1. Try taking a different route to class the next time it meets. Before you do this, think about how many changes, large and small, you will have to make to do this.

a-Will you have to leave earlier to be in class on time? 

b-Will you meet different people on your way to class?

c-See different sights?

d-Would you change your route to class on the day of the final exam? 

e-Why or why not? Summarize the positives and negatives of this small change. Relate your responses to this change to the way staff nurses feel when an administrator makes what he or she thinks is a “minor” change. 

2. Think about a change that has occurred in your life. Some examples may be a change of role, a move, a marriage, a birth, a divorce, or a death. 

a-How did you react to the change? 

b-Would you have reacted differently if you had had more information?

c-Using Lewin’s model, describe the basic elements in the situation and how you eventually achieved a comfortable outcome.

Essentials of Nursing Leadership & Management
6th Edition

Sally A. Weiss  MSN, EdD, RN, CNE, ANEFRuth M. Tappen  EdD, RN, FAAN

ISBN-13: 978-0-8036-3663-7

  

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

Comment 1

Science and religion is ongoing controversy that will remain in society as people’s beliefs are tested and trialed.  Science is a belief that if it cannot be proven, then it does not exist, and that all other beliefs that cannot be proven are merely false (Clark, 2015).  This can create many tense moments when someone’s loved one is in a hospital and maybe the end of life for them.  Their faith is tested and many turn away from God and ask, “Why are doing this to me, what did I do to deserve this?”  As stated, doctors are not saviors and they cannot heal all people, therefore to accept and understand the process may bring religion closer to the individuals (Meliaender, 2013).  Medicine has been more scientific than it has been religious in modern day, but more like older days, medicine has made a come around to become a more holistic approach to caring for individuals, which also includes religion in the practice.  I believe that there is a balance between science and religion when caring for patients.  If a patient or family member wishes to have a sentimental item or belief within a picture, rosary, or specific items, then the medical staff should honor those wishes as it will create a calming effect over the family to allow the medical professionals to care for the patient.

Comment 2

The perceived tension between science and religion stems from William Passavant’s description of the differences between the roles of deaconesses and nurses in 1899. Passavant defined the care provided by a deaconess as eternal service, providing care through love, and caring for the body to reach the soul (Shelly & Miller, 2009, p. 21). He defined the care provided by a nurse as service for financial compensation, with a motive based on a system rather than love, and a concern for the present welfare of a patient instead of their eternal future (Shelly & Miller, 2009, p. 21). The tension between these two concepts with regards to nursing care is ironic because regardless of the foundational discipline under which a provider has earned or accepted the responsibility to care for the ill or injured, the primary goal is the same; return the patient to the best state of well-being as physically, emotionally, mentally, and spiritually possible. Although the primary goal is the same, the philosophical and cultural differences between science and religion have the capability of pushing each discipline further from the other. With a scientific approach lacking a spiritual focus and a religious approach lacking a pathophysiologic focus, it is evident that a combination of the two is necessary to achieve the best possible outcome for our patients.