Describe the results of this analysis for frequent and moderate treatment and release use of the ED.
Describe the results of this analysis for frequent and moderate treatment and release use of the ED.
1.1 In Table 1 the Chi-square test and t-test were used to determine the significance ofdifferences between categorical and numerical variables of two independent groups (theintervention and the control group). Which variables would the Chi-square test havebeen applied to and which would the t-test have been applied to? [3 marks] 1.2 Which of these tests is the parametric statistical test and what are the main assumptionsabout the data being subjected to that test? [4 marks] 1.3 Describe the results of the baseline comparisons in Table 1. [3 marks] Part 2 (10 marks)The following table shows some of results of multinomial logistic regession analyses ofpredictor variables associated with 5650 healthy adults frequent or moderate treatment andrelease use of an Emergency Department. The predictor variables are bivariate (Yes/No orFemale/Male) except for the numerical variables Age and Number of outpatient visits.You are asked to focus just on the odds ratios and confidence intervals (OR and 95% CI).Assessment items2.1 Describe the results of this analysis for frequent and moderate treatment and releaseuse of the ED. Report on the strength and direction of the statistically significantassociations. [5 marks] 2.2 Consider the situation where other studies have produced similar results for the mainfactors predicting frequent and moderate treatment and release use of the ED (NByou dont need to try and find any other studies). What might be the implications of thisevidence for clinical practice when providing nursing services for such patients? [5marks] 9058: Evidence Based Health CareSemester 2 2015 3Part 3 (10 marks)The following table shows results of a study that linked hospital facility data with staff nursesurvey data (N = 1024) and surgical patient discharge data (N = 76036) from 14 teachinghospitals with 700 or more beds. Logistic regression models that adjusted for a range ofpatient and hospital factors were used to estimate the effects of three nursing characteristicson risk-adjusted patient mortality within 30 days of admission.The three nursing characteristics were nurse staffing (patients per nurse) nurse workenvironment (better vs. mixed or poor) and nurse education (the percentage of nurses with aBachelor degree in nursing).The fully adjusted logistic regression model controlled for patient age gender transfer statustype of admission major diagnostic category and co-morbidities as well as hospital locationand number of beds.Assessment items3.1 Describe the results of this analysis focussing on the statistically significant predictorsin the fully adjusted model. Report on the strength and direction of the associations. Forthe purposes of this discussion consider the fully adjusted result for nurse staffing(patients per nurse) to be statistically significant. [5 marks] 3.2 Consider the situation where other studies have produced similar results for the mainnursing characteristics predicting patient mortality (NB you dont need to try and findany other studies). What might be the implications of the evidence for the health systemin relation to the quality and safety of patient care? [5 marks] 9058: Evidence Based Health CareSemester 2 2015 4Part 4 (10 marks)You have been asked to work on a research project that has recently been submitted to aHuman Research Ethics Committee for approval. The project aims to investigate the use ofalcohol by underage adolescents (below age 18). Underage drinking particularly bingedrinking is an identified public health problem in Australia. The study will explore thefrequency and amount of alcohol use sources of alcohol types of alcoholic beverages cooccuringother substance use and the consequences of alcohol use. It is hoped that the studycan inform effective public health strategies to reduce underage drinking.The data will be collected in 2 ways as follows.a. By self-reported online survey participants will be recruited via advertisements insecondary schools which will direct interested volunteers to a secure website.b. By brief face-to-face interviews at selected events such as music festivals and majorconcerts. Potential participants at the nominated events will be identified as:i. Likely to be in the target age rangeii. Observed to be in possession of alcoholic beverages or appear to be under theinfluence of alcohol.The participants will be asked to answer a few questions which will include confirminginclusion criteria (screening for age and alcohol possession) and questions about thesource type and amount of alcohol.Assessment items4.1 What do you believe to be the key risks associated with the research? Who bears thoserisks? [3.5 marks] 4.2 What do you believe would be the potential benefits of the research? Who wouldpotentially benefit? [1.5 marks] 4.3 What additional ethical issues or concerns do you believe there may be? [3.5 marks] 4.4 Do you believe the Human Research Ethics Committee should approve this researchproposal either in part or in full? Why or why not? [1.5 marks]
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