Using Both Quantitative and Qualitative Methods

Many clinical practice issues are sufficiently complicated that neither a purely quantitative or qualitative approach can generate a comprehensive perspective of the issue. Particularly for investigating evaluative questions—such as the effectiveness of a program or treatment or the impact of a policy—some combination of quantitative and qualitative methods can be much more illuminating than relying on one method alone.

In this Discussion, you consider the use of a mixed-methods design in health care research studies.

To prepare:

• With      the Learning Resources in mind, and reflecting on what you have explored      throughout this course, consider the benefits of using a mixed-methods      research approach.
• Brainstorm      nursing practice situations in which using a      mixed-methods design would be beneficial. Select one situation to focus on      for the purposes of this Discussion. Consider how the quantitative and      qualitative data would complement one another to provide a richer analysis      and conclusion.
• Also      consider the challenges you might encounter in using a mixed-methods      approach: data collection, analysis, or synthesis of qualitative and      quantitative findings.

By tomorrow November 7, 2017 write 550 words essay in APA format with at least 3 references from the list below. Apply the level one headings as numbered below:

Post a cohesive response to the following:

1. Briefly      explain your selected situation and why utilizing a mixed-methods approach      would be beneficial.
2. Evaluate      how the quantitative and qualitative data would complement one another.
3. Discuss      the challenges you might encounter in using mixed methods for the      situation you selected and how would you address these challenges.

Required Media

Laureate Education, Inc. (Executive Producer). (2011). Research methods for evidence-based practice: Mixed methods: An example. Baltimore, MD: Author. 

Note: The approximate length of this media piece is 12 minutes.

In this week’s video, the presenter discusses the benefits of using mixed methods research and shares examples of studies she has conducted.

Required Readings

Chow, M. Y., Quine, S., & Li, M. (2010). The benefit of using a mixed methods approach—quantitative with qualitative—to identify client satisfaction and unmet needs in an HIV healthcare centre. AIDS Care, 22(4), 491–498.

This article offers insight into a cross-sectional study that utilizes both quantitative and qualitative research to assess HIV client satisfaction with health care.

Esposito, D., Taylor E. F., & Gold, M. (2009). Using qualitative and quantitative methods to evaluate small-scale disease management pilot program. Population Health Management, 12(1), 3–15.

This article describes a multi-method approach to stimulate interest in disease management programs by seeking to improve the quality of care for Medicaid beneficiaries with multiple chronic conditions.

Goboury, I., Boon, H., Verhoef, M., Bujold, M., Lapierre, L. M., & Moher, D. (2010). Practitioners’ validation of framework of team-oriented practice models in integrative health care: A mixed methods study. BMC Health Services Research, 10, 289.

This article discusses the methods and results of an empirical study attempting to validate the Models of Team Health Care Practice (MTHP) framework through the use of both qualitative and quantitative research techniques.

Onwuegbuzie, A. J., Johnson, R. B., & Collins, K. M. (2009). Call for mixed analysis: A philosophical framework for combining qualitative and quantitative approaches. International Journal of Multiple Research Approaches, 3(2), 114–139.

This article provides a philosophical justification of the use of mixed methods in research studies. The article compares solely qualitative or quantitative works to mixed research approaches to illustrate how mixed methods promote richer results and deeper analyses.

Ostlund, U., Kidd, L., Wengstrom, Y., & Neneh, R. (2011). Combining qualitative and quantitative research within mixed method research designs: A methodological review. International Journal of Nursing Studies, 48(3), 369–383. doi: 10.1016/j.ihnurstu.2010.10.005

This study explores the many popular approaches to mixed methods of health care research studies. These approaches are used to bridge the gap between theory and empirical findings and include parallel analysis, concurrent analysis, and sequential analysis.

Polit, D. F., & Tatano-Beck, C. (2010). Generalization in quantitative and qualitative research: Myths and strategies. International Journal of Nursing Studies, 47(11), 1451–1458. doi: 10.1016/j.inurstu.2010.06.004

This article discusses three models of generalization in both quantitative and qualitative research, including classic sample-to-population, analytics generalization, and case-to-case transfer. The article also recommends other approaches, such as planned replication, systematic reviews, and thick description.

Uhlig, T., Fongen, C., Steen, E., Christie, A., & Odegard, S. (2010). Exploring Tai Chi in rheumatoid arthritis: A quantitative and qualitative study. BMC Musculoskeletal Disorders, 11, 43.

This article explains the results of a mixed-methods study on the results of Tai Chi on the overall health of female rheumatoid arthritis patients. The results indicated improved muscle function as well as increased confidence in moving and balance and less pain in daily life among the 15 subjects studied.

   

 

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CO1: Propose individualized comprehensive care by integrating theories and principles of nursing and related disciplines when planning comprehensive patient-centered care. (PO1)

CO8: Discuss the role of evidence-based practice in the provision of professional nursing care. (PO8)

Select a challenging nursing care issue (examples include falls, medication errors, pressure ulcers, and other clinical issues that can be improved by evidence in nursing). Do not select a medical issue (disease, medical treatment). Do not select a workforce issue (staffing, call-offs, nurse to patient ratios). Explain the following for the selected clinical issue.

State the issue.

Explain the process you would use to search CINAHL for evidence. Include your search terms.

References

Chamberlain College of Nursing. (2018). NR351 Transitions in Professional Nursing: Week 5 lesson. Downers Grove, IL: Online Publication.

Hood, L. J. (2014). Leddy & Pepper’s conceptual bases of professional nursing (8th edition). Philadelphia, PA: Wolters Kluwer Health | Lippincott Williams & Wilkins.

 

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Navigate to the website of Johnson & Johnson https://www.jnj.com/  and locate the most recent annual reports. You will use the annual reports to create financial statements. These statements will become the reference statements for your case. Annual reports for JNJ can be found on the company’s website and are usually located in a section titled Investors/SEC filings.

· Use the annual report to find the total current assets and total current liabilities.

· Compute the current ratio for JNJ for previous two fiscal years

· Review reports on data for the last two years.

· Net Cash Flows from Operating Activities

· Net Cash used by Investing Activities

· Net Cash used by Financing Activities

· Cash and Cash Equivalents at the end of the Years

· Create a Balance Sheet or Statement of Cash Flows for most recent two years

· Identify trends with an indication of if the financial statements show a positive or negative for the organization and investors.

1. Use Microsoft Excel to create at least three (3) graphical displays to show the trends (i.e., bar graph, pivot table, histogram, etc). You should include a copy of your graphs in the body of your report.

2. Discusses which year Johnson & Johnson appear to be in a stronger financial position and big differences between the 2 years (Keep in mind that dollar amounts in ( ) are negative or cash outflows).

3. Imagine that this information represents information for your project case. Incorporate or reference financial information in your case to support the report.

4. Summarize your responses in a report using titles from the assignment requirements (i.e., assets and liabilities, cash flows/balance sheet, trends, financial position)

 

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provide a meaningful response to at least two of your peers’ posts by the end of the week. In your responses to your peers, you might offer a perceived roadblock to the individual’s ability to learn.

 

Peer # 1 Tamira Parker                          

1.An individual who has recently been diagnosed with lung cancer has a need for information about the stage of the cancer, treatment options, and odds of survival. This individual could use a lot of support during this rough time.

2. A family caring for an elderly individual with AD needs to learn positive coping mechanisms to deal with the family member, taking a break when they feel exhausted, and support groups. Support groups can help the patient and or family to meet other people that are going through the same exact thing.

3. A community in which adolescent cigarette smoking is on the risk adolescents need to be educated on the risks associated with smoking such as lung cancer and heart disease. If guidelines permit refer the adolescent to counseling to see if there is a possibility that smoking is secondary to another issue. Also refer adolescent to cessation programs if guidelines permit, if not discuss with parent and decide what is in the best interest of the child.

 

Peer #2 Samantha Pearce                           

An individual who has recently been diagnosed with lung cancer. Start off by informing the patient of the different type of treatment. Immunotherapy is a type of cancer treatment that works by boosting or activating your immune system, so it recognizes and kills cancer cells. Also, there are lots of active support groups for patients and family caregivers, so no one has to face a lung cancer diagnosis alone. Furthermore you would teach/inform the patient how to cope with these emotions by communicating with your friends and family members, expressing your thoughts in a journal and quitting smoking, eating right, staying physically active and managing your stress helps your body stay healthy.

A family caring for an elderly individual with Alzheimer’s disease. Teach the caregiver that they must understand how AD changes a person, learn how to cope with these changes. Make the home safe for the person with AD. Caregivers could also find out about helpful resources, such as websites.

A community in which adolescent cigarette smoking is on the rise. It is well known that tobacco use increases the risk for contracting a variety of diseases and health conditions, including lung, bladder, colorectal, esophageal, kidney, larynx, mouth, throat and other cancers, respiratory infections, diabetes, and coronary heart disease. A Campaign for an adolescent young girl is good to inform the public of these risks, combined with smoking legislation regulating the age of access and smoking in public places have led to a general decrease in smoking prevalence among all age groups.

 

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Post a 1 page in APA style( No more than 250 word)description of your practice concern. Outline how you used health information technology to locate evidence-based practices that address this concern. Cite and include insights from the resources. Analyze how health information technology supports evidence-based practice. CITE SOURCES AND USE AT LEAST 3 REFERENCES.

FYI:  Read the following scenario from the text (McGonigle & Mastrian, 2018 p. 506):Consider how the resources identified in the scenario above could influence an organization’s practice. •Twelve-hour shifts are problematic for patient and nurse safety, and yet hospitals continue to keep the 12-hour shift schedule. In 2004, the Institute of Medicine (Board on Health Care Services & Institute of Medicine, 2004) published a report that referred to studies as early as 1988 that discussed the negative effects of rotating shifts on intervention accuracy. Workers with 12-hour shifts realized more fatigue than workers on 8-hour shifts. In another study done in Turkey by Ilhan, Durukan, Aras, Turkcuoglu, and Aygun (2006), factors relating to increased risk for injury were age of 24 or less, less than 4 years of nursing experience, working in the surgical intensive care units, and working for more than 8 hours.  • •Select an issue in your practice that is of concern to you. Using health information technology, locate at least three evidence-based practice resources that address your concern and that could possibly inform further action.

 

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