EVIDENCE –BASED PRACTICES 1
Evidence-Based Practices
Stephanie Petit-homme
Miami Regional University
Professor: Garcia Mercedes
07/05/2021
Evidence-Based Practices to Guide Clinical Practices
In other terms recognized as evidence-based medication, evidence-based scientific practice is elucidated as the careful, obvious, and judicious use of the best indication in creating results for the outstanding care of separate patients. It helps those who brand the choices to device best healthcare practices while drawing the roadmaps for the health system. In clinical trials, the integration of the EBCP entails clinical respiratory medicine considers two fundamental principles. For example, the principle is the hierarchy of the evidence and the art of clinical decision-making.
The interrelationship between the theory, research, and EBP
The relationship between the theory, research, and the EBP supports the three recognition programs. They still relate in terms of the magnet model component of modern knowledge, innovation, and advancement. They describe in a way in which they lead to the promotion of quality in a setting that makes supports professional practices. Second, there is the identification of excellence in giving nursing services to sick people or the people who stay around. For instance, the model, which is other terms the magnet theory, has got five components ( Reddy, 2018).
The first constituent includes transformational management; the additional is structural authorization. The third one is archetypal specialized practices, new information, invention, and upgrading. Lastly, in the model, there are the empirical quality outcomes. For the achievement of the aims of the goals that have been set, there is a need to make sure that the theory, current knowledge innovation, and the improvements and the components that are found in view all the nurses who are located in the levels of the healthcare company need to get involved.
The research has its primary purpose for the help of coming up with knowledge or the validation done for the knowledge that has always been there from before based on the theory. There is systematic, scientific questioning in the research to give the answers to some of the specific questions. It can use the test hypotheses and the rigorous method, the primary purpose of the study being for investigation knowing of the new things and the exploration. There is a need to understand the philosophy of science.
Second, on the EBP, there is no development of the new knowledge or even the learning being validated. The primary purpose of the EBP is to translate the evidence and then apply it to medical executive. It uses the indication available to brand patient-care choices. The EBP goes yonder the exploration as fine as the persevering penchants and ideals. The EBP retains into deliberation that the best indication is for the opinion leaders and the experts. Even though there is the existence of definitiv ...
Paper Writing Service - HelpWriting.net ✅
Evidence-Based Practice
The incorporation of evidenced based practice (EBP) into nursing practice is supported by research to positively improve the quality of care and improve patient outcomes. EBP is important to the nursing profession because it also leads to increased job satisfaction, teamwork, and levels of engagement in clinicians (Melnyk, et al., 2017). Miniature research projects such as quality improvement projects, surveys, and clinical research studies are frameworks used to get feedback and data from patients during their time spent in health care systems. EBP is not the standard of care in many health care systems (Melnyk, et al., 2017). This due to many factors, including lack of EBP mentors, nursing programs that do not incorporate EBP into the curriculum,...show more content...The research process includes an intent, design, timeline, setting, measurable outcomes, and a plan for dissemination of the finding. The purpose of the research is to generate knowledge or validate existing knowledge. Being able to identify the significance of these factors in different evidence based practices will help the practitioner evaluate whether that information is relevant to that population of care or individual. Understanding the research process will help the clinician understand the purpose of the investigation, if the results are valid, why the results are important, and if the results will improve patient outcomes (Arndt Netsch, 2012). A quality improvement (QI) project involves data guided activities with short timelines to improve health care delivery systems (Arndt Netsch, 2012). The setting of QI projects take place in a single setting and are monitored in the institution where the QI project is conducted. The purpose of a QI project is to change practice outcomes and apply known solutions to a known problem in that institution (Arndt Netsch, 2012). Data obtained from the activities is disseminated through newsletters, flyers, through staff meetings, or submitted for publication and presented in
Get more content on HelpWriting.net
Respond Using references, identity the research result that .docxwilfredoa1
Respond
Using references, identity the research result that you could use in your practice setting.
This research I refer to identify key points in my project, my research question is about increasing communication to decrease readmission rates align well with the result of the following article. Ya-huei and Hung-Chang (2019), provide the readers with the type of tool they used to compute the result of their study with an outcome that was closed enough to the right answer. The use of the Kaiser-Meyer Olkin test has shown that these researchers have used the right amounts of subjects, in which it was proven that the result was accurate and can be used by healthcare professionals to make necessary improvement in the workplace. The overall reliability for the study was .93, and the retest to make sure that the result is solid and can be trusted was almost the same. The validity of the study shows a firm association in that positive outcomes can derive from learning how to correctly communicate in the healthcare settings. Per Schaffer, Sandau, and Diedrick, (2012). Evidence-based practice is a paradigm and life-long problem-solving approach to clinical decision-making that involves the conscientious use of the best available evidence (p. 1198)
Determine fit, feasibility, and appropriateness of the result for your practice setting.
I can see that using certain information from the study that show a positive association on the outcome of the problem will surely take precedence in what I need to accomplish by using EBP to make change. The following four factors from the study put together the general idea that providers can use when they need to increase communication in the practice setting. Knowing these facts will help put the focus on the importance of what matter to patients. Per Ya-huei and Hung-Chang (2019), these factors are: “1- perception of trust and receptivity, 2- patient-centered information giving, 3- rapport building, and 4- facilitation of patient involvement+ (p. 7, 8). Knowing the focus area will help put into perspective the change process and will have a better chance to succeed. As stated in the result of the study the number of subjects were enough to deduct that the study can be used as evidence to make change in the workplace.
Using Plan-Do-Study-Act (PDSA), outline an action plan.
The PDSA model is a great tool that provider can use to establish a ground rule in order to implement a change that is needed at the workplace. An action plan in this instance is the strategy that will be used to make the implemented change successful. Per Mennella and Balderrama, (2017), the component of the PDSA in which
P
: will be the planning phase, which is where the leader put the plan into action by establishing goals, identifying the cause of the problem, what needs to be done in this instance: increase communication, which starts by gather information.
D
: that is where the leader start doing, so after talking to partic.
Partial and Incremental PCMH Practice Transformation: Implications for Qualit...Paul Grundy
Experience of BCBS Michigan in Building medical homes
Based on the observed relationships for partial implementation,full implementation of the PCMH model is associated with a 3.5 percent higher quality composite score, a 5.1 percent higher preventive composite score, and $26.37 lower per member per month medical costs for adults. Full PCMH implementation is also associated with a 12.2 percent higher preventive composite score, but no reductions in costs for pediatric populations. Incremental improvements in PCMH model implementation yielded similar positive effects on quality of care for both adult and pediatric populations but were not associated with cost savings for either population.
Conclusions. Estimated effects of the PCMH model on quality and cost of care
appear to improve with the degree of PCMH implementation achieved and with incremental improvements in implementation.
EVIDENCE –BASED PRACTICES 1
Evidence-Based Practices
Stephanie Petit-homme
Miami Regional University
Professor: Garcia Mercedes
07/05/2021
Evidence-Based Practices to Guide Clinical Practices
In other terms recognized as evidence-based medication, evidence-based scientific practice is elucidated as the careful, obvious, and judicious use of the best indication in creating results for the outstanding care of separate patients. It helps those who brand the choices to device best healthcare practices while drawing the roadmaps for the health system. In clinical trials, the integration of the EBCP entails clinical respiratory medicine considers two fundamental principles. For example, the principle is the hierarchy of the evidence and the art of clinical decision-making.
The interrelationship between the theory, research, and EBP
The relationship between the theory, research, and the EBP supports the three recognition programs. They still relate in terms of the magnet model component of modern knowledge, innovation, and advancement. They describe in a way in which they lead to the promotion of quality in a setting that makes supports professional practices. Second, there is the identification of excellence in giving nursing services to sick people or the people who stay around. For instance, the model, which is other terms the magnet theory, has got five components ( Reddy, 2018).
The first constituent includes transformational management; the additional is structural authorization. The third one is archetypal specialized practices, new information, invention, and upgrading. Lastly, in the model, there are the empirical quality outcomes. For the achievement of the aims of the goals that have been set, there is a need to make sure that the theory, current knowledge innovation, and the improvements and the components that are found in view all the nurses who are located in the levels of the healthcare company need to get involved.
The research has its primary purpose for the help of coming up with knowledge or the validation done for the knowledge that has always been there from before based on the theory. There is systematic, scientific questioning in the research to give the answers to some of the specific questions. It can use the test hypotheses and the rigorous method, the primary purpose of the study being for investigation knowing of the new things and the exploration. There is a need to understand the philosophy of science.
Second, on the EBP, there is no development of the new knowledge or even the learning being validated. The primary purpose of the EBP is to translate the evidence and then apply it to medical executive. It uses the indication available to brand patient-care choices. The EBP goes yonder the exploration as fine as the persevering penchants and ideals. The EBP retains into deliberation that the best indication is for the opinion leaders and the experts. Even though there is the existence of definitiv ...
Paper Writing Service - HelpWriting.net ✅
Evidence-Based Practice
The incorporation of evidenced based practice (EBP) into nursing practice is supported by research to positively improve the quality of care and improve patient outcomes. EBP is important to the nursing profession because it also leads to increased job satisfaction, teamwork, and levels of engagement in clinicians (Melnyk, et al., 2017). Miniature research projects such as quality improvement projects, surveys, and clinical research studies are frameworks used to get feedback and data from patients during their time spent in health care systems. EBP is not the standard of care in many health care systems (Melnyk, et al., 2017). This due to many factors, including lack of EBP mentors, nursing programs that do not incorporate EBP into the curriculum,...show more content...The research process includes an intent, design, timeline, setting, measurable outcomes, and a plan for dissemination of the finding. The purpose of the research is to generate knowledge or validate existing knowledge. Being able to identify the significance of these factors in different evidence based practices will help the practitioner evaluate whether that information is relevant to that population of care or individual. Understanding the research process will help the clinician understand the purpose of the investigation, if the results are valid, why the results are important, and if the results will improve patient outcomes (Arndt Netsch, 2012). A quality improvement (QI) project involves data guided activities with short timelines to improve health care delivery systems (Arndt Netsch, 2012). The setting of QI projects take place in a single setting and are monitored in the institution where the QI project is conducted. The purpose of a QI project is to change practice outcomes and apply known solutions to a known problem in that institution (Arndt Netsch, 2012). Data obtained from the activities is disseminated through newsletters, flyers, through staff meetings, or submitted for publication and presented in
Get more content on HelpWriting.net
Respond Using references, identity the research result that .docxwilfredoa1
Respond
Using references, identity the research result that you could use in your practice setting.
This research I refer to identify key points in my project, my research question is about increasing communication to decrease readmission rates align well with the result of the following article. Ya-huei and Hung-Chang (2019), provide the readers with the type of tool they used to compute the result of their study with an outcome that was closed enough to the right answer. The use of the Kaiser-Meyer Olkin test has shown that these researchers have used the right amounts of subjects, in which it was proven that the result was accurate and can be used by healthcare professionals to make necessary improvement in the workplace. The overall reliability for the study was .93, and the retest to make sure that the result is solid and can be trusted was almost the same. The validity of the study shows a firm association in that positive outcomes can derive from learning how to correctly communicate in the healthcare settings. Per Schaffer, Sandau, and Diedrick, (2012). Evidence-based practice is a paradigm and life-long problem-solving approach to clinical decision-making that involves the conscientious use of the best available evidence (p. 1198)
Determine fit, feasibility, and appropriateness of the result for your practice setting.
I can see that using certain information from the study that show a positive association on the outcome of the problem will surely take precedence in what I need to accomplish by using EBP to make change. The following four factors from the study put together the general idea that providers can use when they need to increase communication in the practice setting. Knowing these facts will help put the focus on the importance of what matter to patients. Per Ya-huei and Hung-Chang (2019), these factors are: “1- perception of trust and receptivity, 2- patient-centered information giving, 3- rapport building, and 4- facilitation of patient involvement+ (p. 7, 8). Knowing the focus area will help put into perspective the change process and will have a better chance to succeed. As stated in the result of the study the number of subjects were enough to deduct that the study can be used as evidence to make change in the workplace.
Using Plan-Do-Study-Act (PDSA), outline an action plan.
The PDSA model is a great tool that provider can use to establish a ground rule in order to implement a change that is needed at the workplace. An action plan in this instance is the strategy that will be used to make the implemented change successful. Per Mennella and Balderrama, (2017), the component of the PDSA in which
P
: will be the planning phase, which is where the leader put the plan into action by establishing goals, identifying the cause of the problem, what needs to be done in this instance: increase communication, which starts by gather information.
D
: that is where the leader start doing, so after talking to partic.
Partial and Incremental PCMH Practice Transformation: Implications for Qualit...Paul Grundy
Experience of BCBS Michigan in Building medical homes
Based on the observed relationships for partial implementation,full implementation of the PCMH model is associated with a 3.5 percent higher quality composite score, a 5.1 percent higher preventive composite score, and $26.37 lower per member per month medical costs for adults. Full PCMH implementation is also associated with a 12.2 percent higher preventive composite score, but no reductions in costs for pediatric populations. Incremental improvements in PCMH model implementation yielded similar positive effects on quality of care for both adult and pediatric populations but were not associated with cost savings for either population.
Conclusions. Estimated effects of the PCMH model on quality and cost of care
appear to improve with the degree of PCMH implementation achieved and with incremental improvements in implementation.
COMPLETED WEEK 2In 350-400 Words1. Share an example of evidencLynellBull52
COMPLETED WEEK 2
In 350-400 Words
1. Share an example of evidence-based practice from your work setting.
B & C. Describe how qualitative and quantitative research results can be used to solve practice problems. This is known as translational research.
2. Refer back to last module's discussion board item #4 in which you identified one or two potential problems that you are considering for your DNP Project. As we move into the building blocks for evidence, try to think about what you want to improve through your DNP project.
A. State the problem that you are considering for your DNP project.
B. Find a peer-reviewed quantitative research article that addresses this problem.
C & D. State the type of research design and the associated level of evidence in the article.
E. What critical appraisal questions did you use to critique this article from Melnyk Chapter 5? Please list both the question and the answer to each question. (Use the questions that match the research design in the article).
F. How can you use this evidence from your chosen article to solve your clinical problem?
RESOURCES
Corey, G. (2020).
Theory and practice of counseling and psychotherapy, enhanced. Cengage.
Denise F. Polit, & Cheryl Tatano Beck. (2017).
Nursing research : Generating and assessing evidence for nursing practice (Tenth edition ed.). Wolters Kluwer.
Knight, C., & Wheeler, K. (2020).
Case study approach to psychotherapy for advanced practice psychiatric nurses. Springer Publishing Company, Incorporated.
Moran, K. J., Burson, R., & Conrad, D. (2019a).
The doctor of nursing practice project (3rd ed.). Jones & Bartlett Learning, LLC.
White, K. M., Dudley-Brown, S., & Terhaar, M. F. (2019).
Translation of evidence into nursing and healthcare (3rd ed.). Springer Publishing Company, Incorporated.
ANSWER
Share an example of evidence-based practice from your work setting. Describe how qualitative and quantitative research results can solve practice problems.
The care given to adolescents who sustain mild traumatic brain injuries while participating in extracurricular activities is an example of evidence-based treatment in the school context, as I learned in my previous role as a school nurse. With experience as both a nurse and a coach (crucial in the absence of an athletic trainer at the school), this individual was looked to for advice if a student had a concussion or other head trauma while participating in a sport (Knight & Wheeler, 2020). Both quantitative and qualitative research methods can produce evidence for nursing practice and address issues that arise in the field. The findings of quantitative studies would be in the form of numerical, statistical data. Studies of phenomena or a more holistic focus can be gathered through qualitative research's use of narrative materials, available research methods, an ...
COMPLETED WEEK 2In 350-400 Words1. Share an example of evidencTaunyaCoffman887
COMPLETED WEEK 2
In 350-400 Words
1. Share an example of evidence-based practice from your work setting.
B & C. Describe how qualitative and quantitative research results can be used to solve practice problems. This is known as translational research.
2. Refer back to last module's discussion board item #4 in which you identified one or two potential problems that you are considering for your DNP Project. As we move into the building blocks for evidence, try to think about what you want to improve through your DNP project.
A. State the problem that you are considering for your DNP project.
B. Find a peer-reviewed quantitative research article that addresses this problem.
C & D. State the type of research design and the associated level of evidence in the article.
E. What critical appraisal questions did you use to critique this article from Melnyk Chapter 5? Please list both the question and the answer to each question. (Use the questions that match the research design in the article).
F. How can you use this evidence from your chosen article to solve your clinical problem?
RESOURCES
Corey, G. (2020).
Theory and practice of counseling and psychotherapy, enhanced. Cengage.
Denise F. Polit, & Cheryl Tatano Beck. (2017).
Nursing research : Generating and assessing evidence for nursing practice (Tenth edition ed.). Wolters Kluwer.
Knight, C., & Wheeler, K. (2020).
Case study approach to psychotherapy for advanced practice psychiatric nurses. Springer Publishing Company, Incorporated.
Moran, K. J., Burson, R., & Conrad, D. (2019a).
The doctor of nursing practice project (3rd ed.). Jones & Bartlett Learning, LLC.
White, K. M., Dudley-Brown, S., & Terhaar, M. F. (2019).
Translation of evidence into nursing and healthcare (3rd ed.). Springer Publishing Company, Incorporated.
ANSWER
Share an example of evidence-based practice from your work setting. Describe how qualitative and quantitative research results can solve practice problems.
The care given to adolescents who sustain mild traumatic brain injuries while participating in extracurricular activities is an example of evidence-based treatment in the school context, as I learned in my previous role as a school nurse. With experience as both a nurse and a coach (crucial in the absence of an athletic trainer at the school), this individual was looked to for advice if a student had a concussion or other head trauma while participating in a sport (Knight & Wheeler, 2020). Both quantitative and qualitative research methods can produce evidence for nursing practice and address issues that arise in the field. The findings of quantitative studies would be in the form of numerical, statistical data. Studies of phenomena or a more holistic focus can be gathered through qualitative research's use of narrative materials, available research methods, an ...
SAMPLE PAPERRunning head RESEARCH CRITIQUE ON P.docxtodd331
SAMPLE PAPER
Running head: RESEARCH CRITIQUE ON PREOPERATIVE EDUCATION AND PATIENT OUTCOMES 1
RESEARCH CRITIQUE ON PREOPERATIVE EDUCATION AND PATIENT OUTCOMES 2
Research Critique on Preoperative Education and Patient Outcomes
Preoperative patient education for surgery can be done at different times and by different methods. The purpose of this paper is to critique four research articles that show how different preoperative education methods affect patient outcomes. The first two research articles to be discussed are quantitative research papers Postoperative Instructions Preoperatively-Evaluating Effectiveness of a Teaching Model on Patient Satisfaction Regarding Instructions for Home Care and Preoperative Education Reduces Preoperative Anxiety in Cancer Patients Undergoing Surgery: Usefulness of the Self-Reported Beck Anxiety Inventory. Additionally, two qualitative research studies will be discussed, A Multidisciplinary Preoperative Teaching Session for Women Awaiting Breast Cancer Surgery: A Quality Improvement Initiative. Rehabilitation Process and Outcome and A Qualitative Study of Patient Education Needs for Hip and Knee Replacement. This paper will discuss how these four studies relate to the PICOT question, nursing practice and their ethical considerations. The author will critique the four articles and answer the PICOT statement about preoperative patient education and its effects on patient outcomes.
Nursing Practice Problem and PICOT Statement
Many surgery patients experience fear and anxiety associated with their surgery that results in low patient satisfaction scores and poor postoperative outcomes. Prior research has shown that preoperative teaching that includes postoperative care is effective in reducing fear and anxiety in surgery patients. Surgery can be a difficult experience for many patients with fear of the unknown.
The PICOT statement asks a question related to preoperative patient education. In a 66-year old woman scheduled for hip-replacement surgery, will preoperative patient education as compared to no preoperative patient education improve patient outcomes over a 1-month time frame? The patient in the scenario shares many similarities to a typical surgery patient including a high anxiety level and fear of the unknown due to scant preoperative education. She is unsure of what to expect during the surgery and the postoperative requirements. Analyzing both quantitative and qualitative research articles will help answer the PICOT question.
Background of Study
The first quantitative research article by Hovsepian, McGah & O’Brien (2017) aimed to increase patient satisfaction scores for discharge teaching and improve retention of home care instructions. They were not meeting their goals for patient satisfaction for discharge teaching at their outpatient surgery facility where they serve a diverse patient population in Massachusetts. The researchers felt moving the timing of Post Anesthesia Care Unit (PACU) teaching t.
RESEARCH ARTICLE Open AccessHealthcare professionals’ view.docxrgladys1
RESEARCH ARTICLE Open Access
Healthcare professionals’ views on patient-
centered care in hospitals
Mathilde Berghout*, Job van Exel, Laszlo Leensvaart and Jane M. Cramm*
Abstract
Background: Patient-centered care (PCC) is a main determinant of care quality. Research has shown that PCC is a
multi-dimensional concept, and organizations that provide PCC well report better patient and organizational
outcomes. However, little is known about the relative importance of PCC dimensions. The aim of this study was
therefore to investigate the relative importance of the eight dimensions of PCC according to hospital-based
healthcare professionals, and examine whether their viewpoints are determined by context.
Methods: Thirty-four healthcare professionals (16 from the geriatrics department, 15 from a surgical intensive care
unit, 3 quality employees) working at a large teaching hospital in New York City were interviewed using Q
methodology. Participants were asked to rank 35 statements representing eight dimensions of PCC extracted from
the literature: patient preferences, physical comfort, coordination of care, emotional support, access to care,
continuity and transition, information and education and family and friends. By-person factor analysis was used to
reveal patterns of communality in statement rankings, which were interpreted and described as distinct viewpoints.
Results: Three main viewpoints on elements important for PCC were identified: “treating patients with dignity and
respect,” “an interdisciplinary approach” and “equal access and good outcomes.” In these viewpoints, not all dimensions
were equally important for PCC. Furthermore, the relative importance of the dimensions differed between departments.
Context thus appeared to affect the relative importance of PCC dimensions.
Conclusion: Healthcare organizations wishing to improve PCC should consider the relative importance of
PCC dimensions in their specific context of care provision, which may help to improve levels of patient-
centeredness in a more efficient and focused manner. However, as the study sample is not representative
and consisted only of professionals (not patients), the results cannot be generalized outside the sample.
More research is needed to confirm our study findings.
Keywords: Patient-centered care, Quality of care, Healthcare professionals, Q methodology, Hospital
Background
Since the Institute of Medicine described patient-
centered care (PCC) as one of the six most important
determinants of quality of care – along with safe, effect-
ive, timely, efficient and equitable care – PCC has re-
ceived much more attention [1]. Richardson and
colleagues [1] defined PCC as care that is “respectful of
and responsive to individual patient preferences, needs,
and values, and ensuring that patient values guide all
clinical decisions.” PCC has been shown to result in im-
proved health outcomes, including survival, greater
patient satisfaction and well-being [2]. Furtherm.
Of all the ways to influence health policy, using research to info.docxcherishwinsland
Of all the ways to influence health policy, using research to inform change has the dual appeal of sounding both straightforward and rigorous. However, reality intrudes in many forms to disrupt the otherwise common-sense connection between what we know, what we consider as policy and what we are doing. Different languages (academic versus political), disparate timeframes (deliberate versus opportunistic), and contrasting priorities (most rigorous versus good enough) often make translating research into policy an exercise in frustration. Just as basic scientists and clinical researchers grapple with the challenge of bringing innovations from bench to bedside, health services researchers must wrestle to make their work most relevant to policy realities in communities near and far.
Yet, this is a worthy—and potentially rewarding—pursuit. Evidence for such a claim is reflected in this supplement, which includes an array of approaches to bridging the gap between research and policy taken by current scholars and alumni of the Robert Wood Johnson Foundation Clinical Scholars program (RWJFCSP). Traditionally focused on training physicians in rigorous methods in biostatistics, clinical epidemiology, and health services research, as well as in other fields such as social sciences, the RWJFCSP has purposefully shifted over the past decade to emphasize the value of actionable research. Whether partnering with community members to conduct participatory research, or with policy makers to ensure that timely and relevant questions are being addressed, scholars are encouraged to consider how the results of their research will lead to short-term change and long-term progress. These research efforts encompass a broad variety of research methods, including qualitative and quantitative approaches, local and national data, and cutting-edge work involving community-based participatory research, multi-level hierarchical analyses, and dynamic multi-state modeling.
Given its leadership in the realm of research and policy, the RWJFCSP is the source of the lead or senior authors of all of the articles in this volume; the authors are either current scholars or alumni of the program. Of note, these articles do not reflect the entire sum of policy-relevant research conducted by RWJFCSP-connected investigators. Rather, these articles comprise a fraction of those submitted for inclusion in this supplement, and policy-relevant research by these authors and others with connections to the RWJFCSP appear in other journals as well.
The authors addressed important barriers to bridging the gap between research and policy. First, new evidence informs policy if it makes it into the hands of individuals who have a stake in what the data is measuring, and who are engaged in acting on the findings. Even the most rigorously conducted, widely cited manuscripts will have only marginal impact unless brought to life by potential change agents. Second, the evidence being generated may not be .
Presentation in the framework of the International Conference "10th anniversary of the Spanish Network of Health Technology Assessment Agencies. Towads patient and public engagement in HTA" Zaragoza 27-28 April 2017
Reply DB5 w9 research
Reply discussion boards
1-jauregui
Discuss how the quantitative and qualitative data would complement one another and add strength to the study.
Evidently, the use of EBP in healthcare mostly relies on the available qualitative and quantitative data which is supported by scientific or clinical research. In studying the EBP, quantitative data is used to enhance qualitative information and vice versa, because one method complements the other one (Tappen, 2015, p.88). For example, in the selected article the EBP about beliefs and behaviors of nurses showed that the number of the nurses who were certified vs. nurses who were not certified explained why some of the nurses have higher perceived EBP implementation than others (Eaton, Meins, Mitchell, Voss, & Doorenbos, 2015, “Evidence-Based Practice Beliefs and Behaviors”). Quantitative data would improve the study by providing evidence in the form of numbers or amounts such as the scores which show the proficiency of nurses in different areas (Eaton, Meins, Mitchell, Voss, & Doorenbos, 2015, “Evidence-Based Practice Beliefs and Behaviors”). Quantitative data could strengthen the study by providing more detailed information about EBP implementation which will explain certain trends and occurrences as found in the research.
2- rosquete
The qualitative research is exploratory/ descriptive and emphasizes the importance of subjects frame to be referenced and the context of the study. The research will be more concerned with the truth perceived by informants and less concerned with the truth of the objectives. The information from this research will be important in understanding the informants’ behaviors in details. The description of this approach will be used to get the picture and the opinion of nursing caregivers on the use of CNS depressants by the elderly (Susan, Nancy, & Jennifer, 2013).
The method that is used is explorative/descriptive. The strengths of the descriptive method are: effective to analyze non-quantified subjects and issues, the possibility to observe the phenomenon in a natural environment, the opportunity to use qualitative and quantitative method together, and less time consuming than quantitative studies. In the case of exploratory studies, the principal advantage is the flexibility and adaptability to change and it is effective in laying the groundwork that guides to future research. We can find disadvantages in this kind of studies. For example, descriptive studies cannot test or verify the research problem statically, the majority of descriptive studies are not repeatable due to their observational nature, and they are not helpful in identifying cause behind the described phenomenon. Another weak point, that includes exploratory research, is the interpretation of information is subject to bias. These type of studies make use a modest number of samples that may not represent the target population and they are not usually helpful in decision ma.
Critical Research Appraisal AssignmentNUR501 PhilosophiMargenePurnell14
Critical Research Appraisal Assignment
NUR501: Philosophical & Theoretical, Evidence-Based Research
Dr. Corzo-Sanchez
June 24, 2022
Critical Research Appraisal Assignment
Nursing research uncovers new knowledge to help build the foundation of clinical practice. Research can help prevent diseases and disabilities, help manage symptoms, establish new treatment plans and improve nursing skills. This is why nurses need to be able to participate in and analyze research, as this can bring positive outcomes to their careers and the health of their patients. There are two different types of research, quantitative and qualitative, that provide information and data. For this assignment, I chose one qualitative research that focuses on the stress and burnout experienced by nursing professionals and one quantitative analysis that explores nurses’ knowledge regarding hand hygiene. Each study will be evaluated thoroughly and analyzed.
Qualitative Research
The definition of qualitative research can be challenging. Qualitative research involves collecting and analyzing non-numerical data to understand concepts, opinions, or experiences (Morgan et al., 2021). This form of research explores deeper insights into real-world problems in an emergent and holistic way. Qualitative data can be collected using various methods such as interviews, focus groups, observations, and documentation analysis (Hoover, 2021). Qualitative research has been used in nursing for many years, but it was not the first method used in nursing. Before quantitative research, philosophical methods such as hermeneutics and phenomenology were the only options for professional inquiry (Butts & Rich, 2017). However, it was changed to qualitative research because its ways were incompatible with science. There are three major approaches to qualitative research, (1) ethnography, based on anthropology, (2) phenomenology, drawn from philosophy; and (3) grounded theory, drawn from sociology (Morgan et al., 2021). The use of qualitative studies is common due to its many strengths, such as providing multiple methods of data collection, more detailed information, and how it can refine and strengthen quantitative research. However, some of the limitations of this form of research are difficulty analyzing and collecting data while being more time-consuming.
Evaluating and Analyzing a Selected Qualitative Study
For the example of the qualitative study, I chose Luis M. Dos Santos's study, which focused on the effects of stress, burnout, and low self-efficacy in nursing professionals. The quantitative research aimed to understand and explore how social and environmental factors influence nursing professionals’ self-efficacy. In the study, the Social Cognitive Theory was used to define how each subject was affected based on their thoughts, behaviors, feeling, and personal beliefs (Dos Santos, 2020). For this research study, the phenomenological approach and analysis were used thought the survey to collec ...
Manuel Cabrera Discussion 7 Manuel M CabreraCOLLAPSETop of .docxalfredacavx97
Manuel Cabrera
Discussion 7: Manuel M Cabrera
COLLAPSE
Top of Form
Discussion 7
Szeto et al. (2010) conducted a pilot study focused on the investigation of the effectiveness of multifaceted ergonomic interventions aimed at community nurses (p. 1022). The results of the pilot study indicate that such interventions improved symptoms and functional outcomes. Pilot studies are typically conducted to evaluate the possibility of a large study and identify complications that may occur. One of the issues that could be considered problematic is that the authors emphasize the importance of statistical significance while overlooking the importance of feasibility. Nevertheless, one may argue that the discussed study is aligned with the definition of a pilot study because it focused on a specific population, and the authors relied on a small sample. Differently put, it would be inappropriate to generalize the results of the study, but it has helped the researchers to assess whether research in this area is feasible. Therefore, a larger study focused on this issue was conducted at a later rate. Szeto et al. (2013) attempted to evaluate the effectiveness of multifaceted ergonomic interventions in four local hospitals aimed at community nurses (p. 414). One of the unique aspects of the study is that the participants involved in the pilot study agreed to continue to participate in research in this area. Therefore, researchers were able to keep track of their progress and evaluated the impact of interventions in the long-term. Moreover, they expanded the explanatory power of the study by increasing the sample size and introducing a self-control group. The results of the study indicate that multifaceted ergonomic interventions designed based on the needs of community nurses decrease symptoms and improve functional outcomes. One has to acknowledge the fact that this study has a set of limitations because researchers focused on local hospitals, and it may be inappropriate to generalize the results. Therefore, it would be appropriate to conduct large-scale studies in this area to establish the overall effectiveness of multifaceted ergonomic interventions.
References
Szeto, G. P., Law, K. Y., Lee, E., Lau, T., Chan, S. Y., & Law, S. (2010). Multifaceted ergonomic intervention programme for community nurses: Pilot study. Journal of Advanced Nursing, 66(5), 1022–1034. doi:10.1111/j.1365-2648.2009.05255.x
Szeto, G. P., Wong, T. K., Law, R. K., Lee, E. W., Lau, T., So, B. C., & Law, S. W. (2013). The impact of a multifaceted ergonomic intervention program on promoting occupational health in community nurses. Applied Ergonomics, 44(3), 414–422. doi:10.1016/j.apergo.2012.10.004
Bottom of Form
Euclides Munoz Perez
Discussion # 7
A pilot study is a preliminary study that is done as a pretest for research tools and instruments that will be used in the main study project. It assesses the resources which include the time and costs and forese.
This assignment will be uploaded automatically to Turnitin upon suGrazynaBroyles24
This assignment will be uploaded automatically to Turnitin upon submission to verify this is your original work and no parts were copied from another student.
Turnitin is now more closely integrated with Canvas. Overall, you will find Turnitin assignments easier to use, but the steps to submit an assignment have changed somewhat. Directions are as follows:
1. Click the orange “Submit Assignment” button at the top of the page to open the upload window.
2. Click on “Choose File” to select your assignment file you want to upload.
3. Check the box to agree to the Turnitin End-User License Agreement.
4. Click “Submit Assignment.”
5. Your Turnitin report will be visible in the “Grades” section of your course.
Please refer to the pages below for more information about these changes.
• Turnitin Submitting a Paper (Links to an external site.) explains how to submit a file.
• Turnitin Assignment Student View (Links to an external site.) lets you submit a paper, then view feedback on the file you have submitted.
• Turnitin Viewing Instructor Feedback (Links to an external site.) helps you view your instructor feedback.
DIRECTIONS
· Do not stereotype a cultural/ethnic group. Stereotyping will result in point deduction. See rubric.
Below are my chosen topics:
Approved specific/ethnic population _____ Hispanic/Latinos- population
Approved health problem ___ New cases of diagnosed diabetes in the population
· Address the questions on the provided template:
· Description of Issue, Indicator, and Focus
· Describe approved transcultural nursing issue from Course Project
· Describe approved Healthy People 2030 Leading Health Indicator
· Describe approved cultural focus
· References with Permalink
· Provide APA references for two peer-reviewed scholarly professional journal articles related to your nursing issue, cultural focus and/or health indicator.
· Articles must be published within the last five (5) years. If you are unsure whether the article is appropriate, ask your instructor.
· Include the permalink to the article.
· For more information on finding Permalinks in the Chamberlain Library, see Learn the Library and Finding Permalinks (Links to an external site.).
· Summary
· Summarize the key points from each peer-reviewed scholarly professional nursing journal articles selected in one or two paragraphs. Be clear and concise.
· Educational Plan
· Imagine you are educating a group of fellow nurses.
· Clearly describe what key points would you share with them?
· What would you suggest as best practices?
· What ethical issues or conflict of care could potentially exist?
· Please reach out to your instructor with any questions or concerns.
Template
Week 4: Course Project Part 2 Template(Download here) (Links to an external site.)
Best Practices
· Please use your browser's File setting to save or print this page.
· Use the template provided. If the template is not used, a deduction will be applied. See rubric below.
· Spell check for spelling a ...
21 hours ago
Tami Frazier
Initial Discussion Post
COLLAPSE
Top of Form
NURS 6052 – Essentials of Evidence-Based Protocols
Week 7 Initial Discussion Post
Qualitative Design
Evidence-based research provides quality information that is tested and proven to be credible and reliable. For this post, I will discuss the qualitative design used in a study by Vandyk, Young, MacPhee & Gillis (2018) on Exploring the Experiences of Persons Who Frequently Visit the Emergency Department for Mental Health-Related Reasons. The qualitative study I chose uses interpretive design as the methodology to decipher information that was clinically significant (Vandyk, Young, MacPhee, & Gillis, 2018). The interpretive design focuses on themes and patterns from participants to make informed decisions regarding the patient experience (Vandyk et al., 2018). This type of design assumes that numerous theories can be interpreted to provide vital information that can encourage change in clinical practices.
This study was initiated to explore and gain insight into the experiences of mental health patients who visit the emergency department (ED) repeatedly. It is estimated that psych patients present to the ED five times more than other patients (Vandyk et al., 2018). These patients are often met by unfriendly ED staff who are annoyed because of their frequent visits. The purpose of this study was to openly interview ten participants who had visited the ED 12 or more times within a year and discuss their experiences (Vandyk et al., 2018). The ethical considerations included obtaining informed consent from the participants, the interviewers could not have a prior relationship with the participants, and data was anonymized in team meanings in order to discuss findings (Vandyk et al., 2018). The researchers used these considerations to control bias and protect patient’s rights.
The use of a qualitative interpretive design uncovered themes from the interview findings. Based on Williamson (2009), qualitative research seeks to define the participants experience through insight and reality. These insights produced themes consisting of the participant’s experience, the provider's response to them, and protective factors used to motivate patients outside of the hospital setting (Vandyk et al., 2018).
Conversely, a quantitative design is better used to gather evidence that is precise and easily decodable (Polit & Beck, 2017). If a quantitative design were used in this study, it would skew the results because the number of participants was minimal and the evidence was not easily deciphered. Also, when assessing a patient’s thoughts, emotions, and personal observations, there is no precise measurement available. Therefore, it is essential to use the correct research design in order to provide information that is correct, valid, and reliable.
References
Polit, D. F., & Beck, C. T. (2017). Nursing research: Generating and assess.
By administering assessments and analyzing the results, targeted aTawnaDelatorrejs
By administering assessments and analyzing the results, targeted and individualized interventions can be determined to best serve the needs of students with disabilities. The actual implementation of the interventions provides teachers opportunities to collect data and gauge the effectiveness of the interventions in addressing documented student needs. Teachers can also gain important skills and knowledge on how to best advocate for practical classroom interventions. Teachers will also be able to collaborate with colleagues and families in mentoring students to take ownership of learning strategies.
Allocate at least 2 hours in the field to support this field experience,
Part 1: Assessment and Interventions
Select at least one student to whom you will administer the informal RTI assessment created in Clinical Field Experience A. Score the assessment and share the results with the student to increase understanding of his or her strengths and areas for improvement.
Collaborate with the certified special education teacher and the student to develop 2-3 interventions based on the student assessment data to support the student’s progress in the classroom. In addition, detail one intervention that can be incorporated at home with family support.
Use any remaining field experience hours to assist the teacher in providing instruction and support to the class.
Part 2: Reflection
In 250-500 words, summarize and reflect upon the following:
· Describe each intervention, including teacher, student, and family roles, where applicable.
· Your experiences administering the assessment, analyzing the results, and providing the student feedback on his or her performance.
· Explain how you expect the interventions you developed to meet the needs of the student, incorporating his or her assessment results in your response.
· Explain how you will use your findings in your future professional practice.
APA format is not required, but solid academic writing is expected.
This assignment uses a rubric. 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 LopesWrite. A link to the LopesWrite technical support articles is located in Class Resources if you need assistance.
6
Annotated Bibliography
Student’s Name
Course
Instructor’s name.
Institutional Affiliation
October 7, 2021.
Annotated Bibliography
Ali, H., Ibrahem, S. Z., Al Mudaf, B., Al Fadalah, T., Jamal, D., & El-Jardali, F. (2018). Baseline assessment of patient safety culture in public hospitals in Kuwait. BMC Health Services Research, 18(1). https://doi.org/10.1186/s12913-018-2960-x
The researchers conducted a cross-sectional study in 16 public hospitals in Kuwait using the Hospital Survey on Patient Safety Culture (HSOPSC). The study aimed to assess patient safety culture in public hospitals as perceived by hospital staff and relate the findings similar to regional and international ...
Quantitative/Mixed-Methods
American InterContinental University
March 27, 2018
Running head: QUANTITATIVE/MIXED-METHODS
1
QUANTITATIVE/MIXED-METHODS
2
Quantitative/Mixed-Methods
Abstract
Case studies which are done in the field of medicine work towards improving the health of the population. There are some of the parts contained in case studies which are abstract, results, limitations of results, conclusions, and applications. The common statistical methods used in research are descriptive numerical and qualitative thematic analyses. The results of the studies show that equal participation of individuals in the health sector will help boost public health. Limitations of results are that although some strategies may work towards improving health sector, not all of them are effective.
Public health is an important sector in any country for it directly affects the economy of the nation. There need to be certain ways which should be employed with the aim of supporting and improving public health. In this paper, I am going to examine 4 contemporary peer-reviewed articles which employ quantitative or mixed-methods concerning ways on how to improve the health of the public. The interest of the paper is to aid in achieving the best impact in public health sector via using programs which will improve health outcomes drastically. Enhancement of public health will in return help to improve the well-being of populations across the world. Public health awareness on how to avoid unhealthy lifestyles should be created.
In the articles, samples and populations used were appropriate for it showed the real representative of the population at hand. All the samples used in the 4-contemporary peer-reviewed articles fulfilled the rule of thumb hence making them appropriate. The samples used were suitable for they were used to estimate the population parameters for it stood for the entire inhabitants. The samples used were larger but not too large to consume more resources of money and time. The larger sample has helped to produce accurate results making the samples valid and appropriate. The appropriateness of the samples used in these articles, it has been proved via usage of target variance. In using target variance an estimate to be derived from the model eventually attained.
Each article which has been used includes having results, limitations of results, conclusions, and applications. The first contemporary peer-reviewed article is entitled, Refugee women’s involvements of maternity-care facilities in Canada: a methodical review using a description synthesis written by Gina MA Higginbottom, Myfanwy Morgan, Miranda Alexandre, Yvonne Chiu, Joan Forgeron, Deb Kocay and Rubina Barolia. The article was published 11 February 2015. The results show that there needs to have a healthier understanding of the aspects that produce discrepancies in availability, adequacy, and outcomes during parenthood care (Higginbottom, Morgan, Alexandre, Chiu, Forg ...
Running head Critical Appraisal of ResearchCritical Appraisal o.docxhealdkathaleen
Running head: Critical Appraisal of Research
Critical Appraisal of Research
Part 4B: Critical Appraisal of Research
Walden University: NURS-6052.
October 13, 2019
Part 4B: Critical Appraisal of Research
Given my examination, the best practice that rises out of the exploration I checked on is Evidence-Based Practice (EBP), whereby in a clinical setting, it is considered as a fundamental component for guaranteeing that patients are given quality care just as treatment services. EBP is viewed as reasonable just as meticulous use of clinical practices that depend on current evidence. Also, medical care experts, with the help of EBP, can settle on successful decisions in connection to medicinal services operations. EBP depends on various pieces of evidence that incorporate qualitative just as quantitative research, controlled preliminaries, case reports, expert opinion, and scientific standards.
In this specific case, the clinical practices dependent on EBP help with giving better care just as treatment benefits as per patient values alongside clinical aptitude (Forrest, 2008). EBP depends on evidence gathered from qualitative research. Consequently, the quantitative analysis assumes a significant role in collecting data about current practices to be effected for the improvement of clinical skills and in gathering the patient's values. The research examines that are ineffectively structured, and inadequate reporting is contended to influence quantitative analysis crosswise over various spheres that incorporate medicinal services, future research, decision making, and health policy. In such manner, distinguishing reporting rules including diagnosis test studies (STARD), observational studies (STROBE), meta-analyses of observational studies (MOOSE), consolidated criteria for reporting qualitative research (COREQ) and randomized controlled trials (CONSORT) were used in these peer-reviewed articles.
Recognizing that clinicians have time constraints but then need to give the ideal care to their patients, the evidence-based methodology offers clinicians an advantageous technique for discovering current research to help in making clinical decisions, answer patient questions, and investigate alternative therapies, strategies, or materials. With a comprehension of how to viably use EBDM, professionals can rapidly and helpfully remain current with scientific discoveries on points that are essential to them and their patients.
References
DiBardino, D., Cohen, E. R., & Didwania, A. (2014). Meta‐analysis: multidisciplinary fall prevention strategies in the acute care inpatient population. Journal of hospital medicine, 7(6), 497-503.
Forrest, J. L. (2008). Evidence-based decision making: introduction and formulating good clinical questions. J Contemp Dent Pract, 1(3), 042-052.
Haines, T. P., Hill, K. D., Bennell, K. L., & Osborne, R. H. (2017). Additional exercise for older subacute hospital inpatients to prevent fal ...
Stakeholder Engagement in a Patient-Reported Outcomes Implementation by a Pra...Marion Sills
Kwan BM, Sills MR, Graham D, Hamer MK, Fairclough DL, Hammermeister KE, Kaiser A, Diaz-Perez MJ, Schilling LM. Stakeholder Engagement in a Patient-Reported Outcomes Implementation by a Practice-Based Research Network. JABFM. In Press.
COMPLETED WEEK 2In 350-400 Words1. Share an example of evidencLynellBull52
COMPLETED WEEK 2
In 350-400 Words
1. Share an example of evidence-based practice from your work setting.
B & C. Describe how qualitative and quantitative research results can be used to solve practice problems. This is known as translational research.
2. Refer back to last module's discussion board item #4 in which you identified one or two potential problems that you are considering for your DNP Project. As we move into the building blocks for evidence, try to think about what you want to improve through your DNP project.
A. State the problem that you are considering for your DNP project.
B. Find a peer-reviewed quantitative research article that addresses this problem.
C & D. State the type of research design and the associated level of evidence in the article.
E. What critical appraisal questions did you use to critique this article from Melnyk Chapter 5? Please list both the question and the answer to each question. (Use the questions that match the research design in the article).
F. How can you use this evidence from your chosen article to solve your clinical problem?
RESOURCES
Corey, G. (2020).
Theory and practice of counseling and psychotherapy, enhanced. Cengage.
Denise F. Polit, & Cheryl Tatano Beck. (2017).
Nursing research : Generating and assessing evidence for nursing practice (Tenth edition ed.). Wolters Kluwer.
Knight, C., & Wheeler, K. (2020).
Case study approach to psychotherapy for advanced practice psychiatric nurses. Springer Publishing Company, Incorporated.
Moran, K. J., Burson, R., & Conrad, D. (2019a).
The doctor of nursing practice project (3rd ed.). Jones & Bartlett Learning, LLC.
White, K. M., Dudley-Brown, S., & Terhaar, M. F. (2019).
Translation of evidence into nursing and healthcare (3rd ed.). Springer Publishing Company, Incorporated.
ANSWER
Share an example of evidence-based practice from your work setting. Describe how qualitative and quantitative research results can solve practice problems.
The care given to adolescents who sustain mild traumatic brain injuries while participating in extracurricular activities is an example of evidence-based treatment in the school context, as I learned in my previous role as a school nurse. With experience as both a nurse and a coach (crucial in the absence of an athletic trainer at the school), this individual was looked to for advice if a student had a concussion or other head trauma while participating in a sport (Knight & Wheeler, 2020). Both quantitative and qualitative research methods can produce evidence for nursing practice and address issues that arise in the field. The findings of quantitative studies would be in the form of numerical, statistical data. Studies of phenomena or a more holistic focus can be gathered through qualitative research's use of narrative materials, available research methods, an ...
COMPLETED WEEK 2In 350-400 Words1. Share an example of evidencTaunyaCoffman887
COMPLETED WEEK 2
In 350-400 Words
1. Share an example of evidence-based practice from your work setting.
B & C. Describe how qualitative and quantitative research results can be used to solve practice problems. This is known as translational research.
2. Refer back to last module's discussion board item #4 in which you identified one or two potential problems that you are considering for your DNP Project. As we move into the building blocks for evidence, try to think about what you want to improve through your DNP project.
A. State the problem that you are considering for your DNP project.
B. Find a peer-reviewed quantitative research article that addresses this problem.
C & D. State the type of research design and the associated level of evidence in the article.
E. What critical appraisal questions did you use to critique this article from Melnyk Chapter 5? Please list both the question and the answer to each question. (Use the questions that match the research design in the article).
F. How can you use this evidence from your chosen article to solve your clinical problem?
RESOURCES
Corey, G. (2020).
Theory and practice of counseling and psychotherapy, enhanced. Cengage.
Denise F. Polit, & Cheryl Tatano Beck. (2017).
Nursing research : Generating and assessing evidence for nursing practice (Tenth edition ed.). Wolters Kluwer.
Knight, C., & Wheeler, K. (2020).
Case study approach to psychotherapy for advanced practice psychiatric nurses. Springer Publishing Company, Incorporated.
Moran, K. J., Burson, R., & Conrad, D. (2019a).
The doctor of nursing practice project (3rd ed.). Jones & Bartlett Learning, LLC.
White, K. M., Dudley-Brown, S., & Terhaar, M. F. (2019).
Translation of evidence into nursing and healthcare (3rd ed.). Springer Publishing Company, Incorporated.
ANSWER
Share an example of evidence-based practice from your work setting. Describe how qualitative and quantitative research results can solve practice problems.
The care given to adolescents who sustain mild traumatic brain injuries while participating in extracurricular activities is an example of evidence-based treatment in the school context, as I learned in my previous role as a school nurse. With experience as both a nurse and a coach (crucial in the absence of an athletic trainer at the school), this individual was looked to for advice if a student had a concussion or other head trauma while participating in a sport (Knight & Wheeler, 2020). Both quantitative and qualitative research methods can produce evidence for nursing practice and address issues that arise in the field. The findings of quantitative studies would be in the form of numerical, statistical data. Studies of phenomena or a more holistic focus can be gathered through qualitative research's use of narrative materials, available research methods, an ...
SAMPLE PAPERRunning head RESEARCH CRITIQUE ON P.docxtodd331
SAMPLE PAPER
Running head: RESEARCH CRITIQUE ON PREOPERATIVE EDUCATION AND PATIENT OUTCOMES 1
RESEARCH CRITIQUE ON PREOPERATIVE EDUCATION AND PATIENT OUTCOMES 2
Research Critique on Preoperative Education and Patient Outcomes
Preoperative patient education for surgery can be done at different times and by different methods. The purpose of this paper is to critique four research articles that show how different preoperative education methods affect patient outcomes. The first two research articles to be discussed are quantitative research papers Postoperative Instructions Preoperatively-Evaluating Effectiveness of a Teaching Model on Patient Satisfaction Regarding Instructions for Home Care and Preoperative Education Reduces Preoperative Anxiety in Cancer Patients Undergoing Surgery: Usefulness of the Self-Reported Beck Anxiety Inventory. Additionally, two qualitative research studies will be discussed, A Multidisciplinary Preoperative Teaching Session for Women Awaiting Breast Cancer Surgery: A Quality Improvement Initiative. Rehabilitation Process and Outcome and A Qualitative Study of Patient Education Needs for Hip and Knee Replacement. This paper will discuss how these four studies relate to the PICOT question, nursing practice and their ethical considerations. The author will critique the four articles and answer the PICOT statement about preoperative patient education and its effects on patient outcomes.
Nursing Practice Problem and PICOT Statement
Many surgery patients experience fear and anxiety associated with their surgery that results in low patient satisfaction scores and poor postoperative outcomes. Prior research has shown that preoperative teaching that includes postoperative care is effective in reducing fear and anxiety in surgery patients. Surgery can be a difficult experience for many patients with fear of the unknown.
The PICOT statement asks a question related to preoperative patient education. In a 66-year old woman scheduled for hip-replacement surgery, will preoperative patient education as compared to no preoperative patient education improve patient outcomes over a 1-month time frame? The patient in the scenario shares many similarities to a typical surgery patient including a high anxiety level and fear of the unknown due to scant preoperative education. She is unsure of what to expect during the surgery and the postoperative requirements. Analyzing both quantitative and qualitative research articles will help answer the PICOT question.
Background of Study
The first quantitative research article by Hovsepian, McGah & O’Brien (2017) aimed to increase patient satisfaction scores for discharge teaching and improve retention of home care instructions. They were not meeting their goals for patient satisfaction for discharge teaching at their outpatient surgery facility where they serve a diverse patient population in Massachusetts. The researchers felt moving the timing of Post Anesthesia Care Unit (PACU) teaching t.
RESEARCH ARTICLE Open AccessHealthcare professionals’ view.docxrgladys1
RESEARCH ARTICLE Open Access
Healthcare professionals’ views on patient-
centered care in hospitals
Mathilde Berghout*, Job van Exel, Laszlo Leensvaart and Jane M. Cramm*
Abstract
Background: Patient-centered care (PCC) is a main determinant of care quality. Research has shown that PCC is a
multi-dimensional concept, and organizations that provide PCC well report better patient and organizational
outcomes. However, little is known about the relative importance of PCC dimensions. The aim of this study was
therefore to investigate the relative importance of the eight dimensions of PCC according to hospital-based
healthcare professionals, and examine whether their viewpoints are determined by context.
Methods: Thirty-four healthcare professionals (16 from the geriatrics department, 15 from a surgical intensive care
unit, 3 quality employees) working at a large teaching hospital in New York City were interviewed using Q
methodology. Participants were asked to rank 35 statements representing eight dimensions of PCC extracted from
the literature: patient preferences, physical comfort, coordination of care, emotional support, access to care,
continuity and transition, information and education and family and friends. By-person factor analysis was used to
reveal patterns of communality in statement rankings, which were interpreted and described as distinct viewpoints.
Results: Three main viewpoints on elements important for PCC were identified: “treating patients with dignity and
respect,” “an interdisciplinary approach” and “equal access and good outcomes.” In these viewpoints, not all dimensions
were equally important for PCC. Furthermore, the relative importance of the dimensions differed between departments.
Context thus appeared to affect the relative importance of PCC dimensions.
Conclusion: Healthcare organizations wishing to improve PCC should consider the relative importance of
PCC dimensions in their specific context of care provision, which may help to improve levels of patient-
centeredness in a more efficient and focused manner. However, as the study sample is not representative
and consisted only of professionals (not patients), the results cannot be generalized outside the sample.
More research is needed to confirm our study findings.
Keywords: Patient-centered care, Quality of care, Healthcare professionals, Q methodology, Hospital
Background
Since the Institute of Medicine described patient-
centered care (PCC) as one of the six most important
determinants of quality of care – along with safe, effect-
ive, timely, efficient and equitable care – PCC has re-
ceived much more attention [1]. Richardson and
colleagues [1] defined PCC as care that is “respectful of
and responsive to individual patient preferences, needs,
and values, and ensuring that patient values guide all
clinical decisions.” PCC has been shown to result in im-
proved health outcomes, including survival, greater
patient satisfaction and well-being [2]. Furtherm.
Of all the ways to influence health policy, using research to info.docxcherishwinsland
Of all the ways to influence health policy, using research to inform change has the dual appeal of sounding both straightforward and rigorous. However, reality intrudes in many forms to disrupt the otherwise common-sense connection between what we know, what we consider as policy and what we are doing. Different languages (academic versus political), disparate timeframes (deliberate versus opportunistic), and contrasting priorities (most rigorous versus good enough) often make translating research into policy an exercise in frustration. Just as basic scientists and clinical researchers grapple with the challenge of bringing innovations from bench to bedside, health services researchers must wrestle to make their work most relevant to policy realities in communities near and far.
Yet, this is a worthy—and potentially rewarding—pursuit. Evidence for such a claim is reflected in this supplement, which includes an array of approaches to bridging the gap between research and policy taken by current scholars and alumni of the Robert Wood Johnson Foundation Clinical Scholars program (RWJFCSP). Traditionally focused on training physicians in rigorous methods in biostatistics, clinical epidemiology, and health services research, as well as in other fields such as social sciences, the RWJFCSP has purposefully shifted over the past decade to emphasize the value of actionable research. Whether partnering with community members to conduct participatory research, or with policy makers to ensure that timely and relevant questions are being addressed, scholars are encouraged to consider how the results of their research will lead to short-term change and long-term progress. These research efforts encompass a broad variety of research methods, including qualitative and quantitative approaches, local and national data, and cutting-edge work involving community-based participatory research, multi-level hierarchical analyses, and dynamic multi-state modeling.
Given its leadership in the realm of research and policy, the RWJFCSP is the source of the lead or senior authors of all of the articles in this volume; the authors are either current scholars or alumni of the program. Of note, these articles do not reflect the entire sum of policy-relevant research conducted by RWJFCSP-connected investigators. Rather, these articles comprise a fraction of those submitted for inclusion in this supplement, and policy-relevant research by these authors and others with connections to the RWJFCSP appear in other journals as well.
The authors addressed important barriers to bridging the gap between research and policy. First, new evidence informs policy if it makes it into the hands of individuals who have a stake in what the data is measuring, and who are engaged in acting on the findings. Even the most rigorously conducted, widely cited manuscripts will have only marginal impact unless brought to life by potential change agents. Second, the evidence being generated may not be .
Presentation in the framework of the International Conference "10th anniversary of the Spanish Network of Health Technology Assessment Agencies. Towads patient and public engagement in HTA" Zaragoza 27-28 April 2017
Reply DB5 w9 research
Reply discussion boards
1-jauregui
Discuss how the quantitative and qualitative data would complement one another and add strength to the study.
Evidently, the use of EBP in healthcare mostly relies on the available qualitative and quantitative data which is supported by scientific or clinical research. In studying the EBP, quantitative data is used to enhance qualitative information and vice versa, because one method complements the other one (Tappen, 2015, p.88). For example, in the selected article the EBP about beliefs and behaviors of nurses showed that the number of the nurses who were certified vs. nurses who were not certified explained why some of the nurses have higher perceived EBP implementation than others (Eaton, Meins, Mitchell, Voss, & Doorenbos, 2015, “Evidence-Based Practice Beliefs and Behaviors”). Quantitative data would improve the study by providing evidence in the form of numbers or amounts such as the scores which show the proficiency of nurses in different areas (Eaton, Meins, Mitchell, Voss, & Doorenbos, 2015, “Evidence-Based Practice Beliefs and Behaviors”). Quantitative data could strengthen the study by providing more detailed information about EBP implementation which will explain certain trends and occurrences as found in the research.
2- rosquete
The qualitative research is exploratory/ descriptive and emphasizes the importance of subjects frame to be referenced and the context of the study. The research will be more concerned with the truth perceived by informants and less concerned with the truth of the objectives. The information from this research will be important in understanding the informants’ behaviors in details. The description of this approach will be used to get the picture and the opinion of nursing caregivers on the use of CNS depressants by the elderly (Susan, Nancy, & Jennifer, 2013).
The method that is used is explorative/descriptive. The strengths of the descriptive method are: effective to analyze non-quantified subjects and issues, the possibility to observe the phenomenon in a natural environment, the opportunity to use qualitative and quantitative method together, and less time consuming than quantitative studies. In the case of exploratory studies, the principal advantage is the flexibility and adaptability to change and it is effective in laying the groundwork that guides to future research. We can find disadvantages in this kind of studies. For example, descriptive studies cannot test or verify the research problem statically, the majority of descriptive studies are not repeatable due to their observational nature, and they are not helpful in identifying cause behind the described phenomenon. Another weak point, that includes exploratory research, is the interpretation of information is subject to bias. These type of studies make use a modest number of samples that may not represent the target population and they are not usually helpful in decision ma.
Critical Research Appraisal AssignmentNUR501 PhilosophiMargenePurnell14
Critical Research Appraisal Assignment
NUR501: Philosophical & Theoretical, Evidence-Based Research
Dr. Corzo-Sanchez
June 24, 2022
Critical Research Appraisal Assignment
Nursing research uncovers new knowledge to help build the foundation of clinical practice. Research can help prevent diseases and disabilities, help manage symptoms, establish new treatment plans and improve nursing skills. This is why nurses need to be able to participate in and analyze research, as this can bring positive outcomes to their careers and the health of their patients. There are two different types of research, quantitative and qualitative, that provide information and data. For this assignment, I chose one qualitative research that focuses on the stress and burnout experienced by nursing professionals and one quantitative analysis that explores nurses’ knowledge regarding hand hygiene. Each study will be evaluated thoroughly and analyzed.
Qualitative Research
The definition of qualitative research can be challenging. Qualitative research involves collecting and analyzing non-numerical data to understand concepts, opinions, or experiences (Morgan et al., 2021). This form of research explores deeper insights into real-world problems in an emergent and holistic way. Qualitative data can be collected using various methods such as interviews, focus groups, observations, and documentation analysis (Hoover, 2021). Qualitative research has been used in nursing for many years, but it was not the first method used in nursing. Before quantitative research, philosophical methods such as hermeneutics and phenomenology were the only options for professional inquiry (Butts & Rich, 2017). However, it was changed to qualitative research because its ways were incompatible with science. There are three major approaches to qualitative research, (1) ethnography, based on anthropology, (2) phenomenology, drawn from philosophy; and (3) grounded theory, drawn from sociology (Morgan et al., 2021). The use of qualitative studies is common due to its many strengths, such as providing multiple methods of data collection, more detailed information, and how it can refine and strengthen quantitative research. However, some of the limitations of this form of research are difficulty analyzing and collecting data while being more time-consuming.
Evaluating and Analyzing a Selected Qualitative Study
For the example of the qualitative study, I chose Luis M. Dos Santos's study, which focused on the effects of stress, burnout, and low self-efficacy in nursing professionals. The quantitative research aimed to understand and explore how social and environmental factors influence nursing professionals’ self-efficacy. In the study, the Social Cognitive Theory was used to define how each subject was affected based on their thoughts, behaviors, feeling, and personal beliefs (Dos Santos, 2020). For this research study, the phenomenological approach and analysis were used thought the survey to collec ...
Manuel Cabrera Discussion 7 Manuel M CabreraCOLLAPSETop of .docxalfredacavx97
Manuel Cabrera
Discussion 7: Manuel M Cabrera
COLLAPSE
Top of Form
Discussion 7
Szeto et al. (2010) conducted a pilot study focused on the investigation of the effectiveness of multifaceted ergonomic interventions aimed at community nurses (p. 1022). The results of the pilot study indicate that such interventions improved symptoms and functional outcomes. Pilot studies are typically conducted to evaluate the possibility of a large study and identify complications that may occur. One of the issues that could be considered problematic is that the authors emphasize the importance of statistical significance while overlooking the importance of feasibility. Nevertheless, one may argue that the discussed study is aligned with the definition of a pilot study because it focused on a specific population, and the authors relied on a small sample. Differently put, it would be inappropriate to generalize the results of the study, but it has helped the researchers to assess whether research in this area is feasible. Therefore, a larger study focused on this issue was conducted at a later rate. Szeto et al. (2013) attempted to evaluate the effectiveness of multifaceted ergonomic interventions in four local hospitals aimed at community nurses (p. 414). One of the unique aspects of the study is that the participants involved in the pilot study agreed to continue to participate in research in this area. Therefore, researchers were able to keep track of their progress and evaluated the impact of interventions in the long-term. Moreover, they expanded the explanatory power of the study by increasing the sample size and introducing a self-control group. The results of the study indicate that multifaceted ergonomic interventions designed based on the needs of community nurses decrease symptoms and improve functional outcomes. One has to acknowledge the fact that this study has a set of limitations because researchers focused on local hospitals, and it may be inappropriate to generalize the results. Therefore, it would be appropriate to conduct large-scale studies in this area to establish the overall effectiveness of multifaceted ergonomic interventions.
References
Szeto, G. P., Law, K. Y., Lee, E., Lau, T., Chan, S. Y., & Law, S. (2010). Multifaceted ergonomic intervention programme for community nurses: Pilot study. Journal of Advanced Nursing, 66(5), 1022–1034. doi:10.1111/j.1365-2648.2009.05255.x
Szeto, G. P., Wong, T. K., Law, R. K., Lee, E. W., Lau, T., So, B. C., & Law, S. W. (2013). The impact of a multifaceted ergonomic intervention program on promoting occupational health in community nurses. Applied Ergonomics, 44(3), 414–422. doi:10.1016/j.apergo.2012.10.004
Bottom of Form
Euclides Munoz Perez
Discussion # 7
A pilot study is a preliminary study that is done as a pretest for research tools and instruments that will be used in the main study project. It assesses the resources which include the time and costs and forese.
This assignment will be uploaded automatically to Turnitin upon suGrazynaBroyles24
This assignment will be uploaded automatically to Turnitin upon submission to verify this is your original work and no parts were copied from another student.
Turnitin is now more closely integrated with Canvas. Overall, you will find Turnitin assignments easier to use, but the steps to submit an assignment have changed somewhat. Directions are as follows:
1. Click the orange “Submit Assignment” button at the top of the page to open the upload window.
2. Click on “Choose File” to select your assignment file you want to upload.
3. Check the box to agree to the Turnitin End-User License Agreement.
4. Click “Submit Assignment.”
5. Your Turnitin report will be visible in the “Grades” section of your course.
Please refer to the pages below for more information about these changes.
• Turnitin Submitting a Paper (Links to an external site.) explains how to submit a file.
• Turnitin Assignment Student View (Links to an external site.) lets you submit a paper, then view feedback on the file you have submitted.
• Turnitin Viewing Instructor Feedback (Links to an external site.) helps you view your instructor feedback.
DIRECTIONS
· Do not stereotype a cultural/ethnic group. Stereotyping will result in point deduction. See rubric.
Below are my chosen topics:
Approved specific/ethnic population _____ Hispanic/Latinos- population
Approved health problem ___ New cases of diagnosed diabetes in the population
· Address the questions on the provided template:
· Description of Issue, Indicator, and Focus
· Describe approved transcultural nursing issue from Course Project
· Describe approved Healthy People 2030 Leading Health Indicator
· Describe approved cultural focus
· References with Permalink
· Provide APA references for two peer-reviewed scholarly professional journal articles related to your nursing issue, cultural focus and/or health indicator.
· Articles must be published within the last five (5) years. If you are unsure whether the article is appropriate, ask your instructor.
· Include the permalink to the article.
· For more information on finding Permalinks in the Chamberlain Library, see Learn the Library and Finding Permalinks (Links to an external site.).
· Summary
· Summarize the key points from each peer-reviewed scholarly professional nursing journal articles selected in one or two paragraphs. Be clear and concise.
· Educational Plan
· Imagine you are educating a group of fellow nurses.
· Clearly describe what key points would you share with them?
· What would you suggest as best practices?
· What ethical issues or conflict of care could potentially exist?
· Please reach out to your instructor with any questions or concerns.
Template
Week 4: Course Project Part 2 Template(Download here) (Links to an external site.)
Best Practices
· Please use your browser's File setting to save or print this page.
· Use the template provided. If the template is not used, a deduction will be applied. See rubric below.
· Spell check for spelling a ...
21 hours ago
Tami Frazier
Initial Discussion Post
COLLAPSE
Top of Form
NURS 6052 – Essentials of Evidence-Based Protocols
Week 7 Initial Discussion Post
Qualitative Design
Evidence-based research provides quality information that is tested and proven to be credible and reliable. For this post, I will discuss the qualitative design used in a study by Vandyk, Young, MacPhee & Gillis (2018) on Exploring the Experiences of Persons Who Frequently Visit the Emergency Department for Mental Health-Related Reasons. The qualitative study I chose uses interpretive design as the methodology to decipher information that was clinically significant (Vandyk, Young, MacPhee, & Gillis, 2018). The interpretive design focuses on themes and patterns from participants to make informed decisions regarding the patient experience (Vandyk et al., 2018). This type of design assumes that numerous theories can be interpreted to provide vital information that can encourage change in clinical practices.
This study was initiated to explore and gain insight into the experiences of mental health patients who visit the emergency department (ED) repeatedly. It is estimated that psych patients present to the ED five times more than other patients (Vandyk et al., 2018). These patients are often met by unfriendly ED staff who are annoyed because of their frequent visits. The purpose of this study was to openly interview ten participants who had visited the ED 12 or more times within a year and discuss their experiences (Vandyk et al., 2018). The ethical considerations included obtaining informed consent from the participants, the interviewers could not have a prior relationship with the participants, and data was anonymized in team meanings in order to discuss findings (Vandyk et al., 2018). The researchers used these considerations to control bias and protect patient’s rights.
The use of a qualitative interpretive design uncovered themes from the interview findings. Based on Williamson (2009), qualitative research seeks to define the participants experience through insight and reality. These insights produced themes consisting of the participant’s experience, the provider's response to them, and protective factors used to motivate patients outside of the hospital setting (Vandyk et al., 2018).
Conversely, a quantitative design is better used to gather evidence that is precise and easily decodable (Polit & Beck, 2017). If a quantitative design were used in this study, it would skew the results because the number of participants was minimal and the evidence was not easily deciphered. Also, when assessing a patient’s thoughts, emotions, and personal observations, there is no precise measurement available. Therefore, it is essential to use the correct research design in order to provide information that is correct, valid, and reliable.
References
Polit, D. F., & Beck, C. T. (2017). Nursing research: Generating and assess.
By administering assessments and analyzing the results, targeted aTawnaDelatorrejs
By administering assessments and analyzing the results, targeted and individualized interventions can be determined to best serve the needs of students with disabilities. The actual implementation of the interventions provides teachers opportunities to collect data and gauge the effectiveness of the interventions in addressing documented student needs. Teachers can also gain important skills and knowledge on how to best advocate for practical classroom interventions. Teachers will also be able to collaborate with colleagues and families in mentoring students to take ownership of learning strategies.
Allocate at least 2 hours in the field to support this field experience,
Part 1: Assessment and Interventions
Select at least one student to whom you will administer the informal RTI assessment created in Clinical Field Experience A. Score the assessment and share the results with the student to increase understanding of his or her strengths and areas for improvement.
Collaborate with the certified special education teacher and the student to develop 2-3 interventions based on the student assessment data to support the student’s progress in the classroom. In addition, detail one intervention that can be incorporated at home with family support.
Use any remaining field experience hours to assist the teacher in providing instruction and support to the class.
Part 2: Reflection
In 250-500 words, summarize and reflect upon the following:
· Describe each intervention, including teacher, student, and family roles, where applicable.
· Your experiences administering the assessment, analyzing the results, and providing the student feedback on his or her performance.
· Explain how you expect the interventions you developed to meet the needs of the student, incorporating his or her assessment results in your response.
· Explain how you will use your findings in your future professional practice.
APA format is not required, but solid academic writing is expected.
This assignment uses a rubric. 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 LopesWrite. A link to the LopesWrite technical support articles is located in Class Resources if you need assistance.
6
Annotated Bibliography
Student’s Name
Course
Instructor’s name.
Institutional Affiliation
October 7, 2021.
Annotated Bibliography
Ali, H., Ibrahem, S. Z., Al Mudaf, B., Al Fadalah, T., Jamal, D., & El-Jardali, F. (2018). Baseline assessment of patient safety culture in public hospitals in Kuwait. BMC Health Services Research, 18(1). https://doi.org/10.1186/s12913-018-2960-x
The researchers conducted a cross-sectional study in 16 public hospitals in Kuwait using the Hospital Survey on Patient Safety Culture (HSOPSC). The study aimed to assess patient safety culture in public hospitals as perceived by hospital staff and relate the findings similar to regional and international ...
Quantitative/Mixed-Methods
American InterContinental University
March 27, 2018
Running head: QUANTITATIVE/MIXED-METHODS
1
QUANTITATIVE/MIXED-METHODS
2
Quantitative/Mixed-Methods
Abstract
Case studies which are done in the field of medicine work towards improving the health of the population. There are some of the parts contained in case studies which are abstract, results, limitations of results, conclusions, and applications. The common statistical methods used in research are descriptive numerical and qualitative thematic analyses. The results of the studies show that equal participation of individuals in the health sector will help boost public health. Limitations of results are that although some strategies may work towards improving health sector, not all of them are effective.
Public health is an important sector in any country for it directly affects the economy of the nation. There need to be certain ways which should be employed with the aim of supporting and improving public health. In this paper, I am going to examine 4 contemporary peer-reviewed articles which employ quantitative or mixed-methods concerning ways on how to improve the health of the public. The interest of the paper is to aid in achieving the best impact in public health sector via using programs which will improve health outcomes drastically. Enhancement of public health will in return help to improve the well-being of populations across the world. Public health awareness on how to avoid unhealthy lifestyles should be created.
In the articles, samples and populations used were appropriate for it showed the real representative of the population at hand. All the samples used in the 4-contemporary peer-reviewed articles fulfilled the rule of thumb hence making them appropriate. The samples used were suitable for they were used to estimate the population parameters for it stood for the entire inhabitants. The samples used were larger but not too large to consume more resources of money and time. The larger sample has helped to produce accurate results making the samples valid and appropriate. The appropriateness of the samples used in these articles, it has been proved via usage of target variance. In using target variance an estimate to be derived from the model eventually attained.
Each article which has been used includes having results, limitations of results, conclusions, and applications. The first contemporary peer-reviewed article is entitled, Refugee women’s involvements of maternity-care facilities in Canada: a methodical review using a description synthesis written by Gina MA Higginbottom, Myfanwy Morgan, Miranda Alexandre, Yvonne Chiu, Joan Forgeron, Deb Kocay and Rubina Barolia. The article was published 11 February 2015. The results show that there needs to have a healthier understanding of the aspects that produce discrepancies in availability, adequacy, and outcomes during parenthood care (Higginbottom, Morgan, Alexandre, Chiu, Forg ...
Running head Critical Appraisal of ResearchCritical Appraisal o.docxhealdkathaleen
Running head: Critical Appraisal of Research
Critical Appraisal of Research
Part 4B: Critical Appraisal of Research
Walden University: NURS-6052.
October 13, 2019
Part 4B: Critical Appraisal of Research
Given my examination, the best practice that rises out of the exploration I checked on is Evidence-Based Practice (EBP), whereby in a clinical setting, it is considered as a fundamental component for guaranteeing that patients are given quality care just as treatment services. EBP is viewed as reasonable just as meticulous use of clinical practices that depend on current evidence. Also, medical care experts, with the help of EBP, can settle on successful decisions in connection to medicinal services operations. EBP depends on various pieces of evidence that incorporate qualitative just as quantitative research, controlled preliminaries, case reports, expert opinion, and scientific standards.
In this specific case, the clinical practices dependent on EBP help with giving better care just as treatment benefits as per patient values alongside clinical aptitude (Forrest, 2008). EBP depends on evidence gathered from qualitative research. Consequently, the quantitative analysis assumes a significant role in collecting data about current practices to be effected for the improvement of clinical skills and in gathering the patient's values. The research examines that are ineffectively structured, and inadequate reporting is contended to influence quantitative analysis crosswise over various spheres that incorporate medicinal services, future research, decision making, and health policy. In such manner, distinguishing reporting rules including diagnosis test studies (STARD), observational studies (STROBE), meta-analyses of observational studies (MOOSE), consolidated criteria for reporting qualitative research (COREQ) and randomized controlled trials (CONSORT) were used in these peer-reviewed articles.
Recognizing that clinicians have time constraints but then need to give the ideal care to their patients, the evidence-based methodology offers clinicians an advantageous technique for discovering current research to help in making clinical decisions, answer patient questions, and investigate alternative therapies, strategies, or materials. With a comprehension of how to viably use EBDM, professionals can rapidly and helpfully remain current with scientific discoveries on points that are essential to them and their patients.
References
DiBardino, D., Cohen, E. R., & Didwania, A. (2014). Meta‐analysis: multidisciplinary fall prevention strategies in the acute care inpatient population. Journal of hospital medicine, 7(6), 497-503.
Forrest, J. L. (2008). Evidence-based decision making: introduction and formulating good clinical questions. J Contemp Dent Pract, 1(3), 042-052.
Haines, T. P., Hill, K. D., Bennell, K. L., & Osborne, R. H. (2017). Additional exercise for older subacute hospital inpatients to prevent fal ...
Stakeholder Engagement in a Patient-Reported Outcomes Implementation by a Pra...Marion Sills
Kwan BM, Sills MR, Graham D, Hamer MK, Fairclough DL, Hammermeister KE, Kaiser A, Diaz-Perez MJ, Schilling LM. Stakeholder Engagement in a Patient-Reported Outcomes Implementation by a Practice-Based Research Network. JABFM. In Press.
Tom Selleck Net Worth: A Comprehensive Analysisgreendigital
Over several decades, Tom Selleck, a name synonymous with charisma. From his iconic role as Thomas Magnum in the television series "Magnum, P.I." to his enduring presence in "Blue Bloods," Selleck has captivated audiences with his versatility and charm. As a result, "Tom Selleck net worth" has become a topic of great interest among fans. and financial enthusiasts alike. This article delves deep into Tom Selleck's wealth, exploring his career, assets, endorsements. and business ventures that contribute to his impressive economic standing.
Follow us on: Pinterest
Early Life and Career Beginnings
The Foundation of Tom Selleck's Wealth
Born on January 29, 1945, in Detroit, Michigan, Tom Selleck grew up in Sherman Oaks, California. His journey towards building a large net worth began with humble origins. , Selleck pursued a business administration degree at the University of Southern California (USC) on a basketball scholarship. But, his interest shifted towards acting. leading him to study at the Hills Playhouse under Milton Katselas.
Minor roles in television and films marked Selleck's early career. He appeared in commercials and took on small parts in T.V. series such as "The Dating Game" and "Lancer." These initial steps, although modest. laid the groundwork for his future success and the growth of Tom Selleck net worth. Breakthrough with "Magnum, P.I."
The Role that Defined Tom Selleck's Career
Tom Selleck's breakthrough came with the role of Thomas Magnum in the CBS television series "Magnum, P.I." (1980-1988). This role made him a household name and boosted his net worth. The series' popularity resulted in Selleck earning large salaries. leading to financial stability and increased recognition in Hollywood.
"Magnum P.I." garnered high ratings and critical acclaim during its run. Selleck's portrayal of the charming and resourceful private investigator resonated with audiences. making him one of the most beloved television actors of the 1980s. The success of "Magnum P.I." played a pivotal role in shaping Tom Selleck net worth, establishing him as a major star.
Film Career and Diversification
Expanding Tom Selleck's Financial Portfolio
While "Magnum, P.I." was a cornerstone of Selleck's career, he did not limit himself to television. He ventured into films, further enhancing Tom Selleck net worth. His filmography includes notable movies such as "Three Men and a Baby" (1987). which became the highest-grossing film of the year, and its sequel, "Three Men and a Little Lady" (1990). These box office successes contributed to his wealth.
Selleck's versatility allowed him to transition between genres. from comedies like "Mr. Baseball" (1992) to westerns such as "Quigley Down Under" (1990). This diversification showcased his acting range. and provided many income streams, reinforcing Tom Selleck net worth.
Television Resurgence with "Blue Bloods"
Sustaining Wealth through Consistent Success
In 2010, Tom Selleck began starring as Frank Reagan i
Skeem Saam in June 2024 available on ForumIsaac More
Monday, June 3, 2024 - Episode 241: Sergeant Rathebe nabs a top scammer in Turfloop. Meikie is furious at her uncle's reaction to the truth about Ntswaki.
Tuesday, June 4, 2024 - Episode 242: Babeile uncovers the truth behind Rathebe’s latest actions. Leeto's announcement shocks his employees, and Ntswaki’s ordeal haunts her family.
Wednesday, June 5, 2024 - Episode 243: Rathebe blocks Babeile from investigating further. Melita warns Eunice to stay clear of Mr. Kgomo.
Thursday, June 6, 2024 - Episode 244: Tbose surrenders to the police while an intruder meddles in his affairs. Rathebe's secret mission faces a setback.
Friday, June 7, 2024 - Episode 245: Rathebe’s antics reach Kganyago. Tbose dodges a bullet, but a nightmare looms. Mr. Kgomo accuses Melita of witchcraft.
Monday, June 10, 2024 - Episode 246: Ntswaki struggles on her first day back at school. Babeile is stunned by Rathebe’s romance with Bullet Mabuza.
Tuesday, June 11, 2024 - Episode 247: An unexpected turn halts Rathebe’s investigation. The press discovers Mr. Kgomo’s affair with a young employee.
Wednesday, June 12, 2024 - Episode 248: Rathebe chases a criminal, resorting to gunfire. Turf High is rife with tension and transfer threats.
Thursday, June 13, 2024 - Episode 249: Rathebe traps Kganyago. John warns Toby to stop harassing Ntswaki.
Friday, June 14, 2024 - Episode 250: Babeile is cleared to investigate Rathebe. Melita gains Mr. Kgomo’s trust, and Jacobeth devises a financial solution.
Monday, June 17, 2024 - Episode 251: Rathebe feels the pressure as Babeile closes in. Mr. Kgomo and Eunice clash. Jacobeth risks her safety in pursuit of Kganyago.
Tuesday, June 18, 2024 - Episode 252: Bullet Mabuza retaliates against Jacobeth. Pitsi inadvertently reveals his parents’ plans. Nkosi is shocked by Khwezi’s decision on LJ’s future.
Wednesday, June 19, 2024 - Episode 253: Jacobeth is ensnared in deceit. Evelyn is stressed over Toby’s case, and Letetswe reveals shocking academic results.
Thursday, June 20, 2024 - Episode 254: Elizabeth learns Jacobeth is in Mpumalanga. Kganyago's past is exposed, and Lehasa discovers his son is in KZN.
Friday, June 21, 2024 - Episode 255: Elizabeth confirms Jacobeth’s dubious activities in Mpumalanga. Rathebe lies about her relationship with Bullet, and Jacobeth faces theft accusations.
Monday, June 24, 2024 - Episode 256: Rathebe spies on Kganyago. Lehasa plans to retrieve his son from KZN, fearing what awaits.
Tuesday, June 25, 2024 - Episode 257: MaNtuli fears for Kwaito’s safety in Mpumalanga. Mr. Kgomo and Melita reconcile.
Wednesday, June 26, 2024 - Episode 258: Kganyago makes a bold escape. Elizabeth receives a shocking message from Kwaito. Mrs. Khoza defends her husband against scam accusations.
Thursday, June 27, 2024 - Episode 259: Babeile's skillful arrest changes the game. Tbose and Kwaito face a hostage crisis.
Friday, June 28, 2024 - Episode 260: Two women face the reality of being scammed. Turf is rocked by breaking
In the vast landscape of cinema, stories have been told, retold, and reimagined in countless ways. At the heart of this narrative evolution lies the concept of a "remake". A successful remake allows us to revisit cherished tales through a fresh lens, often reflecting a different era's perspective or harnessing the power of advanced technology. Yet, the question remains, what makes a remake successful? Today, we will delve deeper into this subject, identifying the key ingredients that contribute to the success of a remake.
From the Editor's Desk: 115th Father's day Celebration - When we see Father's day in Hindu context, Nanda Baba is the most vivid figure which comes to the mind. Nanda Baba who was the foster father of Lord Krishna is known to provide love, care and affection to Lord Krishna and Balarama along with his wife Yashoda; Letter’s to the Editor: Mother's Day - Mother is a precious life for their children. Mother is life breath for her children. Mother's lap is the world happiness whose debt can never be paid.
From Slave to Scourge: The Existential Choice of Django Unchained. The Philos...Rodney Thomas Jr
#SSAPhilosophy #DjangoUnchained #DjangoFreeman #ExistentialPhilosophy #Freedom #Identity #Justice #Courage #Rebellion #Transformation
Welcome to SSA Philosophy, your ultimate destination for diving deep into the profound philosophies of iconic characters from video games, movies, and TV shows. In this episode, we explore the powerful journey and existential philosophy of Django Freeman from Quentin Tarantino’s masterful film, "Django Unchained," in our video titled, "From Slave to Scourge: The Existential Choice of Django Unchained. The Philosophy of Django Freeman!"
From Slave to Scourge: The Existential Choice of Django Unchained – The Philosophy of Django Freeman!
Join me as we delve into the existential philosophy of Django Freeman, uncovering the profound lessons and timeless wisdom his character offers. Through his story, we find inspiration in the power of choice, the quest for justice, and the courage to defy oppression. Django Freeman’s philosophy is a testament to the human spirit’s unyielding drive for freedom and justice.
Don’t forget to like, comment, and subscribe to SSA Philosophy for more in-depth explorations of the philosophies behind your favorite characters. Hit the notification bell to stay updated on our latest videos. Let’s discover the principles that shape these icons and the profound lessons they offer.
Django Freeman’s story is one of the most compelling narratives of transformation and empowerment in cinema. A former slave turned relentless bounty hunter, Django’s journey is not just a physical liberation but an existential quest for identity, justice, and retribution. This video delves into the core philosophical elements that define Django’s character and the profound choices he makes throughout his journey.
Link to video: https://youtu.be/GszqrXk38qk
Hollywood Actress - The 250 hottest galleryZsolt Nemeth
Hollywood Actress amazon album eminent worldwide media, female-singer, actresses, alhletina-woman, 250 collection.
Highest and photoreal-print exclusive testament PC collage.
Focused television virtuality crime, novel.
The sheer afterlife of the work is activism-like hollywood-actresses point com.
173 Illustrate, 250 gallery, 154 blog, 120 TV serie logo, 17 TV president logo, 183 active hyperlink.
HD AI face enhancement 384 page plus Bowker ISBN, Congress LLCL or US Copyright.
Are the X-Men Marvel or DC An In-Depth Exploration.pdfXtreame HDTV
The world of comic books is vast and filled with iconic characters, gripping storylines, and legendary rivalries. Among the most famous groups of superheroes are the X-Men. Created in the early 1960s, the X-Men have become a cultural phenomenon, featuring in comics, animated series, and blockbuster movies. A common question among newcomers to the comic book world is: Are the X-Men Marvel or DC? This article delves into the history, creators, and significant moments of the X-Men to provide a comprehensive answer.
Panchayat Season 3 - Official Trailer.pdfSuleman Rana
The dearest series "Panchayat" is set to make a victorious return with its third season, and the fervor is discernible. The authority trailer, delivered on May 28, guarantees one more enamoring venture through the country heartland of India.
Jitendra Kumar keeps on sparkling as Abhishek Tripathi, the city-reared engineer who ends up functioning as the secretary of the Panchayat office in the curious town of Phulera. His nuanced depiction of a young fellow exploring the difficulties of country life while endeavoring to adjust to his new environmental factors has earned far and wide recognition.
Neena Gupta and Raghubir Yadav return as Manju Devi and Brij Bhushan Dubey, separately. Their dynamic science and immaculate acting rejuvenate the hardships of town administration. Gupta's depiction of the town Pradhan with an ever-evolving outlook, matched with Yadav's carefully prepared exhibition, adds profundity and credibility to the story.
New Difficulties and Experiences
The trailer indicates new difficulties anticipating the characters, as Abhishek keeps on wrestling with his part in the town and his yearnings for a superior future. The series has reliably offset humor with social editorial, and Season 3 looks ready to dig much more profound into the intricacies of rustic organization and self-awareness.
Watchers can hope to see a greater amount of the enchanting and particular residents who have become fan top picks. Their connections and the one of a kind cut of-life situations give a reviving and interesting portrayal of provincial India, featuring the two its appeal and its difficulties.
A Mix of Humor and Heart
One of the signs of "Panchayat" is its capacity to mix humor with sincere narrating. The trailer features minutes that guarantee to convey giggles, as well as scenes that pull at the heartstrings. This equilibrium has been a critical calculate the show's prosperity, resounding with crowds across different socioeconomics.
Creation Greatness
The creation quality remaining parts first rate, with the beautiful setting of Phulera town filling in as a scenery that upgrades the narrating. The meticulousness in portraying provincial life, joined with sharp composition and solid exhibitions, guarantees that "Panchayat" keeps on hanging out in the packed web series scene.
Expectation and Delivery
As the delivery date draws near, expectation for "Panchayat" Season 3 is at a record-breaking high. The authority trailer has previously created critical buzz, with fans enthusiastically anticipating the continuation of Abhishek Tripathi's excursion and the new undertakings that lie ahead in Phulera.
All in all, the authority trailer for "Panchayat" Season 3 recommends that watchers are in for another drawing in and engaging ride. Yet again with its charming characters, convincing story, and ideal mix of humor and show, the new season is set to enamor crowds. Write in your schedules and prepare to get back to the endearing universe of "Panchayat."
Scandal! Teasers June 2024 on etv Forum.co.zaIsaac More
Monday, 3 June 2024
Episode 47
A friend is compelled to expose a manipulative scheme to prevent another from making a grave mistake. In a frantic bid to save Jojo, Phakamile agrees to a meeting that unbeknownst to her, will seal her fate.
Tuesday, 4 June 2024
Episode 48
A mother, with her son's best interests at heart, finds him unready to heed her advice. Motshabi finds herself in an unmanageable situation, sinking fast like in quicksand.
Wednesday, 5 June 2024
Episode 49
A woman fabricates a diabolical lie to cover up an indiscretion. Overwhelmed by guilt, she makes a spontaneous confession that could be devastating to another heart.
Thursday, 6 June 2024
Episode 50
Linda unwittingly discloses damning information. Nhlamulo and Vuvu try to guide their friend towards the right decision.
Friday, 7 June 2024
Episode 51
Jojo's life continues to spiral out of control. Dintle weaves a web of lies to conceal that she is not as successful as everyone believes.
Monday, 10 June 2024
Episode 52
A heated confrontation between lovers leads to a devastating admission of guilt. Dintle's desperation takes a new turn, leaving her with dwindling options.
Tuesday, 11 June 2024
Episode 53
Unable to resort to violence, Taps issues a verbal threat, leaving Mdala unsettled. A sister must explain her life choices to regain her brother's trust.
Wednesday, 12 June 2024
Episode 54
Winnie makes a very troubling discovery. Taps follows through on his threat, leaving a woman reeling. Layla, oblivious to the truth, offers an incentive.
Thursday, 13 June 2024
Episode 55
A nosy relative arrives just in time to thwart a man's fatal decision. Dintle manipulates Khanyi to tug at Mo's heartstrings and get what she wants.
Friday, 14 June 2024
Episode 56
Tlhogi is shocked by Mdala's reaction following the revelation of their indiscretion. Jojo is in disbelief when the punishment for his crime is revealed.
Monday, 17 June 2024
Episode 57
A woman reprimands another to stay in her lane, leading to a damning revelation. A man decides to leave his broken life behind.
Tuesday, 18 June 2024
Episode 58
Nhlamulo learns that due to his actions, his worst fears have come true. Caiphus' extravagant promises to suppliers get him into trouble with Ndu.
Wednesday, 19 June 2024
Episode 59
A woman manages to kill two birds with one stone. Business doom looms over Chillax. A sobering incident makes a woman realize how far she's fallen.
Thursday, 20 June 2024
Episode 60
Taps' offer to help Nhlamulo comes with hidden motives. Caiphus' new ideas for Chillax have MaHilda excited. A blast from the past recognizes Dintle, not for her newfound fame.
Friday, 21 June 2024
Episode 61
Taps is hungry for revenge and finds a rope to hang Mdala with. Chillax's new job opportunity elicits mixed reactions from the public. Roommates' initial meeting starts off on the wrong foot.
Monday, 24 June 2024
Episode 62
Taps seizes new information and recruits someone on the inside. Mary's new job
Meet Crazyjamjam - A TikTok Sensation | Blog EternalBlog Eternal
Crazyjamjam, the TikTok star everyone's talking about! Uncover her secrets to success, viral trends, and more in this exclusive feature on Blog Eternal.
Source: https://blogeternal.com/celebrity/crazyjamjam-leaks/
As a film director, I have always been awestruck by the magic of animation. Animation, a medium once considered solely for the amusement of children, has undergone a significant transformation over the years. Its evolution from a rudimentary form of entertainment to a sophisticated form of storytelling has stirred my creativity and expanded my vision, offering limitless possibilities in the realm of cinematic storytelling.
Maximizing Your Streaming Experience with XCIPTV- Tips for 2024.pdfXtreame HDTV
In today’s digital age, streaming services have become an integral part of our entertainment lives. Among the myriad of options available, XCIPTV stands out as a premier choice for those seeking seamless, high-quality streaming. This comprehensive guide will delve into the features, benefits, and user experience of XCIPTV, illustrating why it is a top contender in the IPTV industry.
5. grammar and spelling using current APA style. Reference Boswell, C., Cannon, S. (2015).
Introduction to nursing research. Burlington, MA: Jones Bartlett Learning. Develop Care
Practices DiscussionProfessional Context As a baccalaureate-prepared nurse, you will be
responsible for locating and identifying credible and scholarly resources to incorporate the
best available evidence for the purposes of enhancing clinical reasoning and judgement
skills. When reliable and relevant evidence-based findings are utilized, patients, health care
systems, and nursing practice outcomes are positively impacted. PICO(T) is a framework
that can help you structure your definition of the issue, potential approach that you are
going to use, and your predictions related to the issue. Word choice is important in the
PICO(T) process because different word choices for similar concepts will lead you toward
different existing evidence and research studies that would help inform the development of
your initial question. Scenario For this assessment, please use an issue of interest from your
current or past nursing practice. If you do not have an issue of interest from your personal
nursing practice, then review the optional Case Studies presented in the resources and
select one of those as the basis for your assessment. Instructions For this assessment, select
an issue of interest an apply the PICO(T) process to define the question and research it.
Your initial goal is to define the population, intervention, comparison, and outcome. In some
cases, a time frame is relevant and you should include that as well, when writing a question
you can research related to your issue of interest. After you define your question, research
it, and organize your initial findings, select the two sources of evidence that seem the most
relevant to your question and analyze them in more depth. Specifically, interpret each
source’s specific findings and best practices related to your issues, as well explain how the
evidence would help you plan and make decisions related to your question. If you need
some structure to organize your initial thoughts and research, the PICOT Question and
Research Template document (accessible from the “Create PICO(T) Questions” page in the
Capella library’s Evidence Based Practice guide) might be helpful. In your submission, make
sure you address the following grading criteria: • • • • • • Define a practice issue to be
explored via a PICO(T) approach. Identify sources of evidence that could be potentially
effective in answering a PICO(T) question. Explain the findings from articles or other
sources of evidence. Explain the relevance of the findings from chosen sources of evidence
to making decision related to a PICO(T) question. Communicate using writing that is clear,
logical, and professional with correct grammar and spelling using the current APA style.
Example Assessment: You may use the following to give you an idea of what a Proficient or
higher rating on the scoring guide would look like: Assessment 3 Example [PDF]. Additional
Requirements Your assessment should meet the following requirements: • Length of
submission: Create a 3–5-page submission focused on defining a research question and
interpreting evidence relevant to answering it. • • Number of references: Cite a minimum of
four sources of scholarly or professional evidence that support your findings and
considerations. Resources should be no more than 5 years old. APA formatting: Format
references and citations according to the current APA style. Portfolio Prompt: Remember to
save the final assessment to your ePortfolio so that you may refer to it as you complete the
final capstone course. PICOT Question and Search Strategy Template Use with the library
guide: Evidence Based Practice in Nursing & Health Sciences 1. Define your question using
6. PICOT (review the “Create PICOT Questions” page as needed): Population:
__________________________________________________________________ Intervention:
__________________________________________________________________ Comparison:
__________________________________________________________________ Outcome:
__________________________________________________________________ Time (optional):
__________________________________________________________________ 2. Write out your question:
______________________________________________________
________________________________________________________________________________ 3. Write down the
most important words from your question in the gray boxes. For each top term, add
synonyms or related terms in the boxes below it. All these are your search terms. 4. Review
the “Best Bets” in the Nursing Databases list. Check the databases you will search: __
CINAHL Complete (*Recommended) __ Health & Medical Collection __ Nursing & Allied
Health __ OVID Nursing Full Text Plus __ Public Health Database __ PubMed Central 5. Write
in your first search below. Follow the instructions on the “Find EBP Articles…” page. AND
OR AND OR ? Scholarly/peer reviewed ? Limit publication date: 6. Type of studies you want
to include in your search: __ Systematic Review or Meta-Analysis __ Individual Research
Studies __ Clinical Practice Guidelines __ Critically Appraised Research Studies 7. What
information did you find to help answer your question?
__________________________________________________________________________________
__________________________________________________________________________________
______________________________________________________________________ This form is adapted from:
Syrene A. Miller, PICO Worksheet and Search Strategy, National Center for Dental Hygiene
Research …Purchase answer to see full attachment