Coakley, Emily.findingdulcinea.com. Dulcinea Media, Inc. August 8, 2008. Web. February 15, ---------------------2016.  

The author of “Emergency Waits Getting Longer Worldwide” begins her article with stating how the wait time for U.S. emergency rooms has increased by an hour according to the San Francisco Chronicle. She then quotes a CDC fellow and author of the San Francisco Chronicle Report saying ““The likely cause is there are just fewer and fewer primary care physicians,”said Sam Oestreicher of the union Unison in a Guardian story.

” Once Coakley addresses the issue of long wait times, she compares it to that of the rest of the world, using statistics from Canada, Australia,UK and even Germany to illustrate to the audience that the U.S. wait times really aren’t much to worry about. Especially since in the UK a negative effect of placing a waiting time limit only resulted in ambulances being used as “mobile waiting rooms” until the hospital could meet the “four hour promise.” Coakley then ends the article with statistics of waiting times throughout the world, saying that ,” 12 percent of Americans surveyed had to wait four or more hours in an emergency department, compared to 24 percent of Canadians and 17 percent of Australians. Only four percent of Germans surveyed waited four or more hours in an emergency room.”

I intend to use the waiting room time stats Coakley ended her article with and the quote from the CDC author, Sam Oestreicher. I will probably paraphrase the story about the result of putting a four hour time limit in the waiting rooms of the E.R.

The people the author quoted and referenced are reliable sources because they are educated people in the field she wrote about. Coakley also used reliable and documented data.

This article fits into my project because I am looking into the flow of patients through the E.R. and how the staff there work to make the flow smooth and quick. Waiting time is a big part of the E.R. flow because the flow can be slowed if the wait time is increased. Which is a negative for an E.R. because serious issues are treated in the E.R., hence the beginning of the title being “emergency.”

The source can be very helpful If I use it in a historical context because the article was written 7 years ago. I can compare it to current wait times to discuss the efficiency of the American E.R.

Alan Glasper.”Issues in comprehensive pediatric nursing’s quest for evidence to underpin child health nursing practice.” informa.Vol. 1. 2014

1 The first ever randomized controlled trial was in the bible where two groups of children ate differently.

2 it was an RCt that discovered lemon juice helped scurvy.

3 Nightengale used data collection to find out how many soldiers die of infection

4 nursing research needs to be published through this magazine to be spread to parents so they can help their child if sick.

“ Although this early contribution of Nightingale to the evidence based practice movement was significant, much of nursing languished in the doldrums of care delivery based not on best evidence but on custom and practice.”

“It is the impact factor of nursing journals that gives assurances that the research being carried out can be demonstrated as having made a difference. Thus ‘‘impact’’ is credited with significant weight in the overall assessment of an individual’s research output.”

This source is credible because it contains mostly accurate facts from history and is written from the perspective of a professor. Its also a scientific magazine.

I want to begin with the moral of the magazine that stresses the importance of publishing health findings to spread important information to the public which will hopefully lead to healthier choices by said public. Then back up the moral principle with the examples of history given in the magazine. And maybe find some other, more modern examples to support the moral.

Annotated Bibliography 3

Brady,M. Cait, Scher, Lorin M., and William. “"I Just Saw Big Bird. He Was 100 Feet Tall!" Malingering in the Emergency Room: Four Instruments Can Help You Make a Rapid Assessment of a Patient Feigning Symptoms” Questiaschool.com. Dowden Health Media, Oct. 2013. Web. Apr. 12.

In this article, the authors speaks of various tests that can be used to discover a malingerer among the patients in the psychiatric ward of an E.R. The authors further explains common misconceptions about the mentally ill which helps single out malingerers. Although the authors recognize that malingerers are a strain on the resources of the E.R. they admit that people who feign mental illness are often in need of help, just not the kind of help the E.R. provides.

“Research suggests that as many as 13% of patients in the ER feign illness”

“In non-forensic settings, such as the ER, the most commonly malingeredconditions include suicidality and psychosis.”

“ Identifying malingeredbehaviors saves time and money and shifts limited resources to people who have a legitimatemental health condition.”

This source seems trustworthy because I found it in my school library questia, which means this specific article has gone through a filtering process to be allowed on questa.

The publisher is Dowden Health Media, so the source must contain some truthful medical content to be published by such a company.

The article also has a lot of references at the end citing all the facts they listed.

This source fits into my research because it has to do with the flow of patients through the E.R. This article illustrates the need to effectively and efficiently use E.R. resources in order to treat people who are actually sick instead of people faking being sick, which I have heard from a few medical employees is a real problem.