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 : Encounter for supervision of normal pregnancy  

  the pathophysiology  

Review the Resources and reflect on a time when you experienced a patient being brought into (or not being brought into) a decision regarding their treatment plan.

Find a published research study on a topic that you could use for your DNP project that used a chi-square test and find this information from the study:

• Give the purpose/objective/aim of the study exactly as it is written in the study.
  • What is the population in the study?
  • What is the independent (treatment or intervention) variable (IV)?
  • What is the dependent (outcome) variable (DV)? If there are multiple dependent variables, choose only one for the focus of this discussion.
  • What is its level of measurement (nominal, ordinal, interval, ratio)? Is it a categorical or continuous variable? You can determine this as you read the Methods section of the report for how the DV is measured.
• If a hypothesis was stated in the article for the independent t-test, give it here and label it as a Ho or Ha. Write the stated hypothesis as an equation. Write the other hypothesis (the Ho or Ha that was not given) in words and an equation. If a hypothesis was not stated, then restate the purpose/objective/aim as a null hypothesis in words and equation format. Do this for both a null and alternative hypothesis. Again, focus on only one independent variable and one dependent variable. Use the format for the chi-square equation provided on p. 301 of Kim et al. (2022) and the handout attached to the announcement this week.
• What are the assumptions for the chi-square test (Kim et al., 2022, p. 301)? Are they met in this study? Provide information given in the study that can be used to determine whether each assumption is or is not met. What information is not given?
• What alpha level (level of significance) was used?
• What are the groups that were tested?
• Give the frequencies for the outcome variable for the groups.
•  Give the chi-square statistic and p-value for the difference in frequencies for the DV.
• Specifically state the p-value rule for the results of this study to determine whether to reject or fail to reject the null hypothesis.
• Based on the decision made about the null hypothesis, what type of error is possible (Kim et al., 2022, pp. 131-132 and Table 7-2)
• What are the usual causes of this type of error? Are any of them present in the methodology for this study?
• The effect size for chi-square results is reported as a Phi or Cramer’s V statistic (Kim et al., (2022), pp. 308-309. Give this value, if given in the study, and interpret what it means in terms of the magnitude or clinical meaningfulness (clinical significance) of the result. If not given, determine the clinical significance of the difference in frequencies by using your knowledge, critical thinking, and experience with your patients and setting. Would you incorporate the intervention or treatment into your practice? Is your evaluation of the clinical significance of the findings consistent with the statistical significance for the findings and the value of the effect size? Explain your rationale.

Reflect on how you might implement this change and how you might communicate this change to organizational leadership.

L.R. is a 28-year-old female patient who was evaluated at the clinic because she presented thin and white vaginal discharged which was increased after sexual intercourse. 

The vaginal discharge has a pH of 5.2, positive KOH test and clue cells (more than 40% of epithelial cells) on microscopic examination.

• List your Primary diagnosis with ICD 10 number.
• Discuss three differential diagnoses for AUB with ICD 10 numbers for each. 
• Discuss patient education.
• Develop the management plan (pharmacological and nonpharmacological). 

Once you received your case number; answer the specific question on the table above. Then, continue to discuss the 3 topics listed below for your case:

1. An effective health assessment incorporates not only physiological parameters; please suggest other parameters that should be considered and included on health assessments to reach maximal health potential on individuals.
2. Name the different family developmental stages and give examples of each one.
3. Describe family structure and function and the relationship with health care.

Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources. 

Refer to the resource, “Creating Effective PowerPoint Presentations,” located in the Student Success Center, for additional guidance on completing this assignment in the appropriate style.

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

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 LopesWrite. A link to the LopesWrite technical support articles is located in Class Resources if you need assistance.

Description:

 As the manager of the CTU Health Care Information Systems Department, you are aware of the meaningful-use core measure standards that all eligible professionals (EPs) and healthcare organizations (HCOs) must meet to receive monetary incentives set forth by the Health Information Technology for Economic and Clinical Health (HITECH) Act. To meet the HITECH meaningful-use core measures, EPs and HCOs must implement certified electronic health records (EHRs) to gain incentives. To meet the criteria for meaningful use, all EPs and HCOs must implement certified EHRs.

Note: Use APA 7th style, and cite at least 2 scholarly references published within the last 5 years. 

Write 3–5 pgs, not including the title, abstract, and reference pgs, that address the following:

• Discuss 2 key elements of certified EHRs, and discuss stage 1 meaningful-use core objectives criteria as they relate to clinical applications.

Describe how lifelong learning helps nurses stay up-to-date on the latest medical advances and best practices. Explain how emerging fields, such as health informatics, improve patient safety and nursing competency. What are some challenges that nurses face in lifelong learning, and how can these challenges be overcome?

Initial discussion question posts should be a minimum of 200 words and include at least two references cited using APA format. Responses to peers or faculty should be 100-150 words and include one reference. Refer to “RN-BSN Discussion Question Rubric” and “RN-BSN Participation Rubric,” located in Class Resources, to understand the expectations for initial discussion question posts and participation posts, respectively.