Using Both Quantitative and Qualitative Methods
Many clinical practice issues are sufficiently complicated that neither a purely quantitative or qualitative approach can generate a comprehensive perspective of the issue. Particularly for investigating evaluative questions—such as the effectiveness of a program or treatment or the impact of a policy—some combination of quantitative and qualitative methods can be much more illuminating than relying on one method alone.
In this Discussion, you consider the use of a mixed-methods design in health care research studies.
To prepare:
- With the Learning Resources in mind, and reflecting on what you have explored throughout this course, consider the benefits of using a mixed-methods research approach.
- Brainstorm nursing practice situations in which using a mixed-methods design would be beneficial. Select one situation to focus on for the purposes of this Discussion. Consider how the quantitative and qualitative data would complement one another to provide a richer analysis and conclusion.
- Also consider the challenges you might encounter in using a mixed-methods approach: data collection, analysis, or synthesis of qualitative and quantitative findings.
By tomorrow November 7, 2017 write 550 words essay in APA format with at least 3 references from the list below. Apply the level one headings as numbered below:
Post a cohesive response to the following:
- Briefly explain your selected situation and why utilizing a mixed-methods approach would be beneficial.
- Evaluate how the quantitative and qualitative data would complement one another.
- Discuss the challenges you might encounter in using mixed methods for the situation you selected and how would you address these challenges.
Required Media
Laureate Education, Inc. (Executive Producer). (2011). Research methods for evidence-based practice: Mixed methods: An example. Baltimore, MD: Author.
Note: The approximate length of this media piece is 12 minutes.
In this week’s video, the presenter discusses the benefits of using mixed methods research and shares examples of studies she has conducted.
Required Readings
Chow, M. Y., Quine, S., & Li, M. (2010). The benefit of using a mixed methods approach—quantitative with qualitative—to identify client satisfaction and unmet needs in an HIV healthcare centre. AIDS Care, 22(4), 491–498.
This article offers insight into a cross-sectional study that utilizes both quantitative and qualitative research to assess HIV client satisfaction with health care.
Esposito, D., Taylor E. F., & Gold, M. (2009). Using qualitative and quantitative methods to evaluate small-scale disease management pilot program. Population Health Management, 12(1), 3–15.
This article describes a multi-method approach to stimulate interest in disease management programs by seeking to improve the quality of care for Medicaid beneficiaries with multiple chronic conditions.
Goboury, I., Boon, H., Verhoef, M., Bujold, M., Lapierre, L. M., & Moher, D. (2010). Practitioners’ validation of framework of team-oriented practice models in integrative health care: A mixed methods study. BMC Health Services Research, 10, 289.
This article discusses the methods and results of an empirical study attempting to validate the Models of Team Health Care Practice (MTHP) framework through the use of both qualitative and quantitative research techniques.
Onwuegbuzie, A. J., Johnson, R. B., & Collins, K. M. (2009). Call for mixed analysis: A philosophical framework for combining qualitative and quantitative approaches. International Journal of Multiple Research Approaches, 3(2), 114–139.
This article provides a philosophical justification of the use of mixed methods in research studies. The article compares solely qualitative or quantitative works to mixed research approaches to illustrate how mixed methods promote richer results and deeper analyses.
Ostlund, U., Kidd, L., Wengstrom, Y., & Neneh, R. (2011). Combining qualitative and quantitative research within mixed method research designs: A methodological review. International Journal of Nursing Studies, 48(3), 369–383. doi: 10.1016/j.ihnurstu.2010.10.005
This study explores the many popular approaches to mixed methods of health care research studies. These approaches are used to bridge the gap between theory and empirical findings and include parallel analysis, concurrent analysis, and sequential analysis.
Polit, D. F., & Tatano-Beck, C. (2010). Generalization in quantitative and qualitative research: Myths and strategies. International Journal of Nursing Studies, 47(11), 1451–1458. doi: 10.1016/j.inurstu.2010.06.004
This article discusses three models of generalization in both quantitative and qualitative research, including classic sample-to-population, analytics generalization, and case-to-case transfer. The article also recommends other approaches, such as planned replication, systematic reviews, and thick description.
Uhlig, T., Fongen, C., Steen, E., Christie, A., & Odegard, S. (2010). Exploring Tai Chi in rheumatoid arthritis: A quantitative and qualitative study. BMC Musculoskeletal Disorders, 11, 43.
This article explains the results of a mixed-methods study on the results of Tai Chi on the overall health of female rheumatoid arthritis patients. The results indicated improved muscle function as well as increased confidence in moving and balance and less pain in daily life among the 15 subjects studied.
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Quantitative Methods Of Inquiry
/in Uncategorized /by JosephWeek 5 assignment instructions
Tutor MUST have a good command of the English language
Tutor MUST have a good command of the English language
Sources need to be journal/scholarly articles.
Use only articles that are published between 2015-2018 (except for your theory articles which will be older as you must cite primary sources).
No textbook or direct quotes
My project is CLABSI prevention
This topic helps you develop a basic understanding of quantitative methods of inquiry. In this assignment, you will have the opportunity to use the SPSS program. SPSS makes it easy to analyze data using specific tests. This assignment will give you practice with means, medians, and modes.
General Requirements:
Use the following information to ensure successful completion of the assignment:
Directions:
After you have completed the assigned readings and viewed the assigned videos, write a 500-750 word paper that addresses quantitative methods of inquiry. Use the data provided in the Topic Material, “H Cup State Inpatient Databases (SID) File Composition – Number of Discharges by Year,” and appropriate statistics to address the following:
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Group Therapy with Older Adults
/in Uncategorized /by JosephDiscussion: Group Therapy with Older Adults
Group therapy with older adults, like group therapy with children and adolescents, presents unique challenges. Many older adults have had a lifetime of not sharing their inner feelings with others, and they are often fearful of being judged. However, when the group setting is properly facilitated, older adults may embrace the setting, find comfort in their peers, and benefit from this therapeutic approach. In your role, how might you maximize the benefits of group therapy for your older adult clients?
This week, as you explore group therapy with older adults, you examine your own group therapy sessions with older adult clients. You also recommend strategies for improving the effectiveness of this therapeutic approach.
As the population continues to age, more and more older adults will require therapy for various mental health issues. While the group setting offers many benefits and makes therapy more accessible to those in need of services, this therapeutic approach may not be effective for all clients. For this Discussion, as you examine your own practicum experiences with older adults in group therapy settings, consider strategies to improve the effectiveness of your sessions.
To prepare:
· Review this week’s Learning Resources, and consider the insights provided on group
therapy with older adults.
· Reflect on your practicum experiences with older adults in group therapy settings.
Assignment
Post a description of a group therapy session with older adults, including the stage of the group, any resistances or issues that were present, and therapeutic techniques used by the facilitator. Explain any challenges that may occur when working with this group. Support your recommendations with evidence-based literature.
PLEASE REMEMBER TO INCLUDE INTRODUCTION, CONCLUSION AND REFERENCES USING APA FORMAT.
Learning Resources
Required Readings
Wheeler, K. (Ed.). (2014). Psychotherapy for the advanced practice psychiatric nurse: A how-to guide for evidence-based practice. New York, NY: Springer.
· Chapter 18, “Psychotherapy with Older Adults” (pp. 62–660)
Bonhote, K., Romano-Egan, J., & Cornwell, C. (1999). Altruism and creative expressions in a long-term older adult psychotherapy group. Issues in Mental Health Nursing, 20(6), 603–617. doi:10.1080/016128499248394
Cheston, R., & Jones, R. (2009). A small-scale study comparing the impact of psycho-education and exploratory psychotherapy groups on newcomers to a group for people with dementia. Aging & Mental Health, 13(3), 420–425. doi:10.1080/13607860902879409
Krishna, M., Honagodu, A., Rajendra, R., Sundarachar, R., Lane, S., & Lepping, P. (2013). A systematic review and meta-analysis of group psychotherapy for sub-clinical depression in older adults. International Journal of Geriatric Psychiatry, 28(9), 881–888. doi:10.1002/gps.3905
Krishna, M., Jauhari, A., Lepping, P., Turner, J., Crossley, D., & Krishnamoorthy, A. (2011). Is group psychotherapy effective in older adults with depression? A systematic review. International Journal of Geriatric Psychiatry, 26(4), 331–340. doi:10.1002/gps.2546
Rice, A. (2015). Common therapeutic factors in bereavement groups. Death Studies, 39(3), 165–172. doi:10.1080/07481187.2014.946627
Wang, C., Tzeng, D., & Chung, W. (2014). The effect of early group psychotherapy on depressive symptoms and quality of life among residents of an apartment building for seniors. Psychogeriatrics: The Official Journal of the Japanese Psychogeriatric Society, 14(1), 38–46. doi:10.1111/psyg.12037
Watkins, R., Cheston, R., Jones, K., & Gilliard, J. (2006). ‘Coming out’ with Alzheimer’s disease: Changes in awareness during a psychotherapy group for people with dementia. Aging & Mental Health, 10(2), 166–176. doi:10.1080/13607860500312209
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Post- Brandy- Nursing Informatic
/in Uncategorized /by JosephRespond to the post bellow, offering additional/alternative ideas regarding opportunities and risks related to the observations shared.
Initial Post
I am currently a home telehealth nurse for a large VA hospital. I worked bedside for 17 years prior my current position. Unlike the inpatient setting, the technology and advancement made for the telehealth programs within the VA are impressive and evolving rapidly.
Technology Trends and Risk
An obvious trend within the VA system is the expansion of technology within the telehealth program. A large percentage of the veterans live in rural areas. At the time, home telehealth technology is limited to monitoring patients with chronic diseases through platforms via PC, a device to manually enter readings daily, mobile apps, and manually entering readings through a phone number. The VA is now trending toward video assisted monitoring with home telehealth. There are physician’s offices and community-based clinics are already using this technology. The primary challenge with this technology is the accessibility of reliable signal strength to patients in rural areas. An additional struggle is difficulty with these veterans working with this technology.
Data Safety
The VA medical system has an adequate privacy and security protection as it relates to data safety and information sent through telemedicine modalities. The VA has a dedicated department that strictly monitors all data activity. Despite the security in place there are risk, specifically with telehealth transmission of personal health information. These risks include accidental transmission of household information and activities including personal interactions with family members or indicators when the patient may not be home (Hall & McGraw, 2014).
Patient Care
Patient care benefits of telemedicine are endless. These benefits include less travel time, real time monitoring of medication changes, monitors patients with chronic condition like COPD and CHF closely to prevent or address acute episode (McGonigle & Mastrian, 2018). This cuts down on office visits and travel time. More importantly, healthcare management is achieved sooner improving overall patient outcomes. Patient’s rely heavily on monitoring from home creating a potential risk. Often these patients with chronic care management are not compliant with transmitting information or information is sent inconsistently making it difficult to assist with achieving overall goals.
Legislation
Telehealth technology allows providers to treat remotely defined by state-by-state licensure (Milstead & Short, 2019). The benefit of state regulation is the ability to closely monitor practice and outcomes on a state level. The federal government is considering nationalizing the regulations for telehealth. This presents a dilemma as physicians practicing telehealth will require multi state licenses.
I believe the most promising healthcare trends impacting healthcare technology and nursing practice is the advancement of telemedicine. The ability to remotely monitor patients and maintain a consistent record provide information for time sensitive diagnosis and treatment. The impact this has on nursing is profound. Nurses will be responsible not only for monitoring but for teaching these patients how to manage these problems themselves. The nurse’s consistent communication allows for education not only with medication but with diet, exercise, weight loss and overall prevention. Telehealth is a promising tool to the new culture of preventative healthcare. While patients are in the program, they can interact and learn about their disease process and exacerbation prevention. Telehealth is a win win.
References
Hall, J. L., & McGraw, D. (2014). For Telehealth to Succeed, Privacy and Security risks must be Identified and Addressed []. Health Affairs, 33(2). https://doi.org/https://doi.org/10.1377/hlthaff.2013.0997
McGonigle, D., & Mastrian, K. G. (2018). Nursing Informatics and the Foundation of Knowledge (4 ed.). Burlington, MA: Jones & Bartlett Learning.
Milstead, J. A., & Short, N. M. (2019). Health Policy & Politics A Nurse’s Guide. Burlington, MA: Jones & Bartlett Learning Books.
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Role of Technology in Long-Term Care
/in Uncategorized /by JosephRole of Technology in Long-Term Care
Using the South University Online Library and the Internet, find three articles describing the role technology will play in addressing the challenges ahead in long-term care. Summarize your findings and based on your learning, respond to the following questions:
Legal and Ethical Issues: Case Study
Cathy Smith, an eighty-eight-year-old woman, was admitted to the emergency room from the nursing facility with acute respiratory distress. Although Smith does not have a living will, her daughter Rose, a health care professional, has the power of attorney (POA) to make her mother’s health decisions.
Smith suffers from end-stage Alzheimer’s disease and recently experienced congestive heart failure. Her condition is alarming. The doctors want to place her on life-support equipment, including a ventilator. Smith’s son, Andrew, agrees with the doctor’s decision. However, Rose states her mother would never want to be placed on life-support machines to prolong her life.
Analyze the scenario and answer the following questions:
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Advanced Pathophysiology Across The Lifespan
/in Uncategorized /by JosephQuestion 2.
A patient with a diagnosis of insomnia is surprised when his physician explains to him that his brain is still highly active during normal sleep. Which of the following statements best captures the character of brain activity during sleep?
“Fewer neurons in your brain are firing when you’re asleep, but they’re more synchronized than when you’re awake.”
“While you’re obviously less aware of stimuli when you’re asleep, your brain is actually more active when you’re asleep than when you’re awake.”
“There are four types of brain activity, and actually all of them occur at different stages of sleep.”
“Your brain alternates between periods of activity and periods of inactivity when you’re asleep, and these correspond to your eye movement.”
Question 3.
Which of the following factors is most responsible for the fact that prefrontal lobotomy is no longer a common treatment for mental illness?
Individuals treated by lobotomy have difficulty interpreting somatic, visual, and auditory information.
Lobotomy inhibits the individual’s ability to add perception and meaning to sensory information.
Severing connections between the brain and its prefrontal areas inhibits problem solving and results in a loss of ambition.
Loss of communication to and from the prefrontal cortex changes, but ultimately exacerbates, symptoms of mental illness.
Question 7.
A clinician is conducting an assessment of a male patient suspected of having a disorder of motor function. Which of the following assessment findings would suggest a possible upper motor neuron (UMN) lesion?
The patient has decreased deep tendon reflexes.
The patient displays increased muscle tone.
The patient’s muscles appear atrophied.
The patient displays weakness in the distal portions of his limbs.
Question 9.
A 48-year-old male has a new diagnosis of Guillain-Barré syndrome. Which of the following processes underlies the deficits that accompany the degeneration of myelin in his peripheral nervous system (PNS)?
The destruction of myelin causes fewer Schwann cells to be produced in the patient’s PNS.
The axonal transport system is compromised by the lack of myelin surrounding nerve cells.
Nerve cells lack insulation and impulse conduction is compromised by the destruction of myelin.
A deficit of myelin predisposes the patient to infection by potential pathogens.
Question 13.
Which of the following diagnostic findings is likely to result in the most serious brain insult?
Mean arterial blood pressure (MABP) that equals intracranial pressure (ICP)
Moderate increase in brain tissue volume secondary to a brain tumor
Increased ICP accompanied by hyperventilation
High intracellular concentration of glutamate
Question 17.
A nurse practitioner is assessing a 7-year-old boy who has been brought to the clinic by his mother, who is concerned about her son’s increasingly frequent, severe headaches. Which of the nurse’s following questions is least likely to yield data that will allow for a confirmation or ruling out of migraines as the cause of his problem?
“Does your son have a family history of migraines?”
“When your son has a headache, does he ever have nausea and vomiting as well?”
“Does your son have any food allergies that have been identified?”
“Is your son generally pain free during the intervals between headaches?”
Question 19.
Following a motor vehicle accident three months prior, a 20-year-old female who has been in a coma since her accident has now had her condition declared a persistent vegetative state. How can her care providers most accurately explain an aspect of her situation to her parents?
“Your daughter has lost all her cognitive functions as well as all her basic reflexes.”
“Though she still goes through a cycle of sleeping and waking, her condition is unlikely to change.”
“If you or the care team notice any spontaneous eye opening, then we will change our treatment plan.”
“Your daughter’s condition is an unfortunate combination of total loss of consciousness with continuation of all other normal brain functions.”
Question 20.
During a late-night study session, a pathophysiology student reaches out to turn the page of her textbook. Which of the following components of her nervous system has the highest level of control over her arm and hand action?
Cerebelum
Thalamus
Basal ganglia
Frontal lobe
Question 21.
A patient in the intensive care unit who has a brain tumor has experienced a sharp decline. The care team suspects that water and protein have crossed the blood–brain barrier and been transferred from the vascular space into the patient’s interstitial space. Which of the following diagnoses best captures this pathophysiology?
Focal hypoxia
Cytotoxic edema
Hydrocephalus
Vasogenic edema
Question 24.
A 70-year-old male has been diagnosed with a stroke that resulted in an infarct to his cerebellum. Which of the following clinical findings would be most closely associated with cerebellar insult?
Flaccid loss of muscle tone
Difficulty starting movement, stopping movement, and maintaining rhythmic movement
Tremor, rigidity, and bradykinesia
Unsteady gait and difficulty speaking and swallowing
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Using Both Quantitative And Qualitative Methods
/in Uncategorized /by JosephUsing Both Quantitative and Qualitative Methods
Many clinical practice issues are sufficiently complicated that neither a purely quantitative or qualitative approach can generate a comprehensive perspective of the issue. Particularly for investigating evaluative questions—such as the effectiveness of a program or treatment or the impact of a policy—some combination of quantitative and qualitative methods can be much more illuminating than relying on one method alone.
In this Discussion, you consider the use of a mixed-methods design in health care research studies.
To prepare:
By tomorrow November 7, 2017 write 550 words essay in APA format with at least 3 references from the list below. Apply the level one headings as numbered below:
Post a cohesive response to the following:
Required Media
Laureate Education, Inc. (Executive Producer). (2011). Research methods for evidence-based practice: Mixed methods: An example. Baltimore, MD: Author.
Note: The approximate length of this media piece is 12 minutes.
In this week’s video, the presenter discusses the benefits of using mixed methods research and shares examples of studies she has conducted.
Required Readings
Chow, M. Y., Quine, S., & Li, M. (2010). The benefit of using a mixed methods approach—quantitative with qualitative—to identify client satisfaction and unmet needs in an HIV healthcare centre. AIDS Care, 22(4), 491–498.
This article offers insight into a cross-sectional study that utilizes both quantitative and qualitative research to assess HIV client satisfaction with health care.
Esposito, D., Taylor E. F., & Gold, M. (2009). Using qualitative and quantitative methods to evaluate small-scale disease management pilot program. Population Health Management, 12(1), 3–15.
This article describes a multi-method approach to stimulate interest in disease management programs by seeking to improve the quality of care for Medicaid beneficiaries with multiple chronic conditions.
Goboury, I., Boon, H., Verhoef, M., Bujold, M., Lapierre, L. M., & Moher, D. (2010). Practitioners’ validation of framework of team-oriented practice models in integrative health care: A mixed methods study. BMC Health Services Research, 10, 289.
This article discusses the methods and results of an empirical study attempting to validate the Models of Team Health Care Practice (MTHP) framework through the use of both qualitative and quantitative research techniques.
Onwuegbuzie, A. J., Johnson, R. B., & Collins, K. M. (2009). Call for mixed analysis: A philosophical framework for combining qualitative and quantitative approaches. International Journal of Multiple Research Approaches, 3(2), 114–139.
This article provides a philosophical justification of the use of mixed methods in research studies. The article compares solely qualitative or quantitative works to mixed research approaches to illustrate how mixed methods promote richer results and deeper analyses.
Ostlund, U., Kidd, L., Wengstrom, Y., & Neneh, R. (2011). Combining qualitative and quantitative research within mixed method research designs: A methodological review. International Journal of Nursing Studies, 48(3), 369–383. doi: 10.1016/j.ihnurstu.2010.10.005
This study explores the many popular approaches to mixed methods of health care research studies. These approaches are used to bridge the gap between theory and empirical findings and include parallel analysis, concurrent analysis, and sequential analysis.
Polit, D. F., & Tatano-Beck, C. (2010). Generalization in quantitative and qualitative research: Myths and strategies. International Journal of Nursing Studies, 47(11), 1451–1458. doi: 10.1016/j.inurstu.2010.06.004
This article discusses three models of generalization in both quantitative and qualitative research, including classic sample-to-population, analytics generalization, and case-to-case transfer. The article also recommends other approaches, such as planned replication, systematic reviews, and thick description.
Uhlig, T., Fongen, C., Steen, E., Christie, A., & Odegard, S. (2010). Exploring Tai Chi in rheumatoid arthritis: A quantitative and qualitative study. BMC Musculoskeletal Disorders, 11, 43.
This article explains the results of a mixed-methods study on the results of Tai Chi on the overall health of female rheumatoid arthritis patients. The results indicated improved muscle function as well as increased confidence in moving and balance and less pain in daily life among the 15 subjects studied.
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W7- : Discussion: Safe Prescribing
/in Uncategorized /by JosephW7- : Discussion: Safe Prescribing
In 1915, the Drug Enforcement Administration was formed, known then as the Bureau of Internal Revenue. Recognizing the variance in state laws and the process for completing applications for prescriptive authority and DEA registration is essential to the role of the NP as a prescriber. Within the last decade, safe prescribing of opioids has also become a national concern. For this
Discussion, you will:
1. focus on the process for obtaining prescriptive authority after successfully completing your program of study and passing a National Certification Exam. 2.
2. You also will explore safe prescribing.
To prepare:
· 3. Review your (TEXAS) state’s process for obtaining prescriptive authority and associated fees
· 4. Review the DEA website and review the process for obtaining a DEA number and associated fees.
· 5. Review and select the following case studies and 6. analyze the provider information:
o
o Case Study One: Lori, FNP-BC, is a new graduate and has recently passed her certification exam. She has just been hired to work for a Primary Care Clinic in a small town. She will be working with one physician at one site.
Post a
1. brief summary of your case study and
2. an explanation of the appropriate prescriptive authority and
3. DEA registration process needed for the above case study you selected.
4. Then, explain the safe prescribing practices that these providers should use for these settings.
WRITE 1 PAGE
NP PLAGIRIS
USE provided references
Due tomorrow 1.07.2018
References/
Required Readings
Required Media
Optional Resources
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Ethics and Evidence-Based Research
/in Uncategorized /by JosephAssignment:
Ethics and Evidence-Based Research
Write a 1250-1500 word essay addressing each of the following points/questions. Be sure to completely answer all the questions for each bullet point. There should be three main sections, one for each bullet below. Separate each section in your paper with a clear heading that allows your professor to know which bullet you are addressing in that section of your paper. Support your ideas with at least two (2) sources using citations in your essay. Make sure to cite using the APA writing style for the essay. The cover page and reference page in correct APA do not count towards the minimum word amount. Review the rubric criteria for this assignment.
Part 1: Describe why ethical safeguards designed for clinical research may not be feasible or appropriate for evidence-based practice or evidence-based practice implementation projects.
Part 2: Review the sectioned headed, Two Ethical Exemplars in Chapter 22 of the textbook (Melnyk and Fineout-Overholt, 2015, pages 518-519). Discuss three main ethical controversies related to implementing Evidence-Based Quality Improvement (EBQI) Initiatives. Describe how these controversies relate to the four core ethical principles.
Part 3: Identify which ethical principles may be in conflict with the concept of “patients having an ethical responsibility in improving healthcare.” Discuss how these conflicts may be resolved.
Assignment Expectations:
Length: 1250 – 1500 words
Structure: Include a title page and reference page in APA format. These do not count towards the minimum word count for this assignment. Your essay must include an introduction and a conclusion.
References: Use appropriate APA style in-text citations and references for all resources utilized to answer the questions. A minimum of two (2) scholarly sources are required for this assignment.
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Advanced Pathophysiology Case Study Expert Level
/in Uncategorized /by JosephCase Study 9
Disorders of White Blood Cells and Lymphoid Tissues
Max is a 60-year-old living in Iowa. For the 27 years, he has been working in the agricultural industry, particularly in the management of corn production. Recently he began to feel weak during work and tired easily. During the night he woke up sweating, and he often felt unusually warm during the day. Max was also surprised that, in spite of eating regularly, his weight was declining and his work pants were now too large for him. Upon physical examination, his physician noted his inguinal lymph nodes were swollen although Max said they were not sore. Subsequent laboratory tests confirmed follicular, non-Hodgkin lymphoma. Chemotherapy in conjunction with rituximab was immediately initiated.
Assignment Requirements:
Before finalizing your work, you should:
·
· Ensure you have written at least four double-spaced pages.
· Be sure to read the Assignment description carefully (as displayed above);
· Consult the Grading Rubric (under the Course Home) to make sure you have included everything necessary; and
· Utilize spelling and grammar check to minimize errors.
· Follow the conventions of Standard American English (correct grammar, punctuation, etc.);
· Be well ordered, logical, and unified, as well as original and insightful;
· Display superior content, organization, style, and mechanics; and
· Use APA 6th Edition format as outlined in the APA Progression Ladder.
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Why Does Teen Pregnancy And Sexually Transmitted Diseases Remain High In The U.S
/in Uncategorized /by JosephWhy does teen pregnancy and sexually transmitted diseases remain high in the U.S.
What can healthcare providers do that decrease the rate of teen pregnancy and STD’s in the US?
* These questions should be researched and incorporated in the body of the paper and answered.
This is my introduction already done.
Adolescent Sex
Teen pregnancy and sexually transmitted diseases continue to be an important healthcare issue in the 20th century. Although teen pregnancy rates have dropped there are still concerns and healthcare problems that are associated with teen pregnancy. Often times they are afraid to discuss sex with their parents and deny will deny being sexually active at all. There are problems that manifest with adolescent pregnancy for the mother and often times the infants as well. The high school drop out rate among pregnant high school students is approximated at about 70 percent and is cited as the number reason teens drop out prior to graduation. There is also an estimated $7 billion revenue cost associated with teen pregnancy in the United States alone. [KD2] The risk of young people engaging in early sexual intercourse is largely due to the lack of sexual education, peer pressure and social influences.
Chlamydial infection, gonorrhea, HIV/AIDS, primary and secondary syphilis, and hepatitis B virus infection are amid the highest reported STDs with chlamydia noted as the most dominate which is likely due to the fact that there is more vigorous testing. Some of the other noted STDs are genital herpes, trichomoniasis, Chancroid, and HPV. Often times and without any signs or symptoms present more than one pathogen is involved with sexually transmitted diseases. Typically the only environments in which there remain viable pathogens is the bodily fluids from the genitourinary tract requiring there to be intimate contact for them to be acquired.
Although it affects men and women chlamydia is predominately seen in young women and is the most common nationally known sexually transmitted disease in the U.S. Bodily fluids from the genitourinary tract are typically the environments in which there remain viable pathogens, so intimate contact is generally required to obtain STDs. Chlamydia infections are asymptomatic in most women and can be transmitted during childbirth with the potential of a newborn developing pneumonia as a complication. If it is not treated chlamydia can spread to the uterus and fallopian tube creating further health problems and permanent damage to the reproductive system.
Teaching abstinence is the most affective way to prevent pregnancy and STDs but sexuality and curiosity of sex begins at a young age and exploration into sexuality is a natural part of personal development. I feel it is our [KD3] role and responsibility as healthcare providers to provide adolescents and teens with the information and risk factors involved with having sex. They need to be educated on contraceptives, pregnancy and STD prevention.
There is an urgent need for programs that adequately addresses the impacts of peer groups, social norms and the influences they have on an adolescents decision about having sex (Kalmuss, Davidson, Cohall, Laraque, & Cassell, 2011). Evidence from the literature indicates that engaging in a comprehensive sex education which teaches both abstinence and contraception could lead to delayed initiation of and frequency of sex, a decrease in the number of partners and an increase in the use of contraception which may also lead to a reduction of adolescent and teen pregnancy (Basch, 2011).Providing such knowledge about pregnancy, sex, contraceptive use and STD will also provide a foundation and direction in making responsible choices.
2. Building on what you wrote in Part 1 last week, locate, read, and write about the research and findings in two articles about your topic. These articles should have been published in the past two years in refereed nursing journals. Your paper should analyze, compare, and contrast the authors’ hypotheses, methods, and findings. In addition, you need to make revisions to Part 1 based on the feedback from your instructor, your readings, and/or discussions in class.
For Part 3 of the research review paper, you will do a synthesis of the literature and create a research proposal.
Before you begin, review the overall assignment instructions from Weeks 1 and 2. Revise Parts 1 and 2 of your paper, as needed, on the basis of instructor feedback, new knowledge acquired in class, or discussion questions and/or additional readings.
Part 3 will probably be the most challenging part of the assignment, so allow yourself plenty of time to think about what you’ve read and develop an argument for further research. Using the knowledge gained from work on Parts 1 and 2, identify one research question that has not been investigated previously or that you would address in a different way than you’ve read about so far. This is sometimes known as gap analysis, in that you are looking for a gap in the existing body of knowledge where new research would contribute to an understanding of the issue in a way that could improve clinical practice for the nurse practitioner and improve patient outcomes.
Your research question must be clearly related to Parts 1 and 2. Be sure to state this clearly as a research question. Explain why you think this is a gap in existing research (relate directly to published research), its clinical relevance (why you think your specific research question is an important area to explore), and your ideas about research design (how you would conduct research to investigate it). Include a discussion of whether your question would lend itself to a quantitative, qualitative, or mixed design; why; and how you might be able to acquire participants for the study.
APA style with research less than 2 years old.
Revison of 1st part with the questions inside the introduction and the litature research due by Tuesday at 9pm
Research part:
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