Coyne and Messina: significance versus practical value
A 1,000 to 1,250 word paper on the statistical significance of outcomes in the Messina et al. study of patient satisfaction and inpatient admissions across teaching and non-teaching hospitals, assessing the appropriateness of the statistics used against the chart supplied in the module lecture and the Statistical Assessment resource, completing the assessment table for statistic, data type, sample size and research question, and discussing the value of statistical significance against pragmatic usefulness.
Editorial process
Last reviewed · August 13, 2026
Table first, argument second
The paper has two halves that require different skills and are worth different things. The first is mechanical: fill in the assessment table by matching each statistic the authors used against the chart, checking data type, sample size and the kind of research question the statistic can answer. The second is the argument the assignment is really about, which is whether a statistically significant finding is a useful one. Most submissions do the table competently and then treat the significance discussion as a closing paragraph, which inverts the weight. Complete the table first because it is quick, then spend the majority of your words on the second half, using the table as your evidence. The table tells you what the authors could conclude; the discussion says whether anyone should act on it, and that is the harder and better-marked question. Allocate the word count deliberately before you draft, because 1,250 words is not much for both halves.
Matching statistics to the chart is more than a lookup and rewards attention to the constraints. The chart pairs each statistic with a data type, a sample size condition and a research question. A correlation coefficient requires interval or ratio data and answers what the relationship is between two variables; it does not establish direction or cause, which is the misreading most likely to appear in a study relating satisfaction to admissions. Regression answers how much of the change in an outcome is predicted by one or more predictors, and needs a larger sample. A t-test compares two groups, an analysis of variance compares more. When you assess appropriateness, check three things for each: whether the data type matches, whether the sample supports it, and whether the question the authors asked is the question that statistic answers. The third is where genuinely inappropriate choices show up.
The assignment says plainly that there were three errors in Table 4 on page 185 and asks whether you found them, which is an invitation to read the table rather than the abstract. Approach it systematically instead of hunting. Check whether reported significance markers match the stated p values, whether the numbers in a row are internally consistent, whether totals sum correctly, whether degrees of freedom fit the stated sample, and whether a coefficient's sign matches the direction described in the text. Report what you find and how you found it, and if you locate only two, say so honestly and say what you checked; a paper that documents its method and finds two is worth more than one that vaguely claims all three. Refer to the discussion on pages 189 to 190 as the prompt directs, since that commentary is part of what you are assessing.
The significance against usefulness discussion has a real structure and should not become a list of caveats. Statistical significance is a statement about the probability of the observed data under a null hypothesis, and it depends heavily on sample size: with a large enough sample, trivially small differences become significant. Effect size is what tells you how large the difference is, and confidence intervals tell you how precisely it has been estimated. Pragmatic usefulness adds a further question the statistics cannot answer at all, which is whether the size of the effect justifies the cost of acting on it. A significant association between satisfaction scores and admissions may be too small to change any management decision, and a non-significant finding in an underpowered study is not evidence of no effect. Say which of these applies here. Say which of the statistics in the table would survive that scrutiny and which would not.
On execution, keep the paper anchored in this study rather than drifting into a general essay about p values, because the prompt names the article, the page range and the module chart. Use the chart as your stated criterion so the assessment is checkable, and quote figures from the study accurately with page references. No abstract is required. The assignment uses a rubric and goes to LopesWrite, so paraphrase properly and keep direct quotation minimal, particularly from the results section where it is tempting. Follow APA style as the Style Guide directs. Close by saying what you would want to know before acting on the study's findings, which is the practical form of the pragmatic usefulness question and a stronger ending than a summary. Keep the direct quotation to figures and short phrases, since the results section is where similarity scores climb fastest. Say plainly what would have to be true for a manager to act on this study.
Likely learning objectives
Inferred from the brief — check these against your own rubric.
- 01Match each statistic to its data type, sample requirement and research question.
- 02Identify where a statistic answers a different question from the one asked.
- 03Locate reporting errors in a results table by systematic checking.
- 04Distinguish statistical significance from effect size and precision.
- 05Explain why large samples make trivial differences significant.
- 06Argue whether an effect is large enough to justify acting on it.
Read the full question
Review every instruction before using the planning guidance that follows.
Turn the brief into deliverables
- 01A completed statistical assessment table covering statistic, data type, sample size and research question.
- 02An assessment of the appropriateness of the statistics used, against the module chart and the Statistical Assessment resource.
- 03Identification of the errors in Table 4 on page 185.
- 04A discussion of the value of statistical significance against pragmatic usefulness.
- 051,000 to 1,250 words in APA style, with no abstract required.
Assessment, errors, and the argument
The study and its questions
What Messina and colleagues set out to establish, in one tight passage.
The assessment table
Each statistic against data type, sample size and the question it answers.
Appropriateness
Where the choices fit and where a statistic answers a different question.
Errors in Table 4
What was checked, what was found, and how.
What significance means
The null hypothesis framing and the role of sample size.
Effect size and precision
How large the effect is and how well estimated.
Pragmatic usefulness
Whether the effect justifies the cost of acting on it in this setting.
Close
What you would need to know before acting on these findings.
The article, the chart, the resource
Recommended databases
- The Messina et al. article in the Journal of Healthcare Management
- The module lecture chart
- The Statistical Assessment resource
- Statistics methods references
Search sequence
- 1.Read the results section and Table 4 before reading the discussion, so the errors are not pre-flagged for you.
- 2.Fill the assessment table directly from the chart rather than from memory.
- 3.Check each table row for internal consistency, marker agreement and sign direction.
- 4.Read pages 189 to 190, which the prompt directs you to specifically.
- 5.Find a methods source on effect size and confidence intervals for the second half.
Reference shortlist
These are authoritative starting points, not a ready-made bibliography. A qualified reviewer must confirm that each source fits the assignment and supports the claim beside which it is cited.
Nothing here is cleared for citation until you have read it.
- 01
Statistical Significance
StatPearls, NCBI Bookshelf · 2023
The definition of significance the paper has to state correctly before it can argue against relying on it.
- 02
Hypothesis Testing, P Values, Confidence Intervals, and Significance
StatPearls, NCBI Bookshelf · 2023
Confidence intervals and the sample size dependence that drives the pragmatic usefulness argument.
- 03
Standards and Evaluation of Healthcare Quality, Safety, and Person-Centered Care
StatPearls, NCBI Bookshelf · 2023
How satisfaction is measured as a quality construct, which bears on whether the study's outcome is worth acting on.
- 04
Continuous Quality Improvement
StatPearls, NCBI Bookshelf · 2023
The decision context in which an effect either is or is not large enough to change management practice.
Review before submission
Common mistakes
- Treating the significance discussion as a closing paragraph.
- Reading a correlation as evidence of direction or cause.
- Checking data type and sample size but not whether the statistic answers the question asked.
- Claiming all three table errors without showing how they were found.
- Writing a general essay about p values instead of assessing this study.
- Confusing a non-significant result with evidence of no effect.
- Ignoring effect size and confidence intervals entirely.
- Quoting the results section heavily and raising the similarity score.
Submission checklist
- The assessment table is completed for every statistic the authors used.
- Data type, sample size and research question are checked for each.
- Any mismatch between the statistic and the question asked is named.
- Table 4 on page 185 is checked systematically and findings are reported honestly.
- The method used to find the errors is described.
- The discussion on pages 189 to 190 is engaged with.
- Significance is defined correctly as a statement about the data under a null hypothesis.
- The dependence of significance on sample size is explained.
- Effect size and confidence intervals are addressed.
- The paper says whether this study's effects are large enough to act on.
- Figures are quoted accurately with page references.
- APA style, 1,000 to 1,250 words, no abstract, minimal direct quotation.
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Written by
Aaron Bishop
MA, Education
assignment interpretation and research-methods coaching across disciplines
Aaron leads the EssayCrackers editorial desk. He works on how assignment briefs are read — what a rubric is actually asking for, and where students most often answer a different question than the one set.

Reviewed by
Dr. Nathan Cole
PhD, Rhetoric & Composition
Argumentation and thesis development
Nathan teaches first-year composition and directs a university writing center. He reviews EssayCrackers guides for argumentative soundness and citation accuracy.