Discussion: Healthcare Research and Design Research Proposal

Discussion: Healthcare Research and Design Research Proposal ORDER NOW FOR CUSTOMIZED AND ORIGINAL ESSAY PAPERS ON Discussion: Healthcare Research and Design Research Proposal Hey tutor-AR, I got another Assignment related to the previous one which you worked with me ? Wanna work work with me again? Discussion: Healthcare Research and Design Research Proposal If you agree, I’ll give you 50 dollars for this one if that’s ok with you. And I will give you about 5 days to complete it. I need both a research proposal paper and a presentation power point. If you agree, let me know Research Proposal Using what we have learned thus far in class in conjunction with your Lit Review (7 article critiques), you will create a Research Proposal that lays the foundation for a possible research study that you would envision as being as flawless as possible.You may include an Abstract overview of your proposal on the first page and then much more detail in the following pages of the proposal.Consider the following information as you create your Research Proposal: Discussion: Healthcare Research and Design Research Proposal Give a significant background about your topic.Tell me about the issue at hand.Provide statistical background information to strengthen the need for this research.Next, discuss the possible “solution” or what is being testing and strengthen your argument for why you decided to use this specific item as your method of measurement/testing/etc. For example:My project was about smoking cessation using a medication most commonly used for depression.Provide background concerning smoking:risks, stats, why, who, etc.Provide background on medication used:risks, benefits, why it was chosen, who would normally take it and why, etc. Include a hypothesis where you feel it is appropriate Use the MAARIE framework that we have covered in the past two months to develop your Methodology – covered in your introduction strengthening your argument Assignment – what processes to you plan to use to assign your participants and what tools/concepts are you using to avoid the inhibitors to research that we have identified Assessment – How are you going to assess/measure progress in your study on your participants?Remember to minimize error, bias, etc. Results – what do you anticipate to mathematically find in your research?Go in to detail, if possible, on what type of data you hope to collect and how you will analyze it. Interpretation – what do you expect to find, based on your Lit Review and what you would say to sell your research proposal Extrapolation – this will be quite brief, but a good opportunity to conclude your proposal by explaining the benefits of your proposed research, etc. You will be using your Lit Review as your blueprint for what is considering possible, ethical and positive for your topic.Additionally, this will be your guide as to what you feel is possible to improve on for developing a brand new study by eliminating any negative findings or flaws in the literature you have researched. Remember, I will essentially be critiquing your research proposal to determine your grade.After you are done writing it – read it and have the same questioning attitude you did when you performed your original Lit Review several weeks ago.If you feel uneasy or have specific questions you need answered, then you might need to go back and reword some of your proposal. Present your topic with a power point presentation slide. The slides must be related to the same paper assignment research_proposal_information.docx literature_review.docx Research Proposal Using what we have learned thus far in class in conjunction with your Lit Review (7 article critiques), you will create a Research Proposal that lays the foundation for a possible research study that you would envision as being as flawless as possible. You may include an Abstract overview of your proposal on the first page and then much more detail in the following pages of the proposal. Consider the following information as you create your Research Proposal: • • • • • • Give a significant background about your topic. Tell me about the issue at hand. Provide statistical background information to strengthen the need for this research. Next, discuss the possible “solution” or what is being testing and strengthen your argument for why you decided to use this specific item as your method of measurement/testing/etc. o For example: My project was about smoking cessation using a medication most commonly used for depression. Provide background concerning smoking: risks, stats, why, who, etc. Provide background on medication used: risks, benefits, why it was chosen, who would normally take it and why, etc. Include a hypothesis where you feel it is appropriate Use the MAARIE framework that we have covered in the past two months to develop your o Methodology – covered in your introduction strengthening your argument o Assignment – what processes to you plan to use to assign your participants and what tools/concepts are you using to avoid the inhibitors to research that we have identified o Assessment – How are you going to assess/measure progress in your study on your participants? Remember to minimize error, bias, etc. Discussion: Healthcare Research and Design Research Proposal o Results – what do you anticipate to mathematically find in your research? Go in to detail, if possible, on what type of data you hope to collect and how you will analyze it. o Interpretation – what do you expect to find, based on your Lit Review and what you would say to sell your research proposal o Extrapolation – this will be quite brief, but a good opportunity to conclude your proposal by explaining the benefits of your proposed research, etc. You will be using your Lit Review as your blueprint for what is considering possible, ethical and positive for your topic. Additionally, this will be your guide as to what you feel is possible to improve on for developing a brand new study by eliminating any negative findings or flaws in the literature you have researched. Remember, I will essentially be critiquing your research proposal to determine your grade. After you are done writing it – read it and have the same questioning attitude you did when you performed your original Lit Review several weeks ago. If you feel uneasy or have specific questions you need answered, then you might need to go back and reword some of your proposal. Present your topic with a power point presentation slide. The slides must be related to the same paper assignment 1 Running Head: Literature Review Subject _______________________ Professor _______________________ Name ______________________ Literature Review 2 Article Critique 1 Understanding and preventing wrong-patient electronic orders: a randomized controlled trial Introduction What was the purpose of the study? To assess frameworks for evaluating and forestalling incorrectly persistent electronic requests in electronic doctor request passage frameworks using a two-stage study. This purpose is sufficiently backed by the fact that up to 70 000 US physicians utilize computerized provider order entry (CPOE) frameworks in orders placement. This means that the exposure to errors is significantly high raising the need/purpose of the study. List any objectives, questions or hypotheses. The hypothesis of this study was that occasionally off-base patient orders are perceived by the physician ordering soon after confirmation of passage, speedily withdrawn, and afterward reemerged on the right patient. As such, any retraction after 2 hours of ordering is perceived as a near miss hence a potential error that could have occurred. However, the objectives of the study are not clearly stated. Discussion: Healthcare Research and Design Research Proposal I would suggest a clear statement of objectives to be in line with the relevant international patient safety goal of ensuring that patients are correctly identified. What are the independent and dependent variables contained within the study? The dependent variable in the study is wrong patient electronic orders while the independent one is the interventions to contain the errors made by physicians in the course of duty. The two variables are measures in phase I and II of the study respectively. Does the hypothesis or research question flow logically from the framework of the article? Yes. The hypothesis flows logically from the article’s framework given that the variables from the hypothesis are evaluated accordingly in each phase of the study. Phase I evaluates the presentation of the withdraw and-reorder estimation instrument while phase II evaluates the efficiency of interventions to mitigate the errors. It is therefore easier to understand the article from the beginning in the objective statement part. Lit Review and Ethics Does the content of the literature review relate directly to the research problem? The study lacks a designated section for the literature review as it flows from the introduction part to methods where Phases I and II of the study are presented. Some Literature Review 3 literature is however presented in the background part regarding the available statistics on wrong patient orders. It relates directly to the research problem. I would propose an addition of an intensive literature review about the problem to further understand it and create need for the current research by identifying the gaps in various studies. Was the study approved by the appropriate IRB or similar ethics review committee? The study was approved by the Montefiore Medical Center institutional review board. This increases its reliability and credibility. Did the study identify the risks/benefits of the study? The study does not identify any risks nor benefits. The benefits are however implied through reading the whole study and understanding the value it adds.Discussion: Healthcare Research and Design Research Proposal I am of the view that the study should have identified any of these to avoid assumptions by the reader. If the study did not provide the risks/benefits, what might they be? The major benefit of the study is that it brings to light a methodology that physicians can use to identify the true number and value of errors that are likely to be made. This will further prevent or rather significantly minimize wrong patient orders by physicians. There are no significant risks of the study especially to human life as it does not experiment using human beings. Were appropriate informed consent procedures used with all participants? The necessity for assent was deferred by the institutional review board. However, the study group assignments were made known simply after all evaluations were finished Research Design Is the research design appropriate for the problem being studied? In my view, the design is appropriate for the problem being studied because it appropriately handles the study in two phases, yielding the appropriate data for statistical analysis. The two phases are explained clearly regarding how data was collected and the intention for which the specific data was collected. It is a case study of the Montefiore Medical Center that is comprised of three general and one youngsters’ emergency clinic and 1500 inpatient beds. How were confounding variables controlled? The study had no confounding variables. The variables of the study are identified earlier enough in the study and flow logically throughout the research design to the end. Literature Review 4 Are the sampling inclusion and exclusion criteria described? Yes. It has clearly been mentioned where the study data was collected alongside the data collection criterion. Since this was a case study design, the case was just mentioned before a description of how data was collected was given alongside the number of providers who were interviewed. Discussion: Healthcare Research and Design Research Proposal What is the sample size? The sample size consisted of 236 suppliers distinguished by the computerized withdraw and-reorder estimation device. Affectability examination was utilized to test a few mixes of time to withdrawal and time to reorder, and exhibited comparable positive prescient qualities. Was a power analysis done to indicate the number needed to be in the study to demonstrate statistical significance? No. A power analysis was not done to indicate the number needed to be in the study to demonstrate statistical significance. I would therefore recommend a power analysis to justify the number of providers that were interviewed while also reinforcing statistical significance. Data Collection What categories of data collection methods were used? (self-report, scales, observational, biophysiological) Information was gathered a wide range of ways. Meetings, self-report surveys and estimations. Phone interviews were more like a confirmatory tool. Identify the specific instrument(s) used to measure the dependent variable(s)? The ‘retract-and-reorder’ measurement tool was used to measure wrong patient orders. These were those that were retracted within 10 minutes after order placement. What is the reliability of the data collection methods used? Discuss each measure of the dependent variable(s). The data collection methods used can be considered to have been reliable because they were backed up by phone interviews two times per day. This acts as a confirmation of the results as had been earlier recorded by the ‘retract-and-reorder’ measurement tool Data Analysis Literature Review 5 How were the data analyzed? (What statistical tests were used) Data analysis was quite simple. From the total number of wrong orders, the retract and reorder events were obtained, and then the retract-and-reorder events per 100 000 orders. Lastly, the wrong-patient orders per 100 000 orders were calculated. The percentage reduction was compared with a control group at the 95% confidence level. There was no statistical model used. Discussion: Healthcare Research and Design Research Proposal What type of data was analyzed? (nominal, ordinal, interval, ratio, etc.) The data type analyzed was interval. This is basically the number of wrongly placed orders. Are the analyses interpreted correctly? Yes. The analyses are interpreted correctly. One reading through the analysis is able to clearly understand it even without a statistics background. What were the findings? While a 41% error decrease is huge, the ID-reemergence neglected to wipe out totally all withdraw and-reorder occasions. This might be expected somewhat to certain suppliers obliviously reemerging patients’ initials, sexual orientation and age without cautiously confirming character. Moreover, 23.8% of withdraw and-reorder occasions didn’t speak to wrong-understanding mistakes, and in this way were definitely not prone to be affected by the ID-reemergence work. Were the findings significant? Yes. The results were significant at 95% confidence level. Specifically, the 41% error reduction was established as being statistically significant. It is therefore reliable to say that the proposed interventions are effective. Interpretation, Discussion (Evaluation) What are the study limitations? One of the limitations I identified include the lack of a comprehensive literature review to further understand the research problem. I would also suggest an added section for the study limitations. How do the results fit with previous research in the area? Literature Review 6 The results are related to those by Wilcox et al that discovered a pace of 51 for each 100 000 electronic notes set up in an inappropriate patient account. The current study established that an expected 58 for every 100 000 electronic requests were put on an inappropriate patient. What is the overall quality of the study when the strengths and weaknesses are summarized? In my view, the overall quality is good. Despite failure to include a literature review, the results, analysis and findings are explained clearly and can be understood with minimum statistical background or knowledge. What does the research mean for clinical practice? This research has made significant contributions to contemporary clinical practice in terms of providing and proving ways through which wrong patient electronic orders can be prevented. Discussion: Healthcare Research and Design Research Proposal Article Critique 2 Health-related quality-of-life assessments and patient-physician communication: a randomized controlled trial Introduction What was the purpose of the study? The study aims to assess the efficiency of standardized HRQL evaluations. This purpose is basic and is presented early in the article. List any objectives, questions, or hypotheses. The hypothesis of the study involves the leading HRQL evaluations that could facilitate the frequency of the consultations discussed during HRQL assessments. This hypothesis is relatively broad, and it would have considered focusing on precise outcomes instead of attempting to address all outcomes. What are the independent and dependent variables contained within the study? A precise dependent variable is not present in the study as a leading outcome, primarily due to the broad hypothesis. However, through considering the methodologies that were used, it is evident that the independent variables included measurable outcomes, while the significant dependent variable is participants that took part in the exercise. Does the hypothesis or research question flow logically from the framework of the article? Literature Review 7 The hypothesis of the study does flow logically from the article’s framework, considering that it was also presented at the beginning of the article, however, if it would be much easier to determine areas that need improvement if the hypothesis is specific rather than general and would address comparison issues. Lit Review and Ethics Does the content of the literature review relate directly to the research problem? The introduction of the study considers several other studies that directly link with this study; thus, it demonstrates that cited sources link to the problem that the research addresses. Was the study approved by the appropriate IRB or similar ethics review committee? The study does not mention being approved by either the Institutional Review Board or any other similar ethics review committee. Did the study identify the risks/benefits of the study? A significant benefit presented by the study is that it would provide physicians with crucial strategies to enhance the frequency of the use of HRQL. If the study did not provide the risks/benefits, what might they be? One risk that could be evident in the study might include issues that are linked to physical activity. This is due to the fact that most of the patients might not be physically fit to take part in the study, which could lead to them experiencing fatigue and other medical conditions. One benefit of the study could include improving the efficiency of HRQL by physicians. Were appropriate informed consent procedures used with all participants? All the 214 patients and ten physicians that took part in the study did sign a consent form before engaging in the study. Research Design Is the research design appropriate for the problem being studied? Discussion: Healthcare Research and Design Research Proposal The study utilized crossover, randomized, and longitudinal design as the major research deigns to ensure practical results. Therefore, it outlined all the data collection methodologies and processes, which illustrates that the research design was effective for addressing the problem. How were confounding variables controlled? Literature Review 8 Confounding variables tend to obscure the outcome of the stud. In this study, confounding variables are controlled by focusing on randomization, whose primary aim is distributing confounders randomly in the study groups. Are the sampling inclusion and exclusion criteria described? The sampling exclusion and inclusion are partially described in the study because there were minimum criteria for them. What is the sample size? The study included 224 participants comprising of 214 patients who were undergoing palliative chemotherapy and ten physicians. This sample size was selected by considering the overall ratio of patients to physicians in most health facilities in the country currently. Was a power analysis done to indicate the number needed to be in the study to demonstrate statistical significance? Power analysis was undertaken to enroll all the participants that took part at baseline in all the study locations. This was a conservative methodology that allowed the study to ensure that the researchers still had the desired number of participants. Data Collection What categories of data collection methods were used? (self-report, scales, observational, biophysiological) The study used several data collection methods, including interviews, questionnaires and self-report measurements, personal assessment reports. This allowed the study to come up with practical outcomes that favor both the physicians and the patients. Identify the specific instrument(s) used to measure the dependent variable(s)? The dependent variable was relatively small, which was either taking part in the HRQL physical program or not. The measurement involved understanding if a given participant is either in the study group or controlled group. What is the reliability of the data collection methods used? Discuss each measure of the dependent variable(s). All the intermediate and main outcomes are reliable. This makes it more reliable since the study was performed in a single location, thus making the outcome of the study to be reproducible in the setting of the study. Discussion: Healthcare Research and Design Research Proposal This makes the measurements of the study accurate. Literature Review 9 Data Analysis How were the data analyzed? (What statistical tests were used) Data were analyzed by first making a comparison of participants that left before completing the study with those that remained. The random-intercept model was then utilized to ensure that data is not lost randomly. The relationships between the significant variables were then analyzed by using Cohen D since the study involved a large sample size. The formula used in the study is d = M1 – M2 / spooled. What type of data was analyzed? (Nominal, ordinal, interval, ratio, etc.) Ordinal data, particularly discrete data, was mainly analyzed in the study. Discrete data is analyzed since it could be evaluated with relatively less possible values. Cohen D was also used in this data set to provide the relationship in two different variables. Are the analyses interpreted correctly? The analysis of the data in the study is interpreted correctly since it is evident that all missing data is controlled. Also, the analyses are interpreted correctly since the data collecting methods were effective, leading to interpreting the relationship of the data and results effectively. What were the findings? The fundamental finding of the study is that an increased percentage of patients with severe and moderate health concerns are more than those in the control group. As a result, every physician and close to 87% of patients concluded that the intervention was essential since it facilitated communication and provided motivation for continued use. Were the findings significant? The Cohen D threshold determined that most of the findings were significant, with an essential finding being that including standardized HRQL assessments in healthcare will increase the awareness of the physicians in understanding the patients’ HRQL. Interpretation, Discussion (Evaluation) What are the study limitations? One limitation of the study was that even though the patient sample was relatively large, the sample of the physician was limited. Another limitation is that the use of cro … Get a 10 % discount on an order above $ 100 Use the following coupon code : NURSING10

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