Dependent and Independent Variables

Dependent and Independent Variables

The current evidence-based project focuses on putting in place effective measures for disease control and prevention among marginalized populations. Most marginalized groups are overburdened by many diseases (Schimitz et al., 2019; Lopez III et al., 2021). However, they often find it difficult to access quality healthcare services due to economic and social disadvantaging. As a result, many suffer from poor health outcomes (Baah et al., 2019). In order to evaluate the outcome of any EBP, there is need to consider both dependent and independent variables. A dependent variable is a variable that is tested or measured in an experiment (LoBiondo-Wood & Haber, 2018). This variable normally depends on the independent variable. On its part, the independent variable is that variable which often stands on its own (LoBiondo-Wood & Haber, 2018). It is never changed by other variables.

There are three main dependent variables that can be measured in the current change proposal. The first one is access to quality healthcare services. This variable is determined by project activities such as recruitment of more healthcare services, construction of many healthcare facilities, and provision of health insurance that is affordable to many (Wheatley et al., 2017; Braveman et al., 2018). It is expected that such activities can help to ensure that marginalized populations easily access various care services of high quality. The second dependent variable is access to reliable health information. This particular variable is determined by health education programs that aim at sensitizing the marginalized people about various types of diseases affecting them (Spruce, 2015; Braveman et al., 2018). It is believed that such programs can play a vital role in increasing these populations’ awareness about the causes and effects of diseases, and how to prevent or control them. The third dependent variable is the health outcomes of the targeted populations. One of the factors that can be used to determine this variable is the quality of the healthcare services provided to patients (Stetler et al., 2014; Pega et al., 2017). The variable can also be partly influenced by the number of healthcare providers, health facilities, and the number of patients who are able to access care services (Wheatley et al., 2017; Ward et al., 2018).

On the other hand, four independent variables can be measured in the proposed project. These are: health facilities, healthcare workers, affordable type of health cover, and health education programs. Establishing more healthcare facilities can help to improve access to care services in the marginalized areas that are currently underserved by the facilities (Ward et al., 2018). Recruiting more healthcare providers in the marginalized regions can help to increase the number of personnel (Giomuso et al., 2014; Wheatley et al., 2017). This can in turn also enable many people who live in these areas to access both quality and safe care services for their different health problems. One of the major problems that many marginalized groups face is that they cannot afford health insurance. This is one of the major barriers that deny them a chance of getting the best healthcare services. This makes it necessary to put initiatives in place that can help to ensure that the health cover is provided at an affordable cost (Melnyk et al., 2014; Braveman et al., 2018). Lastly, health education is necessary for the marginalized groups. Many of these populations reside in very remote areas where they cannot access important health information. Providing educative health programs can enable the marginalized people to benefit from this information (Braveman et al., 2018). Relevant health education contributes to the achievement of positive health outcomes.

References:
Baah, F. O., Teitelman, A. M., & Riegel, B. (2019). Marginalization: Conceptualizing patient vulnerabilities in the framework of social determinants of health – An integrative review. Nurs Inq., 26 (1): e12268. doi: 10.1111/nin.12268.
Braveman, P., Arkin, E., Orleans, T., Proctor, D., Acker, J., & Plough, A. (2018). What is health equity? Behavioral Science & Policy, 4 (1): 1-14. doi:10.1353/bsp.2018.0000.
Giomuso, C. B., Jones, L. M., Long, D., Chandler, T., Kresevic, D., & Pulphus, D. (2014). A successful approach to implementing evidence-based practice. MedSurg Nursing, 23 (4): pp. S4+. Retrieved from https://go.gale.com/ps/i.do?id=GALE%7CA382083709&sid=googleScholar&v=2.1&it=r&linkaccess=abs&issn=10920811&p=AONE&sw=w&userGroupName=anon%7E25bb6818
LoBiondo-Wood, G., & Haber, J. (2018). Nursing research: Methods and critical appraisal for evidence-based practice. St. Louis, Missouri: Elsevier.
Lopez III, L., Hart, L. H., & Katz, M. H. (2021). Racial and Ethnic Health Disparities Related to COVID-19. JAMA, 325 (8):719-720. doi:10.1001/jama.2020.26443
Melnyk, B. M., Gallagher-Ford, L., Long, L. E., & Fineout-Overholt, E. (2014). The establishment of evidence-based practice competencies for practicing registered nurses and advanced practice nurses in real-world clinical settings: proficiencies to improve healthcare quality, reliability, patient outcomes, and costs. Worldviews Evid Based Nurs, 11 (1):5-15. doi: 10.1111/wvn.12021. Epub 2014 Jan 21. PMID: 24447399.
Pega, F., Valentine, N. B., Rasanathan, K., Hosseinpoor, A. R., Torgersen, T. P., Ramanathan, V., Posayanonda, T., Röbbel, N., Kalboussi, Y., Rehkopf, D. H., Dora, C., Montesinos, E., & Neira, M. P. (2017). The need to monitor actions on the social determinants of health. Bulletin of the World Health Organization, 95 (11), 784–787. https://doi.org/10.2471/BLT.16.184622
Schimitz, R. M., Robinson, B. A., Tabler, J., Welch, B., & Rafaqut, S. (2019). LGBTQ+ Latino/a Young People’s Interpretations of Stigma and Mental Health: An Intersectional Minority Stress Perspective. Society and Mental Health. https://doi.org/10.1177/2156869319847248
Spruce, L. (2015). Back to basics: implementing evidence-based practice. AORN J, 101 (1):106-12. doi: 10.1016/j.aorn.2014.08.009. PMID: 25537331.
Stetler, C. B., Ritchie, J. A., Rycroft-Malone, J., & Charns, M. P. (2014). Leadership for evidence-based practice: strategic and functional behaviors for institutionalizing EBP. Worldviews Evid Based Nurs, 11 (4):219-26. doi: 10.1111/wvn.12044. Epub 2014 Jul 1. PMID: 24986669; PMCID: PMC4240461.
Ward, M., Schulz, A. J., Israel, B. A., Rice, K., Martenies, S. E., & Markarian, E. (2018). A conceptual framework for evaluating health equity promotion within community-based participatory research partnerships. Evaluation and Program Planning, 70: 25-34. https://doi.org/10.1016/j.evalprogplan.2018.04.014
Wheatley, L., Doyle, W., Evans, C., Gosse, C., & Smith, K. (2017). Integrated Comprehensive Care – A Case Study in Nursing Leadership and System Transformation. Nurs Leadersh, 30 (1):33-42. doi: 10.12927/cjnl.2017.25107. PMID: 28639549.

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