Final Project

Running head: QUANTITATIVE AND QUALITATIVE STUDIES

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QUANTITATIVE AND QUALITATIVE STUDIES

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Quantitative and Qualitative Studies

Crystal Alston

South University

Palese, A., Fabbro, E., Casetta, A., & Mansutti, I. (2016). First or second drop of blood in capillary glucose monitoring: Findings from a quantitative study: JEN JEN. Journal of Emergency Nursing, 42(5), 420-426. doi:http://dx.doi.org.su.idm.oclc.org/10.1016/j.jen.2016.03.0

In this article the discussion and studying of the effects of capillary stick testing the first drop of blood versus the second drop on type 1 diabetic patients. Evidence has not shown any proven facts that the first drop of blood versus the second drop is more significant when testing a patient on a glucometer. The study is to show which drop of capillary blood contains a more accurate account of blood glucose. Diabetic patients are required to test their blood glucose potentially 3-4 times daily based upon physician recommendations. Studies are attempting to show which is more effective whether in a hospital setting or an outpatient setting. There are approximately patients that participated in this study that have been diagnosed with type 1 diabetes.

One recommendation to improve the study is to develop a questionnaire in which each diabetic patient must submit before testing can begin. Based upon those answer will determine whether a capillary stick or venipuncture would be more appropriate to obtain blood glucose. Most physicians would test immediate results in order to begin treatment for the patient. However, with a venipuncture the test would be presented to the lab for the results. Processing time may take up to 3 hours or potentially a day to get results. Additionally, the study could incorporate underlying conditions that may have contraindications with diabetes. Studying how other medications may interact with diabetic treatment can cause a screwed ready or result. Also, the length of time in which the diagnosis has been placed on the patient and what treatment options have been introduced can help to determine which form of blood processing would be more reasonable. Capillary blood testing is a small amount (droplet) of blood in which an immediate result is given via a glucometer. The recommendation is that the first drop should not be tested due to the preparation of the finger. This means cleansing and ensuring the area is free of contaminations. The first blood is clean with a sterile gauge and the next droplet is taken as the specimen. Detailed information should be included into the study in order to provided concise results and best practices.

Tabak, R. G., Dsouza, N., Schwarz, C. D., Quinn, K., Kristen, P., & Haire-Joshu, D. (2018). A formative study to understand perspectives of families eligible for a pediatric obesity program: A qualitative study. BMC Public Health, 18 doi:http://dx.doi.org.su.idm.oclc.org/10.1186/s12889-018-5466-x

In this qualitative study of children with Medicaid health insurance that have been diagnosed with obesity or being overweight. Program established in 2015 called Raising Well conducted the study to try and initiate a plan that supported the parents and child on Medicaid with obesity or being overweight. The program promoted lifestyle change, coaching, participation, and recommendations. The purpose of the study is to determine the effectiveness of over the phone contact and communication. Participants are interviewed via phone and approximately 19 families participated, 24 dropped coaching, and 27 non-participants. The objective is to prevent childhood obesity and overweight diagnoses with education and intervention.

The methods used to obtain results for this study could be placed on a more personal level. Meaning, instead of interviewing the families and participants via telephone, conduct a face to face interview in order to obtain more personal information versus over the phone. Prepare an area where the participant can feel comfortable and build a rapport. Introduce group therapy or family therapy where the entire household can be involved in order to obtain a clear insight of what the environment is like at home. Incorporate a plan in which the participant can journal what happens during his/her day including eating habits. Fid out the triggers that may cause binge eating and overeating during the day or determine if it only happens at night/home.

Psychological testing to rule out depression or any other mental disorders that may be underlying. There are several mental disorders that are related to overeating and obesity. Peer interaction in school and potentially after school programs, and how those relationships are developing or lack of peer relationships. Ultimately, there is bullying that is present in childhood development and schooling this aspect should be addressed as well. Testing the child perhaps on a self-paced format on the computer. Where there are options for the child/participant to choose from that relates to what emotions, feelings, stressors etc., that the child may not be willing to verbalize.