Category: Nursing

  • African Americans have the highest population of people diagnosed with hypertension

    Problem Statement:
     African Americans have the highest population of people diagnosed with hypertension.

    Research Question: 
    Does the development of community programs and providing health education, reduce Disparities in Hypertension in predominately African American Communities versus a more diverse community?

    By 
    Saturday
    , October 14, 2017 write a 2–3-page paper addressing the sections below of the research proposal.
     Citation/References within 5 years. 

    Methodology

    Extraneous Variables (and plan for how controlled).

    Instruments: Description, validity, and reliability estimates, which have been performed (on a pre-established measure). Include plans for testing validity and reliability of generating your own instrument(s).

    Description of the Intervention

    Data Collection Procedures

    Assignment 2 Grading CriteriaMaximum Points

    Identifies extraneous variables and plan for how controlled.5

    Instrument is appropriate to address research question.5

    Includes description of the selected instrument(s), validity, and reliability estimates.5

    Description of the Intervention is fully addressed.5

    Data Collection Procedures are clear and succinct.5

    Followed APA guidelines for writing style, spelling and grammar, and citation of sources.5

    Total:30

     

    Measurement Theory Concepts

    Measurement is the process of assigning numbers to objects (or events or situations) in accord with some rule. Numbers assigned can indicate numerical values or categories.

    Instrumentation, a component of values or categories is performed consistently from one subject (or event) to another and, eventually, if the measurement strategy is found to be meaningful, from one study to another. Begins by clarifying the object, characteristic, or element to be measured.

    Directness of Measurement: can be a person’s height or BMI—this is a 
    concrete
     form of measurement

    Indirect measurement: Aimed at 
    abstract
     concepts, such as pain, depression, self-care

    The instrument used in the study must match the conceptual definition.

    There is no perfect measure. Error is inherent in any measurement strategy.

    Measurement error

    Measurement error is the difference between what exists in reality and what is measured by a research instrument.

    Two types of measurement error:

    Random error
    : causes individuals’ observed scores to vary around their true score. For example, one’s observed score may be higher than the true score.

    Systematic error
    : This is error that is not random. For example, use of a weight scale that weighed subjects 2 lb. more than their true weights. All of the body weights would be higher and thus, the mean would be higher than it should be.

    Levels of Measurement

    Nominal
    : lowest level, used when data is organized into categories.

    Ordinal
    : Data that is assigned to categories of an attribute that can be ranked. Categories (as in nominal) must be exclusive. Example: Degrees of coping, intensity of pain, daily amount of exercise.

    Interval
    : Distances between intervals of the scale are numerically equal. Must be mutually exclusive, and rank ordered. Assumed to be a continuum of values. Fahrenheit temperatures are an example.

    Ratio
    : This is the highest level of measurement and meets all rules (mutually exclusive categories, rank ordering, equal spacing between intervals, and continuum of values) and adds an absolute zero point. Weight, length, and volume are common examples. Each has an absolute zero point, at which a value of zero indicates the absence of the property being measured.

    Reference of Measurement

    Norm-Referenced Testing
    : Test performance standards that have been carefully developed over years with large, representative samples using a standardized test with extensive reliability and validity.

    Criterion-Referenced Testing
    : Comparison of a subject’s score with a criterion of achievement that includes the definition of target behaviors.  When behaviors are mastered, the subject is considered proficient in the behaviors.

    What is reliability?

    Reliability is concerned with how consistently the measurement technique measures the concept of interest. Reliability testing is usually expressed as a form of correlation coefficient.

    Types of Reliability

    Stability—
    is concerned with the consistency of repeated measures or test-retest reliability

    Equivalence
    —is focused on comparing two versions of the same instrument (alternate forms reliability) or two observers (interrater reliability) measuring the same event.

    Homogeneity
    —addresses the correlation of various items within the instrument or internal consistency; determined by split-half reliability or Cronbach’s alpha coefficient.

    What is validity?

    The extent to which an instrument reflects the concept being examined.

    Types of Validity

    Content
    –
    Related Validity
    : supports the extent to which the instrument measures all relevant dimensions of the construct, often referred to as the universe or domain of the construct.

    Criterion-Related Validity
    : supports the relationship between scores on the research instrument and another measure, known as the criterion.

    Construct Validity
    : refers to the degree to which scores obtained from the use of an instrument are related to the concept of interest to the researcher.

    Physiologic Measures

    Physical Measurement Methods

    Pulse, Blood Pressure

    Chemical/biochemical

    Blood glucose

    Cortisol

    Microbiological

    Smears

    Cultures

    Observational Measurement

    Unstructured Observations

    Involves spontaneously observing and recording what is seen with a minimum of planning.

    Structured Observations

    Defines carefully what is to be observed. Concern is directed toward how the observations are made, recorded, and coded.

    Interviews

    Unstructured Interviews

    Used primarily in descriptive and qualitative studies. May be initiated by asking a broad question such as, “Describe for me your experience with….”

    Structured Interviews

    This includes strategies that provide increasing amounts of control by the researcher over the content of the interview. Questions are designed before initiation of data collection.

    Unstructured or Open ended:

    Tell me about…..

    What has been your experience with….?

    What was it like to hear you have cancer?

    Structured or Closed ended:

    Response alternatives fixed

    Which would you rather do, x or y?

    Questionnaires

    Administration

    In person/on phone

    Self-administered

    Mail

    Scales

    Rating Scales
    : crudest form of measurement which lists an ordered series of categories of a variable that are assumed to be based on an underlying continuum. A numerical value is assigned to each category. Commonly used by the general public. “On a scale of 1 to 10, I would rate that . . . “

    Likert Scales
    : designed to determine the opinion or attitude of a subject and contains a number of declarative statements with a scale after each statement.

    Semantic Differentials
    : consists of two opposite adjectives with a seven point scale between them. Hot – – – – – – – Cold

    Visual Analog Scales
    : used to measure mood, anxiety, alertness, craving, quality of sleep, etc. Stimuli must be defined in a way that is understandable to the subject. Only one major cue should appear for each scale. The scale is a line 100 mm in length with right-angle stops at each end.

    No pain I——————————————————————–I Pain as bad as it possibly can be

    Instrument Selection

    Best to use existing instruments.

    Buros Mental Measurement Institute: 
    http://www.unl.edu/buros

    There are several large volumes of test reviews. The reviews cover critical evaluation of the test (e.g., validity, reliability, etc.), and provide information on cost and publisher.

    FAQ on Psychological Tests: 
    http://www.apa.org/science/faq-findtests.html

    Information on testing considerations from the APA.

  • Memo – suffixes, word roots, and combining vowels

    The purpose of this assignment is to use prefixes, suffixes, word roots, and combining vowels to build and define terms of Therapy and to interpret the meaning of those terms used in written and verbal communication.

    Play this week’s games to familiarize yourself with the prefixes, suffixes, and word roots related to this week’s topic.

    Imagine you are an official in a hospital or public health agency.

    Write a memo, at least 350 words in length, to a fictional colleague in which you use 5 words from the Summary Tables in this week’s chapters.

    Be sure to use the words in such a way that it is clear to the reader that you know the exact meaning of each of the 5 words.

    These terms take five words and use them in the writing of the expression at least 350 words

     

    1-pathologist

    2-Sedative

    3-inflammation

    4-postmortem

    5-diathermy

     

     

    After thinking about the questions people had regarding this week’s assignment, I wanted to clarify what a memo is.

     

    A memo or memorandum is (as defined by
    http://www.dictionary.com
    ) :

    a short note designating something to be remembered, especially something to be done or acted upon in the future; reminder.

    a record or written statement of something.

    3.an informal message, especially one sent between two or more employees of the same company, concerning company business.

    For this assignment you are to write a note of 350 words that uses 5 of the words in the summary tables.

    A sample memo can be found at:
    https://owl.english.purdue.edu/owl/resource/590/04/

     

    The idea of duty in Wake 3 … is imposed for this week

     

    Go to the Word Shop templates

    And memo ‘s search will come mold ready ..

    Then write in it the expression on the basis that you are employed hospital or something healthy and message orientation to a colleague work ..

    You are required to use five words from the terms in the tables of the second module.

    So that your entire expression is at least 350 words ..

  • Facilities for patients with mental disorders

    Determine what types of facilities are available in your area for community living for patients with mental disorders. Prepare to present in class your findings and improvements that can be made for those available resources.

  • Using prefixes, suffixes, word roots to build terms of Anatomy, Anesthesia, Surgery, Microbiology and Infectious Disease

    The purpose of this assignment is to use prefixes, suffixes, word roots, and combining vowels to build and define terms of Anatomy, Anesthesia, Surgery, Microbiology and Infectious Disease and to interpret the meaning of those terms used in written and verbal communication.

    Play this week’s games to familiarize yourself with the prefixes, suffixes, and word roots related to this week’s topic.

    Imagine you are an official in a hospital or public health agency.

    Write a memo, at least 350 words in length, to a fictional colleague in which you use 5 words from the Summary Tables in this week’s chapters.

    Be sure to use the words in such a way that it is clear to the reader that you know the exact meaning of each of the 5 words.

    These terms take five words and use them in the writing of the expression at least 350 words

    1-Operative

    2-Surgical

    3-analgesic

    4-autopsy

    5-ligation

  • HIV and AIDS program

    Most adults do not have a program to go to for information about HIV and AIDS. Can you think of one adult that you should share some of this information with?

    How can you bring up the subject?

    What is the most important thing you want to tell them?

    Provide your answer in a 350-word summary in an APA format.

  • Clinical learning – Community practice experience journal entries

    Each week you will be expected to provide the following information to your community practice instructor through your journal entries:

    1. What are your upcoming week’s specific learning goals and objectives?

    2. What is your upcoming week’s detailed schedule at your community practice experience placement?

    3. Were there any placement items/issues that occurred this week that you feel your instructor should be aware of that are private in nature and are more appropriately shared here than in the discussion board with your classmates?

    4. Give a brief description of an objective you worked on this week. Make sure to cite at least one reference showing how your objective relates to the public health knowledge you’ve studied during this course or the public health course. You may choose to reference your e-text, journal articles, or videos you’ve studied during these courses or you may find an outside reference on your own to further enhance your public health knowledge and practices.

    Remember, your journal entries are an important aspect of clinical learning as they serve to help you reflect upon and get the most out of your community practice experience. Therefore, your journal entry should include the who, what, where, and when of your community practice experience. Remember, this should simulate a dialogue that would normally take place face-to-face with your community practice experience instructor.

    It needs to be related to a nursing home and activities with geriatrics!

  • 6 Rules of Creating Synergy Assignment

    Reexamine the six rules of creating synergy. Why is it critical that all members of a team understand and enact all the various rules? Why is it necessary for all members to value the purpose of an endeavor or project?

    Provide your summary in an APA paper.

  • Five strategies of effective leadership by a nurse manager essay

    The author notes that leadership fosters decision making at the consumer-staff level of interaction. She then identifies five strategies of effective leadership by a nurse manager. Select one of these strategies and discuss how it is used in meeting the objective of positive consumer-nurse relationships.

  • Four stages of the conflict process paper

    Review the four stages of the conflict process. Do all persons involved in conflicts experience all four stages of conflict? Why or why not? How does the conflict process affect the quality of the conflict resolution?

  • Role strain and Role stress concepts Assignment

    Discuss the concepts of role strain and role stress. Relate these concepts to nurse managers with respect to their positive role modeling. Does the nurse manager understand the interrelationships of these concepts and present herself or himself as a role model for nurses on the unit?

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    Provide your response in an APA formatted paper.