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Running head: ESSENTIALS OF NURSING RESEARCH 1 Assignment: Identifying A Clinical Question Write a 1000-1500 word essay addressing each of the following points/questions. Be sure to completely answer all the questions for each bullet point. There should be three main sections, one for each bullet below. Separate each section in your paper with a clear heading that allows your professor to know which bullet you are addressing in that section of your paper. Support your ideas with at least five (5) sources using citations in your essay. Make sure to cite using the APA writing style for the essay. The cover page and reference page in correct APA do not count towards the minimum word amount. Review the rubric criteria for this assignment. Identify a clinical question related to your work environment, write the question in PICOT format and perform a literature search on the identified topic. Purpose ESSENTIALS OF NURSING RESEARCH 2 To enable the student to identify a clinical question related to a specified area of practice and use medical and nursing databases to find research articles that will provide evidence to validate nursing interventions regarding a specific area of nursing practice. Review the Application Case Study for Chapter 3: Finding Relevant Evidence to Answer Clinical Questions as a guide for your literature search. Guidelines 1.Identify a clinical question related to your area of clinical practice and write the clinical foreground question in PICOT format utilizing the worksheet tool provided as a guide. 2.Describe why this is a clinical problem or an opportunity for improving health outcomes in your area of clinical practice. Perform a literature search and select five research articles on your topic utilizing the databases highlighted in Chapter 3 of the textbook (Melnyk and FinoutOverholt, 2015).
3.Identify the article that best supports nursing interventions for your topic. Explain why this article best supports your topic as you compare the article to the other four found in the literature search. ESSENTIALS OF NURSING RESEARCH 3 Essentials of nursing research In the nursing profession, it is a very critical profession since it directly supports human life. With such delicateness, absolute clarity on every practice and procedure that is carried out needs some significant amount of facts known and verified before any action to be appropriated. In every nursing practice, there is evidence that is needed to back it up. This evidence-backed field of nursing has been developing in the last century which has led to many nurses ending up in research institutions in the universities and other healthcare research and development institutions. Their finding from these nurses has been used as evidence in the rationalization of the nursing interventions. This has become to be known as the evidence-based intervention of nursing practices. This has given rise to the evidence-based as quality health care improvement. The PICOT questions For the hospitalized children (P) how does parent’s overnight hospital stay with the child (I) compared with limited day stay (C) affect the patient’s psychology and recovery (O) within the first six weeks (I)?
ESSENTIALS OF NURSING RESEARCH 4 There have been several complications that the child has developed after the pediatric surgery which normally a patient is admitted to the ward and stays for two days. These complications have led to the two-day stay to be prolonged where she is in her second week in the hospital. The surgeon has a firm stand that the mother should leave her child alone during the nights since she has been staying with her all the time since the admission while the other staff is suggesting she remain and keep her child company overnight for the rest of the time she is in hospital. This situation provides a critical decision-making scenario whereby every decision made needs to be backed with researched evidence for optimal results. For psychiatric nursing, this ought to be an area for well-formulated research question. PICOT table. Population Hospitalized children Intervention Parents remain overnight Comparison Limited day visit Outcome Psychology and recovery rate ESSENTIALS OF NURSING RESEARCH Time 5 During hospitalization Relevant database search terms Concept Keyword Population Kid, child, pediatric, children, inpatient, hospitalized Intervention Overnight, sleepover, rooming-in stay staying Comparison No overnight stay, visitors to patient impact. ESSENTIALS OF NURSING RESEARCH 6 Outcome Psychological effects, stress, separation anxiety Findings The above keywords were used to search for any relevant articles in the databases that could provide appropriate evidence that have information that could be used in the decision making and in backing up the nursing practices. Below are five selected articles from the databases that have the most appropriate and relevance evidence. In the early 1950s, hospitals were miserable places for pediatric patients and it was believed that the extended presence or hospital stays for their parents would interfere with effective medical attention to the children and therefore parents were only allowed for limited visits during the day. This usually was quite miserable and distressful to the child mostly when it was time for their parent to leave and be left alone with other sick children. In an environment that believed that parental presence inhibited effective care, research that was being conducted revealed that the kids who didn’t have parental visits were subjected to intense emotional trauma ESSENTIALS OF NURSING RESEARCH 7 (Thomas, Sprague, Braga & Voineskos, 2019). This had an effect on the recovery process in a negative wat in some cases ending up prolonging the recovery period hence the hospital says. This also had acute psychological effects that could carry on to their adolescent and adulthood life stages. This is according to Sahiner and Bal (2016). With regards to Raiskila, et al (2016), it has been that extended parental presence has a huge impact on the child’s psychological state. This is because children are always traumatized by hospital experiences and this is extended to their mental and psychological well-being. The presence of a parent makes the environment more friendly and makes it easier for the child to cope. This is even more impactful during the night which is more traumatizing to children even with very good lighting. This means that overnight stays relieve the child of immense anxiety and so reduces her stress levels with the comfort of her parent Essential of Nursing Research
. According to Franck et al. (2015), parental sleepovers are two-way impactive. They have significant impacts on both the hospitalized child and the parent who is staying with the child. Though this positively impacts the child, it affects the psychological state of the parent. The parent can cope with these effects more effectively than the child though they still need support for the relieve. The high levels of anxiety and trauma with a child who has complications from recovering from a surgery could have been subjected to could have led to high blood pressure imbalanced sugar levels and other stress-related effects which may lead to further prolonging the recovery period taking into consideration that there are other complications that are present (Doupnik et al, 2017). Limited day visits may have a positive impact on the parent since she shall be able to get enough rest and sleep better which shall, in turn, improve her overall psychological state. ESSENTIALS OF NURSING RESEARCH 8 According to Franck, Ferguson, Fryda, and Rubin, (2015). Essential of Nursing Research
The patient and family health care is getting widely implemented, this is because of its aspect of availing the family comfort and support throughout the sickness period. This healthcare system always ensures the most relaxed psychological and mental states. For a child on their early development state, this is quite detrimental in their moral behavioral and personal growth since they directly influence the later stages in the development cycle. In this case, a child with complications needs the best environment at all times. This implies that the child who is hospitalized needs parental or family comfort as much as possible. Conclusion Considering all the above-searched articles it is evident that everyone involved in the decision of whether the mother should be allowed to spend the nights with her child or she should go home during the nights have a fact behind their opinion on that. With such a scenario it is very necessary to make the most appropriate decision and conclusion by considering and weighing the impact of each of these facts. From the above literature search the article that best expounds the situation in all dimensions and provides the most appropriate nursing intervention is Predictors of parent post-traumatic stress symptoms after child hospitalization on general pediatric wards: a prospective cohort study by f Franck et al (2015) this is because it considers the impact of parental sleepover with the hospitalized child on both the child and the parent and then giving the most appropriate nursing intervention which is allowing the parent to spend the nights. This article does not only provide evidence to support the research question on one dimension but provides all the fact. From all this, it out of the best nursing practice knowledge to ESSENTIALS OF NURSING RESEARCH 9 conclude that its best to allow the mother to stay with her hospitalized daughter and also ensure that the mother gets the best support to cope with her stress and psychological impact of the stay. ESSENTIALS OF NURSING RESEARCH 10 Essential of Nursing Research
References Doupnik, S. K., Hill, D., Palakshappa, D., Worsley, D., Bae, H., Shaik, A., … & Feudtner, C. (2017). Parent coping support interventions during acute pediatric hospitalizations: a meta-analysis. Pediatrics, 140(3), e20164171. Franck, L. S., Ferguson, D., Fryda, S., & Rubin, N. (2015). The child and family hospital experience: is it influenced by family accommodation?. Medical Care Research and Review, 72(4). Raiskila, S., Lehtonen, L., Tandberg, B. S., Normann, E., Ewald, U., Caballero, S., … & Westrup, B. (2016). Parent and nurse perceptions of the quality of family-centered care in 11 European NICUs. Australian Critical Care, 29(4). Sahiner, N. C., & Bal, M. D. (2016). The effects of three different distraction methods on pain and anxiety in children. Journal of Child Health Care, 20(3) Thomas, A., Sprague, S., Braga, L. H., & Voineskos, S. H. (2019). The Steps of Practicing Evidence-Based Surgery (EBS). In Evidence-Based Surgery (pp. 9-15). Springer, Cham. Essential of Nursing Research