Case Assignment: Negative Test Results

Case Assignment: Negative Test Results

Case Assignment: Negative Test Results

Case Assignment: Negative Test Results

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Week 7 discussion Qualitative Research Designs For the past 2 weeks, you have focused on the features and considerations of quantitative research designs. However, quantitative designs are not appropriate for all research questions. Perhaps you are concerned with how patients react when confronted with negative test results, or you wish to study how views on a certain health topic change over time. In each of these cases, the emphasis is more on understanding the thinking and experiences of an individual or group than on numerical measurements. For these types of questions, a qualitative or mixed methods research design is the most appropriate. For this Discussion, you focus on the different types of qualitative research designs, when they are used, and why they are important. To prepare: Reflect on the comments made by Dr. Mauk in this week’s media presentation on the value of qualitative research in nursing. Locate the journal Qualitative Health Research in the Sage Premier database in the Walden Library. From this journal, select an article of interest to you that was published within the last 3 years. Review the information on different qualitative research designs in Chapter 21 of your course text. Determine what qualitative research design was used in your selected article and evaluate whether it was the best choice. Consider ethical issues involved in the study and how the researchers addressed them. Think about how using a quantitative design would have affected the type of data gathered. By Day 3 Post an APA citation for the article that you selected and provide a brief summary of the content and the qualitative research design used. Evaluate the appropriateness of the design, and explain how ethical issues in the study were addressed. Analyze how the study would have been different if a quantitative design had been used. Read a selection of your colleagues’ responses. By Day 6 Respond to at least two of your colleagues on two different days using one or more of the following approaches: Ask a probing question, substantiated with additional background information, and evidence. Make a suggestion based on additional evidence drawn from readings or after synthesizing multiple postings. Expand on your colleagues’ postings by providing additional insights or contrasting perspectives based on readings and evidence.

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explain steps researchers took to ensure generalizability.

Generalizability is the extent to which research findings from your sample population can be applicable to a larger population. There are many best practices for ensuring generalizability. Two of those are making sure the sample is as much like the population as possible and making sure that the sample size is large enough to mitigate the chance of differences within the population. For this Discussion, read the case study titled “Social Work Research: Program Evaluation” and consider how the particular study results can be generalizable.

Post your explanation of who the sample is. Also explain steps researchers took to ensure generalizability. Be sure to discuss how the study results could possibly be generalizable. Please use the resources to support your answer.

SOCIAL WORK RESEARCH: PROGRAM EVALUTATION
Social Work Research: Program Evaluation
Major federal legislation was enacted in 1996 related to welfare reform. Financial assistance programs at the national level for low-income families have been in place since the mid-1960s through the Aid to Families with Dependent Children (AFDC) program. The Personal Responsibility and Work Opportunity Reconciliation Act of 1996, or welfare reform, created TANF (Temporary Assistance for Needy Families). Major components of the new TANF program were to limit new recipients of cash aid to no more than 2 years of TANF assistance at a time and to receive no more than 5 years of combined TANF assistance with other service programs during their lifetimes. The goal was to make public assistance a temporary, rather than a long-term, program for families with children. Beyond these general rules, each of the 50 states was given substantial latitude to adopt requirements to fit their own objectives. The new law also allowed states that reduced their public assistance expenses to keep whatever support was already being provided by the federal government for use at their own discretion. This was seen as a way to encourage states to reduce welfare dependency.
In response, the state of California decided to call its new program CalWORKs, the California Work Opportunity and Responsibility to Kids program. CalWORKs is California’s application of the new TANF federal law. Like most of the other states, CalWORKs provided its 58 counties with a fair amount of discretion in how to implement the new provisions. Some counties chose to develop strong upfront “employment-first” rules that mandated recipients be employed as soon as possible. Others chose a response that included testing and assessment and the provision of education and training services.
One of the largest counties in the San Francisco Bay Area developed several options for CalWORKs recipients, including immediate job readiness (Job Club) help, remedial education for recipients lacking basic skills, and vocational training at local community colleges and adult education centers for those seeking higher level education and skills. Recipients could take up to 5 years to complete these activities and even longer in certain circumstances to maximize their chances of success. Recipients were predominantly single mothers. If recipients fully complied with the rules, they received a variety of financial incentives, while those who did not comply received sanctions that often resulted in reduced benefit levels. The county provided grants to a wide array of education, training, and service programs to work as partners in serving the needs of participants.
In 1996, the county’s CalWORKs program enrolled approximately 22,000 families in various forms of public assistance programs. Of these, approximately 10,000 elected to participate in one of the education and training programs, 9,000 elected to attend intensive job placement (Job Club) classes, and the remaining 3,000 opted to not comply with the new program and accepted reduced benefit sanctions.
To meet its state and federal mandates, the county carefully tracked the progress of all program participants and compiled comprehensive quarterly reports that summarized assignments and outcomes at each of the contracted partner sites as well as countywide trends. During the first 11 years of the program, from 1996 through 2007, the county’s public assistance roles were reduced by approximately 40%, from more than 22,000 to about 13,000 families. The best results were obtained among participants in education and training programs, who accounted for about two-thirds of long-term outcome success, although this group was also found to be more costly to the local CalWORKs program during their years of study. These costs, in addition to the longer period of monthly benefits received, also included the cost of education and training and, in some cases, childcare expenses. Among the participants who were placed in the immediate job search (Job Club) program, total costs to the county were somewhat less per year, but more than 50% were still not successful in gaining employment, and those that did find a job received a much lower salary and fewer benefits, and another 23% fell back on CalWORKs after later losing their employment.
Although the results of the CalWORKs program in this county seemed to be following a mostly positive trend from 1996 through 2007, the situation changed dramatically in the opposite direction during the national economic downturn from 2007 through 2011. Total public assistance rolls more than doubled to about 30,000 during this time as the local and state unemployment rate rapidly grew from about 7% to more than 12%. The county was initially successful in getting the state to grant it waivers to allow recipients to extend their period of benefits during education and training, but these waivers were considerably restricted after 2011 due to major state budget cuts. Between 2011 and early 2013 the total number of recipients began to decline again by about 10% from its peak 2 years earlier. However, the total number of CalWORKs recipients is at 27,000, still about 5,000 recipients higher than when the program started in 1996.
Compounding the difficulty of more people becoming eligible for CalWORKs’ benefits due to poor economic conditions, the state’s budget crisis prompted a reduction in state allocations to counties and recipients. Nonetheless, county administrators were still pleased to report that more than more than 16,000 recipients during the program were able to obtain employment or other support that eliminated their dependency on cash public assistance.
REFERENCE
Plummer, S.-B., Makris, S., & Brocksen S. M. (Eds.). (2014).Social work case studies: Foundation year. Baltimore, MD: Laureate International Universities Publishing. [Vital Source e-reader].
Social Work Research: Program Evaluation


 

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Why is this problem important to the site and to nursing?

Topic: Bachelors Capstone in Nursing
Order Description
assignment is an evidence-based nursing problem paper Identifying the Problem is where you will justify why this is an important problem; therefore you need to supply data and information that shows this is an important problem. You do this by providing background information statistical support and specific information about the identified problem. The paper should not be purely anecdotal information from you or your sources. The paper should focus on the following three major content criteria:
THIS PAPER WILL NEED TO BE ABOUT PORT SITE RELATED INFECTIONS
ONE OF THE REFERENCES SHOULD BE ABOUT THE FOLLOWING ARTICLE- (COPY AND PASTE IN BROWSER)
https://eds.a.ebscohost.com.lib.kaplan.edu/eds/pdfviewer/pdfviewer?sid=d992925b-e934-4abc-9dd3-893de8924ea5%40sessionmgr4004&vid=4&hid=4211
PLEASE DISCUSS EVERY SINGLE POINT BELOW:
Be sure to identify how specific theory and knowledge from each of the following areas contributed to your ability to identify or solve the nursing problem:
Specific prior general education courses
Specific prior nursing courses
Your nursing background and experience
Consider the following questions as you justify the existence of the identified problem at the setting:
Why is this problem important to the site and to nursing?
How does this problem affect the staff/patients/clients at the facility? (Or if in the past how did this problem affect the staff/patients in the previous facility?)
What is the current state of this problem in health care?
Is it a problem in the country globally at other local organizations or specifically in this facility?
Make sure to discuss in detail your plan for searching for an evidence-based solution to the problem.
Identify who you would need to contact or meet with to investigate the problem further.
Discuss what your plans would be for interviewing or surveying the staff other departments or other disciplines if you were actually in charge of addressing this problem at a workplace/facility.
How do you plan to search the current literature for actual research studies on the topic?

 

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Week 7: Discussion On Rituals Of Bereavement

This week we will focus on Grief, Personal Loss, Terminal Illness, Bereavement. You will learn about various models of conceptualizing grief, stages of grief, theoretical approaches to grief counseling, as well as techniques and assessment methods commonly used in this area. This is one area issues that you are almost certain to encounter in your professional counseling career.

Click on the links below and listen to the audio files on each. They all relate to loss, bereavement and grief.

a) Rituals of mourning

http://www.npr.org/templates/story/story.php?storyId=1428103 (Links to an external site.)Links to an external site.

b) Empty Room: Loss of a sibling

http://www.npr.org/templates/story/story.php?storyId=3846373 (Links to an external site.)Links to an external site.

When you have listened to all the audio clips, respond to the following questions:

1. What are the three things the most significant things you learned from your course materials (readings and video clips) this week? Explain why you think they are important.

2. Select one of the conceptual approaches to bereavement on page 420 of the James text and demonstrate how it might help to explain the experiences of the individuals whose stories are contained in the audio clips.

 

Additional resources for your learning: Rituals around the world:

https://www.youtube.com/watch?v=LJJZTKJrGZo

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    JamesChapter12Personalloss_bereavementandgrief.pdf
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    JamesChapter13Crisisinschool.pdf
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    fivestagesofgrief1.docx
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    GriefCycle_600x293.gif
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    HelpfortheHolidays.docx

 

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