Understanding Simple Linear Regression

Understanding Simple Linear Regression

Statistical Technique in Review

In nursing practice, the ability to predict future events or outcomes is crucial, and researchers calculate and report linear regression results as a basis for making these predictions. Linear regression provides a means to estimate or predict the value of a dependent variable based on the value of one or more independent variables. The regression equation is a mathematical expression of a causal proposition emerging from a theoretical framework. The linkage between the theoretical statement and the equation is made prior to data collection and analysis. Linear regression is a statistical method of estimating the expected value of one variable, y, given the value of another variable, x. The focus of this exercise is simple linear regression, which involves the use of one independent variable, x, to predict one dependent variable, y.

The regression line developed from simple linear regression is usually plotted on a graph, with the horizontal axis representing x (the independent or predictor variable) and the vertical axis representing the y (the dependent or predicted variable; see Figure 14-1). The value represented by the letter a is referred to as the y intercept, or the point where the regression line crosses or intercepts the y-axis. At this point on the regression line, x = 0. The value represented by the letter b is referred to as the slope, or the coefficient of x. The slope determines the direction and angle of the regression line within the graph. The slope expresses the extent to which y changes for every one-unit change in x. The score on variable y (dependent variable) is predicted from the subject’s known score on variable x (independent variable). The predicted score or estimate is referred to as Ŷ (expressed as y-hat) (Cohen, 1988; Grove, Burns, & Gray, 2013; Zar, 2010).

FIGURE 14-1  GRAPH OF A SIMPLE LINEAR REGRESSION LINE

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Simple linear regression is an effort to explain the dynamics within a scatterplot (see Exercise 11) by drawing a straight line through the plotted scores. No single regression line can be used to predict, with complete accuracy, every y value from every x value. However, the purpose of the regression equation is to develop the line to allow the highest degree of prediction possible, the line of best fit. The procedure for developing the line of best fit is the method of least squares. If the data were perfectly correlated, all data points would fall along the straight line or line of best fit. However, not all data points fall on the line of best fit in studies, but the line of best fit provides the best equation for the values of y to be predicted by locating the intersection of points on the line for any given value of x.

The algebraic equation for the regression line of best fit is y = bx + a, where:

y=dependentvariable(outcome)

x=independentvariable(predictor)

b=slopeoftheline(beta,orwhattheincreaseinvalueisalongthex-axisforeveryunitofincreaseintheyvalue),alsocalledtheregressioncoefficient.

a=y−intercept(thepointwheretheregressionlineintersectsthe y-axis),alsocalledtheregressionconstant(Zar,2010).

In Figure 14-2, the x-axis represents Gestational Age in weeks and the y-axis represents Birth Weight in grams. As gestational age increases from 20 weeks to 34 weeks, birth weight also increases. In other words, the slope of the line is positive. This line of best fit can be used to predict the birth weight (dependent variable) for an infant based on his or her gestational age in weeks (independent variable). Figure 14-2 is an example of a line of best fit that was not developed from research data. In addition, the x-axis was started at 22 weeks rather than 0, which is the usual start in a regression figure. Using the formula y = bx + a, the birth weight of a baby born at 28 weeks of gestation is calculated below.

Formula:y=bx+a

Inthisexample,a=500,b=20,andx=28weeks

y=20(28)+500=560+500=1,060grams

FIGURE 14-2  EXAMPLE LINE OF BEST FIT FOR GESTATIONAL AGE AND BIRTH WEIGHT

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The regression line represents y for any given value of x. As you can see, some data points fall above the line, and some fall below the line. If we substitute any x value in the regression equation and solve for y, we will obtain a ŷ that will be somewhat different from the actual values. The distance between the ŷ and the actual value of y is called residual, and this represents the degree of error in the regression line. The regression line or the line of best fit for the data points is the unique line that will minimize error and yield the smallest residual (Zar, 2010). The step-by-step process for calculating simple linear regression in a study is presented in Exercise 29.

Reflection Paper

Reflection Paper

Reflection Paper

Reflection Paper

Reflection Paper

In a reflection of 450-600 words, explain how you see yourself fitting into the following IOM Future of Nursing recommendations:

1. Recommendation 4: Increase the proportion of nurses with a baccalaureate degree to 80% by 2020.
2. Recommendation 5: Double the number of nurses with a doctorate by 2020.
3. Recommendation 6: Ensure that nurses engage in lifelong learning.

Identify your options in the job market based on your educational level.

1. How will increasing your level of education affect how you compete in the current job market?
2. How will increasing your level of education affect your role in the future of nursing?

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

You are required to submit this assignment to Turnitin

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Medication Form

Medication Form

1. lithium carbonate

Class-mood stability

2.medication -Fluoxetine

class-serotonon

3.Lorazipan

class-benzodiazepine.

4.medication-Amitriptyline

class.Tricyclic antidepressant

5.medication-Bupropion

class-Atypical

6.medication -MOA’S

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521 Replies Week 3

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Week 3

4 Replies with References and APA.

Discussion 1

COLLAPSE

Top of Form

Discuss the potential controversy when considering a patient’s right to know whether a caregiver has AIDS, and the caregiver’s right to privacy and confidentiality.

Consider the following: A physician cut his hand with a scalpel while he was assisting another physician. Because of the uncertainty that blood had been transferred from the physician’s hand wound to the patient through an open surgical incision, he agreed to have a blood test for HIV. His blood tested positive for HIV and he withdrew himself from participation in further surgical procedures. Discuss the ethical and legal issues.

Reply 1

Kristopher

Health care brings abroad aspect of legal discussions when it comes to the privacy and confidentiality of the patient-doctor discussions. Normal discussions are always based on the patient’s confidentiality and turning the table to the physicians is sometimes tricky. HIV and AIDS are critical and there is a need for the healthcare department to find a way of determining the status of their doctors before the patient is wheeled in for surgery (Salihu et al., 2018). Both the doctor and the patient should be protected just like it is important to keep private the HIV status of the patient..People living with HIV have a right to confidentiality and privacy so that stigmatization does not set in. Health practitioners are required by law to keep such information private and help the patient work a treatment plan (Salihu et al., 2018). Diagnosing the physicians with the same condition opens the return of the fundamental rights they also enjoy alongside other individuals.

Only if there were to be an incident such as the one described in our discussion prompt, I would want to know. But I do feel healthcare workers do not need to mandatorily disclose health information. They should also be given the same privacy rights as patients. I would rather know their success rates and/or post operative infection rates.

Reply 2

Roberto

When considering a patient’s right to know whether a caregiver has AIDS, I side with the right of full disclosure. Unfortunately, that will expose some biases, but it is morally and ethically the right thing to do. Upon reviewing the scenario presented, it was in the best interest of all parties involved for the physician to withdraw himself from that surgical procedure and future participation in further surgical procedures, considering the type of incidents that may occur in the OR and high-risk exposure procedures. In 1990 the CDC reported it’s the first case of a healthcare worker transmission of HIV to a patient. The procedure was a dental procedure performed by an AIDS-infected dentist that resulted in an HIV positive patient (Barnes, 1990). Legally, there are ramifications in the accidental exposure, if not for acquiring the illness, then for emotional suffrage, so it is safer to disclose that information and withdraw from potential legal actions. With that being said, healthcare workers are at high exposure risk to viral and bacterial illnesses, and we are owed the right to full disclosure of our patients, which we get. We adjust our care for protection that is adequate for the illness and ourselves. In those scenarios, if we get accidental exposure, the patients are not liable as the risk is in the job we knowingly took. However, it is not the same as a patient’s exposure to a healthcare worker with viral illnesses, such as HIV or AIDS. There is more to lose from any accidental occurrences from the healthcare professionals’ standpoint.

Discussion 2

COLLAPSE

Top of Form

The following questions refer to your experience in this week’s exercise, Conducting Moral and Ethical Dialog in Clinical Practice.  Describe your overall experience with the moral and ethical dialog exercise, and address at least three (3) of the following:

· Did you find any of the scenarios more difficult to deal with than others?

· Did you feel any internal conflict with any of the scenarios?

· How did your personal and professional background impact how you decided to interact with the patient?

· Do you feel the responses the patient gave to the practitioner’s response were reasonable or typical?

· Were you taken aback by any of the patient reactions?

· How might this activity contribute to your role as a nurse advocate in a moral and ethical practice?

· Did you utilize an ethical decision making model to explore a systematic way to evaluate any of these ethical dilemmas? If so, describe the effectiveness.

Reply 1

Mckell Sa

I enjoyed using the moral and ethical dialog, although some of the answer choices would not have been

my first thoughts on answering my patients. Personal and professional background significantly impact how

I interact with my patients. I have had personal experiences that blur the lines for me in regard to some of

the tough scenarios I face at work. Overall it is my duty to set my feelings aside, but sometimes I do think

my personal experiences help me support my patients better than most people. I follow policy and refer

back to the nursing ethics the Texas Board of Nursing lists on their website. Professionally I have to behave

in a manner that respects my patients wishes, supports them, offers them a safe space, and provide them

options if they are in an abusive situation.

I do feel the responses listed were typical and reasonable. I think sometimes we are all human and can

be insensitive to our patients emotional needs, especially when we are busy trying to help with the physical

ones. I was surprised by some of the patient’s reactions, in general when the practitioner picked the right

answer the patient always responded positively, opened up, and saw the practitioner’s point of view. In

reality, not every patient will respond well no matter what you say, however it is important to recognize

that some will, therefore nurses need to know what to say so they are able to help the patients who are

open to advice (West Coast University, n.d.).

Reply 2

Kristine

Having a moral and ethical dialog during clinical practice requires one to be able to communicate clearly and effectively. The communication must also involve deliberation between the nurse and the management team to identify the ethical dilemma, and all the facts about it. From personal experience, the major problem is always deciding how to deal with a dilemma. It involves a case of ethics that must be solved with a moral solution (Schuchter & Heller, 2018). For example, choosing to inform a critically ill patient the truth about their case is one where one has to morally decide whether to follow their professional ethics or not.

Making a moral decision on an ethical matter is always accompanied by internal conflict. For example, deciding to inform a patient about her condition against the wishes of family members brings internal conflict. In my case, my decision was guided by both personal and professional values. I chose to gain trust from the patient and determine her ability to cope with the truth before deciding to tell it to her.

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Sustaining Change Can Be Difficult, As There Are Many Variables That Can Affect Implementation

Sustaining change can be difficult, as there are many variables that can affect implementation. One critical component of EBP is to ensure that practice change is part of an organization’s culture so it will continue to impact outcomes over time. Name two potential barriers that may prevent your EBP change proposal from continuing to obtain the same desired results 6 months to a year from now, and your strategies for overcoming these barriers.

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ADDITIONAL INSTRUCTIONS FOR THE CLASS

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• Discussion Questions (DQ)

Initial responses to the DQ should address all components of the questions asked, including a minimum of one scholarly source, and be at least 250 words. Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source. One or two-sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words. I encourage you to incorporate the readings from the week (as applicable) into your responses.

• Weekly Participation

Your initial responses to the mandatory DQ do not count toward participation and are graded separately. In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies. Participation posts do not require a scholarly source/citation (unless you cite someone else’s work). Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.

• APA Format and Writing Quality

Familiarize yourself with the APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in Loud-cloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required). Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation. I highly recommend using the APA Publication Manual, 6th edition.

• Use of Direct Quotes

I discourage over-utilization of direct quotes in DQs and assignments at the Master’s level and deduct points accordingly. As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content. It is best to paraphrase content and cite your source.

• LopesWrite Policy

For assignments that need to be submitted to Lopes Write, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me. Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes. Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own? Visit the Writing Center in the Student Success Center, under the Resources tab in Loud-cloud for tips on improving your paper and SI score.

• Late Policy

The university’s policy on late assignments is a 10% penalty PER DAY LATE. This also applies to late DQ replies. Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances. If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect. I do not accept assignments that are two or more weeks late unless we have worked out an extension. As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.

• Communication

Communication is so very important. There are multiple ways to communicate with me: Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class. Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.

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Navigating Employee Group

Employee Group

Employee Group

Navigating Employee Groups

Justin was recently hired as a manager at a medical waste management company. Because he is new to the company and has been assigned to work with a diverse group of employees, Justin’s supervisor asked him to develop an analysis and plan for working with his employee group. This task will help Justin understand his employees, anticipate possible employee interactions, and help him work through group conflict should it arise. Justin decided to create a chart to catalog his analysis and plan.

Research diversity in the workplace using the internet and materials presented in the weekly readings and activities.

Complete the analysis and plan chart.

Cite any reputable references used to complete your chart. Reputable references include trade or industry publications; government or agency websites; scholarly works;your textbook,Organizational Behavior, Theory, and Design in Health Care (2nd ed.); or other sources of similar quality.

Format your references section and any in-text citations used in your chart according to APA guidelines.

Submit your assignment.

References

Carlin, C ( 2015/04/07) “How do you manage employees with dominant personalities?” Linkedin

Retrieved from /orders/www.linkedin.com

Copyright © 2018 by University of Phoenix. All rights reserved.

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Global Healthcare Comparison Matrix And Narrative Statement

Global Healthcare Comparison

Global Healthcare Comparison

Assignment: Global Healthcare Comparison Matrix and Narrative Statement

If you talk about a possible poor health outcome, do you believe that outcome will occur? Do you believe eye contact and personal contact should be avoided?

You would have a difficult time practicing as a nurse if you believed these to be true. But they are very real beliefs in some cultures.

Differences in cultural beliefs, subcultures, religion, ethnic customs, dietary customs, language, and a host of other factors contribute to the complex environment that surrounds global healthcare issues. Failure to understand and account for these differences can create a gulf between practitioners and the public they serve.

In this Assignment, you will examine a global health issue and consider the approach to this issue by the United States and by one other country.

To Prepare:

• Review the World Health Organization’s (WHO) global health agenda and select one global health issue to focus on for this Assignment.
• Select at least one additional country to compare to the U.S. for this Assignment.
• Reflect on how the global health issue you selected is approached in the U.S. and in the additional country you selected.
• Review and download the Global Health Comparison Matrix provided in the Resources.

The Assignment: (1- to 2-page Global Health Comparison Matrix; 1-page Plan for Social Change)

Part 1: Global Health Comparison Matrix

Focusing on the country you selected and the U.S., complete the Global Health Comparison Matrix. Be sure to address the following:

• Consider the U.S. national/federal health policies that have been adapted for the global health issue you selected from the WHO global health agenda. Compare these policies to the additional country you selected for study.
• Explain the strengths and weaknesses of each policy.
• Explain how the social determinants of health may impact the global health issue you selected. Be specific and provide examples.
• Using the WHO’s Organization’s global health agenda as well as the results of your own research, analyze how each country’s government addresses cost, quality, and access to the global health issue selected.
• Explain how the health policy you selected might impact the health of the global population. Be specific and provide examples.
• Explain how the health policy you selected might impact the role of the nurse in each country.
• Explain how global health issues impact local healthcare organizations and policies in both countries. Be specific and provide examples.

Part 2: A Plan for Social Change

Reflect on the global health policy comparison and analysis you conducted in Part 1 of the Assignment and the impact that global health issues may have on the world, the U.S., your community, as well as your practice as a nurse leader.

In a 1-page response, create a plan for social change that incorporates a global perspective or lens into your local practice and role as a nurse leader.

• Explain how you would advocate for the incorporation of a global perspective or lens into your local practice and role as a nurse leader.
• Explain how the incorporation of a global perspective or lens might impact your local practice and role as a nurse leader.
• Explain how the incorporation of a global perspective or lens into your local practice as a nurse leader represents and contributes to social change. Be specific and provide examples.

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Community Windshield Survey

Purpose

The purpose of this assignment is to complete a direct observational assessment of a community in your area. This windshield survey will help you to identify a vulnerable population, an important community health problem, and a related Healthy People 2020objective for a community in your area.

Course Outcomes

This assignment enables the student to meet the following Course Outcomes.

• CO2: Assess the health needs of individuals, families, aggregates, and communities using demographic and epidemiological data to identify population health risks. (PO4)
• CO6: Utilize a systems-based and collaborative approach to address factors that influence the health of a community and population health problems. (PO2)

1. Introduction to the Community: Identify the community you will be using for this assignment with the city and state, and provide a brief, one-paragraph description of the community. Your community should be the area where you live or the area surrounding your work setting. The community must include a residential area and be a large enough area to answer the survey questions. Do not include epidemiological or demographic data as this is based on what you observe.
2. Windshield Survey: Assess your community by doing a windshield survey. Information about the components of a windshield survey is located in your textbook, Nies and McEwen (2019). Drive through the area and report your observations by answering the questions on the form. Be sure to include what you observed related to each of these categories, and also include any significant items that are missing in your community because this may be equally important in identifying a community health problem.
   1. Community vitality
   2. Indicators of social and economic conditions
   3. Health resources
   4. Environmental conditions related to health
   5. Social functioning
   6. Attitude toward healthcare
   7. Note: It is helpful to conduct this assessment at least two different times: during the day or evening, on a weekday, and/or on the weekend. If possible, plan on asking someone to drive during your survey so that you can take notes.
3. Vulnerable population: Identify the aggregate or vulnerable populations that you observed in your community during your drive through. What did you observe about this population?
4. Community problem: Based on your assessment in the survey above, identify and discuss one priority community health problem that a community health nurse could positively impact.Example: If you observed teens who were pregnant or had young children during your survey and felt this was a priority problem in your community, the diagnosis could be
   Risk of unintended pregnancy among adolescent girls in XXXX community as evidence by observation of pregnant teens and teens caring for young children during windshield survey.
5. Healthy People 2020 Objective: Go to the Healthy People topic areas at /orders/www.healthypeople.gov/2020/topics-objectives. Find a topic area that relates to one of the vulnerable populations you observed. Click on the topic area, and then click on the green Objectives tab. Review the objectives within that topic area to complete the relevant sections of the form. State the Healthy People 2020 objective number (not just a goal) that describes your problem.Example: The topic area Family Planning would be relevant. You would click on Family Planning, and then click the green Objectives tab, and you might choose
   FP-8.1 “Reduce pregnancies among adolescent females aged 15 to 17 years” (U.S. Department of Health and Human Services: Healthy People 2020, 2018, Objectives: Family Planning, para 8).
6. Summary: Complete the summary of learning section.
7. References: The purpose of this assignment is to document your observations of your community. Outside sources other than Healthy People 2020 should not be used. We have included this reference on the Windshield Survey form for you.

Note: Please do the survey on the attachment.

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External Adolescent Stressors

Describe two external stressors that are unique to adolescents.   Discuss what risk-taking behaviors may result from the external   stressors and what support or coping mechanism can be introduced.

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Discussion: Decision Making When Treating Psychological Disorders

Discussion: Decision Making When Treating Psychological Disorders

Discussion: Decision Making When Treating Psychological Disorders

Discussion: Decision Making When Treating Psychological Disorders

Discussion: Decision Making When Treating Psychological Disorders

Psychological disorders, such as depression, bipolar, and anxiety disorders can present several complications for patients of all ages. These disorders affect patients physically and emotionally, potentially impacting judgment, school and/or job performance, and relationships with family and friends. Since these disorders have many drastic effects on patients’ lives, it is important for advanced practice nurses to effectively manage patient care. With patient factors and medical history in mind, it is the advanced practice nurse’s responsibility to ensure the safe and effective diagnosis, treatment, and education of patients with psychological disorders.

For this Discussion, you will select an interactive media piece to practice decision making when treating patients with psychological disorders. You will recommend the most effective pharmacotherapeutic to treat the psychological disorder presented and examine potential impacts of pharmacotherapeutics on a patient’s pathophysiology.

                                            To Prepare

· Review this week’s interactive media pieces and select one to focus on for this Discussion.

· Reflect on the decision steps in the interactive media pieces, and consider the potential impacts from the administration of the associated pharmacotherapeutics on the patient’s pathophysiology.

Post a brief explanation of the psychological disorder presented and the decision steps you applied in completing the interactive media piece for the psychological disorder you selected.

Then, explain how the administration of the associated pharmacotherapeutics you recommended may impact the patient’s pathophysiology.

How might these potential impacts inform how you would suggest treatment plans for this patient?

Be specific and provide examples.