Please follow the below instructions for this assignment: Find articles on PubMed that are examples of acupuncture research using TWO of the following approaches to research. Identify which approach to research you have chosen, and write a summary for each of the two that you chose, for a total of two summaries of different approaches in two pages. 1. Observational case study research 2. Observational case series research 3. Observational cross-sectional research 4. Observational case control research 5. Observational cohort research 6. Qualitative research 7. Mixed methods research.
Summaries of Two Types of Observational Research
The first paper I reviewed was a prospective, case-control, mixed methods study incorporating one objective measure and three qualitative measures. The stated aim of the study was to examine the feasibility and acceptability of using auricular acupuncture (AA) for Operation Iraqui Freedom and Operation Enduring Freedom veterans who exhibited sleep disturbance as part of their post-traumatic stress disorder. Of the randomly-selected participants, the study group (N=12) received a standard insomnia AA protocol 3 times per week for three weeks, while the control group (N=8) did not. Treatments were performed by a single, experienced operator who was not a principle investigator on the study. Qualitative measures were: subjective sleep times using the Consensus Sleep Diary; sleep quality ratings per the Pittsburgh Sleep Quality Index; and an investigator-developed 5-point Likert scale question regarding acceptability of acupuncture. To objectively measure sleep data, participants wore the Motionlogger Watch, a generally accepted tool for measuring sleep-wake cycles. Baseline data was collected on all for one week, then the study group received 3 weeks of AA, and then data was again collected on both groups.
Study results showed no significant effect on objective sleep measures (in fact, they got worse). Interestingly, there was no difference between the groups regarding acceptability of AA—both groups found it acceptable. Both subjective sleep times and sleep quality ratings demonstrated significant improvement (p= 0.003 and 0.004, respectively).
From a research quality point of view, this study was riddled with problems. The marginally sufficient original group of 30, after a 33% dropout rate, was extremely small. The study was done on an in-patient psychiatric ward; participants were given sleep medications throughout the study. Additionally, concurrent with this investigation, participants received cognitive processing therapy (recalling traumatic events), which is believed to have affected the objective sleep measure.
The second observational research paper I reviewed was a retrospective, cross-sectional, qualitative study that sought to evaluate complementary and alternative practices (CAM)—with a particular focus on acupuncture—for military personnel and their families in a military emergency department (MED). The survey tool was an 18-question investigator-developed questionnaire, of which 7 questions focused specifically on experience with and attitude towards acupuncture. For the other 6 questions, 2 were demographic in nature and 4 gathered information on CAM in general. For the purposes of this assignment, the acupuncture results will be described.
For this study, a convenience sample of 1005 surveys was collected in the MED over a 3-month period. The article indicated that all English-Speaking patients presenting to the MED during the study period were requested to complete the survey. The two demographic questions addressed gender and education level. Not all participants answered all questions. There is no further explanation nor discussion of this in the paper.
Evidence Informed Practice Week 6 Assignment
Of the 886 participants who completed questions regarding acupuncture, 15.7% reported previous use, and 55% reported a willingness to use it in the future. Satisfaction rates with acupuncture were as follows: extremely satisfied 26%, very satisfied 31%, somewhat satisfied 26%, not satisfies 8%, and not at all satisfied 9%.
The authors concluded that respondents were willing to use or potentially use acupuncture in the MED, and recommended further studies to determine appropriate indications, efficacy and patient satisfaction with acupuncture in the emergency setting.
King, H.C., Spence, Hickey, A., Sargent, P., Elesh, R., Connelly, C. D. (2015). Auricular Acupuncture for Sleep Disturbance in Veterans With Post-Traumatic Stress Disorder: A Feasibility Study, Military Medicine, 180 (5), 582-590.
Ross, E. M., Darracq, M. C. (2015). Complementary and Alternative Medicine Practices
in Military Personnel and Families Presenting to a Military Emergency Department. Military Medicine, 180 (3), 350-354.
Introduction It isn’t exceptional for agents to approach various leveled change with the mentality they procured from their social-social condition. The drive for minute change isn’t clear in any capacity. Behavioral change does not happen in light of the fact that it is proposed, recommended, or approved by a boss (or some other individual). Change occurs in light of the way that one sees regard and individual favorable position in revealing the change. Along these lines, it is essential that change experts understand the power they apply in attempting to execute definitive change exercises. Change authorities are stimuli for workplace lead modification. They devise motivational plans that trigger the inspiration for delegates to take after master commands. Subsequently, it isn’t adequate for organization gatherings to consider change similar to progressive requirements. Directors who search for the inclination of advance authorities are sharp in this way. Ace change pros are found out in understanding potential blockades that prevent laborers from making the crucial acclimations to new exercises. Social and social circumstances contribute towards the multifaceted idea of lead modification. This paper shows a change action whereby the change administrators utilize effective correspondence as a gadget to make a fantasy and the legitimacy essential to move determined interest in behavioral change. Making Vision and Credibility Through Effective Communication Convincing correspondence is instrumental to the accomplishment of affiliation change exercises. Right when done intentionally well the excited prizes are elegant. In any case, when it fails to give the messages vital to complete broadens the results can be sad (Hunt, 2014). Misinterpretations, scorn, and an expansive gathering of other negative sentiments could genuinely hurt business associations. Awesome correspondence contributes towards operational and process efficiencies (Hunt, 2014). Along these lines, it takes after that the estimation of using suitable correspondence as a gadget can never be over-emphasizd or underrated for the impact it makes on productive outcomes. This paper presents the correspondence method endeavored by a fundamental change administrator with a twenty boss gathering. The goal is to develop a change organization mastermind that advances the relationship from a regular work-social affair to a gathering based culture. Discoursed fuse the channels of correspondence, standard work-packs versus assemble based affiliations, the piece of the basic change administrator, the correspondence gathering, assumptions made, the advance technique, change action correspondence, aggregate credibility, certainty creation, and taking note of outrageous request. The paper closes with an emphasis of the substance. Traditional Working Groups Versus Team Based Organizations This portion perceives working get-togethers from bunch based affiliations. They don’t work in a comparable farthest point, consequently, the need to isolate them here. Regular working social events (WG) inside affiliations work unreservedly. Instances of regular WGs are accounting and human resource workplaces or new thing divisions. These divisions work free of each other. Work is individualized (Zaharia, Dogaru, and Boaja, 2014). On the other hand, assemble build affiliations focus as for different aptitudes and abilities that get together to meet a common target. Gatherings are not compelled to valuable essentials. Gatherings use a cross-down to earth structure to work in a common target circumstance. Individuals don’t work free of the social affair targets. Everyone coordinating achieve the goal (Zaharia, Dogaru, and Boaja, 2014). Basic Change Agent Leadership Role Buono and Subbiah (2014) prescribe that fundamental change administrators (PCA) are capable to the extent that they fathom the social condition, can recognize enticing key players, and have the ability to give mentorship, and moreover, positive part illustrating. Buono and Subbiah (2014) prescribe encourage that PCAS are influencers. They goad and spur change in others. In addition, PCAS have inside systems data and can research issues as they develop. Buono and Subbiah (2014) propose an instance of PCA as some person who can perceive subtle disrupting impacts that could possibly interfere with change shapes. A chief who is recognizing, cautious, and vital is seen as a feasible PCA. Another delineation is a head who grasps the business and how it picks up salary through and through. Still another case is a chief who can make affiliations and collaborations all through the affiliation (Tan and Kaufman, 2015). The Communication Team Lira, Ripoll, Peiró, and Zornoza (2013) recommend that gathering omnipresence incorporates extended inside the earlier decade. They state help that gatherings are effective just to the extent that they can complete broaden related assignments on time using diverse propelled developments, for instance, relational associations, and modernized mediums. Gatherings must wind up capable in making effective social associations. Lira et al. (2013) propose that Human Resources support advancing activity progression planning to extend store up practicality and competency. The correspondence gather serves to energize the joint efforts among organization and the workforce. Their plans will consolidate educatory shapes that will empower the workforce to understand the change system. Bolman and Deal (2008) train on the unpredictability as for affiliation change and the ambiguities that are ever present in the educational strategy. They recommend that the directors consider their photos to wind up aware of potential wrong perspectives. They encourage chiefs to be characteristic and consider that failure is one portion of advance. Setting Assumptions Shown here are the assumptions made concerning the PCA. The PCA is learned about issues of convincing definitive change. The PCA grasps the correspondence system. The PCA is competent in places of expert. Finally, the PCA is to a great degree learned in bunch components and affiliation political methods. The going with suppositions are made inside the setting of the theme contained in this: the Organization Change Team (OCT; twenty directors) doled out to this expand is sure and vigorous about this change action. They overflow a spirit of speculation with proactive demeanors. They see this endeavor from a laborer expert perspective. They expect challenges and grasp that each wander has unforeseen conditions that must be had a tendency to uncommonly named (Kotter and Cohen, 2002). >