Oakwood University Week 3 Managerial Finance and Devotional Activity Essay Business Finance Assignment Help. Oakwood University Week 3 Managerial Finance and Devotional Activity Essay Business Finance Assignment Help.
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1 The Lord is my light and my salvation—whom shall I fear? The Lord is the stronghold of my life—of whom shall I be afraid? 2 When the wicked advance against me to devour[a] me, it is my enemies and my foes who will stumble and fall. 3 Though an army besiege me, my heart will not fear; though war break out against me, even then I will be confident. 4 One thing I ask from the Lord, this only do I seek: that I may dwell in the house of the Lord all the days of my life, to gaze on the beauty of the Lord and to seek him in his temple. 5 For in the day of trouble he will keep me safe in his dwelling; he will hide me in the shelter of his sacred tent and set me high upon a rock. 6 Then my head will be exalted above the enemies who surround me; at his sacred tent I will sacrifice with shouts of joy; I will sing and make music to the Lord. 7 Hear my voice when I call, Lord; be merciful to me and answer me. 8 My heart says of you, “Seek his face!” Your face, Lord, I will seek. 9 Do not hide your face from me, do not turn your servant away in anger; you have been my helper. Do not reject me or forsake me, God my Savior. 10 Though my father and mother forsake me, the Lord will receive me. 11 Teach me your way, Lord; lead me in a straight path because of my oppressors. 12 Do not turn me over to the desire of my foes, for false witnesses rise up against me, spouting malicious accusations. 13 I remain confident of this: I will see the goodness of the Lord in the land of the living. 14 Wait for the Lord; be strong and take heart and wait for the Lord. Psalm 27 (New International Version).
The words of Psalm 27 drip with hope. Although his enemies are near, David is defiantly confident that God will conquer his fears, strengthen him and grant him the desire of his heart: to “dwell in the house of the Lord all the days of [his] life.”
During times of tremendous trial, we often turn to the Lord in hopes of feeling his presence. This was never more true for Robert Honeycutt than during the time he spent as a prisoner of war.
During World War II, each member of the United States Air Force was required to fly 50 missions before going home. Having already participated in a mission, 19-year-old Robert Honeycutt was eager to put the war behind him, so he volunteered for the dangerous task of photographing the damage inflicted during the air attacks. He reasoned that this would afford him more fly time, but it also meant that he would be in the last plane to fly over each time—the most vulnerable position.
On his 29th mission, Bob’s plane was shot down over the Austrian Alps. In his book, The Eleventh Man, Bob recounts how God was with him even as he parachuted out of the burning plane. As he was floating toward earth, an enemy bomber approached him in the air. Bob knew he was an easy target. The pilot of the plane slowed down but did not open fire with his machine gun. Instead, for a moment, the two men made eye contact … and then the pilot waved. Bob waved back.
Soon after he hit the ground, he was captured by enemy forces. Isolated and unsure of what awaited him, Bob began to pray fervently. That day God became real to Bob. For the next 11 months, Bob’s faith would be his strength even as he was taken to a concentration camp and marched around Germany for more than 800 miles before his eventual release.
Can you think of a time in your own life when you cried out to God? What happened?
Meditate on Psalm 27 and ask God to make David’s hope your own.
Reference:
https://www.bible.com/reading-plans/1050-college-s…
Oakwood University Week 3 Managerial Finance and Devotional Activity Essay Business Finance Assignment Help[supanova_question]
University of Phoenix Silicon Valley Technology Hub Role the 4 Factors of Production Business Finance Assignment Help
Select 1 of the economic concentrations (clusters) below:
- Seattle-Tacoma-Olympia, WA aerospace / defense industry
- Central California winemaking industry
- Hollywood movie industry
- Silicon Valley Technology hub
- Texas / Louisiana Gulf Coast crude oil and natural gas production and refining
- Pre-1994 vs Post-1994 US auto and light truck production and the reasons for the change in economic concentration
Write a 700- to 1,050-word paper evaluating economists’ assessments of the role the 4 factors of production played in determining how the economic concentration you selected has evolved. Complete the following in your paper:
- Analyze how the economic concentration in the area you chose was influenced by competition and pricing.
- Analyze how the economic concentration in the area you chose influenced the supply chain.
- Analyze which of the 4 factors of production were the most and least important in determining the economic concentration of the area you chose.
- Predict changes you anticipate for the area of economic concentration you chose. Support your predictions.
Consider the resources provided and other academically appropriate sources. The use of charts and tables to illustrate data is highly encouraged.
Cite at least 2 academically credible sources.
Format your assignment according to APA guidelines.
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PHI 103 Capella University Week 1 Time Outs Methods of Discipline Paper Writing Assignment Help
I Attached a sample paper for you to see.
In this class, we learn to evaluate issues in light of the reasoning on all sides prior to arriving at conclusions. We aim to evaluate the quality and quantity of evidence, striving to be as objective as we can about what is most likely to be true.
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Once you have formulated your question, conduct research from non-scholarly sources on the internet (e.g., news articles, op-eds, etc.) that present substantive reasoning on each side of the issue.
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Your task is to present and evaluate the reasoning from a non-scholarly source on each side of your issue. There is no need to take sides on the issue at this stage. In your analysis, strive to be as objective as possible, evaluating the reasoning from a neutral point of view.
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Your paper should include clearly labeled sections addressing the following elements:
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- Introduction (approximately 100 words)
- Explain your topic.(What methods of discipline have been shown to be best for child development)
- State the specific question that you are addressing. (Are time outs good methods of discipline for child development)
- Presentation of an Argument
- Describe the non-scholarly source (e.g., an op-ed, newspaper article, website, etc.) on one side of the issue.
- Summarize the key points made (approximately 50 words).
- Present what you see as the main argument from that source. Make sure to present your argument in standard form, with the premises listed above the conclusion. (approximately 100 words)
- Evaluate the quality of the reasoning in this source (approximately 200 words)
- In completing your evaluation, consider assessing how well the research supports the premises of the main argument and how strongly the reasoning supports the conclusion of that argument.
- Describe the non-scholarly source (e.g., an op-ed, newspaper article, website, etc.) on one side of the issue.
- Presentation of an Argument on the Other Side of the Issue
- Describe the non-scholarly source on the opposite side of the issue.
- Summarize the key points made. (approximately 50 words)
- Present what you see as the main argument from that source. (Make sure to present your argument in standard form, with the premises listed above the conclusion.) (approximately 100 words)
- Evaluate the quality of the reasoning in this source (approximately 200 words)
- In completing your evaluation, consider assessing how well the research supports the premises of the main argument and how strongly the reasoning supports the conclusion.
- Describe the non-scholarly source on the opposite side of the issue.
The Presenting Arguments paper
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- Must be 600 to 1,000 words in length (not including title and references pages), double-spaced, and formatted according to APA style as outlined in the APA Style.
- Must include a separate title page with the following:
- Title of paper
- Student’s name
- Course name and number
- Instructor’s name
- Date submitted
- Must include an introduction and conclusion paragraph. Your introduction paragraph needs to end with a clear thesis statement that indicates the purpose of your paper.
- Must use at least two sources in addition to the course text.
- Must document all sources in APA style.
- Must include a separate references page that is formatted according to APA style.
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Saint Martins University Great Debates in Criminology Documentary Analysis Writing Assignment Help
this discussion should be around a 100 – 200 words only
Watch the documentary about Colton Harris-Moore (75 mins): https://www.youtube.com/watch?v=144TR3ejIts
Then, apply concepts and theories introduced in Chapter 2 to analyze his criminal behaviour. What do you think were the major sociological and psychological factors motivating the crimes? Identify and explain them.
You may read more here:
https://www.cnn.com/2010/CRIME/07/22/barefoot.bandit.profile/index.html
You may watch more here:
https://www.youtube.com/watch?v=vjXRyRsXlvI
http://www.youtube.com/watch?v=cQpkUf3fyrw
i will attach a few photos of the book down below to help with answering this discussion please use your own words answer from your perspective as a discussion.
book: Posick, C., & Rocque, M. (2019). Great debates in criminology. Routledge.
also i have a video of the lecture of week 4 that might help as well:
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American Sentinel Weight Management Among the Elderly in The City Center Activity Science Assignment Help
Activity 4
Sample Selection and Application
You will enter Sentinel City® via the link to begin your virtual experience by taking a bus tour of Sentinel City®.
Sentinel City® is a city just like your neighborhood. People live there from culturally diverse backgrounds. They vary in age, gender, and income level. Nurse researchers are unable to study the entire world so they choose “groups” or populations to study that actually mirror the population of interest. Your role is to experience the city and identify the “neighborhood” or sample that would provide the best place to study:
- Geriatrics
- South East Asians
- Poverty
- Pediatrics
Once you have identified the neighborhoods, complete an analysis of any evidence-based practice intervention that applies to one population of your choice and describe how you would implement this in the Sentinel City® neighborhood. Remember, use resources that are interprofessional, evidence-based and focus on improving health outcomes.
Helpful tips:
Don’t forget to view the Sentinel City navigation tips. After choosing an avatar you may be able to teleport to the various areas by utilizing the interactive map.
- How do I find out about the people who live in each neighborhood? How do I find out who lives here? How do I find the city population?
- As you ride through the city you will be able to access the population statistics for each neighborhood. It will open on the left. You may pause the bus to view. You may also teleport to an area and choose the information icon.
- Where can I find information on seniors?
- You may pause the bus and select the rotating icon for specifics about seniors in the city
- What information is available about healthcare use in Sentinel City®?
- The Sentinel City® Healthcare System data is accessible by selecting the rotating icon. This selection will take you to a menu that has information on dentistry, vision, emergency, ambulatory care, integrated services, inpatient, pharmacy, and elderly.
- How do I know whom to sample for a research study?
- The researcher will often choose a population that contains the most number of subjects who have the study topic. For instance, to study children choose the area with the most children
- Where does a nurse find evidence-based practice recommendations?
- Visit the American Nurses Association
- Question: What type of health promoting activity is interprofessional?
- Think broadly consider nutrition (diet), Activity (exercise), Dental health, etc.
Review these core competencies:
- Evidence-Based Practice – Core Competencies: Demonstrate an understanding of the basic elements of the research process and models for applying evidence to clinical practice.
- Sample Selection: Participate in the process of retrieval, appraisal, and synthesis of evidence in collaboration with other members of the healthcare team to improve patient outcomes.
- Interprofessional EBP Guidelines: Integrate evidence, clinical judgment, interprofessional perspectives, and patient preferences in planning, implementing, and evaluating outcomes of care.
- Interprofessional EBP Guidelines: Collaborate in the collection, documentation, and dissemination of evidence.
- Explore Research Literature for EBP Guidelines: Acquire an understanding of the process for how nursing and related healthcare quality and safety measures are developed, validated, and endorsed.
- Application of the PICO Model to Nursing Care: Describe mechanisms to resolve identified practice discrepancies between identified standards and practice that may adversely impact patient outcomes.
Suggested Reading
Read: Houser, J. (2018). Nursing research: Readings, using & creating evidence (4th ed.). Burlington, MA: Jones & Bartlett Learning.
- Chapter 7, p. 157-185
- Chapter 8, p. 189-226
- Chapter 9, 229-252
Valerio, M. A., Rodriguez, N., Winkler, P., Lopez, J., Dennison, M., & Yuanyuan Liangrbara, J. T. (2016). Comparing two sampling methods to engage hard-to-reach communities in research priority setting. BMC Medical Research Methodology, 16 doi:http://dx.doi.org.americansentinel.idm.oclc.org/10…
Additional Instructions:
- All submissions should have a title page and reference page.
- Utilize a minimum of two scholarly resources.
- Adhere to grammar, spelling and punctuation criteria.
- Adhere to APA compliance guidelines.
- Adhere to the chosen Submission Option for Delivery of Activity guidelines.
Submission Options:
Choose One: |
Instructions: |
Paper |
|
Microsoft PowerPoint Presentation |
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Other media (Prezi, etc.) presentation |
|
Video Presentation |
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Table |
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Graphs or other illustrations |
|
Poster |
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Note: Title and reference pages/slides do not count towards the count requirements. Evidenced-Based Practice- Sample Selection and Application |
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Union County College Week 5 Self Regulation Behavior Discussion Writing Assignment Help
Introduction
Remember – these journal questions require more thinking than writing. Think about exactly what you are asked to do, and then write as economically as possible.
Instructions
For this journal assignment, briefly answer each of the following prompts. For all instances where you are required to provide a definition, do not copy definitions from the text. Use your own words.
- Self-Regulation
- The textbook mentions the skill of self-regulation. How do you define this term? You may want to review Chapter 2 (to review critical thinking skills) before your write out your definition.
- Sytem-1 and System-2
- Define System-1 and System-2 thinking in your own words.
- Give an example from your personal or work life where you would use each of them, explaining why each is appropriate to the situation in which you use it.
- Define System-1 and System-2 thinking in your own words.
- Heuristics
- Define “heuristic” in your own words.
- Give an example of a heuristic might be used in your personal or professional life and briefly show how it could have a positive or negative effect.
- Do not use examples found in the text.
- Define “heuristic” in your own words.
- Dominance Structuring
- Explain the term “dominance structuring” in your own words.
- Is dominance structuring a positive or negative attribute of critical thinking? Explain.
- Use examples if that is helpful to your explanation.
- Cognitive Bias
- Briefly examine what part you think mastery of facts and understanding of data have in avoiding cognitive bias in System-1 thinking.
Union County College Week 5 Self Regulation Behavior Discussion Writing Assignment Help[supanova_question]
Union County College Gun Control and Violence Discussion Writing Assignment Help
Required Resources
Read/review the following resources for this activity:
- Textbook: Chapter 10, 11
- Lesson
- Minimum of 1 scholarly source (in addition to the textbook)
Initial Post Instructions
Consider one of the following current social issues – or one of your choice:
- Opioid crisis
- Legalization of recreational or medical marijuana
- Vaping
- Immigration
- Elimination of the electoral college
- Gun control
For the initial post, address the following:
- State your position on one of these issues – are you for, against, or neutral? Explain why. Avoid vagueness or ambiguity in your response. Make your position very clear.
- Examine how you have formed that opinion.
- How well do you think you know the facts?
- Do you know and understand statistical information that applies to the issue?
- Do you think you have formed your opinion using only System-1 thinking, or have you applied System-2?
- What part have heuristics, cognitive bias, and dominance structuring played in how you have formed your opinions?
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PHIL 314 USC The Ethics Religion and Economics of Adam Smith Research Paper Humanities Assignment Help
Question: Adam Smith has a philosophy of free market thought. Can you see the influence of Cicero? How does religion fit in? What is new here and what has happened since Cotrugli? In other words, what is Adam Smith’s ethics and religion of economics?
(Below are the texts needed to answer the question)
Requirements:
-at least 8 pages, double spaced, Times New Roman 12 font
-cite using Chicago style footnotes
Sections of the texts with info:
“Theory of Moral Sentiments” (Parts I-III)
https://oll.libertyfund.org/titles/smith-the-theor…
“Wealth of Nations” (Book I: Ch. 1, 5, Book III: Ch. 1, Book IV: Ch. 1, 2, 8, 9)
https://www.gutenberg.org/files/3300/3300-h/3300-h…
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Motherhood Statistics Discussion Humanities Assignment Help
The first response:
Directions:
1. Review the Breadwinner Moms (Links is attached below) report by Pew Research. Be sure to read the whole first web page (scroll and read till bottom) at least, and review very closely the first chart on the page, “Mother as Sole or Primary Provider 1960-2011.”
2. In this response, do two things: (a) Describe the two very different groups of women who comprise the category of “Breadwinner Moms.” (b) Discuss if you think the growth of Breadwinner Moms as group since the 1960s represents economic progress for all women. Be sure to refer back to the data and make use of the concepts of stratification, institutional racism and institutional sexism. Please label each part of your post (a) and (b). As always, end the response with a sociological question(empirical question).
This response needs to be at least 5 sentences long.
Web Link: https://www.pewsocialtrends.org/2013/05/29/breadwinner-moms/
The second response:
I would like you to watch two short videos that explore the connections between deviance, social control and social change:
(1) Katherine Switzer – first woman to run the Boston Marathon (about 3 minutes long)
Link: :
(2) The Feminist on Cellblock Y (about 10 minutes long)
Link: https://www.cnn.com/videos/us/2018/04/20/the-femin…
For your second respond: Respond to 2 of the following questions. Choose either Q1 or Q2. Q3 has to be responded.
(1) Where does Switzer’s run fit into Merton’s “strain theory“ typology? Be sure to support your interpretation by identifying the cultural goals (values) guiding Switzer and whether there were legitimate means (norms) available for her to meet those goals.
2) Analyze which norms Richard is breaking with his Success Stories study group, and what values those norms express and protect.
3) What do these two stories illustrate about the relationship between deviance and social change?
End the response with a sociological question (empirical question).
This response should also be at least 5 sentences long.
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Alabama A&M Substance Abuse Major Problem Our Society is Facing Today Response Health Medical Assignment Help
Write a response to this discussion post about 300 words. There is two discussion post to write about. Thank you
Here is the first discussion post.
- By now you should realize that research is ongoing and there is often new or more information available. We realize you developed a PICOT question in MSN 600 and did part of this assignment. Now it is time to take it to another step and look at your subject deeper. If you liked your question, you may use it again here. It is now time to improve your question, do so now. If you do not like your question, start afresh. Researchers typically modify their research question many times before they finalize it. Choose a problem or issue that you anticipate within your future advanced nursing role. Describe this problem in 5 sentences or less. You will be able to use it in the next assignment and in future courses.
A problem I anticipate seeing as a PHMNP in the future is substance abuse. Substance abuse is defined by Merriam Webster Dictionary as “excessive use of a drug (such as alcohol, narcotics, or cocaine): use of a drug without medical justification”. Drugs can be prescribed or illicit. Approximately 49,000 Americans died from overdoses in 2017. It is a global family and public health epidemic taking a huge financial and emotional toll on society. Many substance abusers have underlying comorbid psychiatric conditions (Hunt et al.,2019).
Formulate your question using the PICOT format. For those of you in clinical concentrations (NPs), your question needs to be a clinical question. The NEL and NED students may develop a question within their concentration’s focus. This question will drive the literature search for your issue.
Does Cognitive Behavioral Therapy improve outcomes for substance abusers who are also taking medication compared to substance abusers who are using medication and usual therapy at short term and long term follow up?
- To support and assist in choosing and writing your PICOT in question 1 of this discussion board, you should have reviewed a minimum of 6-10 articles with at least one being a quantitative design. List the 6-10 articles here as a response to this #3 question. The articles should be in alphabetical order and each article should be listed as a full citation using the APA format.
REFERENCES
Hunt, G. E., Malhi, G. S., Lai, H. M. X., & Cleary, M. (2020). Prevalence of comorbid substance use in major depressive disorder in community and clinical settings, 1990–2019: Systematic review and meta-analysis. Journal of Affective Disorders, 266, 288–304. https://doi-org.northernkentuckyuniversity.idm.oclc.org/10.1016/j.jad.2020.01.141 (Links to an external site.) (Links to an external site.)
Klemperer, E. M., Hughes, J. R., & Naud, S. (2018). Study characteristics influence the efficacy of substance abuse treatments: A meta-analysis of medications for alcohol use disorder. Drug and Alcohol Dependence, 190, 229–234. https://doi-org.northernkentuckyuniversity.idm.oclc.org/10.1016/j.drugalcdep.2018.06.015 (Links to an external site.) (Links to an external site.)
McCabe, E., & Parrish, M. (2018). A review of the complexities of working effectively with people being prescribed both antipsychotic medications and opioid substitution therapy. Drugs: Education, Prevention & Policy, 25(1), 1–12. https://doi-org.northernkentuckyuniversity.idm.oclc.org/10.1080/09687637.2016.127798 (Links to an external site.) (Links to an external site.)
McHugh, R. K., & Weiss, R. D. (2019). Alcohol Use Disorder and Depressive Disorders. Alcohol Research: Current Reviews, 40(1), 3–10. https://doi-org.northernkentuckyuniversity.idm.oclc.org/10.35946/arcr.v40.1.01 (Links to an external site.) (Links to an external site.)
Mojtabai, R., Barry, C., & Olfson, M. (2019). Medication And Substance Abuse: The Authors Reply. Health Affairs (Project Hope), 38(4), 695. https://doi-org.northernkentuckyuniversity.idm.oclc.org/10.1377/hlthaff.2019.00168 (Links to an external site.) (Links to an external site.)
Oliva, E. M., Maisel, N. C., Gordon, A. J., & Harris, A. H. (2011). Barriers to use of pharmacotherapy for addiction disorders and how to overcome them. Current psychiatry reports, 13(5), 374–381. https://doi.org/10.1007/s11920-011-0222-2
Ray, L. A., Meredith, L. R., Kiluk, B. D., Walthers, J., Carroll, K. M., & Magill, M. (2020). Combined Pharmacotherapy and Cognitive Behavioral Therapy for Adults With Alcohol or Substance Use Disorders: A Systematic Review and Meta-analysis. JAMA Network Open, 3(6), e208279. https://doi-org.northernkentuckyuniversity.idm.ocl…
Robinson, S. M., & Adinoff, B. (2018). The mixed message behind “Medication-Assisted Treatment” for substance use disorder. American Journal of Drug & Alcohol Abuse, 44(2), 147–150. https://doi-org.northernkentuckyuniversity.idm.ocl…
Choose one of those articles cited in #3 above that is a quantitativearticle and use Polit and Beck (2020), Box 4.3 – Guidelines for Critically Appraising Research Problems, Research Questions, and Hypotheses on page 65. Answer each of the 8 questions and discuss the relationship of this article to your PICOT.
Ray, L. A., Meredith, L. R., Kiluk, B. D., Walthers, J., Carroll, K. M., & Magill, M. (2020). Combined Pharmacotherapy and Cognitive Behavioral Therapy for 1.Adults With Alcohol or Substance Use Disorders: A Systematic Review and Meta-analysis. JAMA Network Open, 3(6), e208279. https://doi-org.northernkentuckyuniversity.idm.ocl…
What is the research problem? Is the problem statement easy to locate and is it clearly stated? Does the problem statement build a cogent and persuasive argument for the new study?
The study included the research problem in the beginning under key points. The question stated was “Is cognitive behavioral therapy associated with improved outcomes for alcohol and other substance abuse disorders in the context of pharmacotherapy for addiction?” (Ray et al.,2020). The Introduction section included several paragraphs eliciting research and evidence that very few meta-analyses have been done on this particular intervention approach, meaning not studies on the combination of pharmacotherapy and CBT. Pharmacotherapy and CBT are first line interventions for substance abuse and co-diagnoses that come along with SAD (Mchugh & Weiss, 2019). But what do we know about combinations? This is a very persuasive approach and argument for this study.
Does the problem have significance for nursing? How might the research contribute to nursing practice, administration, education or policy?
Substance abuse is a very significant problem for nursing. Psychiatric nurses specialize in patients with SAD, and nurses in most specialties will encounter patients with SAD, even if that is not the primary diagnosis. The research can provide evidence-based practices for guiding patients with SADs to treatment that is most likely to lead to positive outcomes. If studies can show significant changes in response to a specific intervention combination, this could spark funding and policy for CBT and pharmacological therapy access.
Is there a good fit between the research problem and the paradigm in which the research was conducted? Is there a good fit between the problem and the qualitative research tradition?
This quantitative study was a meta-analysis. A meta-analysis is a statistical analysis combining results of multiple scientific studies addressing the same issue (Polit & Beck,2021). This paradigm is appropriate as both CBT and pharmacotherapy have been used and studied for SUD for over 25 years. The publication range included studies from 1992 to 2016.
Does the report formally present a statement of purpose, research question, and/or hypotheses/? Is this information communicated clearly and concisely and isi it placed in a logical and useful location?
As stated previously, the “question” section under key points included the problem. In the first heading of the abstract, the authors assert under the heading “importance” that SUD is a pressing health concern for the public and an understanding of the effects of different combinations of treatments can help to lessen the burden by improving outcomes and sobriety.
Are purpose statements or questions worded appropriately? For example, are key concepts/variables identified and is the populations of interest specified? Are verbs used appropriately to suggest the nature of the inquiry and or research tradition?
The heading “Objective” in the Abstract is very clear on the data to be extrapolated from multiple studies, and that is to conduct a meta-analysis of the published literature on combined CBT and pharmacotherapy for SUDs. The Introduction states the goal of the study is a comprehensive review of 3 distinct subgroups. The first subgroup are CBT plus pharmacotherapy compared with “usual” care and pharmacotherapy. The second group is CBT and pharmacotherapy compared to a specific therapy with pharmacotherapy. Last is CBT added to usual care and pharmacotherapy compared with usual care and pharmacotherapy alone. Verbiage is appropriate.
If there are no formal hypotheses, is their absence justified?
There is a formal hypothesis as stated. The question is asking if CBT is associated with improved outcomes for SUD in context of pharmacotherapy for addiction.
Do hypotheses flow from a theory of previous research? Is there a justifiable basis for the predictions?
CBT is evidence based first line treatment for many mental health issues, including substance abuse and has been well documented for years as such ( Klemperer et al.,2018). Pharmacotherapy is also a widely embraced intervention for SUD (Klemperer et al., 2018). The hypotheses that the combination would improve outcomes is justifiable.
.Are hypotheses worded properly? Do they state a predicted relationship between two or more variables ? Are they directional or nondirectional, and is there a rationale for how they were stated? Were they presented as research or null hypotheses ?
The hypothesis was stated nondirectionally. The question did not predict that outcomes would be improved or not, just asked the question what combination if any improve outcomes. The sample came from 30 unique randomized clinical trials that examined CBT in combination with some form of pharmacotherapy. The hypothesis was a research hypothesis. In summary, this article contained the targeted population and intervention. The article comprehensively compared CBT with pharmacological therapy against usual methods and other evidence-based methods of therapy.
Hello, this is the second discussion post to write a respond.
I chose to use my PICOT question from MSN 600 for this assignment. A major issue and concern that I anticipate encountering somewhat frequently in my role as Family Nurse Practitioner is my patients and their family or support systems not understanding or respecting my role as a Family Nurse Practitioner. I currently work with Acute Care Nurse Practitioners daily at my current job at a hospital and frequently encounter this issue. I have witnessed numerous patients undermining the Nurse Practitioners expertise and requesting to only see a “real” doctor. I foresee this being an issue for myself in the future as many patients simply do not understand the scope of a nurse practitioner. I feel that with proper patient education and working diligently to gain their trust in regard to their health care, this issue may be alleviated with some of these patients.
2.) My PICOT question is as follows. While many individuals, more commonly the older adult and elderly population, are not entirely familiar with the role and scope of a nurse practitioner, what education and interventions can be established to gain their trust as their primary care provider, compared to the trust they have with their doctors, during their office visits?
3.) References for PICOT question:
Abbade, L. P. F., Wang, M., Sriganesh, K., Jin, Y., Mbuagbaw, L., & Thabane, L. (2017). The framing of research questions using the PICOT format in randomized controlled trials of venous ulcer disease is suboptimal: A systematic survey. Wound Repair & Regeneration, 25(5), 892–900. https://doi.org/10.1111/wrr.12592 (Links to an external site.) (Links to an external site.)
Clibbens, R., Depledge, A., & Hemingway, S. (2019). Developing the advanced nurse practitioner role in a memory service. British Journal of Nursing, 28(19), 1151–1155. https://doi.org/10.12968/bjon.2019.28.19.1151
Collins, C. M., & Small, S. P. (2019). The nurse practitioner role is ideally suited for palliative care practice: A qualitative descriptive study. Canadian Oncology Nursing Journal, 29(1), 4–16. https://doi.org/10.5737/2368807629149
Elias, B. L., Polancich, S., Jones, C., & Colvin, S. (2015). Evolving the PICOT method for the digital age: The PICOT-D. Journal of Nursing Education, 54(10), 594–599. https://doi.org/10.3928/01484834-20150916-09 (Links to an external site.) (Links to an external site.)
Fandino, W. (2019). Formulating a good research question: Pearls and pitfalls. Indian Journal of Anaesthesia, 63(8), 611–616. https://doi.org/10.4103/ija.IJA_198_19 (Links to an external site.) (Links to an external site.)
Ramira, M. L., Peraza-Smith, G. B., McLeod, R., & Clark, M. J. (2018). Challenges, Barriers, and Satisfiers of Foreign Educated Physicians with the Family Nurse Practitioner Role in the United States. Journal of Cultural Diversity, 25(1), 12–22. Retrieved from https://search.ebscohost.com/login.aspx?direct=tru…
Torrens, C., Campbell, P., Hoskins, G., Strachan, H., Wells, P. M., Cunningham, M., … Maxwell, P. M. (2019). Barriers and facilitators to the implementation of the advanced nurse practitioner role in primary care settings: A scoping review. International Journal of Nursing Studies. https://doi.org/10.1016/j.ijnurstu.2019.103443 (Links to an external site.)
4.) The quantitative article I chose was article titled Barriers and facilitators to the implementation of the advanced nurse practitioner role in primary care settings: A scoping review by Torrens, et al. This article greatly assisted me in forming my PICOT question. The article discusses the barriers to the role of nurse practitioner in the primary care setting, in addition to the scope of practice the nurse practitioner has in primary care (Torrens et al., 2019). This article has a direct relationship with my clinical question as it provides a foundation based on research to my PICOT question.
Box 4.3 responses:
1-The research problem is discovering barriers and facilitators to advancing nurse practitioners in implementing their role as primary care provider. The problem statement is easy to locate in the beginning of the article and is clearly stated. Th problem statement does build a persuasive argument for future studies in that it there is always new information that could be gathered on the subject (Torrens et al., 2019).
2-The problem definitely has significance for nursing. The study uncovers issues and barriers that prevent the nurse practitioner from practicing to his/her fullest scope. Having this knowledge of potential barriers allows nurses to formulate interventions to manage these barriers and contribute to policies and education to remove the barriers (Torrens et al., 2019).
3-There is a good fit between the research problem and the paradigm used to conduct the research. The research was carried out by scoping and reviewing 54 articles pertaining to the research question. These articles all discussed various facilitators and barriers to the nurse practitioner role (Torrens et al., 2019). This research problem could easily by carried out using a qualitative approach, as well. The study could include how the facilitators and barriers effect nursing quality and healthcare cost.
4-The statement of purpose of the research article was to discover what prevents the nurse practitioner from practicing to the full scope of her ability. This information is communicated clearly in the article and placed in the introduction, so the reader does not have to search for the main point of the study (Torrens et al., 2019).
5-It seems as though the purpose statements and questions are worded appropriately for the study. The population of interest in specified. It clearly states the population of interest only includes nurse practitioners and excludes other advance practice nursing specialties such as clinical nurse specialists and midwives. I do not see any issue with the verbiage used to conduct the study. It aligns clearly with the problem statement (Torrens et al., 2019).
6-There is no formal hypothesis to the study. Data is collected by a scoping review of various research articles pertaining to the study’s goal of research. The data results are disbursed accordingly into a donut chart and percentages are given to communicate the results. A formal hypothesis is not entirely relevant to this research study because the study is based on discovering common barriers and facilitators to the role of nurse practitioners. The study did however conclude that the most common barriers for nurse practitioners are due to team factors. Further proving the importance of good quality interpersonal relationships with other healthcare personnel (Torrens et al., 2019).
7-There are no formal hypotheses to accurately respond to this question.
8-There are no formal hypotheses to accurately respond to this question.
Reference:
Torrens, C., Campbell, P., Hoskins, G., Strachan, H., Wells, P. M., Cunningham, M., … Maxwell, P. M. (2019). Barriers and facilitators to the implementation of the advanced nurse practitioner role in primary care settings: A scoping review. International Journal of Nursing Studies. https://doi.org/10.1016/j.ijnurstu.2019.103443 (Links to an external site.)
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Collapse SubdiscussionCarola Sinquefield Carola Sinquefield
YesterdayNov 20 at 10:13pmManage Discussion Entry
Hi Tabitha, I enjoyed reading your discussion board post. I agree that patients often have a negative view of the care provided by nurse practitioners and are quick to demand to see a doctor without giving the nurse practitioner a chance. However, I was able to find a study based in Canada that indicates a different point of view of nurse practitioners. Rickards et al. (2020) sought to investigate the relationship between patients experiences and the care provided by nurse practitioners. Even though, in the New Brunswick providence, care by nurse practitioners was not introduced until 2002, patients report experiencing great care provided by nurse practitioners (Rickards et al., 2020). Patients in this study go on to point out that nurse practitioners provide the same quality care as primary care doctors, often exceeding the quality of care provided by primary care doctors (Rickards et al., 2020). According to patients, nurse practitioners often were easier to access than primary care doctors, had better communication skills, and focused more on establishing a relationship with the patient (Rickards et al., 2020) This study has implications to help guide future nursing practice for nurse practitioners as the push for more nurse practitioners will only continue to rise. This gives hope that patients, in the future, will see the benefits of nurse practitioners and be more likely to seek out their care.
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Hi Tabitha, I enjoyed reading your discussion board post. I agree that patients often have a negative view of the care provided by nurse practitioners and are quick to demand to see a doctor without giving the nurse practitioner a chance. However, I was able to find a study based in Canada that indicates a different point of view of nurse practitioners. Rickards et al. (2020) sought to investigate the relationship between patients experiences and the care provided by nurse practitioners. Even though, in the New Brunswick providence, care by nurse practitioners was not introduced until 2002, patients report experiencing great care provided by nurse practitioners (Rickards et al., 2020). Patients in this study go on to point out that nurse practitioners provide the same quality care as primary care doctors, often exceeding the quality of care provided by primary care doctors (Rickards et al., 2020). According to patients, nurse practitioners often were easier to access than primary care doctors, had better communication skills, and focused more on establishing a relationship with the patient (Rickards et al., 2020) This study has implications to help guide future nursing practice for nurse practitioners as the push for more nurse practitioners will only continue to rise. This gives hope that patients, in the future, will see the benefits of nurse practitioners and be more likely to seek out their care.