Psychotherapy for Addictive Disorders Essay Assignment

Psychotherapy for Addictive Disorders Essay Assignment

“A long-standing debate has roiled over whether addicts have a choice over their behaviors. The disease creates distortions in thinking, feelings, and perceptions, which drive people to behave in ways that are not understandable to others around them. Simply put, addiction is not a choice. Addictive behaviors are a manifestation of the disease, not a cause.” Psychotherapy for Addictive Disorders Essay Assignment

–Dr. Raju Hajela, former president of the Canadian Society of Addiction Medicine

A common misconception is that addiction is a choice, and addicts are often labeled as individuals who lack morals, willpower, or responsibility. However, addiction is a clinical disorder that must be treated with the support of a health care professional. Although many people who are exposed to potentially addictive substances and behaviors continue life unaltered by their experiences, some people are fueled by these experiences and spiral out of control. In your role as the psychiatric mental health nurse practitioner, you must be prepared to not only work with these individuals who struggle with addiction, but also help them and their families overcome the social stigmas associated with addictive behavior.

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This week, as you explore psychotherapy for addiction, you assess clients presenting with addictive disorders. You also examine therapies for treating these clients and consider potential outcomes. Finally, you develop diagnoses for clients receiving psychotherapy and consider legal and ethical implications of counseling these clients.

Learning Resources

Required Readings

Wheeler, K. (Ed.). (2014). Psychotherapy for the advanced practice psychiatric nurse: A how-to guide for evidence-based practice (2nd ed.). New York, NY: Springer Publishing Company.

  • Chapter 7, “Motivational Interviewing” (pp. 299–312)
  • Chapter 16, “Psychotherapeutic Approaches for Addictions and Related Disorders” (pp. 565–596)

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.

Note: You will access this text from the Walden Library databases.

Albrecht, U., Kirschner, N. E., & Grusser, S. M. (2007). Diagnostic instruments for behavioral addiction: An overview. German Medical Science Psycho-Social-Medicine, 4, 1–11. Retrieved from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2736529/

Fisher, M. A. (2016). The ethical ABCs of conditional confidentiality. In Confidentiality limits in psychotherapy: Ethics checklists for mental health professionals (pp. 13–25). Washington, DC: American Psychological Association. doi:10.1037/14860-002

Walden University. (2016). ASC success strategies: Studying for and taking a test. Retrieved from http://academicguides.waldenu.edu/ASCsuccess/ASCtesting

Required Media

Laureate Education (Producer). (2013c). Levy family: Episodes 1 [Video file]. Baltimore, MD: Author. Psychotherapy for Addictive Disorders Essay Assignment

Note: The approximate length of this media piece is 2 minutes.Laureate Education (Producer). (2013c). Levy family: Episodes 2 [Video file]. Baltimore, MD: Author.

Note: The approximate length of this media piece is 2 minutes.

Laureate Education (Producer). (2013c). Levy family: Episodes 3 [Video file]. Baltimore, MD: Author.

Note: The approximate length of this media piece is 6 minutes.

Laureate Education (Producer). (2013c). Levy family: Episodes 4 [Video file]. Baltimore, MD: Author.

Note: The approximate length of this media piece is 5 minutes.

Laureate Education (Producer). (2013c). Levy family: Episodes 5 [Video file]. Baltimore, MD: Author.

Note: The approximate length of this media piece is 2 minutes.

Laureate Education (Producer). (2012c). In their own words [Video file]. Baltimore, MD: Author.

Note: The approximate length of this media piece is 23 minutes.

Dronen, S. O. (2012). New research about Facebook addiction. Retrieved from http://www.uib.no/en/news/36380/new-research-about-facebook-addiction

Substance Abuse and Mental Health Services Administration. (2005). Substance abuse treatment for adults in the criminal justice system. Treatment Improvement Protocol (TIP) Series 44. Rockville, MD: Author. Retrieved from http://store.samhsa.gov/shin/content//SMA13-4056/SMA13-4056.pdf

Substance Abuse and Mental Health Services Administration. (2007). Problem gambling toolkit. Retrieved from http://store.samhsa.gov/product/Problem-Gambling-Toolkit/PGKIT-07

Substance Abuse and Mental Health Services Administration. (2013). Substance abuse treatment for persons with co-occurring disorders: A treatment improvement protocol. Treatment Improvement Protocol (TIP) Series 42. Rockville, MD: Author. Retrieved from http://store.samhsa.gov/shin/content//SMA13-3992/SMA13-3992.pdf

Psychotherapy for Addictive Disorders Essay Assignment

 

NUR-621 Principles Of Health Care Financial Management essays

NUR-621 Principles Of Health Care Financial Management essays

The Grand Canyon University is mainly a proprietary institution, established in 1949. It is shortened as GCU and is the Arizona’s leading, non-profit, private Christian university. Its nine colleges offer around 200-degree programs. Currently, the institution of higher education, Grand Canyon University, is the largest Christian university in the world with 70,000 student’s online and 20,000 on campus. NUR-621 Principles of Health Care Financial Management course from GCU is of high demand. This course equips students with the skill set to manage the finance of the health care organisations and make a sound decision. It provides future nurses to make a decision pertaining to the sources and application of funds in an effective manner. It also equips them with the skills of making staffing decisions based on sound principles of financial management and compliance procedure.

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Cultural Group and One Socio-Cultural Group

Cultural Group and One Socio-Cultural Group

Each student will choose no later than Week  2 of class, one cultural group and one socio-cultural group from the list provided below and set up a PowerPoint presentation (APA style) Minimum of 16 slides.

Preparation for the presentation will include synthesizing the information from assigned readings, the scientific literature, Internet resources, and other sources. Students will provide a minimum of 5 references. Cultural Group and One Socio-Cultural Group

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The presentation will address the following:

  • A brief history of the cultural/socio-cultural group
  • Values
  • Worldview
  • Language and communication patterns
  • Art and other expressive forms
  • Norms and rules
  • Lifestyle characteristics
  • Relationship patterns
  • Common rituals
  • Degree of assimilation or marginalization from mainstream society
  • Health behaviors and practices.

The presentation must include a comparative and contrast analysis of common characteristics and distinguishing traits between the cultural group and the socio-cultural group. As well as a brief explanation of differential approaches needed by health care professionals.

Grades will also be based on overall quality of the professional presentation including handouts and references. The presentation is due by the end of Week 8.

Cultural Groups: Socio-cultural group
African American & African African American Heritage, Haitian Heritage
Asian American, Asian, & Pacific Islander Chinese Heritage, Japanese Heritage, Korean Heritage, Filipino Heritage, Russian Heritage, Thai Heritage, Indian Heritage, Vietnamese Heritage
Native American Apache Heritage, Navajo Heritage, Yakama Heritage, Cherokee Heritage
Hispanic & Latino Americans Mexican Heritage, Brazilian Heritage, Cuban Heritage, Puerto Rico Heritage, Guatemala Heritage
European  American Jewish Heritage, Polish Heritage, Baltic Heritage, Greek Heritage, Turkish Heritage, Irish Heritage, Italian Heritage

Cultural Group and One Socio-Cultural Group

NRS-429 Family-Centered Health Promotion Essays

NRS-429 Family-Centered Health Promotion Essays

NRS-429 Family-Centered Health Promotion Essays

Family Health Assessment Part I

Understanding family structure and style is essential to patient and family care. Conducting a family interview and needs assessment gathers information to identify strengths, as well as potential barriers to health. This information ultimately helps develop family-centered strategies for support and guidance.

Health care for an individual is significant in determining how he or she maintains their overall personality. Assessment through correct parameters ensures proper evaluation and then subsequent solutions based on the same. Healthy family results in a healthy society, therefore the main objective of this assessment is to establish the health patterns of a family based in Melbourne, Australia.

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  1. Describe the family structure. Include individuals and any relevant attributes defining the family composition, race/ethnicity, social class, spirituality, and environment.

Family structure

For a family of 7 people including the parents of 40-45 years, the grandparents of 70-75 years and three children of 10, 13, and 17 years respectively. The family is a Caucasian one who follows Christianity and lives in their family-owned home in Kensington, Victoria the business district of Melbourne, Australia. The father is an accountant in a business organization and the mother teaches as a senior teacher in a school nearby. The children go to the same school and the grandparents are regular members of the community church and do voluntary and paid work for them from time to time. NRS-429 Family-Centered Health Promotion Essays. The family regularly visits their neighbours and has weekend hangouts with their friends (Lindblom, et.al 2017). The functional assessment of the health of few school children and adults has given the result that most of them face chronic pain while being differently-abled in either hand, feet or in other body parts (Kohls, Walker et. al, 2016).

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  1. Summarize the overall health behaviors of the family. Describe the current health of the family.

Overall health behavior of the family

As assessed from the interview questionnaire, and the responses, it could be observed that it is the mother who takes care of the health of all the family members. According to her, the children regularly have salads and homemade soup, and they are not allowed to have fast food. The grandparents go to a laughing club every weekend, but nowadays they are not going for the same. The father goes to work in the government labour department, and does not get much time for exercise. The mother teaches in a neighbourhood school, gets home by 5pm, and watches soap operas in television, while the father reads newspapers. NRS-429 Family-Centered Health Promotion Essays.

  1. Describe at least two of the functional health pattern strengths noted in the findings. Discuss three areas in which health problems or barriers to health were identified.

Functional health strengths and health problems

The two major functional health strengths of the family assessed here are regularly going for evening walks and regular intake of water, green vegetable, and fruits. The three major problem areas in health regarding this family are stress and anxiety situations have known to increase blood pressure and blood sugar levels suddenly. Children lead mostly an inactive lifestyle with most playing with video games and rarely taking part in any outdoor activity, therefore, they face pain in feet and hands due to the same reason (Kohls, Walker et. al, 2016).Women of the family suffer from breathing problems and get tired easily after doing household work. In addition to this, the children get seven to eight hours of sleep while the elders like the parents, and grandparents get five to six hours of sleep. The grandparents suffer from health issues like joint pain and high blood pressure. The parents have complaints of stress, depression, and anxiety due to work pressures and untimely food intake (Fang, Vincent et.al 2015). According to (Fang, Vincent et.al 2015), the assessment of the few adults suffering from sexually transmitted diseases like HIV/AIDS have given the results that these individuals are coping up with stress, anxiety, and depression with the support of their family, and peers.

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  1. Describe how family systems theory can be applied to solicit changes in family members that, in turn, initiate positive changes to the overall family functions over time.

Family systems theory and application of the same

The family systems theory describes the role of a family in an individual’s overall behavioral pattern. Through analyzing key concepts of this theory like emotional cut-off, sibling behavior, family problems, nuclear family issues, one would know how a family is functioning overall. For example, if someone in the family starts going for walks in the morning, he or she can influence other family members to do the same (Erdem & Safi, 2018). The effect of family on a child’s mental health is very significant. In the early years of the child, care giving, love, and warmth can prove positive in increasing emotional attachment and peer bonding. NRS-429 Family-Centered Health Promotion Essays.

Conclusion
While assessing the interview questionnaire regarding a family of seven people living in Victoria which is Melbourne, Australia it can be seen that the identity, relationship, and overall health behavior within the family is moderate. This family responds positively whereas in terms of coping with stress and anxiety, this family supports each other while also being critical of each other’s decisions. But the overall bonding in the family is good.

Develop an interview questionnaire to be used in a family-focused functional assessment NRS-429 Family-Centered Health Promotion Essays. The questionnaire must include three open-ended, family-focused questions to assess functional health patterns for each of the following:

  1. Values/Health Perception
    2. Nutrition
    3. Sleep/Rest
    4. Elimination
    5. Activity/Exercise
    6. Cognitive
    7. Sensory-Perception
    8. Self-Perception
    9. Role Relationship
    10. Sexuality
    11. Coping

Select a family, other than your own, and seek permission from the family to conduct an interview. Utilize the interview questions complied in your interview questionnaire to conduct a family-focused functional assessment. Document the responses as you conduct the interview.

Family Health Assessment Questionnaire:

Values/Health Perception
1. Why you consider health as the most important aspect of your family?
2. What is the family values regarding the health of the children?
3. How does your social and medical conditions work parallel to each other?
Nutrition
1. Do you take nutritious food regularly?
2. What kind of unhealthy food do you allow your children to have?
3. What kind of special diet do you consider to fit the elderly?
Sleep/Rest
1. How many hours a day do you sleep? If less hour of sleeps why so?
2. How far do you consider that you have the required amount of sleep?
3. How far do you think the amount of rest you take is more than necessary?

NRS-429 Family-Centered Health Promotion Essays
Elimination
1. How many times do you use the washroom in a day?
2. How far do you consider elimination benefits your family?
3. Do you have any issues regarding proper elimination?
Activity/Exercise
1. How many times a week do you work out? If less why?
2. What kind of exercises do you like to do?
3. Are you involved in any kind of sports? If not, why?
Cognitive
1. What are the obstacles you have faced while learning something?
2. How many languages can you read/write?
3. What are the languages that you speak excluding your mother tongue?
Sensory-Perception
1. How many times a month do you go for eye checkups?
2. Do you suffer from any hearing problem? If so, why?
3. Do you suffer from any breathing problem?
Self-Perception
1. What do you think about yourself as a person?
2. What do you do when you are depressed?
3. Do you have any doubt regarding your external appearance?
Role Relationship
1. How far do you think you are involved in the everyday dealings of the family?
2. How do you consider the family as the most important aspect?
3. How is your bonding with other family members?
Sexuality
1. How your religion bars you from any kind of sexual activity?
2. Have you imparted any kind of sex education to your children?
3. What are the methods of safe sex that you practice?
Coping
1. How do you cope with any kind of monetary crisis?
2. How do you cope with any kind of medical emergency?
3. How do you deal with any kind of personal crisis?

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Clinical nurse leader (CNL)

Clinical nurse leader (CNL)

GIVE A POSITIVE COMMENT BASED ON THIS CLINICAL NURSE LEADER (CNL)  ARGUMENT

Identify the educational preparation and role(s) of the clinical nurse leader (CNL) designation. Give an example of how the CNL influences direct patient care whether in a hospital or out in the community.

Clinical nurse leader (CNL) was proposed American Association of Colleges of Nursing, an effort to improve patient safety and quality of care (Graduate Nursing Edu.org). CNL is a generalist clinician who have education at master’s degree level or higher (Graduate Nursing Edu.org), upon graduation must sit for Clinical Nurse Leader Certification Examination by the Commission on Nurse Certification (University of Pittsburgh). A CNL has an advanced knowledge, not just in one area or discipline, but on general medicine, which is helpful for coordinating the care provided by the interdisciplinary teams. Clinical nurse leader (CNL)

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CNL has roles different from other advanced practice clinicians, they are responsible for designing patient care, implementing, and evaluating the care provided to the patients, making sure that the patients receive the right care, while coordinating, delegating, and supervising the care provided by other health care teams clinically.

CNL can influence patient care by the use evidence-based practice and the latest innovated technology to improve patients’ care, they work with physicians, pharmacists, nurse practitioners and other health care teams to provide the most effective medical care (Graduate Nursing Edu.org). It is important to know that CNL serve as mentors to nursing staff, oversee the environment to ensure it is safe for the patients.

CNL can act like a patient’s advocate; they serve as a middle person between the patients and they physicians or healthcare providers. For example, a patient in the community who is not sure what and where to go for help, a CNL would use his/her expertise to inform or teach the patients and family members, the disease condition, and its management, and refer them to the appropriate places for best care.

References

Graduate Nursing Edu.org. (2017) Retrieved on October 2nd. From https://www.graduatenursingedu.org/clinical-nurse-leader/

University of Pittsburgh (2017) Clinical Nurse Leader (CNL). Retrieved October 2nd from http://www.nursing.pitt.edu/degree-programs/master-science-nursing-msn/msn-program-majors/clinical-nurse-leader-cnl-onsite

PUB-550 Topic 3: Hypothesis Testing DQs

PUB-550 Topic 3: Hypothesis Testing DQs

Topic 3: Hypothesis Testing

Objectives:
  1. Evaluate the importance of hypothesis testing in statistics and public health research.

Hypothesis Testing

The purpose of this assignment is to evaluate the steps of hypothesis testing.

Hypothesis testing is a central component in understanding and interpreting public health research. Research questions are applied through a testable hypothesis established before the data is collected. It provides the rationale for the study and guides the researcher in what tests to use and how to interpret the results. PUB-550 Topic 3: Hypothesis Testing DQs.

Identify a peer-reviewed article from one of the data sources available on the “Data Resource Document.” You will need to visit the various websites listed on the document to search for a research article that is of interest to you. Include the link to the selected article in a 750-1,000 word summary that address the following as it relates to the article.

  1. What test statistic did the researchers use? What did the authors set as the significance level of the test statistic?
  2. What was the null hypothesis? What was the alternative hypothesis? Were these clearly stated in the article, or did you have to extrapolate based on the background in the article? PUB-550 Topic 3: Hypothesis Testing DQs
  3. Discuss potential bias that may have resulted from the study design and data collection that could have affected the validity of the test.
  4. Summarize the story told by the data used in this study as it applies to the larger population
  5. Comment on whether the authors used the interpretation approach discussed in the textbook, including (a) summarize why the study was done, (b) discuss the factual results, (c) explain what the results mean, and (d) make suggestions for future research.

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. PUB-550 Topic 3: Hypothesis Testing DQs

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

Attachments

PUB-550-RS-Data Resource Document.docx

Data Resource Document

  1. CDC WONDER

Explore the CDC WONDER website.

https://wonder.cdc.gov/

  1. Gapminder

Explore the Gapminder website.

http://www.gapminder.org/

  1. Behavioral Risk Factor Surveillance System

Explore the Behavioral Risk Factor Surveillance System, located on the CDC website.

https://www.cdc.gov/brfss/index.html

  1. PovcalNet

Explore the PovcalNet: An Online Analysis Tool for Global Poverty Monitoring page of The World Bank website.

http://iresearch.worldbank.org/PovcalNet/home.aspx

  1. Demographic and Health Survey Data

Explore the Demographic and Health Survey (DHS) data website.

http://dhsprogram.com/data/

  1. Alcohol-Related Disease Impact Application

Explore the Alcohol-Related Disease Impact Application (ARDI) page of the CDC website.

https://nccd.cdc.gov/DPH_ARDI/default/default.aspx

  1. Public Health Partners

Explore the Health Data Tools and Statistics page of the Public Health Partners website. This site provides many public health data sources.

https://phpartners.org/health_stats.html

  1. National Health Interview Survey

Explore the National Health Interview Survey page of the CDC website. Review the documents.

https://www.cdc.gov/nchs/nhis/index.htm

  1. Global School-Based Student Health Survey

Explore the purpose and methodology of the international Global School-Based Student Health Survey, located on the World Health Organization (WHO) website.

http://www.who.int/chp/gshs/en/

  1. Youth Risk Behavior Surveillance System

Explore the methods, data, and documentation of the Youth Risk Surveillance System, located on the CDC website.

https://www.cdc.gov/healthyyouth/data/yrbs/

 

Topic 3 DQ 1

Discuss the four potential outcomes of hypothesis testing and describe what is meant by type 1 and type 2 errors. Provide an example of when these errors might occur. PUB-550 Topic 3: Hypothesis Testing DQs

Topic 3 DQ 1

Hypothesis testing is used to evaluate a hypothesis about an entire population (Corty, 2016). Hypothesis testing is extremely statistic based with makes it objective not subjective. Statisticians use hypothesis testing to make sure that decisions remain data-based and not emotional based. The data from hypothesis testing is from the sample used to evaluate a population. There are six steps in hypothesis testing (Corty, 2016):

  1. Pick the right statistical test (TEST)
  2. Check the assumptions to ensure it is okay to do the test (ASSUMPTION)
  3. List all null and alternative hypothesis options (HYPOTHESIS)
  4. Find the value of the static that determines when to reject or accept the null hypothesis (DECISION)
  5. Calculate the value of the test statistics (CALCULATION)
  6. State what the results are (INTERPRETATION)
  7. PUB-550 Topic 3: Hypothesis Testing DQs

In every hypothesis test, the outcomes are dependent on a correct interpretation of the data (Illowsky, n.d.). Incorrect calculations or misunderstood summary statistics can lead to errors that affect the results. A Type I error occurs when a true null hypothesis is rejected (Illowsky, n.d.). A Type II error occurs when a false null hypothesis is not rejected (Illowsky, n.d.).

The probabilities of these errors are denoted by the Greek letters α and β, for a Type I and a Type II error respectively (Illowsky, n.d.). The power of the test, 1 – β, quantifies the likelihood that a test will yield the correct result of a true alternative hypothesis being accepted (Illowsky, n.d.). A high power is desirable.

Formula Review (Illowsky, n.d.).

α = probability of a Type I error = P(Type I error) = probability of rejecting the null hypothesis when the null hypothesis is true. PUB-550 Topic 3: Hypothesis Testing DQs

β = probability of a Type II error = P(Type II error) = probability of not rejecting the null hypothesis when the null hypothesis is false.

  1. The decision is not to reject H0 when H0 is true (correct decision).
  2. The decision is to reject H0 when H0 is true (incorrect decision known as a Type I error).
  3. The decision is not to reject H0 when, in fact, H0 is false (incorrect decision known as a Type II error).
  4. The decision is to reject H0 when H0 is false (correct decision whose probability is called the Power of the Test).

Example (Illowsky, n.d.):

It’s a Boy Genetic Labs claim to be able to increase the likelihood that a pregnancy will result in a boy being born. Statisticians want to test the claim. Suppose that the null hypothesis, H0, is: It’s a Boy Genetic Labs has no effect on gender outcome.

  • Type I error: This result when a true null hypothesis is rejected. In the context of this scenario, we would state that we believe that It’s a Boy Genetic Labs influences the gender outcome, when in fact it has no effect. The probability of this error occurring is denoted by the Greek letter alpha, α.
  • Type II error:This result when we fail to reject a false null hypothesis. In context, we would state that It’s a Boy Genetic Labs does not influence the gender outcome of a pregnancy when, in fact, it does. The probability of this error occurring is denoted by the Greek letter beta, β. PUB-550 Topic 3: Hypothesis Testing DQs

References

Corty, E. (2016). Using and interpreting statistics. A practical text for the behavioral, social, and health sciences 3rd Edition. Retrieved from https://viewer.gcu.edu/GGdEcj

Illowsky, B. (n.d.). Introduction to Statistics. Retrieved from https://courses.lumenlearning.com/introstats1/chapter/outcomes-and-the-type-i-and-type-ii-errors/

 

opic 3 DQ 1

Banerjee et al., (2009) study found the following: Hypothesis testing is an important activity of empirical research and evidence-based medicine. A well worked up hypothesis is half the answer to the research question. For this, both knowledge of the subject derived from extensive review of the literature and working knowledge of basic statistical concepts are desirable. The present paper discusses the methods of working up a good hypothesis and statistical concepts of hypothesis testing (p.127)

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Banerjee et al., (2009) study found the following: Just like a judge’s conclusion, an investigator’s conclusion may be wrong. Sometimes, by chance alone, a sample is not representative of the population. Thus, the results in the sample do not reflect reality in the population, and the random error leads to an erroneous inference. A type I error (false-positive) occurs if an investigator rejects a null hypothesis that is actually true in the population; a type II error (false-negative) occurs if the investigator fails to reject a null hypothesis that is actually false in the population. Although type I and type II errors can never be avoided entirely, the investigator can reduce their likelihood by increasing the sample size (the larger the sample, the lesser is the likelihood that it will differ substantially from the population) (p.127). PUB-550 Topic 3: Hypothesis Testing DQs

Banerjee et al., (2009) study found the following: False-positive and false-negative results can also occur because of bias (observer, instrument, recall, etc.). (Errors due to bias, however, are not referred to as type I and type II errors.) Such errors are troublesome, since they may be difficult to detect and cannot usually be quantified (p.127).

 

 

Reference

Banerjee, A., Chitnis, U. B., Jadhav, S. L., Bhawalkar, J. S., & Chaudhury, S. (2009). Hypothesis testing, type I and type II errors. Industrial psychiatry journal, 18(2), 127–131. doi:10.4103/0972-6748.62274

 

Topic 3 DQ 2

Review the Healthy People 2020 website. Identify one of the health issues and propose a scenario that would use a z-test as the first step in the six steps of hypothesis testing. Discuss the remaining five steps based on your scenario, including clearly articulating the null and alternative hypotheses for your scenario.

Topic 3 DQ 2
Topic Three, Discussion Question Two.This assignment requires visiting the Healthy People 2020 website and identify one health issue and propose a scenario that would use a z-test as the first step in the six steps of hypothesis testing. Last, discuss the remaining five steps based on your scenario, including clearly articulating the null and alternative hypotheses for the scenario. PUB-550 Topic 3: Hypothesis Testing DQsHypothesis testing is used to evaluate a hypothesis about an entire population (Corty, 2016). Hypothesis testing is extremely statistic based with makes it objective not subjective. Statisticians use hypothesis testing to make sure that decisions remain data-based and not emotional based. The data from hypothesis testing is from the sample used to evaluate a population. There are six steps in hypothesis testing (Corty, 2016): 

  1. Pick the right statistical test (TEST)
  2. Check the assumptions to ensure it is okay to do the test (ASSUMPTION)
  3. List all null and alternative hypothesis options (HYPOTHESIS)
  4. Find the value of the static that determines when to reject or accept the null hypothesis (DECISION)
  5. Calculate the value of the test statistics (CALCULATION)
  6. State what the results are (INTERPRETATION)

Now that we have defined hypothesis testing let’s understand what a z-test is. It is a type of hypothesis test that is used when (Statistics How To, 2018): PUB-550 Topic 3: Hypothesis Testing DQs

  • The sample size is greater than 30
  • Data points are independent from each other (one data point isn’t related or doesn’t affect another data point)
  • The data should be normally distributed
  • The data should be randomly selected from a population, where each item has an equal chance of being selected.
  • The sample size should be equal if at all possible.

When running a z-test with the data – there are five steps that are required (Statistics How To, 2018):

  1. State a null and alternate hypothesis
  2. Choose an alpha level
  3. Find the critical value of “z” in the z table
  4. Calculate the z test statistic
  5. Compare the test statistic to the critical z value and decide if you shoul support or reject the null hypothesis

After reviewing the Healthy People 2020 website, the health issue I have decided to pin-point is childhood obesity. One scenario that would use a z-test as the first hypothesis step in a scenario that would use a z-test as the first step in the six steps of hypothesis testing is kids eating fast food multiple times a week impact childhood obesity.

To do this scenario we would have two different proportion ztests that will allow us to compare the two proportions to see if they are the same or different. As stated above:

  • The null hypothesis (H0) for the test is that the proportions are the same. – Yes, survey results and data (weight measurements combined) show that children that eat out three times a week with fast food gain weight faster than those who do not eat out. PUB-550 Topic 3: Hypothesis Testing DQs
  • The alternate hypothesis (H1) is that the proportions are not the same. The survey results and the data do not show that eating out three times a week with fast food support weight gain in children.

Now that we have the right statistical test (z-test) we need to make sure the rest of the hypothesis testing is ready to go.

  • Check the assumptions to ensure it is okay to do the test (ASSUMPTION)
  • List all null and alternative hypothesis options (HYPOTHESIS) – listed above.
  • Find the value of the static that determines when to reject or accept the null hypothesis (DECISION)
  • Calculate the value of the test statistics (CALCULATION)
  • State what the results are (INTERPRETATION)

References

Corty, E. (2016). Using and interpreting statistics. A practical text for the behavioral, social, and health sciences 3rd Edition. Retrieved from https://viewer.gcu.edu/GGdEcj

Statistics How To. (2018). Z Test: Definition & Two Proportion Z-Test. Retrieved from https://www.statisticshowto.datasciencecentral.com/z-test/ PUB-550 Topic 3: Hypothesis Testing DQs

 

T-Test Nursing Assignment

T-Test Nursing Assignment

T-Test Nursing assignment

Topic 4: The t-Test
Objectives:
Differentiate the use of three types of t-tests.
Explain the assumptions of the t-test.
Interpret t-test results to determine the difference in means.
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Application of the t-Test

The purpose of this assignment is to learn how to apply the t-test to a sample dataset.

For this assignment, students will use IBM SPSS Statistics and the “Example Dataset.” T-Test Nursing assignment

Using the “Example Dataset” and SPSS, apply the t-test to assess the following statement: “Men and women have different incomes in this city.”

Show your calculations and copy of the SPSS output in a Word document.

In a separate 250-500 Word document, address the following questions:

Describe what t-test is the most appropriate and explain why. Discuss whether you used a one-tailed or two-tailed test and explain why.
Using SPSS, calculate the t-test and provide the test statistic and critical value assuming an alpha of .05.
Calculate the effect size using r2.
Interpret the results by (a) stating the reason the study or test was done, (b) presenting the main results, (c) explaining what the results mean, and (d) making suggestions for future research. T-Test Nursing assignment

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Submit both Word documents to the instructor.

APA style is not required, but solid academic writing is expected.

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 not required to submit this assignment to LopesWrite.

Attachments

PUB-550-RS-Example Dataset.xlsx

 

Topic 4 DQ 1

Compare the three types of t-tests by discussing when each is most appropriate to use and which types of questions each type of t-test best answers. Include specific examples to illustrate the appropriate use of each test. T-Test Nursing assignment

Topic 4 DQ 1

The t-test is one type of inferential statistics that are used to determine whether there is a significant difference between the means of two groups (Glen, 2020). The three main types of the t-test are:

One sample t-test tests whether the mean of a single population is equal to a target value. An example is testing whether the mean heights of female college students are greater than 5.5 feet. The second t-test type is the two-sample t-test which tests whether the difference between the means of two independent populations is equal to a target value. And an example of this is testing whether the mean height of female college students significantly differs from the mean height of male college students (Glen, 2020) T-Test Nursing assignment. Another type of t-test is paired t-test, this tests whether the mean of the differences between dependent or paired observations is equal to a target value. When measuring paired t-test, two measurements are usually taken on the same item, person or thing. This test is chosen if two items that are being measured are in the same unique condition. An example is measuring the weight of male college students before and after each student takes a weight-loss pill. This is to determine the mean weight loss is significant enough to conclude that the pill works or not (Glen, 2020). T-Test Nursing assignment.

Reference:

Glen, S. (2020). The t-Test (Student’s T-Test): Definition and Examples. Retrieved from

https://www.statisticshowto.datasciencecentral.com/probability-and-statistics/t-test/

 

Topic 4 DQ 2

Step 2 of hypothesis testing involves reviewing the assumptions of the test you selected. Discuss the three assumptions of the t-test. Provide an example of the assumption that is not robust to violations and a situation when the assumption is violated.

Topic 4 DQ 2

Assumptions are (Harvard University, n.d.):

Not always true
Important conditions that should hold in order for the t-test to work accurately

If you look in the textbook, based on what type of t-test you are doing the assumptions vary slightly. To combine them all, regardless of the type of t-test, there are common assumptions including random sampling, normality of data distribution, adequacy of sample size and equality of variance in standard deviation. T-Test Nursing assignment.

The t-test relies on a set of assumptions for it to be interpreted properly and with validity. Based on these assumptions, the data must be randomly sampled from the population of interest and that the data variables follow a normal distribution (Maverick, 2020).

As mentioned above that based on the t-test the assumptions may vary, that is the same for understanding if the test is robust for violations or not – see below (Emory University, n.d.)

One-sample t-tests are considered “robust” for violations of normal distribution. This means that the assumption can be violated without serious errorbeing introduced into the test.
The t-test for dependent means is considered typically “robust” for violations of normal distribution. This means that the assumption can be violated without serious errorbeing introduced into the test in most circumstance. T-Test Nursing assignment
The t-test for independent means is considered typically “robust” for violations of normal distribution. This means that the assumption can be violated without serious errorbeing introduced into the test in most circumstance.

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Potential assumption violations include (Emory University, n.d.)

Implicit factors – the lack of independence within the sample
Lack of independence: the lack of independence between samples
Outliers – the apparent non-normality of the entire samples
Unequal population variances
Patterns in plot of data – detecting violation assumptions through graphics

Reference

Harvard University (n.d.) The important assumptions for using the t-test. Harvard Canvas. Retrieved from. canvas.harvard.edu › courses › files › download

Maverick, J. B. (2020). What assumptions are made when conducting a t-test? Retrieved from https://www.investopedia.com/ask/answers/073115/what-assumptions-are-made-when-conducting-ttest.asp

Emory University. (n.d.). Test Assumptions. http://www.psychology.emory.edu/clinical/bliwise/Tutorials/TOM/meanstests/assump.htm

Topic 4 DQ 2

Step 2 of hypothesis testing is to check the assumptions. In hypothesis testing, all statistical tests have assumptions, circumstances that need to be satisfied before the completion of the test (Corty, 2016). If this does not happen, the test results will be uncertain (Corty, 2016). There are three assumptions that can be made of the t-test:

Random Sample: The sample is random from the population, robust if violated (Corty, 2016).

Independence of observations: Cases within the sample don’t influence each other, not robust if violated (Corty, 2016).

Normality: The dependent variable is normally distributed in the population, robust to violations if the sample is large (Corty, 2016) T-Test Nursing assignment.

Whether or not the sample is a random sample from the population is the first assumption (Corty, 2016). This assumption is robust, meaning if it is violated, the analysis can still be completed (Corty, 2016). For example, a researcher is using the mean of a sample of adults with ADHD in comparison to the mean of a population of adults with ADHD to perform a single- sample t test (Corty, 2016). If she takes a random sample from a population of adults with ADHD from one state, the researcher should only generalize her results from that particular state (Corty, 2016. However, if the researcher chose participants not at random, the first assumption would be violated. Although, the test can still be completed.

The next assumption is that the observations in the sample are independent, the assumption is not robust (Corty, 2016). This means, if the assumption is violated, the t test cannot be completed (Corty, 2016). Using the same example as before, each subject appears in the sample one time and the reaction times of each case does not influence one another (Corty, 2016). These cases are tested individually and randomly selected, making them independent, not violating the second assumption (Corty, 2016). If the cases were tested as a group and the samples were not random, they become dependent to one another and the second assumption is violated. The test cannot be completed. T-Test Nursing assignment

Reference

Corty, E.W. (2016). Using and Interpreting Statistics: A Practical Text for the Behavioral, Social, and Health Sciences. (3rd Ed.) New York, NY: Worth Publishers T-Test Nursing assignment

ANOVA Testing Nursing essay

ANOVA Testing Nursing essay

PUB-550: Application and Interpretation of Public Health Data

PUB-550 Topic 5: ANOVA Testing

Objectives:
  1. Compare and contrast the types of ANOVA tests and their application. ANOVA Testing Nursing essay.
  2. Apply the results of an ANOVA to determine statistical difference between means and potential interactions.

Application of ANOVA

The purpose of this assignment is to calculate and interpret an ANOVA table. For this assignment, use IBM SPSS Statistics.

Part 1:

Using the “Example Dataset,” assess this statement using ANOVA: “People with different levels of education exercise for different amounts of time during the week.”

Select and conduct the appropriate ANOVA test to assess the statement. Export the ANOVA table to a Word document.

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Part 2:

In 250-500 words, discuss the following regarding the use of ANOVA.

  1. Describe when the use of ANOVA is more appropriate than the use of a t-test.
  2. Describe which ANOVA test you used and why.
  3. Interpret the results by (a) stating the reason the study or test was done; (b) presenting the main results, including explaining the within and between subjects variation and the F-ratio from the ANOVA table; (c) explaining what the results mean, including discussing whether there is a statistically significant difference between education groups and amount of exercise; and (d) making suggestions for future research. ANOVA Testing Nursing essay

General Requirements

Submit one Word document for the Part 1 assignment content and a second Word document for Part 2 of the assignment. Submit both Word documents to the instructor.

APA style is not required, but solid academic writing is expected.

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 not required to submit this assignment to LopesWrite.

Attachments

PUB-550-RS-Example Dataset.xlsx

 

Topic 5 DQ 1

Compare the various types of ANOVA by discussing when each is most appropriate for use and which types of research questions each best answers. Include specific examples to illustrate the appropriate use of each test and how interaction is assessed using ANOVA. ANOVA Testing Nursing essay.

Topic 5 DQ 1

Analysis of Variance (ANOVA) is a collection of statistical models, and their associated procedures, in which the observed variance in a particular variable is partitioned into components attributable to different sources of variation. It is very useful for analyzing datasets. It is a way to find out if survey or experiment results are significant. In other words, they help you to figure out if you need to reject the null hypothesis or accept the Alternative hypothesis. It basically allows comparisons to be made between three or more groups of data. For example, when multiple medications that treat the same condition are being tested to see which one works better or which one has the most benefit (Glen, 2020) ANOVA Testing Nursing essay.

There are two types of ANOVA that are commonly used, the One-Way ANOVA and the Two-Way ANOVA. A one-way ANOVA is a type of statistical test that compares the variance in the group means within a sample while considering only one independent variable or factor. It is a hypothesis-based test, meaning that it aims to evaluate multiple mutually exclusive theories about one data. A one-way ANOVA compares three or more than three categorical groups to establish whether there is a difference between them. Within each group, there should be three or more observations and the means of the samples are compared ANOVA Testing Nursing essay. For example, conducting research on whether people gain more weight during Thanksgiving, Christmas or Easter (Mackenzie, 2018). In a one-way ANOVA, there are two possible hypotheses. The null hypothesis (H0) is that there is no difference between the groups and equality between means. And the alternative hypothesis (H1) is that there is a difference between the means and groups (Mackenzie, 2018). In the two-way ANOVA, each sample is defined in two ways and resultingly put into two categorical groups. For example weight and gender. It actually compares the effect of multiple groups of two independent variables on a dependent variable and on each other (Mackenzie, 2018).

 

References:

Glen, S. (2020). ANOVA Test: Definition, Types, Examples. Retrieved from

https://www.statisticshowto.datasciencecentral.com/probability-and-statistics/hypothesis-testing/anova/#top

Mackenzie, R. (2018). One-Way vs Two-Way ANOVA: Differences, Assumptions, and Hypotheses. Retrieved from

https://www.technologynetworks.com/informatics/articles/one-way-vs-two-way-anova-definition-differences-assumptions-and-hypotheses-306553

 

Topic 5 DQ 2

Different types of software can be used for data management. Compare Excel and SPSS and discuss specific SPSS software features that make it preferable to Excel for data management. Provide examples illustrating when electing to use SPSS could be preferable to Excel and vice versa ANOVA Testing Nursing essay.

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Topic 5 DQ 2

SPSS is a powerful program which provides many ways to rapidly examine data and test scientific hunches. SPSS can produce basic descriptive statistics, such as averages and frequencies, as well as advanced tests such as time-series analysis and multivariate analysis (Zhang, 2015). The program also is capable of producing high-quality graphs and tables. Compared with Excel, SPSS’s statistical analysis, chart function and database connectivity function can be more powerful. According to Zhang (2015) SPSS software has the characteristics of high speed, no programming, convenient data interface and flexible function module to deal with the huge data which is affected by random factors. Compared with SPSS, Excel shows its more professional. It is worth mentioning that these two types of software documents can be introduced into each other ANOVA Testing Nursing essay. This greatly reduces the trouble of data entry. Users can use the same data file to be processed on different software. The main limitation of analyzing data in an Excel spreadsheet is the potential for errors by typing incorrect formulas (Neyeloff, Fuchs and Moreira, 2012). All sensitivity analysis is done manually, including and excluding each study of the effect summary calculations.

Neyeloff, J. L., Fuchs, S. C., & Moreira, L. B. (2012). Meta-analyses and Forest plots using a microsoft excel spreadsheet: step-by-step guide focusing on descriptive data analysis. BMC Res Notes (5) 52. https://doi.org/10.1186/1756-0500-5-52.

Zhang, K. (2015). Application of SPSS single factor analysis of variance in biostatistics ANOVA Testing Nursing essay.

 

Regression Nursing Essays

Regression Nursing Essays

PUB-550: Application and Interpretation of Public Health Data Topic 6: Regression

Topic 6: Regression

Objectives:

  1. Apply the steps of a regression analysis to determine the linear regression equation and its appropriateness based on the data. Regression nursing essays.
  2. Interpret regression output to predict changes in a dependent variable based on changes in one or more predictor variables.

Application of the Pearson Correlation Coefficient and the Chi-Square Test

The purpose of this assignment is to practice calculating and interpreting the Pearson correlation coefficient and a chi-square test of independence.

For this assignment, complete Problems 13.132 and 15.88 in the textbook. Include your process for conducting the calculations. You can complete the calculations by hand or using Excel or SPSS. If you use Excel or SPSS, copy and paste your output results into a Word document. Regression nursing essays.

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When addressing each textbook problem, provide a response for each of the six steps of hypothesis testing listed below.

  1. Pick a test.
  2. Check the assumptions.
  3. List the hypotheses.
  4. Set the decision rule.
  5. Calculate the test statistic.
  6. Interpret the results. (What was done? What was found? What does it mean? What suggestions exist for future research?)

Submit a Word document with your problem answers to each of the six steps. If Excel or SPSS was used to complete the assignment, submit the second Word document containing the screenshots to the instructor.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. Regression nursing essays.

You are not required to submit this assignment to LopesWrite.

Topic 7 DQ 1

Correlation is a common statistic to measure a general linear relationship between two variables. Explain why correlation does not equal causation. Describe the data characteristics necessary to calculate a Pearson correlation coefficient. Design a study that would apply the Pearson correlation coefficient as an appropriate statistic.

Topic 7 DQ 1

Association is the same as dependence and may be due to direct or indirect causation. Correlation implies specific types of association such as monotone trends or clustering, but not causation (Altman and Krzywinski, 2015). For example, when the number of features is large compared with the sample size, large but spurious correlations frequently occur. Conversely, when there are a large number of observations, small and substantively unimportant correlations may be statistically significant Regression nursing essays. Association should not be confused with causality; if X causes Y, then the two are associated (dependent). However, associations can arise between variables in the presence (i.e., X causes Y) and absence (i.e., they have a common cause) of a causal relationship (Altman and Krzywinski, 2015). As an example, suppose we observe that people who daily drink more than 4 cups of coffee have a decreased chance of developing skin cancer. This does not necessarily mean that coffee confers resistance to cancer; one alternative explanation would be that people who drink a lot of coffee work indoors for long hours and thus have little exposure to the sun, a known risk. If this is the case, then the number of hours spent outdoors is a confounding variable a cause common to both observations. In such a situation, a direct causal link cannot be inferred; the association merely suggests a hypothesis, such as a common cause, but does not offer proof. In addition, when many variables in complex systems are studied, spurious associations can arise. Thus, association does not imply causation.

 

Altman, N., & Krzywinski, M. (2015). Association, correlation and causation. Nature Method. 12(10).

Topic 7 DQ 2

Describe the conditions in which a nonparametric test would be a better selection than a parametric test. Illustrate your ideas with a specific example of when you would use each type of test using similar variables for each example. Regression nursing essays.

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Topic 7 DQ 2

Nonparametric tests are sometimes called distribution-free tests because they are based on fewer assumptions (e.g., they do not assume that the outcome is approximately normally distributed). Parametric tests involve specific probability distributions (e.g., the normal distribution) and the tests involve estimation of the key parameters of that distribution (LaMorte, 2017).

Nonparametric tests are preferred when the area of study is better represented by the median. For example, When the distribution is skewed enough, the mean is strongly affected by changes far out in the distribution’s tail whereas the median continues to more closely reflect the center of the distribution. The mean is not always the better measure of central tendency for a sample. Even though one can perform a valid parametric analysis on skewed data, that doesn’t necessarily equate to being the better method (Ogee et al., 2015). For skewed distributions, changes in the tail affect the mean substantially. Parametric tests can detect this mean change. Conversely, the median is relatively unaffected, and a nonparametric analysis can legitimately indicate that the median has not changed significantly.

Nonparametric tests are valid when the sample size is small and data are potentially non-normal. when the sample size guidelines for the parametric tests are not met, and there was not confident that is normally distributed data, a nonparametric test should be used. Nonparametric analyses tend to have lower power at the outset, and a small sample size only exacerbates that problem (Frost, 2017).

Another time to use nonparametric tests is when we have ordinal data, ranked data, or outliers that can’t be removed. In actuality, parametric tests can only assess continuous data and the results can be significantly affected by outliers. On the contrary, some nonparametric tests can handle ordinal data, ranked data, and not be seriously affected by outliers (Ogee et al., 2015). Sometimes outliers can be legitimately removed from the dataset if they represent unusual conditions. However, sometimes outliers are a genuine part of the distribution for a study area, and should not be removed (Frost, 2017). Regression nursing essays

References:

Frost, J. (2017). Nonparametric Tests vs. Parametric Tests. Retrieved from

https://statisticsbyjim.com/hypothesis-testing/nonparametric-parametric-tests/

LaMorte, W. (2017). When to Use a Nonparametric Test. Retrieved from

http://sphweb.bumc.bu.edu/otlt/MPH-Modules/BS/BS704_Nonparametric/BS704_Nonparametric2.html

Ogee, A., Ellis, M., Scibilia, B., and Pammer, C. (2015). Choosing Between a Nonparametric Test and a Parametric Test. Retrieved from

https://blog.minitab.com/blog/adventures-in-statistics-2/choosing-between-a-nonparametric-test-and-a-parametric-test   Regression nursing essays

DNP Projects

DNP Projects

Reflect on the DNP projects Dr. Beechinor and Dr. Stefan discussed in this week’s media presentation, as well as the DNP Scholarly Project specifications outlined in the AACN Essentials. DNP Projects

Consider your professional experiences in light of new information you may have encountered in this course. With this in mind, identify a need or change related to a practice environment. Please note that the objective of this activity is to increase your awareness of potential DNP projects; you are not committing to a project idea at this time.

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To complete: (Professional Organization I belong to is: AANP –American Association of Nurse Practitioners)

Write 2-pages paper describing a need or change related to a practice environment or a problem that is suitable for research.

Include your rationale for why this situation or topic warrants attention.

Outline your plans for participation in the professional nursing organization, and describe how this will help you to meet your professional goals.

Also, consider how the organization may correlate with or support the development of your DNP Scholarly Project  in the future.

Include documentation of your membership at the end of your Major Assessment as an Appendix. (You may copy and paste the e-mail verification of your membership, or copy your membership receipt and paste it into your Word doc.) Be sure to observe proper APA style for including appendices. DNP Projects

References

Zaccagnini, M. E., & White, K. W. (2014). The doctor of nursing practice essentials: A new model for advanced practice nursing (2nd ed.). Sudbury, MA: Jones & Bartlett. [Vital Source e-reader]

Chapter 10, “A Template for the DNP Scholarly Project”

nine steps that should be incorporated into the structure of a DNP Scholarly Project.

American Association of Colleges of Nursing (AACN). (2006). The essentials of doctoral education for advanced nursing practice. Washington, DC: Author. Retrieved from https://www.aacn.nche.edu/publications/position/DNPEssentials.pdf

“Final DNP Project” (p. 20)

Forsyth, D. M., Wright, T. L., Scherb, C. A., & Gaspar, P. M. (2010). Disseminating evidence-based practice projects: Poster design and evaluation. Clinical Scholars Review, 3(1), 14–21. DNP Projects