Posts

Rhetorical Reading Strategies

/in /by

Rhetorical Reading Strategies

Review the sample argument article and answer the following questions:

1 -Why did the author write this article (what was their purpose)? Provide evidence from the article that- supports your answer Do you agree with the author’s position on the topic? Is this a problem that you can help to solve? How?

2- Identify yourself with these students, Seth, Kara, and Bob. Think about how each of these students reads, and reflects, and thinks, and writes. Why do you identify yourself with that person?

3- which type of student seems to be the best type of rhetorical reader or critical thinker or analytic type of reader and writer? why exactly that particular student is the better one? What is it that that student is doing that the other students are not?

4- The three strategies identified are strategies for constructing meaning, are content strategy, function/feature strategy, and rhetorical reading strategy. Explain them.

5- The Role of Rhetorical Reading, this is really Haas and Flower reflecting on this idea of rhetorical reading. What are its benefits? What are its uses? How can teachers teach rhetorical reading? What are the various drawbacks and conflicts that arise when this type of reading is being implemented in instruction, and how beneficial is it really, compared to other types of reading?

 

SAMPLE ANSWER

 

Rhetorical Reading Strategies and the Construction of Meaning

  1. Why did the author write this article (What are their purposes?) Provide evidence from the article that supports your answer. Do you agree with the author’s position on the topic? Is this a problem you can solve? How?

The purpose of the article is to create an understanding of rhetorical reading strategies and their meaning. He explains that reading is a discourse act and for the readers to construct the meaning of a text, they must do it in the context of a discourse situation which involves other readers, the writers of the text, the history of the discourse and the meaning of rhetorical reading. I agree with the author’s position on the topic because to understand the content in a text, and the reading process must be constructive. Readings should be seen as a discourse act and readers can only understand most of the text meanings based on the discourse situation. Constructive interpretation should mostly apply in the colleges and universities where students find it challenging to understand hard and complicated documents, which in turn affects their performance in studies. The knowledge on how interpretative reading process is carried out is limited among most of the college tutors (Haas & Flower, 1988). It is difficult for the tutors to teach students about the constructive and productive interpretive reading process if they do not understand it. Tutors can only teach what they understand based on the readings to convey it in the best way and the right manner. I can solve this problem is by first researching and understanding what a constructive reading process is all about and how other students can apply it. Understanding the topic would help the tutor convey the meaning of the text in a manner that students understand.

Nursing Paper Help

  1. Identify yourself with these students, Seth, Kara, and Bob. Think of how each of these students reads, reflects, thinks, and writes. Why do you identify yourself with that person?

Kara is unsure about the meaning of a particular word when reading the text. She is content-oriented as she only paraphrases the passage. Kara’s content is limited as compared to other readers since she does not include all the crucial parts of the constructive rhetorical process. Bob reading, reflection, thinking, and writing process is more constructive compared to that of Kara. Bob builds structure and content representations (Haas & Flower, 1988). He tries to connect his text reading with his beliefs or what is already know but does not include the illustrations of other readers and the writer of the original text. Seth has a more satisfactory rhetorical process as is concerned with the entire content of the text. He identifies the intentions of the writer of the text, recognizes the missing book and also concerns himself with the experimental situation (Haas & Flower, 1988). He also thinks about what knowledge he lacks and which he already has and relates it to his past reading experiences. He is concerned with text’s multi-dimensions such as presentation of the function and structure of the text, representation of the text’s content, representation of the intentions of the author and his knowledge and experience as a reader (Haas & Flower, 1988).The material obtained by the three students were different in quantity depending on the way each one of the read, though, reflected and wrote the text after reading. I identify myself with the person because the understanding of each person is different regardless of the topic presented.

  1. Which student seems to be the best type of rhetorical reader or critical thinker or analytic kind of reader and thinker? Why exactly is that student the better one? What is that the students are doing that the others are not?

Seth is the best type of rhetorical reader, critical thinker, and analytic kind of reader and writer. He understands and applies almost the whole process of constructive reading. When compared to other students such as Kara, he comes up with a high amount of content after reading. Kara only paraphrases a text after she is uncertain with the meaning of a word, and she is then satisfied by just reading what she has written (Haas & Flower, 1988). On the other hand, Bob builds the representations of the content and the structure of the text and tries to relate his beliefs with his reading. However, Bob also does not apply most of the process required for the effective rhetorical operation. Seth is also concerned with the content of the text and includes both the functions of the parts of the book as well as the whole text and the intentions of the author. He also reviews missing text and experimental situations (Haas & Flower, 1988). Also, he relates to his previous reading experience and knowledge. Therefore, multidimensional consideration of the book is what makes Seth the best rhetorical reader and critical thinker and writer among the three students. He considers the representation of the author’s intention, description of the function and structure of the text, his knowledge and experience as a text reader, and representation of the content. Such characteristics are what good students do in order to understand while others ignore or do not focus on when reading and representing the topic content.

ORDER A PLAGIARISM FREE PAPER HERE

  1. The three strategies identified are the strategies for constructing meaning, content strategy, function/feature strategy, and rhetorical reading strategy. Explain them.

Content strategies are concerned with the information or the content of the topic. That is, what the text is all about. The main objective of the reader in using content strategies is to obtain information from the text. Kara is an excellent example of a student or a reader using content strategy as she paraphrases the passage to gets its content when she fails or is unsure of the meaning of a word in the text.  Feature of function strategies is used to refer to generic or convectional functions of the text (Haas & Flower, 1988).. This is done by, for example naming parts of the texts, marking particular words, large parts of the text or even sentences. For instance, “this is the example,” “This is the main point” and “I think this is the introduction.” Feature strategies are also used to state what a text is doing. Functional strategies are used primarily in high schools and junior high curricula where students are not yet experienced readers, and they are taught to identify parts of texts such as the introduction, the body and the conclusion among others. Rhetorical strategies are beyond the content and parts of the book. They are concerned with the intentions of the author, the context, and the effect of the text to the audience.  Therefore, readers need to use the context, the effect of the text and the content strategies to obtain information from the text in a manner that can be understood and displayed in a more logical way.

  1. The role of rhetorical reading, this is Haas and Flower, reflecting on the idea of the rhetorical text. What are its benefits? What are its uses? How can teachers teach rhetorical reading? What are the various drawbacks that arise when this type of reading is being implemented in instruction and how beneficial is it really, compared to other types of reading?

One of the benefits of rhetorical reading is that readers understand writers make different choices about structure, content, and style, depending on the context they are operating. Also, readers can differentiate their process of reading depending on their reading purpose by matching their strategies with the content in the text. Rhetorical reading is used to identify the intentions of the authors, representing the content, the function, the prior knowledge and experience of the reader, that is, rhetorical reading focuses on the multidimensional roles of a particular text. Teachers can teach rhetorical reading by helping students ask themselves questions such as: Who is the author? Who is the audience? What is the content of the text? How does the writer represent the argument? The significant drawbacks of rhetorical reading mainly when used in instructions is that it may be difficult and time consuming for the readers as compared to other types of reading. Sometimes it takes time to understand the context of the reading or what is being discussed in the text. Therefore, may need more time for readers to understand what is being conveyed.  However, it is highly beneficial in terms of understanding the meaning of a text, the author, and their intentions and connecting the knowledge and experience of the learner with the book (Haas & Flower, 1988). Also, the reader can learn the functions of different parts of the text since rhetorical reading is multidimensional and may have different meanings and understanding.

  1. Discuss the problem Haas and Flower have with students identified as “good readers.”

Good readers have a problem because they sometimes miss a given point within a text and they unwilling or unable to critically read the passage. It is true that good readers are rich in vocabularies and they can easily identify parts of a text such as the introduction, the body and the conclusion (Haas & Flower, 1988). However, they do not analyze or criticize texts but just paraphrase and summarize them.

 

Works Cited

Haas, C., & Flower, L. (1988). Rhetorical reading strategies and the construction of meaning.

College Composition and Communication, 39.2(1988): 167-183.

 

 

Needs help with similar assignment?

We are available 24x7 to deliver the best services and assignment ready within 3-4 hours? Order a custom-written, plagiarism-free paper

Get Answer Over WhatsApp Order Paper Now

Management Information Systems – Assignment 08

/in /by

Management Information Systems – Assignment 08

Be sure to save an electronic copy of your answer before submitting it to Ashworth College for grading. Unless otherwise stated, answer in complete sentences, and be sure to use correct English, spelling, and grammar. Sources must be cited in APA format. Your response should be four (4) double‐spaced pages; refer to the “Format Requirementsʺ page for specific format requirements.

 

  1. Provide a clear description of an enterprise system and describe how it works.

 

  1. Discuss at least three (3) ways an enterprise system can provide value for a company.

 

  1. Discuss the importance of development and integration of information systems in project management.

 

SAMPLE ANSWER

  1. Provide a clear description of an enterprise system and describe how it works.

An enterprise system is the cross-functional information system which assists in providing organizational coordination in the operations process. Similarly, it also enhances the integration of key business processes which facilitate to plan resources of an organization. Therefore, it is essential to understand that with the help of an enterprise system, the operational activities can be managed flawlessly across the company (Teece, 2018). The involved business processes which can be enhanced consist of sales, manufacturing, logistics, production and human resources. Substantially, these processes can also be integrated into organization vast business operations to improve the profitability.

ORDER A PLAGIARISM FREE PAPER HERE

The enterprise system works from a driven software suited with a set of integrated modules of software with a conventional centralized database. Further, the software modules are useful in supporting the fundamental business processes which are under different functional areas. These modules also ensure the database stores the data and even feeds them into various applications which can support the essential internal business activities (Teece, 2018). The implementation of these enterprise systems requires the organizations to determine the business process which needs to be automated. The following aspect will entail the mapping processes to the provided business processes by the system. Additionally, these activities require a lot of effort because sometimes these systems are not able to support the way organizations work. Therefore, in such cases, the software will be re-customized to meet the requirements of the organizations (Sedera, Lokuge, Grover, Sarker & Sarker, 2016). Otherwise, it would affect the performance of the organization by compromising the information and process for integration in a different department. As a result, obtaining the maximum benefit from a developed enterprise system needs proper planning for software developed (Appelbaum, Kogan, Vasarhelyi, & Yan, 2017). The focus on the organization needs to change the working process to support the operational activities in the company.

Management Information Systems – Assignment 08

  1. Discuss at least three (3) ways an enterprise system can provide value for a company

The enterprise system has become the most critical resources for organizations in the business world. This is because it describes the facet of the modern enterprise, which includes the customer service to operations security and social media practices. In the contemporary world, the development f innovation has improved the efficiency of company operations in different ways. Substantially this has been made possible through the provision of solutions to improve their workflow and customer services (Appelbaum, Kogan, Vasarhelyi, & Yan, 2017). There are various ways in which an enterprise system can provide value to a company. Storing business data in a usable format is one of the ways it brings value to the company. The data stored in a usable form is crucial in improving customer experience through compelling analysis. The aim is to measure, manage as well as executing the essential decision to enhance the efficiency of the operations. For instance, the data which can be stored may entail the customer history on the orders made and how long they may be processed.

Nursing Paper Help

The ability for a company to retrieve these types of information to answer the requirements of the customers reflects on the customer satisfaction. The other value in which an enterprise system may provide is the obtain real-time access to information. The business world is often changing, and therefore, this may take time to retrieve data of these systems are not implemented on time. Therefore, accessing real-time information on business operations is useful to improve the efficiency in the long term (Teece, 2018). Lastly, the enterprise systems are also crucial in reducing the cost of doing business. The companies can have more of their budgets to improve on different departments and become more profitable. For instance, the inventory control can be maintained by keeping a significant amount of stock as well as servicing customers on time.

  1. Discuss the importance of development and integration of information systems in project management.

The development of the information system in project management is necessary for collecting information, classifying them as well as communicating for the success of the objectives. Besides, it is essential to understand that project management may be a complicated task in a company because it requires the involvement of all the departments in an organization. There are various importance of the development and integration of information system in project management, which needs to be put into consideration (Hornstein, 2015). One of the importance is to assist in the management of available resources to complete the project. The focus of this is to understand the predetermined time and organize the activities by utilizing the limited resources to achieve the primary goal.

Management Information Systems – Assignment 08

Similarly, development and integration of information system in project management assistance in improving the level of communication. The establishment of efficient communication is crucial to understand the flow of work in different departments of the company (Hornstein, 2015). As a result, this may assist in solving problems that are not defined accordingly within different channels in the organization. Nonetheless, the development and integration of information can assist in the reduction of costs of operations. Such charges may consist of transaction processing, hardware and software maintenance as well as support staff such as in managing supplies of goods.

 

 

References

Appelbaum, D., Kogan, A., Vasarhelyi, M., & Yan, Z. (2017). Impact of business analytics and enterprise systems on managerial accounting. International Journal of Accounting Information Systems, 25, 29-44.

Hornstein, H. A. (2015). The integration of project management and organizational change management is now a necessity. International Journal of Project Management, 33(2), 291-298.

Sedera, D., Lokuge, S., Grover, V., Sarker, S., & Sarker, S. (2016). Innovating with enterprise systems and digital platforms: A contingent resource-based theory view. Information & Management, 53(3), 366-379.

Teece, D. J. (2018). Business models and dynamic capabilities. Long Range Planning, 51(1), 40-49.

 

 

Needs help with similar assignment?

We are available 24x7 to deliver the best services and assignment ready within 3-4 hours? Order a custom-written, plagiarism-free paper

Get Answer Over WhatsApp Order Paper Now

PICOT Question and Literature Research

/in /by

PICOT Question and Literature Research

**This assignment needs 3 QUANTITATIVE and 3 QUALITATIVE sources

The first step of the evidence-based practice process is to evaluate a nursing practice environment to identify a nursing problem in the clinical area. When a nursing problem is discovered, the nurse researcher develops a clinical guiding question to address that nursing practice problem.

For this assignment, you will create a clinical guiding question know as a PICOT question. The PICOT question must be relevant to a nursing practice problem. To support your PICOT question, identify six supporting peer-revised research articles, as indicated below. The PICOT question and six peer-reviewed research articles you choose will be utilized for subsequent assignments.

PICOT Question and Literature Research

Use the “Literature Evaluation Table” to complete this assignment.

  1. Select a nursing practice problem of interest to use as the focus of your research. Start with the patient population and identify a clinical problem or issue that arises from the patient population. In 200–250 words, provide a summary of the clinical issue.
  2. Following the PICOT format, write a PICOT question in your selected nursing practice problem area of interest. The PICOT question should be applicable to your proposed capstone project (the project students must complete during their final course in the RN-BSN program of study).
  3. The PICOT question will provide a framework for your capstone project.
  4. Conduct a literature search to locate six research articles focused on your selected nursing practice problem of interest. This literature search should include three quantitative and three qualitative peer-reviewed research articles to support your nursing practice problem.

PICOT Question and Literature Research

Note: To assist in your search, remove the words qualitative and quantitative and include words that narrow or broaden your main topic. For example: Search for diabetes and pediatric and dialysis. To determine what research design was used in the articles the search produced, review the abstract and the methods section of the article. The author will provide a description of data collection using qualitative or quantitative methods. Systematic Reviews, Literature Reviews, and Metanalysis articles are good resources and provide a strong level of evidence but are not considered primary research articles.  Therefore, they should not be included in this assignment.

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

PICOT Question and Literature Research

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are not required to submit this assignment to LopesWrite.

 

SAMPLE ANSWER

Summary of Clinical Issue (200-250 words):

Hypertension is one of the highest health problems globally because it contributes to increased rates of mortality and morbidity. It is estimated that approximately 56% of coronary artery diseases and 48% of stroke incidences result from hypertension (Chiu et al. 2014). In the US, hypertension affects 29% of the population leading to risks of cardiovascular diseases and stroke.  Factors such as poor dietary practices, sedentary lifestyles, and physical inactivity are the primary contributors to hypertension. According to Osté (2010), physical inactivity augments the risk of hypertension 8-9 times. Lifestyle modifications, including exercise and diet changes are the central management and preventive measures against cardiovascular diseases and hypertension (Apovian et al. 2014).  Besides, lifestyle modifications increase the efficacy of antihypertensive drug and control of blood pressure. Therefore it is critical to maintaining levels of blood pressure through exercises and dietary changes to prevent damage of vital body organs.

ORDER A PLAGIARISM FREE PAPER HERE

The PICOT question aims to determine whether the DASH and WTW improve blood pressure control among urban African Americans within five months of initiation of the intervention. According to Apovian et al. (2018), enhancing adherence to exercises and the DASH diet is essential to reducing an individual’s blood pressure. However, WTW is an intervention looking to reduce physical inactivity among individuals to help manage cardiovascular diseases and stroke. EBP intervention can be implemented and applied to determine whether they enhance or impede high-quality nursing care. This help to evaluate the outcome of the WTW and DASH on improving the level of patient’s high blood pressure.

PICOT Question and Literature Research

 

PICOT Question:

Does the DASH (Dietary Approaches to Stop Hypertension) and “Worth the Walk” (WTW) improve blood pressure control among urban African Americans within five months of initiation of the intervention?

PICOT Question and Literature Research

 

 

Criteria Article 1 Article 2 Article 3
APA-Formatted Article Citation with Permalink Akita, S., Sacks, F. M., Svetkey, L. P., Conlin, P. R., & Kimura, G. (2003). Effects of the Dietary Approaches to Stop Hypertension (DASH) diet on the pressure-natriuresis relationship.  Hypertension, 42(1), 8-13. https://www.ncbi.nlm.nih.gov/pubmed/12756219 Chiu, S., Bergeron, N., Williams, P. T., Bray, G. A., Sutherland, B., & Krauss, R. M. (2015). Comparison of the DASH (Dietary Approaches to Stop Hypertension) diet and a higher-fat DASH diet on blood pressure and lipids and lipoproteins: A randomized controlled trial–3. The American journal of clinical nutrition, 103(2), 341-347.

https://www.ncbi.nlm.nih.gov/pubmed/26718414

 Kwon, I., Choi, S., Mittman, B., Bharmal, N., Liu, H., Vickrey, B., Song, S., Araiza, D., McCreath, H., Seeman, T., Oh, S. M., Trejo, L., … Sarkisian, C. (2015). Study protocol of “Worth the Walk”: A randomized controlled trial of a stroke risk reduction walking intervention among racial/ethnic minority older adults with hypertension in senior community centers. BMC Neurology, 15, 91.

https://bmcneurol.biomedcentral.com/articles/10.1186/s12883-015-0346-9
How does the Article Relate to the PICOT Question?  

The article proves whether the

(DASH) the diet has a significant blood pressure (BP)-lowering action

  

The article analyzes whether the DASH Dietary Approaches to Stop Hypertension is a critical dietary modification for reducing cardiovascular disease and blood pressure (BP) risk.

 The article reflects how physical activity through the Worth the Walk” (WTW) can help prevent stroke by reducing blood pressure.
Quantitative, Qualitative(How do you know?) The article is quantitative because it is based on the collection and analysis of numerical data. The article is quantitative because it is based on the collection and analysis of numerical data. The article is quantitative because it is based on the collection and analysis of numerical data.
Purpose Statement The effect of the DASH diet on the pressure-natriuresis relationship to find out the mechanisms of its BP-lowering action. The effects of substituting full-fat for low-fat dairy foods in the DASH diet, with a corresponding increase in fat and a reduction in sugar intake, on blood pressure and plasma lipids and lipoproteins The relationship between the Worth the Walk” (WTW) intervention and biological markers of health including blood pressure, non-HDL cholesterol, and body-mass index,
Research Question Does Dietary Approaches to Stop Hypertension (DASH) diet, rich in fruits, vegetables, and low-fat dairy foods, have substantial blood pressure (BP)-lowering action? Does substituting full-fat for low-fat dairy foods in the DASH diet, with a corresponding increase in fat and a reduction in sugar intake affects blood pressure and plasma lipids and lipoproteins Does the WTW increase physical activity and improve self-efficacy for being physically active and reducing the risk of stroke.
Outcome The study outcome is to find out whether the DASH diet can lower high blood pressure among patients with hypertension. The DASH significantly reduces blood pressure, high-density lipoprotein (HDL) and low-density lipoprotein (LDL) cholesterol in the body. The WTW intervention will increase physical activity and reduce the risk of stroke
Setting

(Where did the study take place?)

 The study was carried out in a hospital setting that is not mentioned n the study.

 

 The study was carried out at a clinical research center in Berkeley, California. The study was carried out at four ethnic-specific clusters at senior centers in Los Angeles.
Sample The study sample 412 participants were expected, but a sample size of n=375 was used in the study. The study sample involves thirty-six participants who finished all the experimental diets and took part in the study. The study sample involves a total of 240 participants (60 participants from each of the four targeted ethnic groups).
Method The study employed a parallel-group design. The study employed a 3-period randomized crossover trial design. The study employed a single-blind randomized wait-list controlled trial design.
Key Findings of the Study The study showed that the DASH diet reduced BP effectively in groups with high sodium sensitivity. Besides, the DASH diet did not imply blood pressure at low intakes of sodium. The HF-DASH diet significantly reduced lipoprotein (VLDL) and triglycerides concentrations and significantly increased LDL compared with the DASH diet.

The DASH diet significantly reduced BP, LDL cholesterol, and HDL cholesterol.

 The results showed that the physical activity was improved through the WTW intervention and this, in turn, reduces the risks of stroke. Therefore, WTW intervention reduces hypertension and stroke.
Recommendations of the Researcher It is recommended that the DASH diet is a critical non-pharmacological measure for controlling BP. It is recommended that the modified HF-DASH diet can be used as an effective alternative to the DASH diet. It is recommended that the Worth the Walk should function as the primary stroke prevention model stroke patients.

 

Criteria Article 4 Article 5 Article 6
APA-Formatted Article Citation with Permalink  

Apovian, C. M., Murphy, M. C., Cullum-Dugan, D., Lin, P. H., Gilbert, K. M., Coffman, G., … & Moore, T. J. (2010). Validation of a web-based dietary questionnaire designed for the DASH (dietary approaches to stop hypertension) diet: the DASH online questionnaire. Public health nutrition, 13(5), 615-622.

https://www.ncbi.nlm.nih.gov/pubmed/19912673

  

Osté, M. C., Gomes‐Neto, A. W., Corpeleijn, E., Gans, R. O., de Borst, M. H., van den Berg, E., … & Bakker, S. J. (2018). Dietary Approach to Stop Hypertension (DASH) diet and the risk of renal function decline and all‐cause mortality in renal transplant recipients. American journal of transplantation, 18(10), 2523-2533.

https://www.ncbi.nlm.nih.gov/pubmed/29464830

 Staffiliano, A. B., Tangney, C, C., Fogg, L. (2018). Favorable Outcomes Using an eHealth Approach to Promote Physical Activity and Nutrition Among Young African American Women. The Journal of Cardiovascular Nursing. 33, 62–71.

https://www.ncbi.nlm.nih.gov/pubmed/28481823

 
How Does the Article Relate to the PICOT Question?  

The article looks at the DASH diet its correlation to lowering blood pressure and reduces the risk of heart disease, stroke, and osteoporosis.

The article addresses the Dietary Approach to Stop Hypertension (DASH) diet.

 

 The article analyzes improving healthy nutrition behaviors by including a DASH diet can reduce the risk of hypertension.
Quantitative, Qualitative(How do you know?) The study is qualitative research because it marked by use of online questionnaires, to collect verbal information, perceptions, and understandings of the topic. The study is qualitative research because it marked by use of online questionnaires, to collect verbal information, perceptions, and understandings of the topic. The study is qualitative research because it marked by use of Web-based questions that are accessible via the Internet and mobile devices, to collect verbal information, perceptions, and understandings of the topic.
Purpose Statement Assess the validity of a new, short, online dietary questionnaire created to capture DASH food intake. Dietary Approach to Stop Hypertension (DASH) diet and the risk of renal function decline and all‐cause mortality in renal transplant recipients. Favorable Outcomes Using an eHealth Approach to encourage Physical Activity and Nutrition Among Young African American Women
Research Question Does the validity of a new, short, online dietary questionnaire capture DASH food intake. Does the DASH diet lead to a lower risk of renal function? Does eHealth approach promote physical activity and nutrition among young African American women?
Outcome The DASH OLQ is a critical assessment tool for measuring DASH diet adherence.

The Dietary Approach to Stop Hypertension (DASH) diet reduces the risk of renal transplant among patients.

 To improve healthy nutrition behaviors to decrease health risk behaviors, and decrease the risk of hypertension based on the DASH diet.
Setting

(Where did the study take place?)

The study was carried out at Boston University Medical Center, Boston, Massachusetts. The study was carried out in a large single‐center prospective cohort of RTR at the University Medical Center Groningen. The study was carried out at the University Medical Center
Sample The study sample includes faculty and staff aged 20–70 years at Boston University Medical Center The study sample includes the 817 invited patients; however, 632 participants were eligible for analyses. The study sample of 142 participants was expected, but a sample size of 124 was used in the study.
Method The study employed a cross-sectional validation of the DASH OLQ method. The study employed the observational prospective cohort study, and data were collected through a validated 177‐item food frequency questionnaire. A randomized, pre-post design Web-based design was used in the study.
Key Findings of the Study The DASH OLQ is a critical assessment tool for measuring DASH diet adherence. The DASH diet lowers blood pressure, cholesterol and the risk of stroke, osteoporosis, and heart disease.

 

 The study showed that adherence to a DASH‐style diet is linked with a lower risk of renal function. The DASH participants showed that eHealth approach could be used for changing health behaviors patients with hypertension.
Recommendations of the Researcher It is recommended that the DASH OLQ is important in assessing the DASH diet adherence in clinical practice. It is recommended that a randomized clinical trial should be carried out to show whether adherence to the DASH diet risk of renal function. It is recommended that the eHealth approach is a critical program that can be used for changing health behaviors for other populations at risk.

 

Needs help with similar assignment?

We are available 24x7 to deliver the best services and assignment ready within 3-4 hours? Order a custom-written, plagiarism-free paper

Get Answer Over WhatsApp Order Paper Now

Evidence Based Practice Guidelines for Otitis Media

/in /by

Evidence Based Practice Guidelines for Otitis Media

Assignment: Analysis of Current Evidence Based Practice Guidelines for the Treatment of OM

 

First, carefully review the case. Then, using the Internet, find a current (no older than 4 years old) relevant evidence based practice guideline for the treatment of otitis media for this particular pediatric patient.

Make sure to address the following in your paper:

  • Briefly explain your search strategy. For example, how did you find the correct guideline?
  • Who developed the guideline?
  • Is this a revision of a previous guideline or an original? What is the date of publication?
  • Explain the concept of “systematic review of current best evidence.”
  • How was conflict of interest managed in the development of these guidelines?
  • How is quality of evidence defined?
  • Explain differences among strong recommendation, recommendation, and option
  • What are “key Action statements?”
  • For this particular child, what are the specific treatment recommendations including any diagnostics, medications (include exact dosage, frequency, length of treatment), follow-up, referral, prevention, and pain control.

Case:

A 5-year-old male is brought to the primary care clinic by his mother with a chief complaint of bilateral ear pain for the last three days. The mother states that the child has been crying frequently due to the pain. Ibuprofen has provided minimal relief. This morning, the child refused breakfast and appeared to be “getting worse.”

Vital signs at the clinic reveal HR 110 bpm, 28 respiratory rate, and tympanic temperature of 103.2 degrees F. The mother reports no known allergies. The child has not been on antibiotics for the last year. The child does not have history of OM. The child is otherwise healthy without any other known health problems.

After your questioning and examination, you diagnose this child with bilateral Acute Otitis Media.

 

SAMPLE ANSWER

Evidence Based Practice Guidelines for Otitis Media

            The research strategy involved searching for content relevant to the subject in the various online journal databases. In the research, I used key words related to the condition, which yielded some results. Furthermore, I also added various filters when conducting the research to ensure that the guideline met a certain criterion. These filters included year of publication and needed to be peer reviewed.

Evidence Based Practice Guidelines for Otitis Media

The guideline is developed by the American Academy of Otolaryngology, The American Foundation of Pediatrics, Head, and Neck Surgery Foundation, and the American Academy of Family Physicians. Various researchers and medical practitioners are involved in the development of the guide. This involved include medical practitioners who may be involved in the treatment of Otitis media. Furthermore, the guideline is a revision of a guideline that was developed by the same organizations in 2004. The article was published on February 1, 2016, and it provides evidence-based recommendations for the management and treatment of otitis media (Rosenfeld et al., 2016).

The concept of systematic review of the current best practice applies in the context of the guideline. A systematic review includes a summarization of the results of carefully designed controlled trials or healthcare studies. Furthermore, they provide a high level of evidence regarding the effectiveness of the healthcare interventions that are used (Harmes et al., 2013). The researchers make judgments regarding the interventions and the outcomes, thus informing their recommendations. The changes that the researchers incorporated in the guideline included 20 new systematic reviews, evidence clinical practice guidelines, and 49 randomized control trials (Rosenfeld et al., 2016). Therefore, one can see the applicability of the concept of systematic review of current best practice, whereby the researchers combined the findings of various evidence based studies to recommend updated practices for addressing the problem.

Evidence Based Practice Guidelines for Otitis Media

To manage conflicts of interest, various strategies were employed. One of these was ensuring that the AAO-HNSF fully funded the entire research project. This ensured that no individual company or organization that may benefit from the research influenced it (Rosenfeld et al., 2016). Furthermore, the potential conflicts of interest for the various members who were involved in the research were compiled. After a review of the potential conflicts of interest, the panel set some conditions for the individuals who had conflicts of interest to remain in team. These included recusing themselves from discussions related to the areas that have conflict of interest, agreeing not discuss aspects related to the guideline to industry players before its publication, and ensuring that personal experiences of the panelists does not cause conflict of interest (Rosenfeld et al., 2016).

Quality of evidence may be described as the confidence that the estimates that are reported are sufficient to support specific recommendations. The quality of evidence can be described as high, moderate, low, or very low based on grading quality of evidence and strength of recommendations (GRADE) (Chonmaitree et al., 2016). High tends to have the best quality, while very low tends to have the least quality. Some of the key considerations when determining the quality of evidence include publication bias, imprecision, indirectness of evidence, risk of bias, inconsistency of results between different studies. In the guideline, these elements were considered to ensure that the quality of evidence was high.

ORDER A PLAGIARISM FREE PAPER HERE

A strong recommendation implies that a review panel or committee believes that the benefits associated with the recommended approach exceed the harms of the same approach. Recommendation, on the other hand, means that the magnitude of the benefits is relatively small, or when benefits are there, by offset by other adverse consequences. Moreover, an option means that the evidence quality is suspicious, or the properly conducted studies have shown that there is little advantage of one approach over the other (Schilder et al., 2016).

For the particular child, one of the elements in the diagnosis is the symptoms. The child has been experiencing bilateral year pain during the last three days, which tends to be one of the symptoms for the condition. However, additional tests would be required to ascertain whether the child in indeed having the condition. One of these tests is otoscope, which involves looking into the child’s year and checking elements such as pus, redness, and swelling. A tympanometry test may also be conducted to determine the air pressure in the child’s eardrum. Furthermore, reflectometry may also be conducted to determine if the child has fluid in his years (Harmes et al., 2013). Treating the condition may include observation or antibiotic therapy. Studies have shown that two in every three children may heal without using antibiotics. Furthermore, the American Academy of Physicians suggests not prescribing antibiotics for treating the condition for children aged between 2 and 12 years particularly if their symptoms are not severe (Rosenfeld et al., 2016).

Nursing Paper Help

If observation does not work within 48 to 72 hours, it is imperative for the patient to take antibiotics. The first antibiotic that needs to be used is Amoxicillin, but if it does not work, Cefdinir can be used as an alternative. Furthermore, analgesics are also recommended for addressing symptoms such as irritability, fever, and year pain. The analgesics are particularly important for addressing the symptoms that can make parents alarmed. The recommended analgesics include acetaminophen and ibuprofen. Benzocaine can also be used. However, ibuprofen needs to be the fast option considering it is less toxic in the event of overdose and it has a longer duration (Rosenfeld et al., 2016).

Therefore, the selected article is an update of a 2004 guideline related to the diagnosis, management, and treatment of otitis media. The guideline is developed by the American Academy of Otolaryngology, The American Foundation of Pediatrics, Head, and Neck Surgery Foundation, and the American Academy of Family Physicians. It was published in 2016. To find the guideline, I searched online journal databases using the appropriate keywords and using filters to ensure that the article is timely and relevant. In the development of the guideline, the issue of conflicts of interest is thoroughly addressed. Furthermore, the researchers ensure that the quality of evidence is high. For the 5-year-old male, the first in his treatment is analyzing his symptoms. Thereafter, various tests need to be conducted to ascertain whether he is suffering from acute otitis media. These tests may include otoscope, tympanometry, and reflectometry. If the results are positive, the observation may be one of the interventions. However, if there are no improvements, antibiotics therapy can be used. Some of the antibiotics that can be used include amoxicillin and Cefdinir. Furthermore, analgesics also need to be used to alleviate some of the symptoms associated with acute otitis media such as fever and pain.

 

References

Chonmaitree, T., Trujillo, R., Jennings, K., Alvarez-Fernandez, P., Patel, J. A., Loeffelholz, M. J., … & McCormick, D. P. (2016). Acute otitis media and other complications of viral respiratory infection. Pediatrics, 137(4), e20153555.

Harmes, K. M., Blackwood, R. A., Burrows, H. L., Cooke, J. M., Van Harrison, R., & Passamani, P. P. (2013). Otitis media: diagnosis and treatment. Children, 100(8), 10.

Rosenfeld, R. M., Shin, J. J., Schwartz, S. R., Coggins, R., Gagnon, L., Hackell, J. M., … Corrigan, M. D. (2016). Clinical Practice Guideline: Otitis Media with Effusion (Update). Otolaryngology–Head and Neck Surgery, 154(1_suppl), S1–S41. https://doi.org/10.1177/0194599815623467

Schilder, A. G., Chonmaitree, T., Cripps, A. W., Rosenfeld, R. M., Casselbrant, M. L., Haggard, M. P., & Venekamp, R. P. (2016). Otitis media. Nature Reviews Disease Primers, 2, 16063.

Needs help with similar assignment?

We are available 24x7 to deliver the best services and assignment ready within 3-4 hours? Order a custom-written, plagiarism-free paper

Get Answer Over WhatsApp Order Paper Now

Economic principles in Decision Making

/in /by

Economic principles in Decision Making

Unit outcomes addressed in this Assignment: •Utilize economic principles in decision making. •Use planning and prioritization to achieve organizational goals. Course outcomes addressed in this Assignment: • Apply economic principles to health care decision making. • Achieve goals through planning and prioritization. Instructions: In this scenario you have been hired by the World Health Organization. As a leader in the organization you have been assigned to assess a small developing nation and determine the most cost effective public health solutions to improve overall health in the country. You need to select public health options that will allow you to help the most people. You have a budget of $700 million, you cannot divide services in half as a means of cutting cost and you cannot go over budget. Review an overview of the country as well as the available public health services using this document: •Economic Health Decision Making Data Requirements: •Use the Unit 5 Assignment Submission Template to indicate your selections and write your narrative. •A 500-800 word narrative explaining how you used planning and prioritization to make your decisions and reach your goal as well as which of the Unit 4 trainings you found most prepared you for this Assignment and why.

SAMPLE ANSWER

 

Service Cost Reason for Selection:
Basic health education and empowerment $120 million Focusing on interactive group education on health factors such as nutrition and family planning, is critical in promoting health, especially in a developing nation.
vaccination $50 million Administering vaccines will mostly focus on children and pregnant women. This is necessary for the prevention infectious diseases.
basic sanitation and supply of clean water $130 million In such a developing nation, poor hygiene and inadequacy of clean water has a significant impact on the general health of the people, hence the need for supply of clean, purified water.
Access to antibiotics $50 million As a developing nation, the need for antibiotics is high and with this amount, it would be possible to provide adequate antibiotics to treat infections.
Disease detection $75 million Health promotion will be more natural if the country develops the necessary measures to monitor the outbreak and spread of infections.
Maternal and childcare $50 million As mothers and children are most affected in this country, setting aside such an amount is essential to provide necessary care to reduce morbidity and mortality rates
Control of communicable diseases $50  million This service will be beneficial in preventing the spread of infectious diseases such as measles and hepatitis, considering that such diseases significantly contribute to increased death rates.
Vector control $25 million Vector control will assist in the elimination of diseases causing insects.
Properly equipping the health centers $ 100 million Community health centers will be equipped with necessary tools and adequately staffed to provide quality care and improve general wellbeing of the citizens.
Training programs $50 million Training programs should be developed to efficiently train future health providers and equip them with necessary skills to provide quality care.

 

 

Service Cost Reason Not Selected:
Developing more health center $350 million As the country is still developing, there is still a need for advanced health facilities. However, this would be challenging to implement due to the costs involved.
Screening services $300 million For diseases that require advanced screening and tests, it might be challenging to achieve this due to the funds required as well as the equipment.
Development of infrastructure $100 million Timely access to health facilities is significantly affected by poorly developed roads. However, to develop better transport systems, the organization might be forced to work with the authorities. Road building is expensive and is not under the control of health sector policymakers.

 

Narrative

Planning and priority setting in healthcare are necessary since resources will always be limited, hence the need for prioritization. In the given case, a budget of $700million was provided to improve health provision in a small developing nation and the choices to invest in a particular service reflects the society’s values and visions for the health systems. Considering the setting of a developing nation, the principle decisions to focus on areas such as health education and maternal health care over other services were made after a situational analysis.

Economic principles in Decision Making

By incorporating planning and prioritization in the decision-making process, the aim was to select and address the most critical health issues among different options. However, essential issues of health in this case may not be viewed with the same weight as those of people in developed countries. In such countries health targets are achieved by emphasizing on healthy lifestyles and disease minimization through supportive environment. In this case, though, factors such as water purification and sanitation were prioritized as well as individual involvement in health provision. Further, other areas of focus like nutritional education and vaccination are prioritized over other health issues like cancer screening. Planning and priority-setting was used based on the most affected population and the most common health issues affecting the population in question. However, this was not just focused on prioritizing the health problems, but also the possible intervention

ORDER A PLAGIARISM FREE PAPER HERE

Among the different options available for health investment, the priorities selected were influenced by various factors besides the limited financial resources. Such choices were influenced by the general distribution of resources as a response to population needs and demands. For instance, in such developing country, health promotion must  begin from the basics of general health education such as hygiene, before implementing more advanced care. As such, while other areas of health providers such as setting up of new health facilities might be regarded important, effectiveness can only be attained if the citizens are also trained on personal health. This would assist in preventing overcrowding in those health centers and unnecessary hospital visits. The priorities were also influenced by the need to reduce the high mortality rates that were attributed to lack of vaccination, antibiotics, and antenatal care. Further, the priority setting in selecting health interventions was based on the options that would achieve high health standards and maximization as required by WHO, reduce health inequalities, as well as financial protection.

Research Paper Help

In the previous unit, financial management was identified as  a critical factor when it comes to health provision and proper budgeting. In this case, health provision must take into consideration all-round factors ranging from development of health facilities, provision of cost-effective medication, and holistic care. As cost is an essential factor of health provision, focusing on health improvement in such  developing nation would require effective planning and prioritizing essential services to the most affected groups. As such, issues such as immunization and vaccination to prevent communicable diseases as well as provision of health education to the general public must be addressed first.

Needs help with similar assignment?

We are available 24x7 to deliver the best services and assignment ready within 3-4 hours? Order a custom-written, plagiarism-free paper

Get Answer Over WhatsApp Order Paper Now