SlideShare a Scribd company logo
1 of 19
Title of Project
Presenter Name
University name
Introduction and Problem
Variables
Descriptive Data
Results
Results (cont.)
Clinical Questions/PICOT
Discussion
Project Limitations
Conclusion and Recommendations
Purpose of the Project
Data Analysis
References
.
.
.
.
TEMPLATE DESIGN © 2008
www.PosterPresentations.com
1
Running head: CRITIQUING A RESEARCH ARTICLE
1
CRITIQUING A RESEARCH ARTICLE
2
Risks of Smoking
Janeisy Serrano
Florida National University
Risks of Smoking
Introduction
The Article
Grassi, M.C., Baraldo, M., Chiamulera, C., Culasso, F.,
Raupach, T., Ferketich, A.K., Patrono, C., & Nencini, P. (2014).
Knowledge about health effects of cigarette smoking and
quitting among Italian university students: The importance of
teaching nicotine dependence and treatment in the medical
curriculum. BioMed Research International, 2014(321657), 1-9.
Research Problem
Cigarette smoking causes more avoidable mortalities in the
developed world than any other risky behavior. It is also blamed
for about 22% of deaths attributed to cancer annually,
worldwide. In Italy, there are around 11 million current
smokers, all of whom are adults and form 20.7% of the
country’s gross adult population. 695,000 people die in Europe
annually as a result of diseases linked to smoking. The authors
had previously carried out a study whose findings showed that
4th year Italian undergraduate medical students are not
adequately knowledgeable about the role of doctors in
facilitating smoking cessation, tobacco dependence, and
pathologies linked to smoking. Analysis of these results can be
strengthened further by juxtaposing them with survey results in
which respondents are nonmedical undergraduates. Medical
students are naturally expected to be more informed about
tobacco use and smoking cessation compared to their
nonmedical counterparts, especially since health advocacy is
one of their primary roles. Currently, however, there is a
knowledge gap because surveys assessing nonmedical
undergraduates’ understanding of tobacco are scarce at best.
Research Question and Research Objectives
The paper has no research question. The research
objectives are, however, three-pronged. First, the authors intend
to ascertain the consistency of their earlier findings. Second,
the current study is aimed at determining if similarly-aged
nonmedical undergraduates have varying interpretations and
attitudes concerning smoking as opposed to medical
undergraduates. The third objective is to scrutinize the smoking
status of medical undergraduates as well as their knowledge
retention one and two years after a brief educational
intervention.
Initial Results and Methods
Respondents were required to fill a questionnaire
containing 60 items. Each of the items revolved around
participants’ awareness of the epidemiology and health
ramifications of smoking, which was labeled as Score 1, and the
potency of cessation therapies, which was identified as Score 2.
Once they had completed their questionnaires 4th year medical
undergraduates were sensitized about tobacco dependence. One
and two years after the initial study, the respondents were called
upon to participate in the same exercise. Findings showed that
5th year medical undergraduates who had undergone
sensitization in year 4 posted higher scores compared to their
colleagues who had not been briefed. Huge variations were
observed one year following the educational interposition. The
authors surmised that medical undergraduates are more
knowledgeable about tobacco-related conditions and smoking
cessation techniques compared to nonmedical undergraduates;
however, the difference is minor. A brief educational mediation
was linked to greater awareness after one year; nevertheless, the
impact was fleeting and marginal.
Evaluation
The study does not have a literature review. In terms of the
actual research, the article is broken down into abstract,
introduction, methods, results, discussion, conclusions, ethics
approval, acknowledgments, references, and copyright sections.
The most the authors do in terms of reviewing literature is to
refer to their previous study, whose findings they use as a
precursor to and justification for the present research.
The research article is current as it was published in April 2014,
which makes it less than 6-years-old. The article also
appreciates prevailing health issues. Cigarette smoking is one of
the most ubiquitous health concerns in the 21st century as it is a
major risk factor for a wide range of diseases, including cancer
and heart disease. Smoking also comes with a huge financial
and economic burden that is normally imposed on governments
and the immediate families of people that are ailing because of
a history of tobacco use; this cost runs into billions of dollars
per year. To date, various stakeholders such as research
institutions, nongovernmental organizations (NGOs), health
practitioners, and interest groups are aggressively exploring
strategies with which they can increase smoking cessation,
curtail potential new smokers, and confront the different
diseases linked to the practice.
The research type is non-experimental and qualitative in nature.
The authors conducted a survey using a questionnaire
comprising 60 items. The questionnaire had four parts:
awareness of smoking-oriented epidemiologic realities,
demographics and individual smoking background, attitudes
towards the effect of smoking on individuals’ life expectancy,
and awareness of clinical frameworks on smoking cessation
therapies and ability to counsel people who want to give up
smoking.
The sample size consisted of 1191 undergraduates. The
participants were drawn from three main groups. The first group
contained medical students, the second group comprised
architecture students, and the third cluster was made up of law
students. Medical students contributed the largest portion of
participants, at 962, followed by architecture and law students
at 122 and 107 students, respectively. In terms of gender,
female students made up 61%, 57%, and 72% of medical,
architecture, and law students. The mean age and range was
23.9 (20-55), 23.2 (20-41), and 21.7 (20-38) for medical,
architecture, and law students, respectively. All participants
filled the questionnaire, with a 100% response rate. The sample
was large and diverse enough for the research. However, the
sampling method – such as stratified sampling or simple random
sampling – employed by the authors is not expressly identified;
this is a serious shortcoming because it casts doubts on the
reliability and validity of the sample in terms of scholarly
standards.
The study and its findings are adequately practical. The authors
hypothesize that the results establish the basis for investigations
comparing the impacts of a single educational mediation with
other interventions informed by a more elaborate orientation in
the health implications of smoking. The authors add that recent
studies have shown that the educational approach preferred is
significantly less influential for student learning vis-à-vis
summative evaluations. Using their findings as a premise, the
researchers infer that medical students should participate in
comprehensive summative reviews of their understanding of
tobacco dependence.
The study could have been improved and there are multiple
areas of weakness that could have been addressed by the
authors. As an example, the researchers sourced participants
from just four Italian universities. Considering that Italy has 89
universities, almost all of which have medical schools, four
institutions are neither holistic nor accurate with respect to
representation of the total number of medical students in the
country. Another aspect that the authors should have addressed
or worked to minimize pertains to selection bias. As it has
already been mentioned, follow-up tests were conducted after
the first one. Due to attrition, the number of students who
participated in the first and second follow-up assessments
declined by about 25%; as a result, selection bias crept in and
promoted the involvement of students who are more curious
about smoking-related aspects and also more motivated. This
could have distorted the results. The third area in which
improvement could have been made relates to the balance
between the three clusters of samples. Medical students
considerably outnumbered their law and architecture colleagues,
and this reduces the representativeness of the research finding
in the two smaller constituencies. Apart from this, the authors
relied primarily on a self-report to appraise the smoking status
of respondents; for this reason, they could have misjudged
smoking prevalence. Finally, the researchers should have
monitored individual respondents and fluctuations in their
responses by incorporating identifying details, which were not
captured during the study.
The article is written in a logical, legible, and explicit manner.
It is also organized properly, with different sections and
subsections. The main headings are emboldened, thus making it
easy for readers to navigate through the article, while the
subheadings are numbered numerically. The article has a nice
flow to it, moving from one section to another in systematic
fashion. Further research can be conducted on the subject
because more efforts need to be made to enlighten a new breed
of health practitioners, especially physicians, who will come up
against the effects of the present smoking epidemic.
Conclusion
Smoking cessation enhances quality of life and lowers health
risks. For instance, the overall risk of mortality due to lung and
cardiovascular diseases as well as cancer can be significantly
lowered when smokers quit, including in old age. Medical
school syllabuses typically pay little attention to nicotine
addiction and tobacco-related matters, which is disappointing
given that health advice enables cessation. General practitioners
(GPs) do not comply with recommendations for counseling; this
is secondarily caused by insufficient training at undergraduate
level despite the availability of sound scholarly solutions to
leverage the skills, perceptions, and knowledge of
undergraduate medical students with respect to strategies of
smoking cessation. It is also worth noting that the actualization
of academic interventions is constrained by their exorbitant cost
in relation to instructor time and resources. This calls for a
clear and relatively straightforward yet potent tobacco syllabus
that incorporates teaching about smoking-related issues, such as
therapy and toxicology. It is necessary to conduct more
effective research in this field.
Reference
Grassi, M.C., Baraldo, M., Chiamulera, C., Culasso, F.,
Raupach, T., Ferketich, A.K., Patrono, C., & Nencini, P. (2014).
Knowledge about health effects of cigarette smoking and
quitting among Italian university students: The importance of
teaching nicotine dependence and treatment in the medical
curriculum. BioMed Research International, 2014(321657), 1-9.
Title of Project
Presenter Name
University name
Introduction and Problem
Variables
Descriptive Data
Results
Results (cont.)
Clinical Questions/PICOT
Discussion
Project Limitations
Conclusion and Recommendations
Purpose of the Project
The data analysis was in line with the needs of the project:
statistical tests, including t-test and Wilcoxon signed ranks,
were employed to determine if there were statistically
significant differences between pre- and post-test
measurements. This way, the relationships between the
independent and dependent variables were reliably inferred
(Polit & Beck, 2017)
Data types:
Survey: quantitative, ordinal (Likert scale).
Reports: quantitative, ratio (number of mistakes).
Data analysis approaches:
Software: SPSS.
Survey: Wilcoxon signed ranks test.
Reports: paired t-test.
Data Analysis
The project employed four Advanced Practice Registered
Nurses, three Medical Doctors, and one Physician Assistant who
exhibited significant resistance to the use of EHR.
References
.
.
Several studies have shown the benefits of the use of electronic
health records (EHR) for patients’ safety, as well as their ability
to improve efficiency in primary care settings (Porterfield,
Engelbert, & Coustasse, 2014). Regardless of the positive
effects of the implementation of EHR, health care providers
have moved slowly to adopt this technology (King, Patel,
Jamoom, & Furukawa, 2014). Practitioners who do not want to
adopt EHR, especially electronic prescription, can endanger
patient safety.
Medication errors, in turn, are a serious issue that causes
numerous safety incidents in primary care. Studies have shown
that the use of EHR significantly reduces the number of
prescription errors that can harm patients (Liao et al., 2017).
Palabindala, Pamarthy, and Jonnalagadda (2016) showed that
the use of EHR could reduce medication error while also
resulting in improved communications between patients and
healthcare teams
The purpose of this quantitative quasi-experimental project was
to determine if there was a relationship between the application
of an educational program and the improvement of
practitioners’ perception of EHR usability, as well as the
reduction of the number of prescription medication errors, at a
medical group practice in the Southeastern of the United States
(US).
The PICOT question created for the project was as follows: (P)
Among healthcare practitioners, (I) how does the
implementation of an educational program in a primary care
medical center in the Southeast of the US (C) compared to the
pre-intervention measurements in the prior four weeks (O)
influences primary care practitioners’ perceptions of the
usability of EHR and the incidence of prescription medication
errors (T) within four weeks of participating in the program?
The following clinical questions guide this quantitative project:
Q1: How does the implementation of an educational program
influence the perceptions of primary care practitioners
regarding EHR usability?
Q2: How does the implementation of an educational program
influence prescription medication error incidence?
Variable 1: Quality improvement educational program
(independent)
Variable 2: Primary care practitioners’ perception of EHR
usability (dependent)
Variable3: Number of prescription medication errors
(dependent).
The educational program can enhance the participants’
perceptions regarding EHR, but the described project cannot
reject the null hypothesis that the intervention had no effects on
the medication error rates. However, since the project was
constricted by significant limitations, this finding is not
conclusive.
Some of the research recommendations include the proposal to
increase the sample size, have a greater timeframe for future
projects, and consider randomizing the sample into two groups.
The project can also be used to recommend educational EHR
efforts for the reduction of EHR resistance and the specific
program that has been tested for the same purpose.
The sample was small (8 participants) and could not be
expanded because the facility was small.
The data collection process was limited by the short time
allocated to observing the results (4 weeks)
The project employed a quasi-experimental design. Since its
sample was so small, trying to split it further was not feasible.
King, J., Patel, V., Jamoom, E. W., & Furukawa, M. F. (2014).
Clinical benefits of electronic health record use: National
findings. Health Services Research, 49(1pt2), 392–404. doi:
10.1111/1475-6773.12135
Liao, T. V., Rabinovich, M., Abraham, P., Perez, S., DiPlotti,
C., Han, J., ... Honig, E. (2017). Evaluation of medication
errors with implementation of electronic health record
technology in the medical intensive care unit. Open Access
Journal of Clinical Trials, 9, 31-40. doi:
10.2147/OAJCT.S131211
Porterfield, A., Engelbert, K., & Coustasse, A. (2014).
Electronic prescribing: Improving the efficiency and accuracy
of prescribing in the ambulatory care setting. Perspectives in
Health Information Management, 2014, 1-13
Palabindala, V., Pamarthy, A., & Jonnalagadda, N. R. (2016).
Adoption of electronic health records and barriers. Journal of
Community Hospital Internal Medicine Perspectives, 6(5), 1-3.
doi: 10.3402/jchimp.v6.32643
Polit, D.F., & Beck, C.T. (2017). Nursing research: Generating
and assessing evidence for nursing practice (10th ed.).
Philadelphia, PA: Lippincott, Williams & Wilkins.
The survey contained 11 individual items and used a Likert
scale in which 1 stood for an extremely negative assessment of
an aspect of usability or usefulness and 5 referred to an
extremely positive one. The summary of the mean and standard
deviation for each of the items before and after the intervention
is presented in Table 1.
. The raw data indicate that the most common errors for the
clinic include incorrect dosage, incorrect drug, and drug-drug
interaction, as well as incorrect frequency and drug omission.
Table 4 presents the results of the paired t-test analysis of the
errors that occurred and those that were reported. No
statistically significant differences were found for either pair
(p>0.05). Thus, the findings do not suggest that the program had
an impact on medication error rates; a relationship between the
independent variable and medication errors was not found.
Example changes in pre- and post-test scores can be found in
Figure 4. Table 2 summarizes the results of analyzing the
survey items with the Wilcoxon signed ranks test. Items 1, 3, 4,
5, 6, 7, 8, 9, and 10 demonstrate statistically significant results
(p<=0.05).
Therefore, the intervention improved the perceptions of the
participants regarding the effect of EHR on one’s performance
and job effectiveness, the usefulness of EHR, the clarity of
interacting with the system, the ease of EHR use, and the use of
EHR for clinical care and research. The relationship between
the independent variable (program) and perceptions (one of the
dependent variables) was found.
Figure 1. The occupations of the participants.
Figure 2. Age of the participants.
Figure 3. Gender of the participants.
Figure 4. Example changes in survey results before and after the
intervention.
As had been planned, the data were collected before and after
the intervention using an already established survey tool and the
clinic’s pharmacy call reports regarding medication errors.
TEMPLATE DESIGN © 2008
www.PosterPresentations.com
1
Table 2
Survey Analysis Results Summary
Item Significance (1-tailed)
Q1 0.04
Q2 0.07
Q3 0.04
Q4 0.04
Q5 0.05
Q6 0.03
Q7 0.04
Q8 0.04
Q9 0.03
Q10 0.04
Q11 0.244
Table 1
Survey Summary
Item Pre-Test Post-Test
Mean St. Deviation Mean St. Deviation
Q1 2.25 0.707 4.75 0.463
Q2 2.13 0.991 4.38 0.744
Q3 1.75 0.707 4.38 0.744
Q4 2.25 0.707 4.75 0.463
Q5 2.13 0.991 5 0
Q6 1.63 0.744 4.75 0.463
Q7 2.38 0.744 4.38 0.518
Q8 2 0.756 4.13 0.641
Q9 2.25 0.886 5 0
Q10 1.63 0.518 5 0
Q11 4 0.756 4.38 0.518
Table 3
Error Data Summary
Error Type Number
Occurred
Number
Occurred
Number
Reported
Number
Reported
Incorrect Drug 3 4 3 4
Incorrect Dose 5 3 6 4
Incorrect Generic Selection 0 1 0 1
Outdated Product 0 0 0 0
Drug Unavailable/Omission 3 2 2 3
Incorrect Dosage Form 1 2 0 3
Incorrect Patient 3 3 2 4
Allergic Drug Reaction 1 0 1 0
Drug-drug Interaction 4 2 4 2
Incorrect time 1 2 1 2
Incorrect Route 1 2 1 2
Incorrect Frequency 3 3 4 3
Illegible or Ambiguous Prescription 3 0 4 0
Other 3 4 3 4
Total 31 28 31 32
Table 4
Total Errors Analysis Results: Paired Samples Test
Sig. (2-tailed)
Pair 1 .587
Pair 2 .846
Poster Presentation
Students this project will allow you to formulate and
hypothetically develop your own research project. The purpose
of this project is for the student to follow all of the different
steps in a research project on an already published article and
presented as a poster presentation. A poster session or poster
presentation is the presentation of research information by an
individual or representatives of research teams at a congress or
conference with an academic or professional focus. The work is
usually peer reviewed. Poster sessions are particularly
prominent at scientific conferences such as medical congresses.
Students will select a nursing research already published and
following the article information you will create a poster
presentation that include the below information:
The outline of the poster should include the following tabs
(minimum requirements)
Abstract Outline:
-Title of Project
-Problem Statement: what is the problem that needs fixing?
-Purpose of the Project
-Research Question(s)
-Hypothesis
-Methodology (Qualitative vs. Quantitative)
-Steps in implementing your project
-Limitations
Results (Pretend results)
-Conclusion
-References
I have attached an example of a poster presentation for
guidance. The due date for the poster presentation is WEEK 13.
Please feel free to be artistic and provide graphs and data. You
are welcome to use any poster template. Please submit it via
turn it in.
Criterion
Outstanding 4
Very Good 3
Good 2
Unacceptable 1
Score
Completeness
Complete in all respects; reflects all requirements
Complete in most respects; reflects most requirements
Incomplete many respects; reflects few requirements
Incomplete in most respects; does not reflect requirements
Understanding
Demonstrates excellent understanding of the topic(s) and
issue(s)
Demonstrates an accomplished understanding of the topic(s) and
issue(s)
Demonstrates an acceptable understanding of the topic(s) and
issue(s)
Demonstrates an inadequate understanding of the topic(s) and
issue(s)
Analysis
Presents an insightful and through analysis of the issue (s)
identified
Presents a thorough analysis of most of the issue(s) identified
Presents a superficial analysis of some of the issue(s) identified
Presents an incomplete analysis of the issue(s) identified.
Evaluation
Makes appropriate and powerful connections between the
issue(s) identified and the concept(s) studied
Makes appropriate connections between the issue(s) identified
and the concept(s) studied
Makes appropriate but somewhat vague connections between the
issue(s) identified and the concept(s) studied
Makes little or no connection between the issue(s) identified
and the concept(s) studied.
Opinion
Supports opinion with strong arguments and evidence; presents
a balanced and critical view; interpretation is both reasonable
and objective
Supports opinion with reasons and evidence; presents a fairly
balanced view; interpretation is both reasonable and objective
Supports opinion with limited reasons and evidence; presents a
somewhat one-sided argument
Supports opinion with few reasons and little evidence; argument
is one-sided and not objective.
Recommendations
Presents detailed, realistic, and appropriate recommendations
clearly supported by the information presented and concepts
studied
Presents specific, realistic and appropriate recommendation
supported by the information presented and the concepts studied
Presents realistic or appropriate recommendation supported by
the information presented and the concepts studied
Presents realistic or appropriate recommendation with little, if
any, support from the information and the concepts studied.
Grammar and Spelling
Minimal spelling and grammar errors
Some spelling and grammar errors
Noticeable spelling and grammar errors
Unacceptable number of spelling and grammar errors
APA guidelines
Uses APA guidelines accurately and consistently to cite sources
Uses APA guidelines with minor violations to cite sources
Reflects incomplete knowledge of APA guidelines
Does not use APA guidelines
Total

More Related Content

Similar to Title of ProjectPresenter NameUniversity nameIntroduction .docx

Research MethodsLaShanda McMahonUniversity o.docx
Research MethodsLaShanda McMahonUniversity o.docxResearch MethodsLaShanda McMahonUniversity o.docx
Research MethodsLaShanda McMahonUniversity o.docxverad6
 
NOTES FOR TWO MORE RESEARCH ARTICLES1The Effe.docx
NOTES FOR TWO MORE RESEARCH ARTICLES1The Effe.docxNOTES FOR TWO MORE RESEARCH ARTICLES1The Effe.docx
NOTES FOR TWO MORE RESEARCH ARTICLES1The Effe.docxkendalfarrier
 
Knowledge and attitudes towards complementary and alternative medicine among ...
Knowledge and attitudes towards complementary and alternative medicine among ...Knowledge and attitudes towards complementary and alternative medicine among ...
Knowledge and attitudes towards complementary and alternative medicine among ...home
 
CDC 2018-Evidence-Based-Strategies For Preventing Opioid Overdose
CDC 2018-Evidence-Based-Strategies For Preventing Opioid OverdoseCDC 2018-Evidence-Based-Strategies For Preventing Opioid Overdose
CDC 2018-Evidence-Based-Strategies For Preventing Opioid OverdoseCassondra Turner McArthur
 
QuantitativeMixed-MethodsAmerican InterContinental Un.docx
QuantitativeMixed-MethodsAmerican InterContinental Un.docxQuantitativeMixed-MethodsAmerican InterContinental Un.docx
QuantitativeMixed-MethodsAmerican InterContinental Un.docxmakdul
 
Difference between cohort, cross sectional and case control study - Scientifi...
Difference between cohort, cross sectional and case control study - Scientifi...Difference between cohort, cross sectional and case control study - Scientifi...
Difference between cohort, cross sectional and case control study - Scientifi...Pubrica
 
Measuring Drug and Alcohol Use AmongCollege Student-Athletes
Measuring Drug and Alcohol Use AmongCollege Student-AthletesMeasuring Drug and Alcohol Use AmongCollege Student-Athletes
Measuring Drug and Alcohol Use AmongCollege Student-AthletesAbramMartino96
 
Of all the ways to influence health policy, using research to info.docx
Of all the ways to influence health policy, using research to info.docxOf all the ways to influence health policy, using research to info.docx
Of all the ways to influence health policy, using research to info.docxcherishwinsland
 
critical evaluation BY GUL ZEBA.docx
critical evaluation BY GUL ZEBA.docxcritical evaluation BY GUL ZEBA.docx
critical evaluation BY GUL ZEBA.docxGulanBaby
 
Exposure to outdoor air pollution and its effect.pptx
Exposure to outdoor air pollution and its effect.pptxExposure to outdoor air pollution and its effect.pptx
Exposure to outdoor air pollution and its effect.pptxdipakghimire77
 
Exposure to outdoor air pollution and its human.pptx
Exposure to outdoor air pollution and its human.pptxExposure to outdoor air pollution and its human.pptx
Exposure to outdoor air pollution and its human.pptxdipakghimire77
 
Primary Medical Care and Reduction in Addiction Severity.pptx
Primary Medical Care and Reduction in Addiction Severity.pptxPrimary Medical Care and Reduction in Addiction Severity.pptx
Primary Medical Care and Reduction in Addiction Severity.pptxHome of Dissertations
 
Impact of health education on tuberculosis drug adherence
Impact of health education on tuberculosis drug adherenceImpact of health education on tuberculosis drug adherence
Impact of health education on tuberculosis drug adherenceSkillet Tony
 
Relationship Between Drugs and Health Workers - Sample Essay
Relationship Between Drugs and Health Workers - Sample EssayRelationship Between Drugs and Health Workers - Sample Essay
Relationship Between Drugs and Health Workers - Sample Essaya1customwritings
 
The case study approach
The case study approachThe case study approach
The case study approachBAPPENAS
 
Running head CRITIQUE QUANTITATIVE, QUALITATIVE, OR MIXED METHODS.docx
Running head CRITIQUE QUANTITATIVE, QUALITATIVE, OR MIXED METHODS.docxRunning head CRITIQUE QUANTITATIVE, QUALITATIVE, OR MIXED METHODS.docx
Running head CRITIQUE QUANTITATIVE, QUALITATIVE, OR MIXED METHODS.docxtodd271
 
Adolescents And Tobacco Use Systematic Review Of Qualitative Research Method...
Adolescents And Tobacco Use  Systematic Review Of Qualitative Research Method...Adolescents And Tobacco Use  Systematic Review Of Qualitative Research Method...
Adolescents And Tobacco Use Systematic Review Of Qualitative Research Method...Daniel Wachtel
 
The journal of law medicine ethics mapping
The journal of law medicine ethics mappingThe journal of law medicine ethics mapping
The journal of law medicine ethics mappingSC CTSI at USC and CHLA
 

Similar to Title of ProjectPresenter NameUniversity nameIntroduction .docx (20)

Research MethodsLaShanda McMahonUniversity o.docx
Research MethodsLaShanda McMahonUniversity o.docxResearch MethodsLaShanda McMahonUniversity o.docx
Research MethodsLaShanda McMahonUniversity o.docx
 
NOTES FOR TWO MORE RESEARCH ARTICLES1The Effe.docx
NOTES FOR TWO MORE RESEARCH ARTICLES1The Effe.docxNOTES FOR TWO MORE RESEARCH ARTICLES1The Effe.docx
NOTES FOR TWO MORE RESEARCH ARTICLES1The Effe.docx
 
Knowledge and attitudes towards complementary and alternative medicine among ...
Knowledge and attitudes towards complementary and alternative medicine among ...Knowledge and attitudes towards complementary and alternative medicine among ...
Knowledge and attitudes towards complementary and alternative medicine among ...
 
CDC 2018-Evidence-Based-Strategies For Preventing Opioid Overdose
CDC 2018-Evidence-Based-Strategies For Preventing Opioid OverdoseCDC 2018-Evidence-Based-Strategies For Preventing Opioid Overdose
CDC 2018-Evidence-Based-Strategies For Preventing Opioid Overdose
 
QuantitativeMixed-MethodsAmerican InterContinental Un.docx
QuantitativeMixed-MethodsAmerican InterContinental Un.docxQuantitativeMixed-MethodsAmerican InterContinental Un.docx
QuantitativeMixed-MethodsAmerican InterContinental Un.docx
 
Difference between cohort, cross sectional and case control study - Scientifi...
Difference between cohort, cross sectional and case control study - Scientifi...Difference between cohort, cross sectional and case control study - Scientifi...
Difference between cohort, cross sectional and case control study - Scientifi...
 
Measuring Drug and Alcohol Use AmongCollege Student-Athletes
Measuring Drug and Alcohol Use AmongCollege Student-AthletesMeasuring Drug and Alcohol Use AmongCollege Student-Athletes
Measuring Drug and Alcohol Use AmongCollege Student-Athletes
 
Of all the ways to influence health policy, using research to info.docx
Of all the ways to influence health policy, using research to info.docxOf all the ways to influence health policy, using research to info.docx
Of all the ways to influence health policy, using research to info.docx
 
critical evaluation BY GUL ZEBA.docx
critical evaluation BY GUL ZEBA.docxcritical evaluation BY GUL ZEBA.docx
critical evaluation BY GUL ZEBA.docx
 
Exposure to outdoor air pollution and its effect.pptx
Exposure to outdoor air pollution and its effect.pptxExposure to outdoor air pollution and its effect.pptx
Exposure to outdoor air pollution and its effect.pptx
 
Exposure to outdoor air pollution and its human.pptx
Exposure to outdoor air pollution and its human.pptxExposure to outdoor air pollution and its human.pptx
Exposure to outdoor air pollution and its human.pptx
 
Primary Medical Care and Reduction in Addiction Severity.pptx
Primary Medical Care and Reduction in Addiction Severity.pptxPrimary Medical Care and Reduction in Addiction Severity.pptx
Primary Medical Care and Reduction in Addiction Severity.pptx
 
Investing in youth tobacco control
Investing in youth tobacco controlInvesting in youth tobacco control
Investing in youth tobacco control
 
Impact of health education on tuberculosis drug adherence
Impact of health education on tuberculosis drug adherenceImpact of health education on tuberculosis drug adherence
Impact of health education on tuberculosis drug adherence
 
Final Paper
Final PaperFinal Paper
Final Paper
 
Relationship Between Drugs and Health Workers - Sample Essay
Relationship Between Drugs and Health Workers - Sample EssayRelationship Between Drugs and Health Workers - Sample Essay
Relationship Between Drugs and Health Workers - Sample Essay
 
The case study approach
The case study approachThe case study approach
The case study approach
 
Running head CRITIQUE QUANTITATIVE, QUALITATIVE, OR MIXED METHODS.docx
Running head CRITIQUE QUANTITATIVE, QUALITATIVE, OR MIXED METHODS.docxRunning head CRITIQUE QUANTITATIVE, QUALITATIVE, OR MIXED METHODS.docx
Running head CRITIQUE QUANTITATIVE, QUALITATIVE, OR MIXED METHODS.docx
 
Adolescents And Tobacco Use Systematic Review Of Qualitative Research Method...
Adolescents And Tobacco Use  Systematic Review Of Qualitative Research Method...Adolescents And Tobacco Use  Systematic Review Of Qualitative Research Method...
Adolescents And Tobacco Use Systematic Review Of Qualitative Research Method...
 
The journal of law medicine ethics mapping
The journal of law medicine ethics mappingThe journal of law medicine ethics mapping
The journal of law medicine ethics mapping
 

More from juliennehar

One way to improve your verbal communication is to own your thoughts.docx
One way to improve your verbal communication is to own your thoughts.docxOne way to improve your verbal communication is to own your thoughts.docx
One way to improve your verbal communication is to own your thoughts.docxjuliennehar
 
One paragraphHas your family experienced significant upward or .docx
One paragraphHas your family experienced significant upward or .docxOne paragraphHas your family experienced significant upward or .docx
One paragraphHas your family experienced significant upward or .docxjuliennehar
 
one paragraph for each conceptoriginal workSocial Stratifica.docx
one paragraph for each conceptoriginal workSocial Stratifica.docxone paragraph for each conceptoriginal workSocial Stratifica.docx
one paragraph for each conceptoriginal workSocial Stratifica.docxjuliennehar
 
one pageExamine the importance of popular culture and technology.docx
one pageExamine the importance of popular culture and technology.docxone pageExamine the importance of popular culture and technology.docx
one pageExamine the importance of popular culture and technology.docxjuliennehar
 
One-half pageWhat accounts are included in the revenue cycleD.docx
One-half pageWhat accounts are included in the revenue cycleD.docxOne-half pageWhat accounts are included in the revenue cycleD.docx
One-half pageWhat accounts are included in the revenue cycleD.docxjuliennehar
 
One way chemists use to determine the molecular weight of large biom.docx
One way chemists use to determine the molecular weight of large biom.docxOne way chemists use to determine the molecular weight of large biom.docx
One way chemists use to determine the molecular weight of large biom.docxjuliennehar
 
One page paper answering following questions. Describe the charact.docx
One page paper answering following questions. Describe the charact.docxOne page paper answering following questions. Describe the charact.docx
One page paper answering following questions. Describe the charact.docxjuliennehar
 
One page on Applying Platos Allegory of the Cave in the light o.docx
One page on Applying Platos Allegory of the Cave in the light o.docxOne page on Applying Platos Allegory of the Cave in the light o.docx
One page on Applying Platos Allegory of the Cave in the light o.docxjuliennehar
 
one page in APA format.Using the Competing Values Framework, how w.docx
one page in APA format.Using the Competing Values Framework, how w.docxone page in APA format.Using the Competing Values Framework, how w.docx
one page in APA format.Using the Competing Values Framework, how w.docxjuliennehar
 
One more source needs to be added to the ppt. There is a 5-6 min spe.docx
One more source needs to be added to the ppt. There is a 5-6 min spe.docxOne more source needs to be added to the ppt. There is a 5-6 min spe.docx
One more source needs to be added to the ppt. There is a 5-6 min spe.docxjuliennehar
 
One of the recent developments facing the public administration of c.docx
One of the recent developments facing the public administration of c.docxOne of the recent developments facing the public administration of c.docx
One of the recent developments facing the public administration of c.docxjuliennehar
 
One of the most important functions (protocols) in a packet-switched.docx
One of the most important functions (protocols) in a packet-switched.docxOne of the most important functions (protocols) in a packet-switched.docx
One of the most important functions (protocols) in a packet-switched.docxjuliennehar
 
One of the main themes of this course has been culture as an on-goin.docx
One of the main themes of this course has been culture as an on-goin.docxOne of the main themes of this course has been culture as an on-goin.docx
One of the main themes of this course has been culture as an on-goin.docxjuliennehar
 
One of the main political separations that divide people today is Li.docx
One of the main political separations that divide people today is Li.docxOne of the main political separations that divide people today is Li.docx
One of the main political separations that divide people today is Li.docxjuliennehar
 
One of the very first cases that caught Freud’s attention when he wa.docx
One of the very first cases that caught Freud’s attention when he wa.docxOne of the very first cases that caught Freud’s attention when he wa.docx
One of the very first cases that caught Freud’s attention when he wa.docxjuliennehar
 
One of the great benefits of the Apache web server is its wide range.docx
One of the great benefits of the Apache web server is its wide range.docxOne of the great benefits of the Apache web server is its wide range.docx
One of the great benefits of the Apache web server is its wide range.docxjuliennehar
 
One of the most difficult components of effective .docx
One of the most difficult components of effective .docxOne of the most difficult components of effective .docx
One of the most difficult components of effective .docxjuliennehar
 
One of the high points of the campaign will be a look to the future .docx
One of the high points of the campaign will be a look to the future .docxOne of the high points of the campaign will be a look to the future .docx
One of the high points of the campaign will be a look to the future .docxjuliennehar
 
One of the most basic aims of human computer interaction has been sp.docx
One of the most basic aims of human computer interaction has been sp.docxOne of the most basic aims of human computer interaction has been sp.docx
One of the most basic aims of human computer interaction has been sp.docxjuliennehar
 
One of the most common workplace communication tools is a telephon.docx
One of the most common workplace communication tools is a telephon.docxOne of the most common workplace communication tools is a telephon.docx
One of the most common workplace communication tools is a telephon.docxjuliennehar
 

More from juliennehar (20)

One way to improve your verbal communication is to own your thoughts.docx
One way to improve your verbal communication is to own your thoughts.docxOne way to improve your verbal communication is to own your thoughts.docx
One way to improve your verbal communication is to own your thoughts.docx
 
One paragraphHas your family experienced significant upward or .docx
One paragraphHas your family experienced significant upward or .docxOne paragraphHas your family experienced significant upward or .docx
One paragraphHas your family experienced significant upward or .docx
 
one paragraph for each conceptoriginal workSocial Stratifica.docx
one paragraph for each conceptoriginal workSocial Stratifica.docxone paragraph for each conceptoriginal workSocial Stratifica.docx
one paragraph for each conceptoriginal workSocial Stratifica.docx
 
one pageExamine the importance of popular culture and technology.docx
one pageExamine the importance of popular culture and technology.docxone pageExamine the importance of popular culture and technology.docx
one pageExamine the importance of popular culture and technology.docx
 
One-half pageWhat accounts are included in the revenue cycleD.docx
One-half pageWhat accounts are included in the revenue cycleD.docxOne-half pageWhat accounts are included in the revenue cycleD.docx
One-half pageWhat accounts are included in the revenue cycleD.docx
 
One way chemists use to determine the molecular weight of large biom.docx
One way chemists use to determine the molecular weight of large biom.docxOne way chemists use to determine the molecular weight of large biom.docx
One way chemists use to determine the molecular weight of large biom.docx
 
One page paper answering following questions. Describe the charact.docx
One page paper answering following questions. Describe the charact.docxOne page paper answering following questions. Describe the charact.docx
One page paper answering following questions. Describe the charact.docx
 
One page on Applying Platos Allegory of the Cave in the light o.docx
One page on Applying Platos Allegory of the Cave in the light o.docxOne page on Applying Platos Allegory of the Cave in the light o.docx
One page on Applying Platos Allegory of the Cave in the light o.docx
 
one page in APA format.Using the Competing Values Framework, how w.docx
one page in APA format.Using the Competing Values Framework, how w.docxone page in APA format.Using the Competing Values Framework, how w.docx
one page in APA format.Using the Competing Values Framework, how w.docx
 
One more source needs to be added to the ppt. There is a 5-6 min spe.docx
One more source needs to be added to the ppt. There is a 5-6 min spe.docxOne more source needs to be added to the ppt. There is a 5-6 min spe.docx
One more source needs to be added to the ppt. There is a 5-6 min spe.docx
 
One of the recent developments facing the public administration of c.docx
One of the recent developments facing the public administration of c.docxOne of the recent developments facing the public administration of c.docx
One of the recent developments facing the public administration of c.docx
 
One of the most important functions (protocols) in a packet-switched.docx
One of the most important functions (protocols) in a packet-switched.docxOne of the most important functions (protocols) in a packet-switched.docx
One of the most important functions (protocols) in a packet-switched.docx
 
One of the main themes of this course has been culture as an on-goin.docx
One of the main themes of this course has been culture as an on-goin.docxOne of the main themes of this course has been culture as an on-goin.docx
One of the main themes of this course has been culture as an on-goin.docx
 
One of the main political separations that divide people today is Li.docx
One of the main political separations that divide people today is Li.docxOne of the main political separations that divide people today is Li.docx
One of the main political separations that divide people today is Li.docx
 
One of the very first cases that caught Freud’s attention when he wa.docx
One of the very first cases that caught Freud’s attention when he wa.docxOne of the very first cases that caught Freud’s attention when he wa.docx
One of the very first cases that caught Freud’s attention when he wa.docx
 
One of the great benefits of the Apache web server is its wide range.docx
One of the great benefits of the Apache web server is its wide range.docxOne of the great benefits of the Apache web server is its wide range.docx
One of the great benefits of the Apache web server is its wide range.docx
 
One of the most difficult components of effective .docx
One of the most difficult components of effective .docxOne of the most difficult components of effective .docx
One of the most difficult components of effective .docx
 
One of the high points of the campaign will be a look to the future .docx
One of the high points of the campaign will be a look to the future .docxOne of the high points of the campaign will be a look to the future .docx
One of the high points of the campaign will be a look to the future .docx
 
One of the most basic aims of human computer interaction has been sp.docx
One of the most basic aims of human computer interaction has been sp.docxOne of the most basic aims of human computer interaction has been sp.docx
One of the most basic aims of human computer interaction has been sp.docx
 
One of the most common workplace communication tools is a telephon.docx
One of the most common workplace communication tools is a telephon.docxOne of the most common workplace communication tools is a telephon.docx
One of the most common workplace communication tools is a telephon.docx
 

Recently uploaded

Z Score,T Score, Percential Rank and Box Plot Graph
Z Score,T Score, Percential Rank and Box Plot GraphZ Score,T Score, Percential Rank and Box Plot Graph
Z Score,T Score, Percential Rank and Box Plot GraphThiyagu K
 
9548086042 for call girls in Indira Nagar with room service
9548086042  for call girls in Indira Nagar  with room service9548086042  for call girls in Indira Nagar  with room service
9548086042 for call girls in Indira Nagar with room servicediscovermytutordmt
 
1029 - Danh muc Sach Giao Khoa 10 . pdf
1029 -  Danh muc Sach Giao Khoa 10 . pdf1029 -  Danh muc Sach Giao Khoa 10 . pdf
1029 - Danh muc Sach Giao Khoa 10 . pdfQucHHunhnh
 
Introduction to Nonprofit Accounting: The Basics
Introduction to Nonprofit Accounting: The BasicsIntroduction to Nonprofit Accounting: The Basics
Introduction to Nonprofit Accounting: The BasicsTechSoup
 
Student login on Anyboli platform.helpin
Student login on Anyboli platform.helpinStudent login on Anyboli platform.helpin
Student login on Anyboli platform.helpinRaunakKeshri1
 
Kisan Call Centre - To harness potential of ICT in Agriculture by answer farm...
Kisan Call Centre - To harness potential of ICT in Agriculture by answer farm...Kisan Call Centre - To harness potential of ICT in Agriculture by answer farm...
Kisan Call Centre - To harness potential of ICT in Agriculture by answer farm...Krashi Coaching
 
SOCIAL AND HISTORICAL CONTEXT - LFTVD.pptx
SOCIAL AND HISTORICAL CONTEXT - LFTVD.pptxSOCIAL AND HISTORICAL CONTEXT - LFTVD.pptx
SOCIAL AND HISTORICAL CONTEXT - LFTVD.pptxiammrhaywood
 
Call Girls in Dwarka Mor Delhi Contact Us 9654467111
Call Girls in Dwarka Mor Delhi Contact Us 9654467111Call Girls in Dwarka Mor Delhi Contact Us 9654467111
Call Girls in Dwarka Mor Delhi Contact Us 9654467111Sapana Sha
 
BASLIQ CURRENT LOOKBOOK LOOKBOOK(1) (1).pdf
BASLIQ CURRENT LOOKBOOK  LOOKBOOK(1) (1).pdfBASLIQ CURRENT LOOKBOOK  LOOKBOOK(1) (1).pdf
BASLIQ CURRENT LOOKBOOK LOOKBOOK(1) (1).pdfSoniaTolstoy
 
POINT- BIOCHEMISTRY SEM 2 ENZYMES UNIT 5.pptx
POINT- BIOCHEMISTRY SEM 2 ENZYMES UNIT 5.pptxPOINT- BIOCHEMISTRY SEM 2 ENZYMES UNIT 5.pptx
POINT- BIOCHEMISTRY SEM 2 ENZYMES UNIT 5.pptxSayali Powar
 
Sports & Fitness Value Added Course FY..
Sports & Fitness Value Added Course FY..Sports & Fitness Value Added Course FY..
Sports & Fitness Value Added Course FY..Disha Kariya
 
Measures of Central Tendency: Mean, Median and Mode
Measures of Central Tendency: Mean, Median and ModeMeasures of Central Tendency: Mean, Median and Mode
Measures of Central Tendency: Mean, Median and ModeThiyagu K
 
Q4-W6-Restating Informational Text Grade 3
Q4-W6-Restating Informational Text Grade 3Q4-W6-Restating Informational Text Grade 3
Q4-W6-Restating Informational Text Grade 3JemimahLaneBuaron
 
Beyond the EU: DORA and NIS 2 Directive's Global Impact
Beyond the EU: DORA and NIS 2 Directive's Global ImpactBeyond the EU: DORA and NIS 2 Directive's Global Impact
Beyond the EU: DORA and NIS 2 Directive's Global ImpactPECB
 
Interactive Powerpoint_How to Master effective communication
Interactive Powerpoint_How to Master effective communicationInteractive Powerpoint_How to Master effective communication
Interactive Powerpoint_How to Master effective communicationnomboosow
 
Arihant handbook biology for class 11 .pdf
Arihant handbook biology for class 11 .pdfArihant handbook biology for class 11 .pdf
Arihant handbook biology for class 11 .pdfchloefrazer622
 
Russian Call Girls in Andheri Airport Mumbai WhatsApp 9167673311 💞 Full Nigh...
Russian Call Girls in Andheri Airport Mumbai WhatsApp  9167673311 💞 Full Nigh...Russian Call Girls in Andheri Airport Mumbai WhatsApp  9167673311 💞 Full Nigh...
Russian Call Girls in Andheri Airport Mumbai WhatsApp 9167673311 💞 Full Nigh...Pooja Nehwal
 
BAG TECHNIQUE Bag technique-a tool making use of public health bag through wh...
BAG TECHNIQUE Bag technique-a tool making use of public health bag through wh...BAG TECHNIQUE Bag technique-a tool making use of public health bag through wh...
BAG TECHNIQUE Bag technique-a tool making use of public health bag through wh...Sapna Thakur
 
Measures of Dispersion and Variability: Range, QD, AD and SD
Measures of Dispersion and Variability: Range, QD, AD and SDMeasures of Dispersion and Variability: Range, QD, AD and SD
Measures of Dispersion and Variability: Range, QD, AD and SDThiyagu K
 

Recently uploaded (20)

Z Score,T Score, Percential Rank and Box Plot Graph
Z Score,T Score, Percential Rank and Box Plot GraphZ Score,T Score, Percential Rank and Box Plot Graph
Z Score,T Score, Percential Rank and Box Plot Graph
 
9548086042 for call girls in Indira Nagar with room service
9548086042  for call girls in Indira Nagar  with room service9548086042  for call girls in Indira Nagar  with room service
9548086042 for call girls in Indira Nagar with room service
 
1029 - Danh muc Sach Giao Khoa 10 . pdf
1029 -  Danh muc Sach Giao Khoa 10 . pdf1029 -  Danh muc Sach Giao Khoa 10 . pdf
1029 - Danh muc Sach Giao Khoa 10 . pdf
 
Introduction to Nonprofit Accounting: The Basics
Introduction to Nonprofit Accounting: The BasicsIntroduction to Nonprofit Accounting: The Basics
Introduction to Nonprofit Accounting: The Basics
 
Student login on Anyboli platform.helpin
Student login on Anyboli platform.helpinStudent login on Anyboli platform.helpin
Student login on Anyboli platform.helpin
 
Kisan Call Centre - To harness potential of ICT in Agriculture by answer farm...
Kisan Call Centre - To harness potential of ICT in Agriculture by answer farm...Kisan Call Centre - To harness potential of ICT in Agriculture by answer farm...
Kisan Call Centre - To harness potential of ICT in Agriculture by answer farm...
 
SOCIAL AND HISTORICAL CONTEXT - LFTVD.pptx
SOCIAL AND HISTORICAL CONTEXT - LFTVD.pptxSOCIAL AND HISTORICAL CONTEXT - LFTVD.pptx
SOCIAL AND HISTORICAL CONTEXT - LFTVD.pptx
 
Call Girls in Dwarka Mor Delhi Contact Us 9654467111
Call Girls in Dwarka Mor Delhi Contact Us 9654467111Call Girls in Dwarka Mor Delhi Contact Us 9654467111
Call Girls in Dwarka Mor Delhi Contact Us 9654467111
 
BASLIQ CURRENT LOOKBOOK LOOKBOOK(1) (1).pdf
BASLIQ CURRENT LOOKBOOK  LOOKBOOK(1) (1).pdfBASLIQ CURRENT LOOKBOOK  LOOKBOOK(1) (1).pdf
BASLIQ CURRENT LOOKBOOK LOOKBOOK(1) (1).pdf
 
POINT- BIOCHEMISTRY SEM 2 ENZYMES UNIT 5.pptx
POINT- BIOCHEMISTRY SEM 2 ENZYMES UNIT 5.pptxPOINT- BIOCHEMISTRY SEM 2 ENZYMES UNIT 5.pptx
POINT- BIOCHEMISTRY SEM 2 ENZYMES UNIT 5.pptx
 
Sports & Fitness Value Added Course FY..
Sports & Fitness Value Added Course FY..Sports & Fitness Value Added Course FY..
Sports & Fitness Value Added Course FY..
 
Measures of Central Tendency: Mean, Median and Mode
Measures of Central Tendency: Mean, Median and ModeMeasures of Central Tendency: Mean, Median and Mode
Measures of Central Tendency: Mean, Median and Mode
 
Q4-W6-Restating Informational Text Grade 3
Q4-W6-Restating Informational Text Grade 3Q4-W6-Restating Informational Text Grade 3
Q4-W6-Restating Informational Text Grade 3
 
Beyond the EU: DORA and NIS 2 Directive's Global Impact
Beyond the EU: DORA and NIS 2 Directive's Global ImpactBeyond the EU: DORA and NIS 2 Directive's Global Impact
Beyond the EU: DORA and NIS 2 Directive's Global Impact
 
Interactive Powerpoint_How to Master effective communication
Interactive Powerpoint_How to Master effective communicationInteractive Powerpoint_How to Master effective communication
Interactive Powerpoint_How to Master effective communication
 
Arihant handbook biology for class 11 .pdf
Arihant handbook biology for class 11 .pdfArihant handbook biology for class 11 .pdf
Arihant handbook biology for class 11 .pdf
 
Russian Call Girls in Andheri Airport Mumbai WhatsApp 9167673311 💞 Full Nigh...
Russian Call Girls in Andheri Airport Mumbai WhatsApp  9167673311 💞 Full Nigh...Russian Call Girls in Andheri Airport Mumbai WhatsApp  9167673311 💞 Full Nigh...
Russian Call Girls in Andheri Airport Mumbai WhatsApp 9167673311 💞 Full Nigh...
 
INDIA QUIZ 2024 RLAC DELHI UNIVERSITY.pptx
INDIA QUIZ 2024 RLAC DELHI UNIVERSITY.pptxINDIA QUIZ 2024 RLAC DELHI UNIVERSITY.pptx
INDIA QUIZ 2024 RLAC DELHI UNIVERSITY.pptx
 
BAG TECHNIQUE Bag technique-a tool making use of public health bag through wh...
BAG TECHNIQUE Bag technique-a tool making use of public health bag through wh...BAG TECHNIQUE Bag technique-a tool making use of public health bag through wh...
BAG TECHNIQUE Bag technique-a tool making use of public health bag through wh...
 
Measures of Dispersion and Variability: Range, QD, AD and SD
Measures of Dispersion and Variability: Range, QD, AD and SDMeasures of Dispersion and Variability: Range, QD, AD and SD
Measures of Dispersion and Variability: Range, QD, AD and SD
 

Title of ProjectPresenter NameUniversity nameIntroduction .docx

  • 1. Title of Project Presenter Name University name Introduction and Problem Variables Descriptive Data Results Results (cont.) Clinical Questions/PICOT Discussion Project Limitations Conclusion and Recommendations Purpose of the Project Data Analysis References . . . .
  • 2. TEMPLATE DESIGN © 2008 www.PosterPresentations.com 1 Running head: CRITIQUING A RESEARCH ARTICLE 1 CRITIQUING A RESEARCH ARTICLE 2 Risks of Smoking Janeisy Serrano Florida National University Risks of Smoking Introduction
  • 3. The Article Grassi, M.C., Baraldo, M., Chiamulera, C., Culasso, F., Raupach, T., Ferketich, A.K., Patrono, C., & Nencini, P. (2014). Knowledge about health effects of cigarette smoking and quitting among Italian university students: The importance of teaching nicotine dependence and treatment in the medical curriculum. BioMed Research International, 2014(321657), 1-9. Research Problem Cigarette smoking causes more avoidable mortalities in the developed world than any other risky behavior. It is also blamed for about 22% of deaths attributed to cancer annually, worldwide. In Italy, there are around 11 million current smokers, all of whom are adults and form 20.7% of the country’s gross adult population. 695,000 people die in Europe annually as a result of diseases linked to smoking. The authors had previously carried out a study whose findings showed that 4th year Italian undergraduate medical students are not adequately knowledgeable about the role of doctors in facilitating smoking cessation, tobacco dependence, and pathologies linked to smoking. Analysis of these results can be strengthened further by juxtaposing them with survey results in which respondents are nonmedical undergraduates. Medical students are naturally expected to be more informed about tobacco use and smoking cessation compared to their nonmedical counterparts, especially since health advocacy is one of their primary roles. Currently, however, there is a knowledge gap because surveys assessing nonmedical undergraduates’ understanding of tobacco are scarce at best. Research Question and Research Objectives The paper has no research question. The research objectives are, however, three-pronged. First, the authors intend to ascertain the consistency of their earlier findings. Second, the current study is aimed at determining if similarly-aged nonmedical undergraduates have varying interpretations and attitudes concerning smoking as opposed to medical undergraduates. The third objective is to scrutinize the smoking
  • 4. status of medical undergraduates as well as their knowledge retention one and two years after a brief educational intervention. Initial Results and Methods Respondents were required to fill a questionnaire containing 60 items. Each of the items revolved around participants’ awareness of the epidemiology and health ramifications of smoking, which was labeled as Score 1, and the potency of cessation therapies, which was identified as Score 2. Once they had completed their questionnaires 4th year medical undergraduates were sensitized about tobacco dependence. One and two years after the initial study, the respondents were called upon to participate in the same exercise. Findings showed that 5th year medical undergraduates who had undergone sensitization in year 4 posted higher scores compared to their colleagues who had not been briefed. Huge variations were observed one year following the educational interposition. The authors surmised that medical undergraduates are more knowledgeable about tobacco-related conditions and smoking cessation techniques compared to nonmedical undergraduates; however, the difference is minor. A brief educational mediation was linked to greater awareness after one year; nevertheless, the impact was fleeting and marginal. Evaluation The study does not have a literature review. In terms of the actual research, the article is broken down into abstract, introduction, methods, results, discussion, conclusions, ethics approval, acknowledgments, references, and copyright sections. The most the authors do in terms of reviewing literature is to refer to their previous study, whose findings they use as a precursor to and justification for the present research. The research article is current as it was published in April 2014, which makes it less than 6-years-old. The article also appreciates prevailing health issues. Cigarette smoking is one of the most ubiquitous health concerns in the 21st century as it is a major risk factor for a wide range of diseases, including cancer
  • 5. and heart disease. Smoking also comes with a huge financial and economic burden that is normally imposed on governments and the immediate families of people that are ailing because of a history of tobacco use; this cost runs into billions of dollars per year. To date, various stakeholders such as research institutions, nongovernmental organizations (NGOs), health practitioners, and interest groups are aggressively exploring strategies with which they can increase smoking cessation, curtail potential new smokers, and confront the different diseases linked to the practice. The research type is non-experimental and qualitative in nature. The authors conducted a survey using a questionnaire comprising 60 items. The questionnaire had four parts: awareness of smoking-oriented epidemiologic realities, demographics and individual smoking background, attitudes towards the effect of smoking on individuals’ life expectancy, and awareness of clinical frameworks on smoking cessation therapies and ability to counsel people who want to give up smoking. The sample size consisted of 1191 undergraduates. The participants were drawn from three main groups. The first group contained medical students, the second group comprised architecture students, and the third cluster was made up of law students. Medical students contributed the largest portion of participants, at 962, followed by architecture and law students at 122 and 107 students, respectively. In terms of gender, female students made up 61%, 57%, and 72% of medical, architecture, and law students. The mean age and range was 23.9 (20-55), 23.2 (20-41), and 21.7 (20-38) for medical, architecture, and law students, respectively. All participants filled the questionnaire, with a 100% response rate. The sample was large and diverse enough for the research. However, the sampling method – such as stratified sampling or simple random sampling – employed by the authors is not expressly identified; this is a serious shortcoming because it casts doubts on the reliability and validity of the sample in terms of scholarly
  • 6. standards. The study and its findings are adequately practical. The authors hypothesize that the results establish the basis for investigations comparing the impacts of a single educational mediation with other interventions informed by a more elaborate orientation in the health implications of smoking. The authors add that recent studies have shown that the educational approach preferred is significantly less influential for student learning vis-à-vis summative evaluations. Using their findings as a premise, the researchers infer that medical students should participate in comprehensive summative reviews of their understanding of tobacco dependence. The study could have been improved and there are multiple areas of weakness that could have been addressed by the authors. As an example, the researchers sourced participants from just four Italian universities. Considering that Italy has 89 universities, almost all of which have medical schools, four institutions are neither holistic nor accurate with respect to representation of the total number of medical students in the country. Another aspect that the authors should have addressed or worked to minimize pertains to selection bias. As it has already been mentioned, follow-up tests were conducted after the first one. Due to attrition, the number of students who participated in the first and second follow-up assessments declined by about 25%; as a result, selection bias crept in and promoted the involvement of students who are more curious about smoking-related aspects and also more motivated. This could have distorted the results. The third area in which improvement could have been made relates to the balance between the three clusters of samples. Medical students considerably outnumbered their law and architecture colleagues, and this reduces the representativeness of the research finding in the two smaller constituencies. Apart from this, the authors relied primarily on a self-report to appraise the smoking status of respondents; for this reason, they could have misjudged smoking prevalence. Finally, the researchers should have
  • 7. monitored individual respondents and fluctuations in their responses by incorporating identifying details, which were not captured during the study. The article is written in a logical, legible, and explicit manner. It is also organized properly, with different sections and subsections. The main headings are emboldened, thus making it easy for readers to navigate through the article, while the subheadings are numbered numerically. The article has a nice flow to it, moving from one section to another in systematic fashion. Further research can be conducted on the subject because more efforts need to be made to enlighten a new breed of health practitioners, especially physicians, who will come up against the effects of the present smoking epidemic. Conclusion Smoking cessation enhances quality of life and lowers health risks. For instance, the overall risk of mortality due to lung and cardiovascular diseases as well as cancer can be significantly lowered when smokers quit, including in old age. Medical school syllabuses typically pay little attention to nicotine addiction and tobacco-related matters, which is disappointing given that health advice enables cessation. General practitioners (GPs) do not comply with recommendations for counseling; this is secondarily caused by insufficient training at undergraduate level despite the availability of sound scholarly solutions to leverage the skills, perceptions, and knowledge of undergraduate medical students with respect to strategies of smoking cessation. It is also worth noting that the actualization of academic interventions is constrained by their exorbitant cost in relation to instructor time and resources. This calls for a clear and relatively straightforward yet potent tobacco syllabus that incorporates teaching about smoking-related issues, such as therapy and toxicology. It is necessary to conduct more effective research in this field.
  • 8. Reference Grassi, M.C., Baraldo, M., Chiamulera, C., Culasso, F., Raupach, T., Ferketich, A.K., Patrono, C., & Nencini, P. (2014). Knowledge about health effects of cigarette smoking and quitting among Italian university students: The importance of teaching nicotine dependence and treatment in the medical curriculum. BioMed Research International, 2014(321657), 1-9. Title of Project Presenter Name University name Introduction and Problem Variables Descriptive Data Results Results (cont.) Clinical Questions/PICOT Discussion Project Limitations Conclusion and Recommendations Purpose of the Project The data analysis was in line with the needs of the project:
  • 9. statistical tests, including t-test and Wilcoxon signed ranks, were employed to determine if there were statistically significant differences between pre- and post-test measurements. This way, the relationships between the independent and dependent variables were reliably inferred (Polit & Beck, 2017) Data types: Survey: quantitative, ordinal (Likert scale). Reports: quantitative, ratio (number of mistakes). Data analysis approaches: Software: SPSS. Survey: Wilcoxon signed ranks test. Reports: paired t-test. Data Analysis The project employed four Advanced Practice Registered Nurses, three Medical Doctors, and one Physician Assistant who exhibited significant resistance to the use of EHR. References . . Several studies have shown the benefits of the use of electronic health records (EHR) for patients’ safety, as well as their ability to improve efficiency in primary care settings (Porterfield, Engelbert, & Coustasse, 2014). Regardless of the positive effects of the implementation of EHR, health care providers
  • 10. have moved slowly to adopt this technology (King, Patel, Jamoom, & Furukawa, 2014). Practitioners who do not want to adopt EHR, especially electronic prescription, can endanger patient safety. Medication errors, in turn, are a serious issue that causes numerous safety incidents in primary care. Studies have shown that the use of EHR significantly reduces the number of prescription errors that can harm patients (Liao et al., 2017). Palabindala, Pamarthy, and Jonnalagadda (2016) showed that the use of EHR could reduce medication error while also resulting in improved communications between patients and healthcare teams The purpose of this quantitative quasi-experimental project was to determine if there was a relationship between the application of an educational program and the improvement of practitioners’ perception of EHR usability, as well as the reduction of the number of prescription medication errors, at a medical group practice in the Southeastern of the United States (US). The PICOT question created for the project was as follows: (P) Among healthcare practitioners, (I) how does the implementation of an educational program in a primary care medical center in the Southeast of the US (C) compared to the pre-intervention measurements in the prior four weeks (O) influences primary care practitioners’ perceptions of the usability of EHR and the incidence of prescription medication errors (T) within four weeks of participating in the program? The following clinical questions guide this quantitative project: Q1: How does the implementation of an educational program influence the perceptions of primary care practitioners regarding EHR usability? Q2: How does the implementation of an educational program influence prescription medication error incidence?
  • 11. Variable 1: Quality improvement educational program (independent) Variable 2: Primary care practitioners’ perception of EHR usability (dependent) Variable3: Number of prescription medication errors (dependent). The educational program can enhance the participants’ perceptions regarding EHR, but the described project cannot reject the null hypothesis that the intervention had no effects on the medication error rates. However, since the project was constricted by significant limitations, this finding is not conclusive. Some of the research recommendations include the proposal to increase the sample size, have a greater timeframe for future projects, and consider randomizing the sample into two groups. The project can also be used to recommend educational EHR efforts for the reduction of EHR resistance and the specific program that has been tested for the same purpose. The sample was small (8 participants) and could not be expanded because the facility was small. The data collection process was limited by the short time allocated to observing the results (4 weeks) The project employed a quasi-experimental design. Since its sample was so small, trying to split it further was not feasible. King, J., Patel, V., Jamoom, E. W., & Furukawa, M. F. (2014). Clinical benefits of electronic health record use: National findings. Health Services Research, 49(1pt2), 392–404. doi: 10.1111/1475-6773.12135 Liao, T. V., Rabinovich, M., Abraham, P., Perez, S., DiPlotti, C., Han, J., ... Honig, E. (2017). Evaluation of medication errors with implementation of electronic health record technology in the medical intensive care unit. Open Access
  • 12. Journal of Clinical Trials, 9, 31-40. doi: 10.2147/OAJCT.S131211 Porterfield, A., Engelbert, K., & Coustasse, A. (2014). Electronic prescribing: Improving the efficiency and accuracy of prescribing in the ambulatory care setting. Perspectives in Health Information Management, 2014, 1-13 Palabindala, V., Pamarthy, A., & Jonnalagadda, N. R. (2016). Adoption of electronic health records and barriers. Journal of Community Hospital Internal Medicine Perspectives, 6(5), 1-3. doi: 10.3402/jchimp.v6.32643 Polit, D.F., & Beck, C.T. (2017). Nursing research: Generating and assessing evidence for nursing practice (10th ed.). Philadelphia, PA: Lippincott, Williams & Wilkins. The survey contained 11 individual items and used a Likert scale in which 1 stood for an extremely negative assessment of an aspect of usability or usefulness and 5 referred to an extremely positive one. The summary of the mean and standard deviation for each of the items before and after the intervention is presented in Table 1. . The raw data indicate that the most common errors for the clinic include incorrect dosage, incorrect drug, and drug-drug interaction, as well as incorrect frequency and drug omission. Table 4 presents the results of the paired t-test analysis of the errors that occurred and those that were reported. No statistically significant differences were found for either pair (p>0.05). Thus, the findings do not suggest that the program had an impact on medication error rates; a relationship between the independent variable and medication errors was not found. Example changes in pre- and post-test scores can be found in Figure 4. Table 2 summarizes the results of analyzing the survey items with the Wilcoxon signed ranks test. Items 1, 3, 4, 5, 6, 7, 8, 9, and 10 demonstrate statistically significant results
  • 13. (p<=0.05). Therefore, the intervention improved the perceptions of the participants regarding the effect of EHR on one’s performance and job effectiveness, the usefulness of EHR, the clarity of interacting with the system, the ease of EHR use, and the use of EHR for clinical care and research. The relationship between the independent variable (program) and perceptions (one of the dependent variables) was found. Figure 1. The occupations of the participants. Figure 2. Age of the participants. Figure 3. Gender of the participants. Figure 4. Example changes in survey results before and after the intervention. As had been planned, the data were collected before and after the intervention using an already established survey tool and the clinic’s pharmacy call reports regarding medication errors. TEMPLATE DESIGN © 2008 www.PosterPresentations.com 1 Table 2
  • 14. Survey Analysis Results Summary Item Significance (1-tailed) Q1 0.04 Q2 0.07 Q3 0.04 Q4 0.04 Q5 0.05 Q6 0.03 Q7 0.04 Q8 0.04 Q9 0.03 Q10 0.04 Q11 0.244 Table 1 Survey Summary Item Pre-Test Post-Test Mean St. Deviation Mean St. Deviation Q1 2.25 0.707 4.75 0.463 Q2 2.13 0.991 4.38 0.744 Q3 1.75 0.707 4.38 0.744 Q4 2.25 0.707 4.75 0.463 Q5 2.13 0.991 5 0 Q6 1.63 0.744 4.75 0.463 Q7 2.38 0.744 4.38 0.518 Q8 2 0.756 4.13 0.641 Q9 2.25 0.886 5 0 Q10 1.63 0.518 5 0 Q11 4 0.756 4.38 0.518 Table 3 Error Data Summary Error Type Number Occurred
  • 15. Number Occurred Number Reported Number Reported Incorrect Drug 3 4 3 4 Incorrect Dose 5 3 6 4 Incorrect Generic Selection 0 1 0 1 Outdated Product 0 0 0 0 Drug Unavailable/Omission 3 2 2 3 Incorrect Dosage Form 1 2 0 3 Incorrect Patient 3 3 2 4 Allergic Drug Reaction 1 0 1 0 Drug-drug Interaction 4 2 4 2 Incorrect time 1 2 1 2 Incorrect Route 1 2 1 2 Incorrect Frequency 3 3 4 3 Illegible or Ambiguous Prescription 3 0 4 0 Other 3 4 3 4 Total 31 28 31 32 Table 4 Total Errors Analysis Results: Paired Samples Test Sig. (2-tailed) Pair 1 .587 Pair 2 .846 Poster Presentation Students this project will allow you to formulate and hypothetically develop your own research project. The purpose of this project is for the student to follow all of the different steps in a research project on an already published article and
  • 16. presented as a poster presentation. A poster session or poster presentation is the presentation of research information by an individual or representatives of research teams at a congress or conference with an academic or professional focus. The work is usually peer reviewed. Poster sessions are particularly prominent at scientific conferences such as medical congresses. Students will select a nursing research already published and following the article information you will create a poster presentation that include the below information: The outline of the poster should include the following tabs (minimum requirements) Abstract Outline: -Title of Project -Problem Statement: what is the problem that needs fixing? -Purpose of the Project -Research Question(s) -Hypothesis -Methodology (Qualitative vs. Quantitative) -Steps in implementing your project -Limitations Results (Pretend results) -Conclusion -References I have attached an example of a poster presentation for guidance. The due date for the poster presentation is WEEK 13. Please feel free to be artistic and provide graphs and data. You are welcome to use any poster template. Please submit it via turn it in. Criterion Outstanding 4 Very Good 3 Good 2 Unacceptable 1 Score
  • 17. Completeness Complete in all respects; reflects all requirements Complete in most respects; reflects most requirements Incomplete many respects; reflects few requirements Incomplete in most respects; does not reflect requirements Understanding Demonstrates excellent understanding of the topic(s) and issue(s) Demonstrates an accomplished understanding of the topic(s) and issue(s) Demonstrates an acceptable understanding of the topic(s) and issue(s) Demonstrates an inadequate understanding of the topic(s) and issue(s) Analysis Presents an insightful and through analysis of the issue (s) identified Presents a thorough analysis of most of the issue(s) identified Presents a superficial analysis of some of the issue(s) identified Presents an incomplete analysis of the issue(s) identified. Evaluation Makes appropriate and powerful connections between the issue(s) identified and the concept(s) studied Makes appropriate connections between the issue(s) identified and the concept(s) studied Makes appropriate but somewhat vague connections between the issue(s) identified and the concept(s) studied Makes little or no connection between the issue(s) identified and the concept(s) studied. Opinion Supports opinion with strong arguments and evidence; presents
  • 18. a balanced and critical view; interpretation is both reasonable and objective Supports opinion with reasons and evidence; presents a fairly balanced view; interpretation is both reasonable and objective Supports opinion with limited reasons and evidence; presents a somewhat one-sided argument Supports opinion with few reasons and little evidence; argument is one-sided and not objective. Recommendations Presents detailed, realistic, and appropriate recommendations clearly supported by the information presented and concepts studied Presents specific, realistic and appropriate recommendation supported by the information presented and the concepts studied Presents realistic or appropriate recommendation supported by the information presented and the concepts studied Presents realistic or appropriate recommendation with little, if any, support from the information and the concepts studied. Grammar and Spelling Minimal spelling and grammar errors Some spelling and grammar errors Noticeable spelling and grammar errors Unacceptable number of spelling and grammar errors APA guidelines Uses APA guidelines accurately and consistently to cite sources Uses APA guidelines with minor violations to cite sources Reflects incomplete knowledge of APA guidelines Does not use APA guidelines
  • 19. Total