Is the use of soap and water or alcohol-based rubs more effective in preventing nosocomial infections?

discussion 1

Review the following research questions.

Is the use of soap and water or alcohol-based rubs more effective in preventing nosocomial infections?

Identify an appropriate research design.

An appropriate research design for this research question is quantitative research with an experimental design.

Discuss the strengths and weaknesses of the design.

According to Roger Watson (2015), quantitative studies produce numbers that should be interpreted before conclusions may be drawn. This can be considered a strength for this design as numbers allows the researcher to draw conclusion easily. An area of weakness is the idea that the opportunity for error cannot be eliminated entirely. According to Watson (2015) “it is essential to store data carefully, once it has been entered into any package, since loss can jeopardize the study”.

Provide a rationale for the design you selected

This design allows the research to manipulate the independent variable in order to study the effect it has on the dependent variable. In this case, the researcher is able to identify the effect of soap and water on the prevention of nosocomial infections and the effect is alcohol-based rubs on the prevention if nosocomial infections. The number of occurrences will be compared to draw a conclusion

How effective are anti-depressive medications on anxiety and depression?

Identify an appropriate research design.

An appropriate research design for this research question is qualitative design.

Discuss the strengths and weaknesses of the design.

According to Leslie Gelling (2014), while utilizing qualitative research, nurses to understand health and illness experiences and offer ‘compassionate, person-centered care. This is considered to be a strength for this design. Gelling also stated that “a poorly worded question might lead the research in the wrong direction, wasting the researcher’s time and, more importantly, wasting the research participants’ time if the chosen methodology is unable to answer the question (Gelling, 2014). This is the weakness of this design.

Provide a rationale for the design you selected

Qualitative research is an approach to scientific inquiry that allows researchers to explore human experiences in personal and social contexts, and gain greater understanding of the factors influencing these experiences.

What is the difference in attitudes of male and female college students toward condoms?

Identify an appropriate research design.

An appropriate research design for this research question is a qualitative descriptive design. In a descriptive study without manipulating any variables.

Discuss the strengths and weaknesses of the design.

According to Pathak, Jena, and Kalra (2013), qualitative research is now recognized for its ability to add a new dimension to interventional studies that cannot be obtained through measurement of variables alone. This can be considered to be a strength of this design. Qualitative studies should be well-designed and the aims of the study should be meticulously adjudicated (Pathak, Jena, & Kalra, 2013). On the other hand, descriptive research also presents the possibility for error and subjectivity. Confidentiality is the primary weakness of descriptive research (Murphy, n.d.). Often subjects are not truthful as they feel the need to tell the researcher what they think the researcher wants to hear (Murphy, n.d.).

Provide a rationale for the design you selected

Qualitative method is used to understand people’s beliefs, experiences, attitudes, behavior, and interactions.

A-B-C-D Approach to Objective Writing 

A-B-C-D Approach to Objective Writing

Writing objectives is much like writing outcomes in the nursing process. Objectives must be measurable, contain action verbs, be specific, include timelines, and indicate the degree to which you expect the learner to achieve.  A helpful formula to write objectives is the A-B-C-D approach:  Audience: Who is the audience for the class? Is it a student nurse? A staff nurse? A participant in a class?  Behavior: What do I want the audience to accomplish by the end of the class? An example of a behavior is being able to identify the signs and symptoms of infection.  Condition: How will students demonstrate mastery and be assessed in their learning? An example could be that students will demonstrate their knowledge of a lab or clinical area by taking a written test.  Degree: How well will students perform their new knowledge? Should students be able to identify all signs and symptoms of infection, or would it be satisfactory if they identified only two symptoms?  A sample objective that illustrates these points is: “After reading this lecture (condition), the graduate student in the nurse educator track (audience) will be able to write an objective (behavior) using the A-B-C-D approach (degree).”  The above objective dictates that the student will be able to write an objective, as opposed to discussing or identifying it. Since the objective says “write,” the student must write an objective to meet this objective. If the objective instead said: “List the components of a complete learner objective,” the appropriate evaluation would require that the student list the A-B-C-D; whereas the objective “describe the components” would have students describe the meaning of each A-B-C-D step. Well-written objectives will dictate the evaluation process.

Provide a critique Kristen Swanson’s Theory of Caring, making sure to identify benefits, consequences and feasibility of application in clinical practice as a family nurse practitioner.

Provide a critique Kristen Swanson’s Theory of Caring, making sure to identify benefits, consequences and feasibility of application in clinical practice as a family nurse practitioner. Provide evidence using 2 (two) scholarly articles in order to support your critique.

Evaluation of Workforce Management Program

Evaluation of Workforce Management Program

The strategy widely utilized by Singapore Airlines to ensure differentiation in an increasingly competitive market was its attention to in-flight service. “Good flight service [was] important in its own right and is a reflection of attention to detail throughout the airline” (Wyckoff, 1989). This statement perpetuated the belief that excellence in service was directly tied to the careful selection and individual performance of in-flight crews charged with the responsibility of fulfilling the needs of individual passengers and exuding the levels of service demanded by the organization. Applicants destined to work as flight stewards were drawn from a very young population, typically spanning the ages of 18-25 years of age with high school equivalency against the English system of education. Selection of applications was competitive largely due to the degree of skill, poise, and experience required of its candidates. These policies led to the on-boarding of a highly skilled and youthful workforce with positive attitudes and a willingness to be trained. Critique of this approach revealed several disadvantages. The most significant being the potential for greater turnover when hiring a younger population as opposed to an older, more experienced crew. Experience alone would play some role in the development of new employees, as greater experience would bring greater poise and confidence. However, in light of the predominant population Singapore Airlines catered to, a younger in-flight crew would remedy the awkwardness likely to be encountered by older clients being served by older crew members. In addition, a younger crew would likely be more accepting of new procedures and less cynical of the requirements of employment.

In light of the young demographic most desired in this role, recruitment, training and “conversion” processes were both stringent and comprehensive. All aspects of in-flight service, including training related to terminology, amenities and food preparation were provided in great detail, as were training for emergency preparedness and response to every potential scenario encountered in the air and on the ground. Formalized on-boarding, training and continued development were the hallmarks of the comprehensive workforce program. Even well into a crew member’s employment, on-going training and cyclical evaluation provided a mechanism for employees to be aware of individual performance and gain exposure to methods of continuous improvement. With an on-going plan of evaluation, communication, and development, the workforce was well-positioned for high levels of performance and quality improvements.

Though it would seem that Singapore Airlines’ work management program suited the organization well, it greatly narrowed the pool of applicants and kept many, well-qualified and experienced candidates from positions that would create diversity among the largely homogeneous workforce and place the organization in a better position to serve populations whose ethnic origins were not of Asian descent. If the organization aims to be the leader in an increasingly global marketplace, the workforce must mirror the diverse needs and perceptions of the greater population.

Advertising Campaign

Singapore Airlines is known in the airline industry for its quality of service. This emphasis on customer service and customer satisfaction is largely reflective of the Asian culture for which the company embodies. Attention to detail, impeccable presentation, and care for others are traits synonymous with countries of Asian heritage. Similarly, Asian countries revere conservatism, organization and hierarchy (Allik, n.d.) so, it would follow that young Asian individuals demonstrate the same gracious, caring behaviors to others. The expectation of “gentle, courteous service” is consistent with these norms and with the approaches taken by the organization. So much are these standards and stereotypes linked to Asian culture and the epitome of service, that the symbol applied to the airline is that of a young Asian woman. This image is resoundingly more beguiling and traditional, recognized by nearly 50% of consumers over typical marketing imparted by competitors, with a marginal recognition of 9.6%. In light of the positive impact and recognition of the existing marketing campaign, it was considered advisable to retain the current marketing strategy.

Systems for Measuring Service Quality

Singapore Airlines has two primary components involved in measuring service quality. The first is a system to measure customer complaints and compliments for every 10,000 passengers. The second measurement is a comparative rating of airline services prepared by the International Research Associates (INRA).

The first component, customers’ complaints and compliments, stayed relatively the same despite rapid organizational expansion. This type of analysis has shown a generally high satisfaction level, but could be skewed due to the vast areas the complaints and compliments could cover; from ticket sales and baggage areas to in-flight crews. To address this concern the complaints were split between the areas. However, to get an accurate barometer of customer satisfaction, it was recommended that the airline conduct routine surveys of customers. Often, customers submitting comments fell into one of two categories; those having complaints or those having compliments.

The second component to gauge customer satisfaction involved the INRA surveys. The airline executives paid particular attention to these scores as they indicated levels of satisfaction among the general consumer population and identified areas requiring continuous improvement. In 1973 Singapore Airlines scored 68, in 1974 the company scored 74 and in 1979 they scored 78. The scores of 39 other airlines demonstrated that two other competitors, Cathy Pacific and Thai International, were improving rapidly. This provided one indicator of competitive advantage. In order for Singapore Airlines to stay ahead of their competitors they would need to evaluate their position against industry leaders and determine if changes would be needed to stay competitive, particularly with respect to customer service and customer satisfaction (Wyckoff, 1989).

Plan to Introduce Slot Machines

Singapore Airlines has responded to many changes in order to differentiate itself within an increasingly competitive market place. One responsive action was to remove sleepers, replacing them with a business class section. Reactions from consumers were less than favorable. The move strayed from what consumers came to expect of elite levels of customer service, which were in large part, due to the attention paid to the personal needs of its elite customers. Although intended to be innovative and distinctive, the inclusion of slot machines on transatlantic flights was another idea met with considerable consumer dissatisfaction. While potentially generating a new stream of revenue, the idea only worked to incite passengers with a new category of charges. In addition to generating cost for the consumer, the machines took valuable space away from seats and posed problems in light of weight restrictions (Time, 1981). These changes only compounded issues and introduced new problems such as the potential for in-flight injury, rather than improving in-flight services. While there was some opportunity for revenue, initially, the gains would last for a season and were not expected to extend out into the long-term.

 

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Describe the risk factors associated with the public health issue.

A. Describe the risk factors associated with the public health issue. Support your description with evidence from the research study and your independent research. [IHP-330-02]

B. Describe the mode of transmission of the public health issue. Support your description with evidence from the research study and your independent research. [IHP-330-02]

C. Determine the incidence and prevalence of the health issue using the data from the research study to perform the appropriate calculations. [IHP-330-03]

D. Determine the mortality rate of the health issue using the data from the research study to perform the appropriate calculations. [IHP-330- 03]

E. Interpret the odds ratio to determine the strength of association between the potential sources of exposure and the disease. [IHP-330-03] F. Using your research and analysis, draw connections between the population and public health issue. Consider where you identified common

elements, what you learned about the public health issue by studying the population, and what you learned about the population by studying the public health issue. [IHP-330-03]

III. Levels of Prevention: In this section, you will describe the prevention strategies used by the epidemiologists in the research study. You will identify a strategy for each level of prevention and differentiate between the strategies.

A. Describe a primary prevention strategy represented in the research study, and explain how it addresses key factors impacting the health issue of the specific population. [IHP-330-04]

B. Describe a secondary prevention strategy represented in the research study, and explain how it addresses key factors impacting the health issue of the specific population. [IHP-330-04]

C. Describe a tertiary prevention strategy represented in the research study, and explain how it addresses key factors impacting the health

issue of the specific population. [IHP-330-04] D. Explain how the primary, secondary, and tertiary prevention strategies differ in how they address the key factors impacting the health issue

in the research study. [IHP-330-04]

IV. Conclusion: Now that you have analyzed the research study, you will develop a research question to further investigate the specific health issue and population, select an appropriate research design, and explain the importance of the research to the field of public health.

A. Using your analysis of the research study, develop a research question to further investigate the specific public health issue and

impacted population. [IHP-330-05] B. Determine whether an observational or experimental research design would be more appropriate to investigate your research question. Be

sure to justify your determination. [IHP-330-05] C. Explain the importance of further research for improving the quality of health in the specific population. What is the potential benefit? [IHP-

330-05]

Milestones Milestone One: Health Issue In Module Three, you will analyze the health issue in focus in the provided research study. You will draw conclusions about the health issue through your review of the research study and by conducting outside research on the topic. This milestone will be graded with the Milestone One Rubric.

Milestone Two: Population In Module Five, you will summarize the key elements of the research study and analyze the population impacted by the health issue. This milestone will be graded with the Milestone Two Rubric.

Final Submission: Epidemiological Research Study Analysis In Module Seven, you will submit your final project. It should be a complete, polished artifact containing all of the critical elements of the final product. It should reflect the incorporation of feedback gained throughout the course. This submission will be graded with the Final Project Rubric.

PURPOSE OF MEDICATION

PURPOSE OF MEDICATION

Expected Pharmacological Action

Complications

Contraindications/Precautions

Interactions

Medication Administration

Evaluation of Medication Effectiveness

Therapeutic Use

Nursing Interventions

Client Education

  1. STUDENT NAME:
  2. MEDICATION: Atenolol
  3. REVIEW MODULE CHAPTER: PHARM Cht20
  4. CATEGORY CLASS: Anti Hypertensive Beta Adrenergic Blockers (Sympatholytics)
  5. Therapeutic Use: Hypertension, esp with aldosterone-mediated fluid retention Long term treatment of angina pectoris May be used to prevent reinfarction following an MI
  6. Complications: Hypotension Bradycardia Nausea /vomiting
  7. Contraindications/Precautions: Contraindicated: Sinus bradycardia; First degree Heart block; Cardiac Failure Shock Precaution: Hhistory of asthma
  8. Interactions: *Calcium channel blockers, Verapamil, and diltiazem intensify effects of beta blockers *Other antihypertensives can intensify hypotensive effects
  9. Evaluation of Medication Effectiveness: Absence of chest pain Absence of dysrhythmias Normotensive BP Control of heart failure s/s
  10. Expected Pharmacological Action: Decreased heart rate Decreased peripheral resistance Decreased BP
  11. Nursing Interventions: *Monitor HR before and after administration. Hold medication if HR is below 60 bpm and report. *Monitor BP before and after treatment Monitor for signs of heart failure
  12. Medication Administration: Tablets: give one dose per day IV: Administer slowly 1 mg/min
  13. Client Education: Do not discontinue without consulting physician. Avoid sudden changes in position. Do not crush or chew extended release tabs. Self monitor BP and HR