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action or later. Please see Debugging in WordPress for more information. (This message was added in version 6.7.0.) in /home/intelligentwr/nursingassignmentcrackers/wp-includes/functions.php on line 6114How might you predict future events in your practice? Why is it important, as a future DNP-prepared nurse, to consider such future events?<\/p>\n
For a DNP-prepared nurse, future predictions might lead to better patient outcomes and care. Therefore, analyzing factors to predict or evaluate can assist in transforming nursing practice or healthcare delivery. The \u201cstatistical procedure most commonly used for prediction is regression analysis\u201d (Gray & Grove, 2020).<\/p>\n
This week, you will examine the application of linear regression. You will analyze the strengths and weaknesses of the findings in a research study determined with linear regression, as well as explore alternatives to strengthen the aims of the study. You will also begin work on an Article Critique Assignment. While this Assignment is not due until Week 10, you are encouraged to begin this Assignment this week.<\/p>\n
Reference: Gray, J. R., & Grove, S. K. (2020).\u00a0Burns and Grove\u2019s the practice of nursing research: Appraisal, synthesis, and generation of evidence<\/em>\u00a0(9th ed.). Elsevier.<\/sub><\/p>\n Students will:<\/strong><\/p>\n *Assigned in Week 7 of Module 3 and submitted in Week 10 of Module 4<\/p>\n Learning Resources<\/p>\n Required Readings\u00a0(click to expand\/reduce)<\/a><\/p>\n <\/p>\n Gray, J. R., & Grove, S. K. (2020). Burns and Grove\u2019s the practice of nursing research: Appraisal, synthesis, and generation of evidence<\/em> (9th ed.). Elsevier.<\/p>\n Linear Regression Resources\u00a0(click to expand\/reduce)<\/a><\/p>\n Chi, C., Wu, H., Huan, C., & Lee, Y. (2017). Using linear regression to identify critical demographic variables affecting patient safety culture from viewpoints of physicians and nurses. Hospital Practices and Research, 2<\/em>(2), 47\u201353. doi:10.15171\/hpr.2017.12<\/a><\/p>\n De Groot, K., De Veer, A. J. E., Paans, W., & Francke, A. L. (2020). Use of electronic health records and standardized terminologies: A nationwide survey of nursing staff experiences.\u00a0International Journal of Nursing Studies<\/em>,\u00a0104<\/em>. doi:10.1016\/j.ijnurstu.2020.103523<\/a><\/p>\n Echevarria, I. M., Patterson, B. J., & Krouse, A. (2017). Predictors of transformational leadership of nurse managers. Journal of Nursing Management, 25<\/em>(3), 167\u2013175. doi:10.1111\/jonm.12452<\/a><\/p>\n Edmonson, C. (2015). Strengthening moral courage among nurse leaders. Online Journal of Issues in Nursing, 20<\/em>(2). doi:10.3912\/OJIN.Vol20No20PPT01<\/a><\/p>\n Malagon-Aguilera, M. C., Su\u00f1er-Soler, R., Bonmat\u00ed-Tomas, A., Bosch-Farr\u00e9, C., Gelabert-Vilella. S., & Juviny\u00e0-Canal, D. (2019). Relationship between sense of coherence, health and work engagement among nurses.\u00a0Journal of Nursing Management<\/em>,\u00a027<\/em>(8), 1620\u20131630. doi:10.1111\/jonm.12848<\/a><\/p>\n Westland, H., Schuurmans, M. J., Bos-Touwen, I. D., de Bruin-van Leersum, M. A., Monninkhof, E. M., Schr\u00f6der, C. D., de Vette, D. A., & Trappenburg, J. C. (2020). Effectiveness of the nurse-led Activate intervention in patients at risk of cardiovascular disease in primary care: A cluster-randomised controlled trial.\u00a0European Journal of Cardiovascular Nursing<\/em>,\u00a019<\/em>(8), 721\u2013731. doi:10.1177\/1474515120919547<\/a><\/p>\n Yeom, H.-E. (2021). Causal beliefs about hypertension and self-care behaviour in Korean patients.\u00a0Collegian<\/em>,\u00a028<\/em>(1), 48\u201356. doi:10.1016\/j.colegn.2020.04.007<\/a><\/p>\n <\/p>\n Article Critique Resources\u00a0(click to expand\/reduce)<\/a><\/p>\n <\/p>\n Coughlan, M., Cronin, P., & Ryan, F. (2007). Step-by-step guide to critiquing research. Part 1: Quantitative research. British Journal of Nursing, 16<\/em>(11), 658\u2013663. doi:10.12968\/bjon.2007.16.11.23681<\/a><\/p>\n Ryan, F., Coughlan, M., & Cronin, P. (2007). Step-by-step guide to critiquing research. Part 2: Qualitative research. British Journal of Nursing, 16<\/em>(12), 738\u2013744. doi:10.12968\/bjon.2007.16.12.23726<\/a><\/p>\n Vance, D. E., Talley, M., Azuero, A., Pearce, P. F., & Christian, B. J. (2013). Conducting an article critique for a quantitative research study: Perspectives for doctoral students and other novice readers. Nursing: Research and Reviews, 3<\/em>, 67\u201375. doi:10.2147\/NRR.S43374<\/a><\/p>\n <\/p>\n Regression analysis provides the researcher with an opportunity to predict and explore future outcomes. Whether it is to determine prevention methods, promote opportunities for learning, or propose new treatments, looking towards the future can have a significant impact on patient care and sustained positive patient outcomes.<\/p>\n This week, you explore regression analysis, paying particular attention to linear regression. Linear regression is used to \u201cestimate the value of a dependent variable based on the value of an independent variable\u201d (Gray & Grove, 2020). In your Discussion, you will apply your understanding of this statistical technique as it concerns use in a research study.<\/p>\n Photo Credit: wutzkoh \/ Adobe Stock<\/em><\/p>\n For this Discussion, you will select an article on a study to examine the strengths and weaknesses in the use of linear regression. Consider how you might remedy the weaknesses associated with the application of linear regression and reflect on how the findings of the study that you selected might contribute to various areas of your practice.<\/p>\n Reference: Gray, J. R., & Grove, S. K. (2020).\u00a0Burns and Grove\u2019s the practice of nursing research: Appraisal, synthesis, and generation of evidence<\/em>\u00a0(9th ed.). Elsevier.<\/sub><\/p>\n Post<\/strong>\u00a0a brief description of the article that you selected, providing its correct APA citation. Critically analyze the article by addressing the following questions:<\/p>\n Then, explain potential remedies to address the weaknesses that you identified for the research article that you selected. Analyze the importance of this study to evidence-based practice, the nursing profession, or society. Be specific and provide examples.<\/p>\n Read<\/strong>\u00a0a selection of your colleagues\u2019 responses and\u00a0respond<\/strong>\u00a0to\u00a0at least two<\/strong>\u00a0of your colleagues on\u00a0two different days<\/strong>\u00a0in one or more of the following ways:<\/p>\n Submission and Grading Information<\/p>\n Grading Criteria<\/p>\n To access your rubric:<\/p>\n Week 7 Discussion Rubric<\/p>\n <\/p>\n Post by Day 3 of Week 7 and Respond by Day 6 of Week 7<\/p>\n To Participate in this Discussion:<\/p>\n Week 7 Discussion<\/p>\n Assignment: Article Critique<\/p>\n DNP graduates are expected to apply research findings and integrate nursing science into evidence-based practice. To develop your skills in this high level of nursing practice, you will analyze the strengths and weaknesses of a research study over the next several weeks using the concepts presented throughout the course.<\/p>\n Photo Credit: ismagilov \/ iStock \/ Getty Images<\/em><\/p>\n The purpose of the analysis is to help you develop a deeper understanding of the research process, to inspire you to think critically and deeply about research on a specific topic, and to strengthen your ability to integrate research findings into evidence-based nursing practice. This Assignment also gives you practice in analyzing the research literature, which will support you when you begin your DNP project. Before you proceed, please review the rubric for this Assignment. Keep in mind that you will be working on your article critique throughout Weeks 8 through 10 with your critique due\u00a0by Day 7<\/strong>\u00a0of\u00a0Week 10<\/strong>.<\/p>\n The Assignment: (5\u20137 pages)<\/p>\n You are not required to submit this Assignment this week.<\/p>\n Reminder<\/strong>: The College of Nursing requires that all papers submitted include a title page, introduction, summary, and references. The Sample Paper provided at the Walden Writing Center provides an example of those required elements (available at\u00a0https:\/\/academicguides.waldenu.edu\/writingcenter\/templates\/general#s-lg-box-20293632<\/a>). All papers submitted must use this formatting.<\/p>\n What\u2019s Coming Up in Week 8?<\/p>\n Photo Credit: [BrianAJackson]\/[iStock \/ Getty Images Plus]\/Getty Images<\/em><\/p>\n Next week<\/strong>, you will continue your exploration of quantitative data. You will analyze and interpret the use of nonparametric methods for quantitative research and consider the appropriateness of applying nonparametric methods to support your research aims.<\/p>\n Over the years, research has played an important role in various sectors, healthcare included. In particular, research helps in improving patient outcomes by revealing new and effective strategies that can used to enhance and improve services offered to patients. In addition, research also helps unveil appropriate and relevant strategies that can be used to align workflow in the clinical environment and support the staff to perform to their optimum (Erickson & Pappas, 2020). The implication is that nurses need to understand the research process, as such an aspect can help integrate the research findings into evidence-based practice to enhance patient outcomes. One of the aspects that needs to be adequately understood by the nurses and even DNP students is an analysis of the research literature. Research literature contains valuable information that a researcher may like to use, critique, and appraise before deciding whether the findings are worthy of translation into practice. As such, the purpose of this assignment is to analyze a peer reviewed journal and develop a deeper understanding of the research process.<\/p>\n This study focused on a quality improvement project or approach to improving medication reconciliation in the skilled nursing facility setting. The study was conducted as part of a major study known as the Multi-Center Medication Reconciliation Quality Improvement Study (Baughman et al.,2021). The research focused on enabling various sites to improve their medication reconciliation using a MARQUIS tool kit, which was an evidence-based guide specifically designed to enhance medication reconciliation. The research was carried out at a 112-bed US Department of Veterans Affairs skilled nursing facility. Various quality improvement methods were developed and used by the researchers. They aspects included healthcare failure mode, process mapping, stakeholder survey, and data benchmarking.<\/p>\n The study considered patients admitted to the long term care and transitional care units, with most of the patients admitted to the facility drawn from the local Veteran Affairs hospitals. In addition, a multi-care team composed of nurse practitioners, physician assistants, and physicians were all included as they offered care to these patients. The analysis of the results revealed important aspects. For example, baseline assessments showed that the medication reconciliation process was error-prone, which led to high rates of medication discrepancies. In addition, the provider process mapping and provider surveys also showed that the process used lacked standards and was extremely labor-intensive (Baughman et al.,2021). Various factors were also found to contribute to such observations, including exposing patients to multiple care transitions, electronic health record limitations, limited resources, and polypharmacy. The researchers found that it is important to use a methodological approach to identify and address the challenges and, use a validated and best possible medication history process, and use additional medication lists to help in accounting for multiple care transitions.<\/p>\n As part of an article analysis and critique, it is important to explore the strengths of a study; therefore, this section focuses on these strengths. One of the strengths lies in the design and data collection. The authors used comprehensive baseline assessments. For example, they used Healthcare Failure Mode and Effect Analysis (HFMEA), process mapping, stakeholder surveys, and data benchmarking. The use of these aspects is a demonstration of a well-designed approach that can help researchers understand the complexities associated with the medication reconciliation processes in a skilled nursing facility setting (Baughman et al.,2021). In addition, the comprehensive design also plays an important role in ensuring that adequate pictures of existing challenges and potential solutions or interventions which can be used for mitigation.<\/p>\n Another strength in the design is the use of validation of the best possible medication practice (BPMH). The validation helps confirm the appropriateness of the BPMH process within the skilled nursing facility context, which further helps in establishing the foundation for implementing evidence-based practices. Besides, the validation is important in ensuring that the intervention is reliable and relevance, which has further been highlighted in the discussion and result sections.<\/p>\n The other strength of this study is that it is based on a data-driven approach as reflected in data collection, statistical analysis, and results. The researchers applied quantitative measures and data benchmarking to assess unintentional medication discrepancies, which is a reflection of a rigorous data-driven approach (Mohajan et al.,2020). The approach is further visible in the statistical analysis and results sections, where the researchers have used objective measures to help quantify the extent of the medication discrepancies. The implication is that by ensuring that the study relies on data, the finding’s generalizability and credibility are enhanced.<\/p>\n It is evident in the previous section that this study has various advantages. However, there are also various weaknesses that may need improvement if a similar study were to be performed. One of the identified weaknesses is the potentially limited generalizability of the study findings. From the methodology section, the researcher reports that this study was conducted at a single 112-bed US Department of Veterans Affairs skilled nursing facility. Therefore, the limited scope of the study site raises questions regarding the generalizability of the findings obtained to other skill nursing facility settings, which could have different organizational structures, staffing levels, and patient populations. The implication is that such a phenomenon weakens the external validity of results, which limits the wider applications of the interventions used in this study (Degtiar & Rose, 2023).<\/p>\n There is also a potential bias in sampling and data collection. The researchers report that the baseline surveys solely relied on the self-reported data from the Skilled nursing facility providers, which introduces a potential response bias (Braun et al.,2021). It is possible that the providers might have been inclined to present a socially desirable or more favorable view of what they do as their usual practice. Such a phenomenon would lead to an underestimation or overestimation of the medication reconciliation challenges, which introduces bias in data collection. The introduction of the data collection bias, in turn, negatively impacts the survey results\u2019 reliability, hence potentially influencing the accuracy of the findings.<\/p>\n This study also has weaknesses in terms of statistical analysis and results. For example, the study did not use a comparative analysis to determine the differences between observations before the intervention period and after the intervention period or pre-intervention and post-intervention phases. Even though the analysis comprehensively identified and highlighted the medication reconciliation challenges when performing the baseline assessments, the researchers ignored any comparative analysis, which could have helped in identifying any changes. Such a lack of comparative analysis limits the possibility of quantifying the impact of the interventions that have been implemented (Dolev-Amit et al.,2021). As such, introducing a comparison would have strengthened the study by showing how impactful the interventions were over time.<\/p>\n Medication errors negatively impact patients. Therefore, the best studies to help solve the problem should at least involve them\u00a0 (Alqenae et al.,2020). However, this study did not consider patient perspectives as part of the study, which significantly denies its strengths related to design. While the study mainly focused on the healthcare providers, it ignored exploring the patient’s perspectives and experiences. Medication reconciliation entails various aspects, such as patient understanding and adherence; as such, their perspectives should have been included. Such perspectives and insights could have offered important information on the implications of medication discrepancies and errors in the care transitions. It is evident that this study has various weaknesses. As such, future research needs to address such weaknesses to improve the methodological robustness.<\/p>\n P<\/b>art of a comprehensive analysis and critique of research articles requires a proposal for changes that can be made to improve the quality of the study. Such proposed changes can significantly improve the methodological robustness of such studies. One of the identified weaknesses was the potential limited generalizability. Therefore, it is important to explore potential steps that can help eliminate this weakness. Generalizability can be enhanced in similar future studies by expanding the study so that it has multiple skilled nursing facilities with diverse characteristics (Lee et al.,2023). This can be achieved by collaborating with various healthcare systems to help obtain a wider range of populations, care practices, and organizational structures. Indeed, patterning with other skilled nursing facilities located in different regions would ensure the different healthcare delivery models and demographics are represented. In addition, the collaborative approach would help boost the findings\u2019 external validity.<\/p>\n Another weakness identified was on the provider surveys, which could have introduced bias. It is also important to propose a solution for this weakness. One of the solutions is the implementation of objective measures for the provider surveys. As such, it will be important to integrate objective observations and measures with the already existing self-reported data. Such an approach can substantially improve the reliability of the survey results. The implication is that the results will be able to offer a more accurate representation of medication reconciliation practices. This aspect can be achieved by introducing an observational component where the researchers can assess the process of medication reconciliation independently, with a major focus on validating and complementing the self-reported data. The approach would help in enhancing the credibility of the findings.<\/p>\n The other weakness was identified as a lack of a pre- and post-intervention comparative analysis. Therefore, it is important to address this shortcoming; a more robust design that includes a pre-and post-intervention phase should be implemented (LoBiondo-Wood & Haber, 2021). Such an approach would ensure that the researchers can carry out a quantitative assessment of the impact of the implemented interventions or strategies on the medication reconciliation process. Again, this proposed change can be accomplished by establishing a baseline measure of the discrepancies in medication reconciliation, implementing the proposed intervention, and then carrying out a reassessment of medication discrepancies after the implementation of the intervention. Such a comparative analysis can reveal valuable information and insights into how effective the interventions are.<\/p>\n One of the major reasons why researchers carry out nursing research is to impact nursing practice and patient care positively. Therefore, the findings obtained in various research studies or efforts can be translated into practice to help impact patient practice and patient outcomes positively. Therefore, one area of potential implications would be an improvement in medication reconciliation to help improve patient outcomes related to medication errors, especially those errors that affect veterans. As such, this section focuses on the implications of the study for nursing practice.<\/p>\n One of the implications is that it can lead to enhanced awareness of challenges that face medication reconciliation awareness and knowledge. Through the findings in the study, nurses working in various skilled nursing facilities can benefit from having enhanced awareness regarding the challenges that come with medication reconciliation. Some of them would include the effects of care transitions on medication lists, possible sources of discrepancies, and understanding how complex the process is. Nurses can, therefore, apply such awareness and knowledge to advocate for a better process, more resources, and improved communication that can help improve medication reconciliation (LoBiondo-Wood & Haber, 2021). Besides, the nurses can also educate the caregivers and patients on why it is important to provide accurate and complete medication information during care transitions.<\/p>\n Another implication is that the study can help trigger patient-centered medication reconciliation. It was evident from the study that there is a limited exploration of the patient’s perspectives regarding the medication reconciliation process. As such, it should be recognized that the patients should actively be involved in the reconciliation process to enhance success. Nurses can, therefore, involve patients when discussing matters to do with their medication during the care transitions (LoBiondo-Wood & Haber, 2021). For instance, they can educate patients about why they need to adhere to the medication regimen and treatment plans, offer the patient succinct discharge instructions, and explore and uphold open communication if there are any cases of making medication regimen changes.<\/p>\n This write-up has focused on an analysis of a peer-reviewed journal focusing on reducing medication errors through strategies such as medication reconciliation. The study has various strengths and weaknesses, which have all been explored in this analysis. In addition, this study has various implications for nursing practice, such as the possibility of triggering a patient-centered medication reconciliation to improve patient outcomes.<\/p>\n Alqenae, F. A., Steinke, D., & Keers, R. N. (2020). Prevalence and nature of medication errors and medication-related harm following discharge from hospital to community settings: a systematic review.\u00a0Drug Safety<\/em>,\u00a043<\/em>, 517-537. Doi: 10.1007\/s40264-020-00918-3<\/p>\n Baughman, A. W., Triantafylidis, L. K., O’Neil, N., Norstrom, J., Okpara, K., Ruopp, M. D., … & Simon, S. R. (2021). Improving medication reconciliation with comprehensive evaluation at a veterans affairs skilled nursing facility.\u00a0The Joint Commission Journal on Quality and Patient Safety<\/em>,\u00a047<\/em>(10), 646\u2013653. https:\/\/doi.org\/10.1016\/j.jcjq.2021.06.001<\/a><\/p>\n Braun, V., Clarke, V., Boulton, E., Davey, L., & McEvoy, C. (2021). The online survey as a qualitative research tool.\u00a0International Journal of Social Research Methodology<\/em>,\u00a024<\/em>(6), 641\u2013654. https:\/\/doi.org\/10.1080\/13645579.2020.1805550<\/a><\/p>\n Degtiar, I., & Rose, S. (2023). A review of generalizability and transportability.\u00a0Annual Review of Statistics and Its Application<\/em>,\u00a010<\/em>, 501-524. https:\/\/doi.org\/10.1146\/annurev-statistics-042522-103837<\/a><\/p>\n Dolev-Amit, T., Rubin, A., & Zilcha-Mano, S. (2021). Is awareness of strengths intervention sufficient to cultivate wellbeing and other positive outcomes?.\u00a0Journal of Happiness Studies<\/em>,\u00a022<\/em>, 645-666.<\/p>\n Erickson, J. I., & Pappas, S. (2020). The value of nursing research.\u00a0JONA: The Journal of Nursing Administration<\/em>,\u00a050<\/em>(5), 243-244. Doi: 10.1097\/NNA.0000000000000876<\/p>\n Lee, D., Yang, S., Dong, L., Wang, X., Zeng, D., & Cai, J. (2023). Improving trial generalizability using observational studies.\u00a0Biometrics<\/em>,\u00a079<\/em>(2), 1213-1225. https:\/\/doi.org\/10.1111\/biom.13609<\/a><\/p>\n LoBiondo-Wood, G., & Haber, J. (2021).\u00a0Nursing research E-book: methods and critical appraisal for evidence-based practice<\/em>. Elsevier Health Sciences.<\/p>\n Mohajan, H. K. (2020). Quantitative research: A successful investigation in natural and social sciences.\u00a0Journal of Economic Development, Environment, and People<\/em>,\u00a09<\/em>(4), 50-79. https:\/\/www.ceeol.com\/search\/article-detail?id=939590<\/a><\/p>\nLearning Objectives<\/h2>\n
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Click here to ORDER an A++ paper from our Verified MASTERS and DOCTORATE WRITERS: NURS 8201 Week 7 Assignment Article Critique Walden<\/strong><\/a><\/span><\/h3>\n
Discussion: Use of Regression Analysis in Clinical Practice<\/h2>\n
To Prepare:<\/h2>\n
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By Day 3 of Week 7<\/h2>\n
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By Day 6 of Week 7<\/h2>\n
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A Sample Answer For the Assignment: NURS 8201 Week 7 Assignment Article Critique Walden<\/strong><\/h2>\n
Title: <\/strong> NURS 8201 Week 7 Assignment Article Critique Walden<\/strong><\/h2>\n
Overview of the Selected Study<\/strong><\/h2>\n
The Strengths of The Study<\/strong><\/h2>\n
The Weaknesses of the Study<\/strong><\/h2>\n
Proposed Changes to Improve the Quality Of the Study<\/strong><\/h2>\n
Implications of the Study For Nursing Practice<\/strong><\/h2>\n
Conclusion<\/strong><\/h2>\n
References<\/strong><\/h2>\n