2023 Statistical application and the interpretation of data is important in health care Review the statistical concepts

Nursing 2023 statistics

Statistical application and the interpretation of data is important in health care Review the statistical concepts 2023 Assignment

Statistical application and the interpretation of data is important in health care. Review the statistical concepts covered in this topic. In a 750-1,000 word paper, discuss the significance of statistical application in health care. Include the following:

  1. Describe the application of statistics in health care. Specifically discuss its significance to quality, safety, health promotion, and leadership.
  2. Consider your organization or specialty area and how you utilize statistical knowledge. Discuss how you obtain statistical data, how statistical knowledge is used in day-to-day operations and how you apply it or use it in decision making.

Three peer-reviewed, scholarly or professional references are required.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

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 required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

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2023 The Institute of Medicine s six domains of healthcare quality safe effective patient centered timely efficient and equitable provide a framework

Nursing 2023 Quality Improvement

The Institute of Medicine s six domains of healthcare quality safe effective patient centered timely efficient and equitable provide a framework 2023 Assignment

  

The Institute of Medicine’s six domains of healthcare quality—safe, effective, patient-centered, timely, efficient, and equitable—provide a framework for assessing quality and guiding improvement. Though broad, the domains can help in generating more specific measures to monitor within an organization. 

*For example, if a nurse executive were interested in the timeliness of care, he or she may want to analyze appointment wait times. 

*For this assignment, you consider your own experiences in healthcare settings—either professional or personal—and evaluate one situation for its markers of quality.

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2023 hi dear can you help me to finish very important assignment with good quality and be on

Nursing 2023 the ecology of health behavior

hi dear can you help me to finish very important assignment with good quality and be on 2023 Assignment

 hi dear,

can you help me to finish very important assignment with good quality and be on time please?

follow the structure as you read please,

Core Competencies for Public Health Professionals

1.  Create Profile at Train.org – The required fields must be completed in order to launch the webinar.

2.  Watch the 60 minute webinar called “2014 Core Competencies for Public Health Professionals” – In order to view webinar go to “Course Catalog” and type in the search box “2014 Core Competencies for Public Health Professionals”.

3.  Complete the “Competency Assessment: Tier 1 Public Health Professionals” – The assessment is located in Blackboard under Week 4.  there is a link below for this portion. 

  1. Submit a 2-3 page paper (not including title page and references) that is double spaced, 12 point Times New Roman font, 1 inch margins, and use APA formatting, in-text citations and references. The paper should include the following sections:
    1. Summarize the Core Competencies
    2. Describe How the Core Competencies are Used in the Public Health Profession
    3. Discuss Your Results from the “Competency Assessment” specifically identify strengths and areas that you would like to improve. 

Click here to view the Competency Assessment: Tier 1 Public Health Professionals

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2023 Answer the following question in one paragraph Why can physical methods be

Nursing 2023 Chemistry week one Assign

Answer the following question in one paragraph Why can physical methods be 2023 Assignment

 

  1. Answer the following question in one paragraph: Why can physical methods be use to separate mixtures but not compounds?
  2. Obtain a food item that has a nutrition label. From the information on the label, determine the number of grams of carbohydrate, fat and protein in one serving. Using the caloric values calculate the total calories for one serving

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2023 Discussion Treatment of Sleep Wake Disorders The power of sleep to heal the body cannot be underestimated Most

Nursing 2023 Treatment Of Sleep/Wake Disorders

Discussion Treatment of Sleep Wake Disorders The power of sleep to heal the body cannot be underestimated Most 2023 Assignment

  

Discussion: Treatment of Sleep/Wake Disorders

The power of sleep to heal the body cannot be underestimated. Most research indicates that 7–8 hours of sleep are a minimum that people need to stay healthy. Clients who come to the PMHNP’s office frequently complain of sleep problems. It is estimated that 10–20% of patients report some type of sleeping problem.

In this Discussion, you will analyze the diagnostic criteria and evidence-based psychotherapy and psychopharmacologic treatment for sleep/wake disorders.

Learning Objectives

Students will:

· Analyze diagnostic criteria for sleep/wake disorders

· Analyze evidence-based psychotherapy and psychopharmacologic treatment for sleep/wake disorders

· Analyze criteria for referring clients to primary care physicians for treatment of sleep/wake disorders

· Compare differential diagnostic features of sleep/wake disorders

To prepare for this Discussion:

· Your Instructor will have assigned you a sleep/wake disorder, which will be the focus of your original post for this Discussion. Insomnia

· Review the Learning Resources.

By Day 3

Post:

· Explain the diagnostic criteria for your assigned Insomnia disorder.

· Explain the evidenced-based psychotherapy and psychopharmacologic treatment for Insomnia disorder.

· Describe at what point you would refer the client to their primary care physician for an additional referral to a neurologist, pulmonologist, or physician specializing in sleep disorders and explain why.

· Support your rationale with references to the Learning Resources or other academic resource.

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2023 Comment 1 Linear correlation is a measure of dependence between two random

Nursing 2023 Please Do A Comment Base In This Answers. Write At Least 140 Words In Each Answer, Take Reference From (2013-2018) If Is Possible, Academic References Please Because The Teacher Check It Out One By One. SUSTANTIVE POST NEEDED. Thanks.

Comment 1 Linear correlation is a measure of dependence between two random 2023 Assignment

Comment 1

Linear correlation is a measure of dependence between two random variables. A linear correlation tells the strength of the relationship between the two variables. The results of the linear correlation analysis may be a positive correlation, a negative correlation, or no correlation. The conclusion of cigarettes cause the pulse rate to increase is not valid. The linear correlation does not give the results of the relationship between the two variables.  Correlation does not  imply causation in this sample. In a causal relationship the variables have an effect on each other and increases when one another do. In this study the only variables shown are smoking and heart rate. It shows no other variables to
consider such as gender, age, any health factors, or brands of cigarettes. Health factors along with other considerations may cause an increase in the pulse rate by itself. This sample does not give any indications of linear correlation between the two variables. There is no evidence in the statement “cigarettes cause the pulse rate to increase” to make it true without more evidence of both variables. Further research must be performed for the statement to valid. The research should include age, gender, health factors, and brands of cigarettes.

Comment 2

It seems like that the conclusion “Cigarettes cause the pulse rate to increase” is just not taking into consideration other variables and the heart rate can only increase so much. At that point, it would not matter how many more cigarettes a person smoked, the heart rate would not increase at the same rate. The linear correlation would change as the persons heart rate increases and the more cigarettes they smoked. The change in heart rate between the first and second cigarette will not be the same as the change in heart rate between the ninth and tenth cigarette. Identifying the associations between variables is the goal for correlational analyses. If the hypothesis is “Is there a relationship between the number of cigarettes smoked and pulse rate?”, then there is more room to talk about the relationship and arrive at a conclusion that yes, there is a relationship between the variables whether it is positive or negative. A better conclusion might be: There was a statistically significant correlation between the number of cigarettes smoked and pulse rate. This statement also needs to be backed up with results from a test like the Pearson product-moment correlation coefficient. Then the conclusion would be statistically relevant (Grove & Cipher, 2017).

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2023 Thbate Rages On The entry into practice debate in the United States continues to be one of the oldest and

Nursing 2023 Please answer the following Discussion Question. Please be certain to answer the three questions on this week DQ and to provide a well-developed and complete answer to receive credit.

Thbate Rages On The entry into practice debate in the United States continues to be one of the oldest and 2023 Assignment

 

Thbate Rages On

The entry-into-practice debate in the United States continues to be one of the oldest and hottest professional issues nurses face as we enter the second decade of the 21st century. It appears that little progress has been made since 1965 in creating a consensus to raise the entry level into professional nursing practice, although experts do not agree even on that issue. Your neighbors ask you for information about considerations for selection of an appropriate nursing education program for their child.

1. Your neighbor is confused because both ADN and BSN schools preparing graduates for RN licensure meet similar criteria for state board approval and have roughly the same number of nursing coursework units. How would you summarize the arguments for changing or not changing the nursing entry level?

2. There is current evidence-based research that explores the impact of registered nurse educational level on patient outcomes. What does the current evidence-based research conclude about the impact of RN educational level on patient outcomes?

3. Achieving the BSN as the entry degree for professional nursing practice will take the best thinking of our nursing leaders. What will it require in order to successfully achieve the BSN as the entry degree for professional nursing practice?

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2023 You are working in the Emergency Room on the 7 00 am 7 00 pm shift Upon arrival a 27 year old African American male

Nursing 2023 Scenario 1

You are working in the Emergency Room on the 7 00 am 7 00 pm shift Upon arrival a 27 year old African American male 2023 Assignment

You are working in the Emergency Room on the 7:00 am-7:00 pm shift. Upon arrival, a 27-year-old African-American male walked up to you holding his chest, and states: “I can’t breathe, help me”.  His diaphoretic, skin is warm and moist. Respiratory rate is 28 even and slightly labored, heart rate 112 even and regular. Blood pressure is 134/86. Lung sounds have bilateral wheezes.  His last meal was breakfast 30 minutes ago at McDonald’s

  1. Based on his presenting signs, what other questions would you elicit?
  2. How would you demonstrate knowledge of cultural sensitivity/humility in approach to this patient?
  3. What would you assess?
  4. What could be the problem?

this is for a nursing class just please answer all 4 questions based on the above scenario

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2023 UNIT 4 Topic Strategies for Implementing Change Benchmark Change Initiative Develop a

Nursing 2023 ORGANIZATIONAL DEVELOPMENT AND CHANGE

UNIT 4 Topic Strategies for Implementing Change Benchmark Change Initiative Develop a 2023 Assignment

                                                                              UNIT 4

Topic: Strategies for Implementing Change

Benchmark – Change Initiative: Develop a Change Model

Details:

Research the various change models used by organizations today. After assessing these models, create a change model conducive to your field, and that will work within your organization’s culture. This model should serve to implement a strategic process that can help your organization integrate a change and respond to the internal or external driving forces that affect organizational success.

Create a visual representation of your model using a graphic organizer of your choice (flow chart, concept map, etc.). The design of your model will be unique and relevant to your organization, based on a critical analysis of its culture and behavior. However, your model must demonstrate the necessary steps for realistic implementation. Your model will be assessed on the quality of strategic implementation you design, the support you present for your model, and inclusion of the following concepts:

1. Methods to evaluate the need for change

2. Approach and criteria for choosing individuals or teams necessary for a change initiative

3. Communication strategies

4. Strategies to gather stakeholder support and overcome resistance

5. Implementation strategies

6. Sustainability strategies

Once you have created your model, prepare a 15-20 slide PowerPoint presentation to present your model and demonstrate how this model is relevant to your organization and why it will work well within your organization’s culture. In conclusion, discuss why this model will lead to sustainable change when most change initiatives fail. You will utilize this change model for your final paper.

Prepare this assignment according to the guidelines found in the APA Style Guide.

Plagiarism Free.

Textbook 

1. The Heart of Change: Real-Life Stories of How People Change Their Organizations 

Read the Introduction and Chapter/Step 5 in The Heart of Change: Real-Life Stories of How People Change Their Organizations.

http://gcumedia.com/digital-resources/harvard-business-school-press/2012/the-heart-of-change_real-life-stories-of-how-people-change-their-organizations_ebook_1e.php 

e-Library Resource 

1. Evaluating the Success of Strategic Change Against Kotter’s Eight Steps 

Read “Evaluating the Success of Strategic Change Against Kotter’s Eight Steps,” by Spencer and Winn, from Planning for Higher Education (2004/2005).

https://lopes.idm.oclc.org/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ofs&AN=507948373&site=ehost-live&scope=site 

2. Integrating Organizational Change Management and Customer Relationship Management in a Casino 

Read “Integrating Organizational Change Management and Customer Relationship Management in a Casino,” by Chi Cong Mai, Perry, and Loh, from UNLV Gaming Research and Review Journal (2014).

https://lopes.idm.oclc.org/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=s3h&AN=100270149&site=ehost-live&scope=site 

3. Mastering the Art of Change 

Read “Mastering the Art of Change,” by Blanchard, from Training Journal (2010).

https://lopes.idm.oclc.org/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=bth&AN=47573877&site=ehost-live&scope=site 

4. Navigating Change 

Read “Navigating Change,” by Bisoux, from BizEd (2015).

https://lopes.idm.oclc.org/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ehh&AN=100345843&site=ehost-live&scope=site 

5. Team-Building and Change Management in Respiratory Care: Description of a Process and Outcomes 

Read “Team-Building and Change Management in Respiratory Care: Description of a Process and Outcomes,” by Stoller et al., from Respiratory Care (2010).

https://lopes.idm.oclc.org/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105031465&site=ehost-live&scope=site 

6. The Meaning and Measurement of Implementation Climate 

Read “The Meaning and Measurement of Implementation Climate,” by Weiner et al., from Implementation Science (2011).

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7. Transformational Change

Read, “Transformational Change,” by Hannon, from Training Journal (2014).

https://lopes.idm.oclc.org/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=psyh&AN=2004-18411-009&site=ehost-live&scope=site 

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2023 Respond of your colleagues who were assigned to a different case than

Nursing 2023 Post- Lynae

Respond of your colleagues who were assigned to a different case than 2023 Assignment

Respond  of your colleagues who were assigned to a different case than you. Explain how you might apply knowledge gained from your colleagues’ case studies to you own practice in clinical settings.

                                               Main Post

                                  Sleep/Wake Disorders

The patient is an obese 70-year-old female with a chief complaint of “being sad.” Her husband passed away several years ago due to coronary artery disease (CAD). She lives at home alone and has a home health aide help her. Her son comes to visit her often. She was feeling well until her hearing began to diminish in both ears. Her mobility has declined, so she has not been able to get out as much. She is often lonely at home. She has daily crying spells, is often very tired, has good insight to her illness, and wants to get better. 

Three Questions to Ask the Patient and Why            

The case study mentioned that the patient is a candidate for cochlear implants, but it is a long way off. Thus, my first question to ask the patient is what is preventing her from getting cochlear implants?  

She began experiencing sadness when she began to lose her hearing and mobility. Therefore, regaining her hearing may help decrease the depression. If its financial reasons, maybe there are resources that can help her. Finding out the reason the patient isn’t getting the implants can help the provider and patient find solutions.             

The patient also mentioned that her sleep was “awful”, stating her legs “ache and jump”, she takes frequent naps during the day, and admits to snoring frequently. Thus, the second question I would ask is what are her sleeping habits like? 

Individuals who have good sleep habits sleep better. Getting better sleep can be obtained by being consistent by going to bed at the same time each night and waking up the same time each day (Centers for Disease Control and Prevention, [CDC], 2016).  Individuals can make sure the room is dark, quiet, and cool (CDC, 2016). Additionally, remove electronic devices, avoid large meals, caffeine, and alcohol can help with getting better sleep (CDC, 2016).              My third question would be what do you do when you are sad? Individuals who are depressed often have a negative view of the world and often think of themselves as worthless (This Way Up, n.d.). They often blame themselves when something bad happens and feel like they are unlucky (This Way Up, n.d.). Thus, helping individuals identify negative thinking and reframe the way they think about life can help improve depressive symptoms (This Way Up, n.d.). 

People to Speak to with Specific Questions to Ask 

The first person I would want to speak to is the patient’s son. The case study states the son visits her often so he should know the patient’s habits. First, I would ask him the same questions I asked the patient such as what is preventing the patient from getting cochlear implants, what are her sleep habits, and what does she do when she is sad? By asking the son the same questions, insight can be shown on how the son views things and how the patient views things. I would also him when he began to notice her depressive symptoms because that will help provide a timeline as to when it all began.             

The second person I would talk to is her home health aide because she is familiar with the patient. I would ask her what the patient’s home life is like such as how is she maintaining her house? Is she able to clean up after herself? How is she doing with activities of daily living? 

These questions can provide insight on the severity of the patient’s depressive symptoms. 

Physical Exams and Diagnostic Tests and How Results Would Be Used            

The first diagnostic test I would want to perform on the patient is the 9-item Patient Health Questionnaire (PHQ-9). The PHQ-9 is a screening tool for major depression (Na et al., 2018). The test is a reliable and valid measurement of depressive symptoms that also asks about the individual’s thoughts of death or self-injury within the last two weeks (Na et al., 2018). The results would be used to determine the severity of her depression. Another diagnostic test that can be performed on this patient is a polysomnography. A polysomnography is a sleep study that helps providers diagnose sleep apnea, periodic limb movement disorder, restless leg syndrome (RLS), insomnia, and nighttime behaviors (National Sleep Foundation, n.d.). The results would be used to can help determine the cause of her daytime sleepiness such as sleep apnea or RLS. I would also want to run a complete blood count (CBC) with differential on the patient. I would specifically want to obtain a red blood cell count (RBC) and white blood cell count (WBC). Thus, a CBC with differential would help determine if the patient is fatigued due to anemia or an underlying infection.

 Three Differential Diagnosis and Why

The three potential differential diagnoses include:Major Depressive DisorderPersistent Insomnia Disorder Obstructive Sleep Apnea Hypopnea The most likely differential diagnosis is major depressive disorder (MDD). The diagnostic criteria for MDD is five or more symptoms during the same 2-week period and a change from previous functioning (American Psychiatric Association, 2013).  The symptoms include: depressed mood most of the day, marked diminished interest or pleasure in all or almost all activities most of the day, significant weight loss or weight gain, insomnia or hypersomnia neatly every day, psychomotor agitation or retardation nearly every day, fatigue or loss of energy nearly every day, feelings of worthlessness or excessive or inappropriate guilt nearly every day, diminished ability to concentrate, and recurrent thoughts of death (American Psychiatric Association, 2013). The patient fits this diagnosis as evidence by depressed mood, diminished interest in activities she used to enjoy, fatigue, diminished ability to concentrate, and psychomotor retardation.

Two Pharmacological Agents and Dosing and Why 

One pharmacologic agent that can be tried is doxepin 3 mg at bedtime for insomnia. Doxepin works by boosting serotonin and norepinephrine by blocking the serotonin reuptake pump and norepinephrine reuptake pump (Stahl, 2017). At hypnotic doses, doxepin blocks histamine-1 receptors, which promotes sleep (Stahl, 2017). Doxepin is a substrate for CYP450 2D6 and has a half-life of 8-24 hours (Stahl, 2017). In the elderly, the recommended dose for insomnia is 3 mg per day (Stahl, 2017).             Another pharmacologic agent that I would like to start the patient on is bupropion (extended release) XL 150 mg daily in the morning. Bupropion is used to treat MDD and works by boosting norepinephrine and dopamine by blocking the norepinephrine reuptake pump and dopamine reuptake pump (Stahl, 2017). Bupropion inhibits CYP450 2D6, has a parent half-life of 10-14 hours, and a metabolite half-life of 20-27 hours (Stahl, 2017). Thus, since bupropion blocks the dopamine reuptake pump and norepinephrine reuptake pump, this medication is beneficial in improving symptoms of loss of happiness, joy, interest, pleasure, energy, enthusiasm, alertness, and self-confidence (Stahl, 2013). Thus, because of bupropion’s mechanism of action and the patient’s symptoms, I would want this patient to try this medication. 

Lessons Learned  

Lessons learned during this case study is that geriatric depression can be difficult to treat. They often have multiple comorbidities with the possibility of more pronounced side-effects (Stahl, 2008). Additionally, medications can have contraindications that do not previously exist prior to the patient being put on medication. Thus, providers must be aware of new and old warnings on medications in the event there are changes made to medications. I will apply this information when I am in practice by paying close attention to dosages, side effects, and potential contraindications when providing medication to the geriatric population. 

                                                  References

American Psychiatric Association. (2013). Diagnostic and statistical manual od mental disorders (5th ed.). Washington, DC: Author. Centers for Disease Control and Prevention. (2016). Tips for better sleep. Retrieved from https://www.cdc.gov/sleep/about_sleep/sleep_hygiene.htmlNa, P. J., Yaramala, S. R., Kim, J. A., Kim, H., Goes, F. S., Zandi, P. P.,…Bobo, W. V. (2018). The PHQ-9 item 9 based screening for suicide risk: a validation study of the Patient Health Questionnaire (PHQ-9)-9 item 9 with the Columbia Suicide Severity Rating Scale (C-SSRS). Journal of Affective Disorders, 232, 34-40. doi: https://doi.org/10.1016/j.jad.2018.02.045National Sleep Foundation. (n.d.). Sleep apnea. Retrieved from https://www.sleepfoundation.org/sleep-apneaThis Way Up. (n.d.). How do you feel? Retrieved from https://thiswayup.org.au/how-do-you-feel/sad/Stahl, S. M. (2008). Essential psychopharmacology online. Retrieved from https://stahlonline-cambridge-org.ezp.waldenulibrary.org/viewPdf?page=csEP_16.pdf&vol=2Stahl, S. M. (2013). Stahl’s essential psychopharmacology: Neuroscientific basis and practical    applications (4th ed.). New York, NY: Cambridge University Press. Stahl, S. (2017). Stahl’s essential psychopharmacology: Prescriber’s guide (6th ed.). San Diego,  CA: Cambridge University Press. 

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