NR439 Week 2 Discussion, Search for Literature and Levels of Evidence. Week 2: Search for Literature & Levels of Evidence 3737 unread replies.9494 replies. 1. Reflect on your practice, & identify a significant nursing clinical issue or change project that you would like to search for evidence in online sources.

Formulate searchable, clinical questions in the PICO(T) format for your nursing clinical issue. 2. Next, review the guidelines for the PICOT Assignment due Week 3. Use your PICOT elements to search for one report of a single, original study that has been published within the last 5 years from the CCN Library that is relevant to your nursing clinical issue. 3. Briefly describe how it is relevant to your nursing clinical issue. Remember to give a complete reference to the study. Professor & class, As a nurse working in a pediatric outpatient facility, the issue that I identified is the increase in delays & refusals of vaccination during the last year. Parental noncompliance with immunizations is a public health concern. But what are the reasons behind these refusals? Can education address the parent’s concerns regarding vaccines? Can patient education improve vaccination rates? Is there a relationship between the MMR vaccine & Autism Spectrum Disorder (ASD)? Concerns regarding vaccinations & the link with chronic diseases & other side effects have increased during the past decades. This negative perception from the parents has been most remarked to the measles-mumps-rubella (MMR) vaccine as a result of the association with ASD. My PICOT question is: In parents of children between 12 months & 6 years old (P), how does patient education regarding the importance of the MMR vaccination & the unlink relation with Autism Spectrum Disorder (ASD) (I) compared with no education regardless of the parental decision (acceptance/rejection) regarding vaccination (C) improve the MMR vaccination rates (O) in a period of 6 months (T). (P) Population: Parents of children between 12 months & 6 years old. Focus on the scheduled time for MMR vaccination, will give the opportunity to see the perceptions of this parents. (I) Intervention: Patient Education. (C) Comparison: No education. (O) Outcome: Reduced number of vaccine rejection that results in improved immunization rate. (T) Time: 6 months Parental decision-making in the uptake of the MMR vaccination: a systematic review of qualitative literature is the article of my choice. This article is related to my nursing problem because it appraises findings on parental decisions related to immunizations. This systematic review of qualitative studies is pertaining to patient population & is relevant to my nursing problem because the study points at leading causes of rejection from parents including the link with ASD. In order to create an effective education plan as an intervention for the problem, parents concerns need to be addressed first. References: Allan, N., & Harden, J. (2014). Parental decision-making surrounding uptake of the MMR vaccination: A systematic review of the qualitative literature. Journal of Public Health, 1-10. DOI: 10.1093/pubmed/fdu075Links to an external site. Week 3 Professor & Class, 1. After reviewing the research designs in our text, the quantitative design seems the most appropriate for my research question regarding the use of bed & chair alarms in preventing patient falls. “Quantitative designs are appropriate when the results must reveal the true relationship between a cause & an effect or between two variables” (Houser, 2018, p. 135). This research question is quantitative in nature because it is evaluating a cause & effect between two variables, the cause being the alarms & effect being the prevention of falls. 2. According to our book, samples are taken from a population when conducting a research study (Houser, 2018). A population includes all members of a group that is being studied, whereas a sample is a portion of that population & it’s characteristics. Convenience sampling is a method that relies on members who are conveniently available to participate in the research study. Participants are found wherever you can find them. Face book polls & questions are a good example of convenience sampling (Convenience sampling – Research Methodology).When interoperating studies that use convenience sampling, the reader must keep in mind the potential for bias. The reader might question whether or not the researcher was personally involved in selecting participants, if the sampling was referral or respondent-driven, or if the participants were truly selected at random. “These data may be of the highest quality & quite extensive, but the biases inherent in a convenience sample preclude the legitimate use of powerful inferential tools that are usually associated with a random sample” (Hedt & Pagano, 2011). References: Convenience sampling – Research Methodology. (n.d.). Retrieved from Hedt, B. L., & Pagano, M. (2011). Health indicators: Eliminating bias from convenience sampling estimators. Statistics in Medicine. doi:10.1002/sim.3920 Houser, J. (2018). Nursing research: Reading, using, & creating evidence (4th ed.). Burlington, MA: Jones & Bartlett Learning.

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