STU Nursing Labor & Delivery Recovery and Postpartum Discussion

 Instructions:

• respond to at least two of your peers by extending, refuting/correcting, or adding additional nuance to their posts. 

Discussion # 1

Research Questions, Search Engines, & Databases.

Technology I am currently a nurse in an LDRP (Labor & Delivery, Recovery, and Postpartum) unit. I tend to parturient patients, neonates, and newly delivered postpartum patients. Participation of nurses in clinical research and EBP helps to deliver high-quality care. Nurses offer a unique insight to discover practice gaps, formulate, assess, and implement changes because they are one of the few professions with a constant presence at the bedside. To plan and perform high-quality projects and thus improve local, national, and worldwide practice, clinical practice and research must be conducted (Mulkey, 2021). For this discussion post, I formulated four research questions pertaining to the field of obstetrics and neonatal health.

Referring to Chapter 2 Table 2-2 Research Question Format, create 4 research questions (one of each type) related to your nursing clinical practice area and/or role.

1. Correlational: Is physical activity, as assessed by a smart band activity tracker, associated with preterm birth in pregnant women at high risk for preterm delivery?
2. Comparative:  In infants unable to latch for breastfeeding, does prompting through finger feeding result in a higher rate of latching when compared with prompting through bottle-feeding over the first year of life?
3. Experimental: Is there a difference in anxiety levels between laboring mothers who receive care from a doula versus those who do not?
4. Qualitative: What are the unique experiences and challenges faced by women belonging to ethnic minorities when receiving antenatal, intrapartum, and postnatal care?

Choose one of the research questions and map out the independent and dependent variables, the population, and the testability.

I chose the correlational research question, is physical activity, as assessed by a smart band activity tracker, associated with preterm birth in pregnant women at high risk for preterm delivery? Physical activity is the independent variable, whereas preterm birth is the dependent variable. The population is pregnant women at high risk for preterm delivery. Testability would involve gathering a cohort of pregnant women with short cervical lengths of ? 20 mm, which can be viewed through a sonogram, and assessing their physical activity level by smart band activity. The participants would then be asked to wear the smart band activity tracker continuously for at least one week. The results would then be measured by the rate of deliveries before 37 weeks of gestation (Zemet et al., 2018).

Why is this research question of most interest to you?

Bed rest and/or activity limitations for patients at high risk for preterm birth is a widespread recommendation, despite the lack of evidence to sustain these recommendations. As a labor nurse, I am constantly treating the obstetrical population and in charge of educating and advising them. I want to provide my patients with the most up-to-date education regarding their condition and suggest evidence-based recommendations.

What search engines or databases are you using to identify the articles for your Weekly Article Summary assignment?

I use the university’s database and the National Center for Biotechnology Information’s (NCBI) database to search for my weekly articles and have used it in my previous courses to search for information.

What keywords are you using for your search?

I use keywords that represent the main concepts of my research topic. For example, if I want to know the effect of utilizing different birth positions during labor on the duration of labor or rates of vaginal deliveries, I begin by using keywords such as “labor positions,” “birthing positions,” and “maternal positions.” While it is uncommon for keywords to generate perfect results, it does narrow down the search and offers alternative suggestions for other keywords that may aid in finding the article that I need. I try to be as specific as possible by avoiding vague words and spelling out abbreviations.

Have they been effective in finding articles that are relevant to your clinical practice? Include rationale.

   So far, I have been able to find articles relevant to my clinical practice and the topics required for assignments. Although it may sometimes take me a couple of attempts to find the perfect keyword that will direct me to the scholarly journals I need, I always accomplish the task with these databases. The databases I use provide accurate, high-quality, and well-designed information I can utilize. The articles provided by these databases do not originate from predatory publishers; therefore, I am confident that the literature I am citing is based on sound information. 

Discussion # 2

Research Questions, Search Engines, & Databases

Part 1

1. Research Question Format

Quantitative correlational: Is there a relationship between alcohol consumption and chronic diseases and conditions among young African-American and non-Latino students in universities?

Comparative: Do people who are infected by COVID-19 and are fully vaccinated have a better response and protection compared to those who have not been vaccinated or those who have received one shot?

Experimental: Differences in Expectation, Satisfaction, and Sensory Pain Reported by Outpatients with Sickle Cell Disease?

Qualitative Grounded Theory: What are the attitudes and behaviors of nurses who provide primary care for patients with HIV infection?

2. Components of Research Questions and Related Criteria

Quantitative correlational: Is there a relationship between alcohol consumption and chronic diseases and conditions among young African-American and non-Latino students in universities?

VariablesPopulation

Testability

Independent VariablesDependent Variables

• Alcohol Consumption
• Race
• Students
• Geographical setting: Universities
• Chronic Diseases and Conditions

Young African-American and non-Latino studentsDifferential effects of alcohol consumption and health outcomes, and race on students from different backgrounds in universities.

3. Chronic diseases and conditions lead to widespread negative effects on the financial, psychological, spiritual, and physical well-being of individuals, their families, community, and friends at large. This is because alcohol consumption is a risk factor for many chronic diseases and conditions. The aforementioned research question is interesting to me because I feel that there is less information and data on alcohol use among teenagers and especially those who have joined universities. Additionally, it will generate a better perception and understanding of the ways that nurses can use to make decisions on the effective provision of proper care.

Part 2

1. The purpose of this study was to evaluate the relationship between alcohol consumption and chronic diseases or conditions among young African-American and non-Latino students in universities. This study will focus on library databases through the effective search for published information such as newspapers, magazines, and journal articles. In addition, search engines, like Google will be effective in searching and identifying items that match keywords and characters which are significant to the study. According to various sources, creating a broader list of terms is usually critical in creating more indexable articles which implies having more effective outcomes and results (Tullu, 2019). A comprehensive search will be conducted to review reliable, relevant, and accessible articles that meet the inclusion period. The search will cover the earliest pieces of literature found up until November 2016. As a result, this systematic review will report on contemporary quantitative instruments for evaluating nursing care quality and suggest some directions for further study.

2. Key Words: Alcohol consumption; Chronic Diseases and Conditions; burden of disease; ischemic heart disease; ischemic stroke; diabetes; digestive diseases; cardiovascular diseases; neuropsychiatric disorders; cancers, AOD-induced risk; relative risk; risk factors; alcohol-attribute fractions (AAF); morbidity; mortality; disorders: drugs consumption in universities; alcohol use disorders (AUDs).

3. With the aforementioned keywords, the selected databases and search engines were effective in finding articles that are relevant and reliable to the study. LoBiondo-Wood & Haber (2014) articulate that the significance of quality research in nursing should result in insights relevant to care and nursing service. This implies that any selected article should provide relevant information which is scientific and can help in addressing the challenges in nursing practice.