Logistic Regression in Nursing Practice

To prepare:

Review the three articles in this week’s Learning Resources and evaluate their use of logistic regression. Select one article that interests you to examine more closely in this Discussion

Critically analyze the article you selected considering the following questions:

What are the goals and purposes of the research study the article describes?

How is logistic regression used in the study? What are the results of its use?

What other quantitative and statistical methods could be used to address the research issue discussed in the article?

What are the strengths and weaknesses of the study?

How could the weaknesses of the study be remedied?

How could findings from this study contribute to evidence-based practice, the nursing profession, or society?

Post 4 paragraph that addresses the following:

1.In the first line of your posting, identify the article you examined, providing its correct APA citation.

2. Post your critical analysis of the article as outlined above.

3.Propose potential remedies to address the weaknesses of each study.

4.Analyze the importance of this study to evidence-based practice, the nursing profession, or society.

Provide 3 references

1.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 24, “Using Statistics to Predict”

2. Statistics and Data Analysis for Nursing Research

Chapter 9, “Correlation and Simple Regression” (pp. 208–222)

3. Select One Article from below for your assignment discussion: 

Hoerster, K. D., Mayer, J. A., Gabbard, S., Kronick, R. G., Roesch, S. C., Malcarne, V. L., & Zuniga, M. L. (2011). Impact of individual-, environmental-, and policy-level factors on health care utilization among US farmworkers. American Journal of Public Health, 101(4), 685–692. doi:10.2105/AJPH.2009.190892

Tritica-Majnaric, L., Zekic-Susac, M., Sarlija, N., & Vitale, B. (2010). Prediction of influenza vaccination outcome by neural networks and logistic regression. Journal of Biomedical Informatics, 43(5), 774–781. doi:10.1016/j.jbi.2010.04.011

Xiao, Y., Griffin, M. P., Lake, D. E., & Moorman, J. R. (2010). Nearest-neighbor and logistic regression analyses of clinical and heart rate characteristics in the early diagnosis of neonatal sepsis. Medical Decision Making, 30(2), 258–266. doi:10.1177/0272989X09337791

Select an ethnic minority group that is represented in the United States (American Indian/Alaskan Native, Asian American, Black/African American, Hispanic/Latino, Native Hawaiian, or Pacific Islander). Using health information available from Healthy People, the CDC, and other relevant government websites, analyze the health status for this group.

In a paper of 1,000-1,250 words, compare and contrast the health status of your selected minority group to the national average. Include the following:

1. Describe the ethnic minority group selected. Describe the current health status of this group. How do race and ethnicity influence health for this group?
2. What are the health disparities that exist for this group? What are the nutritional challenges for this group?
3. Discuss the barriers to health for this group resulting from culture, socioeconomics, education, and sociopolitical factors.
4. What health promotion activities are often practiced by this group?  
5. Describe at least one approach using the three levels of health promotion prevention (primary, secondary, and tertiary) that is likely to be the most effective in a care plan given the unique needs of the minority group you have selected. Provide an explanation of why it might be the most effective choice.
6. What cultural beliefs or practices must be considered when creating a care plan? What cultural theory or model would be best to support culturally competent health promotion for this population? Why?

Cite at least three peer-reviewed or scholarly sources to complete this assignment. Sources should 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

How can community health nurses apply the strategies of cultural   competence to their practice? Provide at least one example from each   of the following four strategies: cultural preservation, cultural   accommodation, cultural repatterning, and cultural brokering. What is   a possible barrier to applying the strategy/example chosen? Use an   example that is different than the postings of other students. This   example should include an evidence-based article that addresses a   cultural issue. Response should include an APA reference.

 

Three top healthcare issues with room for improvement in Rockford, Illinois, are opioid abuse, high blood pressure, and obesity (NYU Langone Health, 2021). Obesity is a significant contributor to multiple chronic diseases and metabolic disorders (Jakobsen et al., 2018). Chronic diseases accounted for most US healthcare costs and decreased productivity (Chapel et al., 2017). Global Burden of Disease researchers (Institute for Health Metrics and Evaluation, 2021) acknowledge that these diseases increase societal costs, morbidity, and mortality by limiting healthy days lived.

     Several national initiatives are underway that have a local impact on this burden of disease. The Substance Abuse and Mental Health Services Administration (SAMHSA) endorses using Medication-Assisted Therapy (MAT) to mitigate opioid abuse and the societal effects of chronic substance abuse (SAMHSA, 2020). The American Heart Association provides a comprehensive public health education program on steps to control high blood pressure to reduce heart disease and strokes (American Heart Association, 2021). The Centers for Disease Control and Prevention (2021) offers multiple interventions to reduce obesity in the Healthy People 2030 goals outlined by the Division of Nutrition, Physical Activity, and Obesity.

     Concerned voters could influence local policymakers to transfer these national initiatives to Rockford with an informed advocate, such as the DNP scholar. The advocate starts by building a grassroots coalition of the voting public to endorse specific improvements to existing health policy. Next, prepare a health policy brief, then research and contact the policymakers to open discussion. The brief should specify the problem and current policy while providing a rationale for change that includes the impact of the health problem on the constituency. Harnessing the power of multiple voters increases the likelihood that those in power will actively consider a policy change. Social media, like Twitter, can be used to build this coalition. My suggested tweet is #HealthyPeople 2030, #Healthy Rockford! Improve our community step by step! Healthy People 2030 | Data & Statistics | DNPAO | CDC (Links to an external site.)

     Dr. Riley presented her case to Congressman Aiken just as recommended. The DNP scholar was prepared and researched the issue and her audience’s stance on healthcare access. Dr. Riley met with stakeholders to inform discussion with the congressman on the impacts and relevance of improving access to transportation in her community. Dr. Riley introduced herself as a concerned health professional and advocate, presented the pros and cons of the proposed clinic bill, and stated appreciation for partial gains while remaining open to future improvements. She was thankful and expressed her willingness to offer professional support on future projects.  Dr. Riley’s approach left Congressman Aiken with a positive memory of Dr. Riley, specifically, and the profession of nursing and nurse practitioners as collaborative partners in health policy. She could have provided a business card, including email in parting. A follow-up email thanking the congressman would support this memorable encounter.

References

American Heart Association. (2021). Five steps to control your blood pressure. Five Simple Steps to Control Your Blood Pressure | American Heart Association (Links to an external site.)

Centers for Disease Control and Health Prevention. (2021). Healthy People 2030: Indicators and objectives align with DNPAO’s work. Healthy People 2030 | Data & Statistics | DNPAO | CDC (Links to an external site.)

Chapel, J.M., Ritchey, M.D., Zhang, D., & Wang, G. (2017). Prevalence and medical costs of chronic diseases among adult Medicaid beneficiaries. American Journal of Preventative Medicine, 53(6, S2), S143-S154. https://doi.org/10.1016/j.amepre.2017.07.019 (Links to an external site.)

Institute for Health Metrics and Evaluation. (2021). GBD Compare. GBD Compare | IHME Viz Hub (healthdata.org) (Links to an external site.)

Jakobsen, G.S., Smastuen, M.C., Sandbu, R., Nordstrand, N., Hofso, D, Lindberg, M., Hertel, J.K., & Hjelmesaeth, J. (2018). Association of bariatric surgery vs. medical obesity treatment with long-term medical complications and obesity-related comorbidities. JAMA 319(3), 291-301. https://doi.org/10.1001/jama.2017.21055 (Links to an external site.)

NYU Langone Health. (2021). City Health Dashboard: Rockford, Illinois. Rockford, IL – City Highlights | City Health Dashboard (Links to an external site.)

Substance Abuse and Mental Health Services Administration. (2020). Naltrexone. Naltrexone | SAMHSA

I NEED A COMMENT FOR THIS DICUSSION BOARD WITH AT LEAST 2 PARAGRAPHS AND USE 3 SOURCES NO LATER THAN 5 YEARS