Rosemary Velez4:34pm Oct 23 at 4:34pmManage Discussion EntryProfessor Eby and Class,”Nursing research is a systemic process of inquiry that uses rigorous guidelines to produce unbiased, trustworthy answers to questions about nursing practice” ( Houser, 2018, pg. 5). Nurses can improve quality of life for patients by finding solutions to problems by implementing Evidence based practice and nursing research. Nursing practices that are based on research uses a common format called the PICOT method. According to Riva, Malik, Burnie, Endicott, and Busse, ( 2012), ” Clinicians interested in research pursuits, related to patient care, should consider the use of a literature research and the PICOT format when engaging clinical researchers.” This method allows those researching the direction needed to answer questions of most importance. Upon reading case studies from our reading by Kumar, ( 2015), I chose the middle aged active woman with type 2 diabetes.PICOT Question:Can the use of Degludec insulin and dietary modification control blood sugar and reduce hypoglycemic episodes better than the use of another type of insulin with dietary modification in middle aged active females with type 2 Diabetes?P:  Active middle aged women with type 2 DiabetesI:   Use of Degludec insulin and dietary modificationC:  Use of insulin pump and dietary modificationO:  Better glycemic control and decreased hypoglycemic episodesT:   2 monthsThe focus point of this question would be treatment related. This case study proved that through the use of Degludec insulin therapy, and lifestyle changes, the desired outcome were proved in this 2 month trial, thus allowing this patient to maintain as normal a lifestyle as possible with this treatment. Though the insulin pump worked well for her, it did not mesh well with her current activities.Rose VelezBurnie, S.J., Busse, J.W., Riva, J.J., Endicott, A.R., & Malik, K.M.( 2012). What is your Research Question?: An introduction to the PICOT format for clinicians. Journal of the Canadian Chiropractic Association, 167-171.Houser, J.P. ( 2018). Nursing Research Reading, Using, and Creating Evidence. Burlington: Jones and Barlett Learning, LLC.Kumar, S. (2015). Type 1 diabetes mellitus-common cases. Indian Journal of Endocrinology & Metabolism, 76-77.Reply

Week 5 IndependenttTest ExercisesTo prepare:Refer to the Week 5 t Test Exercises and follow the directions to perform a t test.Download and save the Polit2SetC.sav data set. You will open the data file in SPSS.Compare your data output against the tables presented in the Week 5 t Test Exercises SPSS Output.Formulate an initial interpretation of the meaning or implication of your calculations.Refer to the Week 5 ANOVA Exercises and follow the directions to perform an ANOVA using the Polit2SetA.sav data set.Formulate an initial interpretation of the meaning or implication of your calculations.To complete:Complete the Part I, Part II, and Part III steps and Assignments as outlined in the Week 5 t Test Exercises page.Complete the steps and Assignment as outlined in the Week 5 ANOVA Exercises page.Create one document with your responses to the t test exercises and the ANOVA exercises.Part IThe hypothesis being tested is: Women who are working will have a lower level of depression as compared to women who are not working.Using Polit2SetC SPSS dataset, which contains a number of mental health variables, determine if the above hypothesis is true.Follow these steps when using SPSS:1. Open Polit2SetC dataset.2. Click Analyze then click Compare Means, then Independent Sample T-test.3. Move the Dependent Variable (CES_D Score “cesd”) in the area labelled Test Variable.4. Move the Independent Variable (Currently Employed “worknow”) into the area labelled Grouping Variable. The worknow variable is coded as (0= those women who do not work and 1= those women who are working).  Click on Define Groups in group 1 box type 0 and in group 2 box type 1. Click Continue.5. Click continue and then click OK.Assignment: Through analysis of the data and use of the questions below write one to two paragraphs summarizing your findings from this t-test.1. How many women were employed versus not employed in the sample?2. What is the total sample size?3. What are the mean (SD) CES-D scores for each group?4. Interpret the Levene’s statistic. (Hint: Is the assumption of homogeneity of variance met? Are equal variances assumed or not assumed?)5. What is the value of the t-statistic, number of degrees of freedom and the p-value?6. Does the data support the hypothesis? Why or why not?Part IIHypothesis: Women who reported depression scores in wave 1 and wave 2 of the study did not have a significant difference in their level of depression.Using Polit2SetC SPSS dataset, determine if the above hypothesis is true.Follow these steps when using SPSS:1. Open Polit2SetC dataset.2. Click Analyze then click Compare Means, then Paired Samples T-test.3. First click on CES-D Score (cesd) and move it into the box labelled Paired Variables (in the rectangle for Pair 1 of Variable 1 and then click on CESD Score, Wave 1 (cesdwav1) and move it into the Paired Variables box (in the rectangle next to CES-D Score, pair 1, variable 2).4. Click continue and then click OK.Assignment: Through analysis of the data and use of the questions below write one to two paragraphs summarizing your findings from this t-test.1. What is the total sample size?2. What are the mean (SD) CES-D scores at wave 1 and wave 2?3. What is the mean difference between the two time periods?4. What is the value of the t-statistic, number of degrees of freedom and the p-value(sig)?5. Does the data support the hypothesis? Why or why not?Part IIIUsing Polit2SetC dataset, run independent groups t-tests for three outcomes. The outcome variables are CES-D Score (cesd), SF12: Physical Health Component Score, standardized (sf12phys) and SF12: Mental Health Component Score, standardized (sf12ment).Follow these steps when using SPSS:1. Open Polit2SetC dataset.2. Click Analyze then click Compare Means, then Independent Sample T-test.3. Move the Dependent Variables (CES_D Score “cesd”, SF12: Physical Health Component Score, standardized (sf12phys), and SF12: Mental Health Component Score, standardized (sf12ment) ) in the area labelled Test Variable.4. Move the Independent Variable (Educational Attainment “educatn”) into the area labelled Grouping Variable. The educatn variable is coded as (1= no high school credential and 2=diploma or GED).  Click on Define Groups in group 1 box type 1 and in group 2 box type 2. Click Continue.5. Click continue and then click OK.Assignment: Create a table to present your results, use the table 6.3 in Chapter 6 as a model.  Write one or two paragraphs explaining your results.REFERENCESGray, 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 25, “Using Statistics to Determine Differences”Chapter 5, “Statistical Inference”Chapter 6, “t Tests: Testing Two Mean Difference

Select a family to complete a family health assessment. (The family cannot be your own.)Before interviewing the family, develop three open-ended, family-focused questions for each of the following health patterns:Values, Health PerceptionNutritionSleep/RestEliminationActivity/ExerciseCognitiveSensory-PerceptionSelf-PerceptionRole RelationshipSexualityCopingNOTE: Your list of questions must be submitted with your assignment as an attachment.After interviewing the family, compile the data and analyze the responses.In 1,000-1,250 words, summarize the findings for each functional health pattern for the family you have selected.Identify two wellness problems based on your family assessment.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 Turnitin. Please refer to the directions in the Student Success Center.

Discussion: Mission, Vision, and Personal GoalsAre you familiar with Walden University’s vision and mission? Were they a factor in selecting this University? How do they relate to your professional and academic goals? Does it matter if there is a tight or loose relationship or one at all? This week’s Discussion asks you to think about how the Walden mission and vision and the School of Nursing (SON) mission and vision apply to your professional and academic goals. Is there a match? How does Walden’s mission and vision relate to your becoming a scholar-practitioner committed to social change?To prepare:Review the Walden and SON mission and vision statements, Walden’s goals and University Outcomes, and the MSN Program Learning Outcomes presented in this week’s Learning Resources.Reflect on your professional and academic goals as they relate to your program/specialization.Consider how the information in the documents, identified above, fit with your own goals and to your becoming a scholar-practitioner.Think about how you will incorporate your commitment to social change into your professional and academic goals, particularly as it relates to the area(s) of interest represented by your program/specialization.Post a description of one or more significant ways in which Walden’s and the School of Nursing’s perspectives (i.e., vision, mission, social change message, and outcomes) relate to your professional and academic goals and to your becoming a scholar-practitioner. Include how you plan to incorporate social change into your professional and academic goals.Support your Discussion assignment with specific resources used in its preparation using APA formatting. You are asked to provide a reference for all resources, including those in the Learning Resources for this course.IMPORTANT: THE DISCUSSION QUESTION HAS TO BE FREE OF PLAGIARISMNOTE: READ AND USE THE DOCUMENTS ATTACHED BELLOW TO COMPLETE THE ASSIGNMENT CORRECTLY.  USE THE APA Basics Checklist: Citations, Reference List, and Style AS A GUIDE.MY PROGRAM/SPECIAIZATION IS: MASTER IN MENTAL HEALTH NURSE PRACTITIONER

Discussion: Reimbursement Issues for Nurse PractitionersUnderstanding the complex process of accurate coding and billing is essential to a sustainable practice. As NPs, we are ultimately responsible for ensuring all coding and billing is accurate for each patient seen. For this Discussion, you will search the health care literature and summarize a peer-reviewed journal article published within the last five years.To prepare:Select one of the following topics:Applying for Medicare and Medicaid Provider NumbersApplication process for National Provider Identifier NumberIncident to billingCoding-Evaluation & ManagementFraudulent billingBilling Self-Pay patientsManaged Care OrganizationsConduct a search and select a peer-reviewed journal article published within the last five years related to the topic you selected.Note: For this Discussion, all students are to avoid all written work, which reviews or outlines coding and billing atprevious or current worksitesas well asprevious or current practicum sites.By Day 3Post a brief summary of the article you selected. Include the key reimbursement issue addressed and how they would impact the NP in a collaborative practice versus and independent practice. Discuss an ethical or legal implication(s) associated with your article.