Introduction

Evidence-based practice involves finding the best research evidence to support an intervention, which is integrated with patient preferences and values and professional expertise, and then implemented. Once you have searched and found relevant and timely research studies, the next step is to evaluate the quality of their methods, design, and other elements and to explore the application of the evidence they provide in different scenarios and settings. It is of paramount importance to correctly identify the type of research methods used in the study—quantitative or qualitative, or a mixture of both—and to evaluate the study to ensure those methods are high-quality, valid, reliable, and accurate. Consequently, doctoral professionals must develop a working knowledge of how to identify and critically appraise specific, important elements of both quantitative and qualitative research studies. Rapid critical appraisal tools assist in developing this skill.

Preparation

  • Review the media pieces in Weeks 1–3, focusing on the EBP process, the PICO(T) process, and the important step of critically appraising research evidence.
  • Review the following two quantitative and qualitative studies. You will describe the key elements of each study and complete a critical appraisal of each.
    • Dorleijn, D. M. J., Luijsterburg, P. A. J., Reijman, M., Kloppenburg, M., Verhaar, J. A. N., Bindels, P. J. E., . . . Bierma-Zeinstra, S. (2018). Intramuscular glucocorticoid injection versus placebo injection in hip osteoarthritis: A 12-week blinded randomised controlled trial. Annals of the Rheumatic Diseases, 77(6), 875.
    • Howson, A., Turell, W., & Roc, A. (2018). Perceived self-efficacy in B-cell non-Hodgkin lymphomas: Qualitative outcomes in patient-directed education. Health Education Journal77(4), 430–443.
  • Locate the following tools, found in Appendix B in your Evidence-based practice in nursing and healthcare textbook. You will use these tools to complete the appropriate rapid critical appraisal for each study. Choose the tool that matches the methods and design of each study.
    • Rapid Critical Appraisal Questions for Randomized Controlled Trials (RCTs), page 711.
    • Rapid Critical Appraisal Questions for Qualitative Evidence, pages 715–716.

Note: Remember that you can submit all or a portion of your completed executive summary and both general overviews and critical appraisals to Smarthinking for feedback before you submit the final version for this assignment. If you plan on using this free service, be mindful of the turnaround time of 24–48 hours for receiving feedback.

Instructions

Write a paper in which you:

  • Describe the key elements of a research study.
  • Complete a rapid critical appraisal of each study.
  • Write an executive summary that compares the two studies.
Document Format and Length

Your document should be 4–5 pages in length, including the overviews, rapid critical appraisals, and executive summary.

Supporting Evidence

Include at least two resources, other than the course textbook, to support your critical appraisals. Provide in-text citations and references in APA format for each study, the critical appraisal tools, and other resources used.

Assignment Grading

The following requirements correspond to the scoring guide criteria, so be sure to address each point. Read the performance-level descriptions in the scoring guide for each criterion to see how your work will be assessed.

  • Describe the key elements of a research study.
    • Include the study’s purpose, methods, design, results, and any other aspects of the study you think are noteworthy.
    • Consider how the study contributes to the scholarly literature.
  • Evaluate the quality of each study, using the appropriate rapid critical appraisal tool (RCA).
    • Create a table or other organized format for your answers to the questions on the RCA tool for each study.
    • What evidence supports your assertions and conclusions?
  • Compare a qualitative and quantitative study’s quality, significance, and the practical application of results (evidence) in a health care setting.
    • Consider the following questions to guide the comparison of these studies in your executive summary:
      • Which study provides the best overall evidence? What elements in the study led you to this conclusion?
      • Which study provides subjective information that could be integrated to make positive changes to services, processes, systems, or patient care?
      • What is the significance of each study’s results in a hospital setting? How do the results affect patients?
      • How could the evidence found in each study be applied in different health care settings? In the overall health care industry?
  • Support main points, assertions, arguments, or conclusions with relevant and credible evidence.

Suppose that you have two sets of data to work with. The first set is a list of all the injuries that were seen in a clinic in a month’s time. The second set contains data on the number of minutes that each patient spent in the waiting room of a doctor’s office. You can make assumptions about other information or variables that are included in each data set.

For each data set, propose your idea of how best to represent the key information. To organize your data would you choose to use a frequency table, a cumulative frequency table, or a relative frequency table? Why?

What type of graph would you use to display the organized data from each frequency distribution? What would be shown on each of the axes for each graph?

one reference require

1. (Market Structure) Define market structure. What factors are considered in determining the market structure of a particular industry?

2. (Perfect Competition Characteristics) Describe the characteristics of perfect competition.

3. (Demand Under Perfect Competition) What type of demand curve does a perfectly competitive firm face? Why?

4. (Short-Run Profit Maximization) A perfectly competitive firm has the following fixed and variable costs in the short run. The market price for the firm’s product is $150.

Output FC VC TC TR PROFIT/LOSS

0 $100 $0

1 $100 $180

2 $100 $180

3 $100 $300

4 $100 $440

5 $100 $660

6 $100 $780

 

a. Complete the table.

b. At what output rate does the firm maximize profit or minimize loss?

c. What is the firm’s marginal revenue at each positive level of output? Its average revenue?

d. What can you say about the relationship between marginal revenue and marginal cost for output rates below the profit-maximizing (or loss-minimizing) rate? For output rates above the profit-maximizing (or loss- minimizing) rate?

5. (Minimizing Loss in the Short Run) Explain the different options a firm has for minimizing losses in the short run.

 

6. (Short-Run Loss) Suppose a firm decides to shut down in the short run. What is the resulting loss?

 

 

7. (The Short-Run Firm Supply Curve) Use the following data to answer the questions below:

Q VC MC AV

1 $10

2 $16

3 $20

4 $25

5 $31

6 $38

7 $46

8 $55

9 $65

 

 

a. Calculate the marginal cost and average variable cost for each level of production.

b. How much would the firm produce if it could sell its product for $5? For $7? For $10?

c. Explain your answers.

d. Assuming that its fixed cost is $3, calculate the firm’s profit at each of the production levels determined in part (b)

 

8. (The Short-Run Firm Supply Curve) Each of the following situations could exist for a perfectly competitive firm in the short run. In each case, indicate whether the firm should produce in the short run or shut down in the short run, or whether additional information is needed to deter- mine what it should do in the short run.

a. Total cost exceeds total revenue at all output levels.

b. Variable cost exceeds total revenue at all output levels.

c. Total revenue exceeds fixed cost at all output levels.

d. Marginal revenue exceeds marginal cost at the current output level.

e. Price exceeds average total cost at all output levels.

f. Average variable cost exceeds price at all output levels.

g. Average total cost exceeds price at all output levels.

For this homework assignment, you will develop a supporting human resource (HR) plan for an organizational strategy. In a paper of three to four pages (750-1000 words) of text, offer your ideas for a promising HR assignment, development plan, and sustainment plan to support the strategy of an organization expanding to open offices in sub-Sahara Africa. Drawing from appropriate sources, develop a scenario that provides the business of the organization, identify how much expansion is taking place, and identify the countries in which the expansion is taking place.

  • A useful starting point is estimating the total number of relocating employees that can be supported in the host country.
  • Will the organization need to establish a commissary (for grocery purchases), banking and currency exchange, and limited urgent-care stations?
  • Should the organization set assignment lengths of one year or two with families? What does research say is the optimal time period?
  • If there are families, what would be the children’s school arrangements?
  • How will the employees be housed?
  • Do they need an increased housing allowance, or does the organization need to procure its own compound of apartment housing?

Your homework assignment must be at least three pages in length. You are required to use at least one outside source to support your explanation. Your homework assignment response should be formatted in accordance with APA style 7th edition

The purpose of this assignment is to conduct an interview with a representative from human resources at a local health care organization to review the role and impact of the human resources department in that organization.

Refer to the resource, “Creating Effective PowerPoint Presentations,” located in the Student Success Center, for additional guidance on completing this assignment in the appropriate style. Aim to follow the 7×7 rule, limiting 7 bullet points per slide and 7 words per bullet. The explanation and elaboration for each slide should be included in the accompanying speaker notes.

In a 12-15-slide PowerPoint presentation, address how the following elements:

  1. Identify the human resource functions (such as benefits, employee relations, and risk management) that the organization utilizes and describe how they contribute to support of the organizational structure.
  2. Identify the various human resource tools (employee handbook, job descriptions, written policies, grievance forms, etc.) in the organizational structure, how they are used, and their importance.
  3. Examine what effect the human resources processes and policies have on patient care.
  4. Identify major human resources challenges the organization has faced and how they were handled.

Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

Refer to the resource, “Creating Effective PowerPoint Presentations,” located in the Student Success Center, for additional guidance on completing this assignment in the appropriate style.

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 required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

  • Examine the strategic planning process. Imagine that your organization is planning to build a pediatric clinic in your local community. Review the pediatric clinics in your neighborhood.
    • Determine one external and one internal factor that you should consider in the strategic planning of your clinic.
    • Determine three reasons why strategic plans fail. Recommend a strategy to overcome each of the reasons you identified and include concepts from readings throughout your program or from peer-reviewed journal articles.
  • Be sure to respond to at least one of your classmates’ posts.

  • The emergence of technology has changed health care delivery over the last twenty years. Imagine that your clinic proposed adding telemedicine as a health care delivery method.
  • Outline the specific steps you would take when conducting an analysis to determine the costs and implementations of this addition.
  • Design a strategic vision that illustrates how your clinic can implement a telemedicine initiative within three years, and decide whether this would be cost-effective for your clinic. Include concepts from readings throughout your program or from peer-reviewed journal articles

  • What are some internal and external barriers to the health care organization’s mission, vision, and values?
  • Why is it important to understand and be able to articulate these characteristics about an organization you want to work for?

Assignment Instructions

Write a one-page paper (not to exceed 250 words). You will be graded on the following:

  • Quality of your response.
  • Coherence and organization.
  • Mechanics.

From readings in the textbook or peer-reviewed journal articles, analyze Michael Porter’s technique for a competitive analysis.

  • Determine one factor for each of Porter’s five forces of an environmental analysis that would apply to a health care organization.
  • Compare and contrast the answers to a competitor of the pediatric health care organization that you chose in the Week 2 research assignment.

  • Imagine that you are applying for a position in one of the agencies you reviewed during your preparation for this discussion. Describe the agency and the specific role for which you are applying and the challenges you see the agency facing. (Management roles could be figurehead, leader, monitor, disseminator, entrepreneur, disturbance handler, resource allocator, or negotiator.)

USE CITE TO SELECT AND AGENCY : https://www.usa.gov/agencies

  • Explain 2–3 reasons you would be of value to the agency in meeting those challenges.