3. Describe the methods used in the study. (3 points) A formative qualitative study was conducted using a semi-structured in-depth interviews with CHC medical directors, health care providers, and village health workers (VHWs) in eight CHCs (n = 40) prior to implementing a two-arm cluster RCT. A purposive sampling method was employed to recruit health care providers to achieve representation. The interview guides were pretested with providers from CHCs that were not participating in the study and covered four CFIR domains (intervention, inner, outer and individual characteristics) with selective constructs within each domain. Two qualitative researchers conducted thematic content analysis used both deductive (CFIR theory driven) and inductive …show more content…
2- Because of the lack of training, lengthening the initial training session and adding a booster session to provide opportunities to reflect on experiences and continue to build capacity will be a necessity. 3- Due to the centralized nature of the Viet Nam health care system (top down), early and ongoing engagement with MOH leadership during the grant development phase to align the project with national tobacco control priorities to facilitate implementation. 4- The political and organizational culture of the public health system in Viet Nam, mandate the establishment of an external advisory board with members representing a broad array of key stakeholders, including VINACOSH, hence, this will promote sustainability and scale-up of the intervention. 5. What are some conclusions made by the authors about the application of this framework in this case? (1 points) 1- CFIR provided a valuable framework for evaluating factors that may influence implementation of a systems-level intervention for tobacco control in a LMIC and understand what adaptations may be needed to translate a model of care delivery from a HIC to a
This is through reducing the prevalence of smoking an its associated health, social and economic costs, and the inequality it can cause. The NTS offers a national framework, reflecting the best practices for tobacco control and combines past policy frameworks at state and territory, national and global levels. The NTS provides an overview of the impacts of tobacco use, outlines the shared goals, objectives and targets for tobacco control across government and non-government organisations for the next six years. The approach of this strategy involves from the continuation and successes from previous national tobacco strategies and continue national-wide approaches that have reduced smoking prevalence over the last four decades. Over the decades, Australia have instigated various policies which include; mass media campaigns, cessation services, health warnings on packaging, prohibitions on tobacco advertising, price increases and access to tobacco.
3. Preventive Care and Screening for Tobacco Use: Screening and Cessation Intervention – Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within a 24-month period and who had received cessation counseling intervention if they were identified as a tobacco user.
Tobacco use; despite efforts to curb it, have remained unsatisfactory high. The ACA aims to improve this by making smoking cessation programs affordable or free in health care policies; by funding local communities sponsoring outreach programs aimed at at-risk populations, and media campaigns graphically illustrating the dangers tobacco use [3].
In order for a healthcare system to run effectively, research is essential when patents are involved. According to Jones (2016), research involves a structured, planned and logical approach to discovering new information, while aiming to extend understanding on a topic or problem area within the healthcare profession. To achieve this, research is divided into two methodologies, qualitative and quantitative. Qualitative research involves methods that are concerned with human perceptions and understanding of their social reality, adopted under complex research topics (Washer, Salloch, Ritter, Vollmann, Schildmann, 2017). These are usually adapted when the exploration topic involves patient experiences, perceptions, meanings, intentions and behaviours (Jones, 2016). Whereas quantitative approaches aim to produce and control social phenomena, through measurement, evaluation and generalisation of findings of a population and encouraging the reproduction of the results obtained. These studies are based around testing hypotheses utilising patients to achieve research goals in controlled environments (Park & Park, 2016). This paper will explore the features of qualitative and quantitative research through papers involving patients in order to highlight the differences in their features, via the aim, data collection methods and results obtained. The quantitative paper explores the effect of muscle energy technique and passive stretching on patients with functional disability with
There are many different professions that one can choose when entering the healthcare field. Nursing is a very popular and needed profession that is vital to care for patients. For this paper I have chosen to interview my younger cousin who currently works for the VA Hospital in Las Vegas, Nevada as a Registered Nurse in the Medical Surgical Unit. I will describe the targeted facility and unit she works for, the type of work done within her unit, any interesting, informative, or specific information related to the chosen unit which makes it unique, and a comprehensive description of my cousin, and her responsibilities.
A career in the health care field is a growing profession. Unlike many different avenues of career choices, the health care field is projected to grow rapidly in many years to come. When a person decides to obtain a health care position they are able to literally live anywhere and still be able to find a job. There are numerous options of working anytime that fits into the daily routine of a person’s schedule. Also, the choice of deciding whether or not to work alone or work on team, depending on which path is chosen.
The public health message contemplating is "R.I.D.E your way to a successful health". The acronym in ride stands for Reduce, Implement, Disseminate, and Evaluate. Therefore, it becomes critical to reducing the impact CVD has on the health care system (Centers for Disease Control and Prevention, 2015) by implementing a health education program to target CVD through health consulting. DHEO intend to disseminate, evaluation forms to measure effectively behavioral changes conducted through public health consulting outreaches. In CVD, health education in the DHOH communities needs to be address, especially the impact it has on the overall nation health expenditure (Zazove & Doukas, 1994). The social determinants of health in the DHOH communities
Nursing research has been a part of nursing practice for many years, consisting of both qualitative and quantitative research; it is essential in guiding nursing practice. Many nurses have a baseline understanding of research in general, but it is important for the researcher to understand their own values and beliefs when determining the type of research they will be performing. By understanding the differences between epistemology, methodology, and methods, the researcher can confidently conduct a valid research project.
The social interaction is an integral part of everyday life of each individual, which is learned from the early childhood and is innate in its nature. It includes the social exchange of information, the ability to communicate, decide, and take responsibility for one’s action. The routine work of healthcare professionals includes the information exchange on an everyday basis. The excellent knowledge of primary disciplines necessary for the practice is crucial for the healthcare professional; however, one can encounter the difficulties without the deeper understanding of ethical principles of communication in the healthcare environment. The book “Health Professional and Patient Interaction”” by R. Purtilo, A. Haddad, and R. Doherty introduces the readers with the basic ethical principles and behaviors in the healthcare setting. The key points that the healthcare professional has to practice to achieve success and harmonic professional relationship with the patient are: respect in all circumstances, the ability to listen, the readiness for challenges, and care with empathy to the patient situation beyond any limits.
Research plays an important role in addressing some of the world’s problems as well as the development of new ideas and innovations. However, there are instances when the research standard is overlooked, especially due to time and financial constraints. Reliability basically refers to the consistency of a measure while validity is the degree in which a score from a measure sufficiently represents a variable. Validity and reliability are important in any research because they assist researchers in designing and evaluating their own work. At the same time, they (validity and reliability) make people to be better consumers of research because of the ability to evaluate a research process and findings.
During our lives, serval blissful, traumatic, culture event that established the transformations during cognitive, social, physical, and characteristic changes in our lives from the time of birth through our death. A person’s existence is shaped and molded by the experiences that have set us physically and mentality. The interview conducted for this project for an understanding of, Mrs. Candi Jones, is a mother, daughter, and sister. She was the middle child of in a physically disable household where father and sister hearing-impaired; a mother who is deaf. They are a mixture of a sibling through birth, adoption, and foster. During the interview with Ms. Jones, she discusses experienced numerous events in her life that play a major influenced
(2) The proposed framework by Okumus, 2003 emphasis on certain pre-conditions that are worth mentioning. He suggests, that implementation is too complex process to be
Provide training that is specific to improve current performance, general to provide wider skills and advance to prepare
I have personally been affected by the mess that America calls a health system. In the same year, I had severe food poisoning and my stomach and intestines swelled. I had to be hospitalized for a day each, and was then sent home, even though I was still very ill. The reason? My family has no health coverage. Both my parents are very hard workers and own their own business. One would think that my household could afford health coverage, but we can't, despite the many hours a week and hard labor. So, without coverage, there are heavy bills to pay. My mom and I have calculated that my parents will be paying hospital bills long after I graduate from college. Because of two days in the hospital, six bags of saline, and a bagel from the
Cigarette smoking remains the chief cause of none communicable disease and death in the United States. Each year, cigarette smoking is responsible for an estimated 480 million deaths and more than 8 million smoking-related illnesses (CDC, 2014). It is accountable for total costs nearing 170 billion dollars in direct medical expense and work lost productivity (2014). Although it is true that smoking adversely affects health, there are more than 4 million adults reported as active smokers. In many cases, nicotine addiction began in their adolescent years. The Center for Disease Control has estimated a prevention of 1 million deaths per year and 2 million due to tobacco control and programs shifting the leading cause of death or prevalence onto the youth (quote). Despite the benefits of tobacco control policies such as the excise tax, the nicotine epidemic among adolescents continues to proliferate. The moderately cigarette excise tax increases, increasing tax rate the debate remains as to which prevention policy supports a reduction in tobacco use and exposure. This trend is alarming both at an individual level and at the societal level. The Centers for Disease Control and Prevention the tobacco use 2000-2004 resulted in 60,000 total reported cases and 123 related fatalities (2.2 per 1,000 cases). This outbreak was a lack of smoking control access in an underserved population with 88% of deaths occurring in individuals who had a history of smoking. In 2008, the CDC