Summarize what you have learned from the Discussion regarding your motivation to pursue a doctorate and become a scholar practitioner.

Part 1: Your Journey Begins

Complete Part 1 following the Discussion in Module 1.  

Note: You will draft this journey log as you progress through the course. You will submit It as part of your final Assignment in Module 5. 

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Part 1:

Discussion:

1. As a practitioner-scholar, how can you make an impact on positive social change?

As a healthcare administrator investigating various theories of social change and their potential relevance to health and healthcare, I understand that health improvement initiatives and performance evaluations require community transformation.  Expanding upon previous public health and social change models, the cross-sector alignment theory of change focuses on how health care, public health, and social services may more effectively and sustainably meet the needs and objectives of the people and communities they serve (Landers et al., 2020). The need for change is pervasive in today's healthcare systems' social and healthcare policies. Public health is becoming more critical than individual health, primary care is replacing tertiary care, and health promotion is replacing preventive care. However, all aspects of transformation are complicated by the conflict between reducing expenses and enhancing health. 

Hospitals and other healthcare institutions are adopting new organizational models considering social conditions and community goals when providing care. Community-based assessments are rapidly replacing individual-based assessments of the impact of healthcare institutions. Old structures and processes are undergoing positive, long-term transformations. These modifications include:

· Improving Communication Skills

· Increasing the horizontality and inclusiveness of management systems

· Creating participant roles for members of the community

· Making new commitments to positive change

· Setting aside time and resources for additional learning and adjustment

· Obtaining more accurate and up-to-date patient information 

· More effective planning for both short-term and long-term objectives

2. How can you translate your passion (advocacy) into research (scientific inquiry)?

Clinical research and healthcare have evolved, and outcomes research has played a significant role in this transformation. Patient experience and progress observations are now considered essential factors in decision-making. Healthcare organizations can utilize patient-reported outcome measures (PROMs) to guide service changes (Snowdon et al., 2023). Outcomes research has made patient-centered care mandatory rather than just an option and provides the data required to inform critical and pertinent research. It can determine the effectiveness of treatment options, associated costs, and patient preferences by measuring patient results. That is why it has emerged as a crucial tool for producing more effective monitoring and enhancing the standard of care provided to patients by connecting their treatment with their experiences. Results research has several benefits, including raising the standard of living for patients, enabling them to make better health decisions, and assisting healthcare decision-makers in selecting the most successful interventions.

Part 2:

Discussion:

Develop one potential research problem that relates to your HSO and explain what led you to this research problem.

The proposed research problem focuses on the impact of telehealth adoption on healthcare accessibility and quality in underserved rural communities. This problem stems from the urgent need to tackle healthcare inequalities and obstacles rural communities encounter in obtaining prompt, high-quality healthcare services. The Health Standard Organization (HSO) acknowledges that rural populations often have geographical obstacles, limited healthcare infrastructure, and a scarcity of healthcare experts, which result in insufficient healthcare accessibility and reduced quality of service (Bashshur et al., 2016). With the rise of technology, namely telehealth, as a possible way to address these gaps, it is crucial to examine the efficacy and consequences of telehealth in underserved rural regions.

The trend of technology integration in healthcare and its potential to alter healthcare delivery led to the study of telehealth. The socio-ecological model explores how individual, interpersonal, communal, and societal characteristics affect health outcomes. The deployment of telehealth involves the integration of technology, healthcare practitioners, community participation, and policy implementation at many levels (Bashshur et al., 2016). The study seeks to provide a thorough evaluation of the effects of telehealth adoption by examining the interplay of these elements within rural regions.

Support your research problem with at least one scholarly resource.

Kruse et al. (2017) performed an in-depth research and subjective assessment of telehealth and its impact on how satisfied patients are and offered valuable insights that support the research problem of examining the effect of telehealth adoption on medical availability and efficacy in marginalized rural communities. The study systematically explored existing literature to understand the relationship between telehealth and patient satisfaction. The findings suggested a positive association between telehealth interventions in rural areas and high levels of patient satisfaction. Kruse et al. (2017) implied that telehealth not only addresses geographical barriers in rural areas but also has the potential to enhance patient experiences.

The systematic review underscored the importance of assessing patient satisfaction as an outcome measure, indicating that successful telehealth implementation positively influences the patient-provider relationship. In underserved rural communities, where traditional healthcare access is limited, the positive correlation between telehealth and patient satisfaction supports the hypothesis that telehealth adoption can improve healthcare accessibility and quality in these areas. Consequently, the study by Kruse et al. (2017) provides empirical evidence that strengthens the rationale for investigating telehealth's impact on healthcare outcomes in underserved rural communities.

In conclusion, examining the influence of the rise of telehealth on medical availability and efficacy in disadvantaged rural communities arises from the pressing need to tackle healthcare inequities in these areas. By investigating the multi-dimensional aspects of telehealth implementation, the research aims to contribute valuable insights that can inform policies, practices, and interventions to improve healthcare outcomes for rural populations.

Part 3:

Discussion:

Research/Capstone

Here in this thread I have selected the “Research Ethics” that are offered by prominent research groups and academic institutions. In line with the knowledge of ethical procedures that is essential for any study at the doctorate level, this resource bolsters the study / Capstone competency by highlighting the ethical aspects of research. It stood out because research ethics guarantee honesty and responsible behavior, which are crucial for the legitimacy and reliability of academic work (Dawson, et al. 2020). The advantage is that it gives doctorate students a set of rules to follow when they are working on their capstone projects; these rules will help us stay true to their ethical values, follow all applicable standards, and look out for the rights and well-being of the participants.

Scholarly Process and Identity

A comprehensive doctorate study planner that substantially enhances the skill of good time management and strategic planning was a priceless resource that I discovered while navigating the complex PhD thread. This resource caught my eye because of the comprehensive way it helps Ph.D. candidates create a unique academic journey map. The flexibility of this planner is its greatest asset; it provides a detailed schedule that can be easily adjusted to meet the needs of each student and their goals for the program.

Its strength is in the thorough planning and organization it provides for the many activities and deadlines that make up a doctorate program. This planner allows me to easily map out my course by adapting it to my degree and goals, so I can make sure that everything from coursework to research milestones is clearly defined. Its all-encompassing layout makes it easy to not only stay organized, but also to develop a broad perspective on the whole doctorate journey.

To alleviate the stress that comes with the capstone project, this tool will help my classmates and me develop a systematic approach to time management. With its clear direction, it helps us deal with the academic maze, complete assignments on time, and avoid unnecessary stress (Malmqvist, et al. 2019). By providing a feeling of stability and assurance amidst the academic chaos, this planner proves to be a very useful tool in our pursuit of Ph.D. accomplishment.

Dawson, A., Lignou, S., Siriwardhana, C., & O’Mathúna, D. P. (2019). Why research ethics should add retrospective review. BMC Medical Ethics, 20, 1-8.

Malmqvist, J., Hellberg, K., Möllås, G., Rose, R., & Shevlin, M. (2019). Conducting the pilot study: A neglected part of the research process? Methodological findings support the importance of piloting in qualitative research studies. International journal of qualitative methods, 18, 1609406919878341.

Part 4 Discussion:

The duration of time it would take me to write a 5-page paper would vary with the complexity of the topic and my level of knowledge on that subject. Normally, I would set aside a several hours to a day for extensive research, outlining and the writing process. This gives ample time to prepare well and make as many revisions until the paper achieves the desired appearance.

In contrast, if a capstone project covers 100 pages with multiple chapters and original research aspects, then the time requirement will be substantially greater. A structured plan that includes writing a literature review, data collection, analysis and multiple drafts would likely take several months approximately four to six months.

To effectively manage my time and ensure consistent progress, I would employ the following strategies: First, it is important to set realistic milestones. By dividing the project into smaller, attainable tasks with clearly defined deadlines, I would be able to track progress in a systematic manner. It is also important to create a detailed timeline. This means planning each stage of the project, from the initial literature review to the final revisions, as a comprehensive guide through each step (Chase et al., 2022).

Task prioritization is a key strategy. Identifying critical tasks and organizing them based on importance helps streamline the workflow and ensures that essential components are addressed promptly (Chase et al., 2022). Establishing a routine is essential for maintaining consistency. By setting aside dedicated blocks of time each day or week for capstone work, I would create a structured schedule that fosters productivity.

Another important strategy is limiting distractions during periods of conducting the project. Reduction of interruptions allows time to be used efficiently and effectively. Seeking feedback from supervisors or peers is an integral part of the process, which should be done increasingly. This constant form of communication enables the reception of constructive feedback and adjustments that are necessary to ensure that the project is in line with expectations.

A proper balance of the capstone project and personal responsibilities involves taking breaks and focusing on self-care. Well-being and sustained focus benefit from regular breaks and self-care activities. Finally, I would celebrate milestones regularly along the journey as a means of positive reinforcement (Chase et al., 2022). Recognizing achievements acts as motivation, contributing to a positive attitude throughout the project. Implementing these strategies, I would strive to make constant progress and achieve the relevant deadlines so as to complete my capstone project successfully and graduate on time.

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