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Research Proposal Project Presentation

Transcript: RESEARCH PROPOSAL PROJECT BY: Adrian Fajardo WHAT IS HANDOFF REPORT? INTRODUCTION Simply put it as... The transfer of: 1) Patient information 2) Responsibility 3) Accountability ...from the off-going nurse to the incoming nurse. PROBLEM Ineffective Communication Joint Commission Patient Safety Goals – Improving… Problem Safety Issues “…effectiveness of communication among caregivers…” “…encourage patients to be actively involved…” Bedside handoff report may address national pt. safety goals r/t effective caregiver communication & pt. involvement PURPOSE Purpose Evaluate influence / degree of relation between… Identify advantages and disadvantages if bedside handoff report Determine implications of bedside handoff on current EBP 1) Implementing Handoff Report at Bedside 2) Patient & Nursing Satisfaction VARIABLES Independent Variable: The implementation of bedside handoff report Dependent Variable: Nursing and patient satisfaction Variables & Hypotheses HYPOTHESES Hypothesis: Implementing bedside handoff report increases patient and nursing satisfaction. Null Hypothesis: Implementing bedside handoff report has no effect on nursing and patient satisfaction. THEORETICAL FRAMEWORK Difficult decision-making requires collaboration Collaboration facilitated between patients, their families, & healthcare team Promotes: - Mutual relations - Effective Communication - Accountability Emphasizes patient & family involvement in communication processes Inclusion of pt./families in Collaborative Partnership COLLABORATIVE DELIBERATION MODEL Reflective of Bedside Handoff Report LITERATURE REVIEW LITERATURE REVIEW Total of 6 journal articles reviewed Purpose of Review: Evaluate perceptions of bedside handoff from the perspective of both patients and nurses Review of Article by Sherman, Sand-Jecklin, & Johnson Synthesis of Literature PROS: Increase in pt. satisfaction r/t… 1) Increased sense of involvement 2) Increased sense of being informed CONS: - Pt.’s more confused after report - Pt.’s feeling left out of conversation - Lack of privacy - Redundancy of information Increased Anxiety 1 2 Pilot study conducted in med-surg units over 6 months PROS: - Pt. participation leads to improved pt. care experiences - Participation through: 1) Listening 2) Correction/clarification of inaccurate info 3) Addition of helpful info - Improves pt. safety through prevention CONS: N/A Review of Article by Evans, Grunawalt, McClish, Wood, & Friese 3 Synthesis of Literature Perception of handoff report influence by context of pt.’s - Patience - Perception of their condition/prognosis PROS: N/A CONS: - Pt.’s confused by medical jargon - Pt.’s viewed nurses with poor/messy handoff reports as incompetent Review of Article by Dorvil 4 Study to evaluate nurses’ perception of standardized bedside handoff report tool & process Location: 205-bed hospital in South Florida PROS: - Decreased report times - Offgoing nurses leaving work on time - Oncoming nurses starting their shift on time CON: Monopolization of report by pt.’s Review of Article by Walsh, Messmer, Hetzler, O’Brien, Winningham 5 Study observing 60 pt.’s & 30 nurses PROS: Improvements in… - Accountability - Teamwork - Mentoring moments - Workflow efficiency - Prioritization - Medication reconciliation (especially w/ IV meds) - Error reduction CONS: N/A Review of Article by Maxson, Derby, Wrobleski, & Foss 6 Different from previously reviewed articles - Study conducted at children’s hospital in Atlanta, GA - Population of interest are: 1) Parents of children admitted in acute care setting and… 2) Their corresponding pediatric nurses PROS: - Parents feeling more involved in child’s care - Parents felt like staff listening to them more CONS: N/A Review of Article by Gettis, Dye, Williams, Frankish, & Alvarez METHODOLOGY METHODOLOGY Sampling Sampling Purposeful & non-probability sampling Samples will be recruited at 4 general care units in a medical center 10 to 15 nurse per unit = Total of 40 to 60 nurse samples Patient Sampling - Ages 22 and up - Admitted into 1 of the 4 designated general care units - Total of 40 to 60 samples Data Collection 2 Data Collection Methods Data Collection Observational Research staff to keep track of report times Observers will receive training Questionnaires Provided to both patients & nurses Likert rating scales (strongly agree, agree, neither agree nor disagree, disagree, strongly disagree Data Analysis Bivariate Approach Likert scale data w/o numerical value is ordinal in nature Spearman’s Rank-Order Correlation Coefficient - Coefficient value between -1 and +1 - Positive Coefficient = Positive Relationship between variables - Negative Coefficient = Negative Relationship between variables - Value of 0 = No Relationship between variables - The closer the value to 0, the weaker the association - If value of coefficient >= to p=0.05, then reject null hypothesis - If value of coefficient < p=0.05, then accept null hypothesis Data Analysis = 0.05 Ethical Considerations

Research Proposal Presentation

Transcript: The DV will be the PTSD symptoms The facility will be asked to cease any therapy they may be doing with the children, doing this will assure that the results are from the art therapy and will not be influenced by any other type of therapy High: 46-58 Effects of Art Therapy on Symptoms of PTSD in Sexually Abused Children 50 kids will be in an age group ranging from 8-11 years of age Significance to the Field The CPSS will be scored on a nominal scale as follows: Each child will be assigned a number, without skipping any numbers, and the population will be selected by using a table of random numbers Both the facility and parents of the children will be given letters of consent to allow the study The art therapy will be conducted by 10 therapists trained in the area of art therapy Background on the Issue The max number a child can score is 58 points Each child will have the same therapist throughout the course of the study as to not disrupt any rapport or trust which could effect the study The facility will be randomly selected by listing all of the facilities in Louisiana who specialize in child sexual abuse and randomly drawing one The children will all be from the same facility which means they may have already been exposed to some therapies which may effect this study Low: 0-30 Procedure Cont'd Measurement Medium: 31-45 Brittany Lockard Procedure I am currently interning at the Sexual Trauma Awareness and Response Center (STAR) which counsels people who are survivors of sexual trauma. I have always been interested in the treatment of sexual abuse. Limitations These results can greatly improve the type of therapy used in counseling sexual abuse survivors, which may lead to better results in their healing process A total of 100 children will be randomly selected from a randomly selected Louisiana state facility for children who have been sexually abused The children will be selected through simple-random sampling Will art therapy reduce the symptoms of Post-Traumatic Stress Disorder (PTSD) in children who have been sexually abused? The art therapy will consist of painting and drawing The IV will be art therapy Each child will go through one 50 minute session per week for ten weeks In regards to compensation, each participant's name will be put into a drawing for two 50 dollar gift certificates The children will each be given the Child PTSD Symptom Scale (CPSS) before therapy begins and again after therapy is complete There is no controlling for gender, so it is likely the majority of participants will be female and this will make the results unbalanced with mostly female based results Measurement Cont'd If the results of this study go as predicted, then art therapy will lessen the symptoms of PTSD in children who have been sexually abused Research Question These findings are very important because they can greatly help in therapy within the population of children survivors of sexual abuse 50 kids will be in an age group ranging from 12-15 years of age The CV will be the age of the children Results

Research Proposal Project Presentation

Transcript: Design: Exploratory, non-experimental, cross-sectional, mixed method, survey Subjects: UCS Therapists - Psychology, Psychiatry, & Social Work Challenges & Strategies What are VCU University Counseling Services (UCS) therapists' perceptions of multicultural competence & how do these perceptions inform their work with clients? Study Design & Methods Research Question Challenges: Small sample size, UCS Therapists may choose not to participate, psychological distress Strategies: Inform ahead of time, Volunteer & will not affect employment; Nonjudgmental questions Multicultural Competency Mixed Methody Survey Quantitative: Multicultural Counseling Knowledge & Awareness Scale ASK Model: Attitude, Skills, & Knowledge Qualitative: Open ended question about broaching multiculturalism. Research Proposal

Research Proposal Presentation Proposal Research

Transcript: Created by: Samuel Minkin November 2nd 2017 CREATIVITY InTRO InTRO Modern-Day Education resembles traditional education It has only marginally evolved over time Rote memorization and efficiency are still the main skills taught in school Technology could change things Technology-Based Learning Technology-Based Learning Learning based on collaboration on websites The Internet has potential to be an educational tool The Internet is dispersed and decentralized. Information flows from many different kinds of sources. Access to information Interdisciplinary Learning Things that Occur on the Internet Things that Occur on the Internet Communities Interaction Feedback Mash-Up PICTURES PICTURES Traditional education Traditional education Rote memorization and efficiency are still the main skills taught in school An expert lectures students Problem-solving methods are dictated by instructors Specialization over interdisciplainary studies Statistics Statistics Why This topic/Conversation? Why This topic/Conversation? The Conversation/Topic: Modern-day education Education has many implications both on the individual and societal level There are many different types of learners in school Technology-based learning can appeal to a wide variety of learners On the Societal Level: 1. It can lead to a more productive society 2. It can lead to a stronger public commons On the Individual Level: 1. Better problem-solvers 2. Better Students Finding a specific website - limited sources talking about its positive and negative effects Figuring Out the Functionality of the Website Focusing on a specific age-group. Would it even work for elementary school students? Would starting with high school students be too late? Challenges Challenges creativity as an emergent property creativity as an emergent property Research Question: How has Evernote, a website that promotes collaborative-based learning, led to the formation of a more enhanced and evolved creativity known as group creativity? Technology Based Creative- Problem Solving Has Two Phases: 1. The Divergent Phase - Exploring, characterized by messiness - Evaluating Data 2. The Convergent Phase - Honing onto specific things. Extracting important information out of clutter. - Focusing on specific solutions Terms for Interaction and Collaboration: Synchronic Interactions - Interactions that occur simultaneously Diachronic Exchanges - Interactions that occur over a longer period of time "Recent models of group creativity (Sawyer, 2003) argue that collective creative work has to be understood as the synergy between synchronic interactions (i.e., parallel and simultaneous) and diachronic exchanges (i.e., interaction over long time spans and mediated by ostensible products)" (Sarmiento, Stahl 503). Quote Quote Potential Conclusions Potential Conclusions Online collaborative-based learning can lead to a greater extent of creativity People would be better suited to solve modern problems If I'm wrong: Technology will be a distraction. Students will find ways to cheat. Ultimately, a case should be made for using a specific website - being more technology dependent - because it can lead to creativity Sarmiento, Johann W. and Gerry Stahl. "Group Creativity in Interaction: Collaborative Referencing, Remembering, and Bridging." International Journal of Human-Computer Interaction, vol. 24, no. 5, June 2008, pp. 492-504. EBSCOhost, doi:10.1080/10447310802142300. Works cited Works cited

Project Proposal Template

Transcript: Design at work... Almost there... Use this space for details that you haven’t talked about yet. Relate what you’re saying to the nearby image so your audience has a visual, too. A final point, a quote, more context — adapt the template to fit your needs. Remember that your presentation is almost done, so keep it simple. Hang on... Expand on the bold statement above. Provide statistics, go into detail, or more — whatever works best for your presentation. Last checks... Polishing up... Almost there... Keep your words short and punchy so your audience stays focused. You can add imagery and frames to keep their attention where you want it. Remember to break up your words so your audience can follow. Expand on the bold statement above. Provide statistics, go into detail, or more — whatever works best for your presentation. Adding final touches... Thinking cap on... Getting it ready... Add details here Introduce your presentation and provide context for your audience. Fine-tuning... Add details here

Research Project Proposal Presentation

Transcript: Research Project Proposal Presentation Banu Oral 21903454 Eng102.107 Outline OUTLINE Works Cited Main Arguments Counter Argument Thesis Statement Conclusion Research Question Any Questions Banu ORAL 21903454 Eng102.107 1 Research Question To what extent environmental factors affect happiness? Research Question Banu ORAL 21903454 Eng102.107 Why did I choose this topic? 2 Thesis Statement Thesis Statement Despite the opposing views, environmental factors, which are ecological; political, and socio-cultural factors can affect happiness positively. Banu ORAL 21903454 Eng102.107 3 Counter Argument Counter Argument Some argue that people are born happy or unhappy since the level of life satisfaction alters depending on the genes rather than the environmental factors. Based on the 'World Value Survey' reports, the authors state that those with more A allele genes are happier than others (Minkov and Bond 330). Banu ORAL 21903454 Eng102.107 Clifford Sosis advocates that although identical twins have similar tendencies towards positive and negative emotions, their happiness levels can also change with the change of non-genetic factors (5). 4 First Reason The first point as to the extent to which environmental factors affect happiness in terms of ecologic determinants is that ideal geographical conditions can enhance life satisfaction. First Reason Banu ORAL 21903454 Eng102.107 5 Sub Argument 1 Using proximity measures and Geographical Information Systems (GIS), it was determined that ideal environmental conditions have a positive impact on well-being (Brereton et al. 394-395). Banu ORAL 21903454 Eng102.107 5) a. “The coefficient of CO2 indicates that with 1 percent increase in carbon dioxide emissions decreases happiness up to 0.46 units…. The results show that with one percent increase in protection of species the level of happiness increases by 0.06 units.” (Majeed and Mumtaz 759-760). Sub Argument 2 Banu ORAL 21903454 Eng102.107 5) b. Second Reason Besides the idea mentioned before, another point to consider about how environmental factors affect happiness in terms of political determinants is that a high quality of government may lead to a high life satisfaction level. Second Reason Banu ORAL 21903454 Eng102.107 6 Sub Argument 1 Jörg Ott : “There is a high correlation between the quality of government and average happiness in nations, with technical quality as the leading aspect.” (13). Banu ORAL 21903454 Eng102.107 6) a. According to The World Values Survey covering 75 countries, the quality of government has an independent influence on citizens' life satisfaction in poor countries and the rich ones (Samanni and Holmberg 11). Sub Argument 2 Banu ORAL 21903454 Eng102.107 6) b. Third Reason The last point to examine about the extent to which environmental factors influence happiness in terms of socio-cultural determinants is that stereotyped cultural judgments in terms of individuality and gender equality can increase life satisfaction. Third Reason Banu ORAL 21903454 Eng102.107 7 Sub Argument 1 Dezhu Ye, Yew-Kwang Ng, and Yujun Lian revealed that in countries with individualistic cultures, people have a more substantial self-identity consistency, a more consistent self-view (521). Banu ORAL 21903454 Eng102.107 7) a. The cross-country culture survey indicates that gender egalitarianism can contribute to the well-being level with 37.1 % (Ye et al. 519). Sub Argument 2 Banu ORAL 21903454 Eng102.107 7) b. Conclusion Conclusion To summarize, notwithstanding the opposing views, environmental factors, which are ecological, political, and socio-cultural factors, positively can influence happiness. Body 1 Body 2 Body 3 Body 4 Based on the twin study, which observed changes in the subjective well-being of genetically identical twins due to non-genetic factors, it can be realized that happiness does not come from genes. It is claimed that life satisfaction may increase in ideal geographical conditions such as temperate climate, species conservation, and water quality. It is asserted that the high quality of government in terms of technical quality, impartiality, the rule of law, and absence of corruption may cause a rise in happiness level. As revealed by some, stereotyped cultural judgments regarding individuality and gender equality may improve subjective well-being. Banu ORAL 21903454 Eng102.107 8 References References: Brereton, Finbarr & Clinch, J. Peter & Ferreira, Susana, "Happiness, geography and the environment," Ecological Economics, Elsevier, vol. 65(2), pages 386-396, April, 2008. https://www.sciencedirect.com/science/article/pii/S0921800907003977 Commer, Pak & Sci, Soc & Majeed, Muhammad & Mumtaz, Shaista. “Happiness and Environmental Degradation: A Global Analysis”. Pakistan Journal of Commerce and Social Sciences. 2017. 753-772. 2017. http://hdl.handle.net/10419/188315 Minkov, Michael, and Michael Harris Bond. "A Genetic Component to National Differences in Happiness". Journal of Happiness Studies 18.2 (2017):

Research Proposal Presentation

Transcript: Research problem Purpose of this study is determine the difference that Early Childhood programs have on students who attend them prior to kindergarten. Hypothesis An effective Early Childhood program does improve a child's academic, cognitive, and social skills prior to kindergarten and throughout their school life. Research questions 1. What educational and social benefits are there for a child who starts a school program earlier? 2. Are state social standards necessary for Early Childhood Programs Methodology This research is a quantitative study because it looks at the effect of Early Childhood Educations prior to kindergarten. The interviews in this study will be performed in either a focus group setting or personal setting. The interviews and questionnaires will include both open and closed ended questions. Sample participants A total of about 75-100 kindergarten students enrolled in the Tulsa surrounding area with one kindergarten class from three different public schools will participate in this study. Not only will the students be in the study but also their teachers, parents and school administrators will also be part of the study. Results and conclusion The results will show that Early Childhood Education does make a difference in a student prior to kindergarten. The results will hopefully prove that parents are involved in their child's education prior to kindergarten and during kindergarten. Future studies could include not only following the kids during kindergarten but also throughout their entire schooling to see how Early Childhood Education effects their schooling form kindergarten to 12th grade. References Blok, H., Fukkink, R.G., Gebhardt, E.C. (2005). The relevance of delivery mode and other program characteristics for the effectiveness of early childhood intervention. International Journal of Behavioral Development, 29(1), 35-48. Bowman, B. (2009). Early learning more accepted. Phi Delta Kappan, 91(1), 19. Hooks, L., Scott-Little., C., Marshall, B., Brown, G. (2006). Accountability for quality: One state’s in improving practice. Early Childhood Education Journal, 33(6), 1-6. Huges, J. (2010). Indentifying quality in Preschool Education Progress and challenge. National Association of School Psychologists, 39(1). 48-53. Kartal, H. (2007). Investments for future: Early childhood development and education. Educational Sciences: Theory & Practice, 7(1), 554-566. Louge, E. L. (2007). Early childhood learning standards: Tools for promoting social and academic success in kindergarten. National Association of Social Workers, 29(1), 35-43. Magnuson, K. A., Meyers, M. K., Ruhm, J. C, Waldfogel, J. (2004). Inequality in preschool education and school readiness. American Education Research Journal, 41(1), 115-157. Methodology This research is quantitative becase it talks about the effect that an Early Childhood Program can have on student prior to kindergarten.. This survey research will be done through interviews and questionnaire. the interveiews will be done either in a focus group or done personally. The interview and questionnaire will include both open and clsoed ended questions. References Huges, J. (2010). Indentifying quality in Preschool Education Progress and challenge. National Association of School Psychologists, 39(1). 48-53. Kartal, H. (2007). Investments for future: Early childhood development and education. Educational Sciences: Theory & Practice, 7(1), 554-566. Louge, E. L. (2007). Early childhood learning standards: Tools for promoting social and academic success in kindergarten. National Association of Social Workers, 29(1), 35-43. Magnuson, K. A., Meyers, M. K., Ruhm, J. C, Waldfogel, J. (2004). Inequality in preschool education and school readiness. American Education Research Journal, 41(1), 115-157.

Research Proposal Presentation

Transcript: Effects of eccentric training on skeletal muscle fibers of severe COPD patients Chronic inflammatory disease low FEV1/FVC cough and dyspnea extrapulmonary symptoms... muscle atrophy and decrease in oxidative capacity exercise intolerance caused by muscle discomfort and fatigue lowered daily functional capacity and QOL ... effective at improving strength, endurance, exercise capacity, muscle growth, and restoring functional abilities extensive research on benefits, drawbacks and effectiveness of different exercise modalities sustaining exercise at optimal intensities is a challenge in this population reach a given workload and power output for lower metabolic cost and cardiorespiratory response in comparison to concentric exercise physiological adaptations more attainable eccentric strength shown to be retained more in elderly and people with chronic illness Significant improvements in exercise tolerance in patients with severe COPD in combined eccenetric and general training program compared to general training alone pilot study- effectiveness of eccentric cycle training as alternative to traditional methods shown to be viable for this population because allowed participants to reach intenisities that foster beneficial physiological adaptations with no detrimental side effects Investigate the effect of eccentric cycle training versus traditional concentric cycle training on skeletal muscle fibers of patients with severe COPD Investigating the impact of concentric versus eccentric training in skeletal muscle fibers of patients with severe COPD further understanding the underlying mechanisms of muscle weakness associated with severe COPD by examining the elastic properties and cross-bridge kinetics of our samples and investigating the relative contribution of each to overall force production We hypothesize that eccentric training intervention will lead to significantly greater improvements in force production (active and passive) and rate of force redevelopment (cross-bridge kinetics) than the concentric training intervention. METHODS 14 men, severe COPD Age 40-80 Random allocation to either concentric cycle training or eccentric cycle training 10 wk program with 24 1hr sessions and 6 (first 2wks) 30 min sessions Muscle biospies taken from VL before and after intervention bundles from biopsies are chemically permeabilized and attached to sticks samples are placed in rigor solution for 4 hours samples are then transfered to rigor:glycerol solution for 15 hrs and then finally put into a fresh rigor:glycerol solution with protease inhibitors and frozen for min. 7 days on the day of the experiment, samples are defrosted and sigle fibers are isolated fibers are attached to T-shaped clips and placed into a fiber kinetic measurement system that is comprised of... 1. temperature controlled bath system (model 802B, ASI, CAN) 2. a force transducer (model 400A, ASI, CAN) 3. a length controller (model 312B, ASI, CAN) 4. high speed video data collector apparatus (model 901A, ASI, CAN) 3 Fibers from each sample will be tested and undergo the same 3 test. 1. Passive Stretch Test 2. Active Force Test 3. Rate of Force Redevelopement Test Active force, Passive force and Rate of force redevelopment will be measured Mixed Methods ANOVA will be applied to our data A priori T-test to see if there is a significant difference in the changes of each force (from pre to post training) between both groups 1. no healthy age matched controls 2. longevity of physiological benefits attained 3. high risk of eccentric exercise 4. Clinical implications 1.Tkac J, Man SF and Sin DD. Systemic consequences of COPD. Therapeutic advances in respiratory disease. 2007; 1: 47-59. 2.Debigare R and Maltais F. The major limitation to exercise performance in COPD is lower limb muscle dysfunction. J Appl Physiol. 2008; 105: 751-3; discussion 5-7. 3.Serres I, Gautier V, Prefaut C and Varray A. Impaired Skeletal Muscle Endurance Related to Physical Inactivity and Altered Lung Function in COPD Patients. Chest. 1998; 113: 900-5. 4.O'Shea SD, Taylor NF and Paratz JD. Progressive resistance exercise improves muscle strength and may improve elements of performance of daily activities for people with COPD: a systematic review. Chest. 2009; 136: 1269-83. 5.Mercken EM, Gosker HR, Rutten EP, et al. Systemic and pulmonary oxidative stress after single-leg exercise in COPD. Chest. 2009; 136: 1291-300. 6.Vogiatzis I. Strategies of muscle training in very severe COPD patients. The European respiratory journal : official journal of the European Society for Clinical Respiratory Physiology. 2011; 38: 971-5. 7.Puhan MA, Schunemann HJ, Frey M, Scharplatz M and Bachmann LM. How should COPD patients exercise during respiratory rehabilitation? Comparison of exercise modalities and intensities to treat skeletal muscle dysfunction. Thorax. 2005; 60: 367-75. 8.Probst VS, Kovelis D, Hernandes NA, Camillo CA, Cavalheri V and Pitta F. Effects of 2 Exercise Training Programs on Physical

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