P#2

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Hello i need a Good and Positive Comment related with this argument .A paragraph  with no more  90 words.

 

 

Jamella Miller 

 

2 posts

 

Re:Topic 2 DQ 1

 

 

 

According to Maxwell (n,d),  qualitative data tends to be a lot more time consuming because so much information needs to be gathered from the individual person.  Quantitative data involves the gathering of numbers and statistics rather than information (Johnson, Dunlap, and Benoit, 2010).

 

One way a researcher could organize data is to prepare specific questions that only require yes and no answers.  Having a plan beforehand is very important because I think with qualitative data there can be so many different pathways to take.  Different kinds of situations come up.  You should decide what topic you want to cover and stick with that topic.  The study should have well organized simple understandable questions. 

 

Before starting a research, it is important to have a good outline and know what your goals, methods, framework, and research questions (Maxwell, n.d.). 

 

                                                                     References

 

Johnson, B. D., Dunlap, E., & Benoit, E. (2010). Structured Qualitative Research: Organizing “Mountains of Words” for Data Analysis, both Qualitative and Quantitative. Substance Use & Misuse, 45 (5), 648–670. Retrieved from http://doi.org/10.3109/10826081003594757

 

 

 

Maxwell, Joseph (n.d) Applied Research Design. Chapter 7 Designing a Qualitative Study. Retrieved From http://www.sagepub.com/sites/default/files/upm-binaries/23772_Ch7.pd

 

 

 

For phd Issac newton only

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  • Handling Culturally Diverse Patients

    Mrs. Abdul has recently emigrated from the Middle East to live with her daughter and son-in-law. The Abdul family has just started coming to the clinic you work at as a Medical Administrative Assistant for care over the past 3 months. You have noticed that they have arrived late for all of their appointments to date, have arrived again late for their appointment today and seem reluctant to answer many of the questions that are asked. Also, it is observed that Mrs. Abdul allows her daughter to speak for her most of the time. Based on some preliminary testing that was conducted, Dr. Jones is concerned that Mrs. Abdul may have cancer, but must do some further diagnostic testing to be sure.

    Based on the above scenario what information should the medical staff be aware of to help them interact effectively with the patient? Are there specific guidelines they should follow in terms of cultural diversity? If so, what would those be?

     

  • Utilizing Proper Telephone Techniques: The Angry Patient

    You are the Medical Administrative Assistant for your practice. The phone rings and you answer it. It is Mr. Wilson, a patient of the practice. He is very upset because he received an EOB (explanation of benefits) in the mail today indicating the insurance denied his claim for his most recent office visit because it was not considered medically necessary. Your practice has not yet billed Mr. Wilson, but he warns “You better not even think about billing me for that visit, or I’ll sue you”. Mr. Wilson does not want to hear that the office can appeal the denial if he is willing to complete the form that was sent to him. He adds “paperwork is your job, not mine!”

    1. If you were in this situation what would you do? Think about and incorporate applicable PRICE characteristics.

    2. Should you alert the physician or office manager or try to handle on your own?

    3. Should this incident be documented in the patient’s medical record? Why or why not?

    4. Please answer all questions completely. APA format must be used. 

P6

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Hello i need a Good and Positive Comment related with this argument .A paragraph  with no more  90 words.

 

 

Holly Borkowski 

 

1 posts

 

Re:Topic 3 DQ 2

 

Sampling theory encompasses a selection process that accurately selects the appropriate group of subjects to best benefit and represents the purpose of the intended study.  A suitable group of subjects may include people, situations, objects or components used to measure responses. The method of sampling defines the process used to select subjects. (Grove, Gray, & Burns, 2015, p. 249-250).

 

Major thought processes in sampling theory include a population of subjects, intended subjects, defined criteria, accessibility, variables, timeframes, methods, and strategies. Clearly defining the intended research, research goals, research objectives and intended outcome will aid in a productive research project. 

 

In 1948, a prominent longitudinal study began known as the Framingham Heart Study. The goal of the study was to follow a select group of people over an extended duration of time to identify commonality if characteristics of cardiovascular disease.  The study specifically looked at a sample size of 5,209 men and women between the ages of 30 and 59 who had not developed symptoms of cardiovascular disease or had suffered a myocardial infarct or cardiovascular accident. (“Epidemiological Background and Design: The Framingham Study,” 2017). The Framingham Heart Study was a random sampling of voluntary subjects that resided in Framingham, Massachusetts. 

 

In nursing and medical research many times the sample size, population, and characteristics represent the area of study. The population might be teenage pregnancies occurring in children 15-18 years old or infection rates among all patients who have hip replacement surgery.  Other sample methods for more generalized research may not be so specific, but some control needs to be established in regards to sampling to avoid a study with no boundaries. 

 

P#3

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Hello i need a Good and Positive Comment related with this argument .A paragraph  with no more  90 words.

 

 Deactivated

 

Faith Muchiri 

 

3 posts

 

Re:Topic 2 DQ 1

 

Qualitative research is like a mountain of words which a researcher can be overwhelmed by, and the most effective way to manage that information is by having a way of organizing data in programs that are systematic in such a way that it would be easy to retrieve data when the researcher needs it.  One can choose a software program that can be able to synthesize information in various purposes, and functions.

 

Research involves the collection of data, analyzing, and assembly of important information. Qualitative research data collection can be done through interviews, field notes and observations which the researcher would be looking to answer the question, what Is going on here? Data should support the question being asked. Qualitative data, such as transcripts from an interview, are often routed in the interaction between the participant and the researcher. The researcher, may be able to reflect on how all the collected data may have influenced both the data collected and the analysis of the data. Being organized helps to be able to refer to information easily, and also helps keep track of where everything is, and be able to pull it out whenever one needs it.

 

Reference

 

Brescia University college, (2012, Nov 29th). What is the best way to organize research information. Retrieved from https://beryliveylibrary.wordpress.com/2012/11/29/organize-research/

 

Johnson. B. et al, (2010, April). Structured qualitative research. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2838205

 

 

 

COMMENT JAMELLA

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 I NEED A POSITIVE COMMENT BASED IN THIS ARGUMENT..BETWEEN 150-200 WORDS

 

Spiritual care to me means acknowledging and supporting ones religious beliefs. To make sure their wishes are followed and respected.  It involves providing complete care to patients, including their mind, body, soul, and spiritual needs. I often am asked by patients if I am a Christian. This could be a sign that they are seeking the spiritual care they are desiring. Spiritual needs include a need for faith, hope, love, confession, forgiveness, meaning, and purpose (Shelly & Miller, 2006). Spirituality is reflected in everything we do. It should not be ignored or dismissed. It may come in the form of encouraging patients not to give up hope, to hold their hand when they are afraid, to offer a smile, to pray with them, to comfort their family, or to just stay with them. For example, some patients I’ve cared for with advanced cancer who found comfort from their religious and spiritual beliefs were more satisfied with their lives, were happier, and had less pain.  Shelly states that good spiritual care brings glory to God and does not just provide comfort to the patient (Shelly & Miller, 2006). Shelly also states that spiritual care could also include providing referrals, follow-up care, or even connecting patients to Christian communities (Shelly & Miller, 2006). Spiritual care involves helping people build a relationship with God through our “compassionate presence, active listening, witness, prayer, Bible reading and partnering with the body of Christ” (Shelly et al., 2006). It also involves providing humane care to everyone in the hospital setting regardless of the sins they may have committed. Being humane to patients may help a patient in the face of hopelessness, consider hope in God, in which they may be less compelled to seek suicide or euthanasia (Shelly & Miller, 2006). We should not be afraid to pray with our patients searching for hope in God as prayers do work.

 However, I did read over chapter 14 of Called to care. I must confess that there is a need for realignment of my concept of spiritual care. Is my understanding of spiritual care totally different or off the picture the book painted? No. It is just somethings that jumped at me that triggered the thought of realignment.

As a Christian nurse, my focus should be on spiritual healing of the patient and not the physical alone (Shelly & Miller., 2006). The author cited the example of the paralytic man in the Bible. “Jesus assessed that although the presenting problem appeared to be physical, the man’s primary need at this point was spiritual—forgiveness of sins” (Shelly & Miller, 2006).

Reference

Shelly, J. A., & Miller, A. B. (2006). Called to Care a Christian Worldview of Nursing  (2 ed.). Retrieved from http://gcumedia.com/digital-resources/intervarsity-press/2006/called-to-care_a-christian-worldview-for-nursing_ebook_2e.php

p6

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Hello i need a Good and Positive Comment related with this argument .A paragraph  with no more  100 words.

 

 

Kristie Keel 

 

2 posts

 

Re:Topic 1 DQ 2

 

The role of spirituality in healthcare was the article I found interesting. The article was geared toward Physicians but I think all of healthcare should incorporate this approach. To start understanding and practicing compassion healthcare providers should:

 

  • Practicing compassionate presence—i.e., being fully present and attentive to their patients and being supportive to them in all of their suffering: physical, emotional, and spiritual
  • Listening to patients’ fears, hopes, pain, and dreams
  • Obtaining a spiritual history
  • Being attentive to all dimensions of patients and their families: body, mind, and spirit
  • Incorporating spiritual practices as appropriate
  • Involving chaplains as members of the interdisciplinary health care team (Puchalski,2001)

 

Spirituality can be an important element in the way patients face chronic illness, suffering, and loss. Healthcare providers need to address and be attentive to all suffering of their patients—physical, emotional, and spiritual. Doing so is part of delivery of compassionate care. I think we can be better healthcare providers and true partners in our patients’ living and in their dying if we can be compassionate: if we truly listen to their hopes, their fears, and their beliefs and incorporate these beliefs into their therapeutic plans (Puchalski, 2001).

 

Showing compassion and understanding develops a level of trust in our patients that will take the level of care to another level. Engaging our patients in a feeling of complete acceptance and develop a partnership that is otherwise impossible.

 

P1

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Hello i need a Good and Positive Comment related with this argument .A paragraph  with no more  90 words.

 

 

 Deactivated

 

Regina Siegfried 

 

1 posts

 

Re:Topic 4 DQ 1

 

An experiment focuses on two variables which are dependent and independent.  Extraneous variables are defined as conditions that are constantly changing which could be lighting, weather changes, moods, people getting tired or bored. In experiments there are always things changing and it is important to control these variables in research.

 

To control an extraneous variable the researcher needs to identify those variables that are most likely to influence the dependent variable (Bluman, 2010).

 

The extraneous variables can be held constant by creating a standardized environment and procedure so that all variables are the same in each condition and therefore cannot be confounding. By matching the values across treatment conditions you are ensuring that the variable does not vary across the treatment conditions, for example participants are assigned so that the average age is the same for all different treatment conditions.

 

The researcher needs to identify those variables that are most likely to influence the dependent variable. 

 

This is done based on the researcher’s common sense, simple logical reasoning and past experience.  Extraneous variables cannot be avoided but it is important to not let extraneous variables turn into confounding variable. Confounding variables need to be prevented because they can undermine the internal validity of an experiment and potentially cause a type 1 error.  It is extremely important when conducting research to stop extraneous variables from turning into confounding variables (Triola, 2010).

 

 

 

Class 1 Unit 5 COMMENT 2

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Purpose: A Comment to Discussion: Team Dynamics

Thing to Remember:

 

 

  • Answer this discussion with opinions/ideas creatively and clearly. Supports post using several  outside, peer-reviewed sources. 
  • 1 References, find resources that are 5 years or less
  • No errors with APA format 6th edition

 

Discussion: Team Dynamics

           As healthcare providers, we should aim to provide safe and quality care to patients while working with other members of the interdisciplinary team. However, teamwork is not always easy. I would like to explicate some of the characteristics of the interdisciplinary team that can prove to be beneficial to teamwork, as well as those that can hinder the teamwork process.

           I feel the most important aspect of teamwork is proper communication. Without communication, information cannot be conveyed to other members of the team. According to Lavoie-Tremblay et al. (2014) “team building requires considerable attention to interpersonal and communication skills” (p. 23). Members of the team must also share respect for one another and act in a professional manner through team interactions. Also, I think it is important for each team member to know the role they play within the team. In a study where a Learning Collaborative Program was initiated to help providers learn how to work in a team, they discovered the “teams needed opportunities to first learn about each other’s scope of practice and skill sets, develop a common language for communication, and understand how their scope of practice can be leveraged to improve team functioning and patient care” (Kotecha et al., 2015, p. 228).

           There is always another side to every story. There are some conditions that make teamwork in healthcare very difficult. Teamwork can be even more complicated when healthcare providers must make ethical decisions. The members of the interdisciplinary team have different personalities and perspectives that can affect teamwork. Hamric, Hanson, Tracy, and O’Grady (2014) postulate that “these differing positions can lead to creative and collaborative decision making or to a breakdown in communication and lack of problem solving” (p. 329).  Other aspects identified by Lavoie-Tremblay et al. (2014) that can impact teamwork are psychological demands (of the job), social support (from colleagues and superiors), effort-reward balance, and healthcare providers’ experience with patients (p. 19). These aspects can impact teamwork in a positive or negative way.

References

Hamric, A. B., Hanson, C. M., Tracy, M. F., & O’Grady, E. T. (2014). Advanced practice    

           nursing: An integrative approach (5th ed.). St. Louis, MO: Elsevier.

Kotecha, J., Han, H., Green, M., Roberts, S., Brown, J. B., Harris, S. B., & … Birtwhistle, R.        

           (2015). Influence of a quality improvement learning collaborative program on team      

           functioning in primary healthcare. Families, Systems & Health, 33, 222-230. doi:10.1037/      

           fsh0000107

Lavoie-Tremblay, M., O’Conner, P., Harripaul, A., Biron, A., Ritchie, J., Lavigne, G. L., . . .      

           Sourdif, J. (2014). The effect of transforming care at the bedside initiative on healthcare    

           teams’ work environments. Worldviews On Evidence-Based Nursing, 11, 16-25. doi:

 

           10.1111/wvn.12015

Post#1

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Hello i need a good and positive comment related with this argument .A paragraph  with no more  90 words.

 

Samantha Smith  

 

Re:Topic 1 DQ 1

 

Healthy People 2020 addresses the importance of creating a social and physical environment, including in the community, that promotes good health for all people involved  (Centers for Disease Control and Prevention, 2015) . My idea of a healthy community includes safety, valuable resources, and social structure. I believe that healthy communities have all 3 of these things in common. Although it would be difficult, if not impossible, to erase all of crime, decreasing danger would increase the community’s feeling of safety.    This could also tie in with valuable resources such as emergency personnel during danger or natural disasters which the community relies on during time of need. Social structure brings the community  with similar values and goals, such as work, religion and ethnicity, together and accepts change. This makes the community join by cohesion and not divided by their differences.

 

If a community did not match my definition of a healthy community, I would try to provide care and education on the areas where that specific community lacked. Just like a patient care plan, this plan would also have to be area specific. For example, in my area we currently have a program in place called “push out the pusher”. This program is designed to allow the community to report drug activity which has been a very large problem in my area. It has reported to have led law enforcement to almost 300 drug related arrest within a year’s time  (Buchnowski, 2015) . This for example, not only brings safety because the calls and reports are anonymous and brings the drug related crime rates down it also incorporates the community’s resources, law enforcement, and social structure, all wanting the drug problem resolved.

 

class 1 unit 2 comment 2

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APN roles are broken down into more generalized areas of Certified Registered Nurse Anesthetist, Clinical Nurse

Specialist, Nurse Practitioner, and Certified Nurse Midwife. The U.S. have their own individual nurse practice acts that discuss regulations for APN’s to include education, certification/licensure, and scope of practice (Watson & Hillman, 2010). Even though APN’s scope of practice may be different in each state APN’s can  universally can diagnose where specialty nurses can still only rely on nursing diagnosis. I do believe APN roles will became more standardized as the need for APN’s increases. According to Lathrop and Hodnicki (2014) if the Conesus Model for APRN Regulation were to be used then standardization for all APRN licensure, accreditation, certification, and education would be done through the legislation.Nurse Practitioners currently receive their credentialing by five different bodies dependent on the area of interest. These are the American Academy of Nurse Practitioners Certification Program, American Nurses Credentialing Center, American Association of Critical-Care Nurses, and Orthopaedic Nurses Certification Board (Watson & Hillman, 2010).

 

According to Hamric, Hanson, Tracy, and O’Grady, (2014) specialty nursing practice is nursing focused on a specific field where as “advanced practice nursing reflects concentrated knowledge in a specialty that offers the opportunity for expanded  and autonomous practice based on broader practical and theoretical knowledge base” (p. 113). Specialty nursing practices obtain their training through on the job training and/or their health care institutions through certification versus advanced practice nursing (APN) obtain their training through a formal educational graduate level program (Hamric et al., 2014). Watson & Hillman (2010) reported the required education level of an APN was going to be doctorate by 2015. Here we are in 2017 and it is still that of a Masters level.

I  believe APN’s will be required to have a Doctorate level of education in the near future due to the evolving health care needs of our population as well as due the increase in legal liability. Since the passage of The Affordable Care Act the need for Advanced Practice Registered Nurse with a Doctor of Nursing Practice has increased due to preventive health focus (Lathrop & Hodnicki, 2014). As we are all aware APN’s have historically been focused on primary care which puts us as the leader in this shift in health care. I believe this because he start as registered nurses and provided that direct patient care only as nurses we follow the treatment plan developed by the primary care provider and now as APN’s we can develop the treatment plan.

 

References:

Hameric, A.B., Hanson, C.M., Tracy, M. F., & O’Grady, E. T. (2014). Advanced practice nursing: an integrative approach. St. Louis, MO: Elsevier

Lathrop, B., & Hodnicki, D. R. (2014). The Affordable Care Act: Primary Care and the Doctor of Nursing Practice Nurse. Online Journal Of Issues In Nursing, 19(2), 7.

Watson, E., & Hillman, H. (2010). Advanced practice registered nursing: licensure, education, scope of practice, and liability issues. Journal Of Legal Nurse Consulting, 21(3), 25-29.