Wednesday, October 30, 2019

Autonomous intelligent agent topic tracking system Dissertation

Autonomous intelligent agent topic tracking system - Dissertation Example The researcher states that technology has forever changed the way journalists approach their careers, but there have those proverbial bumps in the road. For instance, Google found itself with a bit of quagmire following the 9/11 attacks on the Unite States. People were using keywords that they were hoping would put them right where they needed to be for the must up to date information. Unfortunately, Google as a search engine couldn’t meet the demands and a worse, the search engine just didn’t know what to do with these unfamiliar strings of words. For the first time, the internet failed people – both those hungry for news and those eager to get their columns in before deadline. A key component in the globalization of the world economy involves the transfer of intellectual material across borders. Access to new ideas and information is an important means of development in most economies. Today, thanks to the Internet, the flow of information is much easier; intel lectual ideas and property can be exchanged across borders almost instantaneously. Except perhaps in China where government officials block access not only to individual web sites, but to entire search engines. While China’s leaders recognize the value of the Internet as a tool for building economic competitiveness and technology capabilities, they have established what is known as the Great Firewall to filter what Chinese citizens can read on the Web, and effectively maintain the Communist Party’s grip on power.... Today, thanks to the Internet, the flow of information is much easier; intellectual ideas and property can be exchanged across borders almost instantaneously. Except perhaps in China where government officials block access not only to individual web sites, but to entire search engines. While China’s leaders recognize the value of the Internet as a tool for building economic competitiveness and technology capabilities, they have established what is known as the Great Firewall to filter what Chinese citizens can read on the Web, and effectively maintain the Communist Party’s grip on power. This paper discusses how China’s limitation on free access to the Internet influences the country’s ability to achieve meaningful economic progress. The CEO of AltaVista, one of the search engines banned by the Chinese government, noted that "censorship is not compatible with his vision of free global access to information" and has stated that he will not screen his siteâ €™s content to cater to Chinese officials. Yahoo Inc.’s Chinese portal in contrast has pledged to censor itself. This paper supports Yahoo Inc.’s decision and the contention that the current Chinese internet policy has helped the economy in achieving exponential economic growth. China’s policy in the context of technology during the last fifteen years has highlighted the undeniable reality of how a global power can adopt a need to use basis approach in strengthening internet limitations and censorship. Theorists have often felt that the main objective of adopting this policy is principally accounted for by the desire to strengthen national sovereignty and to enhance economic development. Obviously, these are two

Monday, October 28, 2019

Baseball and the Changes made in 1968 Essay Example for Free

Baseball and the Changes made in 1968 Essay Baseball is America’s most favorite past time. It is America’s national sports. Among the non-contact sports being played today, it is the most popular and widely played around the globe. Since contacts are less baseball players get to play more games and eventually seasons compare to their baseball and basketball counterparts. Baseball owns style and uniqueness is what makes the game more special and closer to the heart of the people of America. It is the only sport with exception to softball, which traces its origin and roots to baseball – in which the defense starts play by putting the ball in play. The success being enjoyed by baseball as America’s most favourite past time can be attributed to the excitement and fun the way games are played through the years, from minor to major leagues. The techniques and strategies employed by coaches, team owner, players and sport’s organizer to uplift quality of games, all add color and spice to an already colorful sporting event. The sight and sound inside the ballpark are things to behold as players continue to provide entertainment to every spectator. From the first time baseball was invented and developed, the game had undergone and seen several and important changes and facelift all for the improvement of the game’s quality and for the purpose of bringing the game closer to the public. It is no secret that several changes that are made in baseball’s rule and guidelines are results of the growing clamour made by casual and serious â€Å"faniacs† (fans and maniacs alike). By adapting these changes games are played more interestingly and competition became tougher as games are now dictated and rely heavily on the shoulders of every batter (Newell). The game has now evolved to a batter’s dominated game. With the changes in the existing rule efficiency of pitchers was limited. By limiting effectiveness of pitchers more hits are made, eventually yielding to more runs scored and homeruns being made. The committee’s action emphasis the growing important they put on hits, run, homeruns and offense as they try to bring attendance back in on ball parks. Thus, a new phase in baseball history opens up as fans and spectators go frenzy with every swing of the bat. With the major transformation of the game from a pitcher’s dominance to a batter controlled and dictated tempo, it is fitting and necessary to understand the changes that are made that swing the tide to the offensive teams’ favour. It was in 1968 when major league officials, organizers and experts started re-evaluation of existing baseball rules that govern the sports. One of the rules the committee focus and re-evaluated was the scoring of homeruns in the ninth inning or bottom of extra inning. Prior to the 1920 season, homeruns that propel winning run of runners ahead of them were not considered homeruns and will only be scored as a singles, doubles or a triples depending on the base occupied by the runner ahead of the player who made the homerun (Titlebaum). For example, if a runner is positioned on the second base, bottom of the ninth inning, and his teammate hit a home run the batter would only be credited with a double. His score would depend on the number of bases needed by the runner to advance in order to complete the winning run. In 1968 the special committee restore the homeruns that were lost due to the above mentioned law (Titlebaum). This was the first step made by the committee that slowly shifted the dominance from the pitchers to the batters. The year 1968 was also known to baseball fans as the â€Å"Year of the Pitcher†. It was in this year Robert â€Å"Bob† Gibson dished out the lowest ERA ever made in the 20th century. Gibson who played for the ST. Louis Cardinals was widely known as one of the most dominant and prominent figure of a pitcher in his era. It was during that year the he compiled an amazing 1. 12 ERA, whish was the most dominant performance of a pitcher in a season (Schell). He also completed 28 games out of his 34 as the starting pitcher in which 13 of them were shutouts (Schell). In 28 starts he never allowed a single run. Tim McCarver, Gibsons long-time catcher in St. Louis once quoted I never went to the mound when he was pitching. What is a catcher going to tell someone like him how to throw a pitch? † (Schell). The dominating performance of pitchers in this year led by Gibson, prompted league officials and organizers to make changes in able to help hitters and thus creating an era of an offense minded games. The influx of pitching talents during the 1968 was one of the reasons why pitchers dominated the game. Gibson wasn’t alone in dominating the ’68 season. There was Danny Mclain which was Gibson’s opponent in the World Series, which poser a pretty impressive number with his 1. 96 ERA (Schell). Apparently the figure was only good for fourth ranked in the American League behind Dave McNally with 1. 95, Sudden Sam McDowell’s 1. 81, and Luis Tiant’s 1. 60 (Schell). With the abundance of talent coupled with scarcity in hitting talent the Year of the Pitcher was born. Due to this abundance of pitching talent, organizer provides batters the leverage they needed to slug it put with the highly touted and remarkable pitchers. Thus, in order to resolve this problem officials change the height of the mound. From 15 inches in 1968, the mound was lowered to 10 (Newell). For this reason the environment has become friendly to hitters as strike zone has become smaller. Pitchers then have to be more perfect with their throws and batters can wait more patiently, unlike before when strike zones was enforced from the height of the batter’s armpit to the level of the knees. With this strike zone, pitcher like Gibson giving big, riding fastballs can easily eat the offense alive. As a result of this change the occurrence of players being out because of â€Å"easy outs† has declined. Furthermore, higher pitching mounds favour pitchers as it means more leverage for them. With the advantage in altitude, pitchers can put more downward velocity and spin to the ball making it more difficult for the opposing team to hit the ball. For the next few years attendance in ball parks increases as offense dominated baseball. Today, offense has dictated the flow of the games. Fans love watching games loaded with offensive actions. Pitchers too found it hard to dominate games, unlike before because of the fatigue and beating they obtained throughout the year. They play more games today. The inclusion of aluminum bats also increased the capacity of hitters to make homeruns. The changing of laws in 1968 has great impact on the field of baseball. The changes made define modern baseball. Work’s Cited Page Newell, Kevin. Five Game-Changing Moments in Baseball. Scholastic administrators (2005). Schell, Michael J. Baseballs All-Time Best Hitters, How Statistics Can Level the Playing Field. Princeton, New Jersey Princeton University Press, 1999. Titlebaum, Dr. Peter. Rule Changes in Baseball: Spring Training Never Ends sports media (2006).

Saturday, October 26, 2019

The Evils Of To Kill A Mockingbird :: essays research papers

Has evil always been around, or did man create it? One could trace evil all the way back to Adam and Eve; however, evil came to them, but it was not in them. When did evil become part of a person? No one knows, but evil has been around for a long time and unfortunately is discovered by everyone. In many great classics in literature evil is at the heart or the theme of the novel, including Harper Lee’s novel To Kill a Mockingbird. This classic book demonstrates the growing up of two children in the South and illustrates the theme of evil by showing how they discover, how they deal, and how they reconcile themselves to the evils they experience. First, the trial of Tom Robinson is an eye-opening experience for Jem and Scout; there they discover hatred, child abuse, and lying. Seeing pure hate is new and strange for Jem and Scout. They know that prejudice does exist, but listening to and watching Bob Ewell during the trial is astounding to them because Bob Ewell abhors all blacks, especially Tom Robinson. Bob’s daughter, Mayella, makes an advance on Tom, which is absolutely unspeakable and shameful at that time. In addition, Bob Ewell’s hate grows (especially for Atticus) because after the trial his reputation and respect is ruined, even though he does not have a high degree of integrity to begin with. Also, through the Jones 2 verdict of the trial, Jem and Scout see the hate in jurors for blacks, for it is obvious that Tom Robinson is innocent. Another new and disturbing element that Jem and Scout discover is child abuse. Having never been hit by Atticus, the children know nothing of physical, mental, emotional, or sexual abuse. However, Mayella Ewell knows too well of these abuses and is a victim of them from her own father. Bob Ewell shows he has no consideration for her by his actions or words, and this is clearly displayed during the trial when he is being asked on the stand, "Are you the father of Mayella Ewell?" (172) His crude reply is, "Well, if I ain’t I can’t do nothing about it now"(172). This shows he has no class or respect, while on the other hand, Jem and Scout are used to seeing the example of their tactful father. Also, during the trial it becomes lucid that Bob Ewell beat Mayella up and not Tom Robinson.

Thursday, October 24, 2019

To Kill a Mockingbird Passage

â€Å"If you had a clear conscience, why were you scared? † â€Å"Like I says before, it weren’t safe for any nigger to be in a—fix like that. † â€Å"But you weren’t in a fix—you testified that you were resisting Miss Ewell. Were you so scared that she’d hurt you, you ran, a big buck like you? † â€Å"No suh, I’s scared I’d be in court, just like I am now. † â€Å"Scared of arrest, scared you’d have to face up to what you did? † â€Å"No suh, scared I’d hafta face up to what I didn’t do. † â€Å"Are you being impudent to me, boy? † â€Å"No suh, I didn’t go to be. † This was as much as I heard of Mr. Gilmer’s cross-examination, because Jem made me take Dill out. For some reason Dill had started crying and couldn’t stop; quietly at first, then his sobs were heard by several people in the balcony. Jem said if I didn’t go with him he’d make me, and Reverend Sykes said I’d better go, so I went. Dill had seemed to be all right that day, nothing wrong with him, but I guessed he hadn’t fully recovered from running away. â€Å"Ain’t you feeling good? † I asked, when we reached the bottom of the stairs. Dill tried to pull himself together as we ran down the south steps. Mr. Link Deas was a lonely figure on the top step. â€Å"Anything happenin‘, Scout? † he asked as we went by. No sir,† I answered over my shoulder. â€Å"Dill here, he’s sick. † â€Å"Come on out under the trees,† I said. â€Å"Heat got you, I expect. † We chose the fattest live oak and we sat under it. â€Å"It was just him I couldn’t stand,† Dill said. â€Å"Who, Tom? † â€Å"That old Mr. Gilmer doin‘ him thataway, talking so hateful to him—† â€Å"Dill, that’s his job. Why, if we didn’t have prosecutors—well, we couldn’t have defense attorneys, I reckon. † Dill exhaled patiently. â€Å"I know all that, Scout. It was the way he said it made me sick, plain sick. † â€Å"He’s supposed to act that way, Dill, he was cross—† Page 202 He didn’t act that way when—† â€Å"Dill, those were his own witnesses. † â€Å"Well, Mr. Finch didn’t act that way to Mayella and old man Ewell when he crossexamined them. The way that man called him ‘boy’ all the time an‘ sneered at him, an’ looked around at the jury every time he answered—† â€Å"Well, Dill, after all he’s just a Negro. † â€Å"I don’t care one speck. It ain’t right, somehow it ain’t right to do ‘em that w ay. Hasn’t anybody got any business talkin’ like that—it just makes me sick. † â€Å"That’s just Mr. Gilmer’s way, Dill, he does ‘em all that way. You’ve never seen him get good’n down on one yet. Why, when—well, today Mr. Gilmer seemed to me like he wasn’t half trying. They do ’em all that way, most lawyers, I mean. † â€Å"Mr. Finch doesn’t. † â€Å"He’s not an example, Dill, he’s—† I was trying to grope in my memory for a sharp phrase of Miss Maudie Atkinson’s. I had it: â€Å"He’s the same in the courtroom as he is on the public streets. † â€Å"That’s not what I mean,† said Dill. â€Å"I know what you mean, boy,† said a voice behind us. We thought it came from the tree-trunk, but it belonged to Mr. Dolphus Raymond. He peered around the trunk at us. â€Å"You aren’t thin-hided, it just makes you sick, doesn’t it? † Page 203

Wednesday, October 23, 2019

Nursing Research and Evidence-Based Practice Essay

I did not understand why I had to take a research class when all I wanted to do was be a staff nurse in a critical care unit. Research? Evidence-based practice? Why are these topics in the nursing program? I have enough to do just learning all the content in my clinical courses. What do research and evidence have to do with developing my nursing abilities? I trust the faculty, the textbooks, and clinical experience to prepare me for nursing. I’m already getting what I need to know. That was my earlier attitude. Now that I am practicing, I have a new appreciation for nursing research and the evidence it provides for application to practice. I have an entirely different way of addressing clinical questions. I’m starting to ask questions about how I can improve the care I give to patients and how I can be involved in my workplace’s efforts to improve care for the patients it serves. I have discovered by purposeful reading in my practice area that research reports and research summaries contain many implications that apply to practice in the critical care unit.  ¦ QUESTIONS TO CONSIDER WHILE READING THIS CHAPTER: 1 How can faculty encourage students to read research journals? 2 How does research affect nursing practice? 3 How can nurses motivate colleagues to base their practice on research? KEY TERMS Clinical nurse researcher (CNR) An advanced practice nurse who is doctorally prepared and directs and participates in clinical research. Clinical nurse specialist (CNS) An advanced practice nurse who provides direct care to clients and participates in health education and research. Clinical practice guideline (CPG) an evidence-based guide to clinical practice developed by experts in a particular ? eld for direct application in clinical environments. Control group Subjects in an experiment who do not receive the experimental treatment and whose performance provides a baseline against which the effects of the treatment can be measured. When a true experimental design is not used, this group is usually called a comparison group. Data collection The process of acquiring existing information or developing new information. 104 Nursing Research and Evidence-Based Practice CHAPTER 6 105 Empirical Having a foundation based on data gathered through the senses (e. g. , observation or experience) rather than purely through theorizing or logic. Ethnography A qualitative research method for the purpose of investigating cultures that involves data collection, description, and analysis of data to develop a theory of cultural behavior. Evidence-based practice The process of systematically ? nding, appraising, and using research ? ndings as the basis for clinical practice. Experimental design A design that includes randomization, a control group, and manipulation between or among variables to examine probability and causality among selected variables for the purpose of predicting and controlling phenomena. Generalizability The inference that ? ndings can be generalized from the sample to the entire population. Grant Proposal developed to seek research funding from private or public agencies. Grounded theory A qualitative research design used to collect and analyze data with the aim of developing theories grounded in real-world observations. This method is used to study a social process. Meta-analysis Quantitative merging of ? ndings from several studies to determine what is known about a phenomenon. Methodologic design A research design used to develop the validity and reliability of instruments that measure research concepts and variables. Naturalistic paradigm A holistic view of nature and the direction of science that guides qualitative research. Needs assessment A study in which the researcher collects data for estimating the needs of a group, usually for resource allocation. Phenomenology A qualitative research design that uses inductive descriptive methodology to describe the lived experiences of study participants. Pilot study A smaller version of a proposed study conducted to develop or re? ne methodology, such as treatment, instruments, or data collection process to be used in a larger study. Qualitative research A systematic, subjective approach used to describe life experiences and give them meaning. Quantitative research A formal, objective, systematic process used to describe and test relationships and examine cause-and-effect interactions among variables. Quasi-experimental research A type of quantitative research study design that lacks one of the components (randomization, control group, manipulation of one or more variables) of an experimental design. Randomization The assignment of subjects to treatment conditions in a random manner (determined by chance alone). Secondary analysis A research design in which data previously collected in another study are analyzed. State-of-the-science summary A merging of ? ndings from several studies concerning the same topic. Examples include meta-analysis with a quantitative approach and integrative review with a descriptive approach. Survey A nonexperimental research design that focuses on obtaining information regarding the status quo of a situation, often through direct questioning of participants. Triangulation The use of a variety of methods to collect data on the same concept. LEARNING OUTCOMES After studying this chapter, the reader will be able to: 1 Summarize major points in the evolution of nursing research in relation to contemporary nursing. 2 Evaluate the in? uence of nursing research on current nursing and health care practices. 3 Differentiate among nursing research methods. 4 Evaluate the quality of research studies using established criteria. 5 Participate in the research process. 6 Use research ? ndings to improve nursing practice. 106 UNIT ONE The Development of Nursing CHAPTER OVERVIEW This chapter provides basic knowledge regarding the research process and the ultimate importance of evidence-based nursing practice. The intent is to inspire an appreciation for nursing research and to show how it can improve nursing practice and how results can be translated into health policy. Nursing research is de? ned as a systematic approach used to examine phenomena important to nursing and nurses. A summary of major points in the evolution of nursing research in relation to contemporary nursing is presented. A description of private and public organizations that fund research is given, and their research priorities are listed. Major research designs are brie? y described, and examples of each are given. Nurses of all educational levels are encouraged to participate in and promote nursing research at varying degrees. The process of locating research and evidence for practice is reviewed. Students are introduced to the research process and guided in the process of critically appraising published research and research syntheses. Ethical issues related to research are examined, and historical examples of unethical research are given. The functions of the institutional review board (IRB) and the use of informed consent in protecting the rights of human subjects are emphasized. DEFINITION OF NURSING RESEARCH Research is a process of systematic inquiry or study to build knowledge in a discipline. The purpose of research is to develop an empirical body of knowledge for a discipline or profession. Speci? cally, research validates and re? nes existing knowledge and develops new knowledge (Burns and Grove, 2007). The results of research process provide a foundation on which practice decisions and behaviors are laid. Research results create a strong scienti? c base for nursing practice, especially when deliberately and carefully evaluated for application to speci? c clinical topics (Melnyk and Fineout-Overholt, 2005). In recent decades the nursing discipline has begun to pay much greater attention to the necessity of participating in research. Nursing research is a systematic approach used to examine phenomena important to nursing and nurses. Because nursing is a practice profession, it is important that clinical practice be based on scienti? c knowledge. Evidence generated by nursing research provides support for the quality and cost-effectiveness of nursing interventions. Thus recipients of health care—and particularly nursing care—reap bene? ts when nurses attend to research evidence and introduce change based on that evidence into nursing practice. The introduction of evidence-based change into the direct provision of nursing care may occur at the individual level of a particular nurse or at varied organizational or social levels. In addition to nursing research aimed at affecting the direct provision of nursing and health care to recipients of nursing care, nursing research also is needed to generate knowledge in areas that affect nursing care processes indirectly. Research within the realms of nursing education, nursing administration, health services, characteristics of nurses, and nursing roles provides evidence for effectively changing these supporting areas of nursing knowledge (Burns and Grove, 2007). Today the importance of nursing research to the discipline is recognized. However, much nursing history underlies the current state of acceptance. EVOLUTION OF NURSING RESEARCH Nursing research began with the work of Florence Nightingale during the Crimean War. After Florence Nightingale’s work, the pattern that nursing research followed was closely related to the problems confronting nurses. For example, nursing education was the focus of most research studies between 1900 and 1940. As more nurses received their education Nursing Research and Evidence-Based Practice CHAPTER 6 107 in a university setting, studies regarding student characteristics and satisfactions were conducted. As more nurses pursued a college education, staf? ng patterns in hospitals changed because students were not as readily available as when more students were enrolled in hospitalaf? liated diploma programs. During this period, researchers became interested in studying nurses. Questions such as what type of person enters nursing and how are nurses perceived by other groups guided research investigations. Teaching, administration, and curriculum were studies that dominated nursing research until the 1970s. By the 1970s more doctorally prepared nurses were conducting research, and there was a shift to studies that focused on the improvement of patient care. The 1980s brought nursing research to a new stage of development. There were many more quali? ed nurse researchers than ever, widespread availability of computers for collection and analysis of data, and a realization that research is a vital part of professional nursing (Polit and Beck, 2006). Nurse researchers began conducting studies based on the naturalistic paradigm. These studies were qualitative rather than quantitative. In addition, instead of conducting many small, unrelated research studies, teams of researchers, often interdisciplinary, began conducting programs of research to build bodies of knowledge related to speci? c topics, such as urinary incontinence, decubitus ulcers, pain, and quality of life. The 1990s brought increasing concern about health care reform, and now in the twenty-? rst century, research studies focus on important health care delivery issues, such as cost, quality, and access. Research ? ndings are being used increasingly as the basis for clinical decisions. Evidencebased practice (EBP) can be de? ned as the process of systematically ? nding, appraising, and using research ? ndings as a basis for making decisions about patient care. The rise of technology and the worldwide access and ? ow of information have transformed the decision-making processes of practitioners. Helpful informational websites for busy practitioners are listed in Box 6-1. No longer do nurses simply compare outcomes of patient care with other units in the B O X 6–1 Helpful Websites l f l b i National Guideline Clearinghouse—resource for evidence-based clinical practice guidelines www. guidelines. gov US Department of Veterans Affairs Clinical Practice Guidelines www. healthquality. va. gov AHRQ Healthcare Innovations Exchange—innovations and tools to improve health care www. innovations. ahrq. gov/index. aspx The Evidence-Based Medicine Education Center of Excellence—extensive list of databases, journals, and textbooks http://library. ncahec. net/ebm/pages/resources. htm U. S. National Institute for Health Consensus statements http://consensus. nih. gov Centre for Evidence-Based Nursing, based at University of York—United Kingdom www. york. ac. uk/healthsciences/centres/evidence/cebn. htm The Joanna Briggs Institute, based at Royal Adelaide Hospital and the University of Adelaide, Australia—multiple evidence resources for practice www. joannabriggs. edu. au Cochrane Center—resource for evidence-based clinical practice guidelines www. cochrane. org 108 UNIT ONE The Development of Nursing same hospital. Nurses and other health care professionals are more likely to look for solutions, choices, and outcomes for patients that represent the best available knowledge internationally (Hamer and Collinson, 2005). RESEARCH PRIORITIES Why set priorities for research in the nursing discipline? Can nurses do research in areas that match personal areas of interest? The answer to the second question is, yes, certainly. But nursing exists to provide high-quality nursing care to individuals in need of health-promoting, health-sustaining, and health-restoring strategies. The main outcome of research activity for a nurse is to eventually put the knowledge gained to work in health care delivery. Research priorities, often set by groups that fund research, encourage nurse researchers to invest effort and money into those areas of research likely to generate the most bene? t to recipients of care. Of course the funding opportunities offered by such groups do not hurt the research enterprise either. Research costs money. Thus nurses engaged in research often match personal interests with funding opportunities that are available during the planning phase for a proposed investigation. Two major sources of funding for nursing research are the National Institute of Nursing Research (NINR) and the Agency for Healthcare Research and Quality (AHRQ) (formerly known as the Agency for Health Care Policy and Research [AHCPR] and reauthorized as AHRQ by Congress in 1999). Both of these organizations are funded by federal congressional appropriations. Private foundations and nursing organizations also provide funding for nursing research. National Institute of Nursing Research As part of the National Institutes of Health (NIH), the NINR supports research on the biologic and behavioral aspects of critical health problems that confront the nation. The NINR’s research focus encompasses â€Å"health promotion and disease prevention, quality of life, health disparities, and end-of-life† (NINR Strategic Plan 2006-2010, 2006). A small sampling of potentially supported research topics includes those aimed at: ? Determining disease risk and treatment through utilizing genetic information ? Determining effective health-promotion strategies for individuals, families, and communities ? Discovering approaches that encourage people to effectively take responsibility for symptom management and health promotion ? Assisting in identi? cation and effective management of symptoms related to acute and chronic disease ? Improving clinical settings in which care is provided ? Improving the quality of care giving in settings such as long-term care facilities, the home, and the community ? Understanding predisposition to disease, socioeconomic factors that in? uence health, and cultural health practices that either protect from or expose to risk for health problems ? Improving symptom management for those at end of life The areas of research emphasis published by the NINR are useful guides for investigators developing proposals but are not considered to be prescriptive in nature. Investigators bring to bear their own unique expertise and creativity when proposing research in harmony with NINR priority research areas. Annually the NINR conducts a roundtable discussion with multiple nursing organizations to obtain the feedback of the disciplines regarding the need for continued or new research Nursing Research and Evidence-Based Practice CHAPTER 6 109 emphases. Information obtained is used in setting future research agendas and making decisions about funding of proposals submitted by researchers (Of? ce of Science Policy and Public Liaison, NINR, 2009). The NINR website details current announcements regarding research priorities (www. ninr. nih. gov/ResearchAndFunding). Agency for Healthcare Research and Quality The AHRQ broadly de? nes its mission as â€Å"improving the quality, safety, ef? ciency, and effectiveness of health care for all Americans† (AHRQ, 2009a). As an agency of the U. S. Department of Health and Human Services, the AHRQ’s health-related aims are to reduce the risk of harm by promoting delivery of the best possible health care, improve health care outcomes by encouraging the use of evidence to make informed health care decisions, transform research into practice to facilitate wider access to effective health care services, and reduce unnecessary costs (AHRQ, 2009a). Since the inception of the agency in 1989, strategic goals have centered on supporting improvements in health outcomes, strengthening measurement of health care quality indicators, and fostering access to and cost-effectiveness of health care. The 1999 reauthorizing legislation expanded the role of the agency by directing the AHRQ to: ? Improve the quality of health care through scienti? c inquiry, dissemination of ? ndings, and facilitation of public access to information. ? Promote patient safety and reduce medical errors through scienti? c inquiry, building partnerships with health care providers, and establishment of centers for education and research on therapeutics (CERTs). ? Advance the use of information technology for coordinating patient care and conducting quality and outcomes research. ? Establish an of? ce on priority populations to ensure that the needs of low-income groups, minorities, women, children, the elderly, and individuals with special health care needs are addressed by the agency’s research efforts. The research-related activities of the AHRQ are quite varied, but a recent shift emphasizes a more deliberate translation of research evidence into practice. In a process similar to that used by the NIH, investigators are invited to submit research proposals for possible funding through grant announcements. A listing of current areas of the agency’s research interests can be found online at www. ahrq. gov/fund/portfolio. htm. The AHRQ actively promotes EBP, partially through the establishment of 14 EBP centers (EPCs) in the United States and Canada. EPCs conduct research on assigned clinical care topics and generate reports on the effectiveness of health care methodologies. Health care providers may then use the evidence in developing site-speci? c guidelines that direct clinical practice. AHRQ also actively maintains the National Guideline Clearinghouse (www. guidelines. gov), an website that makes available to health care professionals a wide array of clinical practice guidelines that may be considered in health care decision making. Another recent addition to AHRQ’s initiatives is the Healthcare Innovations Exchange (2009b), which provides a public source of information about innovations taking place in health care delivery. Submitted innovations are reviewed for the quality of achieved outcomes, providing evidence as a foundation for decision making by others who may be searching for or considering similar innovations. Although most AHRQ activities are intended to support health care professionals and institutions, the agency supports health care recipients by designing some information speci? cally for dissemination to the lay public (AHRQ, 2009a). 110 UNIT ONE The Development of Nursing Private Foundations Federal funding is available through the NIH and the AHRQ. However, because obtaining money for research is becoming increasingly competitive, voluntary foundations and private and community-based organizations should be investigated as possible funding sources. Many foundations and corporate direct-giving programs are interested in funding health care projects and research. Computer databases and guides to funding are available in local libraries. In addition, grant-seeking enterprises often purchase subscriptions that allow computer access to enhanced listings of funding foundations that include information about the types of projects those foundations typically fund. Though subscriptions are expensive, costs are often balanced by the ef? ciency with which suitable funding prospects are identi? ed. An example of such a service is Prospect Research Online (www. iwave. com). Private foundations, such as the Robert Wood Johnson Foundation (2009a, 2009b) or the W. K. Kellogg Foundation (2009), offer program funding for health-related research. Investigators should be encouraged to pursue funding for small projects through local sources or private foundations until a track record is established in research design and implementation. After several years of experience in the research arena, investigators are more likely to be successful in securing funding through federal sources, such as the NIH. Nursing Organizations Sigma Theta Tau International (STTI), the American Nurses Association (ANA), and the Oncology Nurses Society (ONS), are a few of the nursing organizations that fund research studies. STTI makes research grant awards to increase scienti? c knowledge related to nursing practice. STTI supports creative interdisciplinary research and places importance on identifying â€Å"best practices† and benchmark innovations. Awards are made at the international and local chapter levels. The ANA awards small grants through the American Nurses Foundation. Specialty nursing organizations offer grants to support research related to their specialty. For example, the ONS awards grants that focus on issues related to oncology. To summarize, multiple potential sources of funding are available for research projects. The individual or group wishing to conduct research will need to carefully develop a proposal, search for a possible funding source, and submit the proposal. Libraries and the Internet provide ample information about the many foundations and organizations interested in funding research endeavors. Most research institutions establish of? ces that help in the search and procurement of funding. Thus researchers are supported in their work of knowledge building. COMPONENTS OF THE RESEARCH PROCESS The research process involves conceptualizing a research study, planning and implementing that study, and communicating the ? ndings. The process involves a logical ? ow as each step builds on the previous steps. These steps should be included in published research reports so that the reader has a basis for understanding and critiquing the study (Box 6-2). STUDY DESIGNS Study designs are plans that tell a researcher how data are to be collected, from whom data are to be collected, and how data will be analyzed to answer speci? c research questions. Research studies are classi? ed into two basic methods: quantitative and qualitative, two distinctly different approaches to conducting research. The researcher chooses the method based on the research question and the current level of knowledge about the phenomena and the problem to be studied. Quantitative research is a formal, objective, systematic process in which numeric