HLT 362V – Global Healthcare DQ1

Identify two areas of nursing practice, which evidence-based practice has improved patient outcomes. State the study and its impact on patient care. How have these findings changed your nursing practice? Please support your response with a minimum of two supporting peer reviewed articles.

Sample Response

 Re:Topic 1 DQ 1

 Patient safety is a global healthcare concern. Registered nurses as direct providers of care have an integral role in keeping patients safe. Medication error, including medication administration error, is the most frequent cause of preventable morbidity and mortality in hospitals. According to the American Nurse Association (2010), an error can happen at any step. Although many errors arise at the prescribing stage, some are intercepted by pharmacists, nurses, or other staff. Some of the causes for medication errors include storage of look-alike medications and labeling. Heavier workloads also are associated with medication errors.

According to Briggs (2010) there is evidence that suggests that having two nurses check medication orders prior to dispensing medication significantly reduces the incidence of medication errors. Additionally, a computer based system whereby the physician writes all orders online is very effective in reducing medication errors in a general hospital population. One study found that in 44% of cases where the system

alerted the physician to a potential risk of an adverse drug event related injury, the physician was unaware of the risk.

Another strategy for reducing medication errors is to establish adequate quality processes and risk-management strategies. Every facility should have a culture of safety that encourages discussion of medication errors and near-misses (errors that don’t reach a patient) in a non-punitive fashion (ANA, 2010).

Another area of safety is hand hygiene. Evidence to support the importance of hand hygiene in preventing infection dates back to the 1800s (World Health Organization [WHO], 2009). The World Health Organization published guidelines for hand hygiene in health care to increase patient safety by ensuring clean care. The easiest and most effective way to reduce the risk of contamination is consistent hand hygiene before and after interaction with the patient or environment. …

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References

AACN (2016). Catheter-Associated Urinary Tract Infections. Retrieved from

http://www.aacn.org/wd/practice/content/practicealerts/cathassocuti-nov11.pcms?me nu=practice

HLT 362V Week 1 Assignment: Mean, Variance and Standard Deviation Worksheet

HLT362V Week 1 Workbook Exercise 6, 8, 9, 11, 16, 27

HLT 362V Week 2 Assignment, Population and Sampling Distribution Worksheet

HLT362V Week 2 Workbook Exercise 10, 18, 26

HLT 362V Week 3 Benchmark Assignment, Hypothesis Testing Worksheet

HLT 362V Week 3 Workbook Exercise 16, 17, 20, 31, 32

HLT362V Week 4 Assignment, ANOVA Excel Worksheet. HLT 362V – Global Healthcare DQ1

HLT 362V Week 4 Workbook Exercise 18, 33, 36

HLT 362V Week 5 Assignment, Correlation-Regression and Chi Square Worksheet 

HLT362V Week 5 Workbook Exercise 14, 19, 23, 24, 29, 35 HLT 362 Applied Statistics For Health Care Professionals Week 1 Discussion

DQ1 Discuss the historical application of statistics in the field of health care. Describe an example, other than Florence Nightingale’s contributions, where statistical application has greatly influenced or changed health care operations or practice.

DQ2 Discuss why it is important for a person working in health care to understand statistical concepts. Provide an example of how statistical data is used in your organization or specialty area today and what you are expected to do with this information as a practitioner.

Week 2 Discussion

DQ1 Select a research article, other than the articles from your assignments, from the library. Provide an overview of the study and describe the strategy that was used to select the sample from the population. Evaluate the effectiveness of the sampling method selected. Provide support for your answer. Include the article title and permalink in your post.

DQ2 Using the research article selected for DQ 1, identify three key questions you will ask and answer when reading the research study and why these questions are important. When responding to peers, provide other questions and answers that could be considered in relation to the peers’ studies.

Week 3 Discussion

DQ1 Provide two different examples of how research uses hypothesis testing, and describe the criteria for rejecting the null hypothesis. Discuss why this is important in your practice and with patient interactions.

DQ2 Evaluate and provide examples of how hypothesis testing and confidence intervals are used together in health care research. Provide a workplace example that illustrates your ideas.

Week 4 Discussion

DQ1 Provide an example of experimental, quasi-experimental, and nonexperimental research from the Library and explain how each research type differs from the others. When replying to peers, evaluate the effectiveness of the research design of the study for two of the examples provided.

DQ2 Describe the difference between research and quality improvement. Provide a workplace example where qualitative and quantitative research is applied and how it was used within your organization. When replying to peers, discuss how these research findings might be incorporated into another health care setting.

Week 5 Discussion

DQ1 Describe how epidemiological data influences changes in health practices. Provide an example and explain what data would be necessary to make a change in practice.

DQ2 Discuss ways your organization uses technology to gather patient and health care information, and how this information and data are used to direct patient care and outcomes.

Week 1 Assignment

Application of Statistics in Health Care

Statistical application and the interpretation of data is important in health care. Review the statistical concepts covered in this topic. In a 750-1,000 word paper, discuss the significance of statistical application in health care. Include the following:

Describe the application of statistics in health care. Specifically discuss its significance to quality, safety, health promotion, and leadership.Consider your organization or specialty area and how you utilize statistical knowledge. Discuss how you obtain statistical data, how statistical knowledge is used in day-to-day operations and how you apply it or use it in decision making.

Three peer-reviewed, scholarly or professional references are required.Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

Week 2 Assignment
Article Analysis 1

The interpretation of research in health care is essential to decision making. By understanding research, health care providers can identify risk factors, trends, outcomes for treatment, health care costs and best practices. To be effective in evaluating and interpreting research, the reader must first understand how to interpret the findings. You will practice article analysis in Topics 2, 3, and 5.

For this assignment:

Search the Library and find three different health care articles that use quantitative research. Do not use articles that appear in the Topic Materials or textbook. Complete an article analysis for each using the “Article Analysis 1” template.

Refer to the “Patient Preference and Satisfaction in Hospital-at-Home and Usual Hospital Care for COPD Exacerbations: Results of a Randomised Controlled Trial,” in conjunction with the “Article Analysis Example 1,” for an example of an article analysis. 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. Refer to the LopesWrite Technical Support articles for assistance

Article Analysis 1

Article Citation and Permalink(APA format) Article 1

Article 2

Article 3 Point Description Description Description

Broad Topic Area/Title

 Identify Independent and Dependent Variables And Type of Data for the Variables Population of Interest for the Study

Sample

 Sampling Method

 Descriptive Statistics (Mean, Median, Mode; Standard Deviation) Identify examples of descriptive statistics in the article.

Inferential Statistics

Identify examples of inferential statistics in the article.

 Week 3 Assignment
Article Analysis 2

 Search the Library and find two new health care articles that use quantitative research. Do not use articles from a previous assignment, or articles that appear in the Topic Materials or textbook.Complete an article analysis for each using the “Article Analysis: Part 2” template.

Refer to the “Patient Preference and Satisfaction in Hospital-at-Home and Usual Hospital Care for COPD Exacerbations: Results of a Randomised Controlled Trial,” in conjunction with the “Article Analysis Example 2,” for an example of an article analysis. 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. Refer to the LopesWrite Technical Support articles for assistance.

Week 4 Assignment
Quality Improvement Proposal

Identify a quality improvement opportunity in your organization or practice. In a 1,250-1,500 word paper, describe the problem or issue and propose a quality improvement initiative based on evidence-based practice. Apply “The Road to Evidence-Based Practice” process, illustrated in Chapter 4 of your textbook, to create your proposal.

Include the following:

  • Provide an overview of the problem and the setting in which the problem or issue occurs.
  • Explain why a quality improvement initiative is needed in this area and the expected outcome.
  • Discuss how the results of previous research demonstrate support for the quality improvement initiative and its projected outcomes. Include a minimum of three peer-reviewed sources published within the last 5 years, not included in the course materials or textbook, that establish evidence in support of the quality improvement proposed.
  • Discuss steps necessary to implement the quality improvement initiative. Provide evidence and rationale to support your answer.
  • Explain how the quality improvement initiative will be evaluated to determine whether there was improvement.

Support your explanation by identifying the variables, hypothesis test, and statistical test that you would need to prove that the quality improvement initiative succeeded.

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. Refer to the LopesWrite Technical Support articles for assistance.

Week 5 Assignment
Summary and Descriptive Statistics

There is often the requirement to evaluate descriptive statistics for data within the organization or for health care information. Every year the National Cancer Institute collects and publishes data based on patient demographics. Understanding differences between the groups based upon the collected data often informs healthcare professionals towards research, treatment options, or patient education.

Using the data on the “National Cancer Institute Data” Excel spreadsheet, calculate the descriptive statistics indicated below for each of the Race/Ethnicity groups. Refer to your textbook and the Topic Materials, as needed, for assistance in creating Excel formulas.

Provide the following descriptive statistics:

 Measures of Central Tendency: Mean, Median, and Mode Measures of Variation: Variance, Standard Deviation, and Range (a formula is not needed for Range).

Once the data is calculated, provide a 150-250 word analysis of the descriptive statistics on the spreadsheet. This should include differences and health outcomes between groups.

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.

American Indian / Alaska Native (includes Hispanic) Asian / Pacific Islander (includes Hispanic) Black (includes Hispanic) Hispanic (any race) White (includes Hispanic) National Cancer Institute (2018) Lung and bronchus cancer. Retrieved from January 8, 2019 from https://seer.cancer.gov/explorer/application.php

Year of Diagnosis Rate per 100,000 Rate per 100,000 Rate per 100,000 Rate per 100,000 Rate per 100,000

2000 45.7 41.8 77.8 34.2 68.8

2001 47.9 41 79 34.1 68.7

 2002 44.6 40.4 75.8 34.1 68

 2003 50 40.9 77.3 34.5 67.1

2004 51.7 40.5 75.1 35 65.8

 2005 48.7 40.2 73.7 33.8 65.9

 2006 46.4 39.8 73.4 32 65.8

2007 43.1 38.8 71.2 32.7 65.2

2008 45 38.5 70.8 32.2 63.9

2009 40.1 39 71.6 31.8 63.1

2010 42.4 37 67.8 30.3 60.4

2011 39.6 36.6 64.1 29.4 58.5

2012 36.6 36.7 64.3 28.2 57.5

2013 39.9 36.6 60.5 28.8 56.3

2014 32 34 61.3 26.8 55.4

2015 38.7 34.4 57.4 26 53.2

Week 5 Assignment
 Article Analysis and Evaluation of Research Ethics

Search the Library and find one new health care article that uses quantitative research. Do not use an article from a previous assignment, or that appears in the Topic Materials or textbook.

Complete an article analysis and ethics evaluation of the research using the “Article Analysis and Evaluation of Research Ethics” template. See Chapter 5 of your textbook as needed, for assistance.

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. Refer to the LopesWrite Technical Support articles for assistance

Article Analysis and Evaluation of Research Ethics Article Citation and Permalink

(APA format) Article 1

Point Description

Broad Topic Area/Title Problem Statement

(What is the problem research is addressing?)

Purpose Statement

 (What is the purpose of the study?)

 Research Questions

 (What questions does the research seek to answer?)

 Define Hypothesis

(Or state the correct hypothesis based upon variables used)

Identify Dependent and Independent Variables And Type of Data for the Variables Population of Interest for Study

Sample

Sampling Method Identify Data Collection

Identify how data were collected

Summarize Data Collection Approach Discuss Data Analysis

Include what types of statistical tests were used for the variables. Summarize Results of Study

Summary of Assumptions and Limitations

 Identify the assumptions and limitations from the article.

Report other potential assumptions and limitations of your review not listed by the author.

Ethical Considerations

Evaluate the article and identify potential ethical considerations that may have occurred when sampling, collecting data, analyzing data, or publishing results. Summarize your findings below in 250-500 words. Provide rationale and support for your evaluation.