Sample Selection and Application Paper
Sample Selection and Application Paper
You will enter Sentinel City® via the link to begin your virtual experience by taking a bus tour of Sentinel City®.
Sentinel City® is a city just like your neighborhood. People live there from culturally diverse backgrounds. They vary in age, gender, and income level. Nurse researchers are unable to study the entire world so they choose “groups” or populations to study that actually mirror the population of interest. Your role is to experience the city and identify the “neighborhood” or sample that would provide the best place to study:
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- Geriatrics
- South East Asians
- Poverty
- Pediatrics
Once you have identified the neighborhoods, complete an analysis of any evidence-based practice intervention that applies to one population of your choice and describe how you would implement this in the Sentinel City® neighborhood. Remember, use resources that are interprofessional, evidence-based and focus on improving health outcomes. Sample Selection and Application Paper
Helpful tips:
Don’t forget to view the Sentinel City navigation tips. After choosing an avatar you may be able to teleport to the various areas by utilizing the interactive map.
- How do I find out about the people who live in each neighborhood? How do I find out who lives here? How do I find the city population?
- As you ride through the city you will be able to access the population statistics for each neighborhood. It will open on the left. You may pause the bus to view. You may also teleport to an area and choose the information icon.
- Where can I find information on seniors?
- You may pause the bus and select the rotating icon for specifics about seniors in the city
- What information is available about healthcare use in Sentinel City®?
- The Sentinel City® Healthcare System data is accessible by selecting the rotating icon. This selection will take you to a menu that has information on dentistry, vision, emergency, ambulatory care, integrated services, inpatient, pharmacy, and elderly.
- How do I know whom to sample for a research study?
- The researcher will often choose a population that contains the most number of subjects who have the study topic. For instance, to study children choose the area with the most children
- Where does a nurse find evidence-based practice recommendations?
- Visit the American Nurses Association
- Question: What type of health promoting activity is interprofessional?
- Think broadly consider nutrition (diet), Activity (exercise), Dental health, etc.
Review these core competencies:
- Evidence-Based Practice – Core Competencies: Demonstrate an understanding of the basic elements of the research process and models for applying evidence to clinical practice.
- Sample Selection: Participate in the process of retrieval, appraisal, and synthesis of evidence in collaboration with other members of the healthcare team to improve patient outcomes.
- Interprofessional EBP Guidelines: Integrate evidence, clinical judgment, interprofessional perspectives, and patient preferences in planning, implementing, and evaluating outcomes of care.
- Interprofessional EBP Guidelines: Collaborate in the collection, documentation, and dissemination of evidence.
- Explore Research Literature for EBP Guidelines: Acquire an understanding of the process for how nursing and related healthcare quality and safety measures are developed, validated, and endorsed.
- Application of the PICO Model to Nursing Care: Describe mechanisms to resolve identified practice discrepancies between identified standards and practice that may adversely impact patient outcomes.
Suggested Reading
Read: Houser, J. (2018). Nursing research: Readings, using & creating evidence (4th ed.). Burlington, MA: Jones & Bartlett Learning.
- Chapter 7, p. 157-185
- Chapter 8, p. 189-226
- Chapter 9, 229-252
Valerio, M. A., Rodriguez, N., Winkler, P., Lopez, J., Dennison, M., & Yuanyuan Liangrbara, J. T. (2016). Comparing two sampling methods to engage hard-to-reach communities in research priority setting. BMC Medical Research Methodology, 16 doi:http://dx.doi.org.americansentinel.idm.oclc.org/10.1186/s12874-016-0242-z
Additional Instructions:
- All submissions should have a title page and reference page.
- Utilize a minimum of two scholarly resources.
- Adhere to grammar, spelling and punctuation criteria.
- Adhere to APA compliance guidelines.
- Adhere to the chosen Submission Option for Delivery of Activity guidelines.
Submission Options:
Choose One:
Instructions:
Paper
- 4 to 6-page paper. Include title and reference pages.
-
SIM422-19ASampleSelection1.pdf
Evidenced-Based Practice- Sample Selection and Application
Description: Professional nursing practice is grounded in the translation of current evidence
into practice.
Course Competencies: 1) Examine the relationships among theory, practice, and research. 2)
Interpret research findings using the elements of the research process. 5) Evaluate data from
relevant sources, including technology, to inform the delivery of care to culturally and
ethnically diverse populations. 6) Collaborate with health team members to collect, interpret,
synthesize and disseminate evidence to improve patient outcomes in complex health care
environments. Sample Selection and Application Paper
QSEN Competency: 3) Evidence-Based Practice
BSN Essential III
Area Gold
Mastery
Silver
Proficient
Bronze
Acceptable
Acceptable
Mastery not Demonstrated
Fully detail how the research process is sampling dependent.
Describes neighborhoods that reflect the best fit for 1-Geriatrics 2- South East Asians
3- Poverty 4-Pediatrics
Fully details how the research process is sampling dependent.
Describes neighborhoods that reflect the best fit for 1- Geriatrics 2- South East Asians 3- Poverty 4-
Pediatrics
Describes how research and sampling affect generalizability of findings but does not identify
specific populations in Sentinel City® Superficially describes sampling but does not connect to
generalizability of research findings to practice
Identifies populations of interest but does not relate to research applicability
Fully detail, with specific example(s), inter- professional evidence-based practice guidelines
and states outcomes specific to one area of choosing 1-Geriatrics 2- South East Asians
3- Poverty 4- Pediatrics
Fully details, with specific example(s), inter- professional evidence-based practice guidelines
and states outcomes specific to one area of choosing 1- Geriatrics 2- South East Asians
3- Poverty 4-Pediatrics
Describes, with specific example(s) inter professional evidence-based practice guidelines
but does not develop outcomes specific to a population
Superficially describes with what evidence- based practice guidelines are available but does
not address interprofessional nature or outcomes
Provides suggestions to improve care for population but provides no research/evidence
to support
APA, Grammar,
Spelling, and
Punctuation
No errors in APA,
Spelling, and
Punctuation.
One to three errors
in APA, Spelling,
and Punctuation.
Four to six errors
in APA, Spelling,
and Punctuation.
Seven or more
errors in APA,
Spelling, and
Punctuation.
References Provides two or more references.
Provides two references.
Provides one references.
Provides no references.
Include a PICO model that clearly labels specific population, intervention, comparison and desired outcomes
Identifies the need to perform frequent reassessment and adjust plans of care to meet
desired outcomes
Includes a PICO model that clearly labels specific population, intervention, comparison and
desired outcomes
Identifies the need to perform frequent reassessment and adjust plans of care to meet desired outcomes
Includes a PICO model that clearly labels specific population, intervention, comparison and
desired outcomes but does not link evidence to quality outcomes and reassessment
Includes a general description of the PICO model.
There is no population specific evidence or outcome monitoring suggestions
There is no discussion of the PICO model
-
Demographics.pdf
Sentinel City® Community Health Simulation Demographics
Sentinel City
Population 663,862
Population, base estimate (2yrs ago) 600,024
Population, percent change, 2-yr growth 9.6%
Persons under 5 years, percent 7.4%
Persons under 18 years, percent 21.7%
Persons 65 years and over, percent 10.5%
Female persons, percent 49.9%
White alone, percent (a) 80.6%
Black or African American alone, percent (a) 10.4%
American Indian and Alaska Native alone, percent (a) 2.0%
Asian alone, percent (a) 3.7%
Native Hawaiian and Other Pacific Islander alone, percent (a) 0.2%
Two or More Races, percent 3.1%
Hispanic or Latino, percent (b) 31.5%
White alone, not Hispanic or Latino 52.7%
Living in same house 1 year & over, percent 76.8%
Foreign born persons, percent 16.1%
Language other than English spoken at home, pct age 5+ 27.3%
High school graduate or higher, percent of persons age 25+ 85.1%
Bachelor’s degree or higher, percent of persons age 25+ 42.2%
Veterans 14,157
Mean travel time to work (minutes), workers age 16+ 24.8
Housing units 288,185
Homeownership rate 50.4%
Housing units in multi-unit structures 45.8%
Page 1
Sentinel City® Community Health Simulation Demographics
Sentinel City
Median value of owner-occupied housing units
Households
Persons per household
Per capita money income in past 12 months
Median household income
Persons below poverty level, percent
Private nonfarm establishments
Private nonfarm employment
Private nonfarm employment, 2-yr percent change
Non-employer establishments
Total number of firms
Black-owned firms, percent
American Indian-and Alaska Native-owned firms, percent
Asian-owned firms, percent
Native Hawaiian and Other Pacific Islander-owned firms, percent
Hispanic-owned firms, percent
Women-owned firms, percent
Manufacturers’ shipments, ($1000)
Merchant wholesaler sales, ($1000)
Retail sales, ($1000)
Retail sales per capita, ($1000)
Accommodation and food services sales, ($1000)
Building permits
Land area in square miles
Persons per square mile
$246,300
261,836
2.26
$32,597
$49,091
18.9%
21,961
373,970
1.5%
55,830
67,500
4.3%
1.1%
3.7%
S
8.7%
30.2%
5,189,894
14,920,938
6,835,351
$11,810
2,279,048
5,578
153
3,922.6
Page 2
Page 3
Sentinel City® Community Health Simulation Demographics
(a) Includes persons reporting only one race.
(b) Hispanics may be of any race, so also are included in applicable race categories.
FN: Footnote on this item for this area in place of data
NA: Not available
D: Suppressed to avoid disclosure of confidential information
X: Not applicable
S: Suppressed; does not meet publication standards
Z: Value greater than zero but less than half unit of measure shown
F: Fewer than 100 firms
Page 4
Sentinel City® Community Health Simulation Demographics
Sentinel City Birth and Death Rates
Characteristic Number Percentage
Total Births 9361 5.2
Age 10 – 17 134 1.43
Age 18 – 19 283 3.02
Age 20 – 29 3674 39.2
Age 30+ 5270 56.2
Smoking During Pregnancy 402 4.2
Unmarried 2036 21.2
Characteristic Number Percentage
Infant Deaths 51 0.54
Neonatal Deaths 42 0.44
Characteristic Number *Crude Death Rate
Total Death (All Causes) 4401 693.9
Cardiovascular 1238 195.1
Heart Disease 916 144.4
Malignant Neoplasms 881 138.9
Lung Cancer 161 25.3
Diabetics 115 18.1
Suicide 94 14.8
Motor vehicle 65 10.2
Page 5
Sentinel City® Community Health Simulation Demographics
Industrial Heights Nightingale Square
Population
Veterans
Primary Ethnicity
Secondary Ethnicity
Persons Under 5 Years
Persons Under 18 Years
Persons 65 Years and Over
Median Household Income
Disabilities Under Age 65
Persons without health insurance, under age 65
– 38855
– 607
– Hispanic or Latino 46.8%
– Black or African American 13.1%
– 10.9%
– 20.8%
– 0.9%
– $24,672
– 12.9%
– 37.5%
Population
Veterans
Primary Ethnicity
Secondary Ethnicity
Persons Under 5 Years
Persons Under 18 Years
Persons 65 Years and Over
Median Household Income
Disabilities Under Age 65
Persons without health insurance, under age 65
– 103,974
– 5326
– White 81.3%
– Hispanic or Latino 3.7%
– 2.4%
– 5.9%
– 13.9%
– $269,550
– 3.5%
– 0.7%
Acer Tech Center Casper Park District
Population
Veterans
Primary Ethnicity
Secondary Ethnicity
Persons Under 5 Years
Persons Under 18 Years
Persons 65 Years and Over
Median Household Income
Disabilities Under Age 65
Persons without health insurance, under age 65
– 168390
– 6208
– White 70.2%
– Hispanic or Latino 13.7%
– 4.1%
– 7.0%
– 19.8%
– $166,300
– 6.7%
– 1.5%
Population
Veterans
Primary Ethnicity
Secondary Ethnicity
Persons Under 5 Years
Persons Under 18 Years
Persons 65 Years and Over
Median Household Income
Disabilities Under Age 65
Persons without health insurance, under age 65
– 352643
– 2016
– White 63%
– Hispanic or Latino 24%
– 10.9%
– 33.8%
– 6.5%
– $80,134
– 6.8%
– 22.7%
- Sentinel City® Community Health Simulation Demographics
- Median value of owner-occupied housing units Households
- Private nonfarm employment
- Native Hawaiian and Other Pacific Islander-owned firms, percent Hispanic-owned firms, percent
- 30.2%
- Sentinel City® Community Health Simulation Demographics
- – 0.9%
- – 13.9%
- – 19.8%
- – 6.5%
- Sentinel City® Community Health Simulation Demographics
-
sampleselectionandapplication.docx
ALL SHE NEEDS IS TO PUT THE DEMOGRAPHICS I SENT B4;
American Sentinel University
Sentinel City
The population of Sentinel City is approximately 634 000 and above, with the percentage of people living below the poverty level as 18.9%. At Sentinel City, there are four different major neighborhoods, which include the Casper Park District, Industrial Heights, Nightingale Square, and Acer Tech Centre. By focusing on the individual neighborhood and first the Industrial Heights, the average household earnings are about $24672 with 37.5% of the persons not insured under 65 years (Houser, 2018). The Casper Park District has an average income of about $80 134; Acer Tech Centre has an average salary of about $166300 ad Nightingale Square has average earnings per household of approximately $269550. Concerning the population distribution, the leading neighborhood is Casper Park, with a population of 352 643 followed by Acer Tech with a population of 168390, Nightingale Square with 103, 974, and Industrial Heights with the least population of 38855. The distribution of the overall population in Sentinel City is in this order, 7.4 % for those below five years, 21.7% for those below 18 years, and 10.5% for persons of 65 years and above. The racial percentage in this city is highly characterized by the whites who make about 80% of the total population. African Americans are 10.4%, American Indian, Alaska Native is about 3.7%, and the Asian are the least with a percentage of about 0.2%. Sample Selection and Application Paper
Sample Selection
The neighborhood I would like to focus on is the Industrial Heights since it has many health hazards. The neighborhood will be studied in a broader perspective that incorporates the geriatrics whereby the number of the elderly in this region is significant, and the nature of the Industrial heights can pose health risks to this population group in the Sentinel City. After touring the city, it is clear that safety risks are stray animals, disserted buildings, and pollution, amongst other health hazards. From the analysis, the Industrial Heights appears to have the most risks compare to the rest. For instance, there were poorly disposed cans lying around and spilled out garbage in the neighborhood with smoke like pollutants. Downtown in the crossroads, there was a stray dog, and there were graffiti drawings on some of the walls. Besides, there are cases of reckless driving indicated by a motorcycle that signaled red lights as it drove off. Sample Selection and Application Paper
Therefore, considering such health hazards, it might be challenging an older person to navigate through the neighborhood, considering that older adults may have different health complications. For instance, in case a person an older adult has difficulty breathing, and by bad luck pass by the smoking cans littered in the streets, they would have escalated the respiratory system (Houser, 2018). This means that they may develop health problems related to the respiratory system, or they can worsen the already existing systemic problems (Valerio, Rodriguez, Winkler, Lopez, Dennison, M., & Yuan Liangrbara, 2016). Another reason for focusing on this sample selection is that the elderly are a high risk of being involved in accidents within the city due to the prevailing reckless driving. For instance, in the case of the wild motorbike ride along the street, the chances are that an older adult may hesitate to move from the pathway and may end up being knocked down. In Sentinel City, there are departments for taking care of the children, yet none is focusing on the elderly. There is much need that the elderly in this city may require a program or institution that mainly focuses on their needs.
Sentinel City and its four neighborhoods share a few ascribes that add to its residents driving a solid and safe way of life. Nonetheless, a few regions in the city likewise give indications of risky financial elements that limit the capacity of its residents to live these substantial ways of life. There are nine all out determinants of wellbeing, including pay and societal position, business and working conditions, physical conditions, wellbeing administrations, training, and so forth. Explicitly in the area of Industrial Statures, low family pay, and a high level of uninsured occupants give indications of these financial elements. This area likewise has the most apparent perils out of the four.
What’s more, founded on information gathered, it appears as if there is an issue with the destitute populace in the city. These all go about as obstructions for this network to lead sound ways of life. Sentinel city needs to start to concentrate on taking out these negative financial factors by, for instance, financial improvement and progressively severe wrongdoing control, which will, at last, affect the city’s wellbeing, living conditions, and neighborhood environment and condition all in all (Houser, 2018). On the off chance that particular the study of disease transmission information relating to mortality and birth rates were accessible, the city would have the option to be investigated further. Nevertheless, we can take a gander at an epidemiologic triangle and break down the connection between Sentinel City’s causal operators, helpless people, and ecological components. Specialists found in the city incorporate irresistible specialists, for example, infections, concoction operators, for example, poisonous synthetic concoctions and contamination, and physical specialists, for example, apparatus. Hosts incorporate qualities, for example, age, sex, diet, and work out. The condition includes human populace circulation, financial variables, and working conditions. In Sentinel City, unmistakably contamination is predominant, and swarming might be an issue depending on the number of inhabitants in a few of the areas. These and different components, if changed, can be increased or diminishing a resident’s hazard for sickness. Sample Selection and Application Paper
By addressing the need to take care of the elderly, the local government in this city can come up with an institution whereby this population can have access to medical attention and improve their living standards. By doing so, the expected outcome is that the elderly in the Industrial Heights neighborhood will have fewer accidents and medical cases (Valerio, Rodriguez, Winkler, Lopez, Dennison, M., & Yuanyuan Liangrbara, 2016). Instead, they will live in a safe environment free from most of the hazards that are in the neighborhood. The fact that older adults are quite sensitive and not very quick to react to dangers makes it essential that geriatrics specialist takes care of them. Besides, the leadership in these neighborhoods can ensure that more precautionary measures are implemented in the industries, and they are keen on the environment. Geriatrics is an excellent subject to focus on in this region despite the elderly not being the most significant section of the population. Despite so, they are among the most susceptible to environmental hazards that are likely to influence their health negatively. Besides, their movement in the neighborhood is limited by events such as reckless driving, which puts their lives in danger and stray animals. For instance, the stray dog in the streets may turn wild and be a threat to one of the older persons in this region. Sample Selection and Application Paper
References
Houser, J. (2018). Nursing research: Readings, using & creating evidence (fourth Ed.). Burlington, MA: Jones & Bartlett Learning.
Valerio, M. A., Rodriguez, N., Winkler, P., Lopez, J., Dennison, M., & Yuanyuan Liangrbara, J. T. (2016). Comparing two sampling methods to engage hard-to-reach communities in research priority setting. BMC Medical Research Methodology, 16 doi: http://dx.doi.org.americansentinel.idm.oclc.org/10.1186/s12874-016-0242-z