Identify one statistical analysis method that you found recurring in many of the articles you used in your literature review for your research proposal. This method does not necessarily have to be nonparametric

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Review the articles presented in this week’s Learning Resources and analyze each study’s use of nonparametric tests.

Critically analyze each article, considering the following questions in your analysis:

What are the goals and purpose of the research study each article describes?

How are nonparametric tests used in each study? What are the results of their use?

Why are parametric methods (t tests and ANOVA) inappropriate for the statistical analysis of each study’s data?

What are the strengths and weaknesses of each study (e.g., study design, sampling, and measurement)?

How could the findings and recommendations of each study contribute to evidence-based practice in the health care field?

Reflect on the quantitative statistical analyses presented throughout this course in the research literature, the Learning Resources, media presentations, and those articles you reviewed for your abbreviated research proposal.

Ask yourself: Which method is most commonly used in research studies that pertain to my area of nursing practice, and why this might be so?

TO COMPLTE

Post 1-2 PAGES PAPER ON : A cohesive response addresses the following:

Critically analyze each article, including the items noted above.

Identify one statistical analysis method that you found recurring in many of the articles you used in your literature review for your research proposal. This method does not necessarily have to be nonparametric.

Based on your area of nursing practice ( family Nurse Practitioner) , which method of statistical analysis is most frequently used in the research literature? Why do you think other forms of statistical analysis are less frequently used? Provide a rationale for your response.

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 8, “Chi-Square and Nonparametric Tests”

See these attached articles :

Fisher, K., Orkin, F., & Frazer, C. (2010). Utilizing conjoint analysis to explicate health care decision making by emergency department nurses: A feasibility study. Applied Nursing Research, 23(1), 30–35. doi:10.1016/j.apnr.2008.03.

Tjia, J., Field, T., Garber, L., Donovan, J., Kanaan, A., Raebel, M., … Gurwitz, J. (2010). Development and pilot testing of guidelines to monitor high-risk medications in the ambulatory setting. American Journal of Managed Care, 16(7), 489–496.

Development and pilot testing of guidelines to monitor high-risk medications in the ambulatory setting. American Journal of Managed Care, 16(7) by Tjia, J., Field, T., Garber, L., Donovan, J., Kanaan, A., Raebel, M., & Gurwitz, J. Copyright 2010 by INTELLISPHERE, LLC. Reprinted by permission of INTELLISPHERE, LLC via the Copyright Clearance Center.

Describe a problem, issue, or situation that you have observed during your Practicum Experience (no more than a half page).

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This week, you complete and submit your second journal entry. Your journal draws from evidence, concepts, and/or theories you have examined in this program, especially those related to your specialization. What have you observed during your Practicum Experience that you would like to analyze through your journal writing?

To prepare:
  • Reflect on your Practicum Experiences in Weeks 4-7.
  • Think about the evidence, concepts, and/or theories (evidence) learned throughout this program and your specialization.
  • Analyze a problem, issue, or situation that you have observed during your Practicum Experience.
  • Using a minimum of three peer-reviewed sources of evidence, consider what you have observed within the context of your specialty using appropriate concepts, principles, and theories. Give special attention to observed events that vary from the scholarly literature.
  • Determine how the problem, situation, or issue was handled in a manner that is consistent and a manner that is inconsistent with the theory, concepts, and principles detailed in the evidence.
  • Given the various evidence-based approaches that can be used in handling the observed problem, situation, or issue, think about a plan for approaching the matter differently.

To complete the Practicum and Journal Entry 2:

In your saved version of the NURS 6600 Practicum Journal document, do the following:

  • Write a 250- to 300-word journal entry (identified as Journal Entry 2) in which you do the following:
    • Describe a problem, issue, or situation that you have observed during your Practicum Experience (no more than a half page).
    • Using no fewer than three peer-reviewed sources of evidence, analyze what you have observed within the context of your specialty using appropriate concepts, principles, and theories. Give special attention to observed events that vary from scholarly literature.
    • Explain how the problem, situation, or issue was handled in a manner that is consistent and a manner that is inconsistent with the theory, concepts, and principles detailed in the evidence.
    • Given the various evidence-based approaches that can be used in handling the problem, situation, or issue, formulate a plan for approaching the matter differently.
    • Include references immediately following the content.
    • Use APA style for your journal entry and references.

 

Required Readings

Note: To access this week’s required library resources, please click on the link to the Course Readings List, found in the Course Materials section of your Syllabus

Matthews, J. H. (2012). Role of professional organizations in advocating for the nursing profession. Online Journal of Issues in Nursing, 17(1), 1.
Note: Retrieved from the Walden Library databases.

The author addresses the importance of involvement in professional organizations for nursing professionals.

Shekleton, M. E., Preston, J. C., & Good, L. E. (2010). Growing leaders in a professional membership organization. Journal of Nursing Management, 18(6), 662–668.
Note: Retrieved from the Walden Library databases.

“In order to grow leaders an organization must make a commitment to develop and maintain an infrastructure that supports leadership development activities” (Shekleton, Preston, & Good, 2010, p. 667). The authors discuss findings from a leadership development program.

American Association of Critical Care Nurses. (n.d.). Certification for nurse managers and leaders. Retrieved May 20, 2013, from http://www.aacn.org/wd/certifications/content/cnmlhome.pcms?menu=certification

The American Association of Critical Care Nurses Certification Corporation, in collaboration with the AONE credentialing center, offers certification for the nurse leader-manager.

Explain      how the focus area relates to the individual, the family, and the      community, as well as to all age groups throughout the life span.

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This is a Collaborative Learning Community (CLC) assignment.

It is important to promote the professional role of the nurse to provide health promotion and disease preventive care. Collaborating with other health care professionals and consumer groups in the community in redesigning health care can help meet the goals for Healthy People 2020.

Refer to http://www.healthypeople.gov/ to open the Healthy People 2020 home page.

  1. Select      the”Topics & Objectives” tab to access the 2020 Topics &      Objectives – Objectives A-Z page.
  2. Select      one of the Healthy People “Topic Areas” for improving health.
  3. Submit      the proposed area to the instructor for approval. No group may work on the      same focus area as another group.

Develop a PowerPoint presentation (15-20 slides) with accompanying speaker’s notes and citations.

For help designing PowerPoint slides, refer to the “Create Your First Presentation” PowerPoint tutorial, located on the Microsoft website:

https://support.office.com/en-us/article/Create-your-first-presentation-ac88d138-a7a0-402c-b5a5-812641e59c8e?ui=en-US&rs=en-US&ad=US

In the presentation, address the following:

  1. State      the objective of the presentation.
  2. State      the Healthy People 2020 focus area your group has selected and the      rationale for selection of the specific focus area.
  3. Explain      how the focus area relates to the individual, the family, and the      community, as well as to all age groups throughout the life span.
  4. Identify      ways to enhance or optimize health in the selected focus area using      evidence-based research. A minimum of three peer-reviewed articles must be      utilized.
  5. Address      the health disparity among different segments of the population for the      selected focus area.
  6. Provide      a brief description of at least two community resources and at least two      website resources for professionals and clients.
  7. Provide      a brief profile of at least one health-related organization for the      selected focus area.

APA format is required for essays only. Solid academic writing is always expected. For all assignment delivery options, documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are not required to submit this assignment to Turnitin.

Evaluate the challenges that health care organizations may face when sharing data across systems.

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What are the advantages of standardizing coding terminologies? And what is the best way to achieve consistency for information systems?
As Dr. John Glaser notes in the “What Is Health Informatics?” media presentation (assigned in Week 1), a group of physicians may use many different terms to describe one patient’s painful experience. This simple example can be extrapolated to guide your thinking about the obstacles that have arisen for information system development because of the varied and complex nature of health care.
In this week’s Discussion, you evaluate the interoperability and coding challenges encountered in today’s health care organizations.
To prepare:

  • Think      about how controlled terminology and standards facilitate information      sharing, for example, sharing data between an emergency care clinic and a      pharmacy or between a primary care physician’s office and a specialist’s      office.
  • Reflect      on the national health IT agenda as presented in the Learning Resources.
  • Consider      challenges health care providers are facing in light of the national      health IT agenda related to sharing data across information systems and/or      controlled terminology standards. What strategies could a health care      organization use to address interoperability challenges? Conduct      additional research as necessary to determine possible solutions.

 write a minimum of 550 words essay in APA format with a minimum of 3 references from the list below. Include the level one headings as numbered below:

post a cohesive response that addresses the following:

1) Evaluate the challenges that health care organizations may face when sharing data across systems.

2) Using your professional experience and/or information gathered through research, provide at least two specific examples of interoperability challenges.

3) Propose at least two strategies a health care organization might implement to address interoperability challenges.

Required Readings

Course Text: Ball, M. J., Douglas, J. V., Hinton Walker, P., DuLong, D., Gugerty, B., Hannah, K. J., . . . Troseth, M. R. (Eds.) (2011). Nursing informatics: Where technology and caring meet (4th ed.). London, England: Springer-Verlag.

Chapter 13, “Standards and Interoperability

This chapter introduces the definition, standards, and challenges of interoperability. The authors also detail the impact that interoperable systems will likely have on the future of electronic health records (EHRs) in response to the national health IT agenda.

Course Text: American Nurses Association. (2008). Nursing informatics: Scope and standards of practice. Silver Spring, MD: Author.

Trends in Care Delivery Models and Innovation” (pp. 63-66)

This excerpt gives examples of projects that are being used to accelerate informatics implementations in organizations.

Grain, H. (2010). Clinical terminology. Studies in Health Technology and Informatics, 151, 70-83.

This article begins with an historical overview of computer use in the health care industry. Then it takes an in-depth look at the incentives being used to increase the percentage of practice settings that comply with the integration of electronic health records and interoperable technologies.

Hovenga, E. J. (2010). National standards in health informatics. Studies in Health Technology and Informatics, 151, 133-155.

This article provides an in-depth review of the development of national standards. It includes a look at the components of standards and how they affect the interoperability of systems.

Kuperman, G. J., Blair, J. S., Franck, R. A., Devaraj, S., & Low, A. F. H. (2010). Developing data content specifications for the Nationwide Health Information Network Trial Implementations. Journal of the American Medical Informatics Association, 17(1), 6-12.

The authors of this article use the experiences of the Nationwide Health Information Network’s Trial Implementations project to describe the process and challenges of developing content specific standards.

Truran, D., Saad, P., Zhang, M., & Innes, K. (2010). SNOMED CT and its place in health information management practice. Health Information Management Journal 39(2), 37-39.

Real-world examples are used in this article to predict how the management of health information will change as standardized terminologies are implemented within practice settings.

American Nurses Association (2006). ANA recognized terminologies and data element sets.

Retrieved from http://www.nursingworld.org/npii/terminologies.htm 

By navigating through this website, you can see the table that shows the data sets recognized by the American Nurses Association.

Centers for Disease Control and Prevention. (2009). Health data standards.

Retrieved from http://www.cdc.gov/nchs/about/health_data_standards.htm 

This website provides a link to two organizations that focus on health standards and statistics. The first organization that you may choose to view is the National Committee on Vital and Health Statistics, which was established by Congress and advises the Department of Health and Human Services. The second is called the Public Health Data and Standards consortium, a not-for-profit organization that works with a variety of agencies, associations, and organizations.

Logical Observation Identifiers Names and Codes (LOINC®). (2011).

Retrieved from http://loinc.org 

Access this website to gain information on LOINC’s universal coding system for laboratory and clinical observations.

Saba, V. (2011). Clinical Care Classification System.

Retrieved from http://www.sabacare.com/ 

At this website, you can view the framework of the Clinical Care Classification (CCC) coding structure. Use the side tabs to view the features that make this coding terminology widely accepted as a means to document patient care in electronic health care records.

U.S. National Library of Medicine. (2011). Unified Medical Language System® (UMLS®).

Retrieved from http://www.nlm.nih.gov/research/umls 

The Unified Medical Language System uses its three tools, or Knowledge Sources, named Metathesaurus, Semantic Network, and SPECIALIST Lexicon and Lexical Tools to combine many popular standards and terminologies used in the health care industry. This integrated system facilitates interoperability between computer systems.

Required Media

Laureate Education, Inc. (Executive Producer). (2011). Transforming nursing and healthcare through technology: The standardized representation of health information. Baltimore, MD: Author.

Note: The approximate length of this media piece is 16 minutes.

This week’s media presentation introduces the importance of standardized data in interoperable systems.

Optional Resources

Konicek, D. (2010, March 1-4). Foundations of nursing informatics: SNOMED CT: Terminology implications for meaningful use. Session presented at the HIMSS 10 Annual Conference and Exhibition, Georgia World Conference Center, Atlanta, GA.

Retrieved from http://www.himss.org/content/files/proceedings/2010/FNI4.pdf

ABC Coding Solutions. Retrieved from http://www.alternativelink.com/ali/home/