Completing a Synopsis Appraisal of a Qualitative Research Study Article

Completing a Synopsis Appraisal of a Qualitative Research Study - Article Example In this case, they wanted to produce a description of combined experiences and social processes that health care providers within a region in New Zealand have to face while testing the clinical guidelines framework, and at the same time providing their feedback and comments in their use. This is to assess the applicability of the PARIHS framework in nearly all medical situations, which in this particular research is the applicability of the framework in rural health settings. Data was collected through focus group interviews of all 32 participants, which consisted of three focus groups for primary healthcare nurses, one focus group for general practitioners, one for primary healthcare managers, and one focus group for planners or funders (McKillop, et al., 2012). The main findings generated by the research were able to explain the barriers as well as the enabling situations in the implementation of the PARIHS framework based on context of usage, current work culture experienced by the participants, leadership within the work place, and of evaluating the performance of the PARIHS framework in work settings. It was found out that while having a culture of practicing the guidelines as applicable was a strong enabler in the usage of the framework among participants, the lack of a formal or a proper integration plan of said guidelines into actual clinical practice was a major barrier in its adoption in medical settings, suggesting the need of modifying the framework to adjust for the needs of the medical practitioners. Despite this setback the researchers were able to conclude that the PARIHS framework is still an invaluable tool in guiding practitioners on promoting better patient health. Since the research aims to find out information based on working experiences of healthcare providers, in order to control biases and preconceptions about the effectiveness of the

The great inflation of the 1920s Essay Example | Topics and Well Written Essays - 2500 words

The great inflation of the 1920s - Essay Example In the initial stages of the great inflation, German citizens did not experience its effects partly due to the stability of German’s economy before World War I. At the end of 1923, the effects of the great inflation started being felt by the German citizens. The great inflation reached its peak at the last half of 1923 when the prices of basic commodities had increased by more than five hundred times. The price continued to increase steadily putting German’s economy at the risk of collapse. Although the inflation resulted from economic factors, it was related to German’s governance. This essay will investigate the great inflation, and its impacts on Germany and the German people. Like most other inflations, the great inflation had its source in poor monetary policies and governance issues. Germany’s involvement in World War I is believed to have been the source of its monetary crisis. At the height of World War I, the German government exhausted its moneta ry reserves forcing it to turn to money printing press as a quick intervention measure. The German government needed money to pay its soldiers and officers serving in the war. The government also needed money to purchase military equipment that was required during the war. The government considered the act of printing extra money as a quick intervention strategy of winning the battle. ... This measure was meant increase the amount of liquid money under government’s control. This measure could not however, guarantee the government adequate money to pay its military personnel. To contribute to the government’s efforts of increasing the amount of money in the treasury, the parliament passed policies that allowed the government to offer war bonds. The Reich bank was to respond to this offer by printing extra money to balance the amount of money in government’s position with that in circulation. From 1914 to 1918, the amount paper money printed for both the government and private sector spending had reached 33.12 billion marks. This was a significant increase since before the war the German government and the private sector spending accounted for nearly 2.37 billion marks. Before the war, one US dollar traded for approximately 4.12 marks. At the end of World War I, the exchange rates had changed significantly since one US dollar traded for 8.32 marks. This was however, the initial stages of the inflation. Although the effects of this inflation were not sufficient to cause an economic breakdown, they greatly influenced German’s economy. The worst phase of the monetary crisis was experienced during the first five years that followed the war. At the first quarter of 1919, the supply of paper money had reached 50.16 billion marks. This figures changed constantly to reach 1,310.56 billion marks at the close of 1922. On the other hand, 192.3 marks traded for one US dollar at the beginning of 1919. The exchange rate increased dramatically and reached 7,589.37 in 1922 and, the worst situation occurred in November 1923 when one US dollar traded for 4,200,000,000.00 marks. This figure is absurd and it implied great