Nrs-433v Week 1 Literature Search Prevention of Surgical...

NRS-433V Week 1 Literature Search: Prevention of Surgical Site Infection To purchase this tutorial visit here: http://mindsblow.us/question_des/NRS-433VWeek1LiteratureSearchPreventionofSurgicalSiteInfection/2852 contact us at: help@mindblows.us NRS-433V Week 1 Literature Search: Prevention of Surgical Site Infection Details: Conduct a literature search to locate research articles focused on a practice problem of interest. This literature search should include both quantitative and qualitative peer research articles to support your practice problem or issue of interest in 350-750 words. Identify six peer research articles which will be utilized through the next 5 weeks as reference sources. Create a reference list in which the six†¦show more content†¦NRS-433V Week 1 Literature Search: Prevention of Surgical Site Infection To purchase this tutorial visit here: http://mindsblow.us/question_des/NRS-433VWeek1LiteratureSearchPreventionofSurgicalSiteInfection/2852 contact us at: help@mindblows.us NRS-433V Week 1 Literature Search: Prevention of Surgical Site Infection Details: Conduct a literature search to locate research articles focused on a practice problem of interest. This literature search should include both quantitative and qualitative peer research articles to support your practice problem or issue of interest in 350-750 words. Identify six peer research articles which will be utilized through the next 5 weeks as reference sources. Create a reference list in which the six articles are listed. Beneath each reference include the articles abstract. The completed assignment should have a title page and a reference list with abstracts. Suggestions for locating qualitative and quantitative research articles from credible sources: 1. Use a library database such as CINAHL Complete for your search. 2. Using the advanced search page check the box beside Research Article in the Limit Your Results section. 3. When setting up the search you can type your topic in the top box, then add quantitative or qualitative as a search term in one of the lower boxes. Research articles often are described as

Informative Essay About Sleep Paralysis - 934 Words

Macaella Martinez Virgina Castleman English 101 Essay #2 20 October 2017 Entering into the world of Sleep Paralysis Many people suffer from sleep paralysis, yet don’t know what this disorder is and the effects it has on people. People who have had suffered from this disorder don’t know when to expect it or even see it coming. In this essay, I’m going to talk about what sleep paralysis is, what the causes are, the symptoms and risks, the prevention of sleep paralysis, and a real life story of someone and what they experienced through this disorder. To start off, sleep paralysis is known as a sleep disorder that’s causes temporary inability to move or speak that can occur when waking up or falling asleep. According to www.alaskasleep.com,†¦show more content†¦People have feel this terrible fear because when stuck in paralysis because it can affect every sense in your body. People have even linked this fear to death or dying. The next one is hallucinations. This includes seeing, hearing, smelling, and even feeling things. For example, people have said they have witnessed, scratching, buzzing, smells of rotting death and even more. The last one I want to bring up is the supine position. This is when you sleep on your back and this is where most attacks occur yet studies have showed many people don’t fall asleep on their backs. Next I will talk about the prevention is sleep paralysis. With this disorder, there isn’t a medical solution. Medicine isn’t able to cure these episodes but there are ways for you to help prevent them yourself. One way you can help prevent them is found on www. mentalhealthdaily.com, stating that if you avoid laying on your back or even if you do, prop your head up with a pillow so you’re not completely flat. Another one is to minimize any sleep disruptions. Make sure that you turn phones off, don’t sleep with the television on, and/or if you have pets, make sure it’s an urgent situation to get up and care for them. The last one is being able to relax. You don’t want to force yourself because this will cause panic attacks. To end this essay, I want to share a real life experienceShow MoreRelatedOrganisational Theory230255 Words   |  922 Pagestruth is out there, and we can objectively know it Philosophical disputes around the role of the s ubjective in science Epistemological and ontolological disputes: how can we ever know the ‘truth’ and is there an ‘out there’? A few words of warning about the term postmodernism Overview of the structure and rationale of the book Chapter summaries Chapter 2: Modernist organization theory: back to the future? Chapter 3: Neo-modernist organization theory: putting people first? Chapter 4: Neo-modernistRead MoreDeveloping Management Skills404131 Words   |  1617 Pages372 7 MANAGING CONFLICT 373 SKILL ASSESSMENT 374 Diagnostic Surveys for Managing Conflict 374 Managing Interpersonal Conflict 374 Strategies for Handling Conflict 375 SKILL LEARNING 376 Interpersonal Conflict Management 376 Mixed Feelings About Conflict 376 Diagnosing the Type of Interpersonal Conflict 378 Conflict Focus 378 Conflict Source 380 Selecting the Appropriate Conflict Management Approach 383 Comparing Conflict Management and Negotiation Strategies 386 Selection Factors 386 Resolving

Education And Problem Posing Education - 1589 Words

Freire enlightens his readers into two different views of education; banking education and problem-posing education. These two approaches are on opposite ends of the educational spectrum. Banking education describes the student as a bank that the teacher is depositing knowledge into. In this form of education students are hoped to retain all the education that the teachers is presenting. Problem-posing education differs in the way that students gain information. This method is more creative and explorative. The students are not only learning from the teacher but also from each other. They are able to freely think and open their minds to different ideas. Freire discusses both of these methods in the view points of; the theory each methods†¦show more content†¦The teachers are able to learn from the students and their experiences and the students are able to learn from the teacher. Banking education is all about memorization and building knowledge to become a complete an educa ted person, â€Å"Instead of communicating, the teacher issues communiques and makes deposits which the students patiently receive, memorize, and repeat†(1, 1993). In this way it is also very easy to determine what is being taught. This gives no freedom to the teachers, but only to the people who make up the curriculum. Problem- posing is leaning towards a very different theory. They ground themselves on communication, freedom, and worldly experiences. The students in problem-posing education are taught to react to problems around them and learn from what is going on in the world. Communication is a big idea in the theory of each type of education. In the problem-posing model communication is key to learning. Teachers are able to teach through the students’ knowledge and what use this to base their lessons off of. Banking education shuts all communication off between the student and the teacher, and the teacher and the curriculum maker. The students have no real say in their education they just listen to what the teacher says. The teacher does not impose their thinking’s on the student, they are only to present the material. All of these components lead to the theory of knowledge that both banking and

Why Mr. Donald Trump Loses The Presidential Election Essay

Why Mr. Donald Trump Loses the Presidential Election The United States of America is the best country in the world, because of its respect for the constitution of the country, its citizens regardless of gender, age, social-economic condition or health condition. Likewise, for the good international relations that it has, for its respect to the agreements that it has made with other countries, as well as the respect to the governments of other nations, for the above-mentioned reasons, we are considered the leading nation in the world and role model to follow. But during the presidential campaign one of the candidates has shown a lack of respect for all these virtues that of the United States of America has, his name Donald Trump. He is a person who does not respect the most essential human values, the international treaties and the civil rights of citizens of United States of America. In this essay, I will describe how Mr. Trump has trashed everything that American citizens are so proud of the United States of America. What essential human values does Mr. Trump not respect? In November of 2015, Mr. Trump mocked and offended disabled journalist Sergei Kovalevsky of the New York Times in a campaigning event in South Carolina, in front of his followers, and later denied the fact. In June of 2016, Mr. Trump insults an ABC journalist and again denies the episode. In addition, he had a discussion with the journalists who complained about his attitude. Throughout his campaign, heShow MoreRelatedQuestions On Donald Trump s Presidential Election948 Words   |  4 PagesA. Syllogism P1) If Donald Trump is unquailed to be president, he should not be voted as presiden.t P2) Donald Trump is unqualified to be president. C) He should not be voted as president. B. Description Donald Trump is making the 2016 Presidential Election one of the most noteworthy in recent history. 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Decisions will be made that will have permanent consequences on us and on our country as a whole. Most importantly it will determine the direction of the Supreme Court. Our country certainly canno t go on as it has. OurRead MoreWatching The Extraordinary Rise Of Donald Trump s Presidential Campaign2393 Words   |  10 PagesWatching the extraordinary rise of Donald Trump’s presidential campaign and subsequent capture of the Republican Party nomination in 2016, both observers and the official chattering classes have pondered what this means for the future foreign policy of the United States. Trump’s strident opposition to free trade, disdain for NATO and the US-Japan alliance, and willingness to ban all Muslims from entering the US do represent a stark break from 64 years of Republican national security orthodoxy. WithRead More`` Shifting The Center : Race, Class, And Feminist Theorizing About Motherhood Essay2296 Words   |  10 Pageslifetime.† At the end of August, it seemed as though Donald Trump was destined to fail in his bid to become the 45th President of the United States. After months of new revelations of sexual harassments and use of vulgar la nguage, spectators of the political sport were almost certain that Secretary Clinton would win, and then that fateful day came. Everyone, including some of Donald Trump’s most ardent supporters were shocked at the outcome of the election, leaving many to ask how such a thing could happenRead MoreDifferences And Political Diversity In The United States1614 Words   |  7 Pagesdiversity, and education falling below the mean average in the state. It is also important to note that while they voted 72%+ for President Trump and most of the political history has been for a Republican candidate. 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If the economy is doing well, thereforeRead MoreBiography Of John Calvin s Life1591 Words   |  7 Pages(which after I googled it I found to be a country in Switzerland), he printed what was his Institutes of Christian Religion. (John Calvin, 2015) It had six chapters in the beginning, but eventually evolved into eighty chapters! (John Calvin, 2015) Mr. Calvin was traveling through Geneva, when his intended overnight stop, got him roped into a leading role in the Protestant Movement. (John Calvin, 2015) It was not his intention to get involved in this, the man just wanted some peace and quiet so thatRead MoreA Time For Change Again !2439 Words   |  10 PagesA Time for Change; Again! With the way this election has turned out and the thoughts that are had by most, change of the election process has come up multiple times by all kinds of people. We see this is the posts on social media, the protest that have happened across the nation, and the speeches from politicians to give the president elect a chance. There are family and friends that are no longer talking to each other and rules that have been set for holiday gatherings that certain topics are

Joy luck club2 Essay Example For Students

Joy luck club2 Essay In the novel, The Joy Luck Club, by Amy Tan, it tells of four Chinese women drawntogether in San Francisco to play mah jong, and tell stories of the past. These four women and their families all lived in Chinatown and belong to the First Chinese Baptist Church. They were not necessarily religious, but found they could improve their home China. This is how the woos, the Hsus, the Jongs and the St Clairs met in 1949. The first member of the Joy Luck Club to die was Suyuan Woo. Her daughter, Jing-mei June Woo, is asked to sit in and take her mothers place at playing mah jong. Memories of the past are shared by the three women left, An-mei Hsu, Lindo Jong and Ying-ying St Clair. June Woo learns of the real secret her mother carried to her grave from her mothers friends. The twin baby girls, her half sisters, Suyuan pushed in a Wheelbarrow as she escaped from the Japanese. Due to sickness, Suyuan canno longer carry her babies, and is forced to leave them on the side of the road. She lives her whole life not knowing if they are alive or dead. In the book, the Woos left for America to build a better life for themselves. Suyuan Woo wanted to have a daughter like herself, and no one would look down on her. It was important that she speak perfect English and hopefully not share in the same tragedies and sorrows she had known. The movie brought this concept out very vividly. You were able to imagine the time and place and the emotions of the characters. Their anger in the early years, how women and children were treated as possessions. The book spoke of Rose Hsu Jordan, daughter of An-mei Hsu, who had seven brothers and sisters. A very tragic time in her life when her brother Bing drowns at age 1 while she was in charge of watching him. The movie does not touch upon this tragic event and brings out the rich family Rose marries into, and the instant rejection from her boyfriends mother. Rose unhappiness in her marriage with Tod, is similar to the unhappiness her mother had throughout her life. Lindo Jong was a special character in the book , referring to promises she made to her mother as a young girl, and keeping them throughout her life. She was actually abandoned by her family and Lindo was sent to live with her future husbands family. She never complained because she would never dishonor her mother. The movie did an excellent job of showing us the culture during that time in China and how the matchmaker arranged the marriages at an early age. She is a very smart girl and figures out how she could get out of this marriage and still keep her promise to her mother. She puts the blame on the matchmaker and is released from the marriage. When speaking of strong characters in the book, one would have to include Waverly Jong, daughter of Lindo Jong. She was a bright child who became a famous chess player, which made her mother very proud. The movie brought out her unhappiness in her life and the unhappy relationship with her mother. The two shared similar lives even though they lived in different countries and different times. Ying-ying St Clair, according to the book, was married at an early age and referred to her husband as a bad man. In fact she tried so hard to forget him she forgets his name. She tells of taking her baby before it was born because of the hate she has for her husband. The movie tells the story a little different in reference to her baby. After her husband comes home with his mistress and causes her shame, she drowns her tiny infant while bathing him. A tragic and emotional part in the movie. Lena St Clair, daughter of Lindo St Clair, may not have had such a tragic relationship with her husband as did her mother; but she was unable to find happiness in her marriage. The book a nd movie were similar in showing us the relationship she had with Harold. They were business partners also, but he made more money than she. They shared everything right down the middle and kept a running journal. They also decided not to have children which goes along with their relationship. .u867c1bb8794a80a93e5549e515288abc , .u867c1bb8794a80a93e5549e515288abc .postImageUrl , .u867c1bb8794a80a93e5549e515288abc .centered-text-area { min-height: 80px; position: relative; } .u867c1bb8794a80a93e5549e515288abc , .u867c1bb8794a80a93e5549e515288abc:hover , .u867c1bb8794a80a93e5549e515288abc:visited , .u867c1bb8794a80a93e5549e515288abc:active { border:0!important; } .u867c1bb8794a80a93e5549e515288abc .clearfix:after { content: ""; display: table; clear: both; } .u867c1bb8794a80a93e5549e515288abc { display: block; transition: background-color 250ms; webkit-transition: background-color 250ms; width: 100%; opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; background-color: #95A5A6; } .u867c1bb8794a80a93e5549e515288abc:active , .u867c1bb8794a80a93e5549e515288abc:hover { opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; background-color: #2C3E50; } .u867c1bb8794a80a93e5549e515288abc .centered-text-area { width: 100%; position: relative ; } .u867c1bb8794a80a93e5549e515288abc .ctaText { border-bottom: 0 solid #fff; color: #2980B9; font-size: 16px; font-weight: bold; margin: 0; padding: 0; text-decoration: underline; } .u867c1bb8794a80a93e5549e515288abc .postTitle { color: #FFFFFF; font-size: 16px; font-weight: 600; margin: 0; padding: 0; width: 100%; } .u867c1bb8794a80a93e5549e515288abc .ctaButton { background-color: #7F8C8D!important; color: #2980B9; border: none; border-radius: 3px; box-shadow: none; font-size: 14px; font-weight: bold; line-height: 26px; moz-border-radius: 3px; text-align: center; text-decoration: none; text-shadow: none; width: 80px; min-height: 80px; background: url(https://artscolumbia.org/wp-content/plugins/intelly-related-posts/assets/images/simple-arrow.png)no-repeat; position: absolute; right: 0; top: 0; } .u867c1bb8794a80a93e5549e515288abc:hover .ctaButton { background-color: #34495E!important; } .u867c1bb8794a80a93e5549e515288abc .centered-text { display: table; height: 80px; padding-left : 18px; top: 0; } .u867c1bb8794a80a93e5549e515288abc .u867c1bb8794a80a93e5549e515288abc-content { display: table-cell; margin: 0; padding: 0; padding-right: 108px; position: relative; vertical-align: middle; width: 100%; } .u867c1bb8794a80a93e5549e515288abc:after { content: ""; display: block; clear: both; } READ: The Caste System EssayIn the final conclusion, the twin baby girls did live and reunited with their half sister, June Woo, in China. This story actually includes three generations of mothers and daughters sharing same or similar tragedies and unhappiness. Mothers protecting their children, wanting their daughters to know their worth. The influence of mothers on their daughters every day life, showing respect was very important. The cultural rules these women were raised with for so many years in China had a life time effect on their lives. They wanted things different for their daughters in America, but they still compared life as it should be in China. I was touched by th e strength and courage these women had whether they lived in China orBibliography:

Improving the Cultural Responsiveness of Victorian Hospitals

Question: Discuss about teImproving the Cultural Responsiveness of Victorian Hospitals. Answer: Introduction The evaluation plan deals with the impact of the evaluation of the community program regarding Improving the Cultural Responsiveness of Victorian Hospitals. The evaluation plan involves the Aboriginal health evaluation through the program. Background information is provided regarding the program along with the goals and objectives that are being followed to make the program effective among the Aboriginals. In detail, analysis of the evaluation strategy has been drawn to discuss the purpose of the evaluation plan, along with the rationale of the evaluation, evaluation design, data collection and analysis method, the budget and the period of the program has been discussed. Description Of The Program Cultural responsiveness framework for Victorian health services/hospitals include several standards based on which cultural responsiveness are adhered to. The Health Service Cultural Diversity Plans (HSCDP) is responsible for framing the cultural responsiveness for Victorian health services (Brock, Charlton and Yeatman 2014). The main reason of formulating such plans was to introduce a range of strategies and policies, which would aid in removing the barrier that patient from culturally as well as linguistically diverse background faces. This led to the framing of the Cultural Responsiveness Framework Implementation Plan to remove these barriers and make the patients more accessible towards the health care services (Mercer 2013). HSCDP intended to provide quality care to all by aiding in the promotion of the multicultural community of Victoria. It also intended to employ a workforce, which will be culturally proficient in treating the needs of such patients, adhering strictly to the school of beliefs they belong too. Several policies have been set up in context to the health related problems as faced by the Aboriginals (Pesco 2014), namely, Koolin Balit: Victorian Government Strategic Directions for Aboriginal Health (2012-2022), Victorian Aboriginal Affairs Framework (2013-2018), Victorian Health Priorities Framework (2012-2022), Aboriginal Health Promotion and Chronic Care Partnership (AHPACC) (2011-2014), Victorian Aboriginal Healthplan (VACKH), National Aboriginal and Torres Strait Islander Workforce Strategic Framework (2011-2015). Goals Specific To The Program Exact population of Aboriginals who are visiting the Victorian hospitals. To provide with improved access of the aboriginals to Victorian hospitals. To encourage the formulation of a partnership between the Victorian hospitals and any organization that is based in the aboriginal community, for example, Victorian Aboriginal Health Service. To identify the fact that the cultural responsiveness does not only encompass high quality level of treatment to patients belonging to the Aboriginal community but it also applies to patients too with a different cultural background. Objectives To Encompass In The Program To reduce the occurrence of premature death of the Aboriginals due to medical negligence. To provide with a holistic environment at the hospital to treat the Aboriginals so that their culture and beliefs are not hurt. To arrange for orientation programs to develop better translation skills among the staff at the hospitals. Strategies To Encourage Aboriginals To Join The Program Providing the health care personnel at the Victorian hospitals with resources to build a background regarding the Aboriginals. Appoint the Aboriginals and equip them to understand the pros of accessing health care, thereby resulting into encouraging the others to approach the medical staff without any hesitations. Literature Review This program needs to be evaluated because the effectiveness of the program has to be assessed. The lack of education and the communication gap prevents the Aboriginals to be properly diagnosed by the doctors. Most of the times, the natives die due to lack of treatment and this also because of their reluctance in being treated with medicines (Mercer, Byrth and Jordan 2014). The life expectancy has gone down too for the Aboriginals as they develop several diseases, which prove to be life threatening for them for most of the times. The life expectancy of an average Aboriginal man is as low as 11.5 yrs and it is shockingly lower than that, 9.1 yrs for females (Kirmayer 2012). They also run a higher chance of being admitted in the hospital than a regular Australian. They are not very keen on using modern and advanced technology to be diagnosed or get the diseases treated. The neo-natal mortality rates are also very high among them due to the unhygienic delivery and handling of the new bo rn (Komaric, Bedford and van Driel 2012). The program was developed in order to improve cultural responsiveness among the Victorian hospitals towards the Aboriginals so that they would approach the health personnel to receive help. Cultural responsiveness relates to the idea where the health care services are respectful towards the cultural and language based requirements of the patients who belong to different communities (Nelson et al. 2014). It comprises of strategies that deals with providing care to patients irrespective of their cultural background, where the treatment is more culture oriented and involves lesser technical orientation. To be culturally responsive also requires one to be culturally competent (Durey et al. 2016). Hence, the the staff needs to be trained so that they are culturally competent to deal with patients. Several beliefs and practices are related to a patients community/ house of belief. The competence to take action regarding issues related to health care of different communities falls within the primary idea of cultural responsiveness (Walker , Schultz and Sonn 2014). There are six standards, which is a part of the cultural responsiveness framework. The first standard deals with t he idea of practicing culturally responsive treatment on an entire organizational level. The second standard concerns with demonstration of leadership for cultural responsiveness (Clifford et al. 2015). The third standard states that interpreter is going to be provided to patients who need them. The fourth standard also demonstrates the inclusive pattern of practice in care planning. The fifth standard deals with the regular reviewing of programs as well as services are carried out by the CALD (Culturally and Linguistically Diverse, Australia) (Jongen et al. 2014). The sixth standard outlines the need of developing cultural responsiveness and the staffs are offered with opportunities to improve their professional attitude. The Cultural responsiveness Framework is based on 4 typical domains, namely, Domain 1 deals with the effectiveness of the organization. This domain speaks of the importance of considering the effectiveness of the cultural response framework on an all-whole organization movement (Maher, Turnour and Stewart 2012). This means that each branch of health science is initiated to participate in the effort of familiarizing with a culture based responsiveness treatment and care (Durey et al. 2016). Domain 2 deals with the management of risk. Providing culturally safe treatment to patient forms the backbone of the second domain (Ware 2013). The Aboriginals feel threatened while accessing health care facilities recognized by the mainstream. Effective care and treatment can only be imparted to a patient when a fluency in communication between the caregivers and the patients exist (Browne, Hayes and Gleeson 2014). This aids in making better diagnosis of the ailment of the patient and prompt application of treatment. However, this proves to be problematic due to the communication gap. The appointment of efficient translators can solve this problem. Domain 3 deals with the participation of the consumers in the plan. The culture responsiveness treatment program is a two way street. The patient requires to be taking an active participation in seeking help from the health care personnel (Chapman, Smith and Martin 2014). Domain 4 deals with the effectiveness of workforce where, the health care personnel are trained to deal with patients from culturally diverse background (Durey et al. 2012). A trained approach will help the patients from giving away their apprehension from reneging in diagnosis and treatment which are modern and technologically advanced (Holland et al. 2014). The Aboriginals are known to be affected by several diseases such as the diabetes, renal failure, respiratory diseases, circulatory system based diseases and several other contagious diseases (Kildea et al. 2012). Due to poverty, lack of education, lack of access to health services, and the conservative nature, they die premature death. This can be avoided if the Aboriginals can be persuaded in participating in the program. By hiring the natives and training them accordingly, can help in persuading the other natives to approach the doctors with lesser apprehension (Singer, Bennett-Levy and Rotumah 2015). The strategies that were chalked as a part of the health program can only prove to be effective if they policies are essentially followed. A dearth of resources leads to the health plan facing a setback. Funds need to be oriented towards departments for allocation of translators to patients (Gwynn et al. 2015). Evaluation of the Aboriginal health program is important in order to assess whether the program is being effective or not in helping the Aboriginals. Based on the evaluation plan, decisions can be made whether or not the program needs to be scraped off or should be continued with (Truong, Paradies and Priest 2014). Evaluation Based Questions To what extent has the plan been implemented? To what extent has the target been achieved? What are the factors responsible for achieving success post implementation of the plan? If at all, whether the footfall of the Aboriginal have increased or decreased in the Victorian hospitals post the implementation of the plan? Whether any difference in the experience has been felt by the Aboriginals post their stay at the hospital? If there is any necessity for the program to require any sort of modifications? How can the comfort level between both the parties be rated? If there are certain strategies which has proved to be ineffective? What is being done to increase the boundary of assessment of the proper implementation of the cultural responsiveness framework in hospitals outside Victoria? Purpose Of Evaluation To appraise the efficiency of the program, Improving the Cultural Responsiveness of Victorian Hospitals. To ascertain the drawbacks and the advantages of the program. To make sure that there are no gaps between the organizational level and clinical practice level. To assure that proper implementation of the aspects of the program are being carried out. Design Of Evaluation The pattern of design that was chosen for the assessment of the evaluation plan was a quasi-experimental design. This experimental model helps in carrying out a study on an empirical basis (Parter and Browne 2012). The model concerns a target population on whom the impact of an intervention is tested. The quasi-experimental model helps in determining the variables in the experiment (Oliver 2013). In the current evaluation plan, quasi-experimental design will be applied to evaluate the program of improving the cultural responsiveness in Victorian hospitals as part of Aboriginal Health Plan. The evaluation plan study will involve nursing staff and doctors at the Victorian hospitals, which are in partnership with the Medical Unit of the Victorian Aboriginal Health Service. The contenders of the study belong to the age group of 20-40 years and they will be 2000 in number. From four pre-selected Victorian hospitals, 500 contenders will be chosen. The Royal Melbourne Hospital, St. Vincents Hospital was chosen as intervention group and Royal Jubilee Hospital, Victoria General Hospital was considered as the control or the comparison group. All the participants of the groups will have to undergo a pre- and post- interview sessions. The primary idea of the evaluation plan was to determine whether cultural responsiveness is being practiced effectively or not by the staff at the hospitals towards the Aboriginals. Rationale For The Evaluation Design The randomization of groups was not possible in the current evaluation plan, therefore quasi-experimental design was chosen. Quasi-experimental design was chosen because it is effective in analyzing pre- and post- experimental data (Durey 2013). This particular experimental is also being used as the intervention group is similar to the control group, that is, the participants are all nurses and doctors in both the cases. This uniformity in the groups aids in establishing quality match which is necessary for a good impact evaluation. This particular experimental design treats a program as an intervention in which the elements/strategies of the intervention are being achieved/ followed (Dwyer, Willis and Kelly 2014). Along with that, impact evaluation studies are best analyzed with the help of quasi-experimental design. Both the intervention as well as the control group is involved. In this particular evaluation plan, it is not possible to use individuals in a random fashion in the tre atment or the control groups. The quasi-experimental model as used to study the evaluation plan. Data Collection And Analysis Method The intervention group consisted of nurses and doctors from the Royal Melbourne Hospital and St. Vincents hospital. The control group was represented by Royal Jubilee Hospital and Victoria General Hospital. They will be interviewed based on the questionnaire which will be prepared in simple English. They will be interviewed twice throughout the entire duration of the study, both the control and the intervention group. They will be interviewed prior to the implementation of the Aboriginal Health Plan program. The data collected that will be collected during this time will be kept in order to tally them with the data that will be collected post the implementation of the program. A longitudinal research based survey was carried out to collect the data. The method that was used to analyze the data is known as the difference- in- differences design (DID). With the help of this particular design, it helps in comparing the changes in the result over a period of time in between the intervention as well as the comparison group in order to evaluate the impact. This method is useful evaluating quantitative impact, however it is usually used in relation with RDD (Regression Discontinuity Design) or PSM (Propensity Score Matching). DID is accompanied by either of the two designs in order to rule out any sort of bias subjects which might exist in the data (Browne et al. 2013). Removal of bias subject is necessary in order to maintain uniformity in the data to be evaluated. The only disadvantage of DID is the use of the assumption known as parallel trend assumption. This assumption allows the interest indicators present in the intervention as well as the control group to follow the same path. Sample Survey Questionnaire What is the age group of the people among the Aboriginals who are frequent visitors at the hospital? What are the ailments with which they usually approach the doctors? Are you comfortable in communicating with them? Are they reluctant while being diagnosed by machines for any anomalies? If yes, how do you deal with it? Are you comfortable with some new strategies that are being employed in the health care system? If no, what makes you uncomfortable about them? Time Line For The Components Of The Evaluation Strategy Strategies Person Concerned Dec Jan Duration Feb Mar Apr May Formulation of the evaluation plan Surveyors Selection of the hospital and the participants Surveyors Conducting survey through questionnaire Surveyors Performing telephonic interview Surveyors Collection of data Surveyors Analysis of data Data analysts/ Statistician Arrange for community based program among the Aboriginals Surveyors Arrange for orientation program for the healthcare staff Surveyors Revision of the plan if necessary Surveyors Budget Proposal For The Evaluation Strategy Items to be covered $ (in AUD) Workforce charges: Surveyors 60,000 Data Analysts 20,000 Travelling and Lodging 10,000 Subtotal 90,000 Miscellanes charges: Printing Questionnaires 15,000 Advertisement printing 35,000 Telephone call charges 22,000 Subtotal 72,000 Total 162,000 Conclusion There is one significant drawback of the evaluation plan, that is, the evaluation of the program was carried out only in a small area in Victoria. The perimeter of the study area has to be increased to determine the real effectiveness of the program. The Aboriginals who lack education and deny to be treated with medicines mete out the biggest setback for the program. If the Aboriginals cannot be persuaded in visiting the hospitals, the idea of providing culturally responsive treatment becomes pointless. The existing program should revise its aspects, where it should be included that creating awareness among the Aboriginals is the first measure that has to be addressed. References: Brock, E., Charlton, K.E. and Yeatman, H., 2014. Identification and evaluation of models of antenatal care in Australiaa review of the evidence.Australian and New Zealand Journal of Obstetrics and Gynaecology,54(4), pp.300-311. Browne, J., Hayes, R. and Gleeson, D., 2014. Aboriginal health policy: is nutrition the gapin Closing the Gap?.Australian and New Zealand journal of public health,38(4), pp.362-369. Browne, J., Thorpe, S., Tunny, N., Adams, K. and Palermo, C., 2013. A qualitative evaluation of a mentoring program for Aboriginal health workers and allied health professionals.Australian and New Zealand journal of public health,37(5), pp.457-462. Chapman, R., Smith, T. and Martin, C., 2014. Qualitative exploration of the perceived barriers and enablers to Aboriginal and Torres Strait Islander people accessing healthcare through one Victorian Emergency Department.Contemporary nurse,48(1), pp.48-58. Clifford, A., McCalman, J., Bainbridge, R. and Tsey, K., 2015. Interventions to improve cultural competency in health care for Indigenous peoples of Australia, New Zealand, Canada and the USA: a systematic review.International Journal for Quality in Health Care,27(2), pp.89-98. Durey, A., McEvoy, S., Swift-Otero, V., Taylor, K., Katzenellenbogen, J. and Bessarab, D., 2016. Improving healthcare for Aboriginal Australians through effective engagement between community and health services.BMC Health Services Research,16(1), p.224. Durey, A., Thompson, S.C., Wood, M. and Arabena, K., 2013. Future initiatives to improve the health and wellbeing of Aboriginal and Torres Strait Islander peoples.The Medical Journal of Australia,199(1), pp.22-22. Durey, A., Wynaden, D., Thompson, S.C., Davidson, P.M., Bessarab, D. and Katzenellenbogen, J.M., 2012. Owning solutions: a collaborative model to improve quality in hospital care for Aboriginal Australians.Nursing inquiry,19(2), pp.144-152. Dwyer, J., Willis, E. and Kelly, J., 2014. Hospitals caring for rural Aboriginal patients: holding response and denial.Australian Health Review,38(5), pp.546-551. Gwynn, J., Lock, M., Turner, N., Dennison, R., Coleman, C., Kelly, B. and Wiggers, J., 2015. Aboriginal and Torres Strait Islander community governance of health research: Turning principles into practice.Australian Journal of Rural Health,23(4), pp.235-242. Holland, C., 2014. Close the Gap-progress and priorities report 2014. Jongen, C., McCalman, J., Bainbridge, R. and Tsey, K., 2014. Aboriginal and Torres Strait Islander maternal and child health and wellbeing: a systematic search of programs and services in Australian primary health care settings.BMC pregnancy and childbirth,14(1), p.1. Kildea, S., Stapleton, H., Murphy, R., Low, N.B. and Gibbons, K., 2012. The Murri clinic: a comparative retrospective study of an antenatal clinic developed for Aboriginal and Torres Strait Islander women.BMC pregnancy and childbirth,12(1), p.1. Kirmayer, L., 2012. Rethinking cultural competence.Transcultural Psychiatry,49(2), p.149. Komaric, N., Bedford, S. and van Driel, M.L., 2012. Two sides of the coin: patient and provider perceptions of health care delivery to patients from culturally and linguistically diverse backgrounds.BMC health services research,12(1), p.1. Maher, L., Turnour, C. and Stewart, J., 2012. Reporting of Aboriginal people in health data collections in NSW.New South Wales public health bulletin,23(4), pp.61-62. Mercer, C., 2013. The Experiences of Aboriginal Health Workers (AHWs) and Health Professionals Working Collaboratively in the Delivery of Health Care to Aboriginal Australians: A Systematic Review.HNE Handover: For Nurses and Midwives,6(1). Mercer, C., Byrth, J. and Jordan, Z., 2014. The experiences of Aboriginal health workers and nonà ¢Ã¢â€š ¬Ã‚ Aboriginal health professionals working collaboratively in the delivery of health care to Aboriginal Australians: a systematic review.JBI Database of Systematic Reviews and Implementation Reports,12(3), pp.234-418. Nelson, J., Ryan, K., Rotumah, D., Bennettà ¢Ã¢â€š ¬Ã‚ Levy, J., Budden, W., Stirling, J., Wilson, S. and Beale, D., 2014. Aboriginal practitioners offer culturally safe and responsive CBT: Response to commentaries.Australian Psychologist,49(1), pp.22-27. Oliver, S.J., 2013. The role of traditional medicine practice in primary health care within Aboriginal Australia: a review of the literature.Journal of ethnobiology and ethnomedicine,9(1), p.1. Parter, C. and Browne, K., 2012. How can we do things differently in Aboriginal health? The same challenges seen through new eyes.New South Wales public health bulletin,23(4), pp.45-47. Pesco, D., 2014. Working With Aboriginal Children and Families: Cultural Responsiveness and Beyond.Canadian Journal of Speech-Language Pathology Audiology,38(2). Singer, J., Bennett-Levy, J. and Rotumah, D., 2015. You didnt just consult community, you involved us: transformation of a top-downAboriginal mental health project into a bottom-upcommunity-driven process.Australasian Psychiatry,23(6), pp.614-619. Truong, M., Paradies, Y. and Priest, N., 2014. Interventions to improve cultural competency in healthcare: a systematic review of reviews.BMC health services research,14(1), p.1. Walker, R. and Sonn, C., 2010. Working as a culturally competent mental health practitioner.Working together: Aboriginal and Torres Strait Islander health and wellbeing principles and practice, pp.157-180. Walker, R., Schultz, C. and Sonn, C., 2014. Cultural competenceTransforming policy, services, programs and practice.Working together: Aboriginal and Torres Strait Islander mental health and wellbeing principles and practice, pp.195-220. Ware, V., 2013.Improving the accessibility of health services in urban and regional settings for Indigenous people(Vol. 27). Australian Institute of Health and Welfare.