Category: Assignment help

In the Topic 2 and Topic 3 assignments, you completed a qualitative and quantitative research critique on two articles for each type of study (4 articles total). Use the feedback you received from your instructor on these assignments to finalize the critical analysis of each study by making appropriate revisions.

The completed analysis should connect to your identified practice problem of interest that is the basis for your PICOT question.

Refer to “Research Critiques and PICOT Guidelines – Final Draft.” Questions under each heading should be addressed as a narrative in the structure of a formal paper.

Proposed Evidence-Based Practice Change

Discuss the link between the PICOT question, the research articles, and the nursing practice problem you identified. Include relevant details and supporting explanation and use that information to propose evidence-based practice changes.

After watching the two videos and reading “Modes of Rhetoric” (112-149), answer the following questions: What are three modes of rhetoric that interest you the most? Why? List the major characteristics of the modes of rhetoric that you have chosen.

On the Agency for Healthcare Research and Quality (AHRQ) website, select a topic either related to your DPI Project or aligned with the type of project you are exploring. Select a specific topic where there exists a gap between research findings and the implementation of those findings into practice. In a 1,000-1,250-word paper, address the following:

1. Introduce the topic, present supporting research findings, and discuss the desired outcomes of putting that research into practice.
2. Assess to what extent the practice is being implemented.
3. Evaluate possible barriers to implementation into practice.
4. Propose ways to overcome the barriers.
5. Discuss the resources available on the selected site to inform the transition from research into practice.

The purpose of this assignment is to critically appraise a gap between research findings and the implementation of those findings into practice.

In 2009, upon noticing a dearth of evidence-based decisions in health care settings, the Institute of Medicine set a goal to substantially increase the number of clinical decisions supported by timely and relevant evidence over the following decade. Bridging the gap between research findings and practice implementation was a key strategy the IOM utilized to make this goal more achievable. Relying on the best evidence allows health care practitioners to deliver quality and appropriate patient care while helping to improve the nation’s health.

General Requirements:

Use the following information to ensure successful completion of the assignment:

Review the Agency for Healthcare Research and Quality (AHRQ) website to complete the assignment.
Use at least two additional scholarly research sources published within the last 5 years. Provide citations and references for all sources used.
Doctoral learners are required to use APA style for their writing assignments. The APA Style Guide is located in the Student Success Center. An abstract is not required.

Directions:

On the Agency for Healthcare Research and Quality (AHRQ) website, select a topic either related to your DPI Project or aligned with the type of project you are exploring. Select a specific topic where there exists a gap between research findings and the implementation of those findings into practice. In a 1,000-1,250-word paper, address the following:

Introduce the topic, present supporting research findings, and discuss the desired outcomes of putting that research into practice.
Assess to what extent the practice is being implemented.
Evaluate possible barriers to implementation into practice.
Propose ways to overcome the barriers.
Discuss the resources available on the selected site to inform the transition from research into practice.

Watch the video below and reflect upon what components of Community Intervention Programming were incorporated (said another way, what made this program successful).

More specifically, address the following points:

Describe the Harlem Children’s Initiative
Describe which Community Intervention Components (from Ch. 5) were incorporated into the Harlem Children’s Initiative, and thus made it successful
Explain how these program components would affect community members’ (i.e., children’s) stress, coping, social support and resilience (from Ch. 3)

Discuss the transporters role, the port’s role and the government’s role in controlling invasive species and other hazards inherent in the movement of goods, goods themselves, and their packaging, specifically addressing the management of wastes at port activities as part of the total solution.

· Economic Model and Environmental Considerations of a Port

Introduction

The lesson this week explores additional metrics involving port performance.  In this lesson, we will:

• Distinguish major drivers on port costs, prices and revenue, and
• Examine and evaluate ecological and environmental issues that arise from port operations and related ocean going movement of goods
• Discuss controlling invasive species

Readings include the assigned Chapters from the text; Environmental Regulatory Process: Does it Work Dredging U.S. Ports, linked here; and, and a video entitled 12 Days of Xmas Countdown Day 7 – Solar Vessel-1, linked here.

Port Throughput Considerations

Assessing the economic vitality of a port is a complex effort. According to Talley (2007), a port will want to increase its “profit” by maximizing its throughput while minimizing its costs and resources utilized. Port throughput is influenced by the price a port charges for its services.  As a result, what motivation does a port have for meeting environmental regulations?

Economics in the shipping industry are affected by service attributes such as reliability, transit times, and trip frequency.  But, the most important criterion in this industry almost always bears on pricing.  Shipping price influences modal and/or carrier choice.  Decision makers constantly seek accurate real-time and future as fundamental and prerequisite elements of their economic formulas that drive their decisions.  This analysis is performed to specifically mitigate known and unknown risks involving the variability of freight rates.

Planners faced with making these shipping decisions seek to maximize their available capital, and are often faced with investment alternatives with widely different risk/reward returns.  The decisions are magnified by the sheer size of the investments in the shipping business, by investments that are often volatile.  These decisions are shaped by the shipper’s risk profile and quite often expose a company’s aversion to or acceptance of operational risk.  From my experience, cash flow also is a major factor in operational decisions, particularly when funds are limited, or at the Federal fiscal year end when funds must be spent or lost (for Federally-funded projects).

According to Cullinanea, Notteboomb, Sanchezc, & Wilmsmeierd (2012), shipping decisions may relate to staying out of the business at a given point in time or making a disinvestment, such is the existential nature of the capital-intensive decisions.  More often, however, concern more about the selection mix of vessels such that investmenst are diversified not unlike the working of a mutual fund, including by combining short and long term contracts that might reduce exposure to market variations.  Many decision makers, therefore, endeavor to build a model portfolio that incorporates an acceptable level of risk, including via the use of shipping derivative (paper) investments that is particular to the risk attitude of an individual decision maker.

Cullinanea, et al. (2012), further argue, “In stark contrast to the airline industry, where revenue (yield) management is now extremely well established, the application of such [decision-making] techniques within the liner shipping industry remains very much in its infancy, with the main consideration in cargo booking strategy being the maximum utilization of ship capacity. This, of course, does not necessarily result in maximum revenue or profit” (para. 12)

These decision making elements have led to the development of tools that were designed to assist the decision maker making choices associated with variables of their (the decision makers) choice.  According to Cullinanea, et al. (2012), the Institute for Operations Research and Information Systems at the Hamburg University of Technology developed a slot allocation optimization model, which

…can be used to create booking limits for a liner shipping network where, in reality, transshipment between services is commonplace and demand may vary significantly over time. Their model explicitly accounts for different ship and booking cycles, a specific network structure and a variety of service-oriented segments (including priority service for contract customers). Model outputs take the form of the booking limits that can be used to decide whether a booking should be accepted or rejected in favor of a possible later and potentially more beneficial booking. (para. 12)

Port decision makers are faced, additionally, with considerations beyond strictly financial ones.  An expensive but very important major decision making criterion in the decision making process is port environmental protection.

Environment Considerations for Port Development and Operations

According to Camp Dresser & McKee, Inc. (1998), activities and operations vary widely among ports depending on the types and volume of materials shipped. However, there are many common activities, such as vehicle maintenance or bulk materials handling that occur at nearly every port, and impacts to the environment from these activities may occur. For example, fuel spills of varying amounts that occur during routine on- or off-loading activities can be carried by stormwater into a water body, and can have serious effects on water quality, waterfowl, and sediments (p. 2-1).  The port, they say, can have a significant role in protecting and enhancing the environment through careful initial planning and implementation of appropriate measures. The degree to which a particular activity may impact the environment is dependent on:

• Proximity to sensitive natural resources
• Open pathways between the activity and these resources
• Extent of the activity
• Controls in place to prevent or reduce impacts
• Opportunities to enhance the environment (p. 2-1)

Using U.s Nuclear Regulatory Commission: www.nrc.gov/security.html resource describe if there is any federal or local agency that is better configured to engage in homeland security preparedness and planning. Explain why the agency you chose is better prepared than others.

Discuss the implications of the role of English as the world’s lingua franca, at a time when other languages are becoming more common on the internet.

Reflect on a meaningful experience in your life and share how that experience influenced your personal growth, such as your attitudes or perceptions.

part 1: As discussed in your book and in lecture 3.2, there is wide variation among Americans in terms of beliefs and practices regarding where babies should sleep. Describe your personal beliefs on this matter. Where do you think babies should sleep, and why? part 2: Where do you think your ideas about infant sleep came from? In other words, how is it that you came to hold those beliefs about where babies should sleep? part 3: There are several arguments in favor of teaching infants to sleep independently, and in favor of co-sleeping. Likewise, critics of either method are quick to voice concerns (in addition to those described in your book and in lecture 3.2, a quick google search on “co-sleeping vs. crib” will give you a clear idea of the debate). Of the many arguments for or against each method, which speaks loudest to you (i.e., is most important) and why?