2023 In an issues paper you are focusing on persuading rather than informing your reader

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Nursing 2023 The Future of Long Term Care facilities in the US

In an issues paper you are focusing on persuading rather than informing your reader 2023 Assignment

 

In an issues paper, you are focusing on persuading rather than informing your reader. While you weave your sources into your paper, your voice takes precedence.  You are making a unique and valuable contribution to the conversation about the issue. For this project, you will select a topic related to the US health care system (facilities, human resource needs, role of government). You will incorporate the economic concerns as it relates to the health care system in your paper. You will to submit your topic for approval to the instructor.

Your final paper needs to include the following components:

Introduction

· Introduce issues and capture reader’s interest

Statement of background

· Provide information reader needs to know to understand your point of view

Exposition

· Interpret the information you’ve provided and define terms

Proof

· Give the reasons (with evidence) for the position you’ve taken

Refutation

· Indicate why you’re not persuaded by the arguments of different positions/claims (shows you are knowledgeable about all aspects of the issue)

Conclusion

· Summarize important points

Presentation

· Prepare a 15 minute PowerPoint presentation on your paper. The presentation must include visual aids (such as pictures, charts, video clip). The presentation must be well put together. The presentation must be well organized in other words it has a beginning, a middle, and end. Also, take the time to rehearse your presentation.

Instructions:

1) Review instructions for project.

2) Create a double spaced Word or text document for your response. Use 12-point Arial or Times New Roman font.

3) Paper is 5 to 7 pages not including title page and reference page.

4) Cite a minimum of five sources from peer reviewed journal articles or academic websites. You can find additional sources in the Getting Started Module. Note: all required journal articles should be published within the past seven years. All articles must address the topic under discussion.

5) Use APA (6th edition) format for the title page, references page, and in-text citations for your paper.

6) Please review your paper prior to submission for spelling or grammar errors.

7) Include:

Title Page

Introduction

Body

Conclusion

Reference Page

The following will help guide you in writing your issues paper:

Testing your issue

· Would reasonable people have more than one response? Can someone disagree with the issue?  Is the issue debatable?

· Can the issue be narrowed sufficiently to be thoroughly explored in the space available? (narrowing the issue will make your argument more effective)

· Why do you want to write about the issue? Are you personally interested in it?  (this will help sustain you through the effort of writing the paper)

· Can you find evidence to support your position on the issue?

Getting started

· Write informally about your feelings when you think or read or speak about the issue. Are you angry, afraid, or full of pity?  Why?

· Thinking intellectually, add other points to the list that you may have missed.

· Now consider opposite points of view. Use them to clarify your ideas.

Types of sources for evidence to support your argument (be sure to verify the credibility of your sources!)

· Facts, events, dates

· Statistics – interpretation of facts

· Informed opinion – developed through research and/or expertise of another on your issue

· Personal testimony – personal experience related by a knowledgeable party

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2023 Choose a Quality Improvement Model from Chapter 5 in the Spath 2018 textbook

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Nursing 2023 Applying Process Improvement Models

Choose a Quality Improvement Model from Chapter 5 in the Spath 2018 textbook 2023 Assignment

  

Choose a Quality Improvement Model from Chapter 5 in the Spath (2018) textbook, and apply this model to your practice problem. Please do not choose Lean or Six Sigma as your quality model unless you have an expert in these quality models in your organization to guide you through the process.

PDSA (p.124).
RCI (p.127).
FOCUS PDCA (p.128).
FADE (p.129).

By Day 4

Post a Discussion entry describing the model that you selected and how each step of the model will be used to develop the plan for the Practice Experience Project.  Hospice Homebound patients Continue to collaborate with the selected individuals in your practice environment as needed in the development of the Practice Experience Project, and share this information with your group.

Spath, P. (2018). Introduction to healthcare quality management (3rd ed.). Chicago, IL: 

Health Administration Press.

  • Chapter 4, “Evaluating      Performance” (pp. 79-118)
  • Chapter 5, “Continuous      Improvement” (pp. 119-142)
  • Chapter 6, “Performance Improvement Tools”      (pp. 143-174)

Note: Although Chapter 4 is previously assigned reading, please review it in preparation for this week’s material.

Yoder-Wise, P. S. (2019). Leading and managing in nursing (7th ed.). St. Louis, MO: Mosby.

  • Chapter 19, “Building Effective Teams” (pp.      335-356)

 Chooses a process improvement model and applies this model to the practice problem. Describes the selected model and how each step will be used to develop the plan for the practicum quality and safety project. 4-5 paragraph, 450-550 words 

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2023 Throughout the RN to BSN program students are required to participate in scholarly activities outside of clinical practice or professional practice Examples

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Nursing 2023 Attached please find instructions absolutely no Plagiarism due Saturday tomorrow at 6:00 pm

Throughout the RN to BSN program students are required to participate in scholarly activities outside of clinical practice or professional practice Examples 2023 Assignment

 

Throughout the RN-to-BSN program, students are required to participate in scholarly activities outside of clinical practice or professional practice. Examples of scholarly activities include attending conferences, seminars, journal club, grand rounds, morbidity and mortality meetings, interdisciplinary committees, quality improvement committees, and any other opportunities available at your site, within your community, or nationally.

You are required to post one scholarly activity while you are in the BSN program, which should be documented by the end of this course. In addition to this submission, you are required to be involved and contribute to interdisciplinary initiatives on a regular basis.

Submit, as the assignment, a summary report of the scholarly activity, including who, what, where, when and any relevant take-home points. Include the appropriate program competencies associated with the scholarly activity as well as future professional goals related to this activity. You may use the “Scholarly Activity Summary” resource to help guide this assignment.

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2023 Moving beyond medical errors How EHRs are nudging practices to change certain behaviors by Eli Richman

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Nursing 2023 power point presentation 2

Moving beyond medical errors How EHRs are nudging practices to change certain behaviors by Eli Richman 2023 Assignment

 

Moving beyond medical errors: How EHRs are ‘nudging’ practices to change certain behaviors

by Eli Richman | Jan 28, 2019 6:00amUniversity of Chicago MedicineThe University of Chicago Medical Center is one health system experimenting with ways the EHR can nudge physician and nurse behavior. (Courtesy of University of Chicago)ShareFacebookTwitterLinkedInEmailPrint

Electronic health records (EHRs) are usually cited for their ability to help diagnose diseases and reduce medical errors. But several health systems are testing how EHRs can be used to target other factors, like patient comfort and drug shortages.

Since EHRs are frequently used to guide patient care, adjusting the output of those systems can have considerable impact on patients—beyond just their immediate health condition.

Consider the University of Chicago Medical Center, which has been experimenting with a study module called SIESTA (Sleep for Inpatients: Empowering Staff to Act) to help patients in hospitals sleep better. The study is aimed at reducing nighttime awakenings for inpatients so they don’t experience in-hospital sleep deprivation.

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Inpatient sleep deprivation occurs when EHRs prompt doctors and nurses to take vital signs, administer medication or perform a test irrespective of the time of day. If a patient is being consistently woken up this way, they can suffer grogginess, delirium and falls.

“As a frequently hospitalized patient, I am used to being woken up as often as every one to two hours,” Sara Ringer, a hospital patient, told the University. “It never feels like your body has a chance to rest and heal. My last hospitalization at University of Chicago was one of the easiest I’ve had because the hospital staff made it possible for me to sleep.”

Alerting clinicians to potential problems—constantly

SIESTA works by adding alerts to the EHR, which remind healthcare workers they may want to delay disruptions that are minimally important (such as measuring vital signs). While it’s certainly possible to simply provide training to clinicians to avoid nighttime awakenings, the researchers said the EHR reminders work better.

“Efforts to improve patients’ sleep are not new, but they do not often stick because they rely on staff to remember to implement the changes,” said the study’s lead author Vineet Arora, M.D., professor of medicine at the University of Chicago.

But alerts aren’t always effective either because clinicians can start mentally blocking them out, said Raj Ratwani, M.D., director of the national center for human factors in healthcare at Medstar Health. When a physician gets an alert for something or other every few minutes (a suggestion to use a certain drug, a suggestion about when to perform a test, etc.), it stops being a concern and starts becoming an interruption of their workflow, according to Ratwani’s research.

Ratwani pointed to an eye-tracking study done on residents completing certain tasks in an EHR. It found that after a time, physicians would by habit bring their cursor to the place on the screen ready to close an alert box after selecting certain options—before it had even popped up. They had become that inured to the reminders.

“Those are the kind of alerts that drive physicians nuts, because think about how many of those they get, how busy they are,” Ratwani told FierceHealthcare in an interview. “What’s happening is you just get used to it, it becomes an interruption of your workflow, and you just want to get past it.”

Background UI changes—subtle and concerningly unnoticeable

Another approach to nudging clinicians’ behavior is to change the EHR’s user interface (UI) to cognitively disincentivize certain choices. Putting undesired options further down on a drop-down list, for instance, or graying them out, can cause clinicians to select them less often without interrupting workflow.

Many EHRs already do this to avoid negative health outcomes, like unintended drug interactions or dangerous opioid doses. But all those tools are available to nudge behavior for other reasons, Ratwani said. They can just as easily be employed to avoid a drug that’s on shortage or out of range.

“Oftentimes what happens is providers get emails, and they’ll get an email that says ‘please don’t prescribe medication A, prescribe medication B instead’. And then they’re tasked with having to remember that information on top of all the other things they have to do. So that’s a great instance where it would be far more effective to manipulate the interface a little bit to make it more difficult to order those medications that are on shortage,” he said.

“Things that you want to prevent or push people away from—you want that to take more cognitive effort than you want people to actually use,” Ratwani added. “So you’re guiding them without them needing to do a lot of effort to acknowledge them or interrupt their workflow. And that’s where it’s most effective—where it’s very passive and doesn’t require a lot of effort on the part of the physician.”

The trouble here is that the UI changes can tread into the territory of making decisions instead of clinicians. And while the grayed-out options should still be available to select in most cases, the psychological disincentive it provides is powerful, Ratwani said. One study showed that even a one- to two-second delay in the time that it takes to do something will push people away from that action most of the time.

Furthermore, it’s not clear that the suggestions pushed by the UI will always be appropriate. It would be easy for a drug shortage to end, for instance, but not have the EHR update to reflect that until months later.

“There is tremendous potential for unintended consequences in this kind of change—to any interface. Just in the example of order sets, many have been updated but the clinician’s not aware that it’s been updated, so they may be operating under the previous conditions of that order set,” Ratwani said. “This can be a big problem, and it’s similar to the drug shortage scenario, where there is a change and it’s not obvious.”

Ultimately, no solution is perfect. Personal reminders are too forgettable, EHR reminders are too repetitive and easy to ignore, and UI changes are too difficult to notice and overrule.

So while EHR changes can be a powerful tool for hospitals and health systems to incentivize certain behavior, they will have to be vigilant about the unintended consequences.

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2023 The following is another student DQ post to wish a have to reply

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Nursing 2023 Nursing Role and Scope DQ 14 student reply t (Matha Gomez)

The following is another student DQ post to wish a have to reply 2023 Assignment

 The following is another student DQ post to wish a have to reply adding some other information related to the post. Remember APA and less than 20 % similarity. 

Professor instructions:

All your postings should have references and citations

All your postings should have three paragraphs with three sentences

Student Post:

 

Question 1

There are some behaviors that indicate potential boundary crossing by nurses when dealing with patients. The first red flag is spending more time than is required with a patient. This shows that the relationship between the two has moved from professional to personal businesses that may negatively affect output (Erikson & Davies, 2017). Secondly, showing favoritism to a particular patient is another alert sign of professional boundary crossing.

Another common alert sign of professional boundary crossing is discussing intimate issues with patients. While a nurse may need some personal information about a patient while taking care of them, such data as likes and dislikes and other intimate details is often a sign of professional boundary crossing (Erikson & Davies, 2017). Also, engaging in behavior that could be reasonably interpreted as flirting constitutes an alert sign.

Meeting patients in settings other than those for provision of care is also a warning sign of professional boundary violation (Erikson & Davies, 2017). This include meeting patients at home or for coffee after they have been treated. Also, if patients start asking questions about a particular nurse, professional boundaries may be crossed.

Question 2

Terminal sedation is an end-of life intervention to end suffering as the last result. To relieve suffering that has not responded to other means, the patient is sedated to the point where refractory symptoms are controlled. With no intention of causing death, the patient is sedated to an unconscious level (Bryer et al., 2019). These drugs may result in his/her slow and painless death.

Rational suicide involve a well-thought out decision by an individual to die. Rational suicide occurs when a person reasons and decides to end their own life. In this case, the patient in end of life care should also be capable of action so that they can administer the drug (Bryer et al., 2019). Therefore, they administer the lethal drug on themselves rather than by a medical professional or other persons.

Assisted dying involve the hastening of death by administration of a lethal substance. In assisted dying, a drug or lethal substance is administered to the patient to end their life (Bryer et al., 2019). In this case, there can be active euthanasia where someone other than the patient carry out the action that ends the life.

Question 3

One major moral dilemma with end of life care is regarding hastening death or the principle of double effect. Some decisions that a nurse will make produce both negative and positive effects. For example, while a nurse may need to administer pain medicine, the drug may have negative effect on the patient (Masters, 2017). Here while the principle of non-maleficence apply, the nurse is in a dilemma or whether or not to administer.

Another moral dilemma in end-of life care is that involving respect for autonomy. According to Harwood (2020), patients have the right to make decision in regard to their treatment preferences. However, there are limitations when it comes to observing certain patient requirement which may have negative effects. Nurses often find themselves digressing from the patient’s preferences in treatment.

Another major challenge with end of life care is in regard to disclosing prognosis or diagnosis to patients. Due to religious beliefs, emotional reactions and other factors, family members may request nurses not to disclose results of diagnosis to patient (Harwood, 2020). As this act against nursing ethics, it present an ethical dilemma due to potential consequences of the disclosure.

References

Bryer, E., Neault, M., & Mintzer, D. (2019). Managing Dying: Medical Care and Decision Making at the Very End-of-Life. Palliat Med Care, 6(1), 1-6.

Erikson, A., & Davies, B. (2017). Maintaining integrity: How nurses navigate boundaries in pediatric palliative care. Journal of pediatric nursing, 35, 42-49.

Harwood, R. H. (2020). Ethical and moral dilemmas including do not attempt resuscitation orders, advanced care planning, and end-of-life care. Stroke in the Older Person, 283.

Masters, K. (2017). Patient-centered care and professional nursing practice. Role development in professional nursing practice, 273-278.

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2023 The SWOT Analysis must be done on Massachusetts General Hospital in Boston SWOT Analysis This week s

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Nursing 2023 SWOT Analysis

The SWOT Analysis must be done on Massachusetts General Hospital in Boston SWOT Analysis This week s 2023 Assignment

 The SWOT Analysis must be done on Massachusetts General Hospital in Boston.

SWOT Analysis

This week’s assignment will allow you to generate content that you will incorporate into the Market Analysis section of your Final Project. To prepare for this assignment, read Chapter 4 of the course text and the article by Simoneaux and Stroud (2011). You may also want to review the recommended article by Valentin (2001).

During the analysis stage, you consider external factors that pose possible threats to or provide opportunities for your organization and compare these factors against your HCO’s internal operation to diagnose its strengths and weaknesses. Many HCOs have found it useful to conduct a SWOT analysis. SWOT is an acronym for strengths, weaknesses, opportunities, and threats. Strengths and weaknesses refer to elements that are internal to the organization; opportunities and threats are external to the organization. An effective SWOT analysis helps the marketing team determine the healthcare organization’s position in a particular market place as well as the positions of its competitors. By analyzing the current market and the deficiencies of the HCO’s competitors, and by assessing the HCO’s internal strengths and weaknesses, the marketing team can reposition the organization to meet and exceed the needs of its customers. 

For this assignment, you will conduct a detailed SWOT analysis of your chosen healthcare organization for your Final Project. Discuss your selected organization’s strengths, weaknesses, opportunities, and possible threats.

The SWOT analysis should include the following five components:

  • Strengths – An organization’s resources and capabilities that can be used as a basis for developing a competitive advantage.
  • Weaknesses – Limitations of an organization to meet the needs of its determined customer base.
  • Opportunities – External conditions that may reveal certain new opportunities regarding profit and growth.
  • Threats – Factors or changes in the external environment that may present threats to the organization.
  • Summary/Recommendations – After conducting your SWOT analysis, write a paragraph in which you provide your recommendations to the CEO of your chosen healthcare organization. Also state how you will use this information to create a marketing plan that will ensure the following:
    • The organization’s resources are not wasted
    • Time is well spent
    • Marketing efficiently is improved

The assignment

  • Must be four to five double-spaced pages in length (not including the title page and references page) and formatted according to APA style 
  • Must include a separate title page with the following:
    • Title of paper
    • Student’s name
    • Course name and number
    • Instructor’s name
    • Date submitted
  • Must use at least three scholarly sources in addition to the course text.
  • Must document all sources in APA style.
  • Must include a separate references page that is formatted according to APA style.

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2023 Transcultural Perspectives n the Nursing Care of Older Adults Read chapter 8 of the class textbook and

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Nursing 2023 Culture In Nursing DQ 7

Transcultural Perspectives n the Nursing Care of Older Adults Read chapter 8 of the class textbook and 2023 Assignment

 

Transcultural Perspectives n the Nursing Care of Older Adults

Read chapter 8 of the class textbook and review the attached PowerPoint presentation.  Once done answer the following questions;

  1.  What resources, needs, and limitations should the nurse assess to develop a care plan for a recently discharged 82-year-old chronically ill man who is returning to a single-room-occupancy hotel in a crowded inner-city location.
  2. As the nurse who does health assessment for frail older adults who attended a community comprehensive day program, what information should the nurse assess to identify culturally appropriate care plans for older Filipino and Chinese American clients?
  3. The short-term subacute unit where you are the nurse manager serves a multinational group of older clients who are admitted for orthopedic surgery.  What cultural assessment do you teach the staff to use in identifying the needs of clients and their families?

As stated in the syllabus present your assignment in an APA format word document, APA required font attached to the forum in the discussion tab of the blackboard titled “Week 1 discussion questions” and the SafeAssign exercise in the assignment tab of the blackboard which is a mandatory requirement.  A minimum of 2 evidence-based references (besides the class textbook) no older than 5 years must be used.  You must post two replies on different dates to any of your peers sustained with the proper references no older than 5 years as well and make sure the references are properly quoted in your assignment. The replies cannot be posted on the same day, I must see different dates in the replies.   A minimum of 800 words is required and not exceeding 1,000 words (excluding the first and reference page).  Please make sure to follow the instructions as given and use either spell-check or Grammarly before you post your assignment.

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2023 Respond using one or more of the following approaches Ask a probing question substantiated with

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Nursing 2023 Group E post

Respond using one or more of the following approaches Ask a probing question substantiated with 2023 Assignment

  

 

Respond using one or more of the following approaches:

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.

Statistical Methods in Qualitative Research 

  

Statistical Method

What is measured by this method

Circumstances for Use

Examples of use in Research Studies

 

Qualitative Content Analysis

Analyzes narrative data, and in-depth interviews. Can evaluate large volumes of data with   intent to identify recurring themes and patterns. Attempts to break down   elements of data into clusters. May be concurrent or sequential (Polit &Beck,   2017).

Good method for evaluating personal histories, perspectives,   experiences. Best method for studying personal, sensitive situations (Sauro,   2015).

Examples of this methodology include evaluation of the experience of a   rape victim, what it feels like to have an abortion, how it feels to have   lived through a disaster.

 

Ethnographic analysis

Evaluates cultural phenomena, patterns, perspectives. Requires   “participant observer” technique. No preconceived hypothesis. May take months or years to complete. Maps and flowcharts are tools to help   illustrate findings (Polit & Beck, 2017).

Method to “acquire a deep understanding of the culture being studied”   (Polit & Beck, 2017 p. 538).

An example of ethnographic analysis could include a research study   with ethnographers integrating with Native Americans living on a reservation   while observing everyday life seeking to extrapolate overlying cultural   issues.

 

Phenomenologic Analysis

Attempts to understand the   essence of experiencing a particular phenomenon by observation, interviews,   and outside research. Descriptive analysis 

Method for understanding individual perspectives of experiencing a   certain phenomenon. Seeks to extrapolate commonalities and themes among   subjects (Sauro, 2015). 

Conducting interviews with persons who have experienced   hallucinations, with the intent to understand their perspective and   experience of the phenomenon, is an example of this method of research.

 

Grounded Theory Analysis

Aim is to provide theories and explanations for phenomena based on   previously coded information Uses interviews and previous accepted research. Unlike Qualitative content analysis, which   seeks to break down information, Grounded theory strives to put information   back together (Polit & Beck, 2017).

Method for development of theories, Could be used meta-analyses or   systematic reviews.

An example of a grounded theory analysis is” Beck’s (2002) model of   mothering twins” as cited in Polit & Beck (2017).

 

Focus Group Analysis 

Analyzes group data in relation to a specific topic. Group interviews, recordings, and field   notes .are instruments for conducting this type of research.

May be used for evaluation of a potential survey tool, consensus on a   new product. Researchers seek to   extrapolate recurring themes.

An example of a focus group analysis might be to evaluate perceptions   of a new product being marketed to test for general consensus of its   desirability. 

Quasi-statistics: a tabulation of the frequency with which certain themes or insights are supported by the data

Qualitative content analysis: analysis of the content of narrative data to identify prominent themes and patterns among the themes

Domain analysis: 1st of 4 levels of data analysis, domains are units of cultural knowledge, are broad categories that encompass smaller ones. Ethnographers identify rational patterns among terms in the domains are used by members of the culture. Ethnographer focuses on the cultural meaning of terms and symbols used in a culture

Taxonomic analysis: second level of data analysis, ethnographers decides how many domains the analysis will encompass. Taxonomy is then developed to illustrate the internal organization of a domain and the relationship among the subcategories of the domain

Taxonomy: a system of classifying and organizing terms

Componential analysis: relationships among terms in the domains are examined; ethnographer analyzes data for similarities and differences among cultural terms in a domain.

Theme analysis: cultural themes are uncovered; domains are connected in cultural themes, which help to provide a holistic view of the culture being studied. The discovery of cultural meaning is the outcome.

Holistic approach: researchers view the text as a whole and try to capture is meanings 

Selective approach: researchers highlight or pull out statements or phrases that seem essential to the experience under study 

Detailed approach: researchers analyze every sentence 

Hermeneutic circle: signifies a methodological process in which to reach understanding, there is continual movement between the parts and the whole of the text being analyzed 

Exemplars: illuminate aspects of a paradigm case or theme

Substantive codes: substance of the topic under study is conceptualized through substantive codes. Substantive codes are either open or selective

Open coding: used in the first stage of the constant comparative analysis, 

captures what is going on in the data. May be actual words stated by participant. In open coding, 

data are broken down into incidents and their similarities and differences are examined. Raw  

data interpreted 

Three Levels of Open Coding: Levels I, II, III

Level I codes: in vivo codes, derived directly from the language of the 

substantive area and have vivid imagery 

Level II codes: Researchers constantly compare new level one codes to 

previously identified ones and then condense them into broader level II 

codes

Level III codes: theoretical constructs, most abstract, add scope beyond local 

meanings

Core category: pattern of behavior that is relevant and/or problematic for participants

Selective coding: can have 3 levels of abstraction, researchers code only those data that are related to the core variable

Basic social process (BSP): evolves over time in two or more phases, all BSP’s are core variables, but not all core variables have to be BSPs

Emergent fit: prevents individual substantive theories from being “respected little islands of knowledge”

Axial coding: analyst codes for context

Paradigm: used as an analytical strategy to help integrate structure and process

Central category: core category, which is the main theme of the research 

Initial coding: pieces of data (words, lines, segments, incidents) are studied so the researcher begins to learn what the participants view as problematic 

Focused coding: the analysis is directed toward using the most significant codes from the initial coding

Congruent methodological approach: analyzes interaction data in the same manner as a group or individual data 

Sociograms: can be used to understand the flow of conversation as it goes around the members of the focus group

Incubation: process of living the data, a process in which researchers must try to understand their meanings, find their essential patterns, and draw legitimate, insightful conclusions

Conceptual files: physical files in which coded excerpts of data relevant to specific categories are placed

Themes: involves the discovery nor only of commonalities across participants but also of natural variation and patterns in the data

Metaphors: figurative comparisons used to evoke a visual or symbolic analogy

Quasi-statistics: involves a tabulation of the frequency with which certain themes or relations are supported by the data

Qualitative content analysis: can vary in terms of an emphasis on manifest content or latent content and in the role of induction

Managing Qualitative Data

Computer-assisted qualitative data analysis software (CAQDAS): a program that can take uploaded data files, code the narratives, retrieve information, and display text for analysis

Text Box: • Text retrievers-locate text and terms in a database. • Code-and-retrieve packages allow researchers to code text. • Theory building software functions to examine relationships between concepts, develop hierarchies of codes, diagram, and create hyperlinks to create nonhierarchical networks. • Concept mapping constructs sophisticated diagrams. • Data conversion/collection software converts audio into text.

Within a qualitative data analysis there is not statistical tests, because qualitative research is based on thoughts, open ended questions, interpretations and interviews not numerical values. Data within qualitative research is understood and analyzed during the entirety of the process. “Researchers interpret the data as they read and reread them, categorize and code them, inductively develop a thematic analysis, and integrate the themes into a unified whole,” (Polit & Beck, 2017, p.549). There is not a step by step understanding of how the process occurs of interpreting the data, researchers “live” within the data by understanding the meanings, looking for patterns, draw valid, discerning conclusions. An additional importance of understanding of the facts is having the inventiveness to find the “aha” meaning of the information and discovery of the meanings of the facts gained (Polit & Beck, 2017). 

The importance of the interpretation is just as important as the validity of the data. Thorough and sensible researchers have a high standard of their data interpretation by dissecting themselves, peers and outside reviewers. It is vital that the qualitative researchers consider possible different explanations or meanings other than their own (Polit & Beck, 2017).

It is important nurses to understand statistical data because this is a large part of the work nurses base the practice on is evidence based, which means understanding the research behind the reason of the practice is important to understand. According to Hayat, it is important to understand the difference between statistical significance and clinical importance, researchers tend to use statistics to claim proof and scientific breakthrough. Significance testing can be used to decide which data may be considered evidence to support a practice change (2010). “Judgment and subjectivity are necessary and part of the decision-making process. Statistical significance is not a measure of importance; it is a subjective and qualitative construct. Researchers conducting quantitative analyses should quantify the magnitude of an effect. The value of the data collected should be assessed by examining study design, bias, and confounding variables, as well as meaningfulness of the results to the topic under study,” (Hayat, 2010, p.222). Nurses must consider this and have an understanding when utilizing statistical methods to base their practice changes. 

References

Hayat, M. J. (2010). Understanding Statistical Significance. Nursing Research, 59(3), 219–223

Polit, D.E. & Beck, C.T. (2017). Nursing Research: Generating and Assessing Evidence for Nursing 

Practice 10th ed. Philadelphia, PA: Wolters Kluwer

Sauro, J., (2015. October 13). Five types of qualitative methods, Retrieved from https://flic.kr/p/4PXXCYp.

By: Casey Hoffman, Tami Frazier, Sarah Pudenz, and Elizabeth Wilson

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2023 Instructions Delta Pacific Case Study As the change leader for Delta Pacific Company DPC you know you need

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Nursing 2023 Deliverable 5 – Barriers To Change

Instructions Delta Pacific Case Study As the change leader for Delta Pacific Company DPC you know you need 2023 Assignment

Instructions

Delta Pacific Case Study

As the change leader for Delta Pacific Company (DPC), you know you need to determine potential organizational  barriers to change for the company’s goal of changing the culture from the more  traditional manufacturing environment to one of a contemporary consulting  environment. Now it’s time to create your strategy to combat barriers to change:

  • Assess the potential barriers to changing an organizational culture
  • Analyze change strategies appropriate for this type of change
  • Determine potential employee resistance behaviors
  • Determine the best way to influence employees in the right direction

Since you are the change leader, it  is your responsibility to consider that there will be organizational and human barriers to change. As part of your role, you should take proactive measures and design a change strategy to address potential barriers and resistance.

Conduct academic research and create a plan to present to the CEO and board in which you complete the following change strategy for barriers and resistance:

  • Explanation of potential organizational barriers that are most likely to occur for this type of change.
  • Description of the employee resistance behaviors.
  • Explanation of your strategy to overcome the barriers and resistance.
  • Discussion of your strategy recommendations to  overcome barriers and influence employees in the right direction.
  • Remember that this is a proposal. Make sure to format your paper properly for your proposal. A proposal is a persuasive  document, so make sure to use proper language and tone. Remember, you are the change leader, and you are writing to the CEO. So use a tone in your proposal that is specific to your audience (the CEO). 

Include your APA-formatted  reference page with at least two credible sources.

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2023 Your quest to purchase a new car begins with an identification of the factors important to

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Nursing 2023 Assignment: Evidence-Based Project, Part 3: Advanced Levels Of Clinical Inquiry And Systematic Reviews

Your quest to purchase a new car begins with an identification of the factors important to 2023 Assignment

Your quest to purchase a new car begins with an identification of the factors important to you. As you conduct a search of cars that rate high on those factors, you collect evidence and try to understand the extent of that evidence. A report that suggests a certain make and model of automobile has high mileage is encouraging. But who produced that report? How valid is it? How was the data collected, and what was the sample size?

In this Assignment, you will delve deeper into clinical inquiry by closely examining your PICO(T) question. You also begin to analyze the evidence you have collected.

To Prepare:

  • Review the Resources and identify a clinical issue of interest that can form the basis of a clinical inquiry.
  • Develop a PICO(T) question to address the clinical issue of interest for the Assignment.
  • Use the key words from the PICO(T) question you developed and search at least four different databases in the Walden Library to identify at least four relevant peer-reviewed articles at the systematic-reviews level related to your research question.
  • Reflect on the process of creating a PICO(T) question and searching for peer-reviewed research.

The Assignment (Evidence-Based Project)

Part 3: Advanced Levels of Clinical Inquiry and Systematic Reviews

Create a 6- to 7-slide PowerPoint presentation in which you do the following:

  • Identify and briefly describe your chosen clinical issue of interest.
  • Describe how you developed a PICO(T) question focused on your chosen clinical issue of interest.
  • Identify the four research databases that you used to conduct your search for the peer-reviewed articles you selected.
  • Provide APA citations of the four peer-reviewed articles you selected.
  • Describe the levels of evidence in each of the four peer-reviewed articles you selected, including an explanation of the strengths of using systematic reviews for clinical research. Be specific and provide examples.
  • 3 to 5 references within 5 years.

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