Instructions: Read the following case study and answer the reflective questions. Please provide rationales for your answers. Make sure to provide citations/references for your answers in APA format. Deadline: Due by Sunday at 23:59 p.m. 

CASE STUDY: Active Labor: Susan Wong 

Mrs. Wong, a first-time mother, is admitted to the birthing suite in early labor after spontaneous rupture of membranes at home. She is at 38 weeks of gestation with a history of abnormal alpha-fetoprotein levels at 16 weeks of pregnancy. She was scheduled for ultrasonography to visualize the fetus to rule out an open spinal defect or Down syndrome, but never followed through. Mrs. Wong and her husband disagreed about what to do (keep or terminate the pregnancy) if the ultrasonography indicated a spinal problem, so they felt they did not want this information

. Reflective Questions 1. As the nurse, what priority data would you collect from this couple to help define relevant interventions to meet their needs? 2. How can you help this couple if they experience a negative outcome in the birthing suite? What are your personal views on terminating or continuing a pregnancy with a risk of a potential anomaly? What factors may influence your views? 3. With the influence of the recent Human Genome Project and the possibility of predicting open spinal defects earlier in pregnancy, how will maternity care change in the future? 

Regardless of political affiliation, every citizen has a stake in healthcare policy decisions. Hence, it is little wonder why healthcare items become such high-profile components of presidential agendas. It is also little wonder why they become such hotly debated agenda items.

Consider a topic that rises to the presidential level. How did each of the presidents (Trump, Obama, and Bush) handle the problem? What would you do differently?

Post your response to the discussion question: Consider a topic that rises to the presidential level. How did each of the presidents (Trump, Obama, and Bush) handle the problem? What would you do differently?

To Prepare:

• Review the Resources and reflect on the importance of agenda setting.
• Consider how federal agendas promote healthcare issues and how these healthcare issues become agenda priorities.

Please see attached document with complete instructions  

To Prepare:

• Reflect on the concepts of informatics and knowledge work as presented in the Resources.

1. https://www.youtube.com/watch?reload=9&v=fLUygA8Hpfo

2. See attached articles – 

• Consider a  hypothetical scenario based on your own healthcare practice or  organization that would require or benefit from the access/collection and application of data. 

Your scenario may involve a patient, staff, or management problem or gap. – I work in a psychiatric unit. 

Instructions:

1. Post a description of the focus of your scenario. 

2. Describe the data that could be used and how the data might be collected and accessed. 

3. What knowledge might be derived from that data?

4. How would a nurse leader use clinical reasoning and judgment in the formation of knowledge from this experience?

** USE AT LEAST 3 REFERENCES**

In this written assignment, you will explore a patient incident using root cause analysis.

Step 1 Read the scenario.

• Download and read: Root Cause Analysis Scenario Handout

Step 2 Complete the chart.

You have been charged with leading the interprofessional team that will investigate Mr. Jones’s issue. Your analysis should focus on systems and processes, not individual performance.

• Download and complete: Root Cause Analysis Chart

Step 3 Develop a plan of action.

Based on your investigation, develop a minimum two-page plan of action, not counting the title or reference page, detailing the recommendations your team makes. Your plan should answer the question “What can be done to prevent a similar incident?”

• Attach the completed Root Cause Analysis Chart to the end of your paper as an appendix or attach it separately with your assignment.

Benchmark – Analyzing and Reporting Data 

Overview

In public health, data are  often gathered from separate groups in order to describe health-related  behavior for a topic of interest. In practice, a larger sample is often  surveyed, and then focus groups or interviews can be conducted with a  smaller subset of the sample. The quantitative survey data from a larger  group helps to identify health-related trends and patterns within the  sample group. The qualitative data collected with the smaller group  complements the quantitative survey data and helps to determine why and  how a phenomenon exists. The cumulative findings can then help public  health professionals form a conclusion about the health issue and inform  future public health research, policy, and practice. 

The purpose  of this assignment is to analyze qualitative and quantitative data from  two separate groups, propose a research question, and then disseminate  your findings in a mixed-methods manuscript. The survey and focus group  are both on the topic of nutrition. The quantitative data is adapted  from the Youth Risk Behavior Surveillance System (YRBSS), and the  qualitative data is from a focus group transcript in which 9th grade  girls discussed healthy eating.

For this assignment, you will use:

1. IBM  SPSS Statistics and the “Youth Risk Behavior Surveillance System  Dataset” to conduct a basic quantitative statistical analysis.
2. The “9th Grade Girls Healthy Food Focus Group Transcription” to conduct a qualitative analysis and identify key themes.

Part 1: Analyzing Data

Using  the resources indicated above, conduct the following analyses and  record the results on the “Results and Outputs” template. Attach this  document as an Appendix in your paper.

Qualitative Analysis: Read  the “9th Grade Girls Healthy Food Focus Group Transcription.” This  transcript is from a focus group of 9th grade girls discussing healthy  eating with the moderator. Generate codes and summarize the qualitative  data.

Quantitative Analysis: 

1. Review  the “Youth Risk Behavior Surveillance System Dataset.” Identify two or  three variables of interest and identify a study topic for your paper.  Conduct a literature search for three to five peer-reviewed articles  from the last 5 years that have studies supporting your topic. Develop a  research question for your study based on the selected variables. The  research question should demonstrate support for the focus group results  and should be supported by existing literature.
2. Prepare the data to complete the analysis based on your research question.
3. Using SPSS, conduct descriptive statistics to summarize the sample.
4. Using SPSS, select an appropriate quantitative inferential statistical test to analyze the data.

Part 2: Reporting Data

Prepare  a 1,250-1,500 word manuscript to disseminate the findings of your  proposed study. The study should be based on your proposed research  question and supported by the findings from the qualitative and  quantitative analyses above, as well as by current literature. Include  the following:

Abstract

1. A 150-250 word summary of the manuscript.

Introduction

1. Summarize the purpose of the research, the problem being addressed, and your proposed research question.
2. Support  your summary using three to five peer-reviewed articles from the last 5  years that are relevant to your topic and that support why the study is  being conducted.

Methods

Qualitative Methods (Focus Group)

1. Describe the focus group sample and data collection process.
2. Describe the process used to analyze the qualitative data.

Quantitative Methods (YRBSS Survey)

1. Discuss how the data were collected.
2. Identify and describe the variables used in the analysis.
3. Describe the descriptive and inferential statistical tests that were conducted.
4. Identify the software that was used to conduct the analysis.

Results

Qualitative Results (Focus Group)

1. Summarize the results of the qualitative analysis from the “9th Grade Girls Healthy Food Focus Group Transcription.”

Quantitative Results (YRBSS Survey)

1. Summarize the sample using the results of the descriptive statistics.
2. Describe the main outcomes of the inferential statistical analysis.
3. Include at least one table or figure to support the results.

Discussion

1. Interpret the study results in relation to the related literature and study purpose.
2. Discuss the study limitations.
3. Based on the interpreted results of the study, provide recommendations for future public health research, policy, or practice.

Appendix 

1. “Results and Outputs” analysis document.

General Requirements

You  are required to cite to a minimum of three sources to complete this  assignment. Sources must be published within the last 5 years and  appropriate for the assignment criteria and public health content.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center.

You are required to submit this assignment to LopesWrite. 

Benchmark Information 

This benchmark assignment assesses the following programmatic competencies:

Master Public Health

2.2: Select quantitative and qualitative data collection methods appropriate for a given public health context. 

2.3: Analyze quantitative and qualitative data using biostatistics, informatics, computer-based programming, and software, as appropriate. 

2.4: Interpret results of data analysis for public health research, policy, or practice.

MSN Public Health Nursing

6.3: Interpret results of data analysis for public health research, policy, or practice.

STUDY MATERIALS

Review Chapter 16 in Using and Interpreting Statistics: A Practical Text for the Behavioral, Social, and Health Sciences.

URL:http://www.gcumedia.com/digital-resources/macmillan-learning/2016/using-and-interpreting-statistics_a-practical-text-for-the-behavioral-social-and-health-sciences_ebook_3e.php

View “Talk Nerdy to Me,” by Marshall (2012), located on the TED website. URL: https://www.ted.com/talks/melissa_marshall_talk_nerdy_to_me

Read “Conducting High-Value Secondary Dataset Analysis: An Introductory Guide and Resources,” by Smith et al., from Journal of General Internal Medicine (2011). URL: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3138974/

Read “Successful Scientific Writing and Publishing: A Step-by-Step Approach,” By Iskander, Wolicki, Leeb, and Siegel, from Tools and Techniques (2018), located on the Centers for Disease Control and Prevention (CDC) website. URL: https://www.cdc.gov/pcd/issues/2018/18_0085.htm

Read “The Belmont Report,” by the Department of Health, Education, and Welfare (1979), located on the U.S. Department of Health and Human Services (HHS) website. URL: https://www.hhs.gov/ohrp/sites/default/files/the-belmont-report-508c_FINAL.pdf

Read “IRB FAQs” on the IRB Institutional Review Board, located on the Grand Canyon University website. URL: https://cirt.gcu.edu/irb_documents/irbstudentresearchersfaqsdocx