Local Practice Problem Exploration

Reflect upon the selected national practice problem in Week 1 to address the following.

• From a local perspective, how does the practice problem impact nurses, nursing care, healthcare organizations, and the quality of care being provided?
• Identify the local key stakeholders related to the selected practice problem.
• Describe one approach used at your unique setting to address this problem. From your perspective, is this intervention effective in addressing the problem? Why or why not? If this practice problem is not addressed at your workplace, propose an intervention that could be implemented on a local scale to address the problem.

  Please answer these questions separated and use at least 3 sources no later than 5 years.

As you think back over the last seven weeks, you have all come a long way with understanding research and EBP. The week introduction stated it best: “Gone is the reliance on traditions, myths, and outdated resources.”

Think about nursing practice and describe one barrier that you feel prohibits nurses from engaging in EBP; share one strategy you could use to facilitate the use of evidence to help improve nursing care for patients.

Reflect back over your time in the course and describe how your thinking has changed about nursing research and evidence-based practice; describe one new learning during this course that you believe was the most helpful.

**Please credit at least your weekly lesson and your textbook within your posts this week. No outside references are required. Take some time and really reflect on what you have learned and how you can apply it to your nursing practice

Read chapters 16 and 17 of the class textbook and review the PowerPoint presentations located in the PowerPoint folder. Once done answer the following questions.

1. Identify and discuss the incidence and prevalence of intimate partner violence (IVP).

2. Explains the effects of IPV in adults and children.

3. How do you think the values of different skate-holders such as the alcohol industry, local communities, local law enforcement, public health organizations, nurse researchers, nurse clinician in alcohol treatment facilities, and college students would affect the identification of “social harms” associated with alcohol abuse and misuse?

4. Do you think the general public’s perception of the social harms associated with alcohol, tobacco, ad cannabis has changed? Why?

APA style (intext and citations)

Plagiarism FREE

 A minimum of 3 evidence-based references no older than 5 years must be used.   

 
Reply 1

Provide two different examples of how research uses hypothesis testing, and describe the criteria for rejecting the null hypothesis. Discuss why this is important in your practice and with patient interactions.

In order to provide examples of uses for hypothesis testing it is important to understand what a hypothesis is. “The hypothesis statements are the blueprint for completing the statistical analysis of the gathered data.” (Ambrose, 2018) Testing a hypothesis evaluates if the prediction made on two variables is valid. Gathering data to show correlations is how you test a hypothesis.

The two examples that came to mind when thinking of a hypothesis in health care are the prediction that washing hands decreases infections and following a specific diet will lead to increased health. “The Null hypothesis indicates the lack of relationship between the variables or that there is no effect on the variables.” (Ambrose, 2018) The criteria to reject a null hypothesis is data proving that the hypothesis is false. When the research is reliable, patterns should occur. When there are patterns, this will permit the researcher to reject the null hypotheses. (Ambrose, 2018) Hypotheses are tested using a one or two tailed testing. (Ambrose, 2018) A one-tailed test is used when the researcher is sure that direction of data will go in a certain way. “A two-tailed test identifies both the positive and negative differences.” (Ambrose, 2018)

As health care professionals, it is important to be able to utilize hypotheses and being able to evaluate them. Nursing interventions and care for patients are products of evidence based practice guidelines, which can be every changing with new research and data. Being able to interpret and utilize these guidelines is important to positive patient care. Nursing improvements and positive patient outcomes can be determined by quality research.

References

Ambrose, J. (2018). Applied Statistics for Health Care. Retrieved from Grand Canyon University: https://lc.gcumedia.com/hlt362v/applied-statistics-for-health-care/v1.1/#/chapter/3

Reply 2

Predictions of what will happen in a study between two variables is a hypothesis. A hypothesis is needed prior to starting the research to guide the data that is needed to be gathered for the variable. With the data that is collected, research process validates a hypothesis by showing correlation or mutual relationship. Research is always a measure in in a study or understanding differences. “Hypothesis testing is used to establish whether a research hypothesis extends beyond those individuals examined in a single study.” (Laerd, 2018)

One example is two groups of students virtual and in person. The hypothesis could be that in person students did better than virtual students in test taking, showing in person learning is important for the education of school age students. Another example could be that daily zoom meetings or virtual class has a higher classroom average of the students compared to the students who attends zoom virtual classes biweekly. For both, examples the average of test in grades for the sample represents the population.

In health care it shows findings that can be empowered and shows alternative explanations that may or may not be significant without research and hypothesis testing advancements could be detrimental for care of those that need advanced medication or treatment. Sample of 100 breast cancer sufferers depend on research to have new chemotherapy treatment to eradicate cancer more effectively than current treatment type. Consider the process first involved in what your measuring then outlines your structure. This is important for the patients and given opportunity to have treatment that has evidence to work versus medication that has not worked and no evidence to work.

Criteria for rejecting the null hypothesis: “the null hypothesis indicates the lack of relationship between the variables or that there is no effect on the variables.”(Ambrose, 2018) “Data should show patterns, allowing the researcher to reject or fail to reject the null hypothesis.” (Ambrose, 2018) Keep in mind a rejection could be in error. The rejection based on probability results are accurate. If shown effect, null rejected. “A failure to reject the null hypothesis indicates no effect is shown by the evidence.” (Ambrose, 2018) For a null to be rejected, 95% of values need to set close to the mean.

Resources

Ambrose, J. (2018). Applied statistics for health care.Retrieved from https://lc.gcumedia.com/hlt362v/applied-statistics-for-health-care/v1.1