What kinds of clinical or healthcare questions are best addressed by using qualitative research approaches?

  • Identify one important concept that you learned from reading this article.
  • Briefly discuss your thoughts about one of the actual scenarios presented in the article.
  • Review the section of the article regarding categories of Complaints against Nurses Who Misuse Social Media. What question(s) or thoughts did this section raise for you
  • Question description
    Qualitative Research Reports
    For the discussion board this week, consistent with the textbook readings, we will examine these questions. You need answer only one question and respond to one of your classmates comments. However, be sure you read over the questions before doing the readings so you can apprise yourself of these two types of evidence: qualitative and quantitative.
    1. What is qualitative research? Describe and give some examples.
    2. What are the strengths and benefits of qualitative research? What kinds of clinical or healthcare questions are best addressed by using qualitative research approaches?
    3. What are the limitations of qualitative research? What types of clinical or nursing studies are best answered using qualitative versus quantitative research methods? Explain your answer.
 
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CONSIDER THE STRENGTHS AND LIMITATIONS OF HORMONE REPLACEMENT THERAPY

CONSIDER THE STRENGTHS AND LIMITATIONS OF HORMONE REPLACEMENT THERAPY.

In recent years, hormone replacement therapy has become a controversial issue. When prescribing therapies, advanced practice nurses must weigh the strengths and limitations of the prescribed supplemental hormones. If advanced practice nurses determine that the limitations outweigh the strengths, then they might suggest alternative treatment options such as herbs or other natural remedies, changes in diet, and increase in exercise.
Consider the following scenario:

As an advanced practice nurse at a      community health clinic, you often treat female (and sometimes male      patients) with hormone deficiencies. One of your patients requests that      you prescribe supplemental hormones. This poses the questions: How will      you determine what kind of treatment to suggest? What patient factors      should you consider? Are supplemental hormones the best option for the      patient, or would they benefit from alternative treatments?

To prepare:

Review Chapter 56 of the Arcangelo      and Peterson text, as well as the Holloway and Makinen and Huhtaniemi      articles in the Learning Resources.
Review the provided scenario and      reflect on whether or not you would support hormone replacement therapy.
Locate and review additional articles      about research on hormone replacement therapy for women and/or men.      Consider the strengths and limitations of hormone replacement therapy.
Based on your research of the      strengths and limitations, again reflect on whether or not you would      support hormone replacement therapy.
Consider whether you would prescribe      supplemental hormones or recommend alternative treatments to patients with      hormone deficiencies.

With these thoughts in mind:
Post a description of the strengths and limitations of hormone replacement therapy. Based on these strengths and limitations, explain why you would or why you would not support hormone replacement therapy. Explain whether you would prescribe supplemental hormones or recommend alternative treatments to patients with hormone deficiencies and why.
This work should have Introduction and conclusion
– This work should have at 3 to 5current references (Year 2012 and up)
– Use at least 2 references from class Learning Resources
The following Resources are not acceptable:
1. Wikipedia
2. Cdc.gov- nonhealthcare professionals section
3. Webmd.com
4. Mayoclinic.com
Required Readings
Arcangelo, V. P., Peterson, A. M., Wilbur, V., & Reinhold, J. A. (Eds.). (2017). Pharmacotherapeutics for advanced practice: A practical approach (4th ed.). Ambler, PA: Lippincott Williams & Wilkins.

Chapter 33, “Prostatic      Disorders and Erectile Dysfunction” (pp. 527-544)
This chapter examines the causes, pathophysiology, and drug treatment of      four disorders: prostatitis, benign prostatic hyperplasia, prostate      cancer, and erectile dysfunction. It also explores the importance of      monitoring patient response and patient education.
Chapter 34, “Overactive      Bladder” (pp. 545-564)
This chapter describes the causes, pathophysiology, diagnostic criteria,      and evaluation of overactive bladder. It also outlines the process of      initiating, administering, and managing drug treatment for this disorder.
Chapter 55, “Contraception”      (pp. 959-970)
This chapter examines various methods of contraception and covers drug      interactions, selecting the most appropriate agent, and monitoring patient      response to contraceptions.
Chapter 56, “Menopause” (pp.      971-994)
This chapter presents various options for menopausal hormone therapy and      examines the strengths and limitations of each form of therapy.
Chapter 57, “Osteoporosis” (pp.      985-994)
This chapter covers various options for treating osteoporosis. It also      describes proper dosages, potential adverse reactions, and special      considerations of each drug.
Chapter 58, “Vaginitis” (pp. 995-1006)
This chapter examines various causes of vaginitis and explores the      diagnostic criteria and methods of treatment for the disorder.

Holloway, D. (2010). Clinical update on hormone replacement therapy. British Journal of Nursing, 19(8), 496–504
This article examines the purpose, components, and administration of hormone replacement therapy (HRT). It also presents benefits, risks, potential side effects, and alternative treatment options of HRT.
Mäkinen, J. I., & Huhtaniemi, I. (2011). Androgen replacement therapy in late-onset hypogonadism: Current concepts and controversies—A mini-review. Gerontology, 57(3), 193–202.
This article examines the role of testosterone levels in the development of hypogonadism. It also explores health issues that are impacted by testosterone levels and the role of testosterone replacement therapy.
Drugs.com. (2012). Retrieved from http://www.drugs.com/
This website presents a comprehensive review of prescription and over-the-counter drugs including information on common uses and potential side effects. It also provides updates relating to new drugs on the market, support from health professionals, and a drug-drug interactions checker.
U.S. Preventive Services Task Force. (2014). The Guide to Clinical Preventive Services: Section 2. Recommendations for Adults. Retrieved from http://www.ahrq.gov/professionals/clinicians-providers/guidelines-recommendations/guide/section2.html
This website lists various preventive services available for men and women and provides information about available screenings, tests, preventive medication,

 
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LITERATURE REVIEW, health and medicine homework help

LITERATURE REVIEW, health and medicine homework help

Question descriptionIn nursing practice, accurate identification and application of research is essential to achieving successful outcomes. Being able to articulate the information and successfully summarize relevant peer-reviewed articles in a scholarly fashion helps to support the student’s ability and confidence to further develop and synthesize the progressively more complex assignments that constitute the components of the course change proposal capstone project.

For this assignment, the student will provide a synopsis of eight peer-reviewed articles from nursing journals using an evaluation table that determines the level and strength of evidence for each of the eight articles. The articles should be current within the last 5 years and closely relate to the PICOT statement developed earlier in this course. The articles may include quantitative research, descriptive analyses, longitudinal studies, or meta-analysis articles. A systematic review may be used to provide background information for the purpose or problem identified in the proposed capstone project. Use the “Literature Evaluation Table” resource to complete this assignment.

While APA style is not required for the body of this assignment, solid academic writing is expected, and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

 
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What are the Essentials of Nursing Science and Practice

What are the Essentials of Nursing Science and Practice

What are the Essentials of Nursing Science and Practice; Demonstrate knowledge and understanding of the assessment process as a part of safe and effective relationship centered care.

This will include:

(1)The reason for undertaking the aspect of physiological assessment and its relevance to the health care needs of the service user.

(2)How service user involvement, care, compassion, privacy and dignity are maintained within the assessment process.

With reference to relevant theory you may wish to discuss how you involved the service user in the assessment process, met the service user/carers needs for care, compassion, privacy, dignity, sensitivity etc.


 

smilesmile. .

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The role, Value, and Challenges in Vocational/Career Planning Herman, Olivio, and Gioia (2003)

The role, Value, and Challenges in Vocational/Career Planning Herman, Olivio, and Gioia (2003) assert that “Interest in career planning is at an all time high and will become even stronger as we move into the future” (p. 108). In this Discussion you will play off this quote by explaining the role and value of vocational/career counseling and its value as well as assessing some of the challenges involved in doing it.
To prepare for this Discussion:
· Review Chapter 8 in the course text, focusing on career planning.
· Think about the ways in which vocational/career counseling can emerge or consciously be employed in counseling sessions with clients.
· Reflect on the value of a client engaging in vocational/career counseling.
· Consider the challenges that may arise while engaging with a client in vocational/career counseling and planning.
With these thoughts in mind: Post by Day 4 your thoughts about the role of vocational/career counseling and/or planning in working with clients. Then explain at least two ways in which engaging in the process of vocational/career counseling and/or planning might be valuable to a client. Finally, describe at least two challenges that could arise while engaging in vocational/career counseling or planning, and explain how you would address these challenges.

 
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Discuss the extent to which you agree or disagree with the content of each post. Be sure that you cite scientific evidence to support your views.

Before completing this discussion, be sure to review Chapter 13 in your text, the “Suicide Prevention (Links to an external site.)Links to an external site.” article, and the Final Chapter video. After examining the research in human development presented in your required resources, complete the following discussion:   The number of deaths officially designated as suicide among young adults (15-24 years of age) has increased considerably (see the “Suicide Prevention (Links to an external site.)Links to an external site.” article).  Interpret the available statistics and describe the influences of family, culture, and environment as it pertains to the data.  Be sure to distinguish between suicide attempts and deaths attributed to suicide, and to report gender differences. Your initial post should address the following: •Discuss whether the available statistics accurately represent the evidence (e.g., can these statistics underreport the actual rates?).   •Describe at least two potential causes of suicide among teens according to the scientific literature. •Examine at least one feasible solution to the issue of suicide and discuss its effectiveness.      Your initial post must be at least 300 words and use a minimum of one scholarly source located in the Ashford University Library or on Google Scholar that is cited and referenced according to APA style, as outlined in the Ashford Writing Center to support your argument.
Guided Response: Review several of your classmates’ posts. Provide a substantive response to at least two of your peers in a minimum of 200 words. Discuss the extent to which you agree or disagree with the content of each post. Be sure that you cite scientific evidence to support your views.

 
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implementing a sequential explanatory design, this method is a two phase design where the quantitative data is collected first followed by qualitative data collection

 
Week 5 Discussion    
Researchers who use mixed methods employ a research design that uses both quantitative and qualitative data to answer a particular question or a set of questions. This combination of methods “involve[s] the collection, analysis, and integration of quantitative and qualitative data in a single or multiphase study” (Hanson, Creswell, Plano Clark, Petska, & Creswell, 2005, p. 224).
My research question is what are parent’s attitudes toward corporal punishment? To answer this question I would use a mixed method study. A structured questionnaire would be administered to quantitatively measure the use of corporal punishment among parents. I would then use focus-group interviews and open-ended questionnaires to follow up with the parents to capture their perception on the various types of corporal punishments and what punishments they feel are too severe. The results of conducting both studies would sequentially contribute to the overall understanding of corporal punishment within this population. The structured questionnaire provided a statistical understanding of parent’s use of corporal punishment. The data was triangulated by the follow-up focus group. By doing this the results from the focus group should be consistent with the open-ended questionnaire.
By implementing a sequential explanatory design, this method is a two phase design where the quantitative data is collected first followed by qualitative data collection. This adds a value of understanding for both results. The purpose is to use the qualitative results to further explain and interpret the findings from the quantitative phase.  For example, a survey may be used to collect quantitative data from a larger group. Members of that group may then later be selected for interviews where they can explain and offer insights into their survey answers. The focus group data clarified definitions and uses of terms (Hesse-Biber, 2010). The dominant method for this study is qualitative. The ethical principles I would apply is informed consent for research and confidentiality.

 
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Virtually all research questions can benefit from the use of an existing theory or model.

Question description
Discussion: Theory, Research, and Evidence-Based Practice
As they explore the world around them, young children often want to know the “why” and “how” of the things they observe. This is similar to what researchers do when they approach a new problem. Researchers develop new theories or build on old ones to explain the “why” of the world around them. They use models and conceptual frameworks to help explain “how” the processes and events they observe occur. Together, theories and models provide an understanding of the world and allow researchers to explore it in meaningful ways.
Virtually all research questions can benefit from the use of an existing theory or model. Researchers should consider their research questions and select the most suitable theory or model, which then serves as a foundation for the research design. The selection of a theory or model is an important part of the research process.
In this Discussion, you focus on the role of theory and models in research and evidence-based practice.
To prepare: Review the information in Chapter 6 of the course text. Focus on the various conceptual theories and models that are currently used in nursing research.
Select one of the theories or models described that is of interest to you.
Using the Walden Library, search for and identify a research article that uses the theory or model you selected.
Reflect on how the theory or model provides structure to the research study described in the article.
Now, think about an issue in your practice area that you would be interested in exploring through research.
Review this week’s media presentation and consider strategies for locating and identifying a relevant theory or model for a research study.
Write a summary of the article that you located and explain how the theory or model that you selected was used in the research study. Assess the value of basing research on an established theory or model.

 
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Diet Trends And The Digestive System Discussion

Diet Trends And The Digestive System Discussion

hello this is a pathophysiology class discussion post please read instruction below and please list the references also. and no plagiarism. this assignment is due   march 30, 2018 before 11:59 pm central time

Good  morning. Recently there is a lot of new approaches to weight loss: low  carb, high fiber. paleo, vegan , intermittent fasting, just to name a  few.

I want to know, in your opinion, witch one would be the healthiest  way to loose extra pounds, and why. You will need to include the article  you used to base your opinion.

 
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Should physicians question the work of their colleagues?

CAREFULLY READ EACH SCENARIO DESCRIBING AN ETHICAL DILEMMA IN HEALTH CARE.

Directions: Carefully read each scenario describing an ethical dilemma in health care. SelectTWOscenarios for which you will write a thorough response to not exceedONEcomplete paragraph for each. Responses will vary based on an individuals cultural upbringing ideology and educational knowledge; however you must support your position with appropriate theory and principle.In Clinical Ethics three clinical ethicists (a philosopher -Jonsen a physician -Siegler and a lawyer -Winslade) developed a method to work through difficult cases. The process can be thought of as the ethics workup similar to the History and Physical skills that all medical students use when learning how to workup a patient’s primary complaints. While this method has deep philosophical roots clinicians who use this method like the way it parallels the way they think through tough medical cases.Medical Indications- All clinical encounters include a diagnosis prognosis and treatment options and include an assessment of goals of carePatient Preferences- The patients preferences and values are central in determining the best and most respectful course of treatment.Quality of Life- The objective of all clinical encounters is to improve or at least address quality of life for the patient as experienced by the patient.Contextual Features- All clinical encounters occur in a wider social context beyond physician and patient to include family the law culture hospital policy insurance companies and other financial issues and so forth.Scenario 1At your last office staff meeting the rising cost of rent and overhead was discussed. One of your partners mentioned that he had been approached by a large pharmacy chain with an offer of space adjacent to their new pharmacy that is only one block from your current offices. The cost per square foot is half of what you are currently paying and there was a suggestion that the rent could be lowered if the volume of prescriptions from your office were substantial. Although this offer is very tempting you have reservations about the potential conflict of interest. One of your partners is pushing to explore this option. You are wondering if you could manage the conflict by refusing to engage in any reduction in rent based on prescription volume but still take the space at the reduced lease costs. Another partner feels that this arrangement will compromise her autonomy and feels that it will look as if the office is associated with the pharmacy even if it is not. Everyone agrees that the overhead costs need to be reduced. What is the right thing to do?Scenario 2You are the training director for a residency program. Recently several residents have come to you reporting that a physician frequently makes disparaging comments to residents and to patients about the work of other physicians. The physicians latest comment was to a patient in which he said he would not allow a particular physician to treat his pets. Other comments attributed to this physician involved telling the residents that a surgeon is a butcher and a psychiatrist a mindless twit. The residents have attempted to speak to him about this practice to which the physician responded by saying he only speaks the truth adding that patients and residents have a right to know. The residents report the comments appear to be unwarranted and they seem to be scaring the patients. Is this physician behaving unethically? Should physicians question the work of their colleagues? How should this be done?Scenario 3You are nearing the end of your practice career and many of your patients are older. Several of them have developed mild dementia and youve been discussing their wishes should they continue to lose mental capacity. The other day an elderly gentleman arrived for his appointment with his middle-aged son who reported that his father is becoming increasingly forgetful. The son would like to have his father moved to a facility rather than continue to live on his own. While examining your patient you note he has multiple bruises on his upper arms that suggest he has been grabbed by someones hand. When you discuss with him the idea of moving to an assisted living facility he becomes very upset and says his son wants to get his hands on his money and that is why he wants him to move from his own home. The patients Mini Mental Status examination is within the normal limits and he reports that his multiple bruises are the result of a friend grabbing his arm while they were out walking. You would like to respect your patients autonomy to make his own decisions but have some concerns that he may be at risk. You are not sure what the ethical principles are and approach your colleague for advice. What advice would you give to this colleague if you were approached?Scenario 4You have been treating a 24-year-old man for many years in your family practice. He has an anxiety disorder and had some trouble with substance abuse in his teens but has been doing well and attending university. After his last visit for a minor injury you noted that a prescription pad was missing. A few weeks later you received a call from a pharmacy asking you to verify a prescription for Lorazepam 1mg bid 300 tablets and acetaminophen with codeine 300 tabs written for this patient. You report that this is a forgery and ask the pharmacy not to fill it. Your colleague urges you to report this to the police and states this is allowed under the Health Information Act. You are very angry with the betrayal of trust with your patient but you have never reported a patient to the police and wonder what you should do. The CMA code of ethics advises you to keep patients personal health information private and only consent to release to a third party with consent or as provided for by the law such as when the maintenance of confidentiality would result in a significant risk of substantial harm. You are wondering if your patient has a substance abuse problem and whether he could be selling this medication. You have called the patient to come in for an appointment but he has refused. Should you notify the police?Scenario 5A patient has rheumatoid arthritis for which she should be taking drugs to control the disease and prevent further joint damage. However she tells the doctor that she has stopped because she does not like the look of the side effects listed on the leaflet in the packet and would like a treatment she found on the internet. The doctor disagrees with her preferred treatment. What issues does this raise? How should the doctor handle this scenario?Scenario 6A newly hired nurse is being given orientation and training in the hospital by a senior member of the nursing staff. Assigned to a medical -surgical unit the nurse receives instructions on procedures. The nurse is instructed to push Heparin IV through a tube in the person’s arm. The nurse when being trained in nursing program was instructed not to do so such a thing as it could have serious consequences. When the newly hired questioned the procedure that nurse was told by the senior nurse: Look that is how we do it here missy. We are understaffed and do not have the time to do it intravenously. If you want to work here that is how you will do it too. What should the response of the new nurse be to this situation? Why?Scenario 7John a 32 year-old lawyer had worried for several years about developing Huntington’s chorea a neurological disorder that appears in a person’s 30s or 40s resulting in uncontrollable twitching and contractions and progressive irreversible dementia. It typically leads to death in about 10 years. John’s mother died from this disease. Huntington’s is autosomal dominant and children of an affected person have a 50% chance of inheriting the condition. John had indicated to many people that he would prefer to die rather than endure the progression of the illness. He was anxious drank heavily and had intermittent depression for which he saw a psychiatrist. Nevertheless he was a productive lawyer. John first noticed facial twitching 3 months ago and 2 neurologists independently confirmed a diagnosis of Huntington’s. He explained his situation to his psychiatrist and requested help committing suicide. When the psychiatrist refused John reassured him that he did not plan to attempt suicide any time soon. But when he went home he ingested all his antidepressant medicine after pinning a note to his shirt to explain his actions and to refuse any medical assistance that might be offered. His wife who did not yet know about his diagnosis found him unconscious and rushed him to the emergency room without removing the note

 
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