COMMET HOLLY

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

 

The experimental research design is a framework system constructed to evaluate the interrelation of actions and reactions among absolute and conditional variables. (Grove, Gray, & Burns, 2015, p. 212).

A strong element of control is prevalent in experimental research design.  Researchers can maneuver and influence variables to coerce the desired effect. Pre-test post-test experiment design is one of the most common design studies used in medicine and nursing. This research design exhibits increased control over key elements to solidify the validity of the study. This design is where a selected group of subjects receive proposed treatment or therapy, and another group of subjects perceives they are also receiving treatment when they are receiving a placebo or conventional care.The researcher is examining the degree of impact the treatment/therapy has to the group of test subjects as apposed to the no treatment/therapy subjects. 

Non-experimental research (also known as descriptive and correlational) design is a framework system constructed to evaluate naturally occurring variables not manipulated by a researcher and purposed to analyze and interpret the relationship between these variables. Non-experimental research does not include manipulation of the framework or variables. Observation of the interrelationship of variables with no manipulation, or control is evident in a non-experimental research. 

Non-experimental research (descriptive or correlational) are used to observe and investigate a group of subjects with similar characteristics to understand, research and study commonality for possible future experimental research.

According to Grove, Gray, and Burns 2015, “descriptive design may be used to develop theories, identify problems with current practice, make judgments about practice, or identify trends of illnesses, illness prevention, and health promotion in selected groups” (Grove, Gray, & Burns, 2015, p. 213).

Experimental research design exhibits strict control and manipulation over variables and environment whereas non-experimental research design lacks control and manipulation of variables and is strictly observing variables in their natural occurrence. 

References

 

Grove, S. K., Gray, J., & Burns, N. (2015). Understanding nursing research: building an evidence-based practice (6th ed.). Retrieved from https://pageburstls.elsevier.com/#/books/9781455770601/cfi/8!/4/2/2@0:0

 

COMMENT SARAH TURNBULL

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

 

As stated by Moreland and Craig (2003), “Scientism is the belief that the best or only way to have any knowledge of reality is by means of the sciences.”  Having such a strict view on what can give individuals knowledge is a close-minded understanding of the deeper spiritual sides of human beings.  My personal perception of this tension between science and religion is that it is very real.  I work in the NICU and we are too often faced with situations that science no longer has an answer for.  Babies born too early that science has only come so far to support.  When there are sick and dying babies, the science minded individuals in the unit look at the numbers and follow the evidence that tells us there is nothing more we can do, and identify that this baby will not make it.  My experience is that you can never write a baby off.  They are capable of so much and there is so much more at play that affects the baby’s outcome that we truly do not understand in scientific means.  An example I can think of is a baby I was caring for that we were all waiting to die.  The numbers were telling us that was going to happen, we had exhasted all of our efforts for keeping the infant stable, and he continued to decline.  But, the family never gave up hope.  His parents or grandparents were at his bedside praying 24/7.  He was never alone.  All the doctors and many of the nurses were even a little frustrated with the family, thinking they were prolonging the inevitable, that we were doing all of these interventions for nothing.  One night I was caring for him and he took a turn for the worse.  We called the parents to the bedside and gave the mother the option to hold her baby for the first time.  We would keep all the machines and drips running, but let him pass in his mother’s arms.  All of this happened at the very end of my shift.  I stayed late to be with the family as he passed, but after a few hours, the baby was still fighting.  We had called funeral homes, had paper at the bedside to do footprints, and a photographer on standby to take pictures of him after he passed away.  I went home and when I woke up, called the nurse caring for him that day to see when he passed.  To my surprise, he was still alive, in fact, his vitals looked better than they ever had.  The only thing we did was have his mom hold him.  There were no new interventions, just the love of his mom.  That little boy is now 6 years old, alive and well, no neurologic deficits, sings, dances, a true miracle.  The point of my story being that there was definitely a tension between science, religion, and hope.  If the family did not have strong faith, and we had given up on him, he would not be here today.  Science definitely does not have all the answers.

 

Reference:

Moreland, J.P., & Craig, W.L. (2003). Philosophial foundations for a Christian worldview. Downers Grove, IL: IVP Academic.

COMMENT DANILO

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

 

The Bible reveals that of all God’s creatures, only man (humankind) was created in the expressed in the image of God (Samples, 2011).In the Christian religion, the imago dei, which is Latin for “the image of God” – refers to the unique imprint God placed upon humanity, identifying people as a special creation. (Imago Dei, 2017). The Christian concept regards all people as created by God in his image to live in loving relationship with God, self and others (Shelly & Miller, 2006).  

I remember when I was a little boy, my mother wants me to understand that we are all created by God and all people are offspring of God and God is the father of all people. As I little boy I was curious to asked her “if we are come from image of god, why we are different from each other, why people have assorted color? She jokingly answered me, that when God created us out of dirt, he was so busy that when we cooked us in a big oven, some came out, uncooked, and other overcooked, that is why some people are black and some are white.    

God created man in his own liking but not identical which means man is mortal but have independence and responsibility over all other things like his health, environment, and their life. God created man not only to his image but gave us a body which is like perfect machine that the ability to reproduce and fix itself. God also gave man knowledge to find cure to the disease that people also created like pollution and stress. Each individual has a responsibility to the environment as God ‘s gift to humanity. God also gave man everything to survive and cares for his wellbeing like the food, air and knowledge to know what is right and what is wrong.

 It is important to healthcare because man created by God to be responsible to live a healthy lifestyle and to promote health (Shelly & Miller, 2006). This is relevant because nursing and healthcare have the same goal as God which aimed to provide and foster optimal health and bring comfort in suffering and in death. At first, spiritual care was left out because goal of nursing is to maintain optimal biological functioning, often with little regard for emotional and spiritual concerns because they view health as simply as the absence of disease (Shelly & Miller, 2006). A new paradigm of nursing attempts to deal with the human factor and take into account the emotional and spiritual variables that make each individual unique (Shelly & Miller, 2006). Healthcare and nursing must follow God commands “to go and do likewise” which means providing compassionate and holistic care to any one in need regardless of ethnicity, identity, race, age, gender, status, diagnosis and ability to pay (Shelly & Miller, 2006).

 

References:

Imago Dei. (2017), March 22). Retrieved May 29, 2017, from http://www.religionfacts.com/imago-dei

Samples, K. R. (2011), August 01). Imago Dei: What Does It Mean? Retrieved May 29, 2017, from www.reasons.org/articles/imago-dei-what-does-it-me

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

EXPERT_RESEARCHER

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DUE MONDAY 01/23 —> NRUSING RESERACH

 

Assignment 2: Research Proposal Draft

By Monday, January 23, 2017, write a (5–6 pages) paper addressing the sections below of the research proposal.

This week you will submit the Literature Review section of your proposal. Each week you have been adding to your growing body of evidence to support your problem and proposed innovation to address the problem. The review of literature is a critical, analytical summary and synthesis of the current knowledge of your research topic. Thus it should compare and relate different theories, findings, etc., rather than just summarize them individually.

The following resources will help guide you (in addition to our course textbooks):

Submit your assignment to the W4: Assignment 2 Dropbox by Monday, January 23, 2017.

Assignment 2 Grading Criteria
Maximum Points
Literature reviewed represents current scholarly literature.
5
Literature reviewed represents a comprehensive review of the research topic.
5
Review of the literature is a critical, analytical summary. 
5
Review of the literature illustrates a synthesis of the current knowledge of research topic.
10
Followed APA guidelines for writing style, spelling and grammar, and citation of sources.
5
Total:
30

 

Developing an Evaluation Plan and Disseminating Evidence

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Details:

Using 800-1,000 words, discuss methods to evaluate the effectiveness of your proposed solution and variables to be assessed when evaluating project outcomes.

Example: If you are proposing a new staffing matrix that is intended to reduce nurse turnover, improve nursing staff satisfaction, and positively impact overall delivery of care, you may decide the following methods and variables are necessary to evaluate the effectiveness of your proposed solution:

Methods:

  1. Survey of staff attitudes and contributors to job satisfaction and dissatisfaction before and after initiating change.
  2. Obtain turnover rates before and after initiating change.
  3. Compare patient discharge surveys before change and after initiation of change.

Variables:

  1. Staff attitudes and perceptions.
  2. Patient attitudes and perceptions.
  3. Rate of nursing staff turnover.

Develop the tools necessary to educate project participants and to evaluate project outcomes (surveys, questionnaires, teaching materials, PowerPoint slides, etc.).

Refer to the “Topic 4: Checklist.”

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

 

 

You are required to submit this assignment to Turnitin. Please refer to the directions in the Student Success Center.

6 NRS 441v.11R.Module 4_Checklist.doc

Details:

Using 250-500 words, summarize your strategy for disseminating the results of the project to key stakeholders and to the greater nursing community.

Refer to the “Topic 4: Checklist.”

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

You are not required to submit this assignment to Turnitin.

6 NRS 441v.11R.Module 4_Checklist.doc

Prof GEGEE

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Critical Thinking: Case Study – Develop a Motivation Plan (90 Points)

First read Case Study 5-6, Develop a Motivation Plan, on page 133 in Organizational Behavior in Health Care.

The following level headings might be useful in developing your paper.

  • Introduction and explanation of the case study
  • Theories for analysis
  • Recommendations for motivation
  • Conclusion

Within the principles of the content theories of Maslow, Herzberg, and Alderfer, address the following in a paper:

  1. Explain why Susan is behaving the way she has over the past three months.
  2. Offer three specific recommendations to address the problem.

Your well-written paper should meet the following requirements:

  • Be 3-4 pages in length, not including the required cover and reference pages
  • Formatted according APA writing guidelines
  • Provide support for your statements with in-text citations from a minimum of three scholarly articles from peer-reviewed journal articles which updated 7 years.
  • Deadline at 20/FEB/2017

The case study is here:

 

Case Study 5-6, Develop a Motivation Plan

Jane Crouch is the director of nursing for a 400-bed nonprofit hospital in the Southwest. Susan Smith joined the hospital as a staff nurse three years ago after relocating from the Northeast.  She is 30 years old and has been a staff nurse since graduating from a two-year college nursing program 10 years ago. She is married to a lawyer, and they have two children, ages 6 and 8.

The hospital’s inpatient census has been extremely high because of another hospital’s closing.  The tension on the nursing floors has been running pretty high because of time pressures to discharge patients early, lack of professional staff, and an upcoming accreditation visit from The Joint Commission. Because of time restraints, Jane was unable to complete the staff’s annual performance evaluations. However, all nurses received a 5 percent pay increase. With this increase, the hospital staff is now the highest paid as compared with other hospitals within the region. Jane believes the higher pay compensates the nursing staff for their increased workload and related stress levels.  

Until recently, Jane has been pleased with Susan’s performance. Susan has demonstrated her willingness to work hard and has made very few, if any, patient-care errors. However, over the past three months, Jane has noticed that Susan is not performing at her same productivity level and appears to argue frequently with the treating physicians and other nurses about the patient’s treatment plans. Jane frequently hears Susan complaining that “no one listens to me,” “no one wants to hear my opinion,” and “they don’t pay me enough to do this job.”

Susan was once a highly motivated, productive member of the nursing staff. Jane understands that everyone is experiencing more stress than usual because of the increased workload, but what can be done to motivate Susan to her prior “self”?

 

Within the principles of the content theories of Maslow, Herzberg, and Alderfer, explain to the director of nursing why Susan is behaving the way she has over the past three months.

POST@5

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

 

 Deactivated

 

Idalmis Espinosa 

 

3 posts

 

Re:Topic 4 DQ 1

 

The U.S health care system faces significant challenges, despite being viewed by many people as the most efficient. The U.S health care system remains one of the least efficient in the world and the most expensive (Stephen Davidson, 2010).  According to a report by the Commonwealth Fund, The US health care system ranks last among eleven industrialized countries on measures of access, equity, quality, efficiency and healthy lives. The study also shows that a higher percentage of Americans skip out on the medical care they need simply because it’s too expensive. 37% of Americans don’t visit a doctor or seek out medical care because they are afraid of the cost, compared to a country like the United Kingdom, where only 4% of people there are reported to have skimped on healthcare for similar concerns. This just shows how health care in America is expensive for the ordinary American to afford. One of the reasons that worsen the situation in America is that the U.S doesn’t offer universal health care as compared to other countries; this leaves a huge percentage of the population uninsured and unable to pay for medical services.

 

According to Stephen Davidson (2010), there are approximately 37 million Americans who are not insured and that’s a growing concern. Prevention care is underutilized in the U.S which results in higher spending on complex diseases. Patients with chronic illnesses like diabetes, hypertension etc. don’t receive the care they need for example; drug therapies and self-management services to help them manage their conditions. There have also been cases of patients receiving unnecessary and harmful treatment. People with lower incomes and of different ethnic groups are the most affected since they face great disparities in health care.

 

The biggest U.S health care challenge faced by the country is management challenges. The health care system is always under pressure to cut costs and improve the quality of health care (Stephen Davidson, 2010). The main challenge being use of outdated and ineffective technology in some of the facilities. The management of these health care facilities are also opposed to changes which is another barrier faced by the U.S health care system.

 

The U.S health care system was in dire need of reforms so that Americans can enjoy health care system like other countries. High cost of health care is one of the issues that encouraged the need for reform of American health care system. There was need to reform the health care system especially because 25 million Americans were under-insured and 37 million had no health insurance or coverage. This meant that most Americans would pay for health services out of their pockets which is not affordable to all.

 

Stephen Davidson (2010) notes that, Americans were and are still not getting the effective health care that they require, the cost is too high, and thus the needs for health care reform. All these challenges led to the passage of the affordable care Act of 2010. Chronic diseases in America account for seven of 10 deaths among Americans each year; this is one area that prompted the need for reform. Diseases such as hypertension, diabetes and arthritis cost the American economy trillions of dollars each year. Reform in such areas would help the country save a lot of money.

 

The American health care system is still facing challenges up-to-date and there is need for continuous reforms so that all Americans can have the health care system that they deserve. The cost of still too high, the population needs to be educated on areas of disease management and prevention among other areas.

 

 

 

p5

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

 

Sarah Hagedorn 

 

1 posts

 

Re:Topic 2 DQ 2

 

The way in which I am understanding the difference between being begotten versus being made is the distinction between a mother and father who love each other having a child together that is begotten to them versus a mother being a surrogate to another family who has made their child. I may not be understanding the distinction correctly, but that is what I have gotten out of it and I do in a sense agree to his description but then I don’t because regardless of where or how the child was conceived and developed each set of parents will love that child regardless. They will not segregate the child because it was not created between the mother and father and carried by that mother. The distinction between procreation and reproduction appear to be the same as well as being the difference between parents creating a child out of passion and parents creating a child out of a petri dish. The thing that he points out with this is that the lines of procreation and reproduction become blurred when it becomes a matter of selecting gametes to use in creation as it blurs the lines of kinship and children are now a product of a person’s will rather than of a couples’ passion with one another (Meilaender 2005). This is a discussion that I can agree with because people begin to interrupt God’s will for their lives when they begin creating babies in petri dishes and some take it steps further to attempt to choose gender and hair and eye color and that is where people begin to ‘play God’ in a sense rather than procreating naturally.

 

 

 

 

P3

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 I NEED A POSITIVE COMMENT BASED IN THIS ARGUMENT..BETWEEN 10-200 WORDS

 

 Deactivated

 

Maria Pop 

 

1 posts

 

Re:Topic 4 DQ 2

 

Determining the level of evidence is a key component of appraising the evidence. This provides guidance in the type of research that are more likely to provide answers to a specific clinical question. Also, it can help us change clinical practice, or apply the clinical practice to the patient population. Peterson, M.  & et all in an article published reported that there are multiple levels of evidence such as:

 

1.        Meta-analysis of multiple controlled studies with results that consistently support a specific action, intervention, or treatment (systematic review of a randomized controlled trial).

 

2.        Evidence from well-designed controlled studies, both randomized and nonrandomized, with results that consistently support a specific action, intervention, or treatment

 

3.        Evidence from qualitative, integrative reviews, or systematic reviews of qualitative, descriptive, or correlational studies or randomized controlled trials with inconsistent results

 

4.        Evidence from peer-reviewed professional organizational standards, with clinical studies to support recommendations

 

5.        Theory-based evidence from expert opinion or multiple case reports

 

The best resources are enumerated from the strongest level of evidence in number one to the weakest level of evidence in number 5.

 

For example: Meta-analyses studies or systematic reviews are quantitative rigorous types of reviews. Which provide a quantitative estimate of how well a treatment works, or provide an estimate of how likely a person is to develop a disease and it produces more confidence for us to base our clinical decision. On the other hand, if you ask a cardiologist about a certain thing, his answer can contradict the books or other expert opinions. His opinion is based on his experience, not on other studies and it is the lowest trustworthy level of evidence. Furthermore, in qualitative research we find the essence of an experience and the sample is small so it is very difficult to be generalized.

 

In a nutshell, when we looking at a research we have to know what type of evidence it can provide and how trustworthy the evidence can be.

 

 

 

 

 

comment jamella

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

 

Author Samples (2011) illustrates understanding of the Christian concept of imago dei as the image of God. However, it can be best explained in Genesis 1:26: Then God said, “Let us make humankind in our image, per our likeness; and let them have dominion over the fish of the sea, and over the birds of the air, and over the cattle, and over all the wild animals of the earth, and over every creeping thing that creeps upon the earth.”  (Shelly & Miller, 2006, p. 77). This verse explains the concept in which human beings are made in the image of God to not just control everything and every animal on the planet, but rather so much more. Humans are to exemplify the values, beliefs, compassion, caring, and love that their creator has shown. As the text states, the best way to do this is mimic the behaviours of Jesus, the son of God, remembering he was not just human (man) but also spiritual in every sense. He cared for ALL things, including humans with unconditional love and compassion.

The Christian way believes every human being has imago dei and as such, is good and caring, providing “care for the poor, the sick and the disenfranchised regardless of social, financial, political or physical standings (Shelly & Miller, 2006, p. 76).  This concept is so very important to healthcare as health providers’ personal views and beliefs in human beings is vital to how they will treat and care for them. If health providers see humans as bad and flawed, as is the usual standing, care and treatment could, and possibly will reflect that belief and thus there will be reasons for subpar care or none. This is relevant because caring for each other, especially when a nurse or doctor, is the core of being a human being. We as nurses identify and address inequalities and injustices that have the potential to impact health through critical awareness of and reflection on the social, cultural and political status quo (Chinn & Kramer, 2011)

Having unconditional care and compassion for everyone whom is in need is even more critical when you are in the healthcare system. “The Christian understanding of the person is that we are physically, psychosocially and spiritually integrated moral beings, created in God’s image to live in relationship with God and others and as responsible stewards of the environment. If nurses lose sight of this understanding of human worth and human life, our profession will cease to exist, for there will no longer be any reason to provide nursing care” (Shelly & Miller, 2006, p. 79).

I say all this as in my day to day care as well as other nurses, we tend to see the type of situation where people are not treated equally daily. However, with my upbringing of two leaders, a dad whom was a professor and then turned Pastor, and my mother whom is still practicing in the nursing field, I can’t help but to treat everyone with the same respect just as I would want to be treated if I were in the hospital or anywhere. It is very unfortunate that many people don’t have people to speak up for them when they are hospitalized, they are alone with no one to voice their concerns, etc. In many cases nurses have a very high nurse to patient ratio which enables the nurse to spend the proper time with the patient to make sure all their needs and concerns are addressed properly. We try our best to make sure that all patients are cared for and that their concerns and needs are addressed within the proper manner. Health care has changed over the years. It seems to me that many hospitals don’t care about what the patient thinks. They are more concerned with the revenue they will receive from the services. Therefore, we must always be advocates for those who are unable to do so for themselves. We let our patients know each day that they have a voice and they are in charge of their care. I lead the interdisciplinary team rounds every morning to address their plan of care and needs. This team is comprised of myself the nurse leader, their assigned RN, Internal MD, pharmacist, and case management and have proven to be successful for about a year now that we have started the process.

                                                                                 References

Chinn, P.L. & Kramer, M.K. (2011). Integrated theory and knowledge development in nursing (8th ed.). St. Louis, MO: Elsevier.

Samples, K. (2011). Imago Dei: What does it mean? Retrieved from http://www.reasons.org/articles/imago-dei-what-does-it-mean

Shelly, J. A., & Miller, A. B. (2006). Called to care: A Christian worldview for nursing (2nd ed., Rev. and expanded.). Downers Grove, Ill.: IVP Academic/Intervarsity Press. Retrieved from https://viewer.gcu.edu/UGPTQ4