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*****THIS IS A NURSING EDUCATION COURSE AND TWO SCHOLARLY ARTICLES MUST BE ATTACHED. APA FORMAT You are a member

*****THIS IS A NURSING EDUCATION COURSE AND TWO SCHOLARLY ARTICLES MUST BE ATTACHED. APA FORMAT

You are a member of a 3-person educational team that has developed a competency test that uses 50 multiple choice test questions to determine the knowledge and skill level of learners. After 30 learners have completed the competency test, the team conducted an item analysis. From the results, there are 10 questions that are identified as being problematic. One of the educators wants to consider each of these questions individually to see if one or more of the questions should be removed from the test. However, a second educator is strongly against this by stating, “This is a competency test; it has validity because we wrote it—the test questions should not be altered. The grade on the examination should stand!” The third educator wants to remove the ten questionable items from the test and raise all learners’ scores. For the educator in professional nursing development, this will result in staff nurses who have failed the exam being placed on performance improvement plans and possible dismissal from the agency. For the educator in the academic setting, the learner will not be allowed to progress to the next course, must repeat the current course, and may be dismissed from the academic program.

What quantitative and qualitative information would you provide in order to assist these educators to consider the quality of the test questions?

the advanced practice nurse can play a role in improving the health of young adults through preventive screening and intervention.

Class Name: Health Promotion: Prevention of Disease
(United States Nursing Undergraduate)

– As given by the Professor:
Discussion:
Despite increased abilities across developmental realms, including the maturation of pain systems involving self-regulation and the coordination of affect and cognition, the transition to young adulthood is accompanied by higher rates of mortality, greater engagement in health-damaging behaviors, and an increase in chronic conditions. Rates of motor vehicle fatality and homicide peak during young adulthood, as do mental health problems, substance abuse, unintentional pregnancies, and sexually transmitted infections.

1. Describe how the advanced practice nurse can play a role in improving the health of young adults through preventive screening and intervention.

Discussion paper must follow this format.
– APA format
– 1 page or more, not including the cover and reference page.
– References no less than five years old (2016-2021).
– Articles must be based in the United States.
– All references used must be referenced in-text and in the correct format.

Respond to the following 2 posts: 1. I thoroughly enjoyed how you broke down the statistical tests into your

Respond to the following 2 posts:

1. I thoroughly enjoyed how you broke down the statistical tests into your specific t-test. I found it very easy to understand the layers of tests and the sub-groups by the way you explained the groupings. Regarding your question re: Congestive Heart Failure and patients being administered Spironolactone versus Furosemide; will you further break out Heart Failure with Preserved Ejection Fraction (HFpEF) to those with Heart Failure with Reduced Ejection Fraction (HFrEF)? I ask because the degree of ejection fraction that remains will also play a significant role in how quickly the patient Basic Naturietic Peptide (BNP) decreases. Additionally, will your research account for Potassium serum levels as Spironolactone is a potassium sparing distal renal tubule diuretic versus Furosemide which is a potassium removing loop diuretic. I am very interested to see what your research uncovers as this has great clinical applicability for patients with hyper and hypokalemia in the setting of heart failure with elevated BNP levels.

“B-type natriuretic peptide (BNP) has prognostic significance in heart failure (HF), and reductions in BNP may predict clinical improvement, and short-term follow-up BNP and percent change in BNP level are significant prognostic factors of all-cause mortality” (Khanam et al., 2017).

Following an admission for acute heart failure, patients with heart failure with preserved ejection fraction have a similar rehospitalization burden to those with heart failure with reduced ejection fraction. However, patients with heart failure with preserved ejection fraction are more likely to be readmitted for non-cardiovascular causes (Santas et al., 2017).

My initial thought was those patients with HFpEF (heart able to pump out normal amount of blood from Left Ventricle) would have a lower admission rate for Congestive Heart Failure exacerbation versus those patients with HFrEF as by definition their heart is not functioning or pumping blood to its fullest potential. I am eager to read your findings as I deal with CHF exacerbation patients with both rEF and pEF daily.

2. Statistical analysis is used in nursing research to study many different things in the medical field. It is used to study different forms of data such as trends, graphs, patterns, and different methods to compare and contrast different things. Quantitative data is most often used in statistical analysis. The one I want to talk about is the T-test in nursing research. “The t-test developed by William S. Gosset (also known as Student’s t-test and the two-sample t-test) is commonly used to compare one sample mean on a measure with another sample mean on the same measure. The outcome of the t-test is used to draw inferences about how different the samples are from each other. It is probably one of the most frequently relied upon statistics in inferential research.” (Jankowski, 2017) The level of measurement is “The t-test that healthcare and other researchers use today has two parts: a mathematical equation that provides a number or value (the t-statistic), and a table of all the possible results of that equation (all possible t-statistics). An example that could be used in nursing research using the t-test is lets say I my friends and I are skateboarding, and we all fall and get similar abrasions on our knees. 3 of them decide to use antibiotic ointment and I do not. Their wounds end up healing much faster than mine. We could do a t-test and use the mean data of each of the wound healing, and measure the amount of days until they were all completely healed and compare the data afterwards.

Provide examples of how new information learned in this course has impacted you or will impact you professionally in

Provide examples of how new information learned in this course has impacted you or will impact you professionally in clinical practice. Post your initial response by Wednesday at midnight. Respond to one student by Sunday at midnight. Both responses should be a minimum of 150 words, scholarly written, APA formatted, and referenced. A minimum of 2 references are required (other than your text). Refer to the Grading Rubric for Online Discussion in the Course Resource section. I work in a geriatric psych facility: These are the topics we covered over the course: Course : Advanced Health Assessment Topics Covered: Special Examination techniques and issues Pain Assessment, Examination of the Skin, Hair, nails,lymphatics, head and neck. Examination of the eyes, Ears, Nose and throat. Assessment of Chest, lungs and breasts. The Heart and Blood vessels Examination of the Anus, Rectum, Prostate and musculoskeletal system Neurological Exam and sports participation. Provide examples of how new information learned in this course has impacted you or will impact you professionally in clinical practice. Post your initial response by Wednesday at midnight. Respond to one student by Sunday at midnight. Both responses should be a minimum of 150 words, scholarly written, APA formatted, and referenced. A minimum of 2 references are required (other than your text). Refer to the Grading Rubric for Online Discussion in the Course Resource section. I work in a geriatric psych facility: These are the topics we covered over the course: Course : Advanced Health Assessment Topics Covered: Special Examination techniques and issues Pain Assessment, Examination of the Skin, Hair, nails,lymphatics, head and neck. Examination of the eyes, Ears, Nose and throat. Assessment of Chest, lungs and breasts. The Heart and Blood vessels Examination of the Anus, Rectum, Prostate and musculoskeletal system Neurological Exam and sports participation.

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