Compare your data output against the tables presented in the Week 4 Descriptive Statistics SPSS Output document. This will enable you to become comfortable with defining variables, entering data, and creating tables and graphs.

To prepare:

Review the Statistics and Data Analysis for Nursing Research chapters assigned in this week’s Learning Resources. Pay close attention to the examples presented, as they provide information that will be useful when you complete the software exercise this week. You may also wish to review the Research Methods for Evidence-Based Practice video resources to familiarize yourself with the software.

Refer to the Week 4 Descriptive Statistics Assignment page and follow the directions to calculate descriptive statistics for the data provided using SPSS software. Download and save the Polit2SetA.sav data set. You will open the data file in SPSS.

Compare your data output against the tables presented in the Week 4 Descriptive Statistics SPSS Output document. This will enable you to become comfortable with defining variables, entering data, and creating tables and graphs.

Formulate an initial interpretation of the meaning or implication of your calculations.

To complete:

Complete the Part I, Part II, and Part III steps and Assignment as outlined in the Week 4 Descriptive Statistics Assignment page.

Part I

Using the Polit2SetA data set, run descriptive statistics on the following variables: respondent’s age (age) and highest school grade completed (higrade). Create a frequency distribution for the variables: race and ethnicity (racethn) and currently employed (worknow). Create a table (in APA format) summarizing the results, using the below table shell as a model. Write a paragraph summarizing the information in the table.

Table 1. Demographic Data (N = 30)

n % M (SD)

Age (in years)     30  15(2.4)

Highest School Grade Completed  29  11(1.2)

Race and Ethnicity

Black, Not Hispanic    14 (46.67)

Hispanic       8 (26.67)

White, Not Hispanic      6 (20.0)

Other        2 (6.66)

Currently Employed

Yes      27 (90)

No        3 (10)

Note. Differences in sample size are due to missing data.

Follow these steps when using SPSS:

1. Open Polit2SetA data set.

2. Click on Analyze, then click on Descriptives Statistics, then Descriptives.

3. Click on the first continuous variable you wish to obtain descriptives for (respondent’s age), and then click on the arrow button and move it into the Variables box. Then click on highest school grade completed and then click on the arrow button and move it into the Variables box.

4. Click on the Options button in the upper-right corner. Click on mean, standard deviation, minimum, maximum, and skewness.

5. Click on Continue and then click on OK.

To run the frequency distribution in SPSS, do the following:

1. Click on Analyze, then click on Descriptive Statistics, then Frequencies.

2. Click on the first categorical variable you wish to obtain a frequency for (race and ethnicity), and then click on the arrow button and move it into the Variables box. Then click on currently employed, and then click on the arrow button and move it into the Variables box. Click on the Statistics button in the upper-right corner, then in the Dispersion box click on Minimum and Maximum.

3. Click on Continue and then click on OK.

Assignment: Create a table (in APA format) summarizing the results, using the below table shell as a model. Write a paragraph summarizing the information in the table.

Part II

For the variables respondent’s age (age) and highest school grade completed (higrade) create a histogram with a normal curve displayed over the histogram.

To create a histogram for respondent’s age in SPSS, do the following:

1. Click on Graphs, then on Legacy Dialogs, then Histogram.

2. Click on the variable respondent’s age and then click on the arrow button and move it into the Variables box. Click on the Display Normal Curve button, which is right below the Variables box.

3. Click on OK.

To create a histogram for highest school grade completed in SPSS, do the following:

1. Click on Graphs, then on Legacy Dialogs, then Histogram.

2. Click on respondent’s age in the Variable box and click the arrow to move it back to the box on the left that contains all the variables.

3. Click on the variable highest school grade completed and then click the arrow button and move it into the Variables box. The Display Normal Curve button should alredy be on.

4. Click on OK.

Assignment: Using the data obtained when you ran the descriptives and the histograms, determine whether the data skewed. If so, is it a positive or negative skew?

Part III

Using the Polit2SetA data set, run descriptive statistics on the variable “Family Income Prior Month, all sources” (Income).

Follow these steps when using SPSS:

1. Click on Analyze, then click on Descriptives Statistics, then Descriptives.

2. Click on Family Income Prior Month, all sources, and then click on the arrow button and move it into the Variables box.

3. Click on the Options button in the upper-right corner. Click on mean, standard deviation, minimum, maximum, S.E. Mean (standard error of the mean), and skewness.

4. Click on Continue and then click on OK.

Assignment: Using the descriptive statistics for Family Income Prior Month, all sources (Income), answer the following questions:

1. What is the mean income in this sample?

2. What is the standard deviation?

3. What is the standard error of the mean?

4. Compute a 95% confidence interval around the mean. (Use 1.96 for the 95% CI and get the standard error from the descriptive statistics table). The formula is as follows:

95% CI = [mean ± (1.96 ´ SE)]

5. Compute a 99% confidence interval around the mean. (Use 2.58 for the 99% CI and get the standard error from the descriptive statistics table). The formula is as follows:

99% CI = [mean ± (2.58 ´ SE)]

6. Which interval is wider? Explain.

Review the corresponding Week 4 Descriptive Statistics Exercises SPSS Output document that has the SPSS output for the above problems. Compare your output with the output in the file.

REFERENCES

aureate Education, Inc. (Executive Producer). (2011). Research methods for evidence-based practice: Quantitative research: Data analysis. Baltimore, MD: Author.

Polit, D. (2010). Statistics and data analysis for nursing research (2nd ed.). Upper Saddle River, NJ: Pearson Education Inc.

· Chapter 1, “Introduction to Data Analysis in an Evidence-Based Practice Environment”

How many women were employed versus not employed in the sample? 2. What is the total sample size?

Refer to the Week 5 t Test Exercises and follow the directions to perform a t test.

Download and save the Polit2SetC.sav data set. You will open the data file in SPSS.

Compare your data output against the tables presented in the Week 5 t Test Exercises SPSS Output.

Formulate an initial interpretation of the meaning or implication of your calculations.

Refer to the Week 5 ANOVA Exercises and follow the directions to perform an ANOVA using the Polit2SetA.sav data set.

Formulate an initial interpretation of the meaning or implication of your calculations.

To complete:

Complete the Part I, Part II, and Part III steps and Assignments as outlined in the Week 5 t Test Exercises page.

Complete the steps and Assignment as outlined in the Week 5 ANOVA Exercises page.

Create one document with your responses to the t test exercises and the ANOVA exercises.

Part I

The hypothesis being tested is: Women who are working will have a lower level of depression as compared to women who are not working.

Using Polit2SetC SPSS dataset, which contains a number of mental health variables, determine if the above hypothesis is true.

Follow these steps when using SPSS:

1. Open Polit2SetC dataset.

2. Click Analyze then click Compare Means, then Independent Sample T-test.

3. Move the Dependent Variable (CES_D Score “cesd”) in the area labelled Test Variable.

4. Move the Independent Variable (Currently Employed “worknow”) into the area labelled Grouping Variable. The worknow variable is coded as (0= those women who do not work and 1= those women who are working).  Click on Define Groups in group 1 box type 0 and in group 2 box type 1. Click Continue.

5. Click continue and then click OK.

Assignment: Through analysis of the data and use of the questions below write one to two paragraphs summarizing your findings from this t-test.

1. How many women were employed versus not employed in the sample?

2. What is the total sample size?

3. What are the mean (SD) CES-D scores for each group?

4. Interpret the Levene’s statistic. (Hint: Is the assumption of homogeneity of variance met? Are equal variances assumed or not assumed?)

5. What is the value of the t-statistic, number of degrees of freedom and the p-value?

6. Does the data support the hypothesis? Why or why not?

Part II

Hypothesis: Women who reported depression scores in wave 1 and wave 2 of the study did not have a significant difference in their level of depression.

Using Polit2SetC SPSS dataset, determine if the above hypothesis is true.

Follow these steps when using SPSS:

1. Open Polit2SetC dataset.

2. Click Analyze then click Compare Means, then Paired Samples T-test.

3. First click on CES-D Score (cesd) and move it into the box labelled Paired Variables (in the rectangle for Pair 1 of Variable 1 and then click on CESD Score, Wave 1 (cesdwav1) and move it into the Paired Variables box (in the rectangle next to CES-D Score, pair 1, variable 2).

4. Click continue and then click OK.

Assignment: Through analysis of the data and use of the questions below write one to two paragraphs summarizing your findings from this t-test.

1. What is the total sample size?

2. What are the mean (SD) CES-D scores at wave 1 and wave 2?

3. What is the mean difference between the two time periods?

4. What is the value of the t-statistic, number of degrees of freedom and the p-value(sig)?

5. Does the data support the hypothesis? Why or why not?

Part III

Using Polit2SetC dataset, run independent groups t-tests for three outcomes. The outcome variables are CES-D Score (cesd), SF12: Physical Health Component Score, standardized (sf12phys) and SF12: Mental Health Component Score, standardized (sf12ment).

Follow these steps when using SPSS:

1. Open Polit2SetC dataset.

2. Click Analyze then click Compare Means, then Independent Sample T-test.

3. Move the Dependent Variables (CES_D Score “cesd”, SF12: Physical Health Component Score, standardized (sf12phys), and SF12: Mental Health Component Score, standardized (sf12ment) ) in the area labelled Test Variable.

4. Move the Independent Variable (Educational Attainment “educatn”) into the area labelled Grouping Variable. The educatn variable is coded as (1= no high school credential and 2=diploma or GED).  Click on Define Groups in group 1 box type 1 and in group 2 box type 2. Click Continue.

5. Click continue and then click OK.

Assignment: Create a table to present your results, use the table 6.3 in Chapter 6 as a model.  Write one or two paragraphs explaining your results.

REFERENCES

Gray, J.R., Grove, S.K., & Sutherland, S. (2017). Burns and Grove’s the practice of nursing research: Appraisal, synthesis, and generation of evidence (8th ed.). St. Louis, MO: Saunders Elsevier.

· Chapter 25, “Using Statistics to Determine Differences”

Chapter 5, “Statistical Inference”

Chapter 6, “t Tests: Testing Two Mean Difference

Discuss the adverse health effects of lead that occur at high levels of exposure in the context of a poisoning case. Review briefly a famous nonoccupational lead poisoning (plumbism) case from the past and list the health problems due to lead that this individual suffered. Contrast the symptoms from high lead exposure to the adverse health effects of lead that occur at lower levels of exposure. Describe one way in which nonoccupational exposure to lead occurs in the United States today through drinking, eating or other ingestion, or through breathing. Give an example of a typical exposure scenario for the route of exposure you choose. Review the key public health preventive strategies used in the United States to prevent illness from lead exposure for the route of exposure you choose. Include primary prevention (stopping the exposure from occurring) and secondary prevention (detecting lead-exposed persons, treating them when medically warranted, and preventing additional exposure in the future). Supp

    • Discuss the adverse health effects of lead that occur at high levels of exposure in the context of a poisoning case. Review briefly a famous nonoccupational lead poisoning (plumbism) case from the past and list the health problems due to lead that this individual suffered.
    • Contrast the symptoms from high lead exposure to the adverse health effects of lead that occur at lower levels of exposure.
    • Describe one way in which nonoccupational exposure to lead occurs in the United States today through drinking, eating or other ingestion, or through breathing. Give an example of a typical exposure scenario for the route of exposure you choose.
    • Review the key public health preventive strategies used in the United States to prevent illness from lead exposure for the route of exposure you choose. Include primary prevention (stopping the exposure from occurring) and secondary prevention (detecting lead-exposed persons, treating them when medically warranted, and preventing additional exposure in the future).

    Supp

  • Contrast the symptoms from high lead exposure to the adverse health effects of lead that occur at lower levels of exposure.
  • Describe one way in which nonoccupational exposure to lead occurs in the United States today through drinking, eating or other ingestion, or through breathing. Give an example of a typical exposure scenario for the route of exposure you choose.
  • Review the key public health preventive strategies used in the United States to prevent illness from lead exposure for the route of exposure you choose. Include primary prevention (stopping the exposure from occurring) and secondary prevention (detecting lead-exposed persons, treating them when medically warranted, and preventing additional exposure in the future).

Supp

What are the similarities among the theories? What are the differences?

Because nursing practice must always have a foundation, building practice on theory helps guide effective decision making and results in what is considered “best practice.”

Select one holistic nursing theory from the readings provided. Develop no more than 10 PowerPoint slides on the theory selected. Slides must cover the following:

  1. Title Slide: Name of Theorist, Theory, and Year the Theory was First Published
  2. Short description of the Theorist’s background
  3. Key components of the Theory
  4. How this Theory impacts clients and client care
  5. Why this Theory is considered holistic
  6. Final Slide: References used in APA Editorial Format

Please make your initial post by midweek. After the initial post of all presentations, post your answers to the following discussion questions.

  1. What are the similarities among the theories?
  2. What are the differences?
  3. Why might one Theory be used over another?
  4. Which one would you select for your holistic nursing practice? Provide at least two reasons.

Define the environmental or occupational problem affecting human populations that you will analyze for your final project.

Most environmental health issues involve a variety of elements with overlapping or distinct causes, stakeholder groups, and solutions. Selecting an important, specific element of the issue is essential when formulating realistic ways to address and improve the environmental issue. This specific aspect of the issue is known as the problem and can be defined in a concise problem statement. The problem statement includes the purpose of the problem-solving effort, defines its scope, and states the specific objective of the problem-solving effort in the form of a question.

The three elements of the statement are—explaining how things should be; identifying a significant gap; and asking a question about one major way to improve the current situation. For example:

  • The food you purchase should be free from levels of pesticide residues that are hazardous to human health, but many commercially used pesticides have not been tested using newer techniques to detect harm that they may cause during prenatal development or childhood. Should the EPA require that pesticides used on food crops be reevaluated using the new tests to ensure that children are fully protected, and if so, which tests?
  • Employees who work with lead have a right to expect that their health will be protected if their workplace adheres to the OSHA lead standard, but the OSHA lead standard has not been updated since 1978, despite a great deal of new epidemiologic and toxicologic research about lead toxicity. Should the OSHA lead standard be revised, and if so, what should the new provisions be?
  • Consumers often trust that products and services that they purchase are safe unless they are advised otherwise. Recently, nail salons have been the focus of worker safety initiatives because they use hazardous chemicals such as methacrylates, acetates, toluene, and formaldehydes. Are consumers adequately protected from hazardous chemicals when they receive services in nail salons?

The process of developing a problem statement is extremely useful because you will choose a defined focus, which will guide the rest of the work leading to a proposed solution to the problem.

For this assignment:

  • Choose a specific aspect of the topic that you selected last week as your problem.
  • Define the environmental or occupational problem affecting human populations that you will analyze for your final project.
  • Write your problem statement in 2–3 sentences in a Microsoft Word document. These sentences should be questions that you intend to explore in your research paper.
  • Justify, in 3 to 5 double-spaced pages, why you chose to focus your analysis of this multifaceted issue to the specific problem as stated in your problem statement.

Submissions Details:

 

What       type of group was discussed? Who       were the participants in the group? Why were they selected? What       was the setting of the group?

In a 5- to 10-slide PowerPoint presentation, address the following:

  • Provide      an overview of the article you selected, including answers to the      following questions:
  • What       type of group was discussed?
  • Who       were the participants in the group? Why were they selected?
  • What       was the setting of the group?
  • How       often did the group meet?
  • What       was the duration of the group therapy?
  • What       curative factors might be important       for this group and why?
  • What       “exclusion criteria” did the authors mention?
  • Explain      the findings/outcomes of the study in the article. Include whether this      will translate into practice with your own      client groups. If so, how? If not, why?
  • Explain      whether the limitations of the study might impact your ability to use the      findings/outcomes presented in the article.
  • lease use attached article.

Summarize any practice problem (hospital acquired-infections or handwashing) relevant to your setting (hospital setting) of interest and share a potential measurable goal for a QI (Quality Improvement) team. Be sure to include the data that justifies why you feel a change is needed in this specific area.

A health care organization may have highly qualified doctors and nurses who meet quality indicators for technical quality; however, due to a lack of communication, empathy, and scheduled office hours, patient satisfaction is low. In the corporate world, the phrase “the customer is always right” is frequently used to emphasize the importance of meeting the needs and expectations of the consumer. How does this approach apply to health care?
Health care industries are now using quality improvement models that are very business-centric to improve the quality of care delivery, patient satisfaction, and safety. In this Discussion, you evaluate various quality improvement models and determine which model would best be applied in your practice setting to address a specific need. You also develop a mission statement for addressing the practice problem.
To prepare:

  • Reflect      on the various quality improvement models and their application in health      care presented in the Learning Resources.
  • Evaluate      the advantages and disadvantages of each model.
  • Consider      how these models have been, or could be, applied in your practice setting.
  • Based      on your selected area of need, define a practice problem and create a      corresponding mission statement.
  • Investigate      baseline data, and evaluate why this practice problem is a priority for      improvement. Ask yourself: How does this practice problem in my      organization compare to other organizations?

By tomorrow 01/03/2018 by 5pm New/York America time, post a minimum of 550 words essay in APA format with at least 2 references from the list of required readings below. Include the level one headings as numbered below: 

post a cohesive response that addresses the following:

1) Summarize any practice problem (hospital acquired-infections or handwashing) relevant to your setting (hospital setting) of interest and share a potential measurable goal for a QI (Quality Improvement) team. Be sure to include the data that justifies why you feel a change is needed in this specific area.

2) Explain how the PDSA (Plan to Do Study Act) model might be applied, giving specific reasoning as to why this model best fits the needs of your practice problem. Describe how the practice problem you describe might be of interest to any accreditation initiative.

•Develop strategies for demonstrating the need for this capital expenditure that take into account both financial and emotional considerations.

Collapse           Making the Case for Capital Budget Expenditures  As a nurse, you are probably very aware of and can speak to the emotional reasons behind the need for certain major expenditures such as a new nurse’s lounge or replacing the current patient information system with a new digital system. You would love to see your nurses have a comfortable area where they can rejuvenate from a stressful day with patients. Alternatively, nurses carrying around PDAs would certainly ease the recording and transmission of vital patient information. However, as a nurse manager you need to be able to support those emotional appeals with reliable financial data. Having a place to refresh will help nurses be more efficient, and could reduce sick days and nurse errors. Being able to quickly access doctor’s orders and previous nurse’s comments allows for a more timely response to patients. As your responsibilities expand, you may find yourself at the table when decisions about capital expenditures are being debated. It is therefore to your advantage to understand the workings of a capital budget.  In this Discussion, you consider the impact of both financial and emotional factors in making a capital budget decision,  To prepare: •Review the information on capital budgets in this week’s Learning Resources. •Consider why it is important for nurse managers to understand the capital budget of an organization. How are capital budgets used in your own organization (or one with which you are familiar)? •Reflect on the importance of thinking strategically when developing this type of budget. •Identify a new piece of equipment you would like to see purchased by the organization. Consider how knowledge of capital budgeting could influence your approach to making the request. •Develop strategies for demonstrating the need for this capital expenditure that take into account both financial and emotional considerations.  By Day 3  Post an analysis of why it is important for nurse managers to understand principles of capital budgeting. Describe a costly new piece of equipment you would like your organization (or one with which you are familiar) to purchase. Explain strategies for demonstrating the need for this equipment to decision makers. Briefly outline how you could use financial data and emotional appeals to demonstrate the benefits of this purchase.

Required Readings  Baker, J. J., Baker, R. W., & Dworkin, N. R.  (2018). Health care finance: Basic  tools for nonfinancial managers (5th ed.). Burlington, MA: Jones and  Bartlett Learning.  •Chapter 17, “Capital Expenditure Budgets” (pp. 197-203)    The focus of this chapter is capital expenditure budgets and how they differ from operational budgets. It discusses how to develop and evaluate capital expenditure proposals.  Zelman, W., McCue, M., & Glick, N. (2009). Financial management of health care organizations: An introduction to fundamental tools, concepts, and applications (3rd ed.). Hoboken, NJ: Jossey-Bass.  Retrieved from the Walden Library databases.  •Chapter 8, “Capital Financing for Health Care Providers” (pp. 329–373)    This chapter explores two types of financing—equity financing and debt financing—as well as the bond issuance process that can be used to finance capital expenditures. Additionally, the authors discuss the option of lease financing, a possible alternative to the two other types of financing.   Danna, D. (2014). Essential business skills for nurse managers. Health Leaders Media. Retrieved from http://www.strategiesfornursemanagers.com/ce_detail/204441.cfm#  This article discusses the need for nurses to understand the business skills necessary in healthcare today.

•How would you apply the four ethical principles to your example? • How might your answer differ based on your chosen profession in health care?

Post a comprehensive response(250-350 words) to the following:

• Do health care workers have the right to conscientiously object to providing care if it varies from their own personal moral and ethical belief system? Please explain by providing an example.

•How would you apply the four ethical principles to your example?

• How might your answer differ based on your chosen profession in health care?

References to the files below:

Cantor, J. (2009). Conscientious Objection Gone Awry — Restoring Selfless Professionalism in Medicine. The New England Journal of Medicine. 360(15), p. 1484.

Cantor, J. & Baum, K. (2004) The Limits of Conscientious Objection – May Pharmacists Refuse to Fill Prescriptions for Emergency Contraception? The New England Journal of Medicine. 351(19), 2008-2012.