...Planning and Design Analysis of a Qualitative Research Study NUR/443 Evidence-Based Nursing Research and Practice Planning and Design Analysis of a Qualitative Research Introduction A qualitative research is a “systematic, subjective approach used to describe life experiences and give them meaning” (Burns & Grove, 2011). With this type of research, the data are collected through interviews, focus groups, observations, and review of documents. Thus, qualitative research uses words instead of numbers. This paper is going to analyze the planning and design of a qualitative research paper titled: Patient’s experience of pain and pain relief following hip replacement surgery, published in the Journal of Clinical Nursing on October, 2010. Research questions Although the research question or questions are not clearly labeled in the study, the research questions were as follows: 1) How do patients describe their experience with pain after hip replacement surgery?, 2) How do patients describe their pain relief following hip replacement surgery?, 3) How does pain affect patients after hip replacement surgery? Problem A research problem is “an area of concern in which there is a gap in the knowledge base needed for nursing practice” (Burns & Grove, 2011). In this research, it was identified that many patients undergo hip replacement every year and previous research has focused largely on the long-term effects of pain for these patients but not so much on their subjective...
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...catheter in patients with hip fracture Critical Appraisal In this quantitative research article, the authors have dealt with one of the most common clinical problem i.e. clamping of urinary catheter after hip surgery. Hip surgery is very common among the people of old age group especially above 75 years. Further, older women are more susceptible to hip fracture and commonly undergo hip injury (Johansson & Christensson, 2010). Bladder catheterization is a common clinical practice in surgeries. It helpful in monitoring urine output in patients. However, it is also associated with one of the major clinical problems, i.e. operative urinary retention (POUR). It can be defined as the inability of a patient to pass urine in spite of full bladder (Baldini, Bagry, Aprikian, & Carli, 2009). It is has been reported that patient of hip surgery are at higher risk of urinary retention (Balderi & Carli, 2010; Johansson & Christensson, 2010; Singh et al., 2010). In the case of hip replacement the incidence of POUR has been reported to be between 12- 84%. Similarly, in case of hip fracture the prevalence of POUR is 18% to 56% (Borghi et al., 2004; Oishi et al., 1995). The most effective intervention reported till date for reducing the risk of urinary retention is clamping of urinary catheter. The main objective of this paper was to investigate the efficacy of clamping of urinary catheter through randomized controlled trial in patients undergone hip surgery for fracture. Title:...
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.............................................................................. 6 NOKIA MARKETING STRATEGY............................................................................................... 7 INDUSTRY TRENDS.................................................................................................................... 10 KEY D ECISIONS FACING NOKIA ..................................................................................................... 12 RECOMMENDATIONS............................................................................................................... 13 RESIST COMMODITIZATION ........................................................................................................... 13 FOCUS ON REPLACEMENT M ARKET...
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...Medical Tourism Medical Tourism Introduction Medical tourism is the act of traveling to other countries to obtain medical, dental or cosmetic care. Medical tourism is a new term but thousands of years old act. People have been traveling across the continents in search of cures for any imaginable illnesses and making therapeutic trips for health wellness. In ancient Greece, pilgrims and patients came from all over the Mediterranean to the sanctuary of the healing god, Asklepios at Epidaurus, and from the 18th century wealthy Europeans have been traveling to spas from Germany to the Nile. In recent years, medical tourism is becoming more popular with patients seeking treatment for health and well-being purposes abroad. Medical Tourism is also known as Medical Travel, Health Tourism, Surgical Tourism, Health Travel, Treatment Abroad, Surgeries Abroad, and Medical Outsourcing. Medical Tourism Concerns Though many are eager to be the right pieces in the puzzle, many are still struggling to get the right fit. There are a number of concerns and risk factors for patients getting treatment much less seeking them abroad. Some concerns for patients include a consistent quality of care, lack of extensive dialog between the patient and the doctor, lack of post-op follow up, cultural differences and difficulty in obtaining sufficient insurance coverage. In order to mitigate the risk, it’s essential that the patient works with well reputed facilitators. Medical Tourism Accreditation ...
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...27 References.......................................................................................................…...30 Abstract Medical tourism, where patients travel overseas for operations, has grown rapidly in the past decade. High costs and long waiting lists at home, new technology and skills in destination countries alongside reduced transport costs and Internet marketing have all played a role. With the best infrastructure and medical facilities, comparable with any of the western countries, accompanied with the most competitive prices, treatment can be done in India at the lowest charges. The research suggests that India represents the most potential as a medical tourism market in the world. This paper seeks to provide a first assessment of this emerging phenomenon and then will examine, using the research, whether medical tourism will be a profitable business venture for Medscape India Inc. in New Delhi, India. Medscape will form an alliance with Apollo Hospitals and will be in operation early...
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...27 References.......................................................................................................…...30 Abstract Medical tourism, where patients travel overseas for operations, has grown rapidly in the past decade. High costs and long waiting lists at home, new technology and skills in destination countries alongside reduced transport costs and Internet marketing have all played a role. With the best infrastructure and medical facilities, comparable with any of the western countries, accompanied with the most competitive prices, treatment can be done in India at the lowest charges. The research suggests that India represents the most potential as a medical tourism market in the world. This paper seeks to provide a first assessment of this emerging phenomenon and then will examine, using the research, whether medical tourism will be a profitable business venture for Medscape India Inc. in New Delhi, India. Medscape will form an alliance with Apollo Hospitals and will be in operation early 2009. Medscape...
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...Marketing Plan Derick Tungpalan Rowena Mae Pambid Desiree Lorenzo Marc Ascen Dumaoal OJ Nieto Executive Summary Now a day, there lot of things we do daily, the reason why people get stress and lead to low productivity. Everyone feels stressed at times. They are stress when they work continuously without having a break. Just to rid of it, the Klismos Company offers TheraPro Relaxation Chair which is very essential to professional and athletes. They TheraPro lessen the stress of people they got from their work. It is convenient for a person to have it because they no longer go to massage center. They can enjoy the TheraPro Relaxation Chair inside of their house. The TheraPro relaxation chair is robotic massage chair that is able to relieve pain and stress from the body. Klismos decided to engage to market a product that guarantees a satisfactory performance of TheraPro relaxation chair. The TheraPro relaxation chair can accommodate up to 285 pounds user weight, and 5” to 6.4” approximately user height and approximately 120 to 165 degrees from floor level continuos motion. The TheraPro relaxation chair have 3 levels of kneading speed, 3 levels of tapping speed, 3 levels of roller width, one full cycle of up/down speed and back stroke range. The accessories will be power cord, T-shaped wrench, thin and thick buffer pad, child safety lock keys, device holder and remote control. The TheraPro relaxation chair covers more area, 1200 square inches. And has 16 pre-programmed massage...
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...in 1910. He took the view that it would be foolish for a single practitioner to assume he or she had sufficient knowledge of medicine. He maintained that it is in the best interest of the patient to have practitioners join forces and coordinate care (Mayo Foundation for Medical Education and Research [MFMER], n.d.-a.) Patients realized the benefits of a team of medical experts, so patients travelled long distances for diagnosis and treatment. The Mayo Clinic website states that the "group practice concept that the Mayo family originated has influenced the structure and function of medical practice throughout the world" (MFMER, n.d.-b). According to the website, the Mayo Clinic has grown from three physicians (father and two sons) to over 55,000 staff at locations in the Midwest, Arizona, and Florida. The Mayo Clinic is most famous for its implementation of an "integrated, multi-specialty, group practice" (MFMER, n.d.-c). Mayo Clinic Community Service Reflects Mission and Values According to the Mayo Foundation for Medical Education and Research (n.d.), Mayo Clinic's mission is to "provide the best care to every patient through integrated clinical practice, education and research." The Mayo Clinic's values involve positive and forward looking statements regarding respect, compassion, integrity, healing, teamwork, excellence, innovation, and stewardship (MFMER, n.d.-d). The Mayo brothers set the precedent for their future staff in visiting other hospitals around the world...
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...provide their patients with high-quality care and decreases health care cost. The purpose of this paper is to describe why readmissions from nursing homes (NHs) is a nurse practice problem, nurse practice changes to reduce hospitalizations in NHs, evidence found in the nursing literature that supports the change in nursing practice and how to evaluate the change in practice after implementation of interventions. The Problem Residents in NHs continue to experience potentially avoidable 30-day readmissions to hospitals. Rahman, Foster, Grabowski, Zinn, & Mor (2013) define 30-day readmissions as when the resident is readmitted to the hospital within 30 days of being discharged from the hospital to NHs and avoidable readmissions as conditions that can be managed safely and efficiently in NHs instead of the resident being transferred to the hospital (p. 1901) There are more than 1.6 million Americans living in NHs in the United States and 23.5% of these Americans experience readmission to the hospital within 30 days of discharges and cost more than $17.4 billion per year in unnecessary health care cost (Ouslander & Berenson, 2011, p. 1165). The residents that are at an increased risk of readmission to hospitals from NHs have a diagnosis of congestive heart failure (CHF), pneumonia, myocardial infarction (MI), chronic obstructive pulmonary disease (COPD), or total hip and knee replacements (Kripalani, Theobald,...
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...Vivian Dawkins, PhD, RN, NEA-BC February 11, 2015 Philosophy of Nursing Nursing philosophy is an examination of personal truths as they relate to clinical practice. They encompass values, principles, and assumptions held by an individual. Personal nursing philosophies are shaped by the nurse’s education, clinical experiences, cultural, and even spiritual beliefs. My personal nursing philosophy centers on patient empowerment. It is the belief that patients should be in control of their own care and that can only be achieved when patients internalize their need for self-change (McCarley, 2009). I belief in helping the patient be an advocate for themselves. Nurses should be providing a holistic approach while providing care. In this paper we will explore my assumptions and the concepts that not only define my philosophy, but shape my practice. I have found in my practice that we are not only treating patients, but their families, and the communities in which they dwell. For example, a 43 year old male patient comes into the clinic for a sick visit. His social history states that he works at a major airport and is married with two small children at home. The medical history includes hyperlipidemia, but otherwise he’s healthy. After assessing the patient, he is diagnosed with Influenza A. My job is to educate him on his symptom management and how he can prevent spreading influenza to his family and co-workers. So what do patients, families, and communities need? They need health...
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...Akshata Makkaru kd7643, HCA 6200-02 April 22, 2015 Important trends in the Hospital Industry The objective of this paper is to discuss certain emerging trends in the hospital industry and their impact on the U. S health care system. The focus will be on Big Data, Re-admissions reduction program, and Tele Health services which have brought significant reforms in the U.S health care system. Big Data in Hospital industry: Large amount of data is produced in the healthcare industry and most of the data is stored in hard copy form. The current trend is towards the digitization of these enormous troves of data. Report says that the data from the U.S. healthcare system alone has reached,150 exabytes in the year 2011. Kaiser Permanente, the California-based health care network which has more than 9 million members is believed to have between 26 and 44 petabytes of potentially rich data from electronic health records, including images and annotations. By definition, big data in healthcare refers to electronic health data sets are so large and complex that they neither possible to manage with traditional software and/or hardware nor can they be easily managed with traditional or common data management tools and methods. Now, most of the patient data is compiled electronically because it is...
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...------------------------------------------------- Table of Contents 1. Executive Summary 3 2. Company Description 4 2.1. Company Overview: 4 2.2. Vision: 4 2.3. Mission: 5 2.4. Competitive Advantage 5 2.5. Challenges 5 3. Services Overview 6 3.1. Services: 6 3.2. Benefits and Features: 6 4. Marketing Plan 8 4.1. Market Analysis: 8 4.1.1. Market Description 8 4.1.2. Market Size 8 4.1.3. Market Growth: 10 4.1.4. Market Gap: 11 4.1.5. Target Market 11 4.1.6. Regulations: 12 4.1.7. Porters Five Analysis: 13 4.1.8. Competitive Analysis: 15 4.1.9. SWOT Analysis: 18 4.2. Marketing Strategy 21 4.2.1 Value Proposition 21 4.2.2 Branding 21 4.2.3 Marketing Strategies 22 4.2.4 Business Strategy 22 4.3. Marketing Mix: 22 4.3.1 Product Strategy: 22 4.3.2 Pricing Strategy: 23 4.3.3 Place Strategy 24 4.3.4 Promotion Strategy: 24 4.3.5 Marketing Strategy Summary: 28 5. Operational Plan 29 5.1. Personnel Plan 29 5.2. Organizational Hierarchy 30 5.3. Management Strength 31 ------------------------------------------------- List of Tables and figures Table 1: Target Market 11 Table 2: Competitive Analysis 14 Table 3: Personnel Plan 28 Figure 1: Market share of US Apparel Market 2007 9 Figure 2: Growth of Children Clothing Market in US ($ bn) 10 Figure 3: Potential Growth of US Children Clothing Market ($ bn) 10 Figure 4: Value Proposition 20 Figure 5: Organizational Hierarchy...
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...world so they can live better and healthier lives. We are deeply committed and dedicated to the people who use our products, our employees, the communities in which we live and work, and you, our shareholders. Most important, we will never lose sight of who we are. ON tHE COVER Matt Cox, who has type 1 diabetes and uses the waterproof ANIMAS® VIBE™ insulin pump, swam an English Channel relay to raise money for the Juvenile Diabetes Research Foundation. Matt wants to show his son, Jack, who also has type 1 diabetes, that the condition need not hold him back in life. Read Matt’s story on page 16. CHAIRMAN’S LETTER To Our Shareholders hroughout our annual report this year, you’ll read the severe economic decline; the tightening of consumer about how Johnson & Johnson is bringing meaningful spending and health care budgets; over-the-counter (OTC) innovation to our patients and customers, and making product quality issues at McNeil Consumer Healthcare and a difference in their lives in a personal way—from the recall of the DePuy ASR™ Hip System. Brunhilde Wecker, who made a full recovery from her stroke Our company was severely tested. thanks to our new blood clot retrieval and removal device, In managing through this stretch, we relied heavily on the resolve to our own Bill Hait, an oncologist whose vision and insights of our people and on our time-tested business model: our broad helped accelerate the approval of a wholly new treatment for base in health care, our decentralized...
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...MBA Consulting Project Customer Loyalty as a Function of Brand Penetration Growth Arguably, generating customer loyalty is a prerequisite for effective ad campaigns. Frederick Reichheld claimed in the 1980s that by increasing customer retention by 5%, profitability would increase from 25% to 85%. Since then, profitability has actually increased 25% to 100%. Subaru used a multi-platform marketing campaign which included online and offline elements as well as a customer relationship management scheme, with personalized direct communications According to Andrew Ehrenberg's "double jeopardy rule", small brands are said to be "doubly jeopardized" because they have fewer buyers who are less loyal to the brand, while large brands tend to "benefit twice" as a result of higher market penetration, increased buying frequency and customer loyalty. Brands looking to increase customer loyalty should focus on increasing penetration, since loyalty follows as a logical consequence of brand penetration ." Consumer loyalty can also be increased by creative marketing campaigns that generate buzz and stimulate word-of-mouth. As opposed to simply looking at attitudinal loyalty, it is important to observe price sensitivity as a measure of consumer commitment to a brand. Multi-media campaigns are an effective way to stimulate market share, thereby increasing brand loyalty. An important part of any marketing mix is the use of television advertising, which repeatedly demonstrates it's superiority...
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...THE AUSTRALIAN HEALTH CARE SYSTEM: THE POTENTIAL FOR EFFICIENCY GAINS A REVIEW OF THE LITERATURE Background paper prepared for the National Health and Hospitals Reform Commission June 2009 This paper was prepared at the Commission’s request by staff of the secretariat to the Commission. The lead author was Emily Hurley. Ian McRae Ian Bigg Liz Stackhouse Anne-Marie Boxall and Peter Broadhead provided some input and commented on drafts. This is a paper prepared as background for the NHHRC. The views and findings expressed in it should not be taken to be the views of the NHHRC or of the Australian Government. 2 TABLE OF CONTENTS Introduction ....................................................................................................4 International overview of efficiency .............................................................4 Health status – due to more than the health care system ............................7 An Australian focus ......................................................................................8 Summary ......................................................................................................8 A framework for efficiency............................................................................9 Operational Efficiency .................................................................................10 Health sub-sectors .....................................................................................11 Hospitals...........
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