In this study, we are interested to compare the self-reported pain level of the patients before and after the clown performance. The variable of interest is the reduced level of pain among the patients which is in the ordinal level of measurement. The random sample of patients illustrates the use of related samples.   The appropriate set of hypotheses for the given objective is Ho: __________________ and Ha: ________________. Also, the appropriate test procedure to analyze the given data is the ­­­­­­­­­­­­­­­­­­­­­­­__________________. Based on the p-value equal to 0.004107, it can be said that we have no sufficient evidence to say that the intervention didn’t reduced the level of pain among the patients.   Suppose you are a hospital administrator and you are looking for ways to improve patient care, what actions can you take based on the results of the study? It is good to have interventions inside the hospital because it can make the patients feel lighter and it can boost their moods.

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In this study, we are interested to compare the self-reported pain level of the patients before and after the clown performance. The variable of interest is the reduced level of pain among the patients which is in the ordinal level of measurement. The random sample of patients illustrates the use of related samples.

 

The appropriate set of hypotheses for the given objective is Ho: __________________ and Ha: ________________. Also, the appropriate test procedure to analyze the given data is the ­­­­­­­­­­­­­­­­­­­­­­­__________________. Based on the p-value equal to 0.004107, it can be said that we have no sufficient evidence to say that the intervention didn’t reduced the level of pain among the patients.

 

Suppose you are a hospital administrator and you are looking for ways to improve patient care, what actions can you take based on the results of the study?

It is good to have interventions inside the hospital because it can make the patients feel lighter and it can boost their moods.

Consider d = Xbefore - Xafter where Xbefore is the self-reported pain level before the intervention and Xafter is the
self-reported pain level after the intervention.
R COMMANDER OUTPUT #1.1
Shapiro-Wilk normality test
data: pain.diff
w = 0.91117, p-value = 0.004107
R COMMANDER OUTPUT #1.2
Parametric Test
data: pain.before and pain.after
t = 8.9607, df = 39, p-value = 5.203e-11
alternative hypothesis: true difference in means is not equal to 0
-----
t = 8.9607, df =
alternative hypothesis: true difference in means is greater than 0
39, p-value = 2.602e-11
-----
t = 8.9607, df = 39, p-value = 1
alternative hypothesis: true difference in means is less than 0
R COMMANDER OUTPUT #1.3
Nonparametric Test
data: pain.before and pain.after
V = 561, p-value = 0.000000432
alternative hypothesis: true location shift is not equal to 0
-----
V = 561, p-value = 0.000000216
alternative hypothesis: true location shift is greater than 0
V = 561, p-value = 1
alternative hypothesis: true location shift is less than 0
Transcribed Image Text:Consider d = Xbefore - Xafter where Xbefore is the self-reported pain level before the intervention and Xafter is the self-reported pain level after the intervention. R COMMANDER OUTPUT #1.1 Shapiro-Wilk normality test data: pain.diff w = 0.91117, p-value = 0.004107 R COMMANDER OUTPUT #1.2 Parametric Test data: pain.before and pain.after t = 8.9607, df = 39, p-value = 5.203e-11 alternative hypothesis: true difference in means is not equal to 0 ----- t = 8.9607, df = alternative hypothesis: true difference in means is greater than 0 39, p-value = 2.602e-11 ----- t = 8.9607, df = 39, p-value = 1 alternative hypothesis: true difference in means is less than 0 R COMMANDER OUTPUT #1.3 Nonparametric Test data: pain.before and pain.after V = 561, p-value = 0.000000432 alternative hypothesis: true location shift is not equal to 0 ----- V = 561, p-value = 0.000000216 alternative hypothesis: true location shift is greater than 0 V = 561, p-value = 1 alternative hypothesis: true location shift is less than 0
PROBLEM 1: Is laughter really the best medicine?
Everyone smiles and laughs. Laughter is a vital resistance mechanism of humans for coping with
stress, suffering, or pain. When laughing, the serum levels of cortisol decrease and the brain
releases endorphins. Laughter also changes breathing, increases blood pressure, increases heart
rate, and provides a boost to the immune system.
Laughter therapy is a known therapeutic method since the 1960s. This intervention includes
laughter yoga, comedy performances, clown performances, and jokes. Researchers have since
investigated the physical and emotional benefits of this therapy. Laughter therapy has been
reported to reduce the levels of depression, anxiety, and stress among hospitalized patients.
A study was conducted on a random sample of 40 patients admitted to the pediatric unit of a public hospital.
All selected patients were aged 2 to 11 years, hemodynamically stable, and not intellectually or visually
impaired. Prior to the intervention, the vital signs of each patient were assessed by the attending nurse.
Specifically, a pain assessment was administered to each patient using a "face pain scale" that ranges from
O to 4, with 0 - no pain, 1 - mild pain, 2 – moderate pain, 3 – severe pain, and 4 – excruciating pain.
After the vital signs of the patient were recorded, a clown entered the room to carry out the intervention. The
clown had a playful interaction with the patients through magic tricks, juggling, singing, soap bubbles, and
comedic performances which lasted for 20 minutes. Subsequently, the vital signs of each patient were then
measured by the same nurse. Is there sufficient evidence to say that the intervention reduced the level of pain
among the patients?
Transcribed Image Text:PROBLEM 1: Is laughter really the best medicine? Everyone smiles and laughs. Laughter is a vital resistance mechanism of humans for coping with stress, suffering, or pain. When laughing, the serum levels of cortisol decrease and the brain releases endorphins. Laughter also changes breathing, increases blood pressure, increases heart rate, and provides a boost to the immune system. Laughter therapy is a known therapeutic method since the 1960s. This intervention includes laughter yoga, comedy performances, clown performances, and jokes. Researchers have since investigated the physical and emotional benefits of this therapy. Laughter therapy has been reported to reduce the levels of depression, anxiety, and stress among hospitalized patients. A study was conducted on a random sample of 40 patients admitted to the pediatric unit of a public hospital. All selected patients were aged 2 to 11 years, hemodynamically stable, and not intellectually or visually impaired. Prior to the intervention, the vital signs of each patient were assessed by the attending nurse. Specifically, a pain assessment was administered to each patient using a "face pain scale" that ranges from O to 4, with 0 - no pain, 1 - mild pain, 2 – moderate pain, 3 – severe pain, and 4 – excruciating pain. After the vital signs of the patient were recorded, a clown entered the room to carry out the intervention. The clown had a playful interaction with the patients through magic tricks, juggling, singing, soap bubbles, and comedic performances which lasted for 20 minutes. Subsequently, the vital signs of each patient were then measured by the same nurse. Is there sufficient evidence to say that the intervention reduced the level of pain among the patients?
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