1. The basis for our lesson this week came from the Standards of Practice for Culturally Competent Nursing Care Executive Summary, Transcultural Nursing Society: (Links to an external site.).
Assume your nursing leader has decided that the department needs to better incorporate these Standards of Practice for Culturally Competent Nursing Care into the nursing care delivery model at your organization. There are 12 Standards.
- Download and read the Executive Summary, and select one of the 12 standards as the basis for the discussion. Think about the standards as they relate to culturally sensitive care.
- Explain how your department or organization currently gives credence to this standard.
- If it does not, from your newfound knowledge, offer suggestions of how the standard can be incorporated into patient care in your department or organization.
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2. Confidence Intervals
In everyday terms, a confidence interval is the range of values around a sample statistic (such as mean or proportion) within which clinicians can expect to get the same results if they repeat the study protocol or intervention, including measuring the same outcomes the same ways. As you ask yourself, “Will I get the same results if I use this research?”, you must address the precision of study findings, which is determined by the Confidence Interval. If the CI around the sample statistic is narrow, you can be confident you will get close to the same results if you implement the same research in your practice.
Consider the following example. Suppose that you did a systematic review of studies on the effect of tai chi exercise on sleep quality, and you found that tai chi affected sleep quality in older people. If, according to your study, you found the lower boundary of the CI to be .49, the study statistic to be 0.87, and the upper boundary to be 1.25, this would mean that each end limit is 0.38 from the sample statistic, which is a relatively narrow CI.
(UB LB)/2 = Statistic [(1.25 .49)/2 = .87]
Keep in mind that a mean difference of 0 indicates there is no difference; this CI does not contain 0. Therefore, the sample statistic is statistically significant and unlikely to occur by chance.
Because this was a systematic review, and tai chi exercise has been established from the studies you assessed as helping people sleep, based on the sample statistics and the CI, clinicians could now use your study and confidently include tai chi exercises among possible recommendations for patients who have difficulty sleeping.
Now you can apply your knowledge of CIs to create your own studies and make wise decisions about whether to base your patient care on a particular research finding.
Initial Post Instructions
Thinking of the many variables tracked by hospitals and doctors’ offices, confidence intervals could be created for population parameters (such as means or proportions) that were calculated from many of them. Choose a topic of study that is tracked (or that you would like to see tracked) from your place of work. Discuss the variable and parameter (mean or proportion) you chose, and explain why you would use these to create an interval that captures the true value of the parameter of patients with 95% confidence.
Consider the following:
How would changing the confidence interval to 90% or 99% affect the study? Which of these values (90%, 95%, or 99%) would best suit the confidence level according to the type of study chosen? How might the study findings be presented to those in charge in an attempt to affect change at the workplace?
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Example :School Bond for constructing a new building
Pre-Election polling has the voters approving at 52%
WITH a MARGIN OF ERROR (E) of 4%
Should the school district start digging?? no—–Why????
Confidence Interval–Given the Sample Data and Margin of Error, where might the results land???
(52 – 4, 52 4) = (48, 56)—–at 48%, the bond does not pass. At 56%, it passes easily.
(x -E, x E) x = sample mean E = Margin of Error
Confidence Level, which has to do with precision, will affect the size or width of the Confidence Interval.
Expert Solution Preview
Introduction:
In this assignment, we will address two different topics. First, we will discuss the Standards of Practice for Culturally Competent Nursing Care and how they can be incorporated into the nursing care delivery model in an organization. Secondly, we will explore the concept of confidence intervals and how they can be used in creating studies and making decisions about patient care based on research findings.
Answer to question 1:
One of the 12 Standards of Practice for Culturally Competent Nursing Care that we have selected as the basis for discussion is Standard 3: Advocacy and Empowerment. This standard focuses on promoting the rights and interests of culturally diverse individuals and groups to ensure their access to quality healthcare.
In our department or organization, we currently give credence to this standard through various ways. Firstly, we have established a diverse and culturally competent staff who can effectively communicate and understand the needs of our culturally diverse patients. This enables us to provide patient-centered care that respects and acknowledges cultural differences.
Secondly, we have implemented cultural sensitivity training programs for our staff members. These programs aim to enhance their awareness and understanding of diverse cultural practices, beliefs, and values. By equipping our staff with cultural knowledge, we empower them to deliver care that is respectful, non-discriminatory, and tailored to the individual needs of our patients.
Additionally, we have developed policies and procedures that explicitly address cultural competence in our organization. These policies advocate for the provision of culturally sensitive care and outline guidelines for cultural assessment, communication, and care planning. They also promote the involvement of patients and their families in decision-making processes, ensuring that their cultural preferences and values are respected.
If our department or organization does not currently give sufficient credence to this standard, we can incorporate it into patient care by initiating educational initiatives. These initiatives could include mandatory cultural competency training for all staff members, regular workshops on cultural awareness and sensitivity, and the integration of cultural competence principles into our curriculum and clinical practice guidelines. By promoting advocacy and empowerment, we can ensure that our patients’ rights and interests are respected, leading to enhanced patient satisfaction, outcomes, and overall healthcare quality.
Answer to question 2:
The topic of study that I would like to see tracked in my place of work is the patient satisfaction level with pain management interventions. The variable of interest would be the proportion of patients who report being satisfied with the pain management services provided.
To create a confidence interval that captures the true value of the proportion of satisfied patients with 95% confidence, we would collect relevant data on patient satisfaction with pain management interventions. From this data, we would calculate the sample proportion of patients who reported being satisfied and the associated sample size.
Changing the confidence interval to 90% or 99% would affect the study in terms of the width of the interval. A 90% confidence interval would yield a narrower interval compared to a 95% confidence interval, while a 99% confidence interval would result in a wider interval. The choice of the confidence level depends on the desired level of precision and the potential impact of the study findings.
In the case of patient satisfaction with pain management interventions, a 95% confidence level would be appropriate. This level of confidence provides a balance between precision and generalizability of the findings. It allows for a reasonably narrow interval while still providing a high degree of confidence in capturing the true value of the proportion of satisfied patients.
To present the study findings to those in charge and affect change at the workplace, the results could be summarized in a report or presentation. This report should include the estimated proportion of satisfied patients, the corresponding confidence interval, and any relevant statistical tests or analyses performed. The report should highlight the importance of patient satisfaction and the potential impact on patient outcomes and overall healthcare quality. Recommendations for improvement, such as targeted interventions, staff training, or revised protocols, can be proposed based on the findings of the study. The goal is to raise awareness and initiate discussions on enhancing pain management interventions and patient satisfaction within the organization.
