Solution Manual for Statistics for Nursing Research A Workbook for Evidence-Based Practice 3rd Edition Susan Grove Daisha

Solution Manual for

Statistics for Nursing

Research A Workbook

for Evidence-Based

Practice 3rd Edition

Susan Grove Daisha

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AG 1-1

Answer Guidelines for Questions to Be Graded

 The questions are in bold followed by answers.

1. In Table 1 , identify the level of measurement for the current therapy variable. Provide a

rationale for your answer.

 Answer: The current therapy variable was measured at the nominal level. These drug categories

were probably developed to be exhaustive for this study and included the categories of drugs the

subjects were receiving. However, the categories are not exclusive, since patients are usually on

more than one category of these drugs to manage their health problems. The current therapies

are not measured at the ordinal level because they cannot be rank ordered, since no drug category

can be considered more or less benefi cial than another drug category (see Figure 1-1 ; Grove &

Gray, 2019 ).

 2. What is the mode for the current therapy variable in this study? Provide a rationale for

your answer.

 Answer: The mode for current therapy was  blocker. A total of 100 (94%) of the cardiac patients

were receiving this category of drug, which was the most common prescribed drug for this

sample.

 3. What statistics were conducted to describe the BMI of the cardiac patients in this sample?

Discuss whether these analysis techniques were appropriate or inappropriate.

 Answer: BMI was described with a mean and standard deviation ( SD ). BMI measurement resulted

in ratio-level data with continuous values and an absolute zero ( Stone & Frazier, 2017 ). Ratiolevel data should be analyzed with parametric statistics such as the mean and SD ( Grove & Gray,

2017 ; Knapp, 2017 ).

 4. Researchers used the following item to measure registered nurses’ (RNs) income in a study:

 What category identifi es your current income as an RN?

 a. Less than $50,000

 b. $50,000 to 59,999

 c. $60,000 to 69,999

 d. $70,000 to 80,000

 e. $80,000 or greater

 What level of measurement is this income variable? Does the income variable follow the

rules outlined in Figure 1-1 ? Provide a rationale for your answer.

 Answer: In this example, the income variable is measured at the ordinal level. The income categories are exhaustive, ranging from less than $50,000 to greater than $80,000. The two open-ended

Identifying Levels of

Measurement: Nominal,

Ordinal, Interval, and Ratio

EXERCISE

1

 2 / 5

AG 1-2 Answer Guidelines for Questions to Be Graded

categories ensure that all salary levels are covered. The categories are not exclusive, since categories (d) and (e) include an $80,000 salary, so study participants making $80,000 might mark

either (d) or (e) or both categories, resulting in erroneous data. Category (e) could be changed

to greater than $80,000, making the categories exclusive. The categories can be rank ordered

from the lowest salary to the highest salary, which is consistent with ordinal data ( Grove &

Gray, 2019 ; Waltz et al., 2017 ).

 5. What level of measurement is the CDS score? Provide a rationale for your answer.

 Answer: The CDS score is at the interval level of measurement. The CDS is a 26-item Likert

scale developed to measure depression in cardiac patients. Study participants rated their symptoms on a scale of 1 to 7, with higher numbers indicating increased severity in the depression

symptoms. The total scores for each subject obtained from this multi-item scale are considered

to be at the interval level of measurement ( Gray et al., 2017 ; Waltz et al., 2017 ).

 6. Were nonparametric or parametric analysis techniques used to analyze the CDS scores for

the cardiac patients in this study? Provide a rationale for your answer .

 Answer: Parametric statistics, such as mean and SD , were conducted to describe CDS scores

for study participants (see Table 1 ). CDS scores are interval-level data as indicated in Questions 5,

so parametric statistics are appropriate for this level of data ( Gray et al., 2017 ; Kim & Mallory,

2017 ).

 7. Is the prevalence of depression linked to the NYHA class? Discuss the clinical importance

of this result.

 Answer: The study narrative indicated that the prevalence of depression increased with the

greater NYHA class. In NYHA class III, 64% of the subjects were depressed, whereas 11% of the

subjects were depressed in NYHA class I. Thus, as the NYHA class increased, the number of subjects with depression increased. This is an expected fi nding because as the NYHA class increases,

cardiac patients have more severe physical symptoms, which usually result in emotional distress,

such as depression. Nurses need to actively assess cardiac patients for depression, especially those

in higher NYHA classes, so they might be diagnosed and treated as needed.

 8. What frequency and percent of cardiac patients in this study were not being treated with

an antidepressant? Show your calculations and round your answer to the nearest whole

percent (%).

 Answer: A total of 106 cardiac patients participated in this study. The sample included

15 patients who were receiving an antidepressant (see Table 1 ). The number of cardiac

patients not treated for depression was 91 (106 – 15  91). The group percent is calculated

by the following formula: (group frequency  total sample size)  100%. For this study,

(91 patients  106 sample size)  100%  0.858  100%  85.8%  86%. The final

answer is rounded to the nearest whole percent as directed in the question. You could have

also subtracted the 14% of patients treated with antidepressants from 100% and obtained the

86% who were not treated with an antidepressant.

 9. What was the purpose of the 6-minute walk test (6MWT)? Would the 6MWT be useful in

clinical practice?

 Answer: Ha et al. (2018) stated, “The 6-min walk test (6MWT) is a measure of the submaximal,

steady-state functional capacity” of cardiac patients. This test would be a quick, easy way to

determine a cardiac patient’s functional status in a clinical setting. This functional status

score could be used to determine the treatment plan to promote or maintain functional status

of cardiac patients.

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Answer Guidelines for Questions to Be Graded AG 1-3

 10. How was exercise confi dence measured in this study? What was the level of measurement

for the exercise confi dence variable in this study? Provide a rationale for your answer.

 Answer: Exercise confi dence of the patients with heart failure (HF) in this study was measured

with the Exercise Confi dence Scale that included four subscales focused on walking, climbing,

lifting objects of graded weight, and running (see the study narrative). This was a rating scale

with values ranging from 0 to 100. The patients’ scores for the Total Exercise Confi dence scale

and the subscales were considered interval-level data and analyzed with parametric statistics,

such as means and SDs (see the study narrative; Waltz et al., 2017 ).

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Exercise 2: Identifying Probability and Nonprobability Sampling Methods in Studies

1. Probability, simple random sampling. Each department was in the target was identified by a

number that had been selected from a random numbers table.

2. Yes, the sample is representative. Probability sampling allows every person or element of the

study population to be represented without researcher bias and minimizes sampling error.

3. Nonprobability, convenience sampling. In convenience sampling, subjects are enrolled in the

study until the target sample size is reached. Convenience sampling does not allow for the

opportunity to control for sampling errors and biases.

4. Nonprobability, network or snowball sampling. Network or snowball sampling makes use of

social networks and the fact that friends often have common characteristics. The selected

individuals were asked to locate other substance abusers they knew to participate in the study.

5. Probability; stratified random sampling. Stratified random sampling is used when the

researcher knows some of the variables within a population that will affect the representatives of

the sample.

6. Was the sample identified in the Ulrich et al. (2005) study in Question 5 representative of the

target population of NPs and PAs? Provide a rationale for your answer.

Yes, stratified random sampling is used when some of the variables within a population are

known that will affect the representativeness of the sample.

7. Nonprobability; purposive sampling. Purposive sampling occurs when the researcher

consciously selects subjects, elements, events, or incidents to include in the study. The event in

this study is the tornado. Those selected for the study lived in the city where the tornado

occurred.

8. Nonprobability; convenience sampling. Participants in convenience sampling are recruited

because they are accessible and available to participate. The participants of this study were

chosen because they were admitted to the hospital.

9. Nonprobability; purposive sampling then theoretical sampling. Purposive sampling was used

because the participants were selected based on their familiarity with, interest in, and willingness

to reflect and discuss their hope experience. Theoretical sampling was then used to achieve

theoretical saturation.

10. Nonprobability; purposive sampling. Purposive sampling was used because the researcher

consciously selected the subjects.

Exercise 3: Understanding the Sampling Section of a Research Report: Population,

Sampling Criteria, Sample Size, Refusal Rate, and Attrition Rate

1. Did the study include sampling inclusion criteria? What were those criteria? Were these

criteria appropriate for this study?

 Yes

 The criteria were children aged 3 to 5 years, mother had primary or regular visitation of

child, the dyad lived in state or were able to meet in state for the data collection, the

mother participated in the MTB program or the control condition beyond the initial

consent period

 Yes, the criteria is appropriate for the study.

2. Sampling inclusion and exclusion are developed to determine what type of population? What

is the accessible population? Document your answer.

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Version 2021
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