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Why Nurses Need Statistics
Why Nurses Need Statistics
Nurses returning to school to further their education and complete an online RN to BSN
program are sometimes surprised to see a statistics course in the curriculum. While it is true that
most nurses with a BSN are not involved in crunching numbers for their everyday work, they do
need to understand the basics of statistics so they can apply evidence-based practice (EBP) to
care delivery.
Whether it’s monitoring a patient’s mean arterial pressure or recording the growth percentile of
an infant, nurses use statistical measures in their practice more often than they may realize.
Using statistics and EBP helps nurses apply the most current and up-to-date research and
evidence to patient care delivery. A working knowledge of statistical terminology, including
more common terms such as mean, median, mode, and average is essential. Nurses also need to
understand statistical concepts such as validity, reliability, and statistical significance when
reviewing healthcare research or consulting journals about best practices and new treatments for
patient care.
In addition to providing physical care and assessments, nurses spend a great deal of time
teaching patients and families. Patients are now doing more research online about their medical
conditions and treatment options than ever before. Nurses can help patients sort through online
sources and find the answers they need.
Teaching patients about what constitutes low- and high-risk behaviors often falls to nurses. They
can help patients understand the risks and side effects of certain treatments and procedures. A
basic knowledge of statistics helps nurses provide patients with fact-based answers to their
questions and often the reassurance they might need.
Given the importance of statistics in EBP, the need for relevant knowledge becomes clear. The
Biostatistics for Nursing course in Nevada State College’s online RN to BSN curriculum
provides nurses with the information and tools they need to understand and apply healthcare
research.
Learn more about Nevada State’s RN to BSN online program.
Sources:
First and foremost statistics is useful in health promotion through drugs and product
development whereby statistics are used to collect data and carefully draw conclusions
on clinical trials on new drugs, new treatment procedures, and other new
technologies. The statistics help the developers to weigh the merits against the
demerits of a given development of a drug.
Besides, statistics are fundamental in determining health care utilization and allocation
of resources. Demographic data such as sex, age, income, disabilities are useful in
predicting the services people use and the level of healthcare they can afford. This data
can get referenced when applying for funds, justification of budgets and effective
allocation of resources such as money and drugs.
It also helps leaderships such as governments, ministries, and human health agencies
to assess the overall health status of the population of a given community or country.
The government can understand what the most prevalent disease or condition is, and
through that data set policies on how to deal with that situation. It can use the data to
understand if there is a need for increased hospitals, doctors, drugs, new technologies
or even development of vaccination programs (Bottle and Aylin, 2017).
Statistics are also essential in improving the quality of the healthcare services that are
provided by a healthcare provider or hospital. Statistical data like performance and
failure such as the number of deaths or number of recovered patients helps them to
analyze where the weaknesses are and therefore provide a basis for improved decision
making. Decisions on how to minimize the weaknesses and maximize the strengths get
made with high confidence levels.
Statistics is also vital in the pharmacological sector which majorly deals with the
research and manufactures of drugs as well as the administration of drugs. Statistical
techniques are useful in conducting experiments and trials on new medications and
dosages. Statistics is particularly vital in pharmacological research as it summarizes the
experimental data into central tendencies like median and average, variance such as
deviation, range, standard errors and confidence interval as well as hypothesis testing.
It can be used in hypotheses testing the superiority of one drug to another and the
implications of the development of such a drug (Ab, 2015). The data collected from the
trials and experiments are analyzed and interpreted. It is then used to make day to day
decisions on whether to use a new drug, increase the dosage, and modify an existing
drug or even ban the use of a given drug may be due to its effects or development of
resistance by diseases (European Medicines Agency, 2016).
Statistics are also useful in the control of infectious diseases. Statistics are used to rank
countries or areas based on the epidemiology of a given condition. This data is then
used to isolate or quarantine the movement of people and animals and hence control
the spread of a particular disease. In cases of Ebola and swine flu, when the statistics
get to a given percentage, a country can deter movement of people from one region to
another to prevent pandemics (Wilson et al., 2015).
References
Ab, R. J. (2015). Brief Guidelines for Methods and Statistics in Medical Research. Singapore:
Springer Singapore.
Bottle, A., & Aylin, P. (2017). Statistical methods for healthcare performance monitoring. Boca
Raton: Taylor & Francis
European Medicines Agency. (2016). Guideline on multiplicity issues in clinical trials.
(http://www.ema.europa.eu/docs/en_GB/document_library/Scientific_guideline/
2017/03/WC500224998.pdf).
Illowsky, B., & Dean, S. (2016). Introductory Statistics. Houston, Texas: OpenStax.
Quirk, T. J., & Cummings, S. (2014). Excel 2010 for health services management statistics: A
guide to solving practical problems. Cham: Springer
Scott, I., & Mazhindu, D. (2014). Statistics for healthcare professionals: An introduction.
London: SAGE Publications Ltd
Wilson, J., Chen, D. G., & Springer Science. (2015). Innovative statistical methods for public
health data. Cham: Springer.
Types of statistical tests: There are a wide range of statistical tests. The
decision of which statistical test to use depends on the research design, the
distribution of the data, and the type of variable. In general, if the data is
normally distributed you will choose from parametric tests. If the data is
non-normal you choose from the set of non-parametric tests. Below is a
table listing just a few common statistical tests and their use
Type of Test: Use:
Pearson Tests for the strength of the association between two continuous
correlation variables
Tests for the strength of the association between two ordinal
Spearman
variables (does not rely on the assumption of normal distributed
correlation
data)
Independent T-
Tests for difference between two independent variables
test
Simple Tests how change in the predictor variable predicts the level of
regression change in the outcome variable
Multiple Tests how change in the combination of two or more predictor
regression variables predict the level of change in the outcome variable
Wilcoxon rank- Tests for difference between two independent variables - takes
sum test into account magnitude and direction of difference
Wilcoxon sign- Tests for difference between two related variables - takes into
rank test account magnitude and direction of difference
It is important to understand when you do purely qualitative research you are not interested
to know variables but you are interested to find out variations and different dimensions of
any phenomena. Hence, in most of the studies descriptive statistics is sifficient. However,
depending upon your research question you may have to do regressions and the like. For
example if you are interested to know the dimensions of divorce with special reference to
people”s exposure to social media and the like, then you have to find out the correlation of
the spread of social media and rate of divorce over time. After establishing that correlation
you can actually mount on doing that qualitative research.
In yet other cases you might like to do quantification of qualitative domains within a
population where you can make use of statistics like that of a fully quantitatively designed
study.
This depends on the design of the study, the specific research question, and the hypotheses
that the researcher is trying to support. Regression analysis may be applicable, but so might
ANOVA, correlation, hypothesis testing, SPC, and even quasi-experimental analysis. My
experience is that it will be a combination of statistical approaches to indicate validity of
data and then to show that the hypotheses are verified (or not). The type of analysis
performed will depend specifically on your study design and the nature of the data you
gather.
Following are two books I highly recommend that will answer your question pretty
thoroughly (both of which were invaluable to me in my studies):
Creswell, J.W. (2012). Qualitative Inquiry and Research Design: Choosing Among Five
Approaches, 3rd Edition. Thousand Oaks, CA: SAGE Publications, Inc. ISBN-13: 978-
1412995306
rked at Qualitative Research7y
Related
Who uses qualitative research and why?
People who use qualitative research are those who need to organize information into
coherent systems to create sustained change, rather than those who specialize in dealing
with isolated points of data. Qualitative research does not seek to objectively measure
patterns in discrete, observable phenomenon, as quantitative research does. Rather,
qualitative research explores the subjective nature of ideas.
Often, people use qualitative research after they've conducted quantitative studies, but still
find themselves still struggling to understand the human behavior that they're concerned
with. Qualitative and quantitative researchers aren't enemies - at least not those who take a
professional attitude toward their craft. Instead, they complement each others' work.
Often, people seek out qualitative research when they encounter patterns in quantitative
work that they don't know how to explain, or when models constructed through
quantitative research don't match actual human behavior. On the other hand, people also
often use qualitative research as a prelude to quantitative research, identifying and defining
the culturally relevant factors for statistical analysis.
During my career, I've worked on qualitative research projects for client teams from almost
every conceivable profession, from the government, non-profit organizations, and
commercial corporations.
These have included journalists and health care companies. Journalists are experts at asking
questions, of course, both qualitative and quantitative, but they've struggled to adapt to the
digitization of information. Journalistic organizations are currently looking for new
opportunities, and are searching for them using qualitative research to explore the more
subtle aspects of the culture of new consumption that can't be understood just by looking
at readership statistics.
In health care, qualitative research is being used to understand how doctors and hospitals
can communicate more effectively with patients to keep them on health care regimens.
Patient noncompliance with physicians' recommendations is rampant, and has a huge cost,
financially and socially. Medical professionals are finally beginning to understand that simply
educating patients about risk isn't sufficient, because patients aren't primarily motivated by
rational calculations of tangible benefit (you didn't hear this from me, but underneath their
cold scientific veneer, doctors aren't either).
Recently, the promise of Big Data has been the subject of a great deal of hype, largely
because its technologies are new, and its application is consistent with business culture's
emphasis on quantitative optimization. Observant researchers are noting, however, that Big
Data systems aren't meeting their expectations. So, a new generation of qualitative
researchers are seeking to construct more robust, in-depth methods that can match the
scale of Big Data, to give it a human dimension, to make it more Thick. For this reason, you'll
find that the most experienced qualitative researchers are pulling back from relatively
superficial techniques, such as surveys and focus groups, because they can increasingly be
performed automatically by computerized systems. What people are looking for from
qualitative researchers these days are more involved, prolonged qualitative approaches,
such as ethnography and ritualized psychological interviewing and analysis, making use of
the particularly human skills of emotionally rich encounter that even the most advanced
algorithms can't begin to emulate.
Qualitative research is the process of inquiry that seeks to understand the nature of its
subjects. Qualitative research is designed to elucidate the characteristics of the things it
studies, as they are perceived by human beings. Qualitative research thus examines
subjective experience, rather than attempting to gather and analyze objective data.
So, coming upon a field of blue flowers, a quantitative researcher might count the number
of flowers, describe the distribution in plant height, or analyze the comparative rate in
pollinator activity on flowers according to a variety of numerically-defined variables. A
qualitative researcher, on the other hand, might provide a thick description of the scene,
including its physical appearance, an analysis of human use of the field over history,
perceptions of local residents of the flowers, investigating for cultural and psychological
meaning of the field and its plants in comparison to other other areas of land.
It is often said that while quantitative research attempts to measure reality, qualitative
research attempts to describe why reality is the way it is. This distinction isn't quite accurate.
Quantitative research sometimes does attempt to uncover reasons for patterns in reality,
and qualitative research often does attempt to describe reality.
What's more accurate is to say that qualitative and quantitative research use different
conceptual techniques for different goals. Whereas quantitative research reduces reality to
numerical expression for the sake of clarity, seeking to produce findings that are testable,
qualitative research not only accepts the ambiguities inherent in human interpretations of
reality, but often even makes the examination of these ambiguities its focus. For this reason,
qualitative research is often open-ended, meaning that it begins with broad questions that
do not predetermine the kind of answers that can be provided, and then allows the
information it finds to direct the research into more particular areas of focus.
Quantitative Research: What It Is,
Tips & Examples
Quantitative research involves collecting and analyzing numerical data. It is ideal for
identifying trends and averages, making predictions, testing relationships, and
generalizing results for large populations.
This method is widely used in natural and social sciences, such as biology, chemistry,
psychology, economics, sociology, marketing, and others.
This article will provide you with an overview of the different types of quantitative
research, tips on applying this method, and the benefits of conducting it.
One of the main characteristics of this type of research is that the results can be
depicted in numerical form. After a careful understanding of these numbers, it’s
possible to predict the future of a product or service and make changes accordingly.
Quantitative outcome research is mostly conducted in the social sciences using the
statistical methods used above to collect quantitative data from the research study. In
this research method, researchers and statisticians deploy mathematical frameworks
and theories that pertain to the quantity under question. The results achieved from this
research method are logical, statistical, and unbiased. Data collection happened using
a structured method and was conducted on larger samples representing the entire
population.
| Do you want to know more about this topic? Learn here how to avoid and what bias sampling is.
As mentioned above, quantitative research is data-oriented. There are two methods for
conducting quantitative research. They are:
Primary Methods
There are four different types of quantitative research methods:
Primary quantitative research is the most widely used method of conducting market
research. The distinct feature of primary research is that the researcher focuses on
collecting data directly rather than depending on data collected from previously done
research. Primary quantitative research design can be broken down into three further
distinctive tracks and the process flow. They are:
1. Survey Research:
This type of research can be conducted with a specific target audience group and also
can be conducted across multiple groups along with comparative analysis. A
prerequisite for this type of research is that the sample of respondents must have
randomly selected members. This way, a researcher can easily maintain the accuracy
of the obtained results as a huge variety of respondents will be addressed using
random selection.
There are two types of surveys, either of which can be chosen based on the time in
hand and the kind of data required:
2. Correlational research:
Researchers use this quantitative research design to correlate two or more variables
using mathematical analysis methods. Patterns, relationships, and trends between
variables are concluded as they exist in their original setup. The impact of one of these
variables on the other is observed, along with how it changes the relationship between
the two variables. Researchers tend to manipulate one of the variables to attain the
desired results.
3. Causal-comparative research:
This research method mainly depends on the factor of comparison. Also called quasi-
experimental research, this quantitative research method is used by researchers to
conclude the cause-effect equation between two or more variables, where one variable
is dependent on the other independent variable. The independent variable is
established but not manipulated, and its impact on the dependent variable is observed.
These variables or groups must be formed as they exist in the natural setup. As the
dependent and independent variables will always exist in a group, it is advised that the
conclusions are carefully established by keeping all the factors in mind.
4. Experimental research:
Also known as true experimentation, this research method relies on a theory. As the
name suggests, experimental research is usually based on one or more theories. This
theory has yet to be proven before and is merely a supposition. In experimental
research, an analysis is done around proving or disproving the statement. This
research method is used in natural sciences. Traditional research methods are more
effective than modern techniques.
After establishing the statement, efforts are made to understand whether it is valid or
invalid. This quantitative research method is mainly used in natural or social sciences
as various statements must be proved right or wrong.
Probability sampling:
A theory of probability is used to filter individuals from a population and create
samples in probability sampling. Participants of a sample are chosen by random
selection processes. Each target audience member has an equal opportunity to be
selected in the sample.
Non-probability sampling:
Non-probability sampling is where the researcher’s knowledge and experience are
used to create samples. Because of the researcher’s involvement, not all the target
population members have an equal probability of being selected to be a part of a
sample.
In the above, we have seen the process of building a survey along with the research
design to conduct primary quantitative research. Survey distribution to collect data is
the other important aspect of the survey process. There are different ways of survey
distribution. Some of the most commonly used methods are:
Email: Sending a survey via email is the most widely used and effective survey
distribution method. This method’s response rate is high because the
respondents know your brand. You can use the QuestionPro email
management feature to send out and collect survey responses.
Buy respondents: Another effective way to distribute a survey and conduct
primary quantitative research is to use a sample. Since the respondents are
knowledgeable and are on the panel by their own will, responses are much
higher.
Embed survey on a website: Embedding a survey on a website increases a
high number of responses as the respondent is already in close proximity to
the brand when the survey pops up.
Social distribution: Using social media to distribute the survey aids in
collecting a higher number of responses from the people that are aware of the
brand.
QR code: QuestionPro QR codes store the URL for the survey. You can
print/publish this code in magazines, signs, business cards, or on just about
any object/medium.
SMS survey: The SMS survey is a quick and time-effective way to collect a
high number of responses.
Offline Survey App: The QuestionPro App allows users to circulate surveys
quickly, and the responses can be collected both online and offline.
Survey example
An example of a survey is short customer satisfaction (CSAT) survey that can quickly
be built and deployed to collect feedback about what the customer thinks about a
brand and how satisfied and referenceable the brand is.
Polls are a method to collect feedback using close-ended questions from a sample.
The most commonly used types of polls are election polls and exit polls. Both of these
are used to collect data from a large sample size but using basic question types like
multiple-choice questions.
Remember to consider aspects of research that were not considered for the data
collection process and report the difference between what was planned vs. what was
actually executed.
Inferential statistics methods such as confidence interval, the margin of error, etc., can
then be used to provide results.
Secondary Methods
Secondary quantitative research or desk research is a research method that involves
using already existing data or secondary data. Existing data is summarized and
collated to increase the overall effectiveness of the research.
This research method involves collecting quantitative data from existing data sources
like the internet, government resources, libraries, research reports, etc. Secondary
quantitative research helps to validate the data collected from primary quantitative
research and aid in strengthening or proving, or disproving previously collected data.
The following are five popularly used secondary quantitative research methods:
1. Data available on the internet: With the high penetration of the internet and
mobile devices, it has become increasingly easy to conduct quantitative
research using the internet. Information about most research topics is
available online, and this aids in boosting the validity of primary quantitative
data as well as proving the relevance of previously collected data.
2. Government and non-government sources: Secondary quantitative
research can also be conducted with the help of government and non-
government sources that deal with market research reports. This data is
highly reliable and in-depth and hence, can be used to increase the validity of
quantitative research design.
3. Public libraries: Now a sparingly used method of conducting quantitative
research, it is still a reliable source of information, though. Public libraries
have copies of important research that was conducted earlier. They are a
storehouse of valuable information and documents from which information
can be extracted.
4. Educational institutions: Educational institutions conduct in-depth research
on multiple topics, and hence, the reports that they publish are an important
source of validation in quantitative research.
5. Commercial information sources: Local newspapers, journals, magazines,
radio, and TV stations are great sources to obtain data for secondary
quantitative research. These commercial information sources have in-depth,
first-hand information on economic developments, political agendas, market
research, demographic segmentation, and similar subjects.
Conclusion
Quantitative research is a structured way of collecting and analyzing data from
various sources. Its purpose is conclusive as it seeks to quantify the problem and
understand its extent, looking for results that can be projected to a larger population.
Companies that use quantitative rather than qualitative research typically aim to
measure magnitudes and seek objectively interpreted statistical results. So if you want
to obtain quantitative data that helps you define the structured cause-and-effect
relationship between the research problem and the factors, you should opt for this type
of research.
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