Quantitative research utilizes a systematic way in an orderly manner to determine a problem and a subsequent solution to the issue (McNiff, Petrick, 2018).

Quantitative research utilizes a systematic way in an orderly manner to determine a problem and a subsequent solution to the issue (McNiff, Petrick, 2018).
Experimental researches are the gold-standard for research in medicine, biology, and so on. In an Experimental study, researchers can manipulate one or more independent variables, randomly assign participants to control or experimental group (treatment group), and compare them (Statistics Solutions 2020). If done accurately, experimental studies will provide evidence for cause and effect. Highly controlled environment (McNiff, Petrick, 2018). Example: effect of smoking cessation program on smoking pregnant women. A sample of 30 women from the same hospital (or GI clinic) was assigned to an experimental or control group. Smoking status was measured by self-report and biochemical measures. Data were collected before random assignment to groups and after three follow up points: after the first week of the session, in five months and after delivery of the baby. During educational sessions, nicotine replacement gum was provided fo the experimental group while the control group received brochures about how smoking affects pregnancy and lactation.
Non-experimental research can be just as impressive, but we cannot draw the same conclusions from it as we can with experimental research. The non-experimental study is usually descriptive or correlational. That means that we are either describing a situation or phenomenon just as it is, or we are defining a correlation between two or more variables. All without any intervention from the researcher meaning that we do not manipulate any variables (e.g., change the conditions that an experimental group undergoes) or randomly assign members to a control or treatment group. Without this level of control, we cannot determine any causal effects. High chance of bias (McNiff, Petrick, 2018). While validity is still a concern in non-experimental research, the concerns are more about the validity of the measurements, rather than the validity of the effect.
Example of correlational research: a randomized trial of 100 breastfeeding mothers, we arranged to determine the relationship of maternal age and anxiety in breastfeeding women during the immediate postpartum period. The result would be: A weak but significant negative relationship exists between age and anxiety; as age increases, anxiety decreases. As we can see Correlational research measures the statistical relationship between two or more variables and the degree of the relationship (cause/effect).
References
McNiff, P., Petrick, M. (2018). Quantitative Research: Ethics, Theory, and Research. In Nursing research: Understanding methods for best practice. Retrieved from: https://lc.gcumedia.com/nrs433v/nursing-research-understanding-methods-for-best-practice/v1.1/#/chapter/3.
Statistics Solutions. (2020). Research Designs: Non-Experimental vs. Experimental. Retrieved from: https://www.statisticssolutions.com/research-designs-non-experimental-vs-experimental/

Experimental research is the most powerful qualitative method.it has a rigorous control of the variables.it It is an objective, systematic, and highly controlled investigation conducted for predicting and controlling phenomena. During the experimental design, the researcher uses a random assignment. they also manipulate a must be randomization, control a group, and manipulation of a variable while examining the direct cause or predicted relationship between variables.

Non-experimental research is research that lacks the manipulation of an independent variable, random assignment of participants to conditions or orders of conditions, or both.it focuses on examining variables as they would naturally occur. Some of the examples of experimental research are surveys, case studies, comparative studies, and descriptive studies. This research design has no random assignment, no control groups, and no manipulation of variables. The research method is observation only.

Experimental research provides convincing evidence that changes with an independent variable. this it results in the differences in a dependent variable. on the other hand, non-experimental research does not cause any change in the independent variables.

Reference: Dawson R, Algozzine R. Doing Case Study Research: A Practical Guide for Beginning Researchers. 2006. New York, NY: Teachers College Press. Qualitative content analysis in nursing research: concepts, procedures, and measures to achieve trustworthiness. Nurse Educ Today. 2004 Feb; 24(2):105–12.

The post Quantitative research utilizes a systematic way in an orderly manner to determine a problem and a subsequent solution to the issue (McNiff, Petrick, 2018). appeared first on Infinite Essays.

Community health status (can be obtain from the department of health).

GUIDELINES:

Also, you must present a table as an appendix with the following topics and description;

· Community description.

· Community health status (can be obtain from the department of health).

· The role of the community as a client.

· Healthy people 2020, leading health indicators in your community.

· The age, nature, and condition of the community’s available housing

· Infrastructure needs – roads, bridges, streetlights, etc.

· The presence or absence of functioning businesses and industrial facilities

· The location, condition, and use of public spaces

· The amount of activity on the streets at various times of the day, week, or year

· The noise level in various parts of the community

· The amount and movement of traffic at various times of day

· The location and condition of public buildings – the city or town hall, courthouse, etc.

· Transportation

· Race and ethnicity

· Open spaces

· Service centers

· Religion and politics

The assignment will be posted in both the discussion tab of the blackboard under the forum title “Community assessment” and in the SafeAssign exercise in the assignment tab. The assignment is due on Sunday, May 24, 2020 @ 11:59 and then I will open for you to review your peers and post two replies about their assessment. The value of the replies is 20 points (10 points for each reply).

The due date to post the assignment in on Sunday, May 24, 2020 @ 11:59 PM and for the replies on Wednesday, May 27th, 2020. After the 24th only the replies will be accepted.

This assignment has a total value of 100 points, 80 for the survey and the replies 20 points. I will be monitoring plagiarism very closely.

The post Community health status (can be obtain from the department of health). appeared first on Infinite Essays.

The Health Care System

Chapter 11

The Health Care System

Copyright © 2015, 2011, 2007, 2001, 1997, 1993 by Saunders, an imprint of Elsevier Inc.

 

U.S. Health Care System

Copyright © 2015, 2011, 2007, 2001, 1997, 1993 by Saunders, an imprint of Elsevier Inc.

2

Figure 11-1

U.S. Health Care System (Cont.)

Private health care subsystem

Focus on the individual

Nonprofit and for-profit agencies

Models of services

Solo practice

Single specialty group practice

Multispecialty group practice

Integrated health maintenance model

Community health center

Voluntary or nonofficial agencies

Copyright © 2015, 2011, 2007, 2001, 1997, 1993 by Saunders, an imprint of Elsevier Inc.

3

 

U.S. Health Care System (Cont.)

Public health care system

Mandated by the U.S. Constitution

Focus on the population

“promote the general welfare of its citizens.”

Federal policies and practices influence local and state governments

Coordination of services under Department of Health and Human Services

Copyright © 2015, 2011, 2007, 2001, 1997, 1993 by Saunders, an imprint of Elsevier Inc.

4

 

Public Health

Public health refers to the efforts organized by society to protect, promote, and restore the people’s health.

Concerned with a healthy population

Concerned with a healthy environment

Scope is broad

Encompasses activities that promote good health

Organized into multiple levels (federal, state, local)

Provides services for those unable to obtain health care without assistance

Establishes laws, rules, and regulations to protect the public

 

Copyright © 2015, 2011, 2007, 2001, 1997, 1993 by Saunders, an imprint of Elsevier Inc.

5

Public Health System

Federal level subsystem

U.S. Department of Health and Human Services

Surgeon General and numerous other agencies

Targets general population, special populations, and international health

IOM Report, HHS in the 21st Century: Charting a New Course for a Healthier America (2008), recommended transformation of system

Copyright © 2015, 2011, 2007, 2001, 1997, 1993 by Saunders, an imprint of Elsevier Inc.

6

 

Current HHS Strategic Plan

Transform health care

Advance scientific knowledge and innovation

Advance health, safety, and well-being of the American people

Increase efficiency, transparency, and accountability of HHS

Strengthen the nation’s health and human services infrastructure and workforce

Copyright © 2015, 2011, 2007, 2001, 1997, 1993 by Saunders, an imprint of Elsevier Inc.

7

Public Health System (Cont.)

State level subsystem

State health departments

Responsible for the health of their citizens

Central authorities in the public health care system

Dependent on federal level for guidance and resources

Establish own state laws

Copyright © 2015, 2011, 2007, 2001, 1997, 1993 by Saunders, an imprint of Elsevier Inc.

8

 

Public Health System (Cont.)

Local health department subsystem

Local health departments (LHD)

Responsible for direct delivery of public health services and protection of the health of citizens

Not all communities have LHDs

Responsible for:

Community health services

Environmental health services

Personal health services

Mental health services

Copyright © 2015, 2011, 2007, 2001, 1997, 1993 by Saunders, an imprint of Elsevier Inc.

9

 

Health Care Providers

Provider organizations

Any organization that provides health care to the community

Health care professionals

The interprofessional health care team

Professionals and nonprofessionals

Nontraditional health care providers

Complementary and alternative therapies

Copyright © 2015, 2011, 2007, 2001, 1997, 1993 by Saunders, an imprint of Elsevier Inc.

10

 

Quality Care

To Err Is Human: Building a Safer Health System (IOM, 1999) focused on safety within the health care delivery system

Crossing the Quality Chasm (IOM, 2001) focused on developing a new health care system for the twenty-first century, one that improves care

Leadership by Example (IOM, 2003) was a report requested by Congress that examined the federal government’s quality enhancement processes

Copyright © 2015, 2011, 2007, 2001, 1997, 1993 by Saunders, an imprint of Elsevier Inc.

11

Quality Care (Cont.)

Who Will Keep the Public Healthy? (IOM, 2003) brought public health into the forefront by focusing on issues including globalization, rapid travel, scientific and technological advances, and demographic changes

In-depth exploration of educational needs for improved public health

Need for appropriately prepared public health professionals

Copyright © 2015, 2011, 2007, 2001, 1997, 1993 by Saunders, an imprint of Elsevier Inc.

12

Quality Care (Cont.)

Who Will Keep the Public Healthy? (Cont.)

New content areas for public health professionals:

Informatics, genomics, communication, cultural competence, community-based anticipatory research, global health, policy and law, and public health ethics

Old content areas for public health professionals:

Epidemiology, biostatistics, environmental health, health services administration, and social and behavioral science

 

Copyright © 2015, 2011, 2007, 2001, 1997, 1993 by Saunders, an imprint of Elsevier Inc.

13

Quality Care (Cont.)

Health Professions Education (IOM, 2003), the education of all health professionals is viewed as a bridge to quality care.

Provide patient-centered care

Work in interdisciplinary teams

Employ evidence-based practice

Apply quality improvement

Utilize informatics

Copyright © 2015, 2011, 2007, 2001, 1997, 1993 by Saunders, an imprint of Elsevier Inc.

14

Quality Care (Cont.)

Priority Areas for National Action (IOM, 2003) identified priority areas that should be addressed to improve quality

Patient and family engagement

Population health

Safety

Care coordination

Palliative care

Overuse

Access

Health systems infrastructure capabilities

Copyright © 2015, 2011, 2007, 2001, 1997, 1993 by Saunders, an imprint of Elsevier Inc.

15

Quality Care (Cont.)

Keeping Patients Safe: Transforming the Work Environment (IOM, 2004) addressed critical quality and safety issues with a focus on nursing care and nurses

Focused on nurses in acute care and the work environment for safer patient care

Also looked at nursing shortage, health care errors, patient safety risk factors, nurse’s role in quality improvement, and work environment threats to patient safety

Copyright © 2015, 2011, 2007, 2001, 1997, 1993 by Saunders, an imprint of Elsevier Inc.

16

Quality Care (Cont.)

The Future of Nursing. Leading Change, Advancing Health (IOM, 2011) focuses on the nursing profession and how it might fit into the change process

Nurses should practice to the full extent of their education and training.

Nurses should achieve higher levels of education and training through an improved education system that promotes seamless academic progression.

Copyright © 2015, 2011, 2007, 2001, 1997, 1993 by Saunders, an imprint of Elsevier Inc.

17

Quality Care (Cont.)

The Future of Nursing. Leading Change, Advancing Health (Cont.)

Nurses should be full partners with physicians and other health professionals in redesigning health care in the United States.

Effective workforce planning and policy making require better data collection and an improved information infrastructure.

Copyright © 2015, 2011, 2007, 2001, 1997, 1993 by Saunders, an imprint of Elsevier Inc.

18

Accreditation

Joint Commission

National Committee for Quality Assurance (NCQA)

Health Plan Effectiveness Data and Information Set (HEDIS)

American Healthcare Commission

Consumer Assessment of Healthcare Providers and Systems (CAHPS)

Agency for Healthcare Research and Quality (AHRQ)

Copyright © 2015, 2011, 2007, 2001, 1997, 1993 by Saunders, an imprint of Elsevier Inc.

19

… the ultimate test of the public health subsystem is whether it effectively serves the people by their measurements, not those of the public health profession.

– Koop (1989)

Copyright © 2015, 2011, 2007, 2001, 1997, 1993 by Saunders, an imprint of Elsevier Inc.

20

Critical Issues in Health Care Delivery

Managed care

Information technology

Telehealth

Electronic medical records (EMRs)

Social media

Consumer advocacy and client rights

Client/consumer-centered health care

Coordination and access to care

Disparity in health care delivery

Copyright © 2015, 2011, 2007, 2001, 1997, 1993 by Saunders, an imprint of Elsevier Inc.

21

 

Critical Issues in Health Care Delivery (Cont.)

Globalization and international health

World has no real boundaries

CDC active in responding to preparedness and international travel

WHO fosters collaborative global initiatives

ICN gives nursing perspective

Health care reform

The Clinton Health Reform Initiative

Patient Protection and Affordable Care Act of 2010

Copyright © 2015, 2011, 2007, 2001, 1997, 1993 by Saunders, an imprint of Elsevier Inc.

22

 

Future of Public Health

Copyright © 2015, 2011, 2007, 2001, 1997, 1993 by Saunders, an imprint of Elsevier Inc.

23

What services?

Who has access?

Who pays?

How is it delivered?

What is the role of government?

 

Impact on Community Health Nursing

Principles of change that focus on quality, access, and cost…

The need for patient-centered care

The need for stronger primary care services

The need to deliver more care in the community

The need for seamless, coordinated care

The need for reconceptualized roles for health professionals

The need for interprofessional collaboration

– The Future of Nursing. Leading Change,

Advancing Health (IOM, 2011)

Copyright © 2015, 2011, 2007, 2001, 1997, 1993 by Saunders, an imprint of Elsevier Inc.

24

The post The Health Care System appeared first on Infinite Essays.

Take the following Case Study and re-write it in terms that a non-educated patient or family member could understand

Take the following Case Study and re-write it in terms that a non-educated patient or family member could understand.  Put those medical terms in common, every day language.  For reference purposes, this case study is found on page 168 of your text book:  Copy and paste the following into a Word Document and then translate as described above.  Make sure that you use correct English, sentence structure, spelling and punctuation.

Case Study

Mrs. Dobson described many of the symptoms of cystitis.  She had suprapubic and low-back pain.  She had increased frequency of micturition with dysuria and had difficulty in and burning on micturition.  Her pink urine is probably hematuria.

The post Take the following Case Study and re-write it in terms that a non-educated patient or family member could understand appeared first on Infinite Essays.