Maternity And Water Birth Safety Essay Assignment Paper
Title of your project
Overview of Work Practice Area
RN to BSN students – Discuss your work practice area here. Are you in long-term or acute care settings? What is the size of your facility? How many beds in your unit? What is the typical patient population? How long do they stay? What is the typical nurse to patient ratio? How many nurses are on per shift? How many nursing assistants are on per shift? What is the role of the supervisor and the manager? Make sure that you are not writing in first person
A-BSN students – Discuss something that is of concern to you in a current clinical setting or something you are interested learning more about in a future clinical experience.
Overview of Topic Maternity And Water Birth Safety Essay Assignment Paper
What is your topic of interest? Why is it of interest to you? Provide an example if possible of something related to you topic that makes this topic interesting to you.
RN to BSN students – Perhaps you have a high fall rate and are interested in learning ways to help lower the incident of falls. Or maybe you are interested in introducing a new intervention into your practice setting. Maybe you work in the NICU and see a high population of babies born to addicted mothers and want to learn better ways to help those infants.
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A-BSN students – You may be going to a critical care area and are interested in learning more about Ventilator Safety. Or maybe you are going to Maternity and are interested in water birth safety compared to c-section or vaginal deliver.
Population
What is the patient population that you are interested in? Be specific about age, gender, etc.
Maternity example – Pregnant women
ICU example – Patients requiring CPR
Infant – Infants with Neonatal Abstinence Syndrome (NAS)
Intervention
What is the intervention you are interested in learning more about?
Maternity example- Water births
ICU example – automated compression delivery machine
Infant – Breastfeeding and use of medication
Comparison
What are you comparing the new intervention to? Usually you are comparing something new to something that is already in place. Maternity And Water Birth Safety Essay Assignment Paper
Maternity example – vaginal delivery
ICU example – manual compressions
Infant – use of medication
Outcome
What is the outcome that you are hoping to prove with this new intervention?
Maternity example – Water births are safer and the women experience less pain during delivery.
ICU example – Improved neurologic function
Infant – decrease severity of symptoms within 4 weeks of life
PICO(T) Question
Does the use of water birth improve quality of delivery by decreasing pain during the delivery process compared with vaginal delivery experience?
In patients requiring who suffer VFib arrest, does the use of an automated compression delivery machine compared with manual compressions improve neurologic outcomes?
In infants with NAS, does utilizing methadone and breastfeeding, compared with methadone alone, decrease the severity of symptoms within 4 weeks of life.
Principle of Respect
Discuss the ethical principle of respect. How can this be integrated into your project?
Assurance of Autonomy
Discuss the ethical principle of autonomy. How will this be intergrated into your project?
Beneficence
Discuss the ethical principle of beneficence. How will this be intergrated into your project?
Justice
Discuss the ethical principle of justice. How will this be intergrated into your project?
Quantitative Study One
APA formatted reference should be written here
Provide an overview of study one. (Note that quantitative studies provide statistical analysis of data. They are all about the numbers).
Type of Study
Discuss the specific type of quantitative study that was performed. Summarize the information provided in the journal article.
Threats to Internal and External Validity
What are the internal threats to the validity of the study?
What are the external threats to the validity of the study?
Where there any other threats that you thought of that were not mentioned?
How do these threats affect the study validity? Maternity And Water Birth Safety Essay Assignment Paper
Applicability
Will this study be applicable to your project? Why or why not? Remember that you are not to be writing in first person
Quantitative Study Two
APA formatted reference should be written here
Provide an overview of study one
Type of Study
Discuss the specific type of quantitative study that was performed. Summarize the information provided in the journal article.
Threats to Internal and External Validity
What are the internal threats to the validity of the study?
What are the external threats to the validity of the study?
Where there any other threats that you thought of that were not mentioned?
How do these threats affect the study validity?
Applicability
Will this study be applicable to your project? Why or why not? Remember that you are not to be writing in first person
Qualitative Study One
APA formatted reference should be written here
Provide an overview of the qualitative study.
Type of Study
Discuss the type of qualitative study that was performed. Note that qualitative studies look at the lived experience and do not have statistical analysis of data.
Credibility, Confirmability, Dependability, and Transferability
In this section you will discuss how researchers establish validity in qualitative research. This is different from the evaluation of quantitative research.
- Credibility – believability and trustworthiness of the findings. Think of this as internal validity
- Confirmability – describes how well the research finding are supported by the actual data collected
- Dependability – refers to the consistency with which the results could be repeated. Did the researches document any changes or unexpected occurrences that might have affected their findings. Think of this as reliability.
- Transferability – the degree tha the findings of the research can be transferred to other contexts. Can the information be applied to other similar settings, population or sitatuions? Think of this as external validity Maternity And Water Birth Safety Essay Assignment Paper
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Applicability
Will this study be applicable to your project? Why or why not? Remember that you are not to be writing in first person.
Qualitative Study Two
APA formatted reference should be written here
Provide an overview of the qualitative study.
Type of Study
Discuss the type of qualitative study that was performed. Note that qualitative studies look at the lived experience and do not have statistical analysis of data.
Credibility, Confirmability, Dependability, and Transferability
In this section you will discuss how researchers establish validity in qualitative research. This is different from the evaluation of quantitative research.
- Credibility – believability and trustworthiness of the findings. Think of this as internal validity
- Confirmability – describes how well the research finding are supported by the actual data collected
- Dependability – refers to the consistency with which the results could be repeated. Did the researches document any changes or unexpected occurrences that might have affected their findings. Think of this as reliability.
- Transferability – the degree tha the findings of the research can be transferred to other contexts. Can the information be applied to other similar settings, population or sitatuions? Think of this as external validity Maternity And Water Birth Safety Essay Assignment Paper
Applicability
Will this study be applicable to your project? Why or why not? Remember that you are not to be writing in first person.
Ranking the Evidence
Quantitative Study I (author(s), year and title)
Utilizing the evidence hierarchy, discuss the type of research conducted and where it falls on the 8 level evidence hierarchy. Be specific. Is it level II evidence (RCT) or is it Level VIII (expert opinion) and what does this level indicate about the evidence? The pyramid can be found in the Module 8 lesson folder, figure 14-11.
Quantitative Study II (author(s), year and title)
Utilizing the evidence hierarchy, discuss the type of research conducted and where it falls on the 8 level evidence hierarchy. Be specific.
Qualitative Study I (author(s), year and title)
Utilizing the evidence hierarchy, discuss the type of research conducted and where it falls on the 8 level evidence hierarchy. Be specific.
Qualtitative Study II (author(s), year and title) Maternity And Water Birth Safety Essay Assignment Paper
Utilizing the evidence hierarchy, discuss the type of research conducted and where it falls on the 8 level evidence hierarchy. Be specific.
Strength of Evidence
Evaluate each article based on the GRADE criteria. Is the strength of the evidence very low, low, moderate or high? Analyze each article individually and then determine the overall strength of the evidence that you have gathered. The GRADE criteria article can be found in the Module 8 assignment folder.
Practice Recommendations
Based upon the research articles that you have reviewed, what are two practice recommendations that you would put into place?
Strength of Recommendations
Once you have decided what you would recommend, you should then evaluate each individual practice recommendation using the GRADE criteria and determine the overall strength of each recommendation.
Key Stakeholders
Three key stakeholders were identified for the project. The first group of stakeholders are the health care providers who include physicians, nursing personnel, health care workers, discharge planners, nursing assistants and others. They are important to the project because they are involved in its implementation in terms of translating policy into practice. In addition, they provide professional opinion that informs the project recommendations. The second group of stakeholders are the patients. They are important because they are the targets of the project and provide primary data that informs the project results and recommendations. The third group of stakeholders are the health care facility administrators. They are important because they support the project through funding. In addition, they offer administrative approval before the project can proceed. This is particularly true when the Institutional Review Board (IRB) is involved and there is a need to access health records (Harris, 2015)Maternity And Water Birth Safety Essay Assignment Paper. In this respect, the three groups of stakeholders that are important to the present nursing project are health care providers, patients, and health care facility administrators.
Engagement Strategies
The project acknowledges that the three groups of stakeholders (health care providers, patients, and health care facility administrators) are important for the project’s success. The health care providers are low influence and high interest group. As such, they will be engaged through consultation and participation. Consultation will involve having communication forums with the providers where the project details will be presented and their opinion solicited on the project aspects with the intention of making changes and improvements. Through consultation, they will be involved in the project with no responsibility and influence outside of providing their opinions. Participation will entail having the providers implement the project. Participation will entail having them as part of the team where they deliver tasks. The partients are a high interest and low interest group. As such, they will be engaged through participation whereby they will be recruited in implementing the project with the intention of collecting primary data about effects of the intervention. Their responsibility will be in being subjected to the intervention and providing feedback. The health care facility administrators are a high influence and high interest group. They will be engaged through partnerhships that sees them have shared responsibility and accountability for the project thus allowing them to be part of the decision-making team (Harris, 2015). In this respect, the three groups of stakeholders will be engaged through consultation, participation and partnership Maternity And Water Birth Safety Essay Assignment Paper.
Resistance Strategies
The project acknowledges that although the project is intended to realize positive outcomes, there is a possibility that some of the stakeholders could be resistant to the intended change. Given this awareness, the proect has identified seven strategies to minimize the resistance to change. The first stategy is to create a supportive a positive environment that inspires creativity, honest communication, and free thought so that the issues that cause the resistance are identified and addressed. The second strategy is to empower creativity and innovation among the stakeholders. This will entail offering opportunities for feedback while remaining flexible on the project implementation. This will allow the stakeholders to discover solutions to unfolding issues that have the potential of derailing the project. This will also ensure that the stakeholders become a part of the project (Harris, 2015; Melnyk & Fineout-Overholt, 2011). The third strategy is to apply persuasive arguments that convince the stakeholders to support the project by presenting its opportunities and positive effects. The fourth strategy is to exhibit passion that exhibits confidence in the intended change. The fifth strategy is to resolve conflicts effectively and quickly so as to control and regulate communicative breakdowns thus engendering mutual respect, trust, honesty and openness. The sixth strategy is to set engaging, achieving and challenging objectives that clarify milestones while celebrating achievements. The progression on how goals will be achieved will show how the project ties in with the facility beliefs and values. The final strategy is to structure the project team to maximize the members’ potential with focus on giving them appropriate responsibilities and roles that make the best use of their knowledge, skills, experiences and competencies (Harris, 2015; Melnyk & Fineout-Overholt, 2011). The presented strategies are anticipated to help in minimizing resistance to the change brought about by the project.
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Evaluation
Over the course of the project, data will be collected to determine the project’s effectiveness in achieving the intended objectives. The project intends to show that subjecting breast cancer patients to peer support groups will allow them to experience a faster return to normal daily activities. As such, the evaluation will collect the patients opinions concerning the period before the project was implemented and after the project was implemented. The ficus will be on determining if there are notable differences between the when peer support groups are used and when they are not used. The evaluation will also make use of descriptive statistics to generalize the differences between the two periods in terms of percentages. The evaluation will be conducted at the conclusion of the project (Creswell, 2013; Porkoski, 2018)Maternity And Water Birth Safety Essay Assignment Paper.
References
Creswell, J. W. (2013). Research design: qualitative, quantitative, and mixed method approaches. Thousand Oaks, CA: Sage Publications.
Harris, M. (2015). Handbook of home health care administration (6th ed.). Burlington, MA: Jones & Bartlett Learning.
Melnyk, B. M. & Fineout-Overholt, E. (2011). Evidence-based practice in nursing & healthcare: a guide to best practice. Philadelphia, PA: Lippincott, Williams & Wilkins.
Pokorski, M. (2018). Current concepts in medical research and practice: advances in experimental medicine and biology. Cham: Springer International Publishing AG.
an APA format paper, approximately 3-5 pages in length, address the following questions. (Please note that you will continue to write in the same document you completed for part 1, 2, 3, 4, 5, and 6 of this assignment (completed in modules 2, 4, 6, 7, 8, and 9) – you can keep the same cover page, correcting any errors noted on your previous feedback. Please correct your reference page as noted from your previous submission feedback and update it with your new material). In addition, although you are submitting your entire project to date (with revisions), your actual grade will be based only on the current section, as addressed below: Who are the key stakeholders for your EBP project? What strategies will you use to get them involved and engaged in making the changes you\’ve recommended? What will you do if you meet resistance? How will you evaluate the results of your intervention (please be specific, including methods and timeframe for evaluation)? Maternity And Water Birth Safety Essay Assignment Paper