a worldview is critical because at the end of the day, most people want to make sure that they have 
    true
    beliefs about the world. The following tests are just some ways of determining whether or not a particular worldview is true. Consider only three basic tests summarized here:

    The Coherence Test
    checks the internal consistency of a worldview to see if one’s specific values and beliefs contradict any other beliefs within the worldview.

    The Correspondence Test
    examines how well a worldview corresponds to reality. It evaluates evidences and experiences to see if the worldview matches with what one perceives in the real world.

    The Practical Test
    evaluates a worldview’s livability. Does the worldview bring satisfaction as one faces life’s challenges, or is it found to be lacking? Worldview Analysis And Personal Inventory Essay.

     

    Foundations of Christian Spirituality and Ethics

    The foundational beliefs of Christianity inform the Christian understanding of the nature of spirituality and the nature of ethics. Thus, the way in which the Christian worldview answers the six questions above shapes a distinctly Christian spirituality and Christian ethic. The term 
    spirituality
    has many different definitions in popular culture and in different contexts. One influential definition claims, “spirituality is an aspect of humanity that refers to the way individuals seek and express meaning and purpose, and the way they experience their connectedness to the moment, to self, to others, to nature, and to the significant or sacred” (Puchalski et al., 2009). This definition is broad enough to give a general idea of what spirituality involves, but it does not give a full picture of a person’s spiritual life or spiritual needs. Those details will be filled in by examining a persons specific worldview. Worldview Analysis And Personal Inventory Essay.

    Spirituality in the Christian worldview has its foundations in the reality of a triune God who eternally exists as Father, Son, and Holy Spirit. God is one being in three persons and is the creator and sustainer of all that exists. He is all-knowing, all-powerful, and loving to his core, “And so we know and rely on the love God has for us. God is love. Whoever lives in love lives in God, and God in them” (1 John 4:16). This God has revealed himself in different ways to human beings, including through the natural world. However, he has revealed himself and his will for human beings most authoritatively through the Bible and in the person of Jesus Christ. In this view, whatever it means to be spiritual will in some sense be related directly or indirectly to God, and will come to be known primarily through the teachings of the Bible. Worldview Analysis And Personal Inventory Essay. Furthermore, Christian spirituality will refer to the beliefs and practices that are meant to reflect the proper functioning of God’s creation, and which promote right relationship to God and deeper knowledge of him. Many times spirituality is taken to be synonymous with the feeling of deep emotion or of oneness with a transcendent reality, but Christian spirituality is not limited to the experience of mere emotions or feelings. Feelings and emotions are an important part of being human, and they are even an important part of one’s relationship to God. Yet, spirituality in the Christian worldview is not dictated by the feelings or emotions one might be experiencing in the moment, but by trust in the goodness of God and obedience to him. Worldview Analysis And Personal Inventory Essay.

    In the same way that Christian spirituality finds its foundations in the reality of the triune God of the Bible, ethics also has its foundations in God. Ethics, broadly speaking, is the study of good and bad, right and wrong. Every worldview has to explain the foundations of ethics (in line with worldview question #5 above) such that it explains the basis of what counts as good and bad, right or wrong. In the Christian worldview, there is a God who exists and has created the world with a moral structure and purpose such that what is truly right and good is a reflection of God’s character. God’s own holy, loving and perfect character is the standard of right and wrong. Badness or what is wrong is then defined as anything that is contrary to God’s character, his will, or to his design and purpose for his creation. Worldview Analysis And Personal Inventory Essay.

    The Bible reveals what God’s character is like. Exodus 34:6-7 says,

    The LORD, the LORD, the compassionate and gracious God, slow to anger and abounding in love and faithfulness, maintaining love to thousands, and forgiving wickedness, rebellion and sin. Yet he does not leave the guilty unpunished; he punishes the children and their children for the sin of the parents to the third and fourth generation.

    Similarly, 1 John 4:7-9 says,

    Dear friends, let us love one another, for love comes from God. Everyone who loves has been born of God and knows God. Whoever does not love does not know God, because God is love. This is how God showed his love among us: He sent his one and only Son into the world that we might live through him. Worldview Analysis And Personal Inventory Essay.

    Psalm 18:30 declares, “As for God, his way is perfect: The LORD’s word is flawless; he shields all who take refuge in him.” Many more verses could be surveyed, but the Bible makes clear that God is perfectly good and holy. Knowing right and wrong then will mean knowing that which accords to God’s character.

    Right or wrong can be discovered in multiple ways. It can be discovered in God’s creation by examining the natural world or by the use of human reason. In this way, one discovers God’s design for the way things are supposed to be by examining what is built into creation; this is often referred to as “natural law.” For example, one can know by means of reason and observation that murder is wrong or that a broken bone is bad and not the way it is supposed to be. Conversely, one might come to know that feeding the homeless is good, and loving one’s spouse is right. One does not need to be religious or even believe in God to be able to know propositions of “natural law.” Nevertheless, the Christian worldview holds that these truths are built into the world by God. Second, right or wrong can be discovered by reading the Bible or looking at the example of Jesus Christ. Worldview Analysis And Personal Inventory Essay. The Bible reveals God’s commands and principles such as the Ten Commandments or the teachings of Jesus on the sermon on the mount
    .
    In addition, the Bible provides us with examples of virtuous people. The perfect man and moral exemplar (though much more than only a man and an exemplar) in the Christian tradition is Jesus Christ himself. The Christian is to not only obey God’s commands, but to be transformed into the kind of person that reflects the character of God. Jesus Christ is the perfect representation of such a life; Christians, thus, ought to embody the virtues and character of Jesus himself. The attaining of these virtues will not only be a matter of intellectual knowledge of right and wrong, but an active surrender and transformation by means of God’s own Holy Spirit. The wisdom to navigate all the complexities of ethical decision-making will be a consequence of a person’s character and the active guidance of the Holy Spirit. Worldview Analysis And Personal Inventory Essay.

    Knowledge of God, Knowledge of Ethics

    A key component of the foundations of Christian spirituality and ethics as described above is the view that people can have genuine 
    knowledge
     of God and 
    knowledge
     of right and wrong. A few observations about the word 
    knowledge
     need to be considered. First, by 
    knowledge
     we mean the opposite of mere opinion. Knowledge is more than just an educated guess; it is being in touch with the real world as it really is. Thus, knowledge in this sense is not merely 
    subjective
    , but is rather an 
    objective
     description of reality. For example, the proposition “the earth is round” is an 
    objectively
     true description of reality, even if some people happen to 
    subjectively
     deny that the earth is round. Subjective beliefs may be true or false. What would make 
    subjective
     beliefs true would be if they matched the real 
    objective
     world. Fundamentally, knowledge is the possession and awareness of 
    truth
    . Worldview Analysis And Personal Inventory Essay.

    There are two philosophies, however, that stand in contrast to the Christian belief that one can have knowledge of God and knowledge of right and wrong, namely 
    scientism
     and 
    postmodernism
    . These two philosophies are very influential in today’s society, although they are not compatible with the Christian worldview. It is important to understand these philosophies because not only are they not compatible with the Christian worldview, they arguably have negative effects on the practice of medicine and health care. Worldview Analysis And Personal Inventory Essay.

    Scientism

    Although the term 
    scientism
     has the word 
    science
     in it, it is crucial to recognize that (1) 
    scientism
     is not the same thing as (2) 
    science
    . In the Christian worldview, 
    science
     is a great and good thing. In fact, the Christian worldview has always encouraged careful investigation of the natural world. In the Christian worldview, medical technology is considered a good gift from God insofar as God has created the kind of world that has a structure that can be discovered and manipulated to bring about the good of human beings (Rae & Cox, 1999). 
    Scientism
    , however, is not compatible with the Christian worldview. Scientism is the belief that the best or 
    only
    way to have any knowledge of reality is by means of the sciences (Moreland & Craig, 2003, pp. 346-350). In other words, if something is not known scientifically then it is not known at all, and the only way to hold true beliefs about anything is to know them scientifically Worldview Analysis And Personal Inventory Essay.

    That may sound reasonable and even commonsense, but there are two problems with scientism: (1) scientism is a self-refuting philosophy, and (2) science has clear limits. First, if the only way to have true beliefs is through science, then the thesis of scientism itself (“the only way to have any knowledge of the world”) could not be true because it cannot be proven scientifically. Thus, the thesis of scientism fails its own truth test. Scientism’s thesis is, in fact, a philosophical statement. Philosophers call such propositions 
    self-refuting
    because they invalidate themselves by definition, similarly to someone claiming, “I cannot speak a word of English.” Worldview Analysis And Personal Inventory Essay.

    Second, while science is a powerful way of gaining knowledge of the natural world, science is limited and is not the only way of gaining knowledge. Consider the following two limitations of science (though there are many others); science cannot tell us anything about (1) ethics or (2) how one ought to use the results of science (University of California Museum of Paleontology, n.d.). Science is wonderful and 
    describes
     the way things are, but it has no authority to tell us what we 
    ought
     to do morally. Science cannot tell me whether or not I 
    ought
    to love my spouse, keep my promises, or give to the poor Worldview Analysis And Personal Inventory Essay. Even when it comes to ethical issues that involve science, science cannot determine what the right thing to do would be. For example, science might be able to describe the nasty effects of a terminal disease on a person or explain the state of a person’s brain if that person is in a vegetative state. However, science cannot determine whether euthanasia or physician-assisted suicide is good, bad, right, or wrong. Science also cannot determine how scientific data and results ought to be used. Science might enable the discovery of chemical processes or structures, but should the results be used for creating biotechnology to engineer human DNA? Should the results of scientific research be used to create bioweapons for military purposes? Such questions are beyond the bounds of what science can answer. Remember scientism is NOT science; it is a philosophical thesis that claims that science is the only methodology to gain knowledge and that every other claim to knowledge is either mere opinion or false. However, as Nicholas Rescher remarks, “to take this stance [of scientism] is not to celebrate science but to distort it” (as cited in Moreland & Craig, 2003) Worldview Analysis And Personal Inventory Essay.

    Postmodern Relativism

    Postmodernism is a broad philosophical position that claims that there is no such thing as truth or an objective reality that can be known. A common way in which postmodernism is expressed is through a view called 
    relativism
    . Relativism is the view that there is no such thing as truth in the common sense of that concept. Every claim about the nature of reality is simply 
    relative
     to either an individual or a society/culture. Another way to put this is to say that truth is 
    invented
     by people (whether it is individuals or entire societies) instead of being 
    discovered
    . According to this way of thinking, there is not genuine truth to be had or known, only 
    subjective
     opinions or beliefs. While certain questions are no doubt  matters of subjective opinion, such as “what is the best flavor of ice cream?” or “what is the proper way to shake hands?” not all questions are. This is most clearly seen when we consider 
    moral
     or 
    ethical
     propositions about right or wrong. It would be a serious mistake to claim that the propositions “murder is wrong” or “racism is evil” are mere subjective matters of opinion. However, that is what relativism implies. If all truth including morality is simply a human invention, then there is no standard for 
    genuine
     truth, and it follows that there is no 
    genuine
     right or wrong. However, this is certainly false. Whether or not the Nazi party, made up of thousands of individuals, believed that killing 6 million Jews was a good thing, we have to say without any hesitation that they were 
    genuinely
     wrong. But it is not possible to be wrong unless there is 
    genuine objective truth
    to be known. Worldview Analysis And Personal Inventory Essay.

    Both scientism and postmodern relativism are incompatible with the foundations of Christian spirituality and ethics. The Christian worldview holds 
    science
     in high regard and accepts it as one of the most powerful communal ways of obtaining knowledge about the world. However, contrary to 
    scientism
    ,the Christian worldview does not accept science as the only way of knowing things about the world. Secondly, contrary to postmodern relativism, the Christian worldview holds that 
    genuine objective knowledge
    of God and of right and wrong is possible. It follows then that who God is and what is right and wrong are not merely matters of subjective opinion, but genuine truths to be discovered. Worldview Analysis And Personal Inventory Essay.

    Conclusion

    The foundations discussed above provide the framework for Christian ways of ethical and spiritual decision-making in health care. It is important to understand therefore that the Christian way of ethical and spiritual decision-making is distinct from other worldviews and is not the same as Buddhist, Muslim, or even atheist ways of ethical and spiritual decision-making. It is not fair or respectful to paint all religions or worldviews with the same brush under the heading of “spirituality” and ignore the differences. Worldview Analysis And Personal Inventory Essay.

    Topic 2 will discuss a foundational principle to the practice of medicine and health care, as well as bioethics namely, the principle of 
    respect for persons
    . The Christian worldview goes even further and states all human beings are made in the 
    image of God
     and therefore have intrinsic value and are worthy of dignity and respect.

    Topic 3 will discuss the field of bioethics and introduce some of the main methodologies of ethical decision-making in health care. The focus in this section will be on the methodology called 
    principlism
    which stresses the application of four moral principles to all ethical decisions in health care. Prinipalism will be used and interpreted in light of the Christian worldview and the overarching narrative presented in the Bible. Worldview Analysis And Personal Inventory Essay.

    Topic 4 will briefly introduce issues of death, dying, and grief. The focus will be on ethical issues at the end of life and the Christian worldview regarding death in light of the biblical narrative and the hope of resurrection inaugurated by the person and work of Jesus Christ.

    Topic 5 will conclude with discussion about the facilitating of ethical and spiritual decision-making for patients, and the practical application of the principles and tools introduced in this course. Worldview Analysis And Personal Inventory Essay.