Thursday, May 14, 2020
Case Study Warm Winter - 2003 Words
ââ¬Å"WARM WINTERâ⬠Kyle LeJeune April 12, 2015 Rutgers University Agency Information (Background Capability) Since 2009, Coming Home of Middlesex County has worked tirelessly within and directly with the community creating a true system to end homelessness. Through funding from Middlesex County, NJ, The United Way and Robert Wood Johnson Foundation, this organization has been able to establish a solid footing in combatting homelessness. As administrators of the Homeless Management Information System (HMIS) for the county, our agency restructured its system to a client-based, needs-based system of services. It is because of this, in conjunction with our agencyââ¬â¢s coordination of the countyââ¬â¢s Point-In-Time (PIT) survey that we haveâ⬠¦show more contentâ⬠¦Those collaborations along with our deep relationships with the community are what have made us such a strong organization. Our agency is striving to create self-sustaining environments for all the homeless individuals and families within Middlesex County. Our long-term goal is to eliminate homelessness altogether. Programs and Services: o Homeless case management provider to the Countyââ¬â¢s Homeless Hotline o Direct case management services to those entering the system through the 211 hotline o Provide limited funding for temporary placement o Limited financial assistance for permanent housing o Housing First Campaign Organizational Structure: Coming Home is comprised of 18 board members, 5 full-time employees: â⬠¢ Eileen Oââ¬â¢Donnell (Executive Director) - B.A in Psychology, Masters in Public Policy, J.D. from Rutgers School of Law, and is currently pursuing her M.S.W. â⬠¢ Ruth Cruz (Case Manager for the Homeless Hotline)- B.A. in Sociology â⬠¢ Bobbin Paskell (Assistant Director of Systems) - M.S.W., L.S.W. â⬠¢ Meriam Shenoda (Executive Assistant/Fundraising Manager)- Bachelorââ¬â¢s in Commerce Accounting â⬠¢ Christopher DeGiulio (Assistant Director of Programs) Also, 1-2 interns per college semester and 15 regular volunteers Need/Problem (Need, Goals, Objectives) While the process of accessing affordable housing is not an overnight process and moving into an
Wednesday, May 6, 2020
Symptoms And Treatment Of Schizophrenia - 1504 Words
Schizophrenia is a disorder that affects about 1% of the population at some point (Durand Barlow, 2016). Patients with schizophrenia have a less than average life expectancy due to the fact that they are more likely to be involved in accidents and suicide (Durand Barolow, 2016). In a case study, a man named Jim qualified for schizophrenia due to his very evident suffering from delusions and hallucinations. As such, it is important to develop a thorough recommendation treatments for Jim to ensure improvement. A potential treatment of schizophrenia for Jim is having him attend a mindfulness-based psychoeducation group program. A study for this treatment showed improvement in patientsââ¬â¢ level of functioning, amount of psychotic symptoms,â⬠¦show more contentâ⬠¦On the other hand, a patient who is hallucinating might hear, see, feel, or smell things that are not there. Most commonly, patients might hear someone whispering to them, but they may not even see anyone there. Neg ative symptoms would be feelings or behaviors that have been taken away (American Psychiatric Association, 2013). This might mean that the patient is losing interest in life, lacking emotion, or have lost the will to complete basic life activities such as bathing. Schizophrenia is often misrepresented as someone with extreme delusions and hallucinations. Unfortunately, for schizophrenic patients, it is the negative symptoms that cause the major impairments in life. Jim comes from an Argentinian family with five brothers in sisters. Jimââ¬â¢s first began to show signs of schizophrenia in high school. Jim had always been a good student, but his life took a turn when his father had a heart attack. This put his father in critical condition so Jimââ¬â¢s grades began to slip because he spent most of his time worrying and praying for his fatherââ¬â¢s recovery. Over time, his father did recover and Jim was convinced his prayers had healing power; this was his first experience with a delusion. Jim began to believe he could influence peopleââ¬â¢s actions with his mind with his ââ¬Å"God-likeâ⬠powers. Jimââ¬â¢s negative symptoms also are causing damage his life. He skips many of his classes when he entered college, avoids socialShow MoreRelatedSymptoms And Treatment Of Schizophrenia Essay937 Words à |à 4 PagesIntroduction Per MentalHelp.net, schizophrenia is rare with approximately one-percent of the worldwide population and 1.2 percent of the population of the United States suffering from the disease as of 2009. Accurate statistics are difficult to obtain because many sufferers do not seek help. Symptoms typically ââ¬â but not always ââ¬â present in teen years with different peak times for females and males. Females have two peak times of vulnerability ââ¬â mid- to late twenties and again around 40 ââ¬â whereasRead MoreSymptoms And Treatment Of Schizophrenia1108 Words à |à 5 PagesSchizophrenia What is schizophrenia? Schizophrenia is a psychiatric disorder characterized by hallucinations, delusions, disorganized thought, cognitive impairment, and mood symptoms. Hallucinations may include hearing voices (auditory hallucinations) or seeing people (visual hallucinations) that are not actually present. Patient also often have ââ¬Å"negativeâ⬠findings such as decreased energy, flat affect, and a lack of interest. These symptoms must typically be present for at least 6 months andRead MoreSymptoms And Treatment Of Schizophrenia1060 Words à |à 5 PagesIntroduction Schizophrenia is a well-known emotional and mental disorder that causes hallucinations, and paranoid and delusional behaviour (Hoffer, 2004). In contrast to many other diseases, schizophrenia is mostly due to genetics and influenced by the environment. People who suffer from this disorder usually cannot differentiate from the imaginative world from the real one. Schizophrenia is often a result of stress and develops gradually (DeLisi, 2011). It is therefore, essential to start earlyRead MoreSymptoms And Treatment Of Schizophrenia1238 Words à |à 5 Pagesdiagnosed with them. Although there are many neurological diseases, schizophrenia is one of them. Schizophrenia is one of the more known disorders in the psychological world. Throughout this paper the following questions are answered: what is schizophrenia, what are the causes of schizophrenia, what are some of the types of schizophrenia, and what are the treatment options for those who are diagnosed with schizophrenia? Schizophrenia is a disabling disorder and is chronic and severe to those thatRead MoreSymptoms And Treatments Of Schizophrenia1205 Words à |à 5 PagesSchizophrenia Roughly 2.5 Million Americans have been diagnosed with a chronical brain disorder known as Schizophrenia. Most people believe schizophrenia causes people to have split personalities, but thatââ¬â¢s not the case. The illness called Schizophrenia causes a person to hallucinate, hear voices that others canââ¬â¢t hear, make people believe that they are being watched, and the belief somebody is out to harm them. (Mental Health America 2015) In this paper I will write about the prevalence, whatRead MoreSymptoms And Treatment Of Schizophrenia1011 Words à |à 5 PagesSchizophrenia is a mental disorder that consists of hallucinations, delusions, disorganized speech and thought. ââ¬Å"Schizoâ⬠if Greek for Split while ââ¬Å"phreneâ⬠means mind; schizophrenia literally translates to split mind (Burton, 2012). Why is schizophrenia considered to be split minded? According to Khouzam, 2012 split mind is used to describe the disruption within the thought process Schizophrenia i s a mental disorder that has subcategories that include paranoia, catatonia, disorganized, residual andRead MoreSymptoms, And Treatment Of Schizophrenia1413 Words à |à 6 PagesOverview, Symptoms, and Treatment for Schizophrenia Schizophrenia is a mental disorder that is affecting peopleââ¬â¢s lives every day. There isnââ¬â¢t a cure for this disorder and it is lifelong. Schizophrenia can affect a personââ¬â¢s thoughts, emotions, and actions. People with this disorder can have a hard time figuring out what is real and what isnââ¬â¢t real. A common side effect to schizophrenia is hallucinations and delusions. Another common side effect is social withdrawal, which means that they avoid socialRead MoreSymptoms And Treatment Of Schizophrenia843 Words à |à 4 PagesPeople who suffered from schizophrenia were once mistaken to be ââ¬Å"dangerousâ⬠and untreatable. For this reason, they were often institutionalized and removed from society (DiRocco). The causes of this mental psychotic disorder has been much more understood over the past decade resulting in the possibility for people with schizophrenia to live more average lives. Development of treatments, such as medication and various forms of psychotherapies, have been effective in treating symptoms and common comorbidRead MoreSymptoms And Treatment Of Schizophrenia1058 Words à |à 5 PagesSchizophrenia is defined as ââ¬Å"a brain disorder that affects the way a person behaves, thinks, and sees the world.â⬠(Melinda Smith, Jeanne Segal). Schizophrenia is treatable but incurable, and is present in one percent of the general population. Some people with schizophrenia can function normally without the help of medicines, while others must rely on medications. The disorder can also get so severe that an individual may need to be hospitalized or worse. The measures needed to treat schizophreniaRead MoreSymptoms And Treatment Of Schizophrenia1545 Words à |à 7 PagesSchizophrenia, according to the Diagnostic and Statistical Manual of Mental Disorders (DSM), is a psychotic disorder that is characterized by delusions, hallucinations, disorganized speech and behaviour, and other symptoms that cause social or occupati onal dysfunction (American Psychiatric Association [APA], 2013). The symptoms of schizophrenia invade every aspect of a person: the way someone thinks, feels, and behaves; which implicates their interpersonal and working relationships. Individuals suffering
Tuesday, May 5, 2020
Rigor Research Validity in Qualitative â⬠MyAssignmenthelp.com
Question: Discuss about the Qualitative Rigor Research Validity in Qualitative. Answer: Introduction Antenatal counseling remains a key component for clinical care for expectant mothers, especially for primi gravida mothers. Antenatal psychological distress is estimated to be high worldwide. The prevalence ranges from 8% to 30%, depending on a countrys social cultural determinants. Statistics for developed countries stand at 18% with a higher percentage in developing countries(Satyanarayana,2011).Antenatal counseling, also prenatal counseling is a care the seeks to grow understanding of maternal care to mothers. This maternal care covers the care during and after the pregnancy. Primi gravida mothers by definition are mothers who are carrying their first pregnancy, meaning that they are often deficient of critical maternal care. The situation is especially wanting where the primi gravida mothers develop stress or anxiety for various reasons in the course of the pregnancy. Medical practitioners involved often advocate for non-invasive testing and counseling. In addition to these routine tastings and counseling, the World Health Organization(WHO)recommends information be accorded to pregnant mothers on health needs of the pregnant woman,nutrition,emergency preparedness, danger sign recognition and preventive home practices. Also included is advice that promotes mother and child health during and after birth. Management of stress in primi gravida mothers often amounts to anxiety and depression. It is the most common mental disorder during pregnancy, often relating to psychosocial and clinical factors (Ayele et al.2016). Maternal depression and anxiety form the greatest number of complications reported during pregnancy (Thomas et al.2014).It is noted that primi gravida mothers are adversely affected by this stressful state in relation to emotional wellbeing, her relationship with the child and the larger family. The child is also affected in various ways such as emotionally, potential disability and cognitive and behavioral development challenges (Thomas et al.2014). Over time, communication provide in antenatal counseling has shown positive impact towards improving stress conditions among primi gravida mothers. However,information studies indicate that in developing countries, information provided in antenatal counseling is inadequate.Actually,patients in these countries perceive antenatal counseling as poor and of limited communication (Jennings et al.2010).This findings explain the increasing need for antenatal counseling for primi gravida mothers all over the world. This study will examine whether antenatal counselling reduce the stress in primi gravida mothers during pregnancy. As previously, noted, effective antenatal counseling remains unpopular in developing countries as compared to developed countries where it has greatly improved maternal understanding and general health practices especially among primi gravida mothers (Jennings et al.2010). According to Satyanarayana (2011), cases of psychological distress are more in developing countries than in developed countries. Moreover, a few studies have investigated the effectiveness Antenatal counseling for stressed primi gravida mothers in the Australian context only to find that quality of antenatal counseling is wanting since counseling varies and there are no comprehensive national guidelines on antenatal care (Hunt and Lumley 2002). The aim of this study is to examine the effectiveness of antenatal care in reducing stress among primi gravida mothers in Australia. Research Question The main research question is, Does Antenatal Counselling Reduce the Stress in Primi Gravida Mothers During Pregnancy? The study will seek to address the following objectives: To determine the perceptions of primi gravida mothers on antenatal counseling. To determine the actual experiences in antenatal counseling for primi gravida mothers dealing with stress during pregnancy and their recommendations. To determine the nature and quality of support given to stressed primi gravida mothers during pregnancy. This being a qualitative investigation, the researcher will not endeavor to formulate and test a research hypothesis. Since the purpose of the research is to investigate whether antenatal counseling helps to reduce stress among pregnant primi gravida mothers. The researcher does not have prior knowledge of the feelings and experiences of stressed and pregnant primi gravida mothers in Australia, hence it is not possible to formulate meaningful hypothesis for testing. For the purpose of clinical practice, the researcher is interested in subjective experiences of stressed primi gravida mothers in antenatal counseling. Hypothesis testing requires numerical variables, which fail to address and reflect on the nature of the research as a nursing practice. Consequently, the use of the qualitative approach provides the researcher with the opportunity to have a broader perspective where the research goes through the entire research process, and then begins to narrow down to the themes and trends in the study that then guide the formulation of hypothesis (Blankenship, 2010). The hypothesis for the proposed study will be formulated at the end following a process of data collection and analysis. For the purpose of this investigation, the researcher shall employ the grounded theory to generate hypothesis from the data, findings and responses received from the study participants. According to Corbin and Strauss (1990) grounded theory enables researchers to begin an investigation without the need of formulating a testable hypothesis and generate the hypothesis or theories as they emerge from the data, findings and participant responses. Grounded theory uses two principles, namely, questioning instead of measuring and using theoretical coding to generate hypothesis (Corbin Strauss, 1990). There are different approaches for achieving the purpose of the proposed study. A research approach is important in determining the size of the research sample, the data that is relevant and appropriate to the study, and the relevant methods for collecting, analyzing and presenting the data and research findings (Caulley, 2007). Qualitative research allows the research to incorporate inspirations, motives, meanings, attitudes, values, beliefs, and human perspective in investigating the social reality and daily life experiences of people (Holloway and Galvin, 2016). Moreover, the qualitative design allows the researcher to investigate subjects, cases, phenomenon in their real and natural environment and settings thus generating appropriate meaning and insights from the experiences of the participants. With qualitative research design, the researcher is able to use different methodologies, approaches and methods of data collection, analysis and presentation. This allows the researcher to achieve flexibility, freedom and adaptability while investigating the research question and attaining the purpose of the study (Marshall and Rossman, 2011). The qualitative research approach is therefore appropriate, relevant and important in providing an understanding on whether antenatal counseling helps to reduce stress in pregnant primi gravida mothers in Australia, and the support accorded to these mothers. This study will adopt a qualitative research design with semi-structured interviews. The use of semi-structured interviews offers the researcher flexibility and balance of the open-ended interviews and highly structured ethnographic research (Bernard and Bernard, 2012). Research Design The researcher will employ the explorative research design to investigate the purpose and objectives of the study. The explorative design is deemed appropriate when collecting primary research data, gaining insights and familiarity with the topic under investigation. It will be important for the researcher to be familiar with the experience of mothers during pregnancy and the role of prenatal counseling in reducing pain. By using the exploratory design, the researcher will be able to understand the ideas, theoretical foundations and assumptions guiding the study under investigations. Hence, the exploratory design is appropriate, and relevant to the proposed study. Semi-structured interviews are effective when analyzing, developing and refining a research question. It is also useful when researcher is seeking to uncover descriptive data concerning the experiences of the research participants. Using semi-structured interviews enables the research to move from a general topic to specific variables and factors in the study (Galletta, 2013). Moreover, semi-structured interviews offer the researcher an opportunity to identify and describe existing relationships and develop theoretical background for further research. Semi-structured interviews enable the research to examine and explore the lived experiences of research participants (Galletta, 2013). Study population shall comprise specifically primi gravida mothers who experienced stress and anxiety during their pregnancy, and attended antenatal counseling at Renmark Paringa District Hospital Inc.Ral Ral Ave, Renmark, Australia between December 2016 and April 2017. Sampling allows the researcher to select participants from the entire population for the purpose of the study (Privitera, 2013). A good sampling technique enables the researcher to identify a representative sample from the population that aids in attaining the purpose of the study while remaining cost-effective and appropriate to the available resources, both people, time and money (Privitera, 2013). This study will use purposive sampling technique. Purposive sampling is one of the non-probability techniques useful for conducting qualitative studies and enables the researcher to gain a deeper understanding of the problem, phenomenon or issues under investigation. The researcher deliberately makes choices and selections of the research participants based on the predetermined qualities that they have (Tongco, 2007). The researcher determines the information he/she wants to collect and goes out to identify and select people who are able and willing to provide the desired information based on their personal experiences and knowledge (Tongco, 2007). The purposive sampling technique would be very effective in achieving the purpose of the proposed study. Inclusion and Exclusion Criteria The sample for this study will be drawn only from primi gravida mothers who attended antenatal counseling and has stressful pregnancy period for the period December 2016-April 2017.For the mothers to be eligible to participate in the research, they will be required to demonstrate a recent memory of their experience. Moreover, the mother should be able to speak and understand English. The researcher will conduct sampling until the right participants and the required sample size has been attained. For the purpose of the research, given the limited time and financial resources, the researcher shall target to recruit a sample size of n=20 primi gravida mothers going through stressful pregnancy period and who met the above stated inclusion and exclusion criteria. The researcher will contact all the primi gravida mothers in the sample identified and request for their participation in the proposed study. Informed consent is critical to ensuring attainment of the research objectives while safeguarding and protecting the interests of the participants in the study (Shrivastava, Shrivastava and Ramasamy, 2015). Therefore, the researcher will inform the mothers on the nature and importance of the study. The mothers shall be granted an opportunity to accept or reject the invitation to partake in the study. Their decision will be reached without force, or undue influence. The researcher will identify the names of those who agree to participate in the study and further educate them on the purpose of the study, nature of activities they would be involved and the use of the information and results generated from the investigation. They will be expected to read, understand and sign an informed consent sheet, which will be assessed by the Ethics Committee for accuracy, completeness and relevance for the proposed study. This particular study will use both primary and secondary data to attain its purpose and objectives. Secondary data shall comprise books, journals and other scholarly publications that the researcher will use to establish the context, theoretical background, explain the concepts, refine the research topic and identify gaps in the existing literature on the topic for future research (Rabianski, 2004). The qualitative design offers variety regarding the methods of collecting primary data for the purpose of the study.Primary data collection will use different methods, including face-to-face interviews, primary and secondary data, case studies, observations and discussions within focused groups (Rabianski, 2004). The choice of the preferred method depends on the objective and purpose of the investigation and the kind of data that the researcher seeks to collect (Rabianski, 2004). For the purpose of the proposed investigation, primary data will be collected through face-to-face interviews conducted by the researcher over a period of 4 months. Face to face interviews provides an opportunity for the researcher to ensure the completeness of the semi-structured interviews, ask other emerging or probing questions and observe the non-verbal cues from the participants to compliment their stated feelings, perceptions and experiences concerning the research question (DiCicco?Bloom and Crabtree, 2006). All the interviews will be conducted in English language. The interview shall comprise asking mothers with participants to describe their experiences while going through the antenatal counscelling and to offer recommendations where necessary. The researcher will use probing questions to guide the primi gravida mothers in delving deeper and offering more information and detail concerning the effectiveness of the antenatal counseling in reducing their stress. The researcher will use instruments such as notebooks and electronic recorders to document and preserve the interviews for reviewing later during the data analysis phase. At the end of the interviewing process the researcher will recap and summarize every key point provided by the mothers, and then verify where necessary to determine the correctness and accuracy of the data collected. Data analysis phase will then follow. Data Analysis Data analysis is critical to understanding the collected data, and deriving relevant findings, conclusions and recommendations. After completing all the interviews, the researcher will listen to the recorded tapes and engage in verbatim transcription of the recorded interviews. An independent observer will be used to check the content of the recorded tapes and compare it with the non-verbal behavior noted during the interviews. The researcher and independent observer shall engage in careful reading and re-reading of the transcripts to establish actual meanings and trends emerging from the data, and the non-verbal cues observed among the research participants. Following Morse (1994) framework, line-by-line reading of the narrative will be conducted and the arising text divided into categories. This shall comprise level 1 coding where unique words or codes will be assigned to every category to convey specific meaning of the category (Graneheim and Lundman, 2004). The level 2 coding shall involve grouping all the coded data to common meaning, generating categories and subthemes from the information (Graneheim and Lundman, 2004). Level 3 coding will include grouping the subthemes together to achieve emerging trends or themes constituting the Basic Social Psychological Process (Graneheim and Lundman, 2004). Three independent coders and assessors will review the entire coding process, the codes assigned and categories formulated in order to determine the trustworthiness, validity and accuracy of the codes and ensure easier and effective interpretations of the information and findings gleaned from the study. Rigor, Reliability and Validity Unlike quantitative studies, it is very challenging to establish rigor in qualitative investigations because of the subjective nature of information and data collected. Although reliability and validity are research concepts commonly utilized in quantitative investigations, they also have a role in qualitative studies, especially while designing, analyzing data and ensuring the overall quality of the study (Patton, 1990). Researcher use concepts of credibility, comfirmability, dependability and transferability to assess rigor qualitative studies (Lincoln and Guba,1985). Credibility relates to providing findings that are convincing and believable. Transferability entails the ease of application of research findings across other context that share similarities with the research setting. Dependability is a feature that entails the findings from a study almost similar to other studies conducted on the topic. Confirmability is a test where an independent reviewer or auditor finds similar findings as the lead researcher. Trustworthiness is a critical measure of reliability in qualitative studies (Seale, 1999). Lincoln and Guba (1985) further note that the measure of trustworthiness replaces validity and reliability measures while conducting qualitative research. Research rigor or trustworthiness is achieved through researchers attention and confirmation of information gathered to represent the actual experiences of the participants (Thomas and Magilvy, 2011). For the purpose of the proposed study, the researcher will use four criteria proposed in Gubas framework to establish the trustworthiness of the qualitative investigation. Lincoln and Guba (1985) identified credibility, transferability, dependability and confirmability as important measures of trustworthiness. Credibility will be attained by tape recording the interviews, conducting participants debriefing, member checks and comparing notes and summaries with the participants to verify their experiences. The researcher will assess transferability by sharing the findings with an independent colleague to offer constructive critique and sharing the findings from nurses and mothers that did not participate in the study. An independent reviewer will also check the findings, analysis, interpretations and the recommendations to confirm that they are supported by the available data. The researcher will assess dependability by using a more experienced independent person to check and review the coding and analysis process. Finally, confirmability will be achieved by using the actual words of the participants to explain and describe their experiences plus recommendations concerning antenatal counseling for stressed and pregnanat primi gravida mothers. While conducting an investigation, the researcher has ethical obligations to ensure and protect the rights of the participants (Munhall, 2012). It will be important to establish trust between the researcher and the participants. Hence, ethical considerations will be very important in the proposed study. Three ethical considerations will be utilized while conducting the study. Firstly, before conducting the study, the researcher will seek informed consent and written approval from the university ethics committee (Munhall, 2012). Permission will also be sought from the Management of the hospital where the study will be conducted. Finally, informed consent will be sought from mothers, who will participate in the actual study. Secondly, the researcher will ensure confidentiality and anonymity by using codes instead of the actual names of the participants to avoid divulging personal information to the public (Munhall, 2012). Lastly, the participants will be informed of their right to with draw from the study at any given point without any punishment. Like any other research, this study will experience a few challenges that will affect the quality of the research findings and applications to the general population. The collection and analysis of qualitative data is time consuming, and expensive, which will hinder the researcher from exploring a larger sample size (Anderson, 2010). The use of a small sample size reduces credibility and reliability of the research findings, which will create a problem in generalizing the findings to the entire study population (Taylor, Bogdan and DeVault, 2015). This being a qualitative research, it is very difficult to assess rigor through reliability and validity tests, forcing the researcher to use trustworthiness measure (Green and Thorogood, 2013). Conclusion In conclusion, this paper has presented a proposal for investigating possibility reducing stress for pregnant primi gravida mothers through antenatal counseling in Australia. This research proposal is significant to my overall academic performance since it will culminate into an academic enquiry that is relevant and appropriate for my program. There being no specific guidelines of antenatal care for primi gravida and other mothers in Australia, there is little or no information concerning the experiences of mothers going through stress, anxiety or depression in the nursing practice. The literature of this study will contribute to a body of literature on the subject and topic by identifying existing research gaps, and developing knowledge, recommendations, and research based evidence concerning the experiences of stressed and expectant primi gravida mothers. Upcoming primi gravida mothers, Management, nurses and counsellors, caregivers and future students will find this study very rel evant to nursing. Nurses and counsellors will understand how to best support, and provide adequate information to pregnant primi gravida mothers who experience stress. References Anderson, C., 2010. Presenting and evaluating qualitative research.American journal of pharmaceutical education,74(8), p.141- 145 Ayele, T.A., Azale, T., Alemu, K., Abdissa, Z., Mulat, H. and Fekadu, A., 2016. Prevalence and Associated Factors of Antenatal Depression among Women Attending Antenatal Care Service at Gondar University Hospital, Northwest Ethiopia.PloS one,11(5), p.e0155125 Bernard, H.R. and Bernard, H.R., 2012.Social research methods: Qualitative and quantitative approaches. Sage. Blankenship, D., 2010.Applied research and evaluation methods in recreation. Human Kinetics. Blencowe, H., Cousens, S., Chou, D., Oestergaard, M., Say, L., Moller, A.B., Kinney, M. and Lawn, J., 2013. Born too soon: the global epidemiology of 15 million preterm births.Reproductive health,10(1), p.S2. Caulley, D.N., 2007. Qualitative research for Management education: An introduction to theories and methods.Qualitative Research Journal,7(2), pp.106-108. Charpak, N., Gabriel Ruiz, J., Zupan, J., Cattaneo, A., Figueroa, Z., Tessier, R., Cristo, M., Anderson, G., Ludington, S., Mendoza, S. and Mokhachane, M., 2005. Kangaroo mother care: 25 years after.Acta Paediatrica,94(5), pp.514-522. Chen, A., Tenhunen, H., Torkki, P., Heinonen, S., Lillrank, P. and Stefanovic, V., 2017. Considering medical risk information and communicating values: A mixed-method study of womens choice in prenatal testing.PloS one,12(3), p.e0173669. Corbin, J.M. and Strauss, A., 1990. Grounded theory research: Procedures, canons, and evaluative criteria.Qualitative sociology,13(1), pp.3-21. de Alencar, A.E.M.A., Arraes, L.C., de Albuquerque, E.C. and Alves, J.G.B., 2009. Effect of kangaroo mother care on postpartum depression.Journal of tropical pediatrics,55(1), pp.36-38. DiCicco?Bloom, B. and Crabtree, B.F., 2006. The qualitative research interview.Medical education,40(4), pp.314-321. Eichel, P., 2001. Kangaroo care: expanding our practice to critically ill neonates.Newborn and Infant Nursing Reviews,1(4), pp.224-228. Galletta, A., 2013.Mastering the semi-structured interview and beyond: From research design to analysis and publication. NYU Press. Gogna, N.K., Smiley, M., Walker, A.C. and Fullerton, P., 1986. Low birthweight and mortality in Australian Aboriginal babies at the Royal Darwin Hospital: a 15 year study.Journal of Paediatrics and Child Health,22(4), pp.281-284. Graneheim, U.H. and Lundman, B., 2004. Qualitative content analysis in nursing research: concepts, procedures and measures to achieve trustworthiness.Nurse education today,24(2), pp.105-112. Green, J. and Thorogood, N., 2013.Qualitative methods for health research. Sage. Heinemann, A.B., Hellstrm?Westas, L. and Hedberg Nyqvist, K., 2013. Factors affecting parents' presence with their extremely preterm infants in a neonatal intensive care room.Acta Paediatrica,102(7), pp.695-702. Holloway, I. and Galvin, K., 2016.Qualitative research in nursing and healthcare. John Wiley Sons. Hunt, J.M. and Lumley, J., 2002. Are recommendations about routine antenatal care in Australia consistent and evidence-based?.Medical Journal of Australia,176(6), pp.255-259. Jennings, L., Yebadokpo, A.S., Affo, J. and Agbogbe, M., 2010. Antenatal counseling in maternal and newborn care: use of job aids to improve health worker performance and maternal understanding in Benin.BMC pregnancy and childbirth,10(1), p.75-85 Lawn, J.E., Mwansa-Kambafwile, J., Horta, B.L., Barros, F.C. and Cousens, S., 2010. Kangaroo mother careto prevent neonatal deaths due to preterm birth complications.International journal of epidemiology,39(suppl 1), pp.i144-i154. Guba, E.G. and Lincoln, Y.S., 1985. Naturalistic inquiry (Vol. 75).Beverly Hills, CA: Sage. Marshall, C. and Rossman, G.B., 2011.Designing qualitative research. Sage publications. Morse, J.M., 1994. Emerging from the data: the cognitive process of analysis in qualitative enquiry. IN: Morse, JM.Critical Issues in Qualitative Research Methods. Munhall, P.L., 2012.Nursing research. Jones Bartlett Learning Patton, M.Q., 1990.Qualitative evaluation and research methods. SAGE Publications, inc Privitera, G.J., 2013.Research methods for the behavioral sciences. Sage Publications Rabianski, J., 2004. Primary and secondary data: concepts, concerns, errors and issues.Australian Property Journal,38(4), p.306-313 Rebouch, R., 2015. Non-invasive testing, non-invasive counseling. Journal of Law, Medicine Ethics, 2, p. 228-240 Seale, C., 1999. Quality in qualitative research.Qualitative inquiry,5(4), pp.465-478 Shrivastava, S.R., Shrivastava, P. and Ramasamy, J., 2015. Informed consent in clinical research.CHRISMED Journal of Health and Research,2(2), p.183-185 Taylor, S.J., Bogdan, R. and DeVault, M., 2015.Introduction to qualitative research methods: A guidebook and resource. John Wiley Sons Thomas, E. and Magilvy, J.K., 2011. Qualitative rigor or research validity in qualitative research.Journal for specialists in pediatric nursing,16(2), pp.151-155 Thomas, N., Komiti, A. and Judd, F., 2014. Pilot early intervention antenatal group program for pregnant women with anxiety and depression.Archives of women's mental health,17(6), pp.503-509. Tongco, M.D.C., 2007. Purposive sampling as a tool for informant selection.Ethnobotany Research and applications,5, pp.147-158 World Health Organization, 2003.Kangaroo mother care: A practical guide. World Health Organization.
Friday, April 10, 2020
Y2k Bug Essays - Calendars, Software Bugs, COBOL, Hazards
Y2k Bug David Eggleston Review of Literature 2/24/99 Teri Ferguson Y2K Bug The turn of the century is rapidly approaching. This should be a time of high hopes for the future; the United States has advanced in all sorts of technology. The United States has advanced a great deal with computers, which are able to automate many difficult jobs, calculate extravagant equations, and make life easier for most people. The computer is an amazing tool allowing the United States to excel in the world. But, computers can also be the loadstone of the United States in the year 2000. The computer bug commonly known as Y2K can cause this. Y2K will cause a computer's date registry to read ?00? in which the computer will interpret ?1900?. Many people have their own opinions about how this will effect the United States and to what degree it will be effected, if the United States will be effected at all. A writer for Time Magazine states that there are wide ranges of people that are being effected in different ways by the Y2K problem. The author describes how many people are preparing for the worst and that some of those people believe that the Biblical Armageddon will arrive in the year 2000. It was stated that the Y2K problem is just another thing to keep people entertained. This was described by how the movie industry moved from spy movies such as ?James Bond? at the end of the cold war to more sci-fi movies such as ?Godzilla? because there was no real world problem. The purpose of this article is to simply point out that there is an actual problem with the Y2K phenomenon in order to make people aware that there are dangers even if it is just in the form of doomsayers. These points of the author are strong enough and realistic enough to make the problem known to the people but does not display any idea one way or the other. A marketing organization known as Arial Marketing posted a contingency plan on the internet that gives a view that there is going to be a strong enough problem with Y2K that one must prepare for it. This argument is supported by a few quotes from officials and high-ranking people in their respective fields. Arial Marketing made this posting slanting toward the fact that there will definitely be a problem with Y2K. Arial Marketing has even posted bad and a worst case preparation table. The purpose of this site is to tell people that their will be a Y2K problem and that in order to help people prepare for a situation Eggleston 2 two. This opinion is a strong one that is well presented and cautious with the quotes from many people backing it up. In ?The Year 2000 Problem: The Year the Earth Stands Still? Written by a one Gary North, Gary North clearly argues his own opinion about the Y2K problem. He really does not support his case by any facts other than his strong determination to make sure that everyone knows his point of view. The point of view that he tends to support is one of terrible visions of the absolute worst case scenario of the Y2K problem. He does not have any other kind of opinion of anything less and is quite sure of the idea that the world will crash because of the Y2K problem. The purpose of this article is to display Gary North's opinion of the Y2K problem in order to get people to prepare for the worst. The argument that Gary North has presented is a weak one for he has only state opinionated facts and has not supported this argument with any hard evidence. In just under a year the year 2000 will arrive with many hopes but it will also arrive with a Y2K bug. This bug will definitely effect some things, and maybe effect major things. The only thing that the people can do is simply prepare for the worst and hope for the best. Many organizations and even the government of the United States are working and hacking at this problem. Many organizations are making headway and will be ready to great the new millennium; others will most
Tuesday, March 10, 2020
Free Essays on The Meaning Of Greatness
Greatness can de defined in many ways, however to be truly great you simply need acceptance. Bernard Malamudââ¬â¢s main character in The Assistant Morris Bober exemplifies this humble greatness while refuting mislead ideals of pompous greatness. Camusââ¬â¢ The Myth of Sisyphus mirrors Morrisââ¬â¢ ideal of greatness through the silent acceptance of oneââ¬â¢s destiny. Morris lives a very simple, bleak like. He gets up at the same time every morning, sells the same products to the same customers, takes the same breaks, does the same chores, worries about the same bills from the same store and his family every single day. Nothing has changed much. However despondent a life Morris lives however, he never fails to help out those who are worse off than him. ââ¬Å"He found a penciled spot on the worn counter, near the cash register, and wrote the sum under ââ¬â¢Drunk Womnenââ¬â¢. The new total now came to $2.03â⬠¦Ã¢â¬ ( Malamud, 2). Even when Frank confesses to holding Morris up, he reveals that, ââ¬Å"This I already know, you donââ¬â¢t tell me nothing new.â⬠(Malamud, 188). Morris found his greatness through his acceptance of his humble life much like Sisyphus from Camusââ¬â¢ The Myth of Sisy phus. ââ¬Å"At each of those moments when he leaves the heights and gradually sinks toward the lairs of the gods, he is superior to his fate. He is stronger than his rock.â⬠(Camus, 230). Only through accepting oneââ¬â¢s fate humbly with understanding like Morris and Sisyphus can one become ââ¬Å"stronger than his rockâ⬠. It is evident in Morrisââ¬â¢ demeanor that not only does he hold Camusââ¬â¢ ideals among greatness, but that he openly refutes Carlyeââ¬â¢s ideals as well. Carlyeââ¬â¢s On Heroes and Hero-Worship blatantly contrasts Morris Boberââ¬â¢s views on greatness with its ideals that greatness is rooted in recognition and distinguishment. Carlye believes that ââ¬Å"One comfort is that Great Men, taken up in any way are profitable company.â⬠(Carlyle, 237). This however is not tr... Free Essays on The Meaning Of Greatness Free Essays on The Meaning Of Greatness Greatness can de defined in many ways, however to be truly great you simply need acceptance. Bernard Malamudââ¬â¢s main character in The Assistant Morris Bober exemplifies this humble greatness while refuting mislead ideals of pompous greatness. Camusââ¬â¢ The Myth of Sisyphus mirrors Morrisââ¬â¢ ideal of greatness through the silent acceptance of oneââ¬â¢s destiny. Morris lives a very simple, bleak like. He gets up at the same time every morning, sells the same products to the same customers, takes the same breaks, does the same chores, worries about the same bills from the same store and his family every single day. Nothing has changed much. However despondent a life Morris lives however, he never fails to help out those who are worse off than him. ââ¬Å"He found a penciled spot on the worn counter, near the cash register, and wrote the sum under ââ¬â¢Drunk Womnenââ¬â¢. The new total now came to $2.03â⬠¦Ã¢â¬ ( Malamud, 2). Even when Frank confesses to holding Morris up, he reveals that, ââ¬Å"This I already know, you donââ¬â¢t tell me nothing new.â⬠(Malamud, 188). Morris found his greatness through his acceptance of his humble life much like Sisyphus from Camusââ¬â¢ The Myth of Sisy phus. ââ¬Å"At each of those moments when he leaves the heights and gradually sinks toward the lairs of the gods, he is superior to his fate. He is stronger than his rock.â⬠(Camus, 230). Only through accepting oneââ¬â¢s fate humbly with understanding like Morris and Sisyphus can one become ââ¬Å"stronger than his rockâ⬠. It is evident in Morrisââ¬â¢ demeanor that not only does he hold Camusââ¬â¢ ideals among greatness, but that he openly refutes Carlyeââ¬â¢s ideals as well. Carlyeââ¬â¢s On Heroes and Hero-Worship blatantly contrasts Morris Boberââ¬â¢s views on greatness with its ideals that greatness is rooted in recognition and distinguishment. Carlye believes that ââ¬Å"One comfort is that Great Men, taken up in any way are profitable company.â⬠(Carlyle, 237). This however is not tr...
Saturday, February 22, 2020
2012 London Olympic Games Essay Example | Topics and Well Written Essays - 2750 words
2012 London Olympic Games - Essay Example However, after it became clear that Great Britain would, indeed, win a medal, the scope of promotion and even service quality appeared to be redesigned and positioned under national pride and support for womenââ¬â¢s sporting. The Great Britain v. New Zealand hockey event, upon discovery of Britainââ¬â¢s team involvement, changed intentions from being a generic sporting event requiring traditional management oversight to a marketing opportunity to expand the brand presence of the United Kingdom womenââ¬â¢s sporting associations, improve national reputational standing internationally, and also provide visitors with a total quality experience. Merchandising, promotion, public relations, sponsorship, and entertainment took a radically different approach (hence, the concentration was on marketing support and revenue-building through marketing). Under the EMBOK model of events management, these particular knowledge domains are fundamental aspects of the events planning model (Getz 2007). These elements and processes required significant flexibility and rapid alteration to achieve profit and service quality provision goals with a new events positioning strategy based on national honour and conceit for the achievement of womenââ¬â¢s sports participation. Great Britainââ¬â¢s involvement in this particular events match extended the life cycle of the event, transforming it from being just a mere constituent part of the broader 2012 Olympics to a full-fledged short-term project objective. The life cycle of this event project was transformed from a three to four-hour event to an elongated strategic project objective that would have a considerable period of growth before meeting ultimate decline. This event became a tangible special project requiring significant marketing flexibility and reallocation of labour and finance.
Thursday, February 6, 2020
The Issues Associated with Road Congestion Research Proposal
The Issues Associated with Road Congestion - Research Proposal Example Road traffic congestion is a situation that is characterized by a high number of vehicles on a road that leads to low speed and longer time taken for a trip, road congestion has its negative effects on both the owners of vehicles and also to the environment, some of these negative effects include pollution, increased economic costs, stress, and time wastage and increased health hazards to the individuals. Traffic congestion increases the time used for a certain trip, this means that the vehicles will be more likely to emit more pollutant gases into the atmosphere as compared to travel where there is less traffic. Pollution includes both air and sound pollution, air pollution will degrade the environment and some of these minerals are emitted which degrades the environment include sulfur, lead and carbon dioxide. Once the environment is degraded by these gases it poses some health hazards such as acid rain which may cause damage to property and also skin cancer. Global warming is the major environmental effect that is associated with pollution, it is the current issue of concern and traffic congestion can be linked as a source of global warming. In times of traffic snarl-ups too much is wasted that could have been used to conduct other economic activities, many business opportunities are lost due to this inefficiency caused by traffic congestion, it can also be associated with causing lateness to a person who may be urgently needed somewhere, it may also hamper emergency cases such as ambulances may be unable to reach hospitals on time causing even loss of lives.
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