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With the focus on qualitative design and sampling, this is a great opportunity to compare and contrast quantitative and qualitative research approaches.

In regards to qualitative research having control over study conditions has both advantages and disadvantages. Since qualitative research is consumed with methods in an attempt to develop a deep understanding of how people perceive their social realities and how they act within the social world. Interviews, journals, and direct observations are all methods utilized to obtain data for the researcher whom utilizes this methodology. When discussing controls over study conditions, an advantage to this type of research would be the close and personal involvement of the research which allows the researcher to gain an insider’s view of the field. A disadvantage to control study conditions within quantitative research includes the questionable validity and reliability. Due to the subjective nature of qualitative data it is difficult to apply conventional standards of reliability and validity. An example of this, because of the personal role played by the researcher in the generation and development of this data, it is not possible to replicate qualitative studies. This is a disadvantage due to the principle that results from the study cannot be repeated with an expectation to receive the exact same results (McLeod, Saul, 2019).

In retrospect, quantitative research too has advantages and disadvantages that go along with control over study conditions in the research project process. One advantage the control that a researcher has when utilizing the qualitative research process is control of the environment in which the research takes place. This allows for less variability in encounters and provides structure. In addition to this, quantitative research is based on numeric, and measured values. This allows for others to check results of the study because numerical data is less vulnerable to ambiguities of interpretation. Hypotheses can also be tested by other researchers because of the use of statistical analysis. A disadvantage that comes with the type of research relates to its strict terms for participants such as environment setting and the fact that participants are not able to explain their choices that they make for their actions (McLeod, Saul, 2019).

Amanda Albanese

WednesdayJul 31 at 2:57pm

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With the focus on qualitative design and sampling, this is a great opportunity to compare and contrast quantitative and qualitative research approaches.

• control over study conditions with the quantitative research approach;
• control over study conditions with the qualitative research approach;
• extending or generalizing results from a sample to a larger group or population with the quantitative research approach; and
• extending or generalizing results from a sample to a larger group or population with the qualitative research approach.

In regards to qualitative research having control over study conditions has both advantages and disadvantages. Since qualitative research is consumed with methods in an attempt to develop a deep understanding of how people perceive their social realities and how they act within the social world. Interviews, journals, and direct observations are all methods utilized to obtain data for the researcher whom utilizes this methodology. When discussing controls over study conditions, an advantage to this type of research would be the close and personal involvement of the research which allows the researcher to gain an insider’s view of the field. A disadvantage to control study conditions within quantitative research includes the questionable validity and reliability. Due to the subjective nature of qualitative data it is difficult to apply conventional standards of reliability and validity. An example of this, because of the personal role played by the researcher in the generation and development of this data, it is not possible to replicate qualitative studies. This is a disadvantage due to the principle that results from the study cannot be repeated with an expectation to receive the exact same results (McLeod, Saul, 2019).

In retrospect, quantitative research too has advantages and disadvantages that go along with control over study conditions in the research project process. One advantage the control that a researcher has when utilizing the qualitative research process is control of the environment in which the research takes place. This allows for less variability in encounters and provides structure. In addition to this, quantitative research is based on numeric, and measured values. This allows for others to check results of the study because numerical data is less vulnerable to ambiguities of interpretation. Hypotheses can also be tested by other researchers because of the use of statistical analysis. A disadvantage that comes with the type of research relates to its strict terms for participants such as environment setting and the fact that participants are not able to explain their choices that they make for their actions (McLeod, Saul, 2019).

In regards to generalizing results from a sample to a larger group of population a disadvantage to this technique in utilization with a qualitative research study is that the sample size is not randomly selected and often times finding and selecting appropriate sample population for the study can be difficult since the research is attempting to select individuals with a particular phenomenon, this becomes increasing difficult when translating the research to a much larger population. However, on the opposite end, this type of restriction helps formulate a case that is unique in its result findings and often times requires smaller sample sizes which allows for a more interpersonal experience from the research perspective (Vasileiou, Barnett, Thorpe, & Young, 2018).

The advantage to generalizing results from a sample to a larger group or population with the quantitative research approach is that it is generally easier to do since this research is numeric and can be expanded on more easily due to the nature of the type of research method. Since the strict nature of this methodology allows for rechecking the hypothesis to the study, extension into a larger population should be no problem at all. A disadvantage to this could be the lack of interpersonal relation by the researcher. A large sample size could increase the risk that one might miss observing phenomena because of too much focus on theory or on hypothesis testing verses the theory of hypothesis generation (Grand Canyon University, Center for Innovation in Research and Teaching, 2019).

Grand Canyon University, Center for Innovation in Research and Teaching. (2019). When to use quantitative methods. Retrieved from https://cirt.gcu.edu/research/developmentresources/research_ready/quantresearch/whentouse

McLeod, Saul. (2019). What’s the difference between qualitative and quantitative research? Retrieved from https://www.simplypsychology.org/qualitative-quantitative.html

Vasileiou, K., Barnett, J., Thorpe, S., & Young, T. (2018). Characterising and justifying sample size sufficiency in interview-based studies: systematic analysis of qualitative health research over a 15-year period. BMC medical research methodology, 18(1), 148. doi:10.1186/s12874-018-0594-7

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Select 3 processes from the following list that are relevant to the facility you are proposing for your new or improved health care service:

• EMR/EHR
• Patient check-in and check-out
• Patient visits
• e-Prescribing
• Appointment scheduling
• Laboratory orders
• Referral generation and management
• Office discharge
• Billing

Create 3 workflow diagrams that explain the workflow of each process that will occur in your facility. Include workflow between external systems and facilities.

Cite 3 reputable references to support your assignment (e.g., trade or industry publications, government or agency websites, scholarly works, or other sources of similar quality).

Wk 3 Individual Assignment: U.S. Health Care Systems for Small Populations, Part 3

Assignment Content

1. Select 3 processes from the following list that are relevant to the facility you are proposing for your new or improved health care service:
   • EMR/EHR
   • Patient check-in and check-out
   • Patient visits
   • e-Prescribing
   • Appointment scheduling
   • Laboratory orders
   • Referral generation and management
   • Office discharge
   • Billing
   • Create 3 workflow diagrams that explain the workflow of each process that will occur in your facility. Include workflow between external systems and facilities.Cite 3 reputable references to support your assignment (e.g., trade or industry publications, government or agency websites, scholarly works, or other sources of similar quality).

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Case Study, Chapter 14, Shock and Multiple Organ Dysfunction Syndrome

1. Adam Smith, 77 years of age, is a male patient who was admitted from a nursing home to the intensive care unit with septic shock secondary to urosepsis. The patient has a Foley catheter in place from the nursing home with cloudy greenish, yellow-colored urine with sediments. The nurse removes the catheter after obtaining a urine culture and replaces it with a condom catheter attached to a drainage bag since the patient has a history of urinary and bowel incontinence. The patient is confused, afebrile, and hypotensive with a blood pressure of 82/44 mm Hg. His respiratory rate is 28 breaths/min and the pulse oximeter reading is at 88% room air, so the physician ordered 2 to 4 L of oxygen per nasal cannula titrated to keep SaO2 greater than 90%. The patient responded to 2 L of oxygen per nasal cannula with a SaO2 of 92%. The patient has diarrhea. His blood glucose level is elevated at 160 mg/dL. The white blood count is 15,000 and the C-reactive protein, a marker for inflammation, is elevated. The patient is being treated with broad-spectrum antibiotics and norepinephrine (Levophed) beginning at 2 mcg/min and titrated to keep systolic blood pressure greater than 100 mm Hg. A subclavian triple lumen catheter was inserted and verified by chest x-ray for correct placement. An arterial line was placed in the right radial artery to closely monitor the patient’s blood pressure during the usage of the vasopressor therapy.

1. What predisposed the patient to develop septic shock?
2. What potential findings would suggest that the patient’s septic shock is worsening from the point of admission?
3. The norepinephrine concentration is 16 mg in 250 mL of normal saline (NS). Explain how the nurse should administer the medication. What nursing implications are related to the usage of a vasoactive medication?
4. Explain why the effectiveness of a vasoactive medication decreases as the septic shock worsens. What treatment should the nurse anticipate to be obtained to help the patient?
5. Explain the importance for nutritional support for this patient and which type of nutritional support should be provided?

2. Carlos Adams was involved in a motor vehicle accident and suffered blunt trauma to his abdomen. Upon presentation to the emergency department, his vital signs are as follows: temperature, 100.9°F; heart rate, 120 bpm; respiratory rate, 20 breaths/min; and blood pressure, 90/54 mm Hg. His abdomen is firm, with bruising around the umbilicus. He is alert and oriented, but complains of dizziness when changing positions. The patient is admitted for management of suspected hypovolemic shock.

The following orders are written for the patient:

Place two large-bore IVs and infuse 0.9% NS at 125 mL/hr/line

Obtain complete blood count, serum electrolytes

Oxygen at 2 L/min via nasal cannula

Type and cross for 4 units of blood

Flat plate of the abdomen STAT

(Learning Objectives 1, 4, and5)

1. Describe the pathophysiologic sequence of events seen with hypovolemic shock.
2. What are the major goals of medical management in this patient?
3. What is the rationale for placing two large-bore IVs?
4. What are advantages of using 0.9% NS in this patient?
5. What is the rationale for placing the patient in a modified Trendelenburg position?

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· Your assignment is to write a 2 page section describing the monitoring tools for each compliance plan. (1.Clinical staff members are not washing their hands between patients. 2.Employee attacks patients while under the influences of narcotics.)  (That means a total of 4 pages for the two plans) Then, create a 1-page procedure based on one of your monitoring tools. Monitoring tools you should cover for each plan should relate to the policies and procedures you developed in previous modules.

· You chose policies/procedures under the key compliance areas of Compliance Standards, High-Level Responsibility, Education, Communication, Monitoring/Auditing (for Safety), Enforcement/Discipline, and Response/Prevention.

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