Graduate Curriculum Committee Course Proposal Form for Courses Numbered 6000 and Higher Note: Before completing this form, please carefully read the accompanying instructions. Submission guidelines are posted to the GCC Web site: http://www.ecu.edu/cs-acad/gcc/index.cfm 1. Course prefix and number: NURS 8267 2. Date: 09/06/12 3. Requested action: New Course: Design and Statistical Methods for Advanced x Nursing Practice Revision of Active Course Revision & Unbanking of a Banked Course Renumbering of an Existing Course from from to # x Required # Elective 4. Method(s) of delivery (check all boxes that apply for both current/proposed and expected future delivery methods within the next three years): Current or Proposed Delivery Method(s): Expected Future Delivery Method(s): On-campus (face to face) Distance Course (face to face off campus) x Online (delivery of 50% or more of the instruction is offered online) x 5. Justification (must cite accreditation and/or assessment by the graduate faculty) for new course or course revision or course renumbering: The Graduate Faculty of the College of Nursing, in response to the 2004 endorsement by the American Association of Colleges of Nursing (AACN) to move the entry level preparation for all advanced practice nursing from the master’s level to the doctorate level by 2015, determined that the Doctor of Nursing Practice (DNP) will be offered. The DNP degree more accurately reflects competencies required for the complexities of the evolving healthcare environment, prepares graduates for leadership in practice, and translates research into evidence-based practice that promotes high quality and safe patient care. This course proposal supports this endeavor and is approved by the graduate faculty at the College of Nursing. 6. Course description exactly as it should appear in the next catalog: 8267. Design and Statistical Methods for Advanced Nursing Practice (3) P: Admission to the DNP program or consent of the DNP program director; C: NURS 8266. Provide basis to research, retrieve, and manipulate statistical data. Focuses on quantitative methodologies, research design, and data analysis, providing essential knowledge for the evaluation of research to guide evidence-based advanced nursing practice. 7. If this is a course revision, briefly describe the requested change: 8. Course credit: Lecture Hours 3 3 Weekly OR Per Term Credit Hours Lab Weekly OR Per Term Credit Hours s.h. Studio Weekly OR Per Term Credit Hours s.h. Practicum Weekly OR Per Term Credit Hours s.h. Internship Weekly OR Per Term Credit Hours s.h. Other (e.g., independent study) Please explain. s.h. 3 Total Credit Hours 25 9. Anticipated annual student enrollment: 10. Changes in degree hours of your programs: Degree(s)/Program(s) Changes in Degree Hours DNP CON N/A 11. Affected degrees or academic programs, other than your programs: Degree(s)/Program(s) Changes in Degree Hours None s.h. N/A 12. Overlapping or duplication with affected units or programs: x Not applicable Documentation of notification to the affected academic degree programs is attached. 13. Council for Teacher Education (CTE) approval (for courses affecting teacher education): x Not applicable Applicable and CTE has given their approval. 14. University Service-Learning Committee (USLC) approval: x Not applicable Applicable and USLC has given their approval. s.h. 15. Statements of support: a. Staff x Current staff is adequate Additional staff is needed (describe needs in the box below): b. Facilities x Current facilities are adequate Additional facilities are needed (describe needs in the box below): c. Library x Initial library resources are adequate Initial resources are needed (in the box below, give a brief explanation and an estimate for the cost of acquisition of required initial resources): d. Unit computer resources x Unit computer resources are adequate Additional unit computer resources are needed (in the box below, give a brief explanation and an estimate for the cost of acquisition): e. ITCS resources x ITCS resources are not needed The following ITCS resources are needed (put a check beside each need): Mainframe computer system Statistical services Network connections Computer lab for students Software Approval from the Director of ITCS attached 16. Course information (see: Graduate Curriculum and Program Development Manual for instructions): a. Textbook(s) and/or readings: author(s), name, publication date, publisher, and city/state/country. Include ISBN (when applicable). 1. APA (2009). Publication manual of the American Psychological Association (6th ed., 2nd printing). Washington, D.C.: American Psychological Association. ISBN-13: 978-1433805615 2. DiCenso, A., Guyatt, G., & Ciliska, D. (2005). Evidence-based nursing: A guide to clinical practice. St. Louis: Elsevier Mosby. ISBN-13: 9780323025911. 3. Polit, D. F., & Beck, C. T. (2011). Nursing research: Generating and assessing evidence for nursing practice (9th ed.). Philadelphia: Lippincott Williams & Wilkins. ISBN-13: 978-1605477084 4. Houser, J. (2012). Nursing Research: Reading, using, and creating evidence (2nd Ed.). Sudbury, MA: Jones & Bartlett Learning. ISBN: 978-1-4496-3173-4. 5. The IBM SPSS Statistics Standard GradPack 19 software package will be required for this course. Each homework assignment involving SPSS will have detailed instructions for completing the required assignment. 6. Selected readings from current periodicals and URLs. b. Course objectives for the course (student – centered, behavioral focus) Upon completion of this course, students will be able to: 1. Investigate analytical methods to critically appraise existing literature and other evidence to determine and implement the best evidence for practice. 2. Explain the major purpose, assumptions, strengths, and weaknesses of selected statistical techniques. 3. Plan an appropriate statistical methodology for a research question based on the study hypothesis, design, and measures using the five step protocol (stating a research hypothesis, selecting the level of significance, calculating the test statistic, formulating a decision rule, and interpreting the result). 4. Synthesize the use of research methods for the collection of appropriate and accurate data to inform and guide evidence for practice. 5. Develop statistical foundation to function as a practice specialist/consultant in collaborative knowledge-generating research. 6. Devise effective plans to disseminate findings from evidence-based practice and research to improve healthcare outcomes. c. Course topic outline 1. Research Concepts a. Intro to clinical nursing research b. Research paradigms and phases c. Quantitative research concepts d. Intro to quantitative research designs e. Design and analysis core concepts f. Data/information gap identification 2. Research Designs a. Research designs b. Threats to validity c. Controlling for confounds d. Randomization methods e. Bias and random error –Part 1 3. Research Methods a. Design and analysis 4. 5. 6. 7. 8. b. Surrogate outcomes c. Sample size and sampling methods d. Intention-to-Treat Principle e. Reliability and validity Descriptive Statistics a. Levels of measurement b. Descriptive statistics c. Standard deviation and standard error of the mean d. Data transformation methods e. Describing risk f. Descriptive vs inferential statistics g. Skewness, kurtosis, and plots h. Assessment of normality Inferential Statistics a. Inferential statistics b. Probability c. Sampling distributions d. Estimation and confidence intervals e. Hypothesis testing f. Type I and Type II Errors g. Significance testing steps h. Parametric and Non-Parametric tests i. Bias and random error – Part 2 Correlation and Regression Analysis a. Simple correlation b. Correlation vs prediction c. Bivariate regression d. Scatterplots vs residual plots e. Multiple regression f. Multicollinearity g. Variable selection methods h. Regression overview Evaluating the Quality of evidence a. Synthesis of information b. Significance testing steps c. Critiquing quantitative studies d. Selecting statistical methods e. Ten common statistical errors f. Statistical tests Analysis of differences in proportions a. Categorical outcomes b. Prevalence and incidence rates c. Risk indexes d. Chi-Squares Tests e. Fisher, McNemar, and CMH Tests f. Logistic Regression g. Overview of Chi-Square tests h. Overview of NcNemar’s Test i. Overview of Cochran-Mantel-Haenszel j. Overview of Logistic Regression k. Chi-Square: Reading SPSS Output l. Logistic Regression: Reading SPSS Output m. Thinking About Odds Ratios 9. Analysis of Differences in Means, t-tests a. Introduction to T-Tests b. Standard Error of the Mean c. Independent and Dependent T-Tests d. T-Test Nonparametric Alternatives 10. Analysis of Difference in Means, F tests a. One-way ANOVA b. Multiple Comparisons c. Factorial ANOVA d. Factorial ANOVA Interactions e. Analysis of Covariance f. ANOVA-RM g. ANCOVA Overview 11. Analysis of Longitudinal Data a. Change Over Time – Continuous Outcomes b. Fixed and Random Effects c. Change Over Time – Binary Outcomes d. Time to Event Analysis 12. Magnitude of Effect a. Effect Sizes - Continuous Outcomes b. Effect Sizes – Binary Outcomes c. NNT and NNH d. Benefit to Risk Ratios e. Interpreting Effect Sizes 13. Statistical Power a. Statistical power b. Interim and subgroup analyses c. Moderators and mediators d. Stance on subgroup analyses d. List of course assignments, weighting of each assignment, and grading/evaluation system for determining a grade Grading Scale 93-100 = A 85-92 = B 77-84 = C <76 = F Evaluation Methods: Online Discussion Board Participation (5 discussions worth 3 points each) Statistical Application Assignments (10 assignments worth 5 points each 15% based on the content of each module) 50% Mid-Term Exam (25 multiple choice) 15 % Final Exam (50 short answer and multiple choice questions) 20% 100%