Report
Share
Download to read offline
Recommended
Evaluation of Research Essay Discussion.pdf
This document provides guidelines for an assignment to evaluate empirical research related to a PICOT question. Students are instructed to write a 1,250-1,500 word paper evaluating literature on their PICOT question by addressing study conclusions, merits, and limitations. Feedback from instructors is also discussed, noting a revised PICOT question focusing more specifically on patient outcomes and data collection time period.
Qualitative Research Critique
This qualitative research critique summarizes a study titled "Surviving the wait: Defining support while awaiting breast cancer surgery." The study interviewed women awaiting breast cancer surgery to understand their support needs. Key findings included that women aim to maintain a hopeful outlook by balancing various support needs. Nurses can help by assessing women's support descriptions and informing others on how to provide supportive and unsupportive reactions within cultural contexts. Limitations included a small sample of Caucasian women from one Midwest center.
JONAVolume 47, Number 1, pp 41-49Copyright B 2017 Wolters .docx
JONA
Volume 47, Number 1, pp 41-49
Copyright B 2017 Wolters Kluwer Health, Inc. All rights reserved.
T H E J O U R N A L O F N U R S I N G A D M I N I S T R A T I O N
The Effect of Reported Sleep,
Perceived Fatigue, and Sleepiness on
Cognitive Performance in a Sample of
Emergency Nurses
Lisa A. Wolf, PhD, RN, CEN, FAEN
Cydne Perhats, MPH
Altair Delao, MPH
Zoran Martinovich, PhD
OBJECTIVE: The aim of this study is to explore
the relationship between reported sleep, perceived
fatigue and sleepiness, and cognitive performance.
BACKGROUND: Although evidence suggests that
fatigue and sleepiness affect the provision of care in
inpatient units, there is a lack of research on the sleep
patterns of emergency nurses and the effects of dis-
turbed sleep and fatigue on their cognitive abilities
and susceptibility to medical errors.
METHODS: A quantitative correlational design was
used in this study; in each of 7 different statistical models,
zero-order relationships between predictors and the
dependent variable were examined with appropriate
inferential tests.
RESULTS: Participants reported high levels of
sleepiness and chronic fatigue that impeded full
functioning both at work and at home.
CONCLUSIONS: Although high levels of self-reported
fatigue did not show any effects on cognitive function,
other factors in the environment may contribute to
delayed, missed, or inappropriate care. Further research
is indicated.
Studies of worker fatigue in the military and com-
mercial trucking industries1,2 suggest that long hours,
especially extending into overnight, can be hazardous
in terms of the potential for errors due to sleepiness
and reduced vigilance. Medical providers, both nurses
and physicians, are at risk because of the need for
around-the-clock coverage and the number and type
of decisions they must make in a given time span; in
1989, the Bell Commission Report cited sleep depri-
vation in medical house officers as a major contrib-
utor to the 1984 death of Libby Zion, an 18-year-old
who died at New York Hospital, leading to a restruc-
turing of the hours involved in medical residencies.3
The long (up to 36 hour) shifts of the medical resi-
dents in charge of her care and the consequences of
their fatigue on the decisions that were made were
cited as factors in her death. As a result of their inves-
tigation of the case, the Bell commission recommen-
ded limiting the work hours of medical residents to
less than 80 hours a week and no more than 24 hours
in a row, and subsequent research has led to similar
recommendations for the nursing workforce.4,5
Emergency care settings are chaotic environ-
ments, where there is high patient turnover, constantly
changing priorities and frequent changes in patient
condition. High demand work settings are associated
with increased fatigue, which can impair nurses_ at-
tentiveness and ability not only to recognize potential
errors they might commit but also to recognize and
mitigate the errors of others, inc ...
In patients who are.pdf
In this assignment, students develop a 1,250-1,500 word change proposal paper that applies components worked on throughout the course, including a background, problem statement, purpose, PICOT question, literature search strategy, literature evaluation, change theory, implementation plan with outcomes, and potential barriers. The paper is to be formatted according to APA style guidelines and submitted to Turnitin to check for plagiarism. Feedback from previous assignments should be incorporated. Attached papers provide reference examples and should not be directly plagiarized.
Research.docx
This summary provides the key points from the results section of the research document:
1. The results were categorized into three areas: recovery oriented care, therapeutic milieu, and correlations between patient centered measures.
2. Statistical tests like the Pearson correlation coefficient and t-tests were used to analyze the results.
3. The results indicated that patients and providers perceived the level of recovery-oriented services in the forensic mental health hospital to be satisfactory. However, patients' ratings for treatment options and discussing spiritual needs were lower.
4. Some significant differences in scores were also found between patients and providers.
Waldenweek10
This document summarizes an evidence-based project recommending peritoneal dialysis as a treatment option for eligible dialysis patients. The author conducted a literature review finding evidence that peritoneal dialysis has better quality of life outcomes and lower mortality rates than hemodialysis. A plan is proposed to educate nephrologists and nurses on these findings and incorporate decision aids to help patients choose dialysis treatment. Measurable outcomes include improved quality of life, lower mortality, and fewer hospitalizations for patients choosing peritoneal dialysis.
RESEARCHQUIET TIME IN NEURO ICU 5Running Head RESEARCH ICU QU.docx
RESEARCH:QUIET TIME IN NEURO ICU 5
Running Head: RESEARCH: ICU QUIET TIME 1
Researchable Topic: ICU Quiet time
Ese Nosakhare
Nurs-6052N Essentials of Evidence-Based Practice
June 13, 2015
Researchable Topic: ICU Quiet time DS Dr. Sullivan Title needed when you begin on page two. This title should be the same as the title page, centered and not bolded
The identification of research problem is the first and foremost step that every researcher has to undertake. What is hard for a nurse to do in evidence-based practice (EBP) is coming up with a clinical question that can be answered with research evidence (Polit & Beck, 2012). Knowing this, a clinical question that is patient focuseds and important significant to nursing can help obtain the knowledge needed to addressing the needs of certain patient populations (Thibane, Thomas & and Ye, 2009). A nurse making a clinical question that can be answered requires a game plan that can identify pertinent nursing issues. Furthermore, the nurse must put that nursing issue into an easy format to research. Doing so will endure allow the best evidence to realize EBP (Richardson, 2009). Analyzing present issues in nursing connected to evidence based practices for ICU delirium, a nurse should have the capability to identify certain steps in making a well-rounded clinical question that is structured and focusesd on the key features to help complete evidence based practice DS Dr. Sullivan Your introductory paragraph is good but you could make it better by including one sentence that clearly defines the purpose of the paper. This is usually the last sentence in the introductory paragraph.
.
Developing a research problem is a creative process (Polit and Beck, 2012, p.76). Neuro-trauma ICU patients typically have an increased need for sleep. However, the ICU setting predisposes ICU patients to sleep deprivation due to exposure to bright lights, high noise levels, regular intrusion of staff and visitors, and patient care activities. Current evidence suggests that a relationship exists among sleep, delirium, and mortality DS Dr. Sullivan Use of resources or references would have added credibility to your discussion
. Delirium is commonly linked to higher medical costs, increased risk for death and extended stays DS Dr. Sullivan Need a citation . There has not been a direct link between lack of sleep and delirium has yet to be proven. Current knowledge that sleep deprivation affects cognitive function, points to a very direct connection between the two. Extended hospital stays, increased medical costs, and high risk for mortality have been associated with delirium DS Dr. Sullivan Need a citation . Nurses can assist with decreasing the incidence delirium in ICU patients by using simple methods and hence help improve health outcomes. Some of these methods include turning off lights or dimming them, reducing noise levels, reducing the number of visits/intrusions, proper positioning of ...
Running head CRITIQUE QUANTITATIVE, QUALITATIVE, OR MIXED METHODS.docx
Running head: CRITIQUE QUANTITATIVE, QUALITATIVE, OR MIXED METHODS DESIGN
5
CRITIQUE OF QUANTITATIVE, QUALITATIVE, OR MIXED METHODS DESIGN
Critiquing Quantitative, Qualitative, or Mixed Methods Studies
Adenike George
Walden University
NURS 6052: Essentials of Evidence-Based Practice
April 11, 2019
Critique of Quantitative, Qualitative, or Mixed Method Design
Both quantitative and qualitative methods play a pivotal role in nursing research. Qualitative research helps nurses and other healthcare workers to understand the experiences of the patients on health and illness. Quantitative data allows researchers to use an accurate approach in data collection and analysis. When using quantitative techniques, data can be analyzed using either descriptive statistics or inferential statistics which allows the researchers to derive important facts like demographics, preference trends, and differences between the groups. The paper comprehensively critiques quantitative and quantitative techniques of research. Furthermore, the author will also give reasons as to why qualitative methods should be regarded as scientific.
The overall value of quantitative and Qualitative Research
Quantitative studies allow the researchers to present data in terms of numbers. Since data is in numeric form, researchers can apply statistical techniques in analyzing it. These include descriptive statistics like mean, mode, median, standard deviation and inferential statistics such as ANOVA, t-tests, correlation and regression analysis. Statistical analysis allows us to derive important facts from data such as preference trends, demographics, and differences between groups. For instance, by conducting a mixed methods study to determine the feeding experiences of infants among teen mothers in North Carolina, Tucker and colleagues were able to compare breastfeeding trends among various population groups. The multiple groups compared were likely to initiate breastfeeding as follows: Hispanic teens 89%, Black American teens 41%, and White teens 52% (Tucker et al., 2011).
The high strength of quantitative analysis lies in providing data that is descriptive. The descriptive statistics helps us to capture a snapshot of the population. When analyzed appropriate, the descriptive data enables us to make general conclusions concerning the population. For instance, through detailed data analysis, Tucker and co-researchers were able to observe that there were a large number of adolescents who ceased breastfeeding within the first month drawing the need for nurses to conduct individualized follow-ups the early days after hospital discharge. These follow-ups would significantly assist in addressing the conventional technical problems and offer support in managing back to school transition (Tucker et al., 2011).
Qualitative research allows researchers to determine the client’s perspective on healthcare. It enables researchers to observe certain behaviors and experiences amo.
Recommended
Evaluation of Research Essay Discussion.pdf
This document provides guidelines for an assignment to evaluate empirical research related to a PICOT question. Students are instructed to write a 1,250-1,500 word paper evaluating literature on their PICOT question by addressing study conclusions, merits, and limitations. Feedback from instructors is also discussed, noting a revised PICOT question focusing more specifically on patient outcomes and data collection time period.
Qualitative Research Critique
This qualitative research critique summarizes a study titled "Surviving the wait: Defining support while awaiting breast cancer surgery." The study interviewed women awaiting breast cancer surgery to understand their support needs. Key findings included that women aim to maintain a hopeful outlook by balancing various support needs. Nurses can help by assessing women's support descriptions and informing others on how to provide supportive and unsupportive reactions within cultural contexts. Limitations included a small sample of Caucasian women from one Midwest center.
JONAVolume 47, Number 1, pp 41-49Copyright B 2017 Wolters .docx
JONA
Volume 47, Number 1, pp 41-49
Copyright B 2017 Wolters Kluwer Health, Inc. All rights reserved.
T H E J O U R N A L O F N U R S I N G A D M I N I S T R A T I O N
The Effect of Reported Sleep,
Perceived Fatigue, and Sleepiness on
Cognitive Performance in a Sample of
Emergency Nurses
Lisa A. Wolf, PhD, RN, CEN, FAEN
Cydne Perhats, MPH
Altair Delao, MPH
Zoran Martinovich, PhD
OBJECTIVE: The aim of this study is to explore
the relationship between reported sleep, perceived
fatigue and sleepiness, and cognitive performance.
BACKGROUND: Although evidence suggests that
fatigue and sleepiness affect the provision of care in
inpatient units, there is a lack of research on the sleep
patterns of emergency nurses and the effects of dis-
turbed sleep and fatigue on their cognitive abilities
and susceptibility to medical errors.
METHODS: A quantitative correlational design was
used in this study; in each of 7 different statistical models,
zero-order relationships between predictors and the
dependent variable were examined with appropriate
inferential tests.
RESULTS: Participants reported high levels of
sleepiness and chronic fatigue that impeded full
functioning both at work and at home.
CONCLUSIONS: Although high levels of self-reported
fatigue did not show any effects on cognitive function,
other factors in the environment may contribute to
delayed, missed, or inappropriate care. Further research
is indicated.
Studies of worker fatigue in the military and com-
mercial trucking industries1,2 suggest that long hours,
especially extending into overnight, can be hazardous
in terms of the potential for errors due to sleepiness
and reduced vigilance. Medical providers, both nurses
and physicians, are at risk because of the need for
around-the-clock coverage and the number and type
of decisions they must make in a given time span; in
1989, the Bell Commission Report cited sleep depri-
vation in medical house officers as a major contrib-
utor to the 1984 death of Libby Zion, an 18-year-old
who died at New York Hospital, leading to a restruc-
turing of the hours involved in medical residencies.3
The long (up to 36 hour) shifts of the medical resi-
dents in charge of her care and the consequences of
their fatigue on the decisions that were made were
cited as factors in her death. As a result of their inves-
tigation of the case, the Bell commission recommen-
ded limiting the work hours of medical residents to
less than 80 hours a week and no more than 24 hours
in a row, and subsequent research has led to similar
recommendations for the nursing workforce.4,5
Emergency care settings are chaotic environ-
ments, where there is high patient turnover, constantly
changing priorities and frequent changes in patient
condition. High demand work settings are associated
with increased fatigue, which can impair nurses_ at-
tentiveness and ability not only to recognize potential
errors they might commit but also to recognize and
mitigate the errors of others, inc ...
In patients who are.pdf
In this assignment, students develop a 1,250-1,500 word change proposal paper that applies components worked on throughout the course, including a background, problem statement, purpose, PICOT question, literature search strategy, literature evaluation, change theory, implementation plan with outcomes, and potential barriers. The paper is to be formatted according to APA style guidelines and submitted to Turnitin to check for plagiarism. Feedback from previous assignments should be incorporated. Attached papers provide reference examples and should not be directly plagiarized.
Research.docx
This summary provides the key points from the results section of the research document:
1. The results were categorized into three areas: recovery oriented care, therapeutic milieu, and correlations between patient centered measures.
2. Statistical tests like the Pearson correlation coefficient and t-tests were used to analyze the results.
3. The results indicated that patients and providers perceived the level of recovery-oriented services in the forensic mental health hospital to be satisfactory. However, patients' ratings for treatment options and discussing spiritual needs were lower.
4. Some significant differences in scores were also found between patients and providers.
Waldenweek10
This document summarizes an evidence-based project recommending peritoneal dialysis as a treatment option for eligible dialysis patients. The author conducted a literature review finding evidence that peritoneal dialysis has better quality of life outcomes and lower mortality rates than hemodialysis. A plan is proposed to educate nephrologists and nurses on these findings and incorporate decision aids to help patients choose dialysis treatment. Measurable outcomes include improved quality of life, lower mortality, and fewer hospitalizations for patients choosing peritoneal dialysis.
RESEARCHQUIET TIME IN NEURO ICU 5Running Head RESEARCH ICU QU.docx
RESEARCH:QUIET TIME IN NEURO ICU 5
Running Head: RESEARCH: ICU QUIET TIME 1
Researchable Topic: ICU Quiet time
Ese Nosakhare
Nurs-6052N Essentials of Evidence-Based Practice
June 13, 2015
Researchable Topic: ICU Quiet time DS Dr. Sullivan Title needed when you begin on page two. This title should be the same as the title page, centered and not bolded
The identification of research problem is the first and foremost step that every researcher has to undertake. What is hard for a nurse to do in evidence-based practice (EBP) is coming up with a clinical question that can be answered with research evidence (Polit & Beck, 2012). Knowing this, a clinical question that is patient focuseds and important significant to nursing can help obtain the knowledge needed to addressing the needs of certain patient populations (Thibane, Thomas & and Ye, 2009). A nurse making a clinical question that can be answered requires a game plan that can identify pertinent nursing issues. Furthermore, the nurse must put that nursing issue into an easy format to research. Doing so will endure allow the best evidence to realize EBP (Richardson, 2009). Analyzing present issues in nursing connected to evidence based practices for ICU delirium, a nurse should have the capability to identify certain steps in making a well-rounded clinical question that is structured and focusesd on the key features to help complete evidence based practice DS Dr. Sullivan Your introductory paragraph is good but you could make it better by including one sentence that clearly defines the purpose of the paper. This is usually the last sentence in the introductory paragraph.
.
Developing a research problem is a creative process (Polit and Beck, 2012, p.76). Neuro-trauma ICU patients typically have an increased need for sleep. However, the ICU setting predisposes ICU patients to sleep deprivation due to exposure to bright lights, high noise levels, regular intrusion of staff and visitors, and patient care activities. Current evidence suggests that a relationship exists among sleep, delirium, and mortality DS Dr. Sullivan Use of resources or references would have added credibility to your discussion
. Delirium is commonly linked to higher medical costs, increased risk for death and extended stays DS Dr. Sullivan Need a citation . There has not been a direct link between lack of sleep and delirium has yet to be proven. Current knowledge that sleep deprivation affects cognitive function, points to a very direct connection between the two. Extended hospital stays, increased medical costs, and high risk for mortality have been associated with delirium DS Dr. Sullivan Need a citation . Nurses can assist with decreasing the incidence delirium in ICU patients by using simple methods and hence help improve health outcomes. Some of these methods include turning off lights or dimming them, reducing noise levels, reducing the number of visits/intrusions, proper positioning of ...
Running head CRITIQUE QUANTITATIVE, QUALITATIVE, OR MIXED METHODS.docx
Running head: CRITIQUE QUANTITATIVE, QUALITATIVE, OR MIXED METHODS DESIGN
5
CRITIQUE OF QUANTITATIVE, QUALITATIVE, OR MIXED METHODS DESIGN
Critiquing Quantitative, Qualitative, or Mixed Methods Studies
Adenike George
Walden University
NURS 6052: Essentials of Evidence-Based Practice
April 11, 2019
Critique of Quantitative, Qualitative, or Mixed Method Design
Both quantitative and qualitative methods play a pivotal role in nursing research. Qualitative research helps nurses and other healthcare workers to understand the experiences of the patients on health and illness. Quantitative data allows researchers to use an accurate approach in data collection and analysis. When using quantitative techniques, data can be analyzed using either descriptive statistics or inferential statistics which allows the researchers to derive important facts like demographics, preference trends, and differences between the groups. The paper comprehensively critiques quantitative and quantitative techniques of research. Furthermore, the author will also give reasons as to why qualitative methods should be regarded as scientific.
The overall value of quantitative and Qualitative Research
Quantitative studies allow the researchers to present data in terms of numbers. Since data is in numeric form, researchers can apply statistical techniques in analyzing it. These include descriptive statistics like mean, mode, median, standard deviation and inferential statistics such as ANOVA, t-tests, correlation and regression analysis. Statistical analysis allows us to derive important facts from data such as preference trends, demographics, and differences between groups. For instance, by conducting a mixed methods study to determine the feeding experiences of infants among teen mothers in North Carolina, Tucker and colleagues were able to compare breastfeeding trends among various population groups. The multiple groups compared were likely to initiate breastfeeding as follows: Hispanic teens 89%, Black American teens 41%, and White teens 52% (Tucker et al., 2011).
The high strength of quantitative analysis lies in providing data that is descriptive. The descriptive statistics helps us to capture a snapshot of the population. When analyzed appropriate, the descriptive data enables us to make general conclusions concerning the population. For instance, through detailed data analysis, Tucker and co-researchers were able to observe that there were a large number of adolescents who ceased breastfeeding within the first month drawing the need for nurses to conduct individualized follow-ups the early days after hospital discharge. These follow-ups would significantly assist in addressing the conventional technical problems and offer support in managing back to school transition (Tucker et al., 2011).
Qualitative research allows researchers to determine the client’s perspective on healthcare. It enables researchers to observe certain behaviors and experiences amo.
Clinical practice critical_research_paper essay sample from assignmentsupport...
Clinical practice critical_research_paper essay sample from assignmentsupport...https://writeessayuk.com/
The document summarizes a qualitative research study that analyzed paradoxical realities in everyday clinical practice through interviews and surveys across 13 healthcare organizations in Canada. Key themes identified included near misses as a metaphor for system vulnerabilities, factors contributing to near misses like communication issues, and strategies for safer processes like improved training. Researchers conducted ethics-approved interviews with healthcare professionals and patients on their experiences. Data analysis identified major themes around system gaps and opportunities for enhanced safety. The rigorous study provided valuable insights into improving the healthcare system.Running head LITERATURE REVIEW13LITERATURE REVIEW8.docx
Running head: LITERATURE REVIEW 13
LITERATURE REVIEW 8
Literature Review: ICU Quiet Time
Ese Noskhare
Walden University
Essentials of Evidence-Based Practice
NURS-6052-45
Running head: LITERATURE REVIEW 8
Introduction
Literature review represents very integral aspects of the research process. It is aimed at deriving out the current knowledge on the selected topic including the common patterns, contradictions, and gaps and, as a result, aid in determining what needs to be done by future researchers. In the present paper, the aim is to analyze and synthesize studies that have been conducted focusing on ICU Quiet time and more particularly, the effects of strict enforcement of scheduled hours of rest time on multiple incidences of delirium in adult critical-care patients in the ICU.
History
The onset of ICU Quiet time has been reported as dating back in the 1960s. It originated in the North America and, in particular, Quebec, Canada. It took place as a result of the natural continuation of creativity and innovations that occurred in Quebec. The period saw the introduction of the Hospital Insurance and Diagnostic Services Act, which brought rise to the concept and practice of public health insurance. This triggered the implementation of varied infrastructural projects in the health care. It is in the course of these changes that quiet time in ICUs was introduced with the aim of speeding up the healing of the patients. This practice prevails even in the modern day times.
Current Evidence
For a considerable period, research on ICU Quiet time has been rampant. Most of the frequent cited studies include Gardner, Collins, Osborne, Henderson, and Eastwood (2008), Maidl, Leske, and Garcia (2013), Olson, Borel, Laskowitz, Moore, and McConnell (2001), Richardson, Thompson, Coghill, Chambers, and Turnock (2009), Taylor (2008) and Weinhouse et al. (2009).
In their study, Gardner, Collins, Osborne, Henderson, and Eastwood (2008) used a sample of 299 participants. The sample received a scheduled quiet time intervention. In the process, the researchers evaluated the levels of noise, the rest of the inpatients, their sleep behaviors, and their well-being. It was concluded that the majority of the ICU patients are not usually concerned with noise. However, they often prefer a period in which they are not exposed to noise. The researchers also identified that nurses also see a great value in ICU Quiet time. In another study by Maidl, Leske, and Garcia (2013), the researchers carried out a set of non-randomized, uncontrolled quiet time trials in ICUs. The intervention involved a reduction of the environmental stressors and enhanced patient rest prior to the onset of the trials. It was determined that ICU patients often prefer quiet time. Also, according to the researchers, the nursing practitioners that work in the ICUs also value quiet time as they are allowed to chart and, as a result, reduce their levels of stress. In the process, better care is .
Respond in one or more of the following waysAsk a probing ques
Respond in one or more of the following ways:
Ask a probing question, substantiated with additional background information, and evidence.
Share an insight from having read your colleagues’ postings, synthesizing the information to provide new perspectives.
Offer and support an alternative perspective using readings from the classroom or from your own review of the literature in the Walden Library.
Make a suggestion based on additional evidence drawn from readings or after synthesizing multiple postings.
Main Post
When conducting research, it is necessary that the researcher not only know how to find the sources needed to answer the question that they have created but also how to analyze that information to understand which research design was used. Doing so will allow the researcher to provide the evidence needed to support or reject the question being asked. Quantitative research is the investigation of phenomena that lends themselves to precise measurement and quantification, often involving a controlled design (Polit & Beck, 2017). This discussion will look at two different quantitative studies and the qualities that make them so.
Sleep Apnea Study Number One
This study by Boulos et al.(2017) looks at the effectiveness of using home sleep apnea testing (HSAT) as a means of detecting obstructive sleep apnea (OSA) in stroke or transient ischemic attack (TIA) inpatients and outpatients. OSA can negatively impact poststroke functional recovery and by using HSAT these patients can be screened and diagnosed for OSA sooner and improve their poststroke functional and motor recovery (Boulos et al., 2017).
The question being asked is therapeutic in nature. The design of the study is listed under the methods section as a single-center prospective observational study. An observational study means that the researchers do not intervene by manipulating the independent variable (Polit & Beck, 2017). The independent variable within this study would be that all participants have had a stroke or TIA. Prospective designs are studies that begin with a presumed cause and look forward in time for its effect (Polit & Beck, 2017). Within this study, OSA was the presumed cause in a delay of functional and motor recovery for those patients who suffered a stroke or TIA. This design method was appropriate for the group being used. A control group would not have helped to validate the use of HSAT in stroke recovery since those within that group would not be suffering from the same effects. The use of t-tests, Wilcoxon rank sum-test, and multivariate logistic regression were used to analyze the data (Boulos et al., 2017). The results demonstrated that the use of HSAT in the poststroke or TIA population was effective at expediting the diagnosis and treatment of OSA (Boulos et al., 2017).
Sleep Apnea Study Number Two
The second study is similar to the first in that it evaluated patients with a ...
NR505 Advanced Research Methods Evidence-Based Pract.docx
NR505 Advanced Research Methods: Evidence-Based Practice
Evidence-Based Practice Change Project Proposal Template
Nursing Practice Concern/Problem
PICOT Question
Key Stakeholders
Theoretical Framework
Literature Review
Data Collection Methods
Analysis
Expected Outcomes
NR 505 Week 7 Assignment _7/24/2019JPTS
1
Chamberlain College of Nursing NR 505 ADVANCED RESEARCH METHODS – EVIDENCE-BASED PRACTICE
Research Summary Assignment
Chamberlain College of Nursing
NR 505: Advanced Research Methods: Evidence-Based Practice
Dr. Hellem
Sept. 2019
NR 505: Research Summary Template
PICOT QUESTION: In patients, what is the effect of bedside report in comparison to phone report on patient outcomes in a period of six weeks?
Full reference for article (APA Format)
Purpose
Research Method
Participants
Data Collection
Study Findings
Limitations
Relevance to PICOT
Rush, S. (2014). Bedside reporting: Dynamic dialogue. Nursing Management,43(1), 40-40. doi:10.1097/01.NUMA.0000409923.61966.ac
The study focused on increasing patient satisfaction and safety
through bedside reporting at Catholic Healthare West (CHW).
Qualitative Research
Participants included hospital staff, leaders, and patients.
Nurse supervisors observed bedside reporting at change of shift. They then filled out a questionnaire that had to be checked off to ensure bedside reporting was done correctly.
Bedside reporting made a positive impact in the hospital. Its success was witnessed by nurse leadership rounding on patients in the hospital.
The sample of participants was small and only one department of the hospital was used.
The findings conclude the positive outcomes on patient satisfaction with bedside reporting.
Lu, S., Kerr, D., & McKinlay, L. (2014). Bedside nursing handover: Patients' opinions. International Journal of Nursing Practice,20(5), 451-459. doi:10.1111/ijn.12158
Evidence proves bedside reporting is beneficial. This study tries to develop a protocol for nurses to follow when shift report is given at bedside.
Qualitative research.
A sample of 30 admitted, consenting patients were used. The patients were admitted to one of the three departments where the process of bedside report had been implemented for at least one year.
All data was collected from the answers from the patients through audio-recorded interviews. A research assistant and a registered nurse were present in the interview.
Four essential components came out of the study. Some regarded patient feelings and some regarded possible changes. Patients felt bedside reporting was ‘effective and personalized’ (1). They felt empowered in their care (2). Some felt their privacy was at jeopardy (3), thus allowing for training (4) in this sensitive matter.
The study was limited to three departments in the hospital and no clear generalizability came out of it. Sample collected was small.
Patients ...
Rapid Response Team Essay.docx
Rapid response teams (RRTs) are designed to respond to patients whose condition is deteriorating. Two studies examined the impact of RRTs through qualitative and quantitative methods. The qualitative study interviewed healthcare providers and identified themes around RRTs' effects on patient care, workload, and education. The quantitative study found that implementing an RRT significantly reduced mortality rates, cardiopulmonary arrests, and length of stay. Both studies concluded that RRTs provide early intervention that improves outcomes, though their structures and processes could still be enhanced. The proposed evidence-based practice change is to establish an RRT in inpatient settings to handle emergencies.
Group twob ppt_presentation_1
The document summarizes two small studies conducted by students to examine the relationship between inadequate sleep and unintentional injuries. A qualitative study using an online focus group of 4 students explored perceptions of sleep and injuries. It found inadequate sleep negatively impacts health and can increase risks. A quantitative survey of 18 students further examined the relationship, finding agreement that inadequate sleep impacts judgment and awareness and may increase injury risks. Both studies had limitations as student exercises but provided insight into how policies could help address the issue.
14Application 1 Identification of a Practice Issue for th.docx
This document discusses preparing an intensive care unit for a practice change to early patient mobilization. It assesses factors that influence readiness for change, including leadership support, resources, and staff buy-in. Barriers like attitudes, beliefs, and lack of skills are addressed. Strategies are proposed to enhance consistency in mobilization through training, communication, and stakeholder involvement. The goal is to improve patient outcomes by reducing length of stay and complications through more effective implementation of evidence-based early mobilization.
Week 2 The Clinical Question77 unread replies.2525 replies..docx
Week 2: The Clinical Question
77 unread replies.2525 replies.
Your capstone change project begins this week when you identify a practice issue that you believe needs to change. The practice issue must pertain to a systematic review that you must choose from a List of Approved Systematic Reviews (Links to an external site.)Links to an external site. for the capstone project.
· Choose a systematic review from the list of approved reviews based on your interests or your practice situation.
· Formulate a significant clinical question related to the topic of the systematic review that will be the basis for your capstone change project.
· Relate how you developed the question.
· Describe the importance of this question to your clinical practice previously, currently, or in the future.
· Describe what a research-practice gap is.
· Collapse Subdiscussion
Julie White
Julie White
SundayOct 29 at 9:39am
Manage Discussion Entry
Opening Post_Julie
On a daily basis, healthcare providers are faced with an array of clinical decisions to be made in an efficient and timely manner. Translating evidence into best practices is one way to achieve this. Without current best evidence, practice is rapidly outdated, often to the detriment of the patient. Evidence based practice is the conscientious use of current best practice in making decisions about patient care (Sackett, Richardson, Rosenberg, & Hayes, 2000). It is important for health care professionals to ask questions about their current clinical practice. In this week’s threaded discussion you will ask that burning question that you ask in your daily care of your patients.
You’ll need to focus on asking the right questions, narrowing the questions to one that is nurse driven and the need for change is evident. The question that you formulate will be the question for your Capstone Project.
The process of reviewing scholarly articles for a change in practice is an important part of the development of any type of research project that can lead to a change in practice. As you are appraising the systematic review and other scholarly articles for your change project, think about areas of the article such as sample size, the population, type of study, discussion and limitations. Critiquing a research article will allow you to evaluate the scientific merit of the study and decide how the results may be useful in practice.
ReplyReply to Comment
·
Collapse Subdiscussion
Adele Allen
Adele Allen
SundayOct 29 at 12:58pm
Manage Discussion Entry
Hello Professor and Classmates,
Nurses are called to rely on current research to guide evidence-based practice. The research on a topic can be vast and contradictory. Traditional reviews of the evidence are no longer appropriate. The information sifting called for with the wealth of information available is too great a task. The reviewer needs guidelines to ensure bias is minimized and th.
Manuel Cabrera Discussion 7 Manuel M CabreraCOLLAPSETop of .docx
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.
Spinal decompression rehabilitation (reviewed)
This document summarizes a research proposal that investigates the effects of different rehabilitation methods on pain levels after spinal decompression surgery. The study will compare self-managed rehabilitation, physical therapy, and medication therapy over 2 years using patient surveys to track pain frequency and recovery. Based on previous literature, physical therapy is expected to result in the lowest pain scores and best performance on daily activity tests compared to home therapy and medication management alone. The results will help identify the most effective approach to rehabilitation for improving patient outcomes after back surgery.
Research studies show thatevidence-based practice(EBP) leads t.docx
This annotated bibliography summarizes 6 research articles on learning and development challenges facing first-generation college students. The articles address topics like social and academic integration, the impact of family support, and factors influencing persistence. A critical analysis compares the studies' populations, settings, strategies, and conclusions. Overall, the research highlights both opportunities and barriers first-generation students face in their transition to college. Recommendations from this research will inform strategies to design an educationally effective environment for this student group.
Implementing Evidence-Based Practice in Taiwanese Nursing Ho.docx
This study investigated the attitudes toward and perceived barriers and facilitators of evidence-based practice among 89 registered nurses working in nursing homes in Taiwan. The nurses expressed positive attitudes toward research and EBP. The most frequently cited barriers were related to insufficient authority to change practice, difficulty understanding statistical analyses, and isolation from knowledgeable colleagues. Perceived facilitators included improved computer/Internet access, more effective research training, and collaboration with academic nurses. The findings were similar to prior Western research and indicate further research education for nursing home nurses could be beneficial.
EVIDENCE –BASED PRACTICES1Evidence-Based Pract
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 ...
MEDSURG Nursing—NovemberDecember 2010—Vol. 19No. 6 335Ca.docx
MEDSURG Nursing—November/December 2010—Vol. 19/No. 6 335
Carol Isaac MacKusick, PhD(c), MSN,
RN, CNN, is an Assistant Professor of
Nursing, Clayton State University,
Morrow, GA.
Ptlene Minick, PhD, RN, is Doctoral
Faculty and Associate Professor of
Nursing, Georgia State University,
Atlanta, GA.
Carol Isaac MacKusick
Ptlene Minick
Why Are Nurses Leaving? Findings
From an Initial Qualitative Study on
Nursing Attrition
In the United States, nursing workforce projections indicate the registerednurse (RN) shortage may exceed 500,000 RNs by 2025 (American
Association of Colleges of Nursing [AACN], 2010; Cipriano, 2006; U.S.
Department of Health and Human Services, 2002). In 2008, the national RN
vacancy rate in the United States was greater than 8% (AACN, 2010).
Evidence suggests experiences as a newly licensed RN directly impact indi-
vidual perceptions related to the profession (Cowin & Hengstberger-Sims,
2006). An estimated 30%-50% of all new RNs elect either to change positions
or leave nursing completely within the first 3 years of clinical practice
(AACN, 2003; Aiken, Clarke, Sloane, Sochalski, & Silber, 2002; Cipriano, 2006;
Cowin & Hengstberger-Sims, 2006). While an abundance of data exist regard-
ing the RN who stays at the bedside, few studies have explored the percep-
tions of the RN who decides to leave clinical nursing. Understanding factors
associated with RNs’ practice decisions is the first step necessary in devel-
oping effective nursing-retention strategies.
Purpose
The purpose of this study was to identify the factors influencing the
decision of RNs to leave clinical nursing practice. Nurses who had elected
to leave clinical nursing were interviewed at the setting of their choice.
Previous clinical nursing experience included a variety of clinical practice
settings. For this study, the term clinical nursing is defined as providing
direct patient care in the hospital setting.
Background
Limited data exist about individuals no longer employed in nursing; no
literature was found about the perceptions or decision-making processes of
RNs no longer in clinical practice. A review of the literature was conducted
searching nursing, medical, labor, and psychological/sociological databas-
es. Years of search ended with 2007, the year of the interviews. A broad
search began with GoogleScholar® and was narrowed to include CINAHL,
MEDline, PsycINFO, and LexisNexis. Several issues concerning practice
decisions are associated with the current nursing shortage, including job
dissatisfaction (Aiken et al., 2002; Buerhaus, Donelan, Ulrich, Norman, &
Dittus, 2005), an aging workforce coupled with increased demands
(Auerbach, Buerhaus, & Staiger, 2007), and problematic relationships
among members of the health care team (Aiken et al., 2002). While these fac-
tors may lead to increased nursing attrition, they have not been explored
from the perspective of the former RN. A thorough examination of RNs’ per-
ceptions regarding the decision to ...
Obtaining Patient Information and Anxiety in Novice Nursing Students ,Article...
Novice nursing students experience high anxiety levels during their first clinical rotation due to a lack of experience in unfamiliar clinical environments. This study assessed anxiety levels and the ability of novice nursing students to obtain essential patient information from the previous shift at the beginning, middle, and end of their first clinical rotation. The study found that students' anxiety levels decreased significantly over the course of the rotation as they gained experience. While students improved at obtaining some information like vital signs and lab results, less than half obtained pain levels at any point. The study recommends providing clearer guidance to students on essential information to obtain from shift reports.
Holistic nursing research
This study evaluated the effects of dance therapy for people with schizophrenia or schizophrenia-like illnesses compared to standard care. A single study with 45 participants found that those receiving dance therapy plus routine care had significantly greater reduction in negative symptoms compared to routine care alone, based on PANSS scores. However, there were no differences between groups in overall PANSS scores, positive symptoms, satisfaction, or quality of life. The authors concluded that there is currently insufficient evidence to support or refute the use of dance therapy for schizophrenia due to the single small study available. Further high-quality research is needed.
Practice and the Quadruple.docx
Evidence-based practice (EBP) aims to help healthcare organizations meet the Quadruple Aim of improving patient experience, population health, costs, and provider work life. EBP integrates research evidence, clinical expertise, and patient values into decision-making. It can help enhance patient experience through better care, improve population health by generating insight into health characteristics, reduce costs by improving value and seamless data tracking, and improve provider work life by identifying stressors and easing burdens. Overall, EBP provides an approach for organizations to consider when aiming to achieve the balanced objectives of the Quadruple Aim.
Range of.docx
The document provides instructions for writing a 250-300 word paragraph analyzing a specific point from Okakura Kakuzō's essay "The Range of Ideals" to explain why his thesis that "Asia is one" is problematic. The paragraph should directly engage with one point Okakura makes, provide specific details on its logical or factual mistakes, acknowledge the diversity of Asian nations and cultures, and cite the specific page(s) being referred to.
Ralph Waldo Emerson.docx
Ralph Waldo Emerson was an American essayist and philosopher born in 1803 who is considered the father of American literature. He developed the philosophy of transcendentalism and emphasized nonconformity, self-reliance, and finding inspiration from nature. Emerson had a profound influence on writers like Thoreau, Whitman, Hawthorne, Poe, and Dickinson and developed a complicated relationship with Thoreau as his former student and friend.
Raising Minimum An explanation of the its.docx
This document discusses the key components of an essay arguing for or against raising the minimum wage. The essay would provide an explanation of the controversy around raising the minimum wage, including the background and current state of the issue. It would articulate a clear position and support that position with reasons backed by evidence from research. The essay would also have to address counterarguments and refute them with detailed rebuttals. It would conclude by restating the main argument and possibly suggesting a solution or policy. Sources would need to be cited in MLA style and include at least 5 non-internet sources.
Rail Project A goal of the Obama administration.docx
The Obama administration promoted high-speed rail projects across major US states to adopt more environmentally friendly transportation initiatives and improve infrastructure. California accepted billions in federal grants to begin developing a high-speed rail line, though critics argue the projected ridership and costs make the project economically unfeasible, especially given California's budget issues. Supporters counter that large public works projects can have broader economic and social benefits beyond just transportation.
Racism toward Indigenous peoples in Canada.docx
The document outlines requirements for an 8-page research paper examining racism toward Indigenous peoples in Canada. It must be in Chicago style with footnotes and bibliography, and discuss the prevalence of racism today, key contributing factors, and the concepts of meritocracy and white privilege in developing the thesis. Specifically, it should consider how beliefs about meritocracy factor into racist attitudes, the lack of understanding of white privilege and its impact, and how understanding these concepts could foster more inclusive attitudes. Five sources are required including the article by Brockham and Morrison.
More Related Content
Similar to Journal of Surgical Research Discussion.pdf
Clinical practice critical_research_paper essay sample from assignmentsupport...
Clinical practice critical_research_paper essay sample from assignmentsupport...https://writeessayuk.com/
The document summarizes a qualitative research study that analyzed paradoxical realities in everyday clinical practice through interviews and surveys across 13 healthcare organizations in Canada. Key themes identified included near misses as a metaphor for system vulnerabilities, factors contributing to near misses like communication issues, and strategies for safer processes like improved training. Researchers conducted ethics-approved interviews with healthcare professionals and patients on their experiences. Data analysis identified major themes around system gaps and opportunities for enhanced safety. The rigorous study provided valuable insights into improving the healthcare system.Running head LITERATURE REVIEW13LITERATURE REVIEW8.docx
Running head: LITERATURE REVIEW 13
LITERATURE REVIEW 8
Literature Review: ICU Quiet Time
Ese Noskhare
Walden University
Essentials of Evidence-Based Practice
NURS-6052-45
Running head: LITERATURE REVIEW 8
Introduction
Literature review represents very integral aspects of the research process. It is aimed at deriving out the current knowledge on the selected topic including the common patterns, contradictions, and gaps and, as a result, aid in determining what needs to be done by future researchers. In the present paper, the aim is to analyze and synthesize studies that have been conducted focusing on ICU Quiet time and more particularly, the effects of strict enforcement of scheduled hours of rest time on multiple incidences of delirium in adult critical-care patients in the ICU.
History
The onset of ICU Quiet time has been reported as dating back in the 1960s. It originated in the North America and, in particular, Quebec, Canada. It took place as a result of the natural continuation of creativity and innovations that occurred in Quebec. The period saw the introduction of the Hospital Insurance and Diagnostic Services Act, which brought rise to the concept and practice of public health insurance. This triggered the implementation of varied infrastructural projects in the health care. It is in the course of these changes that quiet time in ICUs was introduced with the aim of speeding up the healing of the patients. This practice prevails even in the modern day times.
Current Evidence
For a considerable period, research on ICU Quiet time has been rampant. Most of the frequent cited studies include Gardner, Collins, Osborne, Henderson, and Eastwood (2008), Maidl, Leske, and Garcia (2013), Olson, Borel, Laskowitz, Moore, and McConnell (2001), Richardson, Thompson, Coghill, Chambers, and Turnock (2009), Taylor (2008) and Weinhouse et al. (2009).
In their study, Gardner, Collins, Osborne, Henderson, and Eastwood (2008) used a sample of 299 participants. The sample received a scheduled quiet time intervention. In the process, the researchers evaluated the levels of noise, the rest of the inpatients, their sleep behaviors, and their well-being. It was concluded that the majority of the ICU patients are not usually concerned with noise. However, they often prefer a period in which they are not exposed to noise. The researchers also identified that nurses also see a great value in ICU Quiet time. In another study by Maidl, Leske, and Garcia (2013), the researchers carried out a set of non-randomized, uncontrolled quiet time trials in ICUs. The intervention involved a reduction of the environmental stressors and enhanced patient rest prior to the onset of the trials. It was determined that ICU patients often prefer quiet time. Also, according to the researchers, the nursing practitioners that work in the ICUs also value quiet time as they are allowed to chart and, as a result, reduce their levels of stress. In the process, better care is .
Respond in one or more of the following waysAsk a probing ques
Respond in one or more of the following ways:
Ask a probing question, substantiated with additional background information, and evidence.
Share an insight from having read your colleagues’ postings, synthesizing the information to provide new perspectives.
Offer and support an alternative perspective using readings from the classroom or from your own review of the literature in the Walden Library.
Make a suggestion based on additional evidence drawn from readings or after synthesizing multiple postings.
Main Post
When conducting research, it is necessary that the researcher not only know how to find the sources needed to answer the question that they have created but also how to analyze that information to understand which research design was used. Doing so will allow the researcher to provide the evidence needed to support or reject the question being asked. Quantitative research is the investigation of phenomena that lends themselves to precise measurement and quantification, often involving a controlled design (Polit & Beck, 2017). This discussion will look at two different quantitative studies and the qualities that make them so.
Sleep Apnea Study Number One
This study by Boulos et al.(2017) looks at the effectiveness of using home sleep apnea testing (HSAT) as a means of detecting obstructive sleep apnea (OSA) in stroke or transient ischemic attack (TIA) inpatients and outpatients. OSA can negatively impact poststroke functional recovery and by using HSAT these patients can be screened and diagnosed for OSA sooner and improve their poststroke functional and motor recovery (Boulos et al., 2017).
The question being asked is therapeutic in nature. The design of the study is listed under the methods section as a single-center prospective observational study. An observational study means that the researchers do not intervene by manipulating the independent variable (Polit & Beck, 2017). The independent variable within this study would be that all participants have had a stroke or TIA. Prospective designs are studies that begin with a presumed cause and look forward in time for its effect (Polit & Beck, 2017). Within this study, OSA was the presumed cause in a delay of functional and motor recovery for those patients who suffered a stroke or TIA. This design method was appropriate for the group being used. A control group would not have helped to validate the use of HSAT in stroke recovery since those within that group would not be suffering from the same effects. The use of t-tests, Wilcoxon rank sum-test, and multivariate logistic regression were used to analyze the data (Boulos et al., 2017). The results demonstrated that the use of HSAT in the poststroke or TIA population was effective at expediting the diagnosis and treatment of OSA (Boulos et al., 2017).
Sleep Apnea Study Number Two
The second study is similar to the first in that it evaluated patients with a ...
NR505 Advanced Research Methods Evidence-Based Pract.docx
NR505 Advanced Research Methods: Evidence-Based Practice
Evidence-Based Practice Change Project Proposal Template
Nursing Practice Concern/Problem
PICOT Question
Key Stakeholders
Theoretical Framework
Literature Review
Data Collection Methods
Analysis
Expected Outcomes
NR 505 Week 7 Assignment _7/24/2019JPTS
1
Chamberlain College of Nursing NR 505 ADVANCED RESEARCH METHODS – EVIDENCE-BASED PRACTICE
Research Summary Assignment
Chamberlain College of Nursing
NR 505: Advanced Research Methods: Evidence-Based Practice
Dr. Hellem
Sept. 2019
NR 505: Research Summary Template
PICOT QUESTION: In patients, what is the effect of bedside report in comparison to phone report on patient outcomes in a period of six weeks?
Full reference for article (APA Format)
Purpose
Research Method
Participants
Data Collection
Study Findings
Limitations
Relevance to PICOT
Rush, S. (2014). Bedside reporting: Dynamic dialogue. Nursing Management,43(1), 40-40. doi:10.1097/01.NUMA.0000409923.61966.ac
The study focused on increasing patient satisfaction and safety
through bedside reporting at Catholic Healthare West (CHW).
Qualitative Research
Participants included hospital staff, leaders, and patients.
Nurse supervisors observed bedside reporting at change of shift. They then filled out a questionnaire that had to be checked off to ensure bedside reporting was done correctly.
Bedside reporting made a positive impact in the hospital. Its success was witnessed by nurse leadership rounding on patients in the hospital.
The sample of participants was small and only one department of the hospital was used.
The findings conclude the positive outcomes on patient satisfaction with bedside reporting.
Lu, S., Kerr, D., & McKinlay, L. (2014). Bedside nursing handover: Patients' opinions. International Journal of Nursing Practice,20(5), 451-459. doi:10.1111/ijn.12158
Evidence proves bedside reporting is beneficial. This study tries to develop a protocol for nurses to follow when shift report is given at bedside.
Qualitative research.
A sample of 30 admitted, consenting patients were used. The patients were admitted to one of the three departments where the process of bedside report had been implemented for at least one year.
All data was collected from the answers from the patients through audio-recorded interviews. A research assistant and a registered nurse were present in the interview.
Four essential components came out of the study. Some regarded patient feelings and some regarded possible changes. Patients felt bedside reporting was ‘effective and personalized’ (1). They felt empowered in their care (2). Some felt their privacy was at jeopardy (3), thus allowing for training (4) in this sensitive matter.
The study was limited to three departments in the hospital and no clear generalizability came out of it. Sample collected was small.
Patients ...
Rapid Response Team Essay.docx
Rapid response teams (RRTs) are designed to respond to patients whose condition is deteriorating. Two studies examined the impact of RRTs through qualitative and quantitative methods. The qualitative study interviewed healthcare providers and identified themes around RRTs' effects on patient care, workload, and education. The quantitative study found that implementing an RRT significantly reduced mortality rates, cardiopulmonary arrests, and length of stay. Both studies concluded that RRTs provide early intervention that improves outcomes, though their structures and processes could still be enhanced. The proposed evidence-based practice change is to establish an RRT in inpatient settings to handle emergencies.
Group twob ppt_presentation_1
The document summarizes two small studies conducted by students to examine the relationship between inadequate sleep and unintentional injuries. A qualitative study using an online focus group of 4 students explored perceptions of sleep and injuries. It found inadequate sleep negatively impacts health and can increase risks. A quantitative survey of 18 students further examined the relationship, finding agreement that inadequate sleep impacts judgment and awareness and may increase injury risks. Both studies had limitations as student exercises but provided insight into how policies could help address the issue.
14Application 1 Identification of a Practice Issue for th.docx
This document discusses preparing an intensive care unit for a practice change to early patient mobilization. It assesses factors that influence readiness for change, including leadership support, resources, and staff buy-in. Barriers like attitudes, beliefs, and lack of skills are addressed. Strategies are proposed to enhance consistency in mobilization through training, communication, and stakeholder involvement. The goal is to improve patient outcomes by reducing length of stay and complications through more effective implementation of evidence-based early mobilization.
Week 2 The Clinical Question77 unread replies.2525 replies..docx
Week 2: The Clinical Question
77 unread replies.2525 replies.
Your capstone change project begins this week when you identify a practice issue that you believe needs to change. The practice issue must pertain to a systematic review that you must choose from a List of Approved Systematic Reviews (Links to an external site.)Links to an external site. for the capstone project.
· Choose a systematic review from the list of approved reviews based on your interests or your practice situation.
· Formulate a significant clinical question related to the topic of the systematic review that will be the basis for your capstone change project.
· Relate how you developed the question.
· Describe the importance of this question to your clinical practice previously, currently, or in the future.
· Describe what a research-practice gap is.
· Collapse Subdiscussion
Julie White
Julie White
SundayOct 29 at 9:39am
Manage Discussion Entry
Opening Post_Julie
On a daily basis, healthcare providers are faced with an array of clinical decisions to be made in an efficient and timely manner. Translating evidence into best practices is one way to achieve this. Without current best evidence, practice is rapidly outdated, often to the detriment of the patient. Evidence based practice is the conscientious use of current best practice in making decisions about patient care (Sackett, Richardson, Rosenberg, & Hayes, 2000). It is important for health care professionals to ask questions about their current clinical practice. In this week’s threaded discussion you will ask that burning question that you ask in your daily care of your patients.
You’ll need to focus on asking the right questions, narrowing the questions to one that is nurse driven and the need for change is evident. The question that you formulate will be the question for your Capstone Project.
The process of reviewing scholarly articles for a change in practice is an important part of the development of any type of research project that can lead to a change in practice. As you are appraising the systematic review and other scholarly articles for your change project, think about areas of the article such as sample size, the population, type of study, discussion and limitations. Critiquing a research article will allow you to evaluate the scientific merit of the study and decide how the results may be useful in practice.
ReplyReply to Comment
·
Collapse Subdiscussion
Adele Allen
Adele Allen
SundayOct 29 at 12:58pm
Manage Discussion Entry
Hello Professor and Classmates,
Nurses are called to rely on current research to guide evidence-based practice. The research on a topic can be vast and contradictory. Traditional reviews of the evidence are no longer appropriate. The information sifting called for with the wealth of information available is too great a task. The reviewer needs guidelines to ensure bias is minimized and th.
Manuel Cabrera Discussion 7 Manuel M CabreraCOLLAPSETop of .docx
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.
Spinal decompression rehabilitation (reviewed)
This document summarizes a research proposal that investigates the effects of different rehabilitation methods on pain levels after spinal decompression surgery. The study will compare self-managed rehabilitation, physical therapy, and medication therapy over 2 years using patient surveys to track pain frequency and recovery. Based on previous literature, physical therapy is expected to result in the lowest pain scores and best performance on daily activity tests compared to home therapy and medication management alone. The results will help identify the most effective approach to rehabilitation for improving patient outcomes after back surgery.
Research studies show thatevidence-based practice(EBP) leads t.docx
This annotated bibliography summarizes 6 research articles on learning and development challenges facing first-generation college students. The articles address topics like social and academic integration, the impact of family support, and factors influencing persistence. A critical analysis compares the studies' populations, settings, strategies, and conclusions. Overall, the research highlights both opportunities and barriers first-generation students face in their transition to college. Recommendations from this research will inform strategies to design an educationally effective environment for this student group.
Implementing Evidence-Based Practice in Taiwanese Nursing Ho.docx
This study investigated the attitudes toward and perceived barriers and facilitators of evidence-based practice among 89 registered nurses working in nursing homes in Taiwan. The nurses expressed positive attitudes toward research and EBP. The most frequently cited barriers were related to insufficient authority to change practice, difficulty understanding statistical analyses, and isolation from knowledgeable colleagues. Perceived facilitators included improved computer/Internet access, more effective research training, and collaboration with academic nurses. The findings were similar to prior Western research and indicate further research education for nursing home nurses could be beneficial.
EVIDENCE –BASED PRACTICES1Evidence-Based Pract
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 ...
MEDSURG Nursing—NovemberDecember 2010—Vol. 19No. 6 335Ca.docx
MEDSURG Nursing—November/December 2010—Vol. 19/No. 6 335
Carol Isaac MacKusick, PhD(c), MSN,
RN, CNN, is an Assistant Professor of
Nursing, Clayton State University,
Morrow, GA.
Ptlene Minick, PhD, RN, is Doctoral
Faculty and Associate Professor of
Nursing, Georgia State University,
Atlanta, GA.
Carol Isaac MacKusick
Ptlene Minick
Why Are Nurses Leaving? Findings
From an Initial Qualitative Study on
Nursing Attrition
In the United States, nursing workforce projections indicate the registerednurse (RN) shortage may exceed 500,000 RNs by 2025 (American
Association of Colleges of Nursing [AACN], 2010; Cipriano, 2006; U.S.
Department of Health and Human Services, 2002). In 2008, the national RN
vacancy rate in the United States was greater than 8% (AACN, 2010).
Evidence suggests experiences as a newly licensed RN directly impact indi-
vidual perceptions related to the profession (Cowin & Hengstberger-Sims,
2006). An estimated 30%-50% of all new RNs elect either to change positions
or leave nursing completely within the first 3 years of clinical practice
(AACN, 2003; Aiken, Clarke, Sloane, Sochalski, & Silber, 2002; Cipriano, 2006;
Cowin & Hengstberger-Sims, 2006). While an abundance of data exist regard-
ing the RN who stays at the bedside, few studies have explored the percep-
tions of the RN who decides to leave clinical nursing. Understanding factors
associated with RNs’ practice decisions is the first step necessary in devel-
oping effective nursing-retention strategies.
Purpose
The purpose of this study was to identify the factors influencing the
decision of RNs to leave clinical nursing practice. Nurses who had elected
to leave clinical nursing were interviewed at the setting of their choice.
Previous clinical nursing experience included a variety of clinical practice
settings. For this study, the term clinical nursing is defined as providing
direct patient care in the hospital setting.
Background
Limited data exist about individuals no longer employed in nursing; no
literature was found about the perceptions or decision-making processes of
RNs no longer in clinical practice. A review of the literature was conducted
searching nursing, medical, labor, and psychological/sociological databas-
es. Years of search ended with 2007, the year of the interviews. A broad
search began with GoogleScholar® and was narrowed to include CINAHL,
MEDline, PsycINFO, and LexisNexis. Several issues concerning practice
decisions are associated with the current nursing shortage, including job
dissatisfaction (Aiken et al., 2002; Buerhaus, Donelan, Ulrich, Norman, &
Dittus, 2005), an aging workforce coupled with increased demands
(Auerbach, Buerhaus, & Staiger, 2007), and problematic relationships
among members of the health care team (Aiken et al., 2002). While these fac-
tors may lead to increased nursing attrition, they have not been explored
from the perspective of the former RN. A thorough examination of RNs’ per-
ceptions regarding the decision to ...
Obtaining Patient Information and Anxiety in Novice Nursing Students ,Article...
Novice nursing students experience high anxiety levels during their first clinical rotation due to a lack of experience in unfamiliar clinical environments. This study assessed anxiety levels and the ability of novice nursing students to obtain essential patient information from the previous shift at the beginning, middle, and end of their first clinical rotation. The study found that students' anxiety levels decreased significantly over the course of the rotation as they gained experience. While students improved at obtaining some information like vital signs and lab results, less than half obtained pain levels at any point. The study recommends providing clearer guidance to students on essential information to obtain from shift reports.
Holistic nursing research
This study evaluated the effects of dance therapy for people with schizophrenia or schizophrenia-like illnesses compared to standard care. A single study with 45 participants found that those receiving dance therapy plus routine care had significantly greater reduction in negative symptoms compared to routine care alone, based on PANSS scores. However, there were no differences between groups in overall PANSS scores, positive symptoms, satisfaction, or quality of life. The authors concluded that there is currently insufficient evidence to support or refute the use of dance therapy for schizophrenia due to the single small study available. Further high-quality research is needed.
Practice and the Quadruple.docx
Evidence-based practice (EBP) aims to help healthcare organizations meet the Quadruple Aim of improving patient experience, population health, costs, and provider work life. EBP integrates research evidence, clinical expertise, and patient values into decision-making. It can help enhance patient experience through better care, improve population health by generating insight into health characteristics, reduce costs by improving value and seamless data tracking, and improve provider work life by identifying stressors and easing burdens. Overall, EBP provides an approach for organizations to consider when aiming to achieve the balanced objectives of the Quadruple Aim.
Similar to Journal of Surgical Research Discussion.pdf (17)
Clinical practice critical_research_paper essay sample from assignmentsupport...
Clinical practice critical_research_paper essay sample from assignmentsupport...
Running head LITERATURE REVIEW13LITERATURE REVIEW8.docx
Running head LITERATURE REVIEW13LITERATURE REVIEW8.docx
Respond in one or more of the following waysAsk a probing ques
Respond in one or more of the following waysAsk a probing ques
NR505 Advanced Research Methods Evidence-Based Pract.docx
NR505 Advanced Research Methods Evidence-Based Pract.docx
14Application 1 Identification of a Practice Issue for th.docx
14Application 1 Identification of a Practice Issue for th.docx
Week 2 The Clinical Question77 unread replies.2525 replies..docx
Week 2 The Clinical Question77 unread replies.2525 replies..docx
Manuel Cabrera Discussion 7 Manuel M CabreraCOLLAPSETop of .docx
Manuel Cabrera Discussion 7 Manuel M CabreraCOLLAPSETop of .docx
Research studies show thatevidence-based practice(EBP) leads t.docx
Research studies show thatevidence-based practice(EBP) leads t.docx
Implementing Evidence-Based Practice in Taiwanese Nursing Ho.docx
Implementing Evidence-Based Practice in Taiwanese Nursing Ho.docx
MEDSURG Nursing—NovemberDecember 2010—Vol. 19No. 6 335Ca.docx
MEDSURG Nursing—NovemberDecember 2010—Vol. 19No. 6 335Ca.docx
Obtaining Patient Information and Anxiety in Novice Nursing Students ,Article...
Obtaining Patient Information and Anxiety in Novice Nursing Students ,Article...
More from bkbk37
Range of.docx
The document provides instructions for writing a 250-300 word paragraph analyzing a specific point from Okakura Kakuzō's essay "The Range of Ideals" to explain why his thesis that "Asia is one" is problematic. The paragraph should directly engage with one point Okakura makes, provide specific details on its logical or factual mistakes, acknowledge the diversity of Asian nations and cultures, and cite the specific page(s) being referred to.
Ralph Waldo Emerson.docx
Ralph Waldo Emerson was an American essayist and philosopher born in 1803 who is considered the father of American literature. He developed the philosophy of transcendentalism and emphasized nonconformity, self-reliance, and finding inspiration from nature. Emerson had a profound influence on writers like Thoreau, Whitman, Hawthorne, Poe, and Dickinson and developed a complicated relationship with Thoreau as his former student and friend.
Raising Minimum An explanation of the its.docx
This document discusses the key components of an essay arguing for or against raising the minimum wage. The essay would provide an explanation of the controversy around raising the minimum wage, including the background and current state of the issue. It would articulate a clear position and support that position with reasons backed by evidence from research. The essay would also have to address counterarguments and refute them with detailed rebuttals. It would conclude by restating the main argument and possibly suggesting a solution or policy. Sources would need to be cited in MLA style and include at least 5 non-internet sources.
Rail Project A goal of the Obama administration.docx
The Obama administration promoted high-speed rail projects across major US states to adopt more environmentally friendly transportation initiatives and improve infrastructure. California accepted billions in federal grants to begin developing a high-speed rail line, though critics argue the projected ridership and costs make the project economically unfeasible, especially given California's budget issues. Supporters counter that large public works projects can have broader economic and social benefits beyond just transportation.
Racism toward Indigenous peoples in Canada.docx
The document outlines requirements for an 8-page research paper examining racism toward Indigenous peoples in Canada. It must be in Chicago style with footnotes and bibliography, and discuss the prevalence of racism today, key contributing factors, and the concepts of meritocracy and white privilege in developing the thesis. Specifically, it should consider how beliefs about meritocracy factor into racist attitudes, the lack of understanding of white privilege and its impact, and how understanding these concepts could foster more inclusive attitudes. Five sources are required including the article by Brockham and Morrison.
Race and.docx
This document provides instructions for a social issue paper on class, race and gender. Students must write a thesis statement and support it using at least 3 sources from the provided additional material. The paper must be formatted in MLA style and clearly relate to topics covered in the course.
R2P and Syria.docx
The document discusses whether the Responsibility to Protect (R2P) doctrine could justify international intervention in Syria. Some argue multilateral attacks on Syria could be legitimate under R2P based on the requirements being met. However, many UN member states remain suspicious of R2P due to concerns it could be used to justify improper unilateral military action.
Racial Disparities.docx
This article discusses racial disparities in hospital segregation in Jackson, Mississippi in the 1960s. It describes how the city's black community organized protests and filed lawsuits to desegregate white hospitals and gain equal access to healthcare. While progress was made through these efforts, racial inequities still persisted in the quality of facilities and treatment between black and white patients. The article provides insights into the political and social challenges of promoting desegregation and reducing healthcare disparities during the Civil Rights era.
Race and Technology.docx
Race alone is an inadequate category for studying labor histories because it does not account for other factors like gender. When telephone operator jobs transformed from predominantly white to black workers, African American women faced discrimination and stereotyping in their roles. Bell System's hiring policies and perceptions of black women were guided by wider societal racism and sexism. Bell publications portrayed African Americans in stereotypical, demeaning ways. The New York Telephone Company initially refused to hire African Americans in 1920 due to concerns about customer prejudice, and again in the 1930s during a period of high unemployment that exacerbated racial tensions. Prior to 1940, AT&T had very limited hiring of African American women for telephone operator jobs. The Civil Rights era prompted changes to Bell
QuickBooks uses windows API to follow orders to get updates.docx
QuickBooks uses the Windows API to connect to Intuit servers to receive updates and data. Error code 12057 can occur if QuickBooks is unable to connect to the Intuit servers. This error may be caused by issues with the internet connection, outdated SSL settings, or incorrect date/time settings. The document provides steps to resolve this error such as checking internet options settings, updating the system date and time, installing Windows and QuickBooks updates, repairing the QuickBooks installation, and running QuickBooks as an administrator. Customer support should be contacted if the error persists after trying these troubleshooting steps.
Questions What are the purposes of Just.docx
Offenders' cognitions serve to both make themselves feel better and balance their interactions with others and environments. Childhood trauma can influence offenders' distorted views of social reality. The psychological source of mental conflicts is examined. Prejudice is discussed as influencing criminal behavior, and whether one is prejudiced towards sex offenders. The main assessment activities and issues in correctional counseling are outlined. Issues in the termination stage and types of questions to avoid in assessment are identified. The importance of helping clients with feelings and defining beneficence vs. nonmaleficence are discussed. The benefit of motivational interviewing is also examined.
Questions to Each group you read about is.docx
Several immigrant groups in 19th century America felt anxiety over changes brought by new immigrants. Mexicans/Tejanos, Texans, and Americans feared losing land and political power to increasing numbers of newcomers. Irish, German, and Chinese immigrants also faced xenophobia and fears that they would take economic opportunities and alter American culture. These documents from the Age of Expansion show prevalent fears and distrust of foreigners among native-born Americans.
Questions that must be answered in your plus other.docx
This document outlines 4 questions to answer in a book report: 1) The 4 big ideas in the book. 2) How the book got its title. 3) What happens to the main character at the end. 4) What is liked most about the book. It provides guidance on the content to include in the writeup.
Questions for Brief Explicit Spiritual.docx
This woman finds meaning and purpose in her family and faith. She draws strength from her family, friends, and faith in God. She believes things happen for a reason and has hope for the future. She serves on the board of her church and a cemetery organization, which she finds rewarding as it allows her to help others and make a positive difference. Her most important belief is her faith in God, and she prays daily and is thankful for her blessings. She has tried to pass on her faith and values to her daughter.
Question Libya recently announced that it is claiming a.docx
Libya claimed a 200-mile territorial sea zone, placing armed ships to enforce the claim and calling it a "line of death." The UN Security Council condemned Libya's actions as violating international law, which only recognizes 12 nautical miles of territorial waters. Authorized by Congress, the US sent ships and jets to patrol the 200-mile zone. After a Libyan ship fired at a US jet, US forces returned fire and destroyed two Libyan ships.
Question Use the Internet or the IGlobal Resource.docx
This document provides instructions for two questions. Question 1 asks the reader to research scientific testing procedures and write the steps to provide evidence for a scientific claim. Question 2 asks the reader to watch a NASA video about detecting methane on Mars, discuss the challenges of collecting data on Mars, and how NASA is working to overcome these challenges. The reader is instructed to submit their responses in a Word document before a deadline.
Question Please define motivation and discuss why it is.docx
Motivation is an important factor in educating adult learners because it influences their willingness to learn. Sociocultural factors like cultural conditions can impact adult learners' needs, with some conditions more significant than others. Adults choose to learn based on access and opportunity, which influence their learning along with enhancing formal and non-formal learning activities. Neuroandragogy and andragogy are approaches to adult learning, with neuroandragogy incorporating brain research which is important to understanding adult learning and development.
Question share your perspective on personal data as a.docx
Personal data has become a product that is collected and sold by companies, but individuals should maintain ownership over their own data. While data collection can enable useful services, people should give informed consent and have transparency about how their information is used. There are ongoing debates around balancing corporate interests, individual privacy and control, and developing policies that ensure data is handled ethically.
QEP Assignment Death Penalty.docx
The document asks the reader to write a 1000+ word paper in APA format that supports the death penalty for certain crimes like rape of children, kidnapping, and torture. The paper must use at least 3 academic sources and include a word count. The reader is asked to argue that they agree with using the death penalty in cases involving those severe crimes.
Question In your what are the main workforce.docx
The main workforce challenges facing the United States are adequate healthcare staffing and shortages of skilled professionals. The COVID-19 pandemic has exacerbated longstanding shortages and strained hospital resources. A future model of care delivery in the US must ensure adequate financing and a skilled mobile healthcare workforce. Mobile health clinics and teams of clinicians and health coaches could help increase access to affordable, tailored care that responds to community needs. However, this requires sufficient training and funding support to be successful.
More from bkbk37 (20)
Rail Project A goal of the Obama administration.docx
Rail Project A goal of the Obama administration.docx
QuickBooks uses windows API to follow orders to get updates.docx
QuickBooks uses windows API to follow orders to get updates.docx
Questions that must be answered in your plus other.docx
Questions that must be answered in your plus other.docx
Question Libya recently announced that it is claiming a.docx
Question Libya recently announced that it is claiming a.docx
Question Use the Internet or the IGlobal Resource.docx
Question Use the Internet or the IGlobal Resource.docx
Question Please define motivation and discuss why it is.docx
Question Please define motivation and discuss why it is.docx
Question share your perspective on personal data as a.docx
Question share your perspective on personal data as a.docx
Recently uploaded
制作毕业证书(ANU毕业证)莫纳什大学毕业证成绩单官方原版办理
在线办理莫纳什大学毕业证【微信：176555708】(ANU毕业证书)成绩单学位证【微信：176555708】，留信认证（真实可查，永久存档）纸张工艺/offer、雅思、外壳等材料/诚信可靠,可直接看成品样本，帮您解决无法毕业带来的各种难题！外壳，原版制作，诚信可靠，可直接看成品样本。行业标杆！精益求精，诚心合作，真诚制作！多年品质 ,按需精细制作，24小时接单,全套进口原装设备。十五年致力于帮助留学生解决难题，包您满意。#一整套莫纳什大学文凭证件办理#—包含莫纳什大学莫纳什大学毕业证文凭证书学历认证|使馆认证|归国人员证明|教育部认证|留信网认证永远存档教育部学历学位认证查询办理国外文凭国外学历学位认证#我们提供全套办理服务。
一整套留学文凭证件服务：
一：莫纳什大学莫纳什大学毕业证文凭证书毕业证 #成绩单等全套材料从防伪到印刷水印底纹到钢印烫金
二：真实使馆认证（留学人员回国证明）使馆存档
三：真实教育部认证教育部存档教育部留服网站永久可查
四：留信认证留学生信息网站永久可查
国外毕业证学位证成绩单办理方法：
1客户提供办理莫纳什大学莫纳什大学毕业证文凭证书信息：姓名生日专业学位毕业时间等（如信息不确定可以咨询顾问：我们有专业老师帮你查询）；
2开始安排制作毕业证成绩单电子图；
3毕业证成绩单电子版做好以后发送给您确认；
4毕业证成绩单电子版您确认信息无误之后安排制作成品；
5成品做好拍照或者视频给您确认；
6快递给客户（国内顺丰国外DHLUPS等快读邮寄）。
教育部文凭学历认证认证的用途：
如果您计划在国内发展那么办理国内教育部认证是必不可少的。事业性用人单位如银行国企公务员在您应聘时都会需要您提供这个认证。其他私营 #外企企业无需提供！办理教育部认证所需资料众多且烦琐所有材料您都必须提供原件我们凭借丰富的经验帮您快速整合材料让您少走弯路。
实体公司专业为您服务如有需要请联系我: 微信176555708
制作原版1:1(Monash毕业证)莫纳什大学毕业证成绩单办理假
退学买莫纳什大学毕业证>【微信176555708】办理莫纳什大学毕业证成绩单【微信176555708】Monash毕业证成绩单Monash学历证书Monash文凭【Monash毕业套号文凭网认证莫纳什大学毕业证成绩单】【哪里买莫纳什大学毕业证文凭Monash成绩学校快递邮寄信封】【开版莫纳什大学文凭】Monash留信认证本科硕士学历认证1:1完美还原海外各大学毕业材料上的工艺：水印阴影底纹钢印LOGO烫金烫银LOGO烫金烫银复合重叠。文字图案浮雕激光镭射紫外荧光温感复印防伪。
可办理以下真实莫纳什大学存档留学生信息存档认证：
1莫纳什大学真实留信网认证（网上可查永久存档无风险百分百成功入库）；
2真实教育部认证（留服）等一切高仿或者真实可查认证服务（暂时不可办理）；
3购买英美真实学籍（不用正常就读直接出学历）；
4英美一年硕士保毕业证项目（保录取学校挂名不用正常就读保毕业）
留学本科/硕士毕业证书成绩单制作流程：
1客户提供办理信息：姓名生日专业学位毕业时间等（如信息不确定可以咨询顾问：我们有专业老师帮你查询莫纳什大学莫纳什大学毕业证offer）；
2开始安排制作莫纳什大学毕业证成绩单电子图；
3莫纳什大学毕业证成绩单电子版做好以后发送给您确认；
4莫纳什大学毕业证成绩单电子版您确认信息无误之后安排制作成品；
5莫纳什大学成品做好拍照或者视频给您确认；
6快递给客户（国内顺丰国外DHLUPS等快读邮寄）
— — — — — — — — — — — 《文凭顾问微信：176555708》
成绩单ps(UST毕业证)圣托马斯大学毕业证成绩单快速办理
一比一原版制作UST毕业证【微信176555708】圣托马斯大学毕业证书原版↑制作圣托马斯大学学历认证文凭办理圣托马斯大学留信网认证,留学回国办理毕业证成绩单文凭学历认证【微信176555708】专业为海外学子办理毕业证成绩单、文凭制作，学历仿制，回国人员证明、做文凭，研究生、本科、硕士学历认证、留信认证、结业证、学位证书样本、美国教育部认证百分百真实存档可查】（留信学历认证永久存档查询）采用学校原版纸张、特殊工艺完全按照原版一比一制作（包括：隐形水印，阴影底纹，钢印LOGO烫金烫银，LOGO烫金烫银复合重叠，文字图案浮雕，激光镭射，紫外荧光，温感，复印防伪）行业标杆！精益求精，诚心合作，真诚制作！多年品质 ,按需精细制作，24小时接单,全套进口原装设备，十五年致力于帮助留学生解决难题，业务范围有加拿大、英国、澳洲、韩国、美国、新加坡，新西兰等学历材料，包您满意。
◆◆◆◆◆ — — — — — — — — 【留学教育】留学归国服务中心 — — — — — -◆◆◆◆◆
【主营项目】
一.毕业证【微信：176555708】成绩单、使馆认证、教育部认证、雅思托福成绩单、学生卡等！
二.真实使馆公证(即留学回国人员证明,不成功不收费)
三.真实教育部学历学位认证（教育部存档！教育部留服网站永久可查）
四.办理各国各大学文凭(一对一专业服务,可全程监控跟踪进度)
如果您处于以下几种情况：
◇在校期间，因各种原因未能顺利毕业……拿不到官方毕业证【微信：176555708】
◇面对父母的压力，希望尽快拿到；
◇不清楚认证流程以及材料该如何准备；
◇回国时间很长，忘记办理；
◇回国马上就要找工作，办给用人单位看；
◇企事业单位必须要求办理的
◇需要报考公务员、购买免税车、落转户口
◇申请留学生创业基金
留信网认证的作用:
1:该专业认证可证明留学生真实身份
2:同时对留学生所学专业登记给予评定
3:国家专业人才认证中心颁发入库证书
4:这个认证书并且可以归档倒地方
5:凡事获得留信网入网的信息将会逐步更新到个人身份内，将在公安局网内查询个人身份证信息后，同步读取人才网入库信息
6:个人职称评审加20分
7:个人信誉贷款加10分→ 【关于价格问题（保证一手价格）
8:在国家人才网主办的国家网络招聘大会中纳入资料，供国家高端企业选择人才
选择实体注册公司办理，更放心，更安全！我们的承诺：可来公司面谈，可签订合同，会陪同客户一起到教育部认证窗口递交认证材料，客户在教育部官方认证查询网站查询到认证通过结果后付款，不成功不收费！
我们所定的价格是非常合理的，而且我们现在做得单子大多数都是代理和回头客户介绍的所以一般现在有新的单子 我给客户的都是第一手的代理价格，因为我想坦诚对待大家 不想跟大家在价格方面浪费时间
对于老客户或者被老客户介绍过来的朋友，我们都会适当给一些优惠。
学历顾问：微信：176555708
办理毕业证(NYU毕业证)纽约大学毕业证成绩单官方原版办理
退学买【纽约大学毕业证认证】【办证微信176555708】【纽约大学文凭毕业证制作】【NYU学历学位证书哪里买】办理纽约大学学位证书扫描件、办理纽约大学雅思证书！
国际留学归国服务中心【如何办纽约大学毕业证认证】【NYU学位证书扫描件哪里买】实体公司，注册经营，行业标杆，精益求精！（留信学历认证永久存档查询）采用学校原版纸张、特殊工艺完全按照原版一比一制作（包括：隐形水印，阴影底纹，钢印LOGO烫金烫银，LOGO烫金烫银复合重叠，文字图案浮雕，激光镭射，紫外荧光，温感，复印防伪）行业标杆！精益求精，诚心合作，真诚制作！多年品质 ,按需精细制作，24小时接单,全套进口原装设备，十五年致力于帮助留学生解决难题，业务范围有加拿大、英国、澳洲、韩国、美国、新加坡，新西兰等学历材料，包您满意。
◆◆◆◆◆ — — — — — — — — 【留学教育】留学归国服务中心 — — — — — -◆◆◆◆◆
【主营项目】
一.毕业证【微信：176555708】成绩单、使馆认证、教育部认证、雅思托福成绩单、学生卡等！
二.真实使馆公证(即留学回国人员证明,不成功不收费)
三.真实教育部学历学位认证（教育部存档！教育部留服网站永久可查）
四.办理各国各大学文凭(一对一专业服务,可全程监控跟踪进度)
如果您处于以下几种情况：
◇在校期间，因各种原因未能顺利毕业……拿不到官方毕业证【微信：176555708】
◇面对父母的压力，希望尽快拿到；
◇不清楚认证流程以及材料该如何准备；
◇回国时间很长，忘记办理；
◇回国马上就要找工作，办给用人单位看；
◇企事业单位必须要求办理的
◇需要报考公务员、购买免税车、落转户口
◇申请留学生创业基金
留信网认证的作用:
1:该专业认证可证明留学生真实身份
2:同时对留学生所学专业登记给予评定
3:国家专业人才认证中心颁发入库证书
4:这个认证书并且可以归档倒地方
5:凡事获得留信网入网的信息将会逐步更新到个人身份内，将在公安局网内查询个人身份证信息后，同步读取人才网入库信息
6:个人职称评审加20分
7:个人信誉贷款加10分→ 【关于价格问题（保证一手价格）
8:在国家人才网主办的国家网络招聘大会中纳入资料，供国家高端企业选择人才
选择实体注册公司办理，更放心，更安全！我们的承诺：可来公司面谈，可签订合同，会陪同客户一起到教育部认证窗口递交认证材料，客户在教育部官方认证查询网站查询到认证通过结果后付款，不成功不收费！
我们所定的价格是非常合理的，而且我们现在做得单子大多数都是代理和回头客户介绍的所以一般现在有新的单子 我给客户的都是第一手的代理价格，因为我想坦诚对待大家 不想跟大家在价格方面浪费时间
对于老客户或者被老客户介绍过来的朋友，我们都会适当给一些优惠。
学历顾问：微信：176555708
Meet up Milano 14 _ Axpo Italia_ Migration from Mule3 (On-prem) to.pdf
Quattordicesimo Meetup di Milano, tenutosi a Milano il 23 Maggio 2024 dalle ore 17:00 alle ore 18:30 in presenza e da remoto.
Abbiamo parlato di come Axpo Italia S.p.A. ha ridotto il technical debt migrando le proprie APIs da Mule 3.9 a Mule 4.4 passando anche da on-premises a CloudHub 1.0.
Should Repositories Participate in the Fediverse?
Presentation for OR2024 making the case that repositories could play a part in the "fediverse" of distributed social applications
不能毕业如何获得(USYD毕业证)悉尼大学毕业证成绩单一比一原版制作
挂科购买☀【悉尼大学毕业证购买】【微信176555708】【USYD毕业证模板办理】加拿大文凭、本科、硕士、研究生学历都可以做,二、业务范围：
★、全套服务：毕业证、成绩单、化学专业毕业证书伪造【悉尼大学大学毕业证】微信176555708【USYD学位证书购买】◆◆◆◆◆ — — — 归国服务中心 — — -◆◆◆◆◆
【主营项目】
一.毕业证、成绩单、使馆认证、教育部认证、雅思托福成绩单、学生卡等！
二.真实使馆公证(即留学回国人员证明,不成功不收费)
三.真实教育部学历学位认证（教育部存档！教育部留服网站永久可查）
四.办理各国各大学文凭(一对一专业服务,可全程监控跟踪进度)
国外毕业证、学位证、成绩单办理流程：
1、客户提供办理信息：姓名、生日、专业、学位、毕业时间等（如信息不确定可以咨询顾问：【微信176555708】我们有专业老师帮你查询）；
2、开始安排制作毕业证、成绩单电子图；
3、毕业证、成绩单电子版做好以后发送给您确认；
4、毕业证、成绩单电子版您确认信息无误之后安排制作成品；
5、成品做好拍照或者视频给您确认；
6、快递给客户（国内顺丰，国外DHL、UPS等快读邮寄）。
专业服务，请勿犹豫联系我！本公司是留学创业和海归创业者们的桥梁。一次办理，终生受用，一步到位，高效服务。详情请在线咨询办理,欢迎有诚意办理的客户咨询!洽谈。
◆招聘代理：本公司诚聘英国、加拿大、澳洲、新西兰、加拿大、法国、德国、新加坡各地代理人员，如果你有业余时间，有兴趣就请联系我们咨询【微信176555708】
没文凭怎么找工作。让您回国发展信心十足！
★、真实教育部学历学位认证；（一对一专业服务，可全程监控跟踪进度）
★、真实使馆认证，可以通过大使馆查询确认；（即教育部留服认证，不成功不收费）
★、毕业证、成绩单等材料，从防伪到印刷、水印到钢印烫金，高精仿度都是跟学校原版100%相同的；（敬请放心使用）
★、可以提供钢印、水印、烫金、激光防伪、凹凸版、最新版的毕业证、百分之百让您绝对满意、
★、印刷，DHL快递毕业证、成绩单7个工作日，真实大使馆教育部认证1个月。为了达到高水准高效率。
Gen Z and the marketplaces - let's translate their needs
The product workshop focused on exploring the requirements of Generation Z in relation to marketplace dynamics. We delved into their specific needs, examined the specifics in their shopping preferences, and analyzed their preferred methods for accessing information and making purchases within a marketplace. Through the study of real-life cases , we tried to gain valuable insights into enhancing the marketplace experience for Generation Z.
The workshop was held on the DMA Conference in Vienna June 2024.
Understanding User Behavior with Google Analytics.pdf
Unlocking the full potential of Google Analytics is crucial for understanding and optimizing your website’s performance. This guide dives deep into the essential aspects of Google Analytics, from analyzing traffic sources to understanding user demographics and tracking user engagement.
Traffic Sources Analysis:
Discover where your website traffic originates. By examining the Acquisition section, you can identify whether visitors come from organic search, paid campaigns, direct visits, social media, or referral links. This knowledge helps in refining marketing strategies and optimizing resource allocation.
User Demographics Insights:
Gain a comprehensive view of your audience by exploring demographic data in the Audience section. Understand age, gender, and interests to tailor your marketing strategies effectively. Leverage this information to create personalized content and improve user engagement and conversion rates.
Tracking User Engagement:
Learn how to measure user interaction with your site through key metrics like bounce rate, average session duration, and pages per session. Enhance user experience by analyzing engagement metrics and implementing strategies to keep visitors engaged.
Conversion Rate Optimization:
Understand the importance of conversion rates and how to track them using Google Analytics. Set up Goals, analyze conversion funnels, segment your audience, and employ A/B testing to optimize your website for higher conversions. Utilize ecommerce tracking and multi-channel funnels for a detailed view of your sales performance and marketing channel contributions.
Custom Reports and Dashboards:
Create custom reports and dashboards to visualize and interpret data relevant to your business goals. Use advanced filters, segments, and visualization options to gain deeper insights. Incorporate custom dimensions and metrics for tailored data analysis. Integrate external data sources to enrich your analytics and make well-informed decisions.
This guide is designed to help you harness the power of Google Analytics for making data-driven decisions that enhance website performance and achieve your digital marketing objectives. Whether you are looking to improve SEO, refine your social media strategy, or boost conversion rates, understanding and utilizing Google Analytics is essential for your success.
办理新西兰奥克兰大学毕业证学位证书范本原版一模一样
原版一模一样【微信：741003700 】【新西兰奥克兰大学毕业证学位证书】【微信：741003700 】学位证，留信认证（真实可查，永久存档）offer、雅思、外壳等材料/诚信可靠,可直接看成品样本，帮您解决无法毕业带来的各种难题！外壳，原版制作，诚信可靠，可直接看成品样本。行业标杆！精益求精，诚心合作，真诚制作！多年品质 ,按需精细制作，24小时接单,全套进口原装设备。十五年致力于帮助留学生解决难题，包您满意。
本公司拥有海外各大学样板无数，能完美还原海外各大学 Bachelor Diploma degree, Master Degree Diploma
1:1完美还原海外各大学毕业材料上的工艺：水印，阴影底纹，钢印LOGO烫金烫银，LOGO烫金烫银复合重叠。文字图案浮雕、激光镭射、紫外荧光、温感、复印防伪等防伪工艺。材料咨询办理、认证咨询办理请加学历顾问Q/微741003700
留信网认证的作用:
1:该专业认证可证明留学生真实身份
2:同时对留学生所学专业登记给予评定
3:国家专业人才认证中心颁发入库证书
4:这个认证书并且可以归档倒地方
5:凡事获得留信网入网的信息将会逐步更新到个人身份内，将在公安局网内查询个人身份证信息后，同步读取人才网入库信息
6:个人职称评审加20分
7:个人信誉贷款加10分
8:在国家人才网主办的国家网络招聘大会中纳入资料，供国家高端企业选择人才
Discover the benefits of outsourcing SEO to India
"Discover the benefits of outsourcing SEO to India! From cost-effective services and expert professionals to round-the-clock work advantages, learn how your business can achieve digital success with Indian SEO solutions.
重新申请毕业证书(RMIT毕业证)皇家墨尔本理工大学毕业证成绩单精仿办理
不能毕业办理【RMIT毕业证【微信176555708】皇家墨尔本理工大学文凭学历】【微信176555708】【皇家墨尔本理工大学文凭学历证书】【皇家墨尔本理工大学毕业证书与成绩单样本图片】毕业证书补办 Fake Degree做学费单【毕业证明信-推荐信】成绩单，录取通知书，Offer，在读证明，雅思托福成绩单，真实大使馆教育部认证，回国人员证明，留信网认证。网上存档永久可查！全套服务：皇家墨尔本理工大学皇家墨尔本理工大学本科学位证成绩单真实回国人员证明 #真实教育部认证。让您回国发展信心十足#铸就十年品质！信誉！实体公司！可以视频看办公环境样板如需办理真实可查可以先到公司面谈勿轻信小中介黑作坊！
可以提供皇家墨尔本理工大学钢印 #水印 #烫金 #激光防伪 #凹凸版 #最新版的毕业证 #百分之百让您绝对满意
印刷DHL快递毕业证 #成绩单7个工作日真实大使馆教育部认证1个月。为了达到高水准高效率
请您先以qq或微信的方式对我们的服务进行了解后如果有皇家墨尔本理工大学皇家墨尔本理工大学本科学位证成绩单帮助再进行电话咨询。
国外毕业证学位证成绩单如何办理：
1客户提供办理信息：姓名生日专业学位毕业时间等（如信息不确定可以咨询顾问：我们有专业老师帮你查询）；
2开始安排制作皇家墨尔本理工大学毕业证成绩单电子图；
3毕业证成绩单电子版做好以后发送给您确认；
4毕业证成绩单电子版您确认信息无误之后安排制作成品；
5成品做好拍照或者视频给您确认；
6快递给客户（国内顺丰国外DHLUPS等快读邮寄）。
Explore-Insanony: Watch Instagram Stories Secretly
Instagram has become one of the most popular social media platforms, allowing people to share photos, videos, and stories with their followers. Sometimes, though, you might want to view someone's story without them knowing.
可查真实(Monash毕业证)西澳大学毕业证成绩单退学买
办理假西澳大学毕业证【微信176555708】购买,办理Monash成绩单,Monash毕业证制作【微信176555708】【西澳大学毕业证】，Monash毕业证购买，Monash学位证，西澳大学学位证【Monash成绩单制作】【Monash毕业证文凭 Monash本科 澳洲学历认证原版制作【diploma certificate degree transcript 】【留信网认证，本科，硕士，海归，博士，排名，成绩单】代办国外（海外）澳洲、韩国、加拿大、新西兰等各大学毕业证。 ?我们对海外大学及学院的毕业证成绩单所使用的材料，尺寸大小，防伪结构（包括：水印，阴影底纹，钢印LOGO烫金烫银，LOGO烫金烫银复合重叠。 文字图案浮雕，激光镭射，紫外荧光，温感，复印防伪）都有原版本文凭对照。#一整套西澳大学文凭证件办理#—包含西澳大学西澳大学毕业证成绩单学历认证|使馆认证|归国人员证明|教育部认证|留信网认证永远存档教育部学历学位认证查询办理国外文凭国外学历学位认证#我们提供全套办理服务。
一整套留学文凭证件服务：
一：西澳大学西澳大学毕业证成绩单毕业证 #成绩单等全套材料从防伪到印刷水印底纹到钢印烫金
二：真实使馆认证（留学人员回国证明）使馆存档
三：真实教育部认证教育部存档教育部留服网站永久可查
四：留信认证留学生信息网站永久可查
国外毕业证学位证成绩单办理方法：
1客户提供办理西澳大学西澳大学毕业证成绩单信息：姓名生日专业学位毕业时间等（如信息不确定可以咨询顾问：我们有专业老师帮你查询）；
2开始安排制作毕业证成绩单电子图；
3毕业证成绩单电子版做好以后发送给您确认；
4毕业证成绩单电子版您确认信息无误之后安排制作成品；
5成品做好拍照或者视频给您确认；
6快递给客户（国内顺丰国外DHLUPS等快读邮寄）。
教育部文凭学历认证认证的用途：
如果您计划在国内发展那么办理国内教育部认证是必不可少的。事业性用人单位如银行国企公务员在您应聘时都会需要您提供这个认证。其他私营 #外企企业无需提供！办理教育部认证所需资料众多且烦琐所有材料您都必须提供原件我们凭借丰富的经验帮您快速整合材料让您少走弯路。
实体公司专业为您服务如有需要请联系我: 微信176555708
学位认证网(DU毕业证)迪肯大学毕业证成绩单一比一原版制作
24小时办理【微信176555708】【毕业证明信-推荐信做学费单】成绩单，录取通知书，Offer，在读证明，雅思托福成绩单，真实大使馆教育部认证，回国人员证明，留信网认证。网上存档永久可查！
degree，Transcripts（一对一服务包括毕业院长签字,专业课程,学位类型,专业或教育领域,以及毕业日期.不要忽视这些细节.这两份文件同样重要!毕业证成绩单文凭留信网学历认证！）如果您是以下情况，我们都能竭诚为您解决实际问题：【公司采用定金+余款的付款流程，以最大化保障您的利益，让您放心无忧】
1、在校期间，因各种原因未能顺利毕业，拿不到官方迪肯大学毕业证+微信176555708；
2、面对父母的压力，希望尽快拿到；
3、不清楚流程以及材料该如何准备；
4、回国时间很长，忘记办理毕业证丢失 学历认证《迪肯大学毕业证》微信176555708《DU学位证书购买》
学位证书验证；
5、回国马上就要找工作，办给用人单位看；
6、企事业单位必须要求办理学历证书 英文《迪肯大学毕业证》微信176555708《DU学位证书购买》
本科毕业证书扫描件的；
微信176555708面向迪肯大学毕业留学生提供以下服务:
【★迪肯大学毕业证、成绩单等全套材料，从防伪到印刷，从水印到钢印烫金，与学校100%相同】
【★大学学历 硕士学位《迪肯大学毕业证》微信176555708《DU学位证书购买》
硕士毕业证】
【★毕业证书范本】
【★真实留信认证，留信网入库存档，可查】
主营项目：
a.办理海外毕业证认证《迪肯大学毕业证》微信176555708《DU学位证书购买》
学位证书英文版，改成绩单，Offer、在读证明、学生卡、信封、证明信等全套材料，从防伪到印刷，从水印到钢印烫金，高精仿度跟学校原版100%相同.
b.真实使馆认证（即留学人员回国证明），使馆存档可通过大使馆查询确认.
c.真实教育部国外学历学位认证，教育部存档，教育部留服网站100%可查.
d.留信网认证，国家专业人才认证中心颁发入库证书，留信网存档可查.
e.招聘中介代理：本公司诚聘各地代理人员以及留学生，如果你有业余时间，有兴趣就请联系我们，我们会给到您的回报！期待您的加盟：一朝办理，终身受益（本信息长期有效）互惠互利，为广大海内外学子及有需要的人士在事业上跨过这道门槛！
【业务选择办理准则】
1.如果您只是为了的应付父母亲戚朋友看下迪肯大学毕业证，那么办理一份学位即可
2.如果您是为了回国找工作，只是进私营企业或者外企，那么办理一份多大学历认证有时间限制吗《迪肯大学毕业证》微信176555708《DU学位证书购买》
毕业证丢失补办即可，因为私营企业或者外企是不能查询学位真假的！
3.如果您是要进国企银行事业单位考公务员等就需办理真实学历认证！
诚招代理：本公司诚聘当地合作代理人员，如果你有业余时间，有兴趣就请联系我们。
Search Result Showing My Post is Now Buried
Search results burying my post that used to rank before Google's March 2024 algorithm update.
Recently uploaded (20)
Meet up Milano 14 _ Axpo Italia_ Migration from Mule3 (On-prem) to.pdf
Meet up Milano 14 _ Axpo Italia_ Migration from Mule3 (On-prem) to.pdf
Gen Z and the marketplaces - let's translate their needs
Gen Z and the marketplaces - let's translate their needs
Understanding User Behavior with Google Analytics.pdf
Understanding User Behavior with Google Analytics.pdf
Explore-Insanony: Watch Instagram Stories Secretly
Explore-Insanony: Watch Instagram Stories Secretly
Journal of Surgical Research Discussion.pdf
- 1. Journal of Surgical Research Discussion Journal of Surgical Research DiscussionJournal of Surgical Research DiscussionDetails:The purpose of this assignment is to evaluate empirical research as it relates to your PICOT question.General Requirements:Doctoral learners are required to use Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.You are required to submit this assignment to Turnitin. Please refer to the directions in the Student Success Center.Directions:Using feedback from your instructor on your PICOT question and annotated bibliographies, revise your PICOT question and annotations.Using your annotations, write a 1,250-1500 word paper, in which you evaluate the literature, including the study conclusions, merits, and shortcomings. Your evaluation should address the following questions, and your conclusions should be ed with appropriate citations.In which studies are the themes of the literature review similar? Different?In which studies do the data the conclusion?In which studies do the conclusions answer the research question?What questions would you ask the authors?How might the evidence in these studies be of use to refining you PICOT question or perhaps formulating or implementing your DPI project?ORDER NOW FOR CUSTOMIZED, PLAGIARISM-FREE PAPERSRunning head: ANNOTATED BIBLIOGRAPHY Annotated Bibliography for DPI Project Julie A. Braylock Grand Canyon University: DNP 801 August 17, 2018 1 ANNOTATED BIBLIOGRAPHY 2 Annotated Bibliography for DPI Project First Article Le, A., Friese, R. S., Hsu, C., Wynne, J. L., Rhee, P., & O’Keeffe, T. (2012). Sleep disruptions and nocturnal nursing interactions in the intensive care unit. Journal of Surgical Research, (2), 310. The article addresses the long-standing problem of patient’s in the ICU area being sleep deprived due to increased interaction in that area. Various specialized ICU’s were looked at during the night shift for nursing interactions between the hours of 10 pm and 6 am. It was hypothesized that patient’s in these areas suffered from sleep disruption from all of nursing interaction during the night shift. The data collect was done in this cohort study by direct observation. The population was over 200 patients in various ICU’s in an academic hospital. One of the main weaknesses of the study is that nurses were recording so this could introduce some bias into the study. It was also noted that there was a difference in the acuity of each ICU so that can make it challenging to obtain consistent data due to acuity and census. Overall, the article was well presented and could be found to have validity. Second Article Nannapaneni, S., Ramar, K., Morgenthaler, T., Elmer, J., & Lee, S. (2013). Sleep
- 2. fragmentation and deprivation in critically ill patients – Is noise a factor? Sleep Medicine, 14e217-e218. doi: 10.1016/j.sleep.2013.11.520 This article’s focuses on correlating the level of noise and the interruption of sleep in the ICU. The increased noise may lead to ICU delirium secondary to the lack of sleep. This could in ANNOTATED BIBLIOGRAPHY 3 turn lengthen a patient’s stay and lead to mortality. The study looked at various noise levels and factors affecting those noise levels. This mixed methodology study used surveys to collect data. The setting was in the 24bed Medical ICU in the Mayo Clinic in Rochester Minnesota. Weaknesses noted was there was no time span for data collection was noted. Journal of Surgical Research DiscussionThis may not give a realistic picture of the data. The article was well presented and does bring up valid questions for further research. Third Article Tembo, A. C., Parker, V., & Higgins, I. (2013). The experience of sleep deprivation in intensive care patients: Findings from a larger hermeneutic phenomenological study. Intensive & Critical Care Nursing, 29310-316. doi: 10.1016/j.iccn.2013.05.003 The authors of this study do a great job on highlighting the effects of sleep disruptions and sedation interruption in the ICU. In reading this study it is now understood that there can be some lasting effects from lack of sleep leaving the ICU. The participants discussed having nightmares and craving sleep. This can cause some mental, physical, and emotional instability. This empirical study was well presented. Face-to-face interviews were conducted on patients that were discharged from the ICU two weeks out. The age ranged from 20-76 so that gave a good population mix for data collection. There were even some interviews conducted 6-8 months post discharge. This was also good for data collection and the study’s validity. Fourth Article Nesbitt, L., & Goode, D. (2014). Review: Nurses perceptions of sleep in the intensive care unit environment: A literature review. Intensive & Critical Care Nursing, 30231-235. doi: 10.1016/j.iccn.2013.12.005 ANNOTATED BIBLIOGRAPHY 4 Sleep deprivation in the ICU continues to be an ongoing issue for patients. According to the authors, the issue could be due in large part to the lack of understanding on the nurse’s part of noise control and sleep interruption. Assessment of nurses’ perception of prioritizing nursing interactions. The study also explored nursing knowledge on interventions to promote sleep. The empirical study was a literature review of 25 articles that met inclusion criteria. It was concluded that nurses need education and training on specific protocols for sleep induction or promotion. It is also noted that further empirical research needs to be conducted on the education programs and sleep assessment tool. Fifth Article Boesen, H. C., Andersen, J. H., Bendtsen, A. O., & Jennum, P. J. (2016). Sleep and delirium in unsedated patients in the intensive care unit. Acta Anaesthesiologica Scandinavica, 60(1), 59-68. doi:10.1111/aas.12582 This study was aimed at assessment of quality of sleep in a mechanically ventilated patient who is not sedated. It is hypothesized that there may be a correlation between the quality of sleep and delirium. Polysomnography was used to measure the quality of sleep. There are many things that can disrupt sleep patterns like disease process, high noise levels, visitor traffic, testing and nursing care. The study was well presented. The authors did a great job in presenting the evidence. There could have been a larger population used in the study. There was good evidence on the use of benzodiazepines and opioids and the correlation to delirium as well. Sixth Article ANNOTATED BIBLIOGRAPHY 5 Yazdannik, A. R., Zareie, A., Hasanpour, M., & Kashefi, P. (2014). The effect of earplugs and eye mask on patients’
- 3. perceived sleep quality in intensive care unit. Journal of Surgical Research DiscussionIranian Journal of Nursing & Midwifery Research, 19(6), 673. The author outlines how noise and light are the biggest culprits of sleep disruption in the ICU. It is almost inevitable that the patient in the critical care unit will not be able to rest properly largely due to these two factors. As a result, there was a study conducted for the effects of earplugs and eye shield use and quality sleep. This was a cross-over clinical trial that included 50 patients from the ICU from a local hospital. The patients were picked randomly and separated into two groups which speaks volumes to validity and bias. It was concluded that though the use of the earplugs and eye shield was a cost effective was to help alleviate sleep disruption, there needed to be further research to prove whether there was a real effect on quality of sleep. Briefly describe what you have learned from feedback given by your instructor regarding your PICOT question. How will you frame your PICOT differently moving forward? Be specific about what components, if any, that you will change. The input that I received for my PICOT question was to be more specific about the patient outcomes. So I focused on the issue at hand, the quality of rest for the patient. It was also suggested that I be specific about the time for the data collection. Both of those suggestions were very relevant and drove me to look at my PICOT question again. I thank the instructor and my fellow classmates for their input. PICOT Question In adult critical care patients, how does a scheduled quiet time, compared with not implementing a scheduled quiet time, improve patient outcomes? Population: Adult critical care patients Intervention: Implementing a scheduled quiet time Comparison: Not implementing a scheduled quiet time Outcome: Improved patient outcomes Revised PICOT In adult critical care patients in the ICU, how does a scheduled quiet time, compared with not implementing a scheduled quiet time, improve patient rest periods? Population: Adult critical care patients Intervention: Implementing a scheduled quiet time Comparison: Not implementing a scheduled quiet time Outcome: Improved quality of patient rest periods Time: Over a three-month period Journal of Surgical Research Discussion