Phase three which involved document analysis, was used to as a cross reference for the data obtained in the first two phases in order to appreciate the extent of turnover of nurses. Figure? Illustrates the mixed methods design adopted for the study.
The choice of a mixed methods approach was relevant to (1) complement the methods in order to minimize the disadvantages of one approach over the other and utilize the advantages of each method and (2) triangulating the findings so they can be mutually corroborated (Bryman, 2006).
Figure? Mixed Methods design for the study
Sampling and sample size
Study population and sampling
Data collection
Pilot testing
Data analysis
Table ??? Characteristics of participating
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Each of the selected health facilities represented different levels of healthcare service delivery within the hierarchy of healthcare provision in Kenya. Thus the Jaramogi Teaching and Referral Hospital (JOOTRH), Kisumu County Hospital (KCH) and St. Monica’s Hospital (faith-based, private health facility.
The total sample for the quantitative component of the study consisted of 72 maternal care nurses, thus nurses working in the maternity ward (antenatal, labour and post-natal wards) and MCH clinics (antenatal and post-natal clinics). These were enrolled, registered, baccalaureate and postgraduate nurses employed at the facilities by the time of the research. A total of 58 out of the 72 maternal care nurses contacted returned completed questionnaires (effective response rate of 80.6%). The participants consisted of 7 males and 51 females with a mean age of …..years (range 24 – 59 years) (Table ??).
Consecutive sampling method was used so as to include all participants available at the time of the research as part of the
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The selected sub-county is Kisumu East Sub-county.
c) Health facilities
A total of three (3) health facilities were purposively sampled. Each of the selected health facilities represented different levels of healthcare service delivery within the hierarchy of healthcare provision in Kenya. Thus the Jaramogi Teaching and Referral Hospital (JOOTRH), Kisumu County Hospital (KCH) and St. Monica’s Hospital (faith-based, private health facility.
d) Study participants
The study participants were selected using consecutive sampling technique, thus:
• Maternal care nurses (i.e. nurses working in the maternity ward, ante natal clinic and post-natal clinic)
• Health facility administrators/in-charges in the respective health facilities
• Deputy County Nursing Officer
3.4 Data Collection Procedures and Methods
The study combined both quantitative and qualitative methods from primary and secondary sources. The cross-sectional data collection took place from 8th June to 26th June 2015. The exposures that were investigated were location of health facility, incentives, job satisfaction and retention factors. The expected outcomes include turnover rate and effects of internal turnover on quality of healthcare
The details of the study included literature review, purpose, method, data analysis, results, discussion, limitations, nursing implications, recommendations for future research and conclusion. The results were clearly presented. Study limitations were identified. The conclusion was based on study results. This review was of good quality.
This essay will discuss the United Healthcare Organization. The readiness of United Healthcare to address the health care needs of citizens over the next decade will be addressed along with what could interfere with network growth. Finally this essay will take a look at patient satisfaction and resource management. In 2014 healthcare coverage begun being a requirement for all United States citizens.
It is crucial to the nursing profession to be able to contribute and communicate knowledge to nurses, policy makers, and interdisciplinary colleagues through the media, presentations, seminars and conferences (Hanrahan, Marlow, Aldrich, & Hiatt, 2010). Through these different dissemination strategies, barriers that prevent mothers from breastfeeding or providing breast milk to their premature infants can be discuss. Therefore, when policies and procedure are in place, stakeholders who are part of NICU newborns care are educated and trained on the initiative’s policies and procedures. NICU nurses, neonatologists, and neonatal nurse practitioners, NICU nutritionist, are the key stakeholders in this project.
Physician Practice Management. Jones & Bartlett Publishers. Yazinski, S. (2009). Strategies for retaining employees and minimizing turnover.
The methods they used are open that we can identify the concept, constructs, and measures from the study. Therefore, I believe I would be able to replicate the study myself. In addition, we need to know data structure to tell
First, a brief summary of the study, including the background, objectives, methods, intervention, findings, and conclusion will be posted in an online nursing forum (INC, 2012). Next, a formal research report with all relevant information listed above, literature review, and evaluation tools used during the study will be presented to the local chapter of the American Nurses Association (ANA). The ANA can assist with disseminating the findings to other members within the organization (INC,
Study results showed increased employee satisfaction and a reduction in employee turnover rate. (Brunges, M., & Foley-Brinza, C.,
3- Methodology, which includes sampling design, research design, collecting information, information analysis and limitations. 4- Findings, which includes conclusions and recommendations
Procedure, Data collection & Analysis
Mixed research Approach Therefore in order to attain the objective of the study and answer the research questions; researcher adopts both quantitative and qualitative (Mixed) research approach. The reason behind this approach is to gather data that could not be obtained by adopting a single method and for triangulation (Creswell 2003). By using this approach, the researcher recognizes that all methods have limitations; and that these limitations could potentially be neutralized or eliminated this way. The concept of triangulation refers to the use of more than one approach to investigate of a research question in order to enhance confidence in the ensuing findings.
Research Methods Newman, Ridenor, Newman, and DeMarco suggest that when the purpose of the research is complex, it is necessary to have multiple questions which frequently necessitate the use of mixed methods. Mixed methods have the potential to contribute to addressing multiple purposes and thus to meeting the needs of multiple audiences for the results (Newman, et al., 2002 as cited in Mertens & McLaughlin, 2004). A mixed method design is one in which both quantitative and qualitative methods are used to answer research questions in a single study (Mertens & McLaughlin, 2004, p. 112). Quantitative data is objective, deductive, and uses numbers while qualitative data is subjective, inductive, and uses words. Like Newman, et al.
As we use various aspects of both the methodologies, the mixed research methodology has several advantages. This methodology offers multiple ways to approach the problem faced by the researchers. Generalizing the qualitative data and analyzing the unexpected data that emerge out of the research are the key aspects of the Mixed Research Methodology. Since it infuses the qualitative and quantitative ways, data resources like case studies, articles, interviews and surveys are combined in mixed research methodology. Mixed Methodology preferred where researchers are capable to gather aspects including data research and assimilation.
Mixed methods involve the collection and integration of both qualitative and quantitative data in a study. Variation in data collection leads to much greater validity. The use of mixed methods answers questions from a number of different perspectives and ensures that there are no gaps in the data collected. It also ensures that pre existing assumptions of the researcher are less likely. Mixed methods approach can also be useful when one methodology does not provide the information that is required (Bulsara, n.d).
Secondly, a methodology that describes the collection of data included together with highlights of limitations and thirdly key findings analysed and interpreted followed by some useful recommendations. Finally some future directions for research have been