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The Times-Divide Expression: An Intuitive Approach for Describing Right-Skewed Data in Nursing Practice
Haruna Fukushige1, Yoshiaki Inoue2, Keisuke Nakashima3
1Graduate School of Health Sciences, Kobe University, Kobe, Hyogo, Japan.
Journal of Nursing Management
|November 24, 2025
Summary
This study introduces a new data analysis method, the times-divide expression, for nursing. It better represents skewed data distributions than traditional mean and standard deviation, improving clinical decision-making.
Area of Science:
- Nursing Informatics
- Biostatistics
- Data Science in Healthcare
Background:
- Clinical nursing practice requires clear data sharing for team collaboration.
- Traditional descriptive statistics (Mean ± SD) are insufficient for asymmetric, right-skewed data common in nursing.
- Accurate data representation is vital for effective clinical decision-making.
Purpose of the Study:
- To introduce and evaluate the "times-divide expression" (Geometric Mean ×/Geometric Standard Deviation) as an alternative to Mean ± SD.
- To assess the applicability of the times-divide expression for analyzing nursing data, specifically nurse call system data.
- To demonstrate the advantages of the times-divide expression in representing skewed data distributions.
Main Methods:
- A data-driven study using four and a half years of nursing demand data from a nurse call system.
- Comparison of the "times-divide expression" (GMean ×/GSD) with conventional statistical methods (Mean ± SD).
- Evaluation of the methods' ability to represent distributional properties, provide representative values, and indicate percentile ranges.
Main Results:
- The "times-divide expression" significantly outperforms conventional methods in describing skewed data distributions.
- This novel expression provides more suitable representative values and usable percentile range indicators for nursing data.
- The geometric mean and geometric standard deviation offer a superior approach for analyzing asymmetric data.
Conclusions:
- The "times-divide expression" is a more effective statistical tool for analyzing skewed nursing data compared to traditional methods.
- Implementing this method can enhance nurses' understanding of data-driven insights.
- Improved data representation is expected to enhance clinical decision-making and the overall quality of patient care.
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