Assignment 5: Linear Regression

• Review the Statistics and Data Analysis for Nursing Research chapters that you read as a part of the Week 7 Learning Resources. As you do so, pay close attention to the examples presented—they provide information that will be useful for you to recall when completing the software exercises. You may also wish to review the Research Methods for Evidence-Based Practice video resources.
• Refer to the Week 7 Linear Regression Exercises page and follow the directions to calculate linear regression information using the Polit2SetA.sav data set.
• Compare your data output against the tables presented on the Week 7 Linear Regression Exercises SPSS Output document.
• Formulate an initial interpretation of the meaning or implication of your calculations.

To complete:

• Complete the “Simple Regression” and “Multiple Regression” steps and Assignments as outlined in the Week 7 Linear Regression Exercises page.

Attention Wizard Kim. 

Week 6 Discussion: Practicum professional Development Objectives/ Progress Appraisal  3 pages. 

Rubrics 

Assignment:

Quantitative Research

Write  a fully developed and detailed APA essay addressing each of the  following points/questions. There is no required word count; be sure to  completely answer all the questions for each question in detail.  Separate each section in your paper with a clear heading that allows  your professor to know which bullet you are addressing in that section  of your paper. Support your ideas with at least one (1) source using  citations in your essay. Make sure to cite using the APA writing style  for the essay. The cover page and reference page are required. Review  the rubric criteria for this assignment.

Conduct a literature search to select a quantitative research study  related to the problem identified in Module 1 and conduct an initial  critical appraisal. Respond to the overview questions for the critical  appraisal of quantitative studies, including:

• Is  this quantitative research report a case study, case control study,  cohort study, randomized control trial or systematic review?
• Where does the study fall in the hierarchy of evidence in terms of reliability and risk of bias?
• Why was the study done? (Define the problem and purpose.)
• Were the steps of the study clearly identified?
• What was the sample size?
• Are the measurements of major variables reliable and valid? Explain.
• How were the data analyzed?
• Were there any untoward events during the conduct of the study?
• How do the results fit with previous research in the area? (This may be reflected in the literature review.)
• What does this research mean to clinical practice?

Additionally,  be sure to include the rapid appraisal questions for the specific  research design of the quantitative study that you have chosen. These  can be found in Chapter 5 of the textbook (Melnyk and Fineout-Overholt,  2015). 

This critical appraisal should be written in complete sentences (not just a numbered list) using APA format. 

Provide a reference for the article according to APA format and a copy of the article.

Does achieving high levels of physical activity, decreasing screen time, and getting sufficient sleep to correlate with better mental health among children and adolescents over a 3 month period.

P= Adolescents
I= Increased physical activity and adequate sleep hours and decreased screen time
C= Sedentary lifestyle behaviors
O= To see a reduction in depressive symptoms and improve overall mental health
T= 3 months following a diagnosis of depression
S= Primary care clinic or mental health outpatient clinic

Need to find 4 articles either quantitative or qualitative and answer the questions that follow and fill in the attached table.They cannot be systematic review!!!

Urgent Care and Primary Care

You receive a fax from a local urgent care clinic describing the recent visit of a patient that has come to the primary clinic where you work. You notice this patient has been seeking care at the urgent care clinic and has not been seen by the primary care health care providers for more than a year. The manager asks you to educate patients about urgent care clinics and traditional primary care clinics.

Distinguish between two health care models.

Include the following aspects in the assignment:

Ø  Expand on what urgent care and primary care is.

Ø  Describe the advantages and disadvantages of each

Ø  Explain the difference in the quality of care provided at each facility

Ø  How many of each type of facilities (urgent care and primary care offices) exist in the U.S. and tell me your personal experience with utilizing them.

Communication Strategies & HIPPA

Hospitals have embraced the use of health technology and electronic gadgets to improve communications among different parties. Some of the electronic strategies preferred for communication with patients include emails through electronic health record platforms, video calls, and telephone communication, among others (Mccorry & Mason, 2020). Communications conducted with patients over electronic platforms have several advantages over a patient visit to the hospital. For instance, these electronic communication strategies are preferred due to their speed and ease of operation (Anastasius, 2016). Patients can communicate with providers at all times, regardless of geographical barriers.

Furthermore, electronic communications are less expensive than office visits (Anastasius, 2016). Importantly, the use of electronic platforms produces electronic documentation of the interaction. The selection of the strategy to apply is based on the target and the message being passed. 

 The hospital has implemented numerous measures to ensure that the privacy and confidentiality of patient data are protected at all times. These measures include the installation of a secure electronic health recording system (Koontz, 2017). A secure system helps to restrict access to applications and patient health information. This electronic platform requires unique login details that protect the system from access to unauthorized parties (Akhilesh & Möller, 2019).  Staff education on patient privacy and confidentiality is also conducted regularly in the hospital. During the training sessions, nurses and other care providers are encouraged to ensure they key in the correct patient data at all points of interaction. Risk assessments are also conducted frequently to ensure patient data is not compromised. These assessments are essential in identifying potential vulnerabilities in the hospital’s security system, gaps in staff education, and other issues of concern (Koontz, 2017). 

References

Akhilesh, K. B., & Möller, D. P. (2019). Smart technologies: Scope and applications. Springer Nature.

Anastasius, M. (2016). Design, development, and integration of reliable electronic healthcare platforms. IGI Global.

Koontz, L. (2017). Information privacy in the evolving healthcare environment. Taylor & Francis.

Mccorry, L. K., & Mason, J. (2020). Communication skills for the healthcare professional enhanced Edition. Jones & Bartlett Learning.

Reply 2

Electronic communication would include methods such as email, phones, electronic health records (EHR), and telemedicine. Home health has a unique approach to using electronic communication due to the clinical setting. These nurses are not working in a medical facility with information technology readily available. Home health is defined as the “delivery of intermittent health-related services in patients’ places of residence to promote self-care and independence rather than institutionalization” (Nelson, 2014, p.154). This means that electronic communication used in the homes should be accessible and individualized for the families receiving services. 

All patients I have worked with communicate with the organization through phone calls, texts, and emails. Nurses communicate with our organization in the same way with the addition of a mobile app. To maintain patient privacy and confidentiality organizations that work with patient information follows its HIPAA policy. Health information protected under HIPAA includes patient name, social security number, telephone number, email address, street address, and any other patient identifiers. This includes the transmission of such data throughout an organization and applies to anyone involved with the use of health-related data (Edemekong, Annamaraju & Haydel, 2020). Nurses working in my organization only receive information about the patients they are treating. We have no way of accessing the patient’s not on our schedule. The medication administration record (MAR) and plan of care (POC) are sent to the family’s home in paper form for the nurses to use. In some ways, this is a great way to maintain patient privacy due to the limited accessibility of information. However, there have been instances when my patient’s information was sent to the wrong address. In addition, when nurses turn in the paper forms, we place them in a drop box at the organization’s office. Our notes are also dropped off in the same box. Respecting HIPAA would rely on the person emptying the box to ensure all the papers with patient information is taken to the proper person. Doing things this way seems like errors would happen easily. Using more electronic communication in handling patient information would make the home health setting abide by our HIPAA policy more efficiently. 

Nelson, states that a trend within home health organizations is the introduction of point-of-care devices to facilitate communication and collaboration. These devices would make “patient records available in the home when care is being provided and capture clinicians’ documentation in real-time, thereby supporting care” (2014, p. 157). I know of other home health agencies that use iPads and work phones to make this possible. Nurses on shift are given these devices to access patient information while in the home, eliminating paper records. Devices are handed in at the end of the shift to guarantee that information is only accessed by appropriate individuals and when necessary.  

References 

Edemekong, P. F., Annamaraju, P., Haydel, M. J. (2020) Health Insurance Portability and Accountability Act (HIPAA). StatPearls. Retrieved from https://www.ncbi.nlm.nih.gov/books/NBK500019/ 

Nelson, R., & Staggers, N. (2014). Health Informatics: An Interprofessional Approach (2nd ed.). Mosby 

Your submission should be a minimum of 2000 words (maximum 2500 words) in length and should completely answer the proposed questions/items as listed under “Overview”. You should have a minimum of three (3) references. APA formatting is required and all responses should be combined into a single document for submission. Use the rubric as a guide for the evaluation method of the project.

Please review attachment and any question just ask me as this is a finals paper

Instructions from my professor:

Soap Note 1.  Heart Failure.

Must use the sample template for your soap note. 

Follow the MRU Soap Note Rubric as a guide

Use APA format and must include minimum of 2 Scholarly Citations.

TURN-It-In (anti-Plagiarism program) will be used.

The use of tempates is ok with regards of Turn it in, but the Patient History, CC, HPI, The Assessment and Plan should be of your own work and individualized to your made up patient. 

You must use template for Soap note 1. Use the information provided in the PDF as an “EXAMPLE”. You must use the word temple file and tailor it to your patient and their diagnosis. Using this template will make it very easy to learn the things needed in the note and help you not forget to put something or lose points due to incorrect format or missing information. 

The Chief Complaint, Patient info, HPI, Plan section, and references must all be of your own work and no copy-paste.

The Main Areas of Focus that will be checked for plagiarism is Chief Complain, History of Present Illness (HPI), Assessment with Rationale and Explanation, and the Plan. All of this should be in your own words and not copy-pasted from a past note or website or book. There should be minimum likeness noted by turn it in software in these areas. 

The Objective and Subjective information can be from a template (Standard Documentation) and will only be looked at for content and not for plagiarism. So if you are past 50% and the above main areas of focus sections are clear and minimum then you are ok. You can resubmit as many times but after 3 it takes up to 24 hours to get turn it in a score.

This is a made-up patient, so review your diagnosis and have the patient have the standard presentation, objective and subjective symptoms that would typically present and adjust them on.

Note: Soap Note Template, (mandatory use) is attached.

         Soap Note sample (PDF) is attached.

         Soap Note rubric (for grading) is also attached.

        APA 7th edition

List 8  PROGRESS NOTES in SOAP format of the   Psychiatric Mental Health Nurse Practitioner Role  with  Child and Adolescents  . Describe the   activities you completed during this   time   period with patients.

NOTE: ( The progress notes has to be related with what the      Psychiatric Mental Health Nurse Practitioner do with Child and      adolescents with different psychiatric conditions). 8 different  notes     with different patients scenarios. 

Read chapter 40: Musculoskeletal Systems Function

The nurse in the outpatient orthopedic clinic is reviewing the medical records of several patients being seen in the clinic today. In the most recent note by the provider, the nurse reads the following:

‘A 67-year-old, moderately obese woman examined today for increasing back and left shoulder pain. Limited circumduction of left arm noted in comparison with right arm. Strength of left arm is less than right, with less muscle definition in the left arm. Examination of back indicates significant kyphosis, and the patient states that she is ‘shrinking.’ Bone density testing of the hip is ordered.”

1. How does the nurse interpret “limited circumduction”
2. When the patient arrives, the nurse correlates the “kyphosis” with what physical finding? What causes kyphosis in the older adult?
3. How should the nurse explain the patient’s decreasing height?
4. What is the rationale for ordering bone density testing of the hip in this patient?

DO NOT EMAIL ASSIGNMENTS. PLEASE UPLOAD ALL ASSIGNMENTS TO CANVAS. LATE ASSIGNMENTS WILL NOT BE GRADED!!! PLEASE PROVIDE REFERENCES FOR  ALL  WRITTEN ASSIGNMENTS!!!