A. Synopsis #1:
1. What experience, situation, or subculture did the researchers seek to understand?
The researchers sought out to understand the factors that contribute to the progression and limitation of guideline implementation within the primary health care setting. These emphasized guidelines are throughout the introduction portrayed as a positive implementation that will elevate the health care system as well as improve the assessment and management of cardiovascular risk. The adversity within these proposed implantations lie within their validity, such as which guidelines are effective and the reason for their effectiveness. The researchers also alluded to the efforts of New Zealand and their use of an Assessment and Management of
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All data was ultimately collected through verbal expression.
4. How did the researchers control their biases and preconceptions?
The researchers remained objective by basing their research on a template of sub elements that have high and low indicators that would lead to a successful implementation of evidence into practice. The study targets specific patients who have been exposed to risk factors, as well as addresses health equity, staff resources, and diagnostic services. The researchers used great discretion in the collection of data. The topics presented were referred to with code names in order to prevent the incitation of any biased reactions.
5. Are specific pieces of data and more generalized statements included in the research report?
Specific data was provided for different aspects of the study. For example, it was said that the study took place in Maori where the cardiovascular issue represents 31.7 % of the population which is higher than all of New Zealand (14.6 %) in total. The specific location of the study was also noted, describing the demographics of the location: “rural settings, a small city, and small towns.” The article also addressed the general benefit of implementing the AMCVR, and its ability to aid in the prevention of cardiovascular disease.
6. What where the main findings of the study?
The main findings of the study included that the major barrier to implementation is the lack of putting guidelines into practice. Researchers also
Based on documentation provided at the time of this referral, face-to-face interviews and observations and reference reports, The following risk factors were identified
• Click the Annotated Bibliography link the under the Samples heading. You may use this format to create your annotated bibliography.
Objective 3- Explain the interrelation among theory, practice, and research and describe how to identify practice discrepancies between standards and practice that may affect patient outcomes.
Cardiovascular disease is one of the major health problem that most of the countries are facing today and one of such countries is Australia. It is estimated that about 1 million of Australian population is affected by cardiovascular diseases and is among the leading cause of death in Australia ("Department of Health | Cardiovascular disease", 2016). It is also observed that the Aboriginal population of Australia is more likely to develop cardiovascular disease than other Australians ("Department of Health | Cardiovascular disease", 2016). In order to examine the health issue such as cardiovascular disease among Aboriginal men and women using social
Cardiovascular diseases (CVDs) are the most common cause of mortality worldwide, especially in developed countries. But they are also largely preventable, and many studies have tried to clarify the related risk factors, and what could be done to avoid them.
The researcher analyzed the data using a “wholistic, selective and detailed line-by-line approach” by Van Manen. The themes that emerged were matched with verbatim passages; it was categorized into two perspectives from the consumers of the health care (patient and family) and the providers’ of health care. Descriptors of emerging themes were further enumerated and correlated between two perspectives. It is auditable in a sense that it can be subscribed to and followed by other researchers by providing rationales of the author’s “decision trail at each stage of the research process” (Coughian, Cronin, & Ryan, 2007, p. 743). Cypress
The findings of our study may be somewhat limited by study design. In quasi experimental design, there is a potential for confounders. So to evaluate the effect of external confounders we used a non-equivalent control group. However using non-equivalent control group is problematic, but in single hospital it is not possible to select an equivalent control group in comparison to intervention group.
https://www.nlm.nih.gov/hsrinfo/implementation_science.html Dissemination and Implementation 101 The goal of implementation science is to identify, understand and resolve the barriers and challenges of successfully implementing new medical interventions that are safe and effective. Translating medical research into clinical practice is highly complex process that involves disseminating the information to clinicians and persuading them to adopt and successfully implement the new
In qualitative the author included a research design that had eight groups accompanied by patients and health professionals. In quantitative, however, samples of
Cardiovascular disease is the leading cause of death worldwide. One’s environment plays an important role in the development of risk factors for cardiovascular disease either through direct or indirect behaviors. A study conducted by Sabzmakan et al. (2014) attempts to understand patients and healthcare workers experiences with environmental determinants for cardiovascular disease based on the Precede Model. This is a qualitative study that took place in the Diabetes Units of Health Centers located in Karaj, Iran over a 6 month period. Data was collected by providing individual face to face interviews with 50 patients and 12 healthcare providers. Data analysis was performed at the same time as the collection using a content analysis directed
Clinical practice guidelines (CPG) are designed to improve the quality of healthcare services, decrease unwanted, ineffective and harmful interventions for patients. CPG are used to facilitate treatments for each individual patient’s by maximizing the benefits, minimizing the risk of harm and obtain treatment with an acceptable cost. Researchers had proven that CPG is a bridge for change and improving health outcomes. The effectiveness of CPG is perceived to be helpful in clinical decision making. CPG are developed to assist healthcare providers such as doctors and nurses in decision making for specific clinical outcomes (Vlayen, et. al. 2005)
This increased risk can be attributed to many factors for which a detailed outcome measurement should be performed, tailored specifically to the population and region of urban South Africa. This will allow the hospital in question to understand what needs improvement and how to implement these changes.
A health services perspective was adopted for this analysis as is recommended by previous guidelines (40). Adopting a societal perspective can be challenging, and there is debate and difficulties around what to include as part of this as well of ways of costing all elements of treatment and care, especially from a patient and carers perspective.
The study was a longitudinal, cross-sectional of nine data sets taken from National Health and Nutrition Examination Survey (NHANES) from 1973 to 2010. The data from NHANES was then analyzed to sex-specific trends and projections of cardiovascular disease risk factors, treatment uptake, ten-year total risk and prevalence using the Framingham cardiovascular disease risk equation (Pandya, Gaziano, Weinstein & Cutler, 2013). The Framingham risk score is widely used to predict an individual’s ten-year risk of cardiovascular disease based on commonly obtained risk factors compared to a projection that was made for the years from 2015 to 2030.