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Systematic review of isolation policies in the hospital management of methicillin-esistant Staphylococcus aureus: A review of the literature with epidemiological and economic modelling
The rise of MSA (methicillin-resistant Staphylococcus aureus) continues to be a problem in hospitals throughout the world. In the article entitled "Systematic review of isolation policies in the hospital management of methicillin-resistant Staphylococcus aureus" Cooper (et al. 2003) conducted a literature review of various containment efforts in the UK. Isolation wards proved to be the most common method of containment but studies were conflicting as to their efficacy. The use of a common isolation ward at one hospital "reduced infection, one did not and one resulted in control for many years until a change in strain and/or an increase in the number of patients colonised on admission [and] overwhelmed the institution" (Cooper et al. 2003: 5). There was limited evidence that more proactive efforts at containment such…
Cooper, G.F. (et al. 2003). Systematic review of isolation policies in the hospital management of methicillin-resistant Staphylococcus aureus: A review of the literature with epidemiological and economic modelling. Health Technology Assessment, 7 (39).
Iowa model. Retrieved: http://i300.photobucket.com/albums/nn1/dawnhaynes/Iowa_Model.jpg
With the rapid increase in the research conducted on health sciences, there is difficulty for researchers and clinicians to be up-to-date with the studies. Therefore, reviews that give a summary of the impact of different intervention experiments are a greatly efficient way to come up with a conclusion of what is effective and what isn't. Systematic reviews are different from the traditional kind in many ways. According to Petticrew and Roberts (2006), the systematic type of reviews normally involve a comprehensive and in depth plan along with search approach that is presumptive, with the aim of reducing partiality by finding, assessing, and integrating all significant research on a certain subject. In most cases, systematic reviews involve a component of meta-analysis that uses statistical methods to integrate the information acquired from different research into one quantitative result or outline effect size (cited in Uman, 2011).
The systematic types of reviews are…
Antenatal Education Systematic Review
Antenatal education pogamms
In pegnant women, how does goup antenatal education compae to no antenatal education o individual antenatal education fo impoving outcomes of childbith and paenting?
In pegnant women, how does goup antenatal education compae to no antenatal education o individual antenatal education fo impoving outcomes of childbith and paenting?
Antenatal education pogams ae key in impoving matenal health all ove the wold. They have been widely embaced in most developed counties whee antenatal education pogams ae outinely povided as pat of antenatal cae. They ae associated with benefit such as inceased knowledge of labo and childbith, paent-child attachment, educed anxiety and depession, and inceased knowledge of paenthood. They often involve seveal scheduled sessions with a facilitato o cae povide (often a tained patient educato, midwife, o geneal pactitione) that last about 1 -- 2 hous and focus on diffeent aspects of labo, childbith, and…
references in Saudi Arabia. Journal of Women's Health Care, 2.
PERROW, F. 2004. Investing in teenage parents: what maternity services can do. RCM Midwives, 7, 250-1.
PUP PROGRAM. 2014. Parents Under Pressure Program [Online]. Available: http://www.pupprogram.net.au / [Accessed Aug 1st 2014].
REDMAN, S., OAK, S., BOOTH, P., JENSEN, J. & SAXTON, A. 1991. Evaluation of an antenatal education programme: characteristics of attenders, changes in knowledge and satisfaction of participants. Aust NZJ Obstet Gynaecol, 31, 310-6.
RENKERT, S. & NUTBEAM, D. 2001. Opportunities to improve maternal health literacy through antenatal education: an exploratory study. Health Promot Int, 16, 381-8.
Myasthenia Gravis is one of the most common autoimmune disorders, which is a group of diseases brought by the loss of tolerance to self-antigens. Since this autoimmune disorder has an annual incidence of between 2 and 4 per million, it has attracted considerable research in relation to its causes, diagnosis, prognosis, and treatments. Some examples of research on this disorder include the study by omi, Gilhus & Aarli (2005) on the clinical, immunological and therapeutic advances of this disease as well as the systematic review of diagnosis and management of this disorder by Angelini (2011).
Angelini (2011) states that myasthenia gravis is an autoimmune disorder caused by an autoimmune attack by the body on its own muscle endplate (p.2). In this case, an antibody binds to ACh o subunits or Musk and contributes to muscle weakness and unusual neuromuscular transmission. Similarly, omi, Gilhus & Aarli (2005), state that this disorder…
Angelini, C. (2011). Diagnosis and Management of Autoimmune Myasthenia Gravis. Clinical Drug Investigation, 31(1), 1-14.
Romi, F., Gilhus, N.E. & Aarli, J.A. (2005). Myasthenia Gravis: Clinical, Immunological, and Therapeutic Advances. Acta Neurologica Scandinavia, 111, 134-141.
Psychiatric Patients and Mechanical Restraints
Mechanical restraints are one of the most controversial aspects of psychiatric care. The aversion to using them no doubt dates back to the popularity of films like One Flew Over the Cuckoo's Nest, which portrays the psychiatric institutions and medical authorities using restraints to constrain the free spirits of sane, but noncompliant patients. The reality of the use of restraints is far more complex and some defend the use of these devices to promote patient safety. ccording to the review article "Mechanical restraint -- which interventions prevent episodes of mechanical restraint? -- systematic review" by Bak (2011), "in some countries, mechanical restraint is performed according to the law when psychiatric inpatients pose a risk to themselves or to others." But other countries do not allow the use of mechanical restraints: for example, in the United Kingdom, only the use of seclusion and holding (physical restraint)…
Although the recommendations are cautious, it would behoove organizations to use patient empowerment and therapeutic programs that promote staff dialogue with patients to reduce the use of mechanical restraints. Improving patient care cannot be achieved in a 'top-down' fashion. Patients must feel as if they have a stake in how care is administered and develop a sense of responsibility for self-regulating to the maximum degree to which they are capable.
Bak, J., Brandt-Christensen, M., Sestoft, D., & Zoffmann, V. (2011). Mechanical restraint which interventions prevent episodes of mechanical restraint: A systematic review. Perspectives in Psychiatric Care, 48(2), 83-94. doi:10.1111/j.1744-6163.2011.00307.x
door to balloon time is an important determinant of the prognosis of STEMI patients. To reduce D2B times, most centers implement a pre-hospital triage which involves the use of pre-hospital ECG to allow direct transfer of patients with confirmed STEMI to the PCI lab. Since most health facilities do not have PCI laboratories, a quick decision needs to be made regarding fibrinolytic therapy or transfer to a PCI facility. The most important factor determining this decision is the time taken from the onset of symptoms to arrival at a hospital facility and the predicted time duration for effective transfer. Through this systemic review, we sought to analyze the role of pre-hospital management in door to balloon time (D2B), door to needle (D2N) time and the long-term mortality of STEMI patients.
Since pre-hospital delay is responsible for the greatest time loss, and is indeed the most variable factor, we tried to…
1- Adams R, Appleman Y, Bronzewaer JG, Slagboom T, Amoroso G, Exter PV et al. Implementation of prehospial triage for patients with chest pain and logistics for primary percutaneous coronary intervention in the region of Amsterdam, The Netherlands. American Journal of Cardiology.2011;: 933-935.
2- Bajaj S, Parekh R, Gupta N, Aldehneh A, Rosenburg M, Hamdan A et al. "Code stemi" protocol helps in reducing door to balloon times in patients presenting with ST- segment elevation myocardial infarction during off hours. The Journal of Emergency Medicine.2011;: 1-7
3- Brooks SC., Allan KS, Wellsford M, Verbeek PR, Arntz HR, Morrisin LJ. Prehospital triage and direct transport of patients with st- segment elevation myocardial infarction to primary percutaneous coronary intervention centers: A systematic review and meta-analysis. CJEM JCMU.2009; 11(5): 481-492
4- Camp-Rogers T, Dante S, Kontos MC, Roberts CS, Kreisa L, Kurz MC. The impact of pre-hospital activation of the cardiac catheterization team on time to treatment for patients presenting with ST-segment-elevation myocardial infarction. American Journal of Emergency Medicine. 2011; 29(9);1117-24
Can you apply this valid, impotant evidence fom a systematic eview in caing fo you patient?
Do these esults apply to ou patient?
Is you patient so diffeent fom those in the study that its esults cannot apply?
No, the majoity of the patients who ae diagnosed with Type II diabetes ae indicative of the patient issues in the study. In fact, most fall well within the paametes of the study potential, which also validates the data set.
Is the teatment feasible in you setting?
Completely, 100%. Execise and diet ae elatively easy attibutes to change, paticulaly with data showing how these changes can influence amounts of medication and quality of life.
What ae you patient's potential benefits and hams fom the theapy?
Method I: In the…
Yes, it is clear that increasing moderate levels of aerobic exercise, parituclarly walking, jogging, swimming or biking; coupled with a healthier diet (more fresh vegetables, low glycemic fruits, low refined sugars and processed flours, etc.) will have a positive effect on type II diabetes measurement.
Are they met by this regimen and its consequences?
Yes, the only potentially negative consequences are ignoring the program or stopping it prematurely.
Should you believe apparent qualitative differences in the efficacy of therapy in some subgroups of patients? -- Only if you can say 'yes' to all of the following:
Low back pain is a common health challenge for both active and former military service members. Among the military veterans, low back pain places higher risk and has been indicated to be bear the potential for long-term disability (Bagg et al., 2017). There is a lack of effective treatment strategies, and thus, military veterans rely on pain management strategies and other medical strategies, e.g., medical imaging, opioids, injections, and surgery. To both the Department of Defense (DoD) and the Department of Veteran Affairs (VA), the costs of care for members with low back pain have been on the rise; necessitating the need for research on the effectiveness of some of the available methods for treating and managing low back pain. Some of the methods available are non-narcotic pain medication, yoga stretches, and physiotherapy. These interventions can be administered in combination or singly (Bagg et al., 2017). This…
Systematic esearch eview
It is extremely rare that a single patient is overseen by the same nurse throughout the duration of his or her care. Also, nurses must frequently communicate orders to patients and their families before the patient is released. Thus, nursing 'handoffs' or a shift in care-related responsibilities are a critical component of daily nursing practice. The purpose of the systematic research review, "Nursing Handoffs: A Systematic eview of the Literature" was to determine what are safe and effective practices regarding this aspect of nursing care based upon the evidence provided by existing empirical studies. Handoffs are not simply a change in personnel: they are critical junctures of care where information may be lost or important connections may be made which result in substantive improvements in patient health. In fact, handoffs are considered important enough that the Joint Commission on Nursing has a specific definition in…
Riesenberg, L, Leisch, J. & Cunningham, J. (2010). Nursing handoffs: A systematic review of the literature. AJN, 110 (4): 24-34. Retrieved from: http://www.nursingcenter.com/lnc/CEArticle?an=00000446-201004000-00026&Journal_ID=54030&Issue_ID=996031#sthash.NvzkZCbc.dpuf
Canadian Psychology entitled "Expanding Opportunities for Diversity in Positive Psychology" presents the results of a systematic review of literature. The review of literature covers the years between 1998 and 2014, spanning the bulk of the duration of the field of positive psychology. The purpose of the systematic review was to examine how issues related to race, class, and gender were addressed in literature on positive psychology because of what the authors claim to be a widespread perception of the field ignoring these relevant issues. Findings of the systematic review of literature were varied, and included an underrepresentation of female authors of peer-reviewed articles in the field of positive psychology in spite of an over-representation of female participants in empirical research. Additionally, ao & Donaldson (2015) found that discussions about gender, race, or ethnicity issues are nearly absent from positive psychology literature altogether. The bulk of research in positive psychology is…
Rao, M.A. & Donaldson, S.I. (2015). Expanding opportunities for diversity in positive psychology. Canadian Psychology 56(3): 271-282. Retrieved on EBSCO.
This study is a theoretical framework exploring whiteboard use preferences and recommendations for patient-centered care and communication through whiteboard use.
This study is a theoretical framework exploring whiteboard use, script-based communication, and hourly rounding to evaluate effectiveness of care associated with pain management and patient satisfaction.
The study utilizes a conceptual framework.
This article uses a conceptual framework that provides a literature review
A 3-week pilot involving multidisciplinary whiteboard use
The setting is Stanford University Medical Center
Sample characteristics (# of patients) Patients available for the pilot were 104 patients: 56 from inpatient units with use of whiteboards and 48 from inpatient units with no use of white boards.
internal medical residents were also surveyed.
Design: The study involved a semi-structured interview.
Setting: The interview took place in a pediatric urban academic hospital inpatient surgical service
Sample characteristics (# of patients) The…
Alaloul, F., Williams, K., Myers, J., Jones, K. D., & Logsdon, M. C. (2015). Impact of a Script-based Communication Intervention on Patient Satisfaction with Pain Management. Pain Management Nursing, 16(3), 321-327. doi:10.1016/j.pmn.2014.08.008
Brosey, L. A., & March, K. S. (2015). Effectiveness of Structured Hourly Nurse Rounding on Patient Satisfaction and Clinical Outcomes. Journal of Nursing Care Quality, 30(2), 153-159. doi:10.1097/ncq.086
Cholli, P., Meyer, E. C., David, M., Moonan, M., Mahoney, J., Hession-Laband, E., . . . Bell, S. K. (2016). Family Perspectives on Whiteboard Use and Recommendations for Improved Practices. Hospital Pediatrics, 6(7), 426-430. doi:10.1542/hpeds.2015-0182
Emerson, B. L., Chmura, K. B., & Walker, D. (2014). Hourly Rounding in the Pediatric Emergency Department: Patient and Family Safety and Satisfaction Rounds. The Journal of Emergency Medicine, 47(1), 99-104. doi:10.1016/j.jemermed.2013.11.098
Such an example
cannt be refuted withut statistical research t make an argument against
Urmetzer, and thus his arguments refuting the impact f glbalizatin n
eliminating the natin-state's svereignty are strengthened.
This sets up Urmetzer's primary pint, and the thesis f his argument-
it is a myth that because f glbalizatin "natinal brders have becme s
prus that gvernments are n lnger able t prperly manage their wn
affairs" (Urmetzer 2005: 123). In the case f Canada, a welfare state,
Urmetzer even maintains glbalizatin strengthens the welfare state. T
reach this pint, and t prve that ecnmic freedm des nt ultimately
cmpletely eliminate plitical pwer frm the ecnmic spectrum, Urmetzter
evaluates the effects f glbalizatin n the different prgrams f
gvernment invlvement within the ecnmy. Fr example, in regards t the
afrementined welfare-state services, Urmetzer ntes hw this is an ften
verlked aspect t glbalizatin (Urmetzer 2005: 142). By tuching…
Urmetzer, Peter. Globalization Unplugged: Sovereignty and the Canadian
State in the Twenty
First Century. Toronto: University of Toronto Press, 2005.
At an arly junctur in th txt, th author provids a usful point
of considration which dos st it apart from many othr works on th
subjct. Rathr than to simply appal to th radr's sns of pity, Wood
taks on th task of dmanding admiration of th Jwish popl quit simply
for thir prsistnc to surviv as a cultur and with an intact sns of
idntity, vn if that idntity is inxtricably now linkd to th vnts of
th Holocaust. As th txt rports on anothr pag distinguishd by
complling photographs to th cas of Jwish dtrmination, "dspit th
high walls of th ghttos and th military strngth of th Nazis, many
popl in th ghttos scaps or fought in thir harts and minds. For
most, rsistanc took th form of clinging to th lov of family and
frinds, holding on to traditions, and strngthning thir hop." (Wood,
effectively delivered in appropriate detail the realities and implications
of the Holocaust.
Publisher's Weekly (PW). (2007). Review: "Holocaust." Amazon.com.
Wood, A.G. (2007). Holocaust. DK Children.
Systematic esearch eview
Critique of Systemic esearch (S) ELATED TO NUSING
Critique of a Systematic esearch eview (S):
Breast self-examination, breast awareness, and practices of systemic review
Breast cancer is one of the most deadly and fastest-spreading cancers in the world today. To mitigate the tide of this epidemic should ideally include preventative measures as well as proactive treatments. The purpose of the literature review "Breast self-examination, breast awareness, and practices of systemic review" by Parvani (2011) was to assess the current research findings on the degree to which breast self-examination and more general breast self-awareness campaigns were useful in increasing the rates of early detection of breast cancer.
esearch rigor of selected studies
Studies were not screened for specific levels of research rigor. General medical databases were searched for relevant studies using Medline, CINAHL, PubMed, Science Direct, and Cochrane using words such as "breast awareness," difference," "breast self-examination," breast…
Parvani, Z. (2011). Breast self-examination, breast awareness, and practices of systemic review.
Professional Medical Journal, 18(2), 336-339.
Critique of a Literature eview: Obesity Prevention Interventions for Middle-School Age Children of Ethnic Minority: A eview of the Literature
Are the search strategy and the search criteria clear? What is included in the search criteria?
The research strategy and search criteria are clearly outlined in several sections of the literature review paper. The author identifies the "search terms" and "purpose" of the review in the abstract of the paper. Stevens declares that the literature was searched for key terms related to the purpose of finding, "interventions to reduce obesity in middle school-age children of ethnic minority." These terms are: "African-American, Hispanic, intervention prevention program, middle school-age children, Native American, obesity, review." In the "Methods" section, the author elaborates on the search strategy by listing the databases that were used to find research papers and defining the time frame (September 2008 -- November 20008) of the search. The…
Stevens CJ, Obesity prevention interventions for middle school-age children of ethnic minority: a review of the literature. J Spec Pediatr Nurs 2010; 15(3):233-43.
Salvia Officinalis a Literature eview
Introduction and History of Use
Salvia officinalis, or sage, is also called garden sage or common sage. It is a perennial, evergreen shrub (Clebsch & Barner, 2003). The leaves are grayish in color, and the flowers are purple or blue (Watters, 1901). Stems are woody, and the plant is native to the Mediterranean (Clebsch & Barner, 2003). However, it has now been naturalized in a number of places throughout the world. Its history is long, mostly detailing both culinary and medicinal uses. Modern times have also seen its popularity rise as an ornamental garden plant (Kintzios, 2000). There are many other species that also carry the common name "sage." Some are related and some are not. Sage was first described in 1753 by Carl Linnaeus, and has been grown for centuries (Sutton, 2004). Its healing properties are impressive, and it is also used in the…
Akhondzadeh, S., Noroozian, M., Mohammadi, M., Ohadinia, S., Jamshidi, A.H., & Khani, M. (2003). Salvia officinalis extract in the treatment of patients with mild to moderate Alzheimer's disease: a double blind, randomized and placebo-controlled trial. Journal of Clinical Pharmacological Therapy, 28(1): 53 -- 9.
Clebsch, B. & Barner, C.D. (2003). The New Book of Salvias. NY: Timber Press.
Dos Santos-Neto, L.L, De, V., Toledo, M, Medeiros-Souza, P, & De Souza, G. (2006). The use of herbal medicine in Alzheimer's disease -- a systematic review. Evidence-Based Complementary and Alternative Medicine: eCAM 3(4): 441 -- 5.
Iuvone, T., De Filippis, D., Esposito, G., D'Amico, A., & Izzo, A. (2006). The spice sage and its active ingredient rosmarinic acid protect PC12 cells from amyloid-beta peptide-induced neurotoxicity. The Journal of Pharmacology and Experimental Therapeutics, 317(3): 1143 -- 9.
Weightloss Counseling and Physical Exercise
PHASE II Search Paper
Dana Delatush RN BSN ONC
"I pledge my honor that I have neither given nor received inappropriate aid on this assignment."
Abstract Comment by Patricia: Place the abstract on a separate page for your final search paper
This paper is focused on the literature search related to the PICOT question: Does weight loss counseling and physical exercise improve pain and mobility in obese patients with a BMI >25 suffering from osteoarthritis? To answer this clinical question, six databases were searched including the Cumulative Index of Nursing and Allied health Literature (CINAHL), The Cochrane Library, PubMed/Medline, Google Scholar, PsycInfo®, and ProQuest Nursing and Allied Health Source™. The paper describes the search methodology. Keywords: osteoarthritis, obesity, weight loss counseling, pain, mobility
Introduction to Search Strategy
I will be creating a search strategy to help me clarify what information I need, and…
Patients in hospitals often complain of pain regardless of the diagnosis. Several activities in a patient's life contribute to pain. Some of the activities include amount of sleep, daily chores and quality of life (Alaloul, Williams, Myers, Jones, & Logdson, 2015). While health care expenses have increased significantly over the years, there have been great improvements in increasing both family and patient involvement in medical care. Hourly care is one of the strategies that have worked well in various healthcare settings. Hourly care has been a success in various areas but using it in urgent pediatric settings hasn't been well documented (Emerson, Chumra, & Walker, 2013). Opportunities still exist to look into pediatric family preferences and perspectives as pertains to the use of whiteboards (Cholli, et al., 2016). Several studies have been done in different setups and this paper references many of them. The research projects include in-patient surveys, quasi-experimental…
Alaloul, F., Williams, K., Myers, J., Jones, K. D., & Logdson, C. (2015). Impact of a Script-based Communication Intervention on Patient Satisfaction with Pain Management. Pain Management Nursing, 321 - 327.
Brosey, L., & March, K. (2015). Effectiveness of structured hourly nurse rounding on patient satisfaction and clinical outcomes. Journal of Nursing Care Quality, 153.
Cholli, P., Meyer, E., David, M., Moonam, M., Mahoney, J., Hession-Laband, E., . . . Bell, S. (2016). Family Perspectives on Whiteboard Use and Recommendations for Improved Practices. Hospital Pediatrics, 426 - 430.
Emerson, B., Chumra, K., & Walker, D. (2013). Hourly rounding in the pediatric emergency department: patient and family safety and satisfaction rounds. J Emerg Med, 99 - 104.
particular topic that one has picked and what has been covered in the broader subject area of that topic (John, 2007). So as to apply relevant scientific knowledge, it has to be obtained from the great quantity of available literature. This is accomplished in a literature review. Founding the application of the present literature on a systematic review differs from the opportunistic application of literature. Allegations in publications are often supported by one or a few references, even though there is a lot more literature on the topic. In the ideal cases, the cited work incorporates the present literature in a suitable manner. Publications are, however, cited for opportunistic reasons: they are simply the only publications that the author is familiar with on the subject or they agree with the author's ideas (Aken, Berends & Bij, 2007).
There are several ways through which a literature could be done. The most…
Aken, J. E., Berends, H., & Bij, H. (2007). Problem solving in organizations: A methodological handbook for business students. USA: Cambridge University Press.
Bryman, A. & Bell, E. (2003). Business Research Methods. [Books24x7 version] Available from: http://common.books24x7.com.lib.kaplan.edu/toc.aspx?bookid=12878
Bryant, M. (2005). Managing an Effective and Ethical Research Project. EBSCO Publishing: Swanson. Retrieved from: http://22.214.171.124:8088/2153311/Chapter_23_-_Managing_an_Effective_and_Ethical_Research_Project.pdf
John, A. (2007). Research methods for graduate business and social science students. Ebook academic collection.
Elder Abuse: The Problem and Proposed Research Study
Elder abuse is perhaps one of the most aggravated problems that exists in the modern world affecting old people. More than common afflictions like cardiovascular disease or diabetes, elder abuse is viewed all over the world as a complex and debilitating problem, one that needs decisive and immediate actions from the health care industry, legislators, the social work sector, and concerned citizens. Elder abuse is a problem that thrives all around the world, and as the international population of elderly people grows all over the world, the problem demands immediate action and preventative measures. It is important to acknowledge that what happens to the elderly in this regard is very preventable: it does not have to happen and is the mark of a faltering and in many ways, uncaring society. “This emphasis is appropriate because elder abuse is likely the most…
Evidence-Based Practice Project
A literature review conducted by abie and Curtis (2006) aimed at establishing the effects of washing hands in reducing respiratory infections. The literature was obtained by searching CAB Abstracts, PubMed, Embase, Cochrane, and Web of Science library. The inclusion strategy for the review were any studies that reported having an impact of hand washing to reduce respiratory infections. All articles included in the review were published before June 2004. This was a quantitative systematic review, which made it an effective method of analyzing and evaluating the selected studies. After searching for the relevant articles, the researchers found 395 articles, but only 61 articles were selected after the researchers reviewed their abstracts (abie & Curtis, 2006). The review and selection process continued and the final review included only eight articles, which the researchers established were more relevant to their study. Having eliminated the articles that focused on children…
Loeb, M., McGeer, A., McArthur, M., Walter, S., & Simor, A.E. (1999). Risk factors for pneumonia and other lower respiratory tract infections in elderly residents of long-term care facilities. Archives of internal medicine, 159(17), 2058-2064.
Rabie, T., & Curtis, V. (2006). Handwashing and risk of respiratory infections: a quantitative systematic review. Tropical medicine & international health, 11(3), 258-267.
Smith, P.W., Bennett, G., Bradley, S., Drinka, P., Lautenbach, E., Marx, J., . . . Stevenson, K. (2008). SHEA/APIC Guideline: infection prevention and control in the long-term care facility. American journal of infection control, 36(7), 504.
Cognitive Disorder in Elderly
Cognitive Disorders in Elderly
Cognitive Assessment & Lab
Kris Thomas, PhD
The research of this study is related to cognitive, dementia, Alzheimer disease, and depression issues with the elderly populations of the United States and in the world in general. Societies with a large number of elderly people such as the U.S.A. are increasingly focusing their efforts on improving the life standards of these people based on the types of services given to them. The well-being of those on palliative and hospice care is as important as the well-being of the family members of these patients. Although many health issues present themselves during the elder years of any patient, there is a lot of attention paid to cognitive and mood issues in this age group. The disorders and maladies that are relevant to this population include, among others, depression, dementia, mild cognitive impairment (MCI)…
American Psycholgical Association (APA) (2010). Ethical Principles of Psychologists and Code of Conduct. American Psychologists Association.
Abby C. (2010). Physical Activity for an Aging Population. Public Health Reviews, Vol. 32. Retrieved from: http://www.publichealthreviews.eu/upload/pdf_files/8/PHR_32_2_King.pdf
Aklin, W. M., & Turner, S. M. (2006). Toward understanding ethnic and cultural factors in the interviewing process. Psychotherapy: Theory, Research, Practice, Training, 43(1), 50-64.
systematic and rigorous process of enquiry, which aims to describe phenomena and to develop and test explanatory concepts and theories. Ultimately, it aims to contribute to a scientific body of knowledge. It aims to improve health, health outcomes, and health services (Bowling, 2002, p. 1). Health research has been de-ned in relation to health generally. As well as having an emphasis on health services, it has an important role in informing the planning and operation of services aiming to achieve health (p.3).
One method and type of study design in health research is the case study. Creswell (2009), explains that there are three groups of research, quantitative, qualitative (which includes case study), and mixed methods. Yin (2009), explains that using case studies for research purposes remains one of the most challenging of all social science endeavors. The writer breaks this method into two parts: literature review, and secondly acknowledging the…
Bowling, A. (2002). Research Methods in health: Investigating health and health services (2nd ed.). Buckingham, Philadelphia: Open University Press.
Creswell, J.W. (2009). Research Design: Qualitative, Quantitative, and Mixed Methods Approaches (3rd ed.). Thousand Oaks, California: SAGE Publication, Inc..
Yin, R. . (2009). Case Study Research: design and Methods (4th ed.). United States: SAGE Publication, Inc..
systematic literature review addresses the topic of what parents need to know and can do to enhance the developmental outcomes of their very low birth weight babies, following discharge from the neonatal intensive care unit. This topic is significant as very low birth weight babies, as a group, have special needs. And, by addressing these items, parents can enhance their child's development.
Systematic Literature eview: What Parents Need to Know and Can do to Enhance the Developmental Outcomes of Their Very Low Birth Weight Babies
This systematic literature review addresses the topic of what parents need to know and can do to enhance the developmental outcomes of their very low birth weight babies, following discharge from the neonatal intensive care unit. This topic is significant as very low birth weight babies, as a group, have special needs. And, by addressing these items, parents can enhance their child's development.
Cusson, R.M. (2003). Factors influencing language development in preterm infants. Journal of Obstetric, Gynecologic, and Neonatal Nursing, 32(3). Pp. 402-409.
Feldman, R., Eidelman, A., Sirota, L., & Weller, A., (2002). Comparison of skin-to-skin (Kangaroo) and traditional care: Parenting outcomes and preterm infant development. Pediatrics, 110(1). Pp. 16-26
May, K., & Hu, J. (2000). Caregiving and help seeking by mothers of low birthweight infants and mothers of normal birthweight infants. Public Health Nursing, 27(4). Pp. 273-279.
Ment, L.R., Vohr, B., Allan, W., Katz, K.H., Schneider, K.C., & Westerveld, M. et al. (2003). Change in cognitive function over time in very low-birth-weight infants. JAMA, 289(6). Pp. 705-711.
Participants filled out a Short-Form McGill Questionnaire, an Arthritis Self-Efficacy Scale, and Fibromyalgia Impact Questionnaire in order to measure their levels of pain over the past few weeks. What the researchers found through statistical analysis was self-management strategies that reduced pain over time were most effective in the group that was exposed to guided imagery techniques. The level of guided imagery therapy was not itself significant, but more of the fact of whether or not it was present in the patient's therapy or not. This helps illustrate the effectiveness of guided imagery in managing long-term chronic pain when there are no fundamental cures present within traditional therapeutic practices. Pain management symptoms improved, but the symptoms overall remained. This shows that guided imagery is not a cure in and of itself, but rather an effective way to reduce and manage the pain that is present in chronic conditions like fibromyalgia.
Ferrell, Betty R., et al. "Pain management for elderly patients with cancer at home." CANCER-PHILADELPHIA- 74 (1994): 2139-2139.
Menzies, V., Taylor, a.G., & Bourguignon, C. (2006). Effects of guided imagery on outcomes of pain, functional status, and self-efficacy in persons diagnosed with fibromyalgia. Journal of Alternative & Complementary Medicine, 12(1), 23-30.
Weydert, J.A., Shapiro, D.E., Acra, S.A., Monheim, C.J., Chambers, a.S., & Ball, T.M. (2006). Evaluation of guided imagery as treatment for recurrent abdominal pain in children: a randomized controlled trial. BMC pediatrics, 6(1), 29.
Robertson illustrated his point about the dangers of the Supreme Court's power anecdotally, such as when, later in the book he talks about the McCain-Feingold Bill which was designed to restrict campaign finance and reform the ways political campaigns were funded both privately and via government assistance. Although the Republicans in neither the Legislative or Executive branch supported the bill, they agreed to pass it in order to end the debate, believing that the bill would be ruled unconstitutional by the Supreme Court in that it violated first amendment laws, among other things (Robertson 2004,-page 234). hen the voted for or signed the bill as the case may have been, they believed that the court would ultimately overrule the other branches by finding the proposed legislation unconstitutional based on the text of the law itself. The Supreme Court, however, did not agree with this perspective and ruled the law legal.…
Appel, J.M. (2009, August 22). Anticipating the incapacitated justice. Huffington Post.
Center for Internet and Society. (2005). Pat Robertson suggests that Muslims shouldn't serve as judges. Stanford University Press: Stanford, CA. Retrieved from http://cyberlaw.stanford.edu/blogs/chander/archives/003105.shtml
Robertson, P. (2004). Courting Disaster: How the Supreme Court is usurping the Power of Congress and the People. Integrity: Brentwood, TN.
Ultimately then, as questions did not focus on past instructional planning methodology but on real time instructional planning practices the practice of systematic "objectives-first" planning could have been very influential in teacher development but was ultimately abandoned in practical application, probably largely owing to time constraints, which are a consistently cited concern for teachers. The teachers studied simply offered the thesis that formal "objective-first" instructional planning is not practical and they prefer to plan in more timesaving and practical ways. If one were to include questions regarding past use or even possible future use of such methods the true efficacy of the model may have been tested.
Potential Effects of Fixes
The development of a case for systematic planning might have been made if a broader sample was utilized. The results might have concluded that some "superior" teachers do use an objective-first model or that they have done so in…
Young, a., Reiser, R., & Dick, W (1998). "Do superior teachers employ systematic instructional planning procedures? A descriptive study," Educational Technology, Research and Development, 46:2, 65
Holding this paper waiting for more research on systematic instructional planning would have been a better step, this would have probably eliminated the contradictory nature of the research which brought the element of unprofessionalism. It is important for one to include research not supporting their hypothesis but it is more important not to undermine his or her argument.
Potential effects of the fixes
Including more participants in the study would bring a possibility of applying the findings to a larger group in society since increasing the number of participants widens the answers to the questions asked. Including a Likert scale in the survey can also enhance the responses given by the teachers and would reveal some information that was not previously obtained. Standardizing the coding system and making the process thorough would prevent wrong categorization of answers and also give the authors' arguments more strength.
In order to help the…
Young, a., Reiser, R., & Dick, W. (1998). Do superior teachers employ systematic instructional planning process procedures? A descriptive study, Educational Technology, Research and Development, 46:2, 65.
2009). Therefore, organizations will need to redesign their entire scope in order to fit an eco-friendly motive to influence the adoption of the ideas. Thus, organizations can reconstruct simple operations, like featuring recycling bins and limiting water usage, as a way to increase the belief in the company's mission by employees.
The second strategy examined here is the one focusing on the redesigning towards green innovation. Typical beliefs assume that consumers are more willing to pay a premium for products that utilize eco-friendly production practices. Essentially, this idea postulates that consumers are willing to pay higher prices for products produced with and in eco-friendly circumstances (Green Biz p 1). This means that the organization must employ eco-friendly products in order to still charge a premium without damaging its consumer reputation. However, contemporary research does show that there is a limit to what consumers want to spend, and on their devotion…
Bonini, Sheila & Oppenheim, Jeremy. (2008). Cultivating the green consumer. Stanford Social Innovation Review. Web. http://www.ssireview.org/articles/entry/cultivating_the_green_consumer
Carmazzi, Arthur F. (2010). Are your leaders environmentally friendly? Write for HR. Web. http://www.writeforhr.com/are-your-leaders-environmentally-friendly/
Carmazzi, Arthur F. (2010). Organizational culture-based leadership -- Affecting corporate culture through systematic psychology. Eco-Friendly Ideas. Web. http://www.ecofriendlyideas.co.uk/eco-friendly-articles/organizational-culture-based-leadership-affecting-corporate-culture-through-systematic-psychology.html
Etsy, Daniel C. & Winston, Andrew S. (2009). Green to Gold: How Smart Companies Use Environmental Strategy to Innovate, Create Value, and Build Competitive Advantage. John Wiley and Sons.
emote Nursing eview
The oles of egistered Nursing in Shaping and Providing Care in ural and emote Locations: A Literature eview
The roles and perspectives of nursing have undergone major changes in the past several decades, continuing the rapid and profound development that this area of medical science and art has experienced in its relatively brief history. For quite some time, nursing existed either as a highly denigrated and unskilled profession looked down upon my others in the medical establishment and society at large, or as the semi-sacred and highly secret practice of healing through natural remedies and purely experiential knowledge transmitted orally and though demonstration from generation to generation. An appreciation and codification of nursing as a science -- albeit a science with certain subjective and aesthetic principles, making the designation of nursing as an art somewhat appropriate as well -- did not really occur until the nineteenth century,…
Banner, D., MacLeod, M. & Johnston, S. (2010). Role Transition in Rural and Remote Primary Health Care Nursing: A Scoping Literature Review. Canadian Journal of Nursing Research 42(4): 40-57.
Coyle, M., Al-Motlaq, M., Mills, J., Francis, K. & Birks, M. (2010). An integrative review of the role of registered nurses in remote and isolated practice. Australian Health Review 34(2): 239-45.
Naylor, M. & Kutzman, E. (2010). The Role Of Nurse Practitioners In Reinventing Primary Care. Health Affairs 29(5): 893-9.
On page 469 the authors point to research by Fergusson et al. (2006) that showed that "childhood exposure to partner violence did not increase the risk of being a perpetrator or a victim of partner violence." In fact, there are scholars whose research indicates that "…most maltreated children do not turn to criminal offending later in life" although there are "long-term consequences" for children that were abused (Reckdenwald, 469). Those consequences may include "…revictimization, self-destructive [personal] behaviors, and substance abuse"; clearly a child that was abused and later abuses alcohol or drugs (or other destructive behaviors like becoming obese through poor diet) is not necessarily hurting others, so the cycle of violence doesn't hold up on those cases.
Moreover, another strong point made by Reckdenwald is that childhood abuse can lead during adolescence to: a) poor performance in school; b) mental health issues; c) peer groups made up of "deviant"…
Reckdenwald, a., Mancini, C., and Beauregard, E. (2013). The Cycle of Violence: Examining
the Impact of Maltreatment Early in Life on Adult Offending. Violence and Victims, 28(3),
As a screenwriter and filmmaker, Quentin Tarantino has long been considered the ultimate auteur. His style and content are uniquely his own and are marked by edgy, graphic content along with fast, memorable dialogue. There is a rapt attention paid to pop culture and popular slang that all of Tarantino's films bear, and of late his films have paid attention to dark historical events. Inglourious Basterds (2011) focused on World War II and the multiple forms of carnage that this event encompassed. Django Unchained marks yet another foray of Tarantino into one of America's blackest historical marks: slavery. Like Basterds, Tarantino puts his unique stamp on this dreary historical subject by couching it from a unique and meaningful perspective: he portrays the events of slavery with the imprint of a slave who becomes a type of bounty hunter, and kills white men. This is strongly evocative of the…
Denby, D. (2013, January 22). "Django Unchained": PUT-ON, REVENGE, AND THE AESTHETICS OF TRASH. Retrieved from Newyorker.com: http://www.newyorker.com/online/blogs/culture/2013/01/django-unchained-reviewed-tarantinos-crap-masterpiece.html
Foster, G. (2004, May). Intersectionality, Worldwide and Other Pages. Retrieved from Udayton.edu: http://academic.udayton.edu/race/02rights/slavery06a.htm
Tarantino, Q. (Director). (2012). Django Unchained [Motion Picture].
By using a review technique, evidence from many different studies and types of research could be compared and analyzed, leading to the result of a higher grade. The few guidelines that were reviewed were the most clear in their recommendations, yet because the direct evidence that led to the formation of these guidelines was not fully provided the recommendations received a lower score. This is not to suggest that these guidelines, when produced by reputable organizations, are not worthy of implementation or consideration, but rather that further investigation into the guideline areas, such that primary research data is found that supports the recommendations in the guidelines published. Having this data directly available will enable the guidelines to be viewed with a higher score of validity and reliability.
The majority of the experimental or observational studies in this set of research received low grades for their recommendation for a variety of…
An Institutional Review Board (IRB) can assist a graduate student in ensuring that his or her project is one that is viable and reasonable. The IRB is used in a variety of situations but overwhelmingly it is used to confirm, justify and provide support to those students seeking a higher degree than what can normally be considered the already fantastic achievement of graduating from college. Throughout the student's university career, a number of classroom projects will be completed in order for the student to graduate with a Bachelor's degree. However, if the student aspires to an even higher standard, then that student must continue on the educational pathway, and the student will generally be called upon to create and complete a number of studies, papers and research. In order for the student to complete these assignments, oftentimes the student will be called upon to carryout extensive research.
Thomson, J.J.: Elgin, C.; Hyman, D.A.; Schrag, Z.; Knight, J.; Kreiser, B.R.; (2013) Regulation of research on human subjects: Academic freedom and the institutional review board, Academe, Vol. 99, Issue 4, pp. 101 -- 117
The consolidated data are envisioned to provide a generally unbiased view of the various opinions and issues raised.
Internet surveys, as discussed by Cozby (2009, p. 132) will not be administered. The reason for this is that the scope of Internet surveys are far greater than that required for this research. These type of surveys are generally administered when a wide variety of data are required from a large amount of interested parties. For the purpose of this study, surveys are limited to a specific set of participants from specific sectors of academic and public life.
urveys over time are also not considered relevant to the study. The issue of tenure is current to many academic institutions. The effects of tenure will be investigated in their current manifestation. Evolution of these issues and opinions over time is not an issue. A related issue to investigated could however be a hypothesis…
Wood and Johnsrud (2005) Post-tenure Review
O'Meara (2004) Beliefs about Post-tenure Review
Qualitative, meetings and seminars, then questions to ascertain efficacy.
Smallish, 65 in one hospital.
Survey and qualitative observation.
Clear and effective communication goals were met using positive educational interventions.
Longitudinal and sample size.
Good basic, lacks lengthy literature review. Data may be extrapolated, but further work needs to be done using larger, more diverse sample.
Melnyk, B., et.al.
Evidence-based Practice: Step-by-Step Igniting a Spirit of Inquiry.
What is the effectiveness of an evidence-based practice format on collaborative inquiry.
Meta-Analysis and presentation of package.
None other than previous research.
Literature review and meta-analysis.
This is a presentation of a model approach suggested by an experienced nursing professor.
None for type of study.
Strong. Shows nurses how to use knowledge and skills to implement EBP consistently as part of the best practices of contemporary nursing care.
Nadzan, D. And Westergaard, F.
Pediatric Safety in the Emergency Department
What are the…
Door Policy -- Literature Review Extension
Revolving Door Members (2011). irst Street -- Where People and Policy Interact. Retrieved http://firststreet.cqpress.com/content/Revolving_Door_Members.aspx
This intelligence tool follows members of Congress who go through the Revolving door. The members of Congress who have disclosed their lobbying activity and members of Congress who previously worked as lobbyists are tracked in the irst Street database. The information contained includes the organizations they represent, the type of work that they have done and are presently doing. Subscribers to this database include advocates from law firms, member-based associations, lobbying organizations, and others. The research dashboard can be customized and saved, contact lists can be established, and bookmarks can be created for people, issues, and organizations of interest. The resource is comprehensive and is of value for anyone needing to do serious research. or the purposes of this project, the site is useful for demonstrations of the…
Federal Register / Vol. 74, No. 15 / Monday, January 26, 2009 / Presidential Documents 4673
Executive Order 13490 of January 21, 2009
This document of the Ethics Commitment by Executive Branch Personnel, outlines the Ethics Pledge, which every appointee in every executive agency must sign and agree to, the Lobbyist Gift Ban, the Revolving Door Ban for all appointees entering government, for all lobbyists entering government, and for all appointees leaving government to lobby, the Employee Qualifications Commitment, and the Assent to Enforcement. This Presidential Order is important as it expresses the regulations regarding conflict of interest in plain language that can easily be understood and remembered by all parties to whom it applies, and it ensures that all parties have read and
The following review of current literature is categorized by a number of variables. Statistics and Data initiate the report and is quickly followed up with Policy Literature. From there, an Academic Literature Review focusing on five articles (with corresponding studies and citations) takes place. After the Academic Review comes a Relevant Campaigning Review and a Media Review. Finally, a quick conclusion ties the literature together in a neat little bow.
The charts below provide data that allows researchers to understand exactly how significant the problem is. Chart A (see below) shows the rates of pregnancies in the UK broken down by age. As is evident, since 1990 pregnancy rates for older women have been rising significantly, while the rates for those woman under 29 years of age (including teenagers) have been holding steady, or slightly declining for the most part. Since current public policy was first initiated in…
Arai, L.; (2003) British policy on teenage pregnancy and childbearing: The limitations of comparisons with other European countries, Critical Social Policy, Vol. 23, Issue 1, pp. 89 -- 102
Bingley, P.J., Douek, I.F., Rogers, C.A. And Gale, E.A.M. (2000) Influence of maternal age at delivery and birth order on risk of Type 1 Diabetes in childhood: Prospective population-based family study, British Medical Journal, Vol. 321, pp 420 -- 424.
Brewer, M.; Ratcliffe, A.; dSmith, S.; (2011) Does welfare reform affect fertility: Evidence from the UK, Journal of Population Economics, Vol. 25, Issue 1, pp. 245 -- 266
Doling, J. & Ford, J.; (2007) A union of homeowners? European Journal of Housing Policy, Vol. 7, pp. 113 -- 127.
Despite major medical advancements over several decades, nearly 10 percent of births in the US continue to occur prematurely each year (Martin, Hamilton, Osterman, Driscoll, & Matthews, 2017). Creating a significant socioeconomic burden, preterm birth is one of the leading causes of infant morbidity and mortality in the United States resulting in approximately $16.9 billion in medical care costs annually (Institute of Medicine [IOM], 2007). After days, weeks, or even months of intensive care, weight gain becomes a major criterion for hospital discharge. Feeding intolerance (FI) is a common complication among these preterm infants, which disrupts enteral feeding, resulting in feeding advancement delays, prolonging adequate weight gain and growth, and increasing hospital stays (Carter, 2012). Additionally, FI is associated with necrotizing enterocolitis (NEC), a gastrointestinal emergency and a leading cause of morbidity and mortality in this group of patients (Moore & Wilson, 2011). The underlying cause for these problems…
The weakness here is that, given the specificity of the situation analyzed in the article, the conclusions are not nearly as broadly applicable as the author seems to imply. Doubtless the conclusions can be related to other events to some degree, but the author himself acknowledges that a lack of experts on Somalia was instrumental in the ultimate failure of the intervention, and other countries would require other experts and different proposed solutions. Still, the author is quite successful in developing his theory through direct analysis of what key players and documents actually said regarding the issue, basing his theory firmly in facts and drawing conclusions based on effects rather than on theoretical principles.
Along the same line, the research methods that the author employs and his evidence collection are directly related to the research questions that he developed. His citing of Oakley, the U.S. Ambassador in Nairobi, as well…
evaluators when it comes to reviewing specific projects related to social work? This paper reviews and summarizes the specific strengths and weaknesses, likes and dislikes when it comes to evaluators' appraisal of projects and programs related to social work.
Evaluating social work issues and programs carries with it enormous responsibilities. The Task Force from the American Evaluation Association (AEA) -- in 1986 -- set out to present and adopt a well-thought-out set of standards for the accurate and honest evaluation of social work programs. The problem was that not one of the recommendations by the AEA was adopted, and there were no ethical standards or guiding principles adopted either. Hence, in 1992, the AEA Board established another committee (chaired by David Cordray) whose duty it was to develop "a draft of guiding principles for evaluation" (not specific standards of practice) (Scheirer, et al.).
The report -- "Guiding Principles for Evaluators"…
American Evaluation Association. (2004). American Evaluation Association Guiding
Principles for Evaluators. Retrieved September 24, 2011, from http://www.eval.org /publications/guidingprinciples.asp.
Scheirer, Mary Ann, Newman, Dianna, Shadish, William, and Wye, Chris. (1994). Guiding
Principles for Evaluators. A Report from the AEA Task Force. Retrieved September 24,
e. 20th in our case compared to selecting as many as random numbers as the sample size. Besides, it also gives a good spread throughout the population size. However, a demerit is that a list is needed to begin which, in case it is desired to know the sample size and calculate the sampling interval. (Sampling Methods)
Other Quality Control (QC) Measures:
Tuff Tires should also follow the Quality Cost Delivery -- QDC approach to measure efficiency. Through the use of QDC there can be a focus to clarify the priorities for enhancing the production processed or service delivery. Simplicity gives a big picture, simplification of a complex production process and identification of unambiguous path for improvements. Feedback can also be used to measure the results of any changes that have been made to the production process or service delivery. QCD gives quick feedback -- it delivers the facts and…
"Sampling Methods" Australian Bureau of Statistics. Retrieved from http://www.abs.gov.au/websitedbs/D3310116.NSF/0/116e0f93f17283eb4a2567ac00213517?OpenDocument Accessed 24 August, 2005
"Quality, cost, delivery: measuring business performance" Retrieved from http://www.dti.gov.uk/bestpractice/assets/qcd.pdf Accessed 24 August, 2005
Evaluating theoretical framework also assists in determining whether the structure directs the research study. This process entails identification of constructs or concepts, assessment of definitions, relationships, variables, hypothesis, methodology and findings.
Discussion Question Two: Will there always be a theoretical framework that aligns with your chosen topic of study? Why or why not?
Theoretical framework entails the collection of combined concepts that are not essentially well established (Aparasu, 2011). Theoretical framework determines the things a researcher measures and the statistical link to look for. Through theoretical framework, researchers engage preconceived ideas. For instance, some people deem that human beings are untrustworthy and lazy. Such basic beliefs regarding human temperament influences how a researcher views things when conducting a research. In this regard, not understanding the actual framework is an enormous concern. Theoretical framework directs the researcher to what he/she views in his/her environment, and what he/she does not notice in…
Aparasu, R. (2011). Research methods for pharmaceutical practice and policy. New York:
Beck, C., & Faan, C. (2013). Routledge international handbook of qualitative nursing research.
New York: Routledge
Leahey's approach is similar to Robinson's in that it allows Freud to be part of a systematic line, but different in that Leahey sees the process as a combination of far more players.
3. Can you think of any other psychologist from 100 years ago who is still as well-known today? What do you think are some of the important contributions of Freud? Why do you think psychologists are not so impressed with these contributions?
Often, it seems as if it is pioneers who are well-remembered in the sciences, or at least those who engender radical or controversial theories. Freud, as founder of the psychoanalytic school and theories of the unconscious mind was, of course, thrown into popularity with his work on sexual desire as a primary motivator of humans. Since Victorian society was so repressed, Freud's ideas resonated more precisely because of that repression. Additionally, Freud was at the…
quality of care and ensuring patient safety. In the home health care organization, peer review also measures staff competence and provides valuable feedback for performance reviews and making necessary changes to improve quality of service or efficiency of operations. One of the cornerstones of an effective peer review process is its ability to enhance accountability by promoting "self-regulation," (Kent, 2014, p. 1). Another important emblem of an effective peer review process in the home health care venue specifically is shared governance, a model of peer review that has been shown to be particularly easy to implement and also maintain (Furrer, 1996). In the home health care organization that I belong to, a formal peer review process does exist and it also reflects the core missions and values of the organization.
Moreover, the formal peer review process that exists in my home health organization is modeled after those espoused by both…
ANCC (2015). Retrieved online: http://www.nursecredentialing.org/
Furrer, R.A. (1996). Implementing peer review in home health care. Home Health Care Management 8(3): 53-59.
Haag-Heitman, B. & George, V. (2011). Nursing peer review. American Nurse Today 6(9).
Kent, K. (2014). Designing a peer review process. Advance Healthcare Network for Nurses. Retrieved online: http://nursing.advanceweb.com/Article/Designing-a-Peer-Review-Process.aspx
Dislocations in vertical grain boundaries were observed to move essentially horizontally, while the horizontal grain boundaries were primarily stationary; the horizontal movement in the vertical grain boundary is directly responsible for the changes in the growth rate and size of the domain walls. The authors manage to clearly present this primary finding, but the implications and import of this discovery are not made abundantly clear in their discussion. The interactions of distortions are more adequately examined and explained.
A study smaller and more basic in scope that focused more on the decay of various patterns rather than the growth and persistence of their distortions provides some greater insights into the primary study reviewed herein. Huang and Vinals (2007) identify wave variations and nodal placement as primary causes behind topographic distortions, which is an area not addressed in Kamaga, Ibrahim, and Dennin (2008). This calls their research somewhat into question, as…
Gomez-Solano, J. & Boyer, D. (2007). "Coarsening in potential and nonpotential models of oblique stripe patterns." Physical review 76, pp. 041131(1)-(12).
Huang, Z. & Vinals, J. (2007). "Grain boundary dynamics in stripe phases of nonpotential systems." Physical review 75, pp. 056202(1)-(7).
Kanaga, C.; Ibrahim, F. & Dennin, M. (2008). "Dislocation Dynamics in an Anisotropic Stripe Pattern."
Through a bevy of research articles and scholarly journal research pieces, the authors of the present survey instrument have established their credentials by producing an exhaustive and multi-dimensional discussion on a highly-charged issue. Their qualifications are therefore preceded by an established status as experts in the field and as unbiased sources for discourse.
It is thus that the survey instrument produced here is used to measure responses in two participating universities. Its reliability is ensured by the objective phrasing of questions and by the selection of two universities with historically divergent patterns of perspective on post-tenure review. This denotes both an internal reliability based on the carefully structured phrasing of unbiased statements and an external reliability based on the comparative nature of the study. Researchers note that they "selected these institutions, both in the western United States, because they have had many years of experience conducting systematic evaluations of tenured…
Wood, M. & Johnsrud, L. (2005). Post-Tenure Review: What Matters to Faculty. Review of Higher Education, 28(3), 393.
May 11, 2011
Luxury. Great service. Room was a bit small to have an extra bed.
May 7, 2011
Perfect hotel. Location is just a walking distance to anywhere you like. A few steps away from the metro station at "Piccadilly." Across the street from the gorgeous St. James park and rafalgar square, a few minutes walk from "Leicester square," "Soho," "Regent Street" and "Oxford Street." Lobby, rooms, services, and most important are the staff whom are extremely courteous.
May 6, 2011
his hotel is very good, close to parks and all central locations.
May 5, 2011
Wonderful hotel, incredibly friendly and helpful staff. Will definitely return.
May 4, 2011
In Europe I have seldom felt so welcomed as at Sofitel St. James. Reception was excellent, luggage delivery fastest ever, and what a service in the lobby bar! Absolutely not the cheapest hotel, but the best one!
May 4, 2011…
The location is good and we were able to get around easily and cheaply. We upgraded to Club Level to get a nicer room on a high floor. It wasn't much extra so I think it was worth it. The upgrade got us breakfast in the club lounge, afternoon tea and cocktails for 2 hours everyday. Our room was modern and large and the bed was very comfy. Bathroom was lovely and the L'Occitane toiletries were a nice touch. The pool was average - on the 4th floor. It was qute small and it misses the afternoon sun so if you want to suntan best to get there in the morning. Overall this is a good hotel and we would stay again if we ever return to Bangkok.
May 24, 2011
Sofitel now the managers but its all a bit tired now, and not really up to the standards
Healthcare Plan eview
The author of this report is to answer three general questions relating to healthcare program evaluation. The first question asks the author of this report to examine the overall purpose of healthcare program evaluation. The second question asks the author to identify at least five different types of common healthcare program evaluation techniques. Finally, one of those methods in particular will be selected and there will be a drilling down into more detail on that single type. While the purpose and method of operations is quite similar with all program evaluation types, there are some subtle to major differences from type to type.
At its core, the purpose of healthcare program evaluation is to analyze and improve the operations and performance of a healthcare program based on a systematic and full review of what is going right, what is going wrong and what needs to be changed.…
Fink, A. (1992, October 15). Formats:. National Center for Biotechnology Information.
Retrieved September 16, 2014, from http://www.ncbi.nlm.nih.gov/pmc/articles/
MUSC. (2014, September 16). Program Evaluation 101. Program Evaluation 101. Retrieved
International Business Management
eview of International Strategy at Metricum
Overview of the Metricum Company
Metricum is an SME manufacturer of materials handling equipment and intelligent handling systems. It has been based in the east of England for the last 28 years and has been catering to clients in several parts of the world. The company exports equipment to 40 countries around the world and has manufacturing facilities in Sweden and China in addition to the United Kingdom. Metricum has vertically integrated up the value chain by acquiring a key supplier in omania. The omanian subsidiary has great room for expansion. The company has expanded internationally through joint ventures and acquisitions. Manufacturing operations have been decentralized on the basis of local expertise. Standardized products are manufactured in China, which makes up 25% of total production. Innovative products are made in Sweden while a scaled-down labour force in the United Kingdom…
Bannock, G., 2005, The Economics and Management of Small Business: An International Perspective. New York. Routledge Briscoe, D.R., Schuler, R.S., & Claus, L., 2008, International Human Resource Management. Taylor & Francis
CIA, 2012. The World Factbook: Ukraine. Available at: < https://www.cia.gov/library/publications/the-world-factbook/geos/up.html > [Accessed 20 April 2012].
Contractor, F.J., & Lorange, P., 2002, Cooperative Strategies in International Business. Rutgers University
Copsey, N., 2010. Ukraine. In D.O. Beachain, ed. 2010. The Colour Revolutions in the Former Soviet Republics: Successes and Failures. Taylor & Francis, p. 30.
Truths by Mortimer Adler.
Review current literature.
Mortimer Adler was a man who made significant contributions to the field of education
The following information is provided to create a better understanding of the man and his writing. Mortimer Adler is known for his many contributions to the field of education and philosophy. Throughout his professional and personal life, he was consumed with the desire to learn and to teach others. His approach to education became instrumental in advancing the idea that philosophy is integrated with other disciplines such as Literature, cience, and Religion.
He was the author of numerous books and articles and played a significant role in American educational reform in the twentieth century. He is best known for his efforts in promoting the Great Books of the Western World for reflection and systematic study. He was ultimately responsible for publishing the Encyclopedia Britannica's "Great Books of the Western…
Steven Puro, Political Science Dept., St. Louis Univ.Copyright 1987 Reed Business Information, Inc.
Mortimer Jerome Adler. http://www.education.miami.edu
Mortimer J. Adler: Reforming Education. http://www.classicalhomeschooling.com.Summer 2000.
Proposed Plan for Improvement
The above assessment of the current personnel management challenges facing the organization indicates that there are a number of pertinent issues that must be addressed if the organization is to effectively optimize its human resource capabilities and help facilitate the development of change in the organization. With this in mind, the proposed plan for organizational development focuses on two specific areas for improvement. First, the proposed plan considers the need for the strategic development of human resource practice in the organization. Strategic human resource management will enable the organization to embed human resource function into the process of facilitating organizational objectives. Second, the proposed plan considers the need for a comprehensive change management program which will facilitate H integration while building the necessary organizational infrastructure to help improve change outcomes.
Strategic Human esource Management
Strategic human resource management or SHM is the process by which human…
Acquaah, M., 2004. "Human factor theory, organizational citizenship behaviors and human resources management practices: An integration of theoretical constructs and suggestions for measuring the human factor," Review of Human Factor Studies, vol. 10, no. 1, pp. 118-151.
Boswell, W., 2006. "Aligning employees with the organization's strategic objectives: Out of line of sight, out of mind," International Journal of Human Resource Management, vol. 19, no. 9, pp. 1489-1511.
Breen, V., Fetzer, R. & Howard, L., 2005. "Consensus problem-solving increases perceived communication openness in organizations," Employee Responsibilities & Rights Journal, vol. 17, no. 4, pp. 215-229.
Change management: The HR strategic imperative as a business partner," 2007. HR Magazine, vol. 52, no. 12, pp. 1-9.
InterestInterview Coding & Reaction
There is little doubt that the experience, events and quality of care that surround expecting and new mothers is extremely important (Berrien, Olledorff & Menard, 2015). The reduction or mitigation of things like excessive pain before and after birth, any sort of disconnect between patient and providers in terms of communication and an explanation of what is and shall be going on and so forth are all important (Taavoni, Abdolahian, Neisani & Hamid, 2016). This research deigns to cover a number of things. First, it is asked of the interviewee what went well, what did not, what perhaps could or should be compared and contrasted between this or prior birthing experiences (and one did exist in the case of this research), what could have been done better, what was done well, whether proper and full options were made available and so on.
The setting and meeting…
According to the study, the clinical evidence does not recommend the application of implanto-prosthetic zirconium abutments in a patient's molar region.
Nakumura et al. (2010) conducted a systematic review of Zirconium as a dental implant abutment matter. The focus of their study was to assess the already published data on the concept of concerning zirconia dental implant abutments.
The work was focused on the study of the mechanical properties of zirconium abutments, the peri-implant soft tissues that surround zirconia abutments, plaque accumulation on the zirconia as well as the survival of the zirconia abutments.
The selected studies indicated that the that the zirconium abutments were very reliable in the anterior region from both mechanical and biologic perspectives.The studies also concluded that in comparison with titanium, zirconium abutments may be a material surface that is less attractive for phenomenon of early plaque retention.
The study further indicated that 3 clinical follow-up…
Ekfeldt a, Furst B. Carlsson GE (2011) Zirconia abutments for single-tooth implant restorations: a retrospective and clinical follow-up study. Clin. Oral Impl. Res. 22,; 1308-1314 doi: 10.1111/j.1600-0501.2010.02114.x
Gomes, a., Montero, J (2011).Zirconia implant abutments: A review. Med Oral Patol Oral Cir Bucal. 2011 Jan 1;16 (1):e50-5.
Nakamura K, Kanno T, Milleding P, Ortengren U.(2010).Zirconia as a dental implant abutment material: a systematic review. Int J. Prosthodont. 2010 Jul-Aug;23(4):299-309
Velazquez-Cayon R, Vaquero-Aguilar C, Torres-Lagares D, Jimenez-Melendo M, Gutierrez-Perez JL.(2011).Mechanical resistance of zirconium implant abutments: A review of the literature. Med Oral Patol Oral Cir Bucal. 2011 Dec 6.
Bune's constuctivist theoy and the conceptual paadigms of Kolb's Expeiential Leaning theoy dawing on the associated theoies ae Kinesthetic and Embodied Leaning. As also noted in the intoductoy chapte, the guiding eseach question fo this study was, "What ae the caee paths fo teaching atists seeking to deploy into the field of community at and development?" To develop timely and infomed answes to this eseach question, this chapte povides a eview of the elevant pee-eviewed and scholaly liteatue concening these theoetical famewoks to investigate the diffeent caee paths teaching atists seek to deploy into the field of community at and development, including ceative community building and adult community centes such as woking with Alzheime's Disease and stoke victims.
Adult Leaning Theoies
Kolb's Expeiential Leaning Theoy. Thee ae a wide aay of theoetical models that can be used to identify and bette undestand teaching and leaning pefeences by educatos and students,…
references to improve coaching and athletic performance: Are your players or students kinesthetic learners? The Journal of Physical
Education, Recreation & Dance, 80(3), 30-34.
Fowler, J. (2013, March). Art rescue in a troubled world. Arts & Activities, 153(2), 36-39.
Kerka, S. (2002). Somatic/embodied learning and adult education: Trends and issues alert. ERIC
Kessler, R. (2000). The soul of education: Helping students find connection, compassion, and character at school. Alexandria, VA: Association for Supervision and Curriculum
CS in Saudi Firms
Corporate Social esponsibility
eferences to corporate social responsibility (CS) reportedly occurred numerous times before the 1950s, however, in regard to CS definitions, that particular decade birthed the "modern era." Carroll (1999) compliments the researcher's current study as it expands on the historical progression of CS definitions. According to Carrol, Bowen initially defined the social responsibilities of businessmen; explaining that the concept relates to the obligations businessmen have to pursue particular policies, to make deliberate desirable decisions, "or to follow those lines of action which are desirable in terms of the objectives and values of our society" (Bowen as cited in Carroll, p. 270). During the 1960s, the "Iron Law of esponsibility," held that "social responsibilities of businessmen need to be commensurate with their social power" (Davis, as cited in Carroll, p. 271). Davis and others during this decade, however, did not include specific details regarding the…
Baldo, M.D. (2009). Corporate social responsibility and corporate governance in Italian SMEs the experience of some spirited businesses. Journal Management Government.
Carroll, A.B. (1999). Corporate social responsibility: Evolution of a definitional construct.
Business Society, 38; 268-295. DOI: 10.1177/000765039903800303
Evidence-Based Practice Project: educing ate of Psychiatric eadmission
The purpose of the evidence-based practice project is to examine ways to eliminate psychiatric readmissions. More specifically, literature is reviewed to examine evidence supporting the effectiveness of care transition interventions in preventing re-hospitalization amongst adult patients with severe mental illness. In this chapter, the search process is first described. Next, the identified literature is summarized and synthesized, clearly evaluating the relevance of the literature to the specified PICOT question.
Literature for the review was searched in CINAHL, PubMed, EBSCO, ProQuest, and Google Scholar databases using the following phrases: psychiatric readmission, re-hospitalization, care transition interventions, transitional care interventions, and reducing readmission in adults with mental illness. Focus was particularly on literature published in English. From the first round of search, it was quite evident that not much scholarly attention has been given to the topic as the search returned less than…
Allen, J., Hutchinson, A., Brown, R., & Livingston, P. (2014). Quality care outcomes following transitional care interventions for older people from hospital to home: a systematic review. BMC Health Services, 14: 346.
Gaynes, B., Brown, C., Lux, L., et al. (2015). Management strategies to reduce psychiatric readmissions. Technical Brief No. 21. Rockville, Maryland: Agency for Healthcare Research and Quality, U.S. Department of Health and Human Services.
Kalseth, J., Lassemo, E., Wahlbeck, K., Haaramo, P., & Magnussen, J. (2016). Psychiatric readmissions and their association with environmental and health system characteristics. BMC Psychiatry, 16: 376.
Pincus, H. (2015). Care transition interventions to reduce psychiatric re-hospitalizations. Technical Brief. Alexandria, Virginia: National Association of State Mental Health Program Directors (NASMHPD).
EBP is to facilitate strategy to eradicate short cycle return to second readmission of psychiatric patients on hospital beds. Doing so will assist health care providers in addressing the issue of bed shortage. eduction of readmission rates allows more space to be available for other patients and helps to cut costs as well as bring about better conformity with governmental regulations.
The search process used in this literature review began with searching key words in online databases such as Cochran eview, CINAHL, and other nursing research journal databases. Google Scholar was used as the primary search engine, with filters set to permit results from these particular databases. Key words used included "reducing readmission rates," "readmission psych," "causes of readmission psych hospital," "psych hospital readmission," "reduction of psych readmission," and other combinations of key words identified by relevant articles found after conducting these searches. More than a thousand articles…
Burns, T., Rugkasa, J., Molodynski, A. et al. (2013). Community treatment orders for patients with psychosis (OCTET): A randomized controlled trial. The Lancet, 381(9878): 1627-1633. DOI: http://dx.doi.org/10.1016/S0140-6736 (13)60107-5.
Kalseth, J., Lassemo, E., Wahlbeck, K., Haaramo, P., Magnussen, J. (2016). Psychiatric
readmissions and their association with environmental and health system characteristics: a systematic review of the literature. BMC Psychiatry, 16: 376. DOI: 10.1186/s12888-016-1099-8.
Kripalani, S., Theobald, C., Anctil, B., Vasilevskis, E. (2013). Reducing hospital readmission: Current strategies and future directions. Annual Review of Medicine, 65: 471-485. DOI: 10.1146/annurev-med-022613-090415
There are remedies (albeit not easy ones for the individuals involved), as suggested by the research. However, and this is very important, the current public health approaches that the Saudi government has taken, as Mabrey et al. (2010) note, have focused fairly narrowly on medical approaches. This focus includes research that has been conducted on metabolic syndrome (which is caused primarily by being overweight). This is caused by clear-cut factors and has a number of possible poor consequences.
Mabrey et al. (2010) note that metabolic syndrome is on average 10 to 15% higher in the GCC states than in the rest of world and that females are disproportionately affected by metabolic syndrome. These researchers are among those who note that a strictly medical approach to such medical problems is far from sufficient. For while metabolic syndrome itself can be identified and described in purely medical terms, such an approach does…
Abraham, S. & Nordsieck, M. (1960). Relationship of excess weight in children and adults. Public Health 75: 263-273.
Alghamdi, K.M. (2010). The use of topical bleaching agents among women: A cross-sectional study of knowledge, attitude and practices. Journal of the European Academy of Dermatology and Venereology, 24(10): 1214-1219.
Al-Qahtani, D.A., Imtiaz, M.L., Saad, O.S., & Hussein, N.M. (2006). A comparison of the prevalence of metabolic syndrome in Saudi adult females using two definitions. Metabolic Syndrome and Related Disorders, 4(3): 204-214.
Al Qauhiz, N.M. (2010). Obesity among Saudi Female University Students: Dietary Habits and Health Behaviors. Journal of the Egyptian Public Health Association 85(1-2):45-59.
However, this study was discredited and criticized by subsequent studies. Only one study directly addressed the use of untied mittens as restraints in the critical care unit. All other studies addressed other forms of restraint systems.
The results of this literature review indicate that studies regarding the use of restraints in the critical care unit is inconclusive. Only one study addressed the use of mittens as a restraint system, This is clearly an area that deserves further exploration. The use of mitten restraints may prove a more acceptable form of restraint than other restraint forms. This issue needs to be addressed in future research studies.
M. Bryan (2009). Use of Physical estraints From a Bedside Practice Perspective
Am. J. Crit. Care., March 1, 2009; 18(2): 101-102.
Chang, LY., Wang, KW., & Chao, YF et al. (2008). Influence of Physical estraint on Unplanned Extubation of Adult Intensive Care Patients: A…
M. Bryan (2009). Use of Physical Restraints From a Bedside Practice Perspective
Am. J. Crit. Care., March 1, 2009; 18(2): 101-102.
Chang, LY., Wang, KW., & Chao, YF et al. (2008). Influence of Physical Restraint on Unplanned Extubation of Adult Intensive Care Patients: A Case-Control Study. Am. J.
Crit. Care 17: 408-415.