Research Report Critique: Nursing and Midwifery Grants

Research Report Critique: Nursing and Midwifery Grants Citation of the article Gledhill, S., Mannix, J., MacDonald, R., Poulton, G. (2010). Nursing and midwifery research  grants: profiling the outcomes.  Australian Journal Of Advanced Nursing,28(3), 14-21. Introduction: This paper was aimed at outlining the contributions that were made in the field of health care particularly to professions of nursing, and midwifery by researchers who were granted financial support in their by The Queensland Nursing Council (QNC) Australia. This research paper is based on the findings obtained from a survey and focused on research grants awarded in the the time frame between1996 and 2010. 1. Substantive and Theoretical Dimensions relevance of research problem and significance The research problem that has been identified in this research paper is very crucial to the professions of nursing and midwifery. This research report exposes the problem of closing down of this grant program with effect from July 2010 due to the shifting of territory and state midwifery and nursing regulations into a regulatory scheme under the authority of national health profession. Moreover the author also points out at the problems lying around underfunding of the nursing research. The problems stated are thus of vital importance which the author has supported with the studies of other authors and have highlighted the need and importance of nursing funds in encouraging and stabilizing the nursing and midwifery profession in different ways such as leadership support that a successful research development provides and making significant contributions to advance the health care system. congruence between research question and methods used Given the authors’ emphasis on the outcomes of Nursing and midwifery research grants, this research is primarily survey-based and takes in responses of different nurses and midwives who have conducted or still conducting researches under such grants. Their fields of study have been taken in account and the relation of these studies to the profession of nursing, midwifery and health care. literature review Gledhill, Mannix, MacDonald and Poulton cite several previous studies as part of their literature review. The literature review that has been incorporated in the research report covers all the dimensions that the author aims to explore, starting from the barriers and obstacles in the nursing research, problems relating to the underfunding, proposed frameworks to make these systems better, sources of the funding to the benefits of nursing grants to the system of health care. 2. Methodological Dimensions research design A cross sectional electronic survey consisting of 21 items was conducted relating to the research grant outcomes. 71 former and current research funds receiver from across Australia participated in the survey. Respondents were required to evaluate the effect and advantage of the research grant on nursing and midwifery and the role they play in enhancing knowledge, education, practice, and how this funding support the professional their project. I think that the cross-sectional survey can result in responses that a high ratio of personal bias on the issue. 71 was very low response rate and I think the electronic form of the survey was one reason that limited the participants in this study. I think that another research design should also have been used for example content analysis of the research articles and publications that have been published as a result of the researches conducted with the help of such grants. population and sample Methodologically, I have concerns regarding sampling of this research report. (91.4%)of the respondents were female, while the males only comprised of 8.6% of respondents. There were Ninety three per cent (93 %) nurses in the respondents and only 7% of the midwives. There were approximately nine times as many females than males, 91.4% versus 8.6%. Coincidentally, most of the respondents were also nurses. I would have favored if the survey had engage a comparatively more equivalent number of participants on the basis of sex and the fields of profession i.e. nurses and midwives. Age groups were classified as: 20-29 years, 30-39 years, 40-49 years, 50-59 years and 60 years and older. 38% of respondents were among the 40-49 year age group followed by 29.6% from the 50-59 year age group, 19.7% were 30-39 years of age group and 12.7% of respondents were from the age group greater than 60 years. Response rate from the age group of 20-29 year was nil. This did not extend the prospects of thi s study towards young nurses and midwives or enrolled students or fresh graduates in the nursing, midwifery and health care degrees. collection of data Collection of data was well carried put considering the survey method that was used. Frequencies were calculated by means of the data analysis function of survey tool. Frequencies presented an actual count as well as the calculation of the percentage of participants individually, choosing each response category for a particular item of questionnaire. Qualitative data was examined by means of thematic analysis. Every response was independently coded, while identifying the subthemes and the clustering them into major themes. Data was collected in four spheres: demographic data, research focus and award category, impact of research grants and qualitative findings. Validity The results were quite consistent with the already done research around this topic. The result obtained from the survey showed that majority of respondents centered their research on midwifery and nursing staff. These results are in line with the literature reporting and support the ideas that most nursing research focuses on profession ‘endogenous’, rather than on patient ‘exogenous’ (Trayner et al 2001). The results also show consistency with an international comparative analysis carried out by Polit and Beck (2009). Taken from eight English journals, this analysis examined the 1,072 nursing research studies and their characteristics 2005 and 2006. The researchers used the scales consisting of a variety of settings. This could result bad for the internal validity as the participants might not have focused on completing the scale, rather they tried on completingpaperwork etc. 3. Ethical Dimensions confidentiality or anonymity The authors mentioned percentages of the respondents who have obtained different research grants, however, they did not mention that their names were known or not. Moreover, the authors have also not given any confirmation regarding disclosing the forms that they filled or keeping them confidential. informed consent The authors engaged the participants in an electronic survey which was suppose to be filled and answered by them directly. Therefore, I don’t think there is a chance of any negligence regarding the consent of the respondents. The participants engaged in the survey with their own choice knowing what it was aimed for. vulnerability of study subjects/participants We do not know that respondents were kept anonymous or not, therefore it is not certain to say that their vulnerability was compromised or not. research ethics board approval Ethical approval was obtained from the Queensland Nursing Council before conducting the research because the research was based on research grant programs administered by Queensland Nursing Council. 4. Interpretive Dimensions discussion section The researchers incorporated an extensive discussion section. It is a well structured section explaining the survey outcomes in terms of sampling and their link with the results, informing of the new techniques being used and new dimensions being explored, the limitations in the researches and the recommendations for providing more research grants in the nursing and midwifery field. The authors highlighted several explanations for their findings. The authors clarified the shortcomings that I pointed out earlier (population and sample) in their sampling in the beginning of the discussion section. They make it clear that demographics of respondents represented present demographics among the midwifery and nursing professions. The nursing profession in Australia consists of 90.4% females of which 33.0% are above 50 years of age. Most respondents were working as nurse academics or nurses than midwives and the average age was 43.5. Respondents over the age group of sixty corresponded really well, signifying that old age group researchers make valuable contributions in the knowledge body related to nursing and midwifery. The authors had also taken note of the lack of response amongst the young burses and midwives and suggest that this indicate the need of balancing a career along with personal commitments. The significance of consolidating a clinical career in young and fresh graduates was also highlighted. The frequency of randomized controlled trials technique and pre-test/post-test method carried out by respondents in this survey indicates the increasing trend towards a practice based on evidence in nursing and midwifery. This was unknown prior to this survey so it was a stepping stone in signifying the importance of increased research practices. The authors also pointed out the desire that nursing and midwifery reflect to understand experiences of patients and the health care. The authors proved the validity of the results in the discussion section explained earlier in (Validity). The discussion also point out the shortcomings that exist in the nursing and midwife research i.e. the focus on endogenous aspects such as examining what it is that midwives and nurses are doing, and how they deliver care, which should arguably be focusing on patients. They also pointed out that researched merely focused on main national health concerns which include asthma, cancer control, arthritis/musculoskeletal, cardiovascular, injury prevention, diabetes, obesity and mental health. The authors identified several benefits from funding led research including enhancing the body of knowledge, workplace efficiencies due to healthier workforce such as cost savings and better decision making attributed to up to date information. conclusion section The conclusion was well built. It adequately highlighted the aim of the research paper i.e. outlining the contributions that were made in the field of health care particularly to professions of nursing, and midwifery by researchers who were granted financial support in their by The Queensland Nursing Council (QNC) Australia. Respondents were capable of revealing the benefits of their research projects in the course of clinical practice changes, policy changes and the development of professional networks that adds significantly to the mass of research based knowledge in nursing and midwifery. Moreover, most participants were also able to publish their research findings and knowledge in various national and international journals. While highlighting the contributions of the nurse and midwifery led research, the conclusion also proposes a positive future of health care nationally and internationally through continued support for researches in nursing and midwifery to maintain the existing capacity of researchers in Australian nursing and midwifery as well as internationally. implication section I felt that recommendation section was a little vague. The recommendations presented were very general and were not explained specifically. In fact, there were a few implications that were outlined in discussion section were more elaborated such as advising to consider a close link between national health priorities and nursing and midwifery research projects to efficiently utilize the available funding and advising professional organizations of nursing and midwifery consider the overall benefits of the research grants to the health care consumers and profession. 5. Presentation and Stylistic Dimensions any missing information The survey did not include information about the effects that these nursing and midwifery had on the career of these researchers. Was it able to boost their career and gave them improved opportunities to work in better positions in health care? I think the survey also missed out on questions relating to the duration of the grants and their research. Information regarding confidentiality, anonymity and vulnerability is also missing. The percentages for response rate for any quantitative item have not been given. . clear, grammatically correct writing The writing is clear and easy to understand. The authors’ tone adds continuity in the article. The writing is somewhat grammatically correct and use simple words. well organized The research report is well structured. The information is presented in order. Research focusing questions and major themes for quantitative and qualitative data collection has been presented in tables that made the structure of the questionnaire/form easy to understand. enough detail, no jargon Jargons and technical terms have been explained for example the terms such as RCT, endogenous and exogenous were explained for the reader to understand. Limitations: The response rate was very low, of only 33%. Due to this low response rate, generalizing the results to nursing and midwifery research was a little difficult and thus a lot of support from existing literature was taken to do so. Conclusion: The research report is well structured and well organized. However, the research questions are not stated in a question form and neither any hypothesis has been proposed as such. However, the research problem has been identified effectively and has been supported with the results obtained from a survey. The results along with literature reporting were sufficient enough to fulfill the purpose of the study. However, a mixed method approach could still have been used such content analysis for a more detailed information on the subject.

Analysis of the Patient Protection and Affordable Care Act of 2010 Essa

Introduction In 2010, the United States took the first tangible step toward universal health care coverage, with the legalization of the Patient Protection and Affordable Care Act of 2010. According to the U.S. Census Bureau’s most recent report the total population of the United States is nearly 309 million people (U.S. Census Bureau, 2010). In 2009, it was estimated 49 % of the population was covered under an employer sponsored insurance plan (Kaiser Family Foundation, 2009). The same 2009 data reported an additional 29 % of the population was covered under some form of government or public program (Kaiser Family Foundation, 2009). Leaving 17 % of the U.S. population vulnerable without any form of health insurance coverage (Kaiser Family Foundation, 2009). It is this minority that the Patient Protection and Affordable Care Act of 2010 will protect. Politicians speak of the nearly 50 million uninsured Americans in generalities but who are these at-risk people; the answer is a complex one (Kaiser Family Foundation, 2011). To begin with the 80 % of the uninsured are U.S. citizens (Kaiser Family Foundation, 2011). It is estimated that 60% of the non-elderly uninsured have one or more full-time workers in the household and in a family of four the estimated family income is less than $22,050 per year (Kaiser Family Foundation, 2011). If categorized by age the largest portion of the nonelderly uninsured, according to studies, is the young adult cohort (Kaiser Family Foundation, 2011). Access One of the chief objectives of the new legislation is to provide insurance coverage for all citizens ensuring access to medical care for all and this begins with expanding the coverage for the young adult ... ...mmission on Medicade and the Uninsured: http://www.kff.org/uninsured/1420.cfm OpenCongress. (n.d.). Health Care Bill - H.R.3590: Patient Protection and Affordable Care Act - U.S. Congress - OpenCongress. Retrieved October 31, 2011, from Open Congress for the 112th United States Congress: http://www.opencongress.org/bill/111-h3590/show Sherman, P., Moscou, S., & Dang-Vu, C. (2009). The primary care crisis and health care reform. Journal of Health Care for the Poor & Underserved , 20 (4), 944-950. Starfield, B., Shi, L., & Macinko, J. (2005). Contribution of primary care to health systems and health. The Milbank Quarterly , 83 (3), 457-502. U.S. Census Bureau. (2010). American Fact Finder - Resuldts. Retrieved November 6, 2011, from U.S. Census Buereau: http.//factfinder2.census.gov/faces/tableservices/jsf/pages/productview.xhtml?pid=DEC_10_DP_DPDP1&prodType=table

Modern Distribution Channel

? WHAT IS DISTRIBUTION CHANNEL ? According to Kotler (1991: 279) distribution channel is a group company or individual who has ownership of the products or rights of ownership to help move the product or service when it is moved from producer to consumer. According to David revzan.. pathway used by the flow of goods from producers to intermediate goods and eventually into the hands of end users Manajemen distribusi berbasis teori dan praktek â€Å"david sukardi kodrat† ? 3. factor of distribution channels Producer Product intermediaries (warehouse transportation, distributor, retail) Management sytem Manajemen pemasaran kotler ? . Function of Distribution Channel Acording to Philip Kotler (1997 : 531-532), in a distribution channel, distribution channel members perform multiple functions Information Promotion Ordering Payment Title. Physical Possesion, Financing Risk Taking Kotler (1997 : 531-532) Manajemen pemasaran kotler ? 5. Modern distribution channels, is a new wayModern distribution channel to distribute goods through retail stores are modern and comfortable. provide addedproviding service and good quality goods to consumers,, value in shopping for consumers,, http://oluwabamidele. logspot. com/ & manajemen pemasaran kotler ? retail6. retail management business is covering all activities in direct sales to consumer end, for personal needs , not business.. Acording, kotler (2001;56) Manajemen pemasaran kotler ? 7. Retail retail store isstore companies whose Minimarket Supermarket primary function sells Hypermarket products to consumers Convenince store end for personal use grosir Manajemen pemasaran kotler & manajemen distribusi teori dan prakterk â€Å"david sukardi kodrat† ? aily needs implement self-service system small-sized (100m2 s / d 999m2) a modern grocery store8. Minimarket ? medium-sized (1. 000m2 s / d 4. 999m2) Have parking area full and varied products9. supermarket ? Have parking area Full facilities Have parking area full and varied products10. hypermarket ? 11. Convenience stores are retail like a mini, but moreConvenience store selling food and drinks ready meals and is open 24 hours. comfortable waiting facilities,, Convenience stores usually can be found in crowded places, gas stations, and other public spaces ? 2. wholesale Here all the items available. loading and unloading in the wholesale Have parking area 5000 m2 area cheaper price ? 13. Marketing mix Acording to Philip Kotler (1997 : 531-532), ? 14. increased consumer absorb laborpositive impact of retail stores Asosiasi perusahaan retail indonesia(Aprindo),satisfaction ? 15. threat threat to traditional marketsnegative impact of retail stores poor distribution of income in societySource: acto the micro sector nielson,appsi,kompas ? Indrajit and16.Distribution in SCM Djokopranoto According Winardi (2005) â€Å"supply chain† is a (1989:299) is the series of relationships distribution channel is an between companies or intermediate group closely activities that carry out the related to each other and distribution of supplies of distribute the products to goods or services involving the buyer. a continuous relationship of goods, money and information from the place of origin to the buyer or customer, either from upstream to downstream or otherwise ? 17.Chopra and Meindl (2001) thatthere are five main actors IN SCM SUPPLIER MANUFACTURER DISTRIBUTITOR RETAIL CUSTOMER ? is modern distribution channels18. CONCLUTION is a new way of delivering goods to consumers using intermediaries modern retail stores, including mini market, supermarket, hypermarket, grocery and convenience stores, APAKAH CHANNEL DISTRIBUSI? Menurut Kotler (1991: 279) saluran distribusi adalah perusahaan kelompok atau individu yang memiliki kepemilikan produk atau hak kepemilikan untuk membantu memindahkan produk atau jasa ketika akan dipindahkan dari produsen ke konsumen.Menurut David revzan .. jalur yang digunakan oleh arus barang dari produsen ke bar ang setengah jadi dan akhirnya ke tangan pengguna akhir Manajemen Distribusi berbasis Teori Dan praktek â€Å"david Sukardi kodrat† 3. faktor perantara (gudang Produsen Produk saluran distribusi Manajemen Sistem Manajemen pemasarantransportasi, distributor, retail) Kotler 4. Fungsi distribusi menurut Philip Kotler (1997: 531-532), dalamSaluran Distribusi saluran distribusi, distribusi anggota saluran melakukan beberapa fungsi Pembayaran Pengurutan Judul.Informasi Promosi Pembiayaan Risk Taking Kotler (1997: 531-532) Manajemen pemasaran Kotler possesion fisik, 5. Saluran saluran distribusi modern, merupakan cara barudistribusi modern untuk mendistribusikan barang melalui toko ritel modern dan nyaman. memberikan pelayanan dan kualitas barang yang baik kepada konsumen,, memberikan nilai tambah bagi konsumen dalam berbelanja,, http://oluwabamidele. blogspot. com / & Manajemen pemasaran Kotler 6. manajemen bisnis ritel yang mencakup semua kegiatan dalam penjualanritel langsung ke konsumen akhir, untuk kebutuhan pribadi, bukan bisnis ..Acording, Kotler (2001; 56) Manajemen pemasaran Kotler 7. Toko Supermarket Minimarket perusahaan yang toko ritel adalah ritel end toko Hypermarket kepada konsumen fungsi utama menjual produk grosir Manajemen pemasaran Kotlerconvenince untuk penggunaan pribadi & Manajemen Distribusi Teori Dan prakterk â€Å"david Sukardi kodrat† 8. Minimarket berukuran kecil (100m2 s / d 999m2) sebuah toko kelontong modern kebutuhan sehari-harimenerapkan self-service sistem 9. menengah (1. 000m2 s / d 4. 999m2) Memiliki area parkir penuh dan beragam produk supermarket 10.Memiliki parkir Fasilitas lengkap Memiliki area parkir produk lengkap dan bervariasi hypermarket 11. Toko-toko retail yang seperti mini, tapi lebih banyak menjual makanan makanan dan minuman siap dan buka 24 jam. Toko Fasilitas tunggu yang nyaman,, Toko-toko biasanya dapat ditemukan di tempat-tempat keramaian, pompa bensin, dan ruang publik lainnya 12. harga murah daerah 5000 m2 grosir Memiliki area parkir bongkar muat di Di sini semua item yang tersedia. grosir 13. Acording ke Philip Kotler (1997: 531-532),Bauran pemasaran 14. ampak kepuasan konsumen menyerap tenaga kerja positif dari toko ritel Asosiasi PERUSAHAAN ritel Indonesia (Aprindo),meningkat 15. dampak ancaman bagi ancaman bagi pasar tradisional negatif dari toko ritel distribusi miskin pendapatan di societySource: acsektor mikro nielson, APPSI, kompas 16. Distribusi Menurut Winardi (2005) â€Å"rantai Indrajit dan Djokopranoto di SCM pasokan† adalah (1989:299) adalah rangkaian saluran distribusi hubungan adalah antara perusahaan atau kelompok menengah erat kegiatan yang melaksanakan terkait satu sama lain dan distribusi dari pasokan mendistribusikan produk barang atau jasa yang melibatkan pembeli. ubungan berkelanjutan barang, uang dan informasi dari tempat asal ke pembeli atau pelanggan, baik dari hulu ke hilir atau sebaliknya 17. Chopra dan Meindl (2001) thatthere lima aktor utam a DALAM PRODUSEN SUPPLIER PELANGGAN SCM DISTRIBUTITOR ECERAN 18. KESIMPULAN adalah saluran distribusi modern adalah cara baru memberikan barang ke konsumen dengan menggunakan perantara toko ritel modern, termasuk mini market, supermarket, hypermarket, toko dan toko-toko,

Swami Vivekananda Quotes - 4539 Words

Swami Vivekananda’s 150 Quotes (WORTH READING..READ AS MUCH YOU CAN AND SHARE IT) 1. â€Å"You have to grow from the inside out. None can teach you, none can make you spiritual. There is no other teacher but your own soul.† 2. â€Å"Take up one idea. Make that one idea your life - think of it, dream of it, and live on that idea. Let the brain, muscles, nerves, every part of your body, be full of that idea, and just leave every other idea alone. This is the way to success that is way great spiritual giants are produced.† 3. â€Å"In a conflict between the heart and the brain, follow your heart.† 4. â€Å"When I Asked God for Strength He Gave Me Difficult Situations to Face When I Asked God for Brain amp; Brown He Gave Me Puzzles in†¦show more content†¦Ã¢â‚¬Å"Arise, awake, stop not until your goal is achieved.† 37. â€Å"Blessed are they whose bodies get destroyed in the service of others.† 38. â€Å"If a man can realize his divine nature with the help of an image, would it be right to call that a sin? Nor, even when he has passed that stage, should he call it an error. [...] man is not traveling from error to truth, but from truth to truth, from lower to higher truth. To him all the religions from the lowest fetishism to the highest absolutism, mean so many attempts of the human soul to grasp and realize the Infinite, each determined by the conditions of its birth and association, and each of these marks a stage of progress; and every soul is a young eagle soaring higher and higher, gathering more and more strength till it reaches the Glorious Sun.† 39. â€Å"The cheerful mind perseveres and the strong mind hews its way through a thousand difficulties.† 40. â€Å"The brain and muscles must develop simultaneously. Iron nerves with an intelligent brain — and the whole world is at your feet.† 41. â€Å"All the powers in the universe are already ours. It is we who have put our hands before our eyes and cry that it is dark.† 42.â€Å"The moment I have realized God sitting in the temple of every human body, the moment I stand in reverence before every human being and see God in him -Show MoreRelatedHumanistic Philosophy of Swami Vivekananda2683 Words   |  11 PagesHumanistic Philosophy of Swami Vivekananda Br. Suvimalachaitanya Introduction Swami Vivekananda was a savant and philosopher of the highest order. The Philosophy of Swami Vivekananda is a gospel of humanism, for man is the central pillar of his life and teachings. Man, manliness, man-making these were the constant mantra on his lips. It sprang forth authentically from his own realization of the Divine that existed in himself and all. He therefore raised the dignity, and worth of man to the pinnacleRead MoreSwami Vivekananda14669 Words   |  59 PagesSwami Vivekananda Swami Vivekananda (London, 1896.) | | Swami Vivekananda (Bangla: à ¦ ¸Ã  § Ã  ¦ ¬Ã  ¦ ¾Ã  ¦ ®Ã  §â‚¬ à ¦ ¬Ã  ¦ ¿Ã  ¦ ¬Ã  §â€¡Ã  ¦â€¢Ã  ¦ ¾Ã  ¦ ¨Ã  ¦ ¨Ã  § Ã  ¦ ¦, Hindi: à ¤ ¸Ã  ¥ Ã  ¤ µÃ  ¤ ¾Ã  ¤ ®Ã  ¥â‚¬ à ¤ µÃ  ¤ ¿Ã  ¤ µÃ  ¥â€¡Ã  ¤â€¢Ã  ¤ ¾Ã  ¤ ¨Ã  ¤ ¨Ã  ¥ Ã  ¤ ¦) (whose pre-monastic name was Narendranath Dutta Bangla: à ¦ ¨Ã  ¦ °Ã  §â€¡Ã  ¦ ¨Ã  § Ã  ¦ ¦Ã  § Ã  ¦ °Ã  ¦ ¨Ã  ¦ ¾Ã  ¦ ¥ à ¦ ¦Ã  ¦ ¤Ã  § Ã  ¦ ¤, Hindi: à ¤ ¨Ã  ¤ °Ã  ¥â€¡Ã  ¤ ¨Ã  ¥ Ã  ¤ ¦Ã  ¥ Ã  ¤ °Ã  ¤ ¨Ã  ¤ ¾Ã  ¤ ¥ à ¤ ¦Ã  ¤ ¤Ã  ¥ Ã  ¤ ¤) (January 12, 1863 - July 4, 1902) is considered one of the most famous and influential spiritual leaders of the Hindu religion. He was the chief disciple of Ramakrishna Paramahamsa and was the founder of Ramakrishna Math and Ramakrishna Mission. 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