Data Collection Plan Essay Example for Free

Data Collection Plan Essay Abstract Postoperative Pulmonary complications (PPC) such as atelectasis, impaired gas exchange, pneumonia and acute respiratory failure (ARF) are not uncommon in patients undergoing major surgery and are a leading cause of increased patient morbidity, mortality and increased length of hospital stay (Yoder, Sharma, Hollingsworth, Talavera, Rice, 2013). Healthcare professionals are now expected to give patients verifiably effective treatments by implementing current evidence based practice (EBP). In order to do so, interventions to prevent PPCs must be investigated. The aim of this study was to evaluate the effectiveness of adding incentive spirometry (IS) to traditional postoperative chest physiotherapy (CPT) and respiratory care. Eighty patients between 30 and 50 year old who had undergone surgery participated in the study. Patients were divided into two groups: the intervention group where IS was used in addition to the traditional CPT, and the control group which included only traditional CPT. The results obtained in the investigation indicated that there were significant differences between both groups at the end of the study in terms of PPCs and hospital length of stay (LOS). Conclusion: Addition of IS to postoperative care helped in controlling PPCs. Keywords: postoperative pulmonary complication, incentive spirometer, chest physiotherapy, length of Stay Research Question In postsurgical patients, how does using incentive spirometer, compared to not using incentive spirometer, affect incidence of PPCs and hospital LOS? Hypothesis Because the risk for developing PPCs is not well studied specific numbers of occurrences are difficult to predict. However, it was hypothesized that patients who incorporated IS as part of their postoperative care would have a clinically significant decrease in the occurrence of PPCs and hospital LOS compared to those who did not incorporate IS into their postoperative care. Data Collection A quasi-experimental control trial was conducted from February 1, 2014 to May 31, 2014. The lead researcher, Adrienne Hinson, collected the data personally. During the four month study, eighty patients ranging in age from 30 to 50 years old who were undergoing surgery where the abdomen or chest was opened were selected randomly from the General Surgery Department at McLeod Regional Medical Center in Florence, SC. On sampling days, patients meeting the criteria were numbered chronologically based on their surgery time. For eighty consecutive business days, one of the patients was chosen randomly using a random numbers table created on Microsoft Excel. Patients who had recently been diagnosed with or treated for acute pulmonary complications, those who could not be instructed or supervised to assure appropriate use of the IS, and patients whose cooperation or comprehension was lacking were excluded from the study. All appropriate procedures were used to safeguard the rights of study participants. The study was externally reviewed by the hospital’s institutional review board before data collection began. Patients received verbal and written explanations of the study purpose and data collection procedures and after indicating willingness to participate in the study, voluntary informed consent was obtained (See Appendix A). Information included within the informed consent included participant status; participants were told which postoperative activities were routine, and which activities were being evaluated. Participants were informed that the data collected about them would be used for research purposes. The overall goals of the research, to evaluate to addition of IS to postoperative care, was described to patients. Participants were informed about which types of data would be collected, what procedures they would undergo, and how they were selected. The time frame of the commitment was defined as beginning on post-op day one and lasting until their follow up  visit after discharge. Information regarding funding was available to participants. All participants were educated on potential risks and benefits of participation. Finally, patients were assured that their privacy would be protected at all times and that they would be allowed to withdraw from the study at any point during their hospital stay (Polit Beck, 2012). The patients were deliberately placed into one of two experimental groups. Deliberate placement reduces confounding by ensuring the two groups were comparable when age, sex, smoking history, type of surgery and post-operative analgesia were compared. The control group consisted of 40 patients who underwent routine chest physiotherapy (CPT) postoperatively, as recommended by the Clinical Practice Guidelines set forth by The Agency for Healthcare Research Quality (2011). A physiotherapist supervised and assisted the treatment twice a day in the first two postoperative days and once a day from the third to the tenth days. During any session, the patients performed three to five deep breaths interspersed with periods of quiet breathing followed by two or three coughs or huffs with support from a pillow at least 10 times over a 15 minutes period. Additional techniques such as positioning and chest wall percussion were applied if breathing and coughing exercises alone were not effective in clearing excessive or retained pulmonary secretions. Patients were instructed to perform coughing and deep breathing exercises independently every hour while awake. The treatment group consisted of the remaining 40 patients who also followed the same Clinical Practice Guidelines but also received breathing exercise training with IS (Voldyne Volumetric manufactured by Sherwood Medical Company U.S.A.) In addition to the routine chest physiotherapy up to the tenth postoperative day. Application of breathing training with incentive spirometry was applied for five minutes, five times a day (El-Marakby et al., 2013). Monitoring began immediately postoperatively and continued until discharge. Hospital LOS was documented for each patient, along with whether or not the patient developed a PPC within 10 days of surgery. The researcher rounded on each hospitalized patient daily to ensure compliance and to update discharges and PPC diagnoses. In order to determine LOS, participant observation was used as a tool to collect data. LOS was calculated by subtracting day of admission from day of discharge. Date of admission was the date of surgery for all participants. Date of discharge was determined  by the surgical teams, who were blinded to the study and therefore measures are not likely to be influenced by reactivity (Polit Beck, 2012). PPCs were defined as any pulmonary abnormality that produced identifiable disease or dysfunction, was clinically significant, and adversely affected the postoperative clinical course (Hayden, Mayer, Stoller, 1995). Patients were monitored daily for 10 days for the diagnosis of a PPC. Given this definition, PPCs documented included atelectasis, pneumonia, acute respiratory failure, and exacerbation of COPD. Along with physical assessment and past history, biophysiological measures were used as data collection tools to aid in the diagnosis of PPCs (See Appendix C). Equipment and lab analysis were readily available and tests for biophysiological measures were completed by the appropriate staff at McLeod Regional Medical Center. Ordering tests and the interpretation of results was fulfilled solely by the healthcare providers as deemed necessary. The researchers were not responsible for diagnosing PPCs, but rather the observation and recording of data. Biophysiological measures for diagnosing acute respiratory failure include a low level of oxygen; a pulse oximetry falling below 80% saturation on room air or when arterial blood gas shows PaO2.

Should Trade Sanctions Be Stopped Essays -- essays research papers fc

  Ã‚  Ã‚  Ã‚  Ã‚   SHOULD ALL TRADE SANCTIONS BE STOPPED? To most of the world, sanctions are a mixed blessing. On the one hand, they reinforce trade rules and promote respect for them. On the other hand, they tend to undermine the principles of free trade and provoke a kind of ‘trade envy’(Charnovitz) in other international organizations.   Ã‚  Ã‚  Ã‚  Ã‚  Trade retaliation goes back quite a ways; we see examples of it in much of US law: -Antidumping Act of 1916, which has seen little use.(Charnovitz) -International Labor Organization, from the Treaty of Versailles 1919, which served as an international dispute system, but no economic measures were ever recommended until 2000, against Burma.(Charnovitz) -UN Security Council, which handles breaches of peace, only used sanctions 3 times between 1920-1990, but now uses them much more frequently.(Charnovitz)   Ã‚  Ã‚  Ã‚  Ã‚  To understand the difficulty I have agreeing with the suggestion that all trade sanctions must be stopped, I feel it is important to discuss some of the good, the bad, and the ugly involved with imposing sanctions. I’ll start my discussion with some of the good that comes from restricting trade, move into some of the negative affects, and summarize with improvements I feel could be made to this defunct system.   Ã‚  Ã‚  Ã‚  Ã‚  The first advantage that comes to mind about imposing trade sanctions would have to be the ability of the sanctioning government to let everyone know how pissed they are, make their own people relatively happy, and then move on. Although this may only be temporary.(Charnovitz)   Ã‚  Ã‚  Ã‚  Ã‚  Individual countries, especially major world powers, like to impose trade sanctions even when the probability of forcing a change in the target country’s policy is small. In addition to indicating a resolution and suggesting their disapproval to the direct wrong doer and to other countries, politicians may also want to pose for their own people.(Library of Economics) If you look at the example of the US, European, and British sanctions against South Africa as well as US, European, and Japanese sanctions against China in the wake of the Tiananmen Square massacre, you can see that these were specifically designed to put their own citizens at ease, to make a moral and historical statement, and to send a warning to f... ...t be a common ground. There are different circumstances for every case brought forth, some where sanctions seem to be the only course of action, and some where they seem to be the worst course of action. We need to learn how to take this effective bargaining tool, and use it to better our global trading community.   Ã‚  Ã‚  Ã‚  Ã‚   BIBLIOGRAPHY Chanovitz, Steve Rethinking WTO Trade Sanctions Social Science Research Network http://papers.ssrn.com/sol3/papers.cfm?abstract_id=256952 Elliott, Kimberly Evidence on the Costs and Benefits of Economic Sanctions Institute for International Economics http://www.iie.com/publications/papers/elliott1097.htm Library of Economics Lookup = Sanctions http://www.econlib.org/library/Enc/Sanctions.html Schooland, Ken International Trade and Finance HPU Economics 3400, Lecture/Video on Panama. Weiss, Stanley A. Trade Sanctions are a Misused Tool International Herald Tribune Saturday, June 26, 1999 Yang, Jaiwan; Teegan, Hildy Both are Associate Professors for the Department of International Business at George Washington University US Economic Sanctions and Globalization: Economic Impact and Policy Implications http://www.gwu.edu

Compare the use of motivation theories at Center Parcs Essay

I will be researching different job types in Center Parks so I can see the different management styles of each sector and I shall be looking at the motivational factors within the organisation. Three different job roles at Center Parcs and what theorist is involved. The first job I will be looking at is a Water sports Instructor, they’re looking for somebody who can windsurf, use a dinghy, a powerboat, a kayak and is confident in abseiling, rock climbing and playing football. You will be asked to instruct people in all of the above, first-aid is a must as you will be working with activities which could all pose a significant risk to health including activities including deep, cold water. They also expect that you maintain a professional attitude at all times, despite the customers getting on your nerves. Staff will be given free day passes to the park, I think this is typical of Mayo as people like to feel like the part of the team, this also meets their social needs at work. If they’re working in a team then you have a good chance to get your ideas across to other team members for them to take action on your ideas, suggestions and opinions. The second job I will be looking at is a food and beverage assistant, they require that you maintain a professional attitude at all times, they state that your duties are table services, preparing the restaurant to a set standard, taking orders, bar duties and you must serve drinks from the bar, serving meals, cleaning and tidying up at the end of your shift. You will be handling a lot of cash through your shifts, they expect you to be honest about it and full training will be given to work with cash in hand. You must ensure that all the guests are happy with their stay and their meals. The theorist behind this would in fact be Taylor, this is driven by money as you’re handling quite a lot of money. As with this you’re typically paid by every table you clean, take orders from and hours behind the bar (as one of my friends mention, she got paid by every table she cleaned and took orders from). Taylor also comes into play as you get a bonus at the end of the month and a t ypical bonus at the end of the year (around Christmas time) and  this makes employees strive to do as much as they can as it is a performance related bonus. The last job I will be looking at is a Lifeguard, they’re looking for somebody to assist in the â€Å"smooth running of the subtropical swimming paradise† by guarding the inside and outside of the pool areas, the lifeguard must maintain a high standard of hygiene in order to offer the best services to holiday guests. They also request that you maintain a professional and a reliable attitude at all times and to put the safety of their swimmers first. The motivational theory behind this job would be Herzberg as being a lifeguard can bring some sense of achievement, this proves that you are qualified to take care of people, watch them and possibly save their lives when the time comes. A high hygiene standard is required for this and this can be an achievement in itself as if you get through this shows you have nearly impeccable hygiene. Conclusion I think Center Parcs has chosen different rewards, for example different bonuses and different objectives to obtain these bonuses and different material bonuses such as free day passes and unlimited use of services and stations around the park, because it scales with the difficulty of the job. For example, anybody can be a beverage assistant but it takes a lot of qualifications and knowhow to become a life guard and since lifeguards are scarce and they’re offering really competitive pay and bonuses to compete with other companies that want life guards. It’s the same with Water sports instructors as they have to be highly skilled in all forms of water sports, it takes a lot of time to get that much knowledge of water sports so it’s a difficult job to do as you need to remember everything. I agree that this is one of the best policies to have as the bonuses and rewards scale with the harder jobs. The harder the job, the better the rewards.

The Great Gatsby By F. Scott Fitzgerald Essay - 1546 Words

Consumption and materialism were both taken to new and extreme heights on the eastern coast of America in the Roaring Twenties. Consumption, and especially materialism were always hallmarks of the elite upper class aristocracy of any culture in any time period, but with the new technology, urbanization, the consolidation of funds via the world stock market, and a brand new breed of elite, called millionaires, evolved the upper class culture beyond anything any human had seen before. In The Great Gatsby, F. Scott Fitzgerald imbues a story with many themes and qualities from his own life, reflected in the parallels between his own history and that of Gatsby and Nick Carraway. With new, unbridled, booming economic growth, what started as the Great American Dream became a vulgar, empty, greedy pursuit of material goods. On top of this rise in national wealth, the addition of disillusioned World War I veterans looking to grab the American Dream and use it to hoist themselves up in the wor ld, and the 18th Amendment’s creation of a thriving and powerful organized criminal underworld gave birth to a new America, with unprecedented levels of consumption and wealth. East and West Egg is aptly named, as they symbolize the old aristocracy and the new, fresh millionaires which are two sides of the same solid gold coin- the absurdly wealthy. The difference between the two is based in the social ties and moral values held by the old aristocracy that contrast the materialismShow MoreRelatedThe Great Gatsby by F. Scott Fitzgerald1393 Words   |  6 PagesF. Scott Fitzgerald was the model of the American image in the nineteen twenties. He had wealth, fame, a beautiful wife, and an adorable daughter; all seemed perfect. Beneath the gilded faà §ade, however, was an author who struggled with domestic and physical difficulties that plagued his personal life and career throughout its short span. This author helped to launch the theme that is so prevalent in his work; the hu man instinct to yearn for more, into the forefront of American literature, where itRead MoreThe Great Gatsby By F. Scott Fitzgerald1343 Words   |  6 PagesHonors English 10 Shugart 18 Decemeber 2014 The Great Gatsby F. Scott Fitzgerald s 1925 novel The Great Gatsby is a tragic love story, a mystery, and a social commentary on American life. The Great Gatsby is about the lives of four wealthy characters observed by the narrator, Nick Carroway. Throughout the novel a mysterious man named Jay Gatsby throws immaculate parties every Saturday night in hope to impress his lost lover, Daisy Buchanan. Gatsby lives in a mansion on West Egg across from DaisyRead MoreThe Great Gatsby By F. Scott Fitzgerald1155 Words   |  5 PagesThe Great Gatsby The Jazz Age was an era where everything and anything seemed possible. It started with the beginning of a new age with America coming out of World War I as the most powerful nation in the world (Novel reflections on, 2007). As a result, the nation soon faced a culture-shock of material prosperity during the 1920’s. Also known as the â€Å"roaring twenties†, it was a time where life consisted of prodigality and extravagant parties. Writing based on his personal experiences, author F. ScottRead MoreThe Great Gatsby By F. Scott Fitzgerald1166 Words   |  5 Pagesin the Haze F. Scott Fitzgerald lived in a time that was characterized by an unbelievable lack of substance. After the tragedy and horrors of WWI, people were focused on anything that they could that would distract from the emptiness that had swallowed them. Tangible greed tied with extreme materialism left many, by the end of this time period, disenchanted. The usage of the literary theories of both Biographical and Historical lenses provide a unique interpretation of the Great Gatsby centered aroundRead MoreThe Great Gatsby by F. Scott Fitzgerald845 Words   |  3 PagesIn F. Scott Fitzgerald’s novel, The Great Gatsby, colors represent a variety of symbols that relate back to the American Dream. The dream of being pure, innocent and perfect is frequently associated with the reality of corruption, violence, and affairs. Gatsby’s desire for achieving the American Dream is sought for through corruption (Schneider). The American Dream in the 1920s was perceived as a desire of w ealth and social standings. Social class is represented through the East Egg, the WestRead MoreThe Great Gatsby By F. Scott Fitzgerald Essay970 Words   |  4 Pagesrespecting and valuing Fitzgerald work in the twenty-first century? Fitzgerald had a hard time to profiting from his writing, but he was not successful after his first novel. There are three major point of this essay are: the background history of Fitzgerald life, the comparisons between Fitzgerald and the Gatsby from his number one book in America The Great Gatsby, and the Fitzgerald got influences of behind the writing and being a writer. From childhood to adulthood, Fitzgerald faced many good andRead MoreThe Great Gatsby By F. Scott Fitzgerald2099 Words   |  9 Pagesauthor to mirror his life in his book. In his previous novels F. Scott Fitzgerald drew from his life experiences. He said that his next novel, The Great Gatsby, would be different. He said, â€Å"In my new novel I’m thrown directly on purely creative work† (F. Scott Fitzgerald). He did not realize or did not want it to appear that he was taking his own story and intertwining it within his new novel. In The Great Gatsby, by F. Scott Fitzgerald, he imitates his lifestyle through the Buchanan family to demonstrateRead MoreThe Great Gatsby By F. Scott Fitzgerald1607 Words   |  7 Pages The Great Gatsby is an American novel written in 1925 by F. Scott Fitzgerald. One of the themes of the book is the American Dream. The American Dream is an idea in which Americans believe through hard work they can achieve success and prosperity in the free world. In F. Scott Fitzgerald s novel, The Great Gatsby, the American Dream leads to popularity, extreme jealousy and false happiness. Jay Gatsby’s recent fortune and wealthiness helped him earn a high social position and become one of the mostRead MoreThe Great Gatsby By F. Scott Fitzgerald1592 Words   |  7 PagesMcGowan English 11A, Period 4 9 January 2014 The Great Gatsby Individuals who approach life with an optimistic mindset generally have their goals established as their main priority. Driven by ambition, they are determined to fulfill their desires; without reluctance. These strong-minded individuals refuse to be influenced by negative reinforcements, and rely on hope in order to achieve their dreams. As a man of persistence, the wealthy Jay Gatsby continuously strives to reclaim the love of hisRead MoreThe Great Gatsby By F. Scott Fitzgerald1646 Words   |  7 PagesThe 1920s witnessed the death of the American Dream, a message immortalized in F. Scott Fitzgerald’s The Great Gatsby. Initially, the American Dream represented the outcome of American ideals, that everyone has the freedom and opportunity to achieve their dreams provided they perform honest hard work. During the 1920s, the United States experienced massive economic prosperity making the American Dream seem alive and strong. However, in Fitzgerald’s eyes, the new Am erican culture build around that

Biography of Nicolaus Otto and the Modern Engine

One of the most important landmarks in engine design comes from Nicolaus Otto who in 1876 invented an effective gas motor engine—the first practical alternative to the steam engine. Otto built the first practical four-stroke internal combustion engine called the Otto Cycle Engine, and when he completed his engine, he built it into a  motorcycle. Born: June 14, 1832Died: January 26, 1891 Ottos Early Days Nicolaus Otto  was born the youngest of six children in Holzhausen, Germany. His father died in 1832 and he began school in 1838. After six years of good performance, he moved to the high school in  Langenschwalbach  until 1848. He did not complete his studies but was cited for good performance. Ottos main interest in school had been in science and technology but, nevertheless, he graduated after three years as a business apprentice in a small merchandise company. After completing his apprenticeship he moved to Frankfurt where he worked for Philipp Jakob Lindheimer as a salesman, selling tea,  coffee, and sugar.  He soon developed an interest in the new technologies of the day and began experimenting with building four-stroke engines (inspired by Lenoirs two-stroke gas-driven internal combustion engine). In late autumn of 1860, Otto and his brother learned of a novel gas engine that  Jean Joseph Etienne Lenoir  had built in Paris.  The brothers built a copy of the Lenoir engine and applied for a patent in January 1861 for a  liquid-fueled  engine based on the Lenoir (Gas) engine with the Prussian Ministry of Commerce but it was rejected. The engine ran just a few minutes before breaking. Ottos brother gave up on the concept resulting in Otto looking for help elsewhere. After meeting Eugen Langen, a technician, and owner of a sugar factory, Otto quit his job, and in 1864, the duo started the worlds first engine manufacturing company N.A. Otto Cie (now DEUTZ AG, Kà ¶ln). In 1867, the pair were awarded a Gold Medal at the Paris World Exhibition for their atmospheric gas engine built a year earlier. Four-Stroke Engine In May 1876,  Nicolaus  Otto built the first practical four-stroke piston cycle internal combustion engine. He continued to develop his four-stroke engine after 1876 and he considered his work finished after his invention of the first magneto ignition system for low voltage ignition in 1884. Ottos patent was overturned in 1886 in favor of the patent granted to  Alphonse  Beau de Roaches for his four-stroke engine. However, Otto built a working engine while Roaches design stayed on paper. On October 23, 1877, another patent for a gas motor engine was issued to Nicolaus Otto, and Francis and William Crossley. In all, Otto built the following engines: 1861 A copy of Lenoirs atmospheric engine1862 A four-cycle compressed charge engine (prior to Rochass patent) which failed as it broke almost immediately1864 The first successful atmospheric engine1876 The four-stroke compressed charge engine which is acknowledged as the Otto cycle engine. The term Otto cycle is applied to all compressed charge, four cycle engines.

The Role of Women in 19th Century as Portrayed in Henrik...

World Literature Essay During the nineteenth century, some writers called for equal rights for women, and organized movements began demanding womens liberation. Explain following work reveals about the role of women at that time and whether the author supports womens liberation: Ibsen, A Dolls House. In a Dolls House, Ibsen is illustrating the contrasting social views when it comes to womens rights and equality. This is taking place by showing how Nora and Torvald Helmer are living a life of affluence and wealth. What is happening is the couple has struggled for years to have better lifestyle. Set over the Christmas holiday, this appears to be a joyous time for both of them. This is because Torvald is working as a supervisor at a bank and has the opportunity to improve their standard of living. On the surface, this appears to be a good thing that will benefit both individuals. (Plot Overview, 2012) However, underneath it all is an unfolding plot that affects Nora and her relationship with Torvald. A few ye ars ago, he became sick and had to go Italy to seek out treatment. Yet, the couple cannot afford the costs and Nora is forced to borrow the money. She tells him that they received the funds from her relatives. This is not true, as she is forced to borrow money from an unscrupulous source (which is the equivalent of a modern day loan shark). Nora is able to save and pay back most of the debt over the course of several years. She is close to paying off thisShow MoreRelatedA Feminist Literary Stance, Roles of Women in Henrik Ibsen’s Play A Doll’s House and George Eliot’s Novel Middlemarch1546 Words   |  7 PagesA feminist literary stance, roles of women in Henrik Ibsen’s play A Doll’s House George Eliot’s novel Middlemarch Henrik Ibsen’s A Doll’s House and George Eliot’s Middlemarch are based on events from their personal experiences. The events that lead Ibsen to feel the need to write A Doll’s House makes his approach on the feminist stance a bit more unusual from other writers. Ibsen shows his realist style through modern views and tones that are acted out by the characters in this infamousRead MoreA Doll’s House by Henrik Ibsen Essay961 Words   |  4 PagesIn Henrik Ibsen’s play A Doll’s House, pointedly captures the reality of the Victorian Era within the play. Nora Helmer, the protagonist of the story, represents the typical women in society during that era. The audience’s first impression of Nora is a money obsessed, childish, obedient house wife to her husband, Torvald Helmer. However, as the play progresses one can see that Nora is far from being that typical ideal trophy wife, she is an impulsive liar who goes against society’ s norm to be whomRead MoreHenrik Ibsen s A Doll s House1005 Words   |  5 PagesReaders of Henrik Ibsen work will notice he tends to incorporate everyday problems into his work. Ibsen use of everyday problem gives audience better insight to better relate to his plays, and reflect upon their own situations which would also make his plays believable. Ibsen would make his endings occasionally open-ended. Ibsen would do this, so audience members could think for themselves. It would be up to the crowd’s own interpretation on how the characters would continue life. In The EnglishRead MoreNora s Escape From Henrik Ibsen s A Doll s House Essay2552 Words   |  11 PagesHonors Modern Literature 7 October 2016 Nora’s Escape Henrik Ibsen’s A Doll’s House follows Nora’s struggles to escape the firm grasp of her domineering husband. Throughout the novel, Nora is depicted as obedient to her husband, Torvald, and never dares to stand up to him. Torvald’s condescension and thinly veiled misogyny continuously confines Nora to her strict 19th century gender role. The title of Henrik Ibsen’s A Doll’s House mirrors Nora’s sense of oppression and lack of agency as sheRead MoreRealism In A Doll House Analysis879 Words   |  4 PagesRealism in Ibsens A Dolls House What is realism and what are some of the defining characteristics that cause a play to be classified as realistic? Realism started as a movement around the mid 18th century and the early 19th century with French and Russian literature. The definition of realism according to Walter Levy is, the portrayal of characters in a realistic physical and cultural environment, or, the portrayal of the story in a style that is familiar to the audience. Realistic settingsRead MoreHenrik Ibsen s A Doll s House1403 Words   |  6 Pages1. In A Doll’s House by Henrik Ibsen, there are three major references in the play that explain Ibsen’s thoughts on both gender and societal roles for when of the past and present; these three references are to dolls, to animals such as skylarks and squirrels, and to children. Nearing the end of the story, Nora reveals that she feels similarly towards Torvald as she did to her father: â€Å"But our home has been nothing but a playroom. I have been you r doll wife, just as at home I was Papa’s doll child;Read More A Doll’s House Essay1511 Words   |  7 Pagesspecific gender roles by societal standards in 19th century married life proved to be suffocating. Women were objects to perform those duties for which their gender was thought to have been created: to remain complacent, readily accept any chore and complete it â€Å"gracefully† (Ibsen 213). Contrarily, men were the absolute monarchs over their respective homes and all that dwelled within. In Henrik Ibsen’s play, A Doll’s House, Nora is subjected to moral degradation through her familial role, the consistentRead MoreTheatrical Realism : Realism And Realism1228 Words   |  5 PagesTheatrical Realism: https://en.wikipedia.org/wiki/Theatrical_realism Theatrical realism was a general movement that began in the 19th-century theatre it remained present through much of the 20th century developed a set of dramatic and theatrical conventions with the aim of bringing a greater fidelity of real life to texts and performances Realism is the literary term applied to compositions that aim at a faithful representation of reality, interpretations of the actualities of any aspect of lifeRead MoreComparison of A Dolls House and Antigone1248 Words   |  5 Pages--Excerpt from ‘The Empowered Woman’ by Sonny Carroll In my mind, Sonny Carroll’s poem perfectly represents what an empowered woman should be; firm, determined and able to stand on her own feet. The characters of Nora and Antigone, from Henrik Ibsen’s ‘A Doll’s House’ and Sophocles’ ‘Antigone’ respectively, completely fit my description of ‘the empowered woman’. As inspiring figures, they left me wondering how they maintained their identities even in their patriarchal societies. What touched my heartRead MoreA Doll’s House and Top Girls2459 Words   |  10 Pagesof A Doll’s House and Top Girls Henrik Ibsen’s A Doll’s House and Caryl Churchill’s Top Girls both are a pillar of critical writing about the society they were originally produced in and have a central theme of the oppression of women, which makes them great sources of feminist reviews. Although Ibsen â€Å"abandoned the concept that the play was about gender roles† (Urban, 1997), the central question is beyond the original context within which the plays were produced and received. A Doll’s House can

Designing a Health Research Project

Question: Explain designing a health research project. Answer: The evaluation plan has been designed for maternal education. 1. Steps undertaken in planning the proposed evaluation For the success of this evaluation program, fortnightly coordination, as well as re-supply meetings, has to be carried out with the objective of problem solving, sharing of information and rotations through the maternity unit (Sutcuoglu et al., 2012). The preparation for the evaluation of this module will comprise of several steps. The initial step of the evaluation includes the context along with the background of the part to be assessed. This augments the understanding of what is to be evaluated by the individuals who will be involved in the process of evaluation. The second step is concerned with the establishment of the objectives of the evaluation, such as the complete course of the process of evaluation will be lined up with meeting the objectives of the evaluation (Posavac, 2015). The third step of the evaluation extends over the methods and designs which are to be employed in the collection of essential data for the process of evaluation. This includes factors such as collection of data, sampling, significance testing and analysis of data (Grembowski, 2015). The fourth step includes the selection of the background in which the process of evaluation will take place. The fifth step is involved with the selection of participants to be used in the process of evaluation; the number of participants in this evaluation will be 55. The seventh step includes the inferring of findings and results which will be arrived during the process of evaluation (Grembowski, 2015). 2. Evaluation research question The research question which is to be focused on this evaluation is, whether the fortnightly coordination, as well as re-supply meetings occurring in this, is making sure the sharing of information, solving problems and rotations through the maternity unit. The aim of this program of evaluation is to reveal the efficiency of the re-supply meetings and fortnightly coordination held in the slum areas of Kathmandu in assuring the recognition of the objective of sharing information among the pregnant women, helping them in solving problems associated with maternity. Diverse reasons are provided for this purpose. The first reason for the program of evaluation includes the fact that the NGO requires expediency, cost reduction and rapidity. This can be attained through the carrying out meetings with several women along with their families and share information which will enhance the reduction of the rate of morbidity and mortality in the slum areas of Kathmandu (Nepal) (Donaldson, 2012). Fundamentally the efficiency of the meetings with the respondents needs to be evaluated in order to discover the actual state of the program. The second reason for the evaluation is to make certain that this program provides a foundation for sharing of essential information among the women and their families so that the accurate result are arrived at with respect to the enhance the rate of solving problems associated with maternity (Royse et al., 2015). This works in the direction of attaining necessary information regarding the assessments that were carried out during the initial establishment of the NGO in the previous year, equipped every member of the staff with the required proficiency for working in any section of the maternity unit (Munoz, 2013). The fourth reason encompasses the information that places the objectives of the program of evaluation have to be met subsequent to its initiation, such that the majority of the women who were not able to completely make use of the services that are provided by this program along with the assessment of the services provided to the pregnant women. This requires an evaluation of the meetings with the women and their families that has been carried out over the previous year, as they should outline the basis for accomplishing the set objectives for the entire program of evaluation (Whittaker et al., 2012). Research Methodology The most relevant research methodology to be employed in the process of evaluation encompasses steps such as informed consent, recruitment, and sampling along with the collection of data and analysis of data. The process of evaluation will include coordination and meetings with the respondents for introducing the idea of evaluation to the staff of the program (ÄÂ ±nar et al., 2016). This will assist in the selection of suitable participants which will be utilized in the process of sampling. The process of recruitment will include those participants who are familiar with the maternity unit if this program such that the team which is intended for evaluation can visit the relevant areas allocated to them. After the process of recruitment, the evaluation team will get informed consent from the members recruited in the course of evaluation (Cousins et al., 2014). For this evaluation quantitative as well as qualitative methods will be utilized. The quantitative analysis will be performed by carrying out a survey of a large number of respondents. The survey will be carried out with the help of a questionnaire. On the other hand qualitative method is concerned with the enhancement of the products and services. Therefore, both these methods are appropriate for this evaluation (Boulmetis Dutwin 2014). The entire participants will be given an alternative of not participating in the process of evaluation. The collection of data will comprise of the drafting of a setting questionnaire in English and after that, it is translated in the local language which is utilized in the slum areas of Kathmandu. In that questionnaire, there will be questions related to the maternal care, the information type shared in the meetings, the problems which they have faced or are facing, the most efficient methods solving the problems and the advantages of birth at hospital vs. birth at home. The questions that will be provided are to be partly structured such that diverse answers will be obtained from the respondents (Sutcuoglu et al., 2012). The questionnaire will also encompass questions like how the NGO is performing in enhancing the rate of maternal education since the last year and is to what level it has reached till now in providing maternal education in the slum areas. They will also be asked to give feedback regarding the performance of the NGO till now (Flagg, 2013). An audit of the records of the program up until this year will be taken into consideration, in these records, the different cases along with the number of pregnant women and delivered children will reveal the implementation and succession of the program till now and can help to know the capabilities of the program (Grembowski, 2015). The material for the delivery of education will also be assessed to recognize the effectiveness of the program, and the respondents will be enquired that whether the material for the delivery of education is effective for or them to gain knowledge regarding maternal education (Dickson Saunders, 2014). In the meetings, the personnel of the program of evaluation will work as observers and will participate minimally for the accurate documenting of the necessary information obtained. The majority of the meetings are carried out utilizing the local language; therefore, the observers will be allowed to capture photos and will be conceded with an apparent command of the local language (Sutcuoglu et al., 2012). A clear explanation of the materials, activities, participants, essential information and methods utilized will be inclusively documented. The analysis of data will be conducted utilizing the Stata Version 8 with the objective of measuring the practicality of the answers that are provided with the help of the questionnaires. The responses or answers will be labeled 1 or and the final results will be provided in a table form for a convenient understanding (Schalock Thornton, 2013). Justification for the chosen methodology The methodology of this evaluation program is flexible and encompasses the contribution of the respondents who possess the high and low levels of literacy. This methodology includes attending the meetings by the personnel of the program of evaluation. This provides a foundation for the apparent surveillance of what the meetings involves and the efficiency of the procedures performed in the meetings (Dickson Saunders, 2014). The observers may manage to obtain the required photographs for constructing a comprehensible presentation of the evaluation statistics with the help of a PowerPoint presentation when required by the NGO in charge of the program. The recruitment of participants from the meeting is necessary, as they will present the exact type of information required due to their constant contribution throughout the set meetings (Brinkerhoff et al., 2012). From the participants, attainment for knowledgeable consent from the members is elementary for the success of the process of evaluation. This is for the reason that concerning the participants who are not willing to make available any information for the augmentation of appropriate results will lead to an exploitation of resources and attainment of the incorrect kind of information (Cousins et al., 2014). The process of sampling facilitates the personnel of the evaluation to move towards the accurate number of participants who assist in the process of evaluation as concerning the entire population might be considered extremely expensive on the part of the evaluation committee (Spaulding, 2014). The method used in the collection of is feasible for extracting information from the different types of respondents because those with low levels of literacy will be an interviewer who can help them in completing the questionnaires (Munoz, 2013). The questionnaires having a partial structure, accords the participants with the alternative of responding to the questions or providing their own answers (Dickson Saunders, 2014). Simultaneously, the participants can give more than one of the answers presented in the questionnaires to enhance the reliability of the provided information (Flagg, 2013). Providing the questionnaires in English as well as local language minimizes the need for understanding which necessitates an elevated number of interviewers. This work is headed for the lessening of expenses in the course of the process of evaluation (Grembowski, 2015). The method used for the analysis of data is efficient particularly in realizing precise outcomes. This will assist in obtaining the correct data which is necessary for making the accurate recommendations after the process of evaluation has been completed. The above aspects justify the practicality of the research methodology chosen for the process of evaluation (ÄÂ ±nar et al., 2016). While conducting this process of evaluation, it is essential to track a logical or universal approach where the ethical issues are considered. The ethical considerations are important to validate the research study and the results. It helps to verify the uniformity and reliability of the research study on the foundation of authentic records collected from the respondents. The data collected for this evaluation process will be exclusively utilized for evaluation purpose, and the confidentiality shall be maintained in every possible way (Oermann Gaberson, 2013). Two safeguards to maximize the credibility and reliability data collected The two most important limitations of the process of evaluation include the changeability of the information provided by means of the questionnaires along with the size of the sample. The inconsistency of information provided through the questionnaires is for the reason that the participants interpret diverse meaning in compliance to the information provided by means of the meetings (Whittaker et al., 2012). This affirms for the provision of an apparent, effectual as well as succinct safeguard that can work towards the intensification of inconsistency in the given answers. Consequently, the personnel of evaluation should make sure that they must be present at more meetings that will assist in recognizing where the inconsistency in the answers comes from (Sutcuoglu et al., 2012). The participants should be essentially subjected to a different survey that encompasses the similar questionnaires but this time, they will be recommended to provide responses that are based on the provided options. This will facilitate the team of evaluation to assess the similar types of answers relatively than relying on the unwritten answers that will be provided by the participants. With respect to the size of the sample, the evaluation team must also conduct an additional survey involving diverse participants to obtain different results (Cousins et al., 2014). References Boulmetis, J., Dutwin, P. (2014).The ABCs of evaluation: Timeless techniques for program and project managers(Vol. 56). Brinkerhoff, R. O., Brethower, D. M., Nowakowski, J., Hluchyj, T. (Eds.). (2012). ÄÂ ±nar, M., Timur, H., Aksoy, R. T., Gzel, A. ÄÂ °., Tokmak, A., Bedir FÄÂ ±ndÄÂ ±k, R., Uygur, D. (2016). Cousins, J. B., Goh, S. C., Elliott, C. J., Bourgeois, I. (2014). Dickson, R., Saunders, M. (2014). Developmental evaluation: Lessons for evaluative practice from the SEARCH Program.Evaluation,20(2), 176-194.