Not all EBP projects result in statistically significant results.Define clinical significance, and explain the difference betweenclinical and statistical significance. How can you use clinicalsignificance to support positive outcomes in your project? My EBP is on hand washing
Anne Kolsky 4 posts Re: Topic 8 DQ 1 Dependent and Independent Variables Defined: A dependent variable is what you measure in the experiment and what is affected during the experiment. The dependent variable responds to the independent variable. It is called dependent because it “depends” on the independent variable. In a scientific experiment, you cannot have a dependent variable without an independent variable (Helmenstine, 2018). The PICOT question for the capstone project is, “Do preschool aged children (P) who are given early childhood screenings (I) compared to children who are not screened (C) score higher in assessments related to kindergarten readiness (O) upon entry to kindergarten (T)?” The independent variable is the early childhood screening and the dependent variable is the scores of the kindergarten readiness assessments. The independent variable for the capstone study is the variable that can be controlled by the person conducting the research. In this case, the early childhood screens are the independent variable because the researcher can either conduct screenings or can do study reviews to determine which subjects have completed screenings. The dependent variable is the scores of all the children entering kindergarten that have been assessessed for kindergarten readiness using a standardized assessment tool. The scores between those who have been screened and those who have not been screened can be analyzed using a statistical comparative analysis to determine the difference by comparing the scores between the two samples. A two-sample t test comparison between the means should be sufficient to compare (CliffsNotes, 2016). CliffsNotes. (2016). Two sample t test for comparing two means. Retrieved from https://www.cliffsnotes.com/study-guides/statistics/univariate-inferential-tests/two-sample-t-test- For-comparing-two-means Helmenstine, T. (2018). What is the difference between independent and dependent variables? Retrieved from https://www.thoughtco.com/independent-and-dependent-variables-
Nimmy James 2 posts Re: Topic 8 DQ 1 Dependent variables are otherwise known as the outcome variables. The value of the dependent variable depends on the value of other variables. In research, the dependent variable takes on different values in response to the independent variable. The independent variable is otherwise known as the experimental or predictor variable. It is manipulated in the research to observe the effect on the dependent variable. The value of an independent variable does not rely on other variables as the independent variable can stand alone (Kusurkar, Ten Cate, van Asperen, & Croiset2011). Using my EBP as an example, the dependent variable in the study is the rate of pressure ulcers in the facility. To measure this, I will need to collect data on the number of pressure ulcers in past three years. This data will help me to monitor how manipulating the independent variables affect pressure ulcer rate which is a dependent variable. The independent variables in this study include nurses’ knowledge about wound care and how effects of protein intake with wound healing. The EBP will manipulate theses independent variables by educating nurses on nutritional impact on pressure wound healing and by implementing extra protein into their daily diet. With a questionnaire, I will be able to collect data on nurses’ knowledge about the topic which help with planning the education and training.
Reference Kusurkar, R.A., Ten Cate, TH J., van Asperen, M., Croiset, G (2011) Motivation as an independent and a dependent variable in medical education: A review of the literature. Med Teach. 2011; 33(5): e242–e262. doi: 10.3109/0142159X.2011.558539. Retrieved from https://www.ncbi.nlm.nih.gov/pubmed/21517676
Dorothy Troutman 4 posts Re: Topic 8 DQ 1 For my evidence-based project I will need to collect independent variables including the nurses’ response to whether they are more comfortable recognizing and treating hemorrhage. Additionally, I must collect data on the dependent variables including hemorrhage rate and transfusion rate. I will evaluate if the nurses’ improved comfort level in recognizing and treating hemorrhage decreases the rate of hemorrhage and rate of transfusion. It is important to remember that the dependent variable depends on another variable (the independent variable). We must understand the relationship between the two in order to understand the outcomes of research (L. Flannelly, K. Flannelly, and Jankowski, 2014). The goal of my project is to decrease the overall number of hemorrhages patients experience after giving birth, as well as to decrease the number of transfusions needed to treat hemorrhage. By decreasing the hemorrhage, and transfusion rates we will improve patient outcomes and decrease maternal morbidity. I plan to track hemorrhage rates post education and compare them to the pre-education hemorrhage rates. I will do the same thing with transfusion rates.
Reference Flannelly, L. T., Flannelly, K. J., & Jankowski, K. R. B. (2014). Independent, dependent, and other variables in healthcare and chaplaincy research. Journal of Health Care Chaplaincy, 20(4), 161–170. doi:10.1080/08854726.2014.959374
Carrie Smithson 1 posts Re: Topic 8 DQ 1 Based on evaluation of my EBP project there are independent and dependent variables that need to be collected. A variable is something that varies or changes. “A variable in research simply refers to a person, place, thing, or phenomenon that you are trying to measure in some way” (University of California Libraries, 2019, para. 5). Independent variables are stable and unaffected by other variables you are attempting to measure. These are often manipulated by the researcher. Dependent variables are those that depend on other factors and change as a result of an experiment. This is the response that is measured. Dependent and independent variables are important because they drive the research process. A variable as opposed to a constant is simply anything that can vary and that many researchers consistently look at the relationship between the two variables. In order to evaluate my EBP project, I will have managers audit charts to determine if education provided to the patient was effective by not being readmitted with the same diagnosis. A few independent variable are patient’s willingness to learn, age, and time. These are important factors to consider when performing the audits. Some patients are not willing to make a change to their health and are set in their ways. The time spent with the patient is also important to consider. If the patient is being discharged and is ready to go, they aren’t going to fully be attentive to the teaching as they are eager to leave. Timing is key and having enough time to perform the teaching is important as well. Some dependent variables to consider are the patients who are admitted with stroke and chest pain who are tobacco users. The outcome depends on the effectiveness of the teaching performed by the nursing staff. The variables need to be collected because they will affect the evaluation. Surveys need to be performed on all different types of patient’s so that bias isn’t a factor. Resource University of California Libraries. (2019). Research Guides: Organizing Your Social Sciences Research Paper: Independent and Dependent Variables. Retrieved from https://libguides.usc.edu/writingguide/variables
Based on how you will evaluate your EBP project, which independentand dependent variables do you need to collect? Why? EBP is on Hand washing
Mrs. A, who is 81 years of age, weighs significantly more than her 47-year-old daughter, yet she is given a lower dosage of medication for insomnia of a similar degree. Why? Is this a dosage calculation error?
Carrie Smithson 1 posts Re: Topic 9 DQ 2 Sustaining change can be difficult, as there are many variables that can affect implementation. One critical component of Evidence Based Practice is to ensure that practice change is part of an organization’s culture so it will continue to impact outcomes over time. There are barriers that may prevent my Evidence Based Practice change proposal from continuing to obtain the same desired results six months to a year from now. My PICOT statement is, In adults with tobacco dependency (P), would providing teaching/research about tobacco cessation (I) compared to medications to assist in tobacco cessation (C) lead to a decrease in tobacco dependency and better health outcomes (O), after four weeks of intervention/quit date (T)? One barrier is new staff coming on board and not knowing the proper way to educate patients on tobacco cessation. The current staff will receive proper education on how to educate tobacco dependent patients. To assist new staff with the process change, we can create required computer based learning assignments (CBL’s) that have to be completed before coming out of orientation. This will allow all new nurses to be up-to-date on the education process. Another barrier is language. Not only is language a barrier in education, but other forms of communication as well. Upon communicating with a patient who does not speak English, the health care team must first decide what language the patient understands best, and in what way the patient learns best. Once the assessment is completed, the nurse can obtain an interpreter. At our facility, there are interpreters on wheels; this is an IPad that we bring to the patient and an interpreter comes on live to speak to the patient in their specific language. Not only can we use the interpreter, but provide written education in different languages as well. Throughout the education process, it is important to remember communication techniques. A few communication techniques are listening, asking open ended questions, and having an open posture (Elsheikh, 2018). Change initially can be a good thing and take off quickly. It is important to sustain new change through methods like I mentioned above. Reference Elsheikh, K. (2018, March 21). 7 Effective Communication Techniques That Will Make YouExcellent. Retrieved from https://medium.com/better-humans/7- effective-communication-techniques- that-will-make-you-excellent-89eb17e60b36
Discuss one personal strength and one weakness you have regardingprofessional presentations. Name one method for improvement for eachof these, and discuss why it is important for you to work on theseskills if you want to present your findings in a more formal setting. Attempt Start Date: 23-Sep-2019 at 12:00:00 AM
Hi there! Click one of our representatives below and we will get back to you as soon as possible.