this question discussion about health care management please answer this question
Discuss qui tam and the whistle blower role.
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Discussion: Qualitative Research Designs
For the past 2 weeks, you have focused on the features and considerations of quantitative research designs. However, quantitative designs are not appropriate for all research questions. Perhaps you are concerned with how patients react when confronted with negative test results, or you wish to study how views on a certain health topic change over time. In each of these cases, the emphasis is more on understanding the thinking and experiences of an individual or group than on numerical measurements. For these types of questions, a qualitative or mixed methods research design is the most appropriate.
For this Discussion, you focus on the different types of qualitative research designs, when they are used, and why they are important.
To prepare:
Reflect on the comments made by Dr. Mauk in this week’s media presentation on the value of qualitative research in nursing.
Locate the journal Qualitative Health Research in the Sage Premier database in the Walden Library.
From this journal, select an article of interest to you that was published within the last 3 years.
Review the information on different qualitative research designs in Chapter 21 of your course text.
Determine what qualitative research design was used in your selected article and evaluate whether it was the best choice.
Consider ethical issues involved in the study and how the researchers addressed them.
Think about how using a quantitative design would have affected the type of data gathered.
Post an APA citation for the article that you selected and provide a brief summary of the content and the qualitative research design used. Evaluate the appropriateness of the design, and explain how ethical issues in the study were addressed. Analyze how the study would have been different if a quantitative design had been used.
Read a selection of your colleagues’ responses.
Respond to at least two of your colleagues on two different days using one or more of the following approaches:
Ask a probing question, substantiated with additional background information, and evidence.
Make a suggestion based on additional evidence drawn from readings or after synthesizing multiple postings.
Expand on your colleagues’ postings by providing additional insights or contrasting perspectives based on readings and evidence.
Required Readings
Polit, D. F., & Beck, C. T. (2017). Nursing research: Generating and assessing evidence for nursing practice (10th ed.). Philadelphia, PA: Wolters Kluwer.
Chapter 21, “Qualitative Research Design and Approaches”
This chapter introduces qualitative research designs. It provides an overview of the different types of qualitative research and then describes each one in greater detail, outlining how and when they should be used.
Houghton, C. E., Casey, D., Shaw, D., & Murphy, K. (2010). Ethical challenges in qualitative research: Examples from practice. Nurse Researcher, 18(1), 15–25.
Retrieved from the Walden Library databases.
This article explores ethical challenges associated with qualitative research. Specifically, the authors examine the challenges of informed consent procedures, the researcher-participant relationship, risk-benefit ratio, confidentiality, and the dual role of the nurse-researcher.
Pringle, J., Hendry, C., & McLafferty, E. (2011). Phenomenological approaches: Challenges and choices. Nurse Researcher, 18(2), 7–18.
Retrieved from the Walden Library databases.
This article examines the dilemmas faced by a researcher looking for appropriate methods and approaches for investigating the experiences of stroke survivors. In addition, this article reviews the challenges of using phenomenology as a research method.
Ryan-Nicholls, K. D., & Will, C. I. (2009). Rigour in qualitative research: Mechanisms for control. Nurse Researcher, 16(3), 70–85.
Retrieved from the Walden Library databases.
The authors of this article provide recommendations for improving the control mechanisms of methodological rigor in qualitative research methods. The text establishes the basis of criticism on the rigor of qualitative work, ways of demonstrating methodological rigor, and the definition of rigor.
Smith, J., Bekker, H., & Cheater, F. (2011). Theoretical versus pragmatic design in qualitative research. Nurse Researcher, 18(2), 39–51.
Retrieved from the Walden Library databases.
This article assesses the benefits of using a generic qualitative approach to design studies for understanding user and caregiver perspectives. The authors assess these benefits in the context of a qualitative study that focused on parents’ experience of living with children with hydrocephalus.
Walker, W. (2011). Hermeneutic inquiry: Insights into the process of interviewing. Nurse Researcher, 18(2), 19–27.
Retrieved from the Walden Library databases.
This article examines the process of interviewing from a research perspective. The authors supply personal and theoretical insights into using the research interview, along with a guide to the practicalities of interviewing.
Williamson, K. M. (2009). Evidence-based practice: Critical appraisal of qualitative evidence. Journal of the American Psychiatric Nurses Association, 15(3), 202–207.
Retrieved from the Walden Library databases.
This article highlights the importance of qualitative evidence to mental health clinicians. The author stresses that critically appraising evidence is crucial to the EBP process and provides guidelines for appraisal.
Wuest, J. (2011). Are we there yet? Positioning qualitative research differently. Qualitative Health Research, 21(7), 875–883.
Retrieved from the Walden Library databases.
This article focuses on the shifting role of qualitative research in the past two decades. The author discusses the merits and detriments of concrete distinctions, the hurdles of flexibility and convergence, and the need to develop a complete research toolbox for improving health.
Media
Laureate Education (Producer). (2012l). Qualitative and mixed methods research designs. Baltimore, MD: Author.
Note: The approximate length of this media piece is 8 minutes.
This video features Dr. Kristen Mauk’s overview of how she applied qualitative research designs and methods to her doctoral dissertation work. Dr. Mauk explains the advantages of qualitative research as well as strategies for increasing credibility when conducting qualitative or mixed methods research.
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PROJECT: PRE-LESSON ACTIVITY CONTINUED
Assignment Directions
Make sure you write at least one paragraph for each question.
Please make sure that your answers are correct. You may look back in the lesson for help answering the questions. Please do not copy the answers from the lesson; give your opinions and use original words and examples.
· What is a hierarchy?
· Where are hierarchies found?
· What are the advantages of a hierarchy?
· What are the disadvantages of a hierarchy?
· Provide an example of a hierarchy that might be found in a health care setting.
After you have worked through answering the questions again, compare your initial pre-activity answers to your current answers. Write a reflective summary of at least 250 words what you found. Your summary must include:
· How were your pre-lesson and post-lesson answers similar?
· How were your pre-lesson and post-lesson answers different?
· What did you learn from the lesson?
· How can you use what you have learned if you pursue a health care career?
PROJECT: RESEARCH HEALTH CARE TEAMS
Assignment Directions
Research and Learn: Health Care Teams
Research these two types of teams:
· Transplant teams
· Cancer care teams
After you find at least three reliable references, write a 500 word description that includes:
· Discuss each type of team and the roles the members play in each.
· Compare how the two teams are alike and contrast how the two teams are different.
· Discuss the advantages of each team.
· Discuss the disadvantages of each team.
PROJECT: STRATEGIES FOR EFFECTIVE COMMUNICATION
In the lesson, there is a chart of strategies for effective communication. You will use this chart to complete your assignment. Select eight of the strategies. For four of the strategies, describe a situation where a team member models effective communication. For the other four strategies, describe a situation where a team member exhibits a breakdown in communication. Each scenario must be at least one paragraph in length.
For example: If the strategy was to always greet a patient in a positive and friendly way, we could describe a situation where a health care worker modeled this behavior or a situation where a health care worker did not act appropriately.
After you complete your scenarios, do some research online or in the library. Find at least two more strategies for effective communication. Provide an example of ineffective communication and effective communication related to each strategy. Discuss why you selected each strategy and how you think each strategy can be useful in effective communication. Make sure that you select strategies that were not mentioned in the chart or used as an example in the lesson.
PROJECT: MIND MAP OF THE THREE TYPES OF COMMUNICATION
Assignment Directions
After completing the lesson, you will make a mind map that illustrates the three types of communication, barriers to each type of communication, and ways to overcome each barrier. Select the barriers that you feel are the most important or common. Select the solutions that you feel are the most useful and practical.
Your mind map must include:
· All three types of communication with an explanation
· At least three barriers to each type of communication
· At least two solutions to each barrier
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Nursing research is used to study a dilemma or a problem in nursing. Examine a problem you have seen in nursing.
Why should it be studied? Justify your rationale
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Re:Topic 1 DQ 1
According to Margaret Titler evidence-based practice (EBP) is the “conscientious and judicious use of current best evidence in conjunction with clinical expertise and patient values to guide health care decisions.” (Titler, 2008). Best evidence includes evidence from randomized controlled trials, qualitative research, case reports, scientific principles, and expert opinion. When enough research evidence is available and random trials have been conducted then practice should be decided by the outcomes of research, clinical expertise and positive patient improvement.
Examples of evidence-based practice are nurse-driven indwelling foley removal. Agency guidelines should include an indication for foley insertion along with indications for continued use. Urinary tract infections (UTIs) are one of the leading healthcare-associated infections. The primary goal in the prevention of catheter-associated urinary tract infections (CAUTI) is to insert a Foley only when medically appropriate and remove a Foley when no longer medically appropriate. Nurse-driven protocols have been shown to improve patient care, and as nurses are continually at the patient bedside, they are more aware as to when the Foley is no longer medically necessary. Our hospital has a CAUTI assessment team that evaluates the necessity of the Foley of each patient every day and removal of the Foley by the bedside nurse without a physician order if the Foley is no longer meeting medical necessity protocols.
Another example of evidence-based practice would be the use of Curos Caps to prevent central venous catheter-related infections. According to the Centers for Disease Control and Prevention, “central line-associated bloodstream infections (CLABSIs) result in thousands of deaths each year and billions of dollars in added costs to the U.S. healthcare system” (Healthcare-associated Infections, 2016).A study cited by the Journal of the Association of Vascular Access reported “The implementation of the port protector cap system resulted in lower infection rates compared with an alcohol swab technique. Our results indicate that consistent use of the caps in tandem with strict compliance does influence CLABSI rates.” (Ramirez, Lee, & Welch, 2012).The use of Curos Caps (alcohol impregnated catheter hub cap) to cap off all open catheter hubs, IV line catheter hubs, and IV j-loops not in use significantly decreases CLABSI’s. Our ICU did an audit for one month before use of Curos Caps and one month after implementation of Curos Caps. We found while not using Curos Caps the unit had 4 CLABSI infections and while using Curos Caps the unit had zero infections. The CLABSI prevention team used information from evidence based practice in addition to our own unit study and implemented Curos Caps to be used on all lines at all times.
My nursing care changes daily with the studies provided by evidence based practice findings. It is hard to teach an old dog new tricks and just becasue a nurse has been doing something for her whole career does not mean it is sound medical practice. Evidence based practice needs to guide everything we do and when new tricks are learned they need to be implemented and adhered to in order to provide the best care to our patients and improve patient outcomes.
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Using the family structural theory how can families created following second marriages learn to function as one?
200-250 words
one reference utilized in the post
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Continue to use the scenario to assist you with this assignment.
Healing Hands Hospital is an acute care community hospital that serves a suburban community outside of a large city with two competing large academic medical centers. Both Healing Hands Hospital and the academic medical centers have a long history of service to the region, but their business and fundamental practices are different. Your manager, Ms. Woods, Healing Hands’ Chief Operating Officer, is part of the Task Force working on the strategic plan for the hospital and needs to understand the fundamental practices of these academic medical centers.
You have been asked to research the differences between the services that your organization offers and those of at least one of these academic medical centers. For the purposes of this assignment, use the Web to research community hospitals and academic medical centers and select one community hospital and one academic medical center located in the same city or area to represent these two healthcare organizations for the purpose of working on this assignment. You will use the information that you find about these two healthcare organizations for the Individual Project assignments in the remaining weeks of the course culminating in your final project in Week 5. Use the acute-care community hospital to represent Healing Hands Hospital. This link provides a list of example community hospitals. Choose one and then find an academic medical center located in the same geographic region. Review the Web information on these facilities to complete this assignment.
1. Describe the similarities and differences of these organizations in terms of the following:
2. Based on your analysis of the data that you present, provide your opinion on what would be the main areas of concern if the two organizations were to merge and how they could be overcome.
You may include a table for the comparison data, but you must describe your evaluation of where there are and are not similarities between the two healthcare organizations and your opinion.
Be sure to document your references using APA format. This includes the websites for the two hospitals that you are using for the assignment.
Reference:
100 Great community Hospitals (2016). Becker’s Hospital Review. Retrieved from http://www.beckershospitalreview.com/lists/100-great-community-hospitals-2016.html
Please submit your assignment.
For assistance with your assignment, please use your text, Web resources, and all course materials.
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Demonstrate the integration and utilization of key concepts and knowledge from prior courses to solve the selected problem
Apply critical thinking and relevant concepts to the final project
Prepare a formal research report of the in-depth research and application of prior course concepts
ASSIGNMENT DETAILS: The discussion assignment for this week includes a review of the Key Assignment Outline completed by one of your classmates, as well as a substantial response to at least one other student.
Primary Task Response: Your first task is to post your own Key Assignment Outline to the discussion area so that other students are able to review your plan. Attach your document to the main discussion post, and include any notes you feel are appropriate. The purpose of this assignment is to help improve the quality of the Key Assignment Draft you will complete next week.
Please include at least 4 references in APA format
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Write a paper of 500-750 words (not including the title page and reference page) on your proposed problem description for your EBP project. The paper should address the following:
Develop an initial reference list to ensure that there is adequate literature to support your evidence-based practice project. Follow the “Steps to an Efficient Search to Answer a Clinical Question” box in chapter 3 of the textbook. Refer to the “Search Method Example” as the format in which to compile this data.
Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required for the individual sections, but is required for the final paper.
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.
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How do you see ethics and faith working together in the healthcare setting? Please make response 150 words or more.
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