NURS 412 AACC Prenatal Care Education Nursing PICOT Question Discussion

NURS 412 AACC Prenatal Care Education Nursing PICOT Question Discussion NURS 412 AACC Prenatal Care Education Nursing PICOT Question Discussion Scholarly Paper: Using the PICOT process, analyze a current nursing practice-related issues.Select an issue from your NURS 412 clinical practice and write a PICOT research question. The scholarly paper should be typed, double spaced, 12 point, Times New Roman using APA format, and limited to 6 pages including title and reference pages. The references cannot be older than 2018.EVALUATION OF UNDERGRADUATE SCHOLARLY PAPER RUBRIC WILL BE USED. Support your position with references no older than 2018 from at least two peer reviewed journal reference articles. Also use the attached rubric to ensure proper completion of the assignment i have also attached samples as a guide do not plagiarize the sample. NURS 412 AACC Prenatal Care Education Nursing PICOT Question Discussion let me know the topic you are choosing to write about. and let me know if you have any questions. ebp_group_background.docx ppt_ebp__picot_presentation___nurs__425___10_8_2019__1_.pptx picot_sample_scho Prenatal care is medical care females receive during pregnancy with the goal of providing regular check-ups that allows their physician or mid-wife to detect, treat, and prevent potential health concerns throughout the course of their pregnancy- promoting a healthy lifestyle that can benefit the mother and child. First time mothers with less than a high school education, as well as women with more than 12 years of education showed improvement with newborn care when basic prenatal education was given in the late stages of pregnancy. Studies showed that women with the least amount of formal education (0 to 4 years) increased their test scores- knowledge of prenatal care- by 11.8% compared with 10.9% increase in women with 4 to 8 years of education, 6.4% in women with 12 to 16 years of education and 11.1% in women with >16 years of education (Weiner, E. A., Billamay, S., Partridge, J. C., & Martinez, A. M. (2011). Prenatal care is inexpensive and can save patients more money from having to deal with potential complications if it was to not be given. The affordable care act says that all insurances have to cover many services for pregnant women. It is important that even uninsured pregnant women receive the proper information on what she can do to get insured and receive accurate care during her pregnancy. Many pregnant women can get Medicaid coverage (a low-cost health insurance to people with low income) or the Children’s Health Insurance Program (for children and pregnant women who families make too much to receive Medicaid (March of Dimes, 2014). Whenever a woman becomes pregnant, they need to receive some type of prenatal care for the mother and fetus. When prenatal care is not received from the beginning of pregnancy or not received at all, negative consequences can happen to both fetus and mother. The link in our PICOT question would be: Prenatal deficiency can account for negative outcomes to both mother and child. These negative outcomes can be low birth weight, preterm infants, preeclampsia, and intrauterine growth restriction (Beeckman, Louckx, & Putman, 2011). The dependent variable would be the prenatal care because if the mother and fetus is given this type of care, the risk of negative outcomes would significantly be lower. Our focus on how health promotion in terms of prenatal care education effects the quality of life for both mother and baby is because this can prevent many complications before and after the birth of the baby. Education is an imperative factor in supporting a healthy pregnancy (Bahrami, Simbar, & Bahrami, 2013). If pregnant/expecting women are educated on prenatal care this promotes healthy lifestyles, during their pregnancy, and also helps expectant mothers on how to manage stress to avoid hypertension /preeclampsia. Also if mothers are educated on what to expect during their pregnancy and what to be aware of this can lead to recognizing warning signs of fetal distress or complications (March of Dimes, 2014). NURS 412 AACC Prenatal Care Education Nursing PICOT Question Discussion For example when a mother experiences fetal movement often, but notices no movement all day this could be a sign of fetal distress or an indication to seek medical help. The independent variable is education because this will affect the expectants mother approach to prenatal care. CINAHL, MEDline (EBSCO), Health AND Wellness Resource Center, and Health Source: Nursing were the databases of choice for this project. A literature review of several types of articles with various methods and sampling facilitated the development of this evidence based project. CINAHL had the most extensive information regarding the prevalence and effectiveness of prenatal care. Prenatal care, especially by education, is an important aspect in improving a pregnant woman’s awareness and knowledge about risks factors, complications and outcome of pregnancy. Prenatal care begins from the time of conception and ends with the onset of labor. It is important for a pregnant woman to be very careful because everything they do affects their baby. Factors like environment, diet, exercise. Early prenatal education that includes environmental influences has been overlooked in many studies, but is associated with impaired cognitive development and behavioral disabilities. There are many forms of prenatal care and education; some are even available online. In addition, in a comparative study of prenatal education by nurses from New Orleans, USA and Ankara, Turkey, the topics addressed were significantly different, as well as the requirements for giving the education. The nurses in New Orleans mostly had a master’s degree, while the nurses from Ankara had a two-year education. Despite these differences, all pregnant women that attended the programs were able to benefit and had a successful pregnancy outcome. Moreover, another study by Wallis, et.al (2014), showed that pregnant women with medical conditions prior to the pregnancy like hypertensive disorder and diabetes, were positively impacted by prenatal education. Interestingly, a study by Pilon (2011) was about a program called Early SSTART that is created to remove the barriers pregnant teens face to prenatal care. This model addresses the removal of transportation barriers, offers convenient after school scheduling, and provides small incentives to motivate pregnant teens to keep appointments, make healthy lifestyle choices, and adhere to prescribed medication regimens. Similarly, University of Miami is offering a course in preconception health and prenatal development in order to improve college students’ reproductive health awareness. Another study suggests group education is associated with an increase in effectiveness of prenatal care. Therefore, prenatal care and education is essential for all pregnant women. The main focus is on health education during prenatal care to provide guidance, teaching, encouragement and support, to address and treat the minor complications of pregnancy, and to provide effective screening during the pregnancy to both the educated and uneducated mother. NURS 412 AACC Prenatal Care Education Nursing PICOT Question Discussion Education is an essential constituent of prenatal care, especially for the first time pregnant mothers. Antenatal care offers a significant chance for discussion amongst pregnant women and their care provider about healthy behaviors during pregnancy and how to recognize problems that may arise throughout pregnancy. These include but not limited to information on postpartum care, newborn care and breastfeeding, signs of problems, and appropriate action to take. (Holmes, 2012). It has been found in numerous studies that women with some kind of prenatal care education came into labor much more prepared as compared to those that did not have any form of education. These uneducated women did not know the pros, cons and safety issues associated with different pain management options, C-sections verse vaginal births, episiotomies and etc. this left them unprepared to participate in their own care. Prenatal education also helps reduce the number of preterm birth rate and that is one of the keys reasons of focusing on health education. (Holmes, 2012). Reference Bahrami, N., Simbar, M., & Bahrami, S. (2013). The Effect of Prenatal Education on Mother’s Quality of Life during First Year Postpartum among Iranian Women: A Randomized Controlled Trial. International Journal Of Fertility & Sterility, 7(3), 169-174. Beeckman, K., Louckx, F., & Putman, K. (2011). Predisposing, enabling and pregnancyrelated determinants of late initiation of prenatal care. Maternal And Child Health Journal, 15(7), 1067-1075. doi:10.1007/s10995-010-0652-1 Holmes W. Effective provision of antenatal care. Lancet. 2012; 358(9285):928. [PubMed] Weiner, E. A., Billamay, S., Partridge, J. C., & Martinez, A. M. (2011). Antenatal education for expectant mothers results in sustained improvement in knowledge of newborn care. Journal Of Perinatology: Official Journal Of The California Perinatal Association, 31(2), 92-97. doi:10.1038/jp.2010.108 March of Dimes. Health insurance during pregnancy. (2016). Retrieved April 8, 2016, from http://www.marchofdimes.org/pregnancy/health-insurance-duringpregnancy.aspx March of Dimes. Prenatal education and outreach. Retrieved April 07, 2016, from http://www.marchofdimes.org/mission/prenatal-education-and-outreach.aspx Delgado, C. (2013). NURS 412 AACC Prenatal Care Education Nursing PICOT Question Discussion ORDER NOW FOR CUSTOMIZED AND ORIGINAL ESSAY PAPERS Pregnancy 101: A Call for Reproductive and Prenatal Health Education in College. Maternal & Child Health Journal, 17(2), 240-247 8p. doi:10.1007/s10995-012-0967-1 Knutzen, D. M., Stoll, K. A., McClellan, M. W., Deering, S. H., & Foglia, L. M. (2013). Improving knowledge about prenatal screening options: can group education make a difference?. Journal Of Maternal-Fetal & Neonatal Medicine, 26(18), 1799-1803 5p. doi:10.3109/14767058.2013.804504 Pilon, B. (2011). Removing the Barriers to Prenatal Care and Education for Teens -Rock-a-Bye Teens: An Early SSTART Program. International Journal Of Childbirth Education, 26(4), 23-27 5p. Shieh, C., & Carter, A. (2011). Online Prenatal Nutrition Education.Nursing For Women’s Health, 15(1), 26-35 10p. doi:10.1111/j.1751-486X.2011.01608.x Wallis, A. B., Tsigas, E. Z., Saftlas, A. F., & Sibai, B. M. (2013). Prenatal education is an opportunity for improved outcomes in hypertensive disorders of pregnancy: results from an Internet-based survey. Journal Of Maternal-Fetal & Neonatal Medicine,26(16), 1565-1567 3p. doi:10.3109/14767058.2013.797403 Ustunsoz, A., Senel, N., & Pollock, C. A. (2011). Comparison of prenatal education delivered by nurses in Ankara (Turkey) and New Orleans (USA). Journal Of Clinical Nursing, 20(7/8), 1133-1140 8p. doi:10.1111/j.1365-2702.2010.03262.x 1 Evidence Based Practice PICOT ? Dr. Birthale Archie ? 1Transition into Professional Nursing Practice ? NURS 425 / Week 7 2 Definition Evidence Based Practice (EBP) ? According to Melynk et. Al. (2010) ? “a problem-solving approach to the delivery of health care that integrates the best evidence from studies and patient care data with clinician expertise and patient preference and values.” (p. 1) 3 What is PICOT Statement ? Carefully formulated question that encompass the acronym PICOT and the ? “T” when pertinent. 1. Identify the problem or population(P) intervention (I) 3. Comparison (C) 4. Outcome(s) (O) 5. Timeframe (T) Template for PICOT QUESTION 4 ? https://www.aaacn.org/sites/default/files/documents/miscdocs/1e_PICOT_Questions_template.pdf ? Handout in class. ? Adapted from the PICOT Questions Template; Ellen Fineout-Overholt, 2006. This form may be used for educational & research purposes without permission 5 Definitions for Terms ? Intervention/Therapy: Questions addressing the treatment of an illness or disability. ? Etiology: Questions addressing the causes or origins of disease (i.e., factors that produce or predispose toward a certain disease or disorder). 6 Definitions for Terms Cont’ ? Diagnosis: Questions addressing the act or process of identifying or determining the nature and cause of a disease or injury through evaluation. 7 Definitions for Terms Cont’ ?Prognosis/Prediction: Questions addressing the prediction of the course of a disease.NURS 412 AACC Prenatal Care Education Nursing PICOT Question Discussion 8 Definitions for Terms Cont’ ?Meaning: Questions addressing how one experiences a phenomenon. 9 Intervention ? Intervention: In African-American female adolescents with hepatitis B (P), how does acetaminophen (I) compared to ibuprofen (C) affect liver function (O) timeframe (T)? 10 Therapy ? Therapy: In children with spastic cerebral palsy (P), what is the effect of splinting and casting(I) compared to constraintinduced therapy (C) on two-handed skill development (O)? 11 Prognosis / Prediction ? Prognosis/Prediction: 1) For patients 65 years and older (P), how does the use of an influenza vaccine (I) compared to not received the vaccine (C) influence the risk of developing pneumonia (O) during flu season (T)? 2) In patients who have experienced an acute myocardial infarction (P), how does being a smoker (I) compared to a non-smoker (C) influence death and infarction rates (O) during the first 5 years after the myocardial infarction (T)? 12 Diagnosis ? Diagnosis: In middle-aged males with suspected myocardial infarction (P), are serial 12-lead ECGs (I) compared to one initial 12-lead ECG (C) more accurate in diagnosing an acute myocardial infarction (O)? 13 Etiology ? Etiology: Are 30- to 50-year-old women (P) who have high blood pressure (I) compared with those without high blood pressure (C) at increased risk for an acute myocardial infarction (O) during the first year after hysterectomy (T)? 14 Meaning ? Meaning: How do young males (P) with a diagnosis of below the waist paralysis (I) perceive their interactions with their romantic significant others (O) during the first year after their diagnosis (T)? 15 References ? Birthale Archie, DNP, MSN, BS, RN ? Fineout-Overholt, E. Template for Asking PICOT Questions. Retrieved October 7, 2019, from http://www.unm.edu/~unmvclib/cascade/handouts/PICOTtemplates.pdf ? Library Guides: Evidence Based Nursing Practice: Pico(t) and Clinical Questions https://journals.lww.com/nursing/fulltext/2014/02000/To_ma ke_your_case,_start_with_a_PICOT_question.7.aspx#pdf-link https://libraryguides.missouri.edu/c.php?g=28271&p=174073 ? https://libraryguides.nau.edu/c.php?g=665927&p=4682772 ? https://journals.lww.com/nursing/fulltext/2014/02000/To_make_your_case,_sta rt_with_a_PICOT_question.7.aspx#pdf-link Running head: ACCOUNTABILITY EDUCATION: A LEGISLATIVE ISSUE Accountability for Continued Education: A Legislative Issue Introduction The United States has made efforts to develop its health care industry with a focus on quality, affordability, and access to healthcare services. The increasing demand for health care services over the past decade(s) and the demand for quality medical care have stimulated the 1 ACCOUNTABILITY FOR EDUCATION: A LEGISLATIVE ISSUE 2 growth of the nursing population. Issued in a 2010 report by the Institute of Medicine (IOM), called The Future of Nursing: Leading Change, Advancing Health, highlighted the complexities of care have been evolving; therefore, nursing education must also advance to meet the needs of future healthcare requirements. The recommendation sought to increase the number of nurses to obtain their bachelor’s degree to 80% by the year 2020. With more than 3 million members and counting, the number of nurses embody the largest sector of healthcare industry according to the IOM (2010). At the time of this report’s release, approximately 50% of nurses achieved their bachelor’s degree or had their bachelor’s degree.NURS 412 AACC Prenatal Care Education Nursing PICOT Question Discussion Currently, in 2019, a 10% increase in nurses with a BSN evolved making the total percentage to 60%. Consequently, the goal has not been met; however, the initiative has made some strides (Schneider, 2016). Such demand requires the federal government, state department, and other policy-related bodies to make decisions geared toward closing the nursing educational gap. The demand has also triggered professional training of nurses in various certified nursing institutions and organizations. Through research, the federal government of the U.S, American Nurses Credentialing Center (ANCC) and other legal bodies supported an increase in nurses requiring a four plus year education to obtain a bachelorette’s degree. A push for new legislation requires participation by state governances along with enough documented proof to convince states to adopt this new policy. This paper aims to address the PICOT formulated question: In nursing practice, how does clinical competence of BSNs compared to that of RNs with an associate degree influence the rate of mortality among patients over time? Problem ACCOUNTABILITY FOR EDUCATION: A LEGISLATIVE ISSUE 3 The pivotal work of Aiken, Clarke, Cheung, Sloane, and Silber gathered a critical finding of evidenced based research conducted by Olga Yakusheva, researcher at the University of Michigan. The study concluded solidly that for every 10% increase in the amount of BSN nurses working in a hospital, patient mortality would decrease by approximately 10% as well. Another statistic worth mentioning is a decrease of approximately 5% in a failure to rescue case. A condensed report using these research studies provided by the Institute of Medicine offers compelling evidence to support a larger quantity of nurses entering the workforce to pursue a Bachelorette’s degree. Thus, legislators have been prompted even more now to make legal discussions over the level of education required for the RN to fully practice their scope. According to Zittel et al. (2016), the barrier to the full practice by RN nurses to the BSN’s level is the lack of education in the following competencies: “leadership, systems reasoning, quality improvement, community care, health policy, and health policy finances” (Zittel, 2016). The aforementioned skills are essential to meet the exponentially increasing complexities of today’s diverse population. Intervention The Scope and Standards of Practice of an RN according to ANA (2015), emphasizes the RN’s responsibility to continue their education and competency of nursing practice, this includes an ongoing pursuit of credentials and simply, a lifetime of learning. With consideration to the standard of education and educational profession, an issue found by Panel members is the rather confusing non-standardized educational requirements of an RN. NURS 412 AACC Prenatal Care Education Nursing PICOT Question Discussion A group of legislators asked a rather compelling question, what type of examination is given to a BSN vs. an RN to determine the difference in credentialing? A strong advocate explained that the same examination for licensure was given to associate level nurses and bachelor level nursing. The legislators were ACCOUNTABILITY FOR EDUCATION: A LEGISLATIVE ISSUE 4 baffled by this profound indifference (Zittel et al., 2016) because the lack of clear differentiation in the practice of an ADNs vs. a BSN is unclear to the public. The strongest advocates that support the legislation for all nurses to require a bachelorette’s degree were educators themselves– Faculty and deans from associate degree programs (Zittel et al., 2016). Though, Unions of different sorts opposed the idea, stating that “a baccalaureate of science (BS) in Nursing is not essential; that is, the bachelor’s degree could be obtained in any major” (Zittel et al., 2016). These Unions also claim that any new legislation include funding to RN’s with an associate degree who are required to continue their education to earn a Bachelor’s (Zittel et al., 2016). Subsequently, Healthcare advocate, medical associations and other healthcare professional bodies, and the federal government have the task of discussing limiting factors to earning a BSN; cost and time. Tuition for BSN trainees is high, and the difference in payment between a BSN and an ADN is low or equivalent (Matthias, 2015). Nonetheless, AACN now requires hospitals hoping to earn Magnet status to provide proof of plans to meet the 80% recommendation (2014) and some facilities like the VA (Veterans Administration) enacted a policy to increase the entry level pay for BSN nurses as an incentive (Schnieder, 2016). Furthermore, states with combined interests known as compact states allow BSN nurses to qualify to practice in those states without additional licensing requirements (The College for the People, 2017). These nurses can simply move to another state with a transferable, ‘universal’ license. Comparison The nursing practice or a BSN and an ADN both practice within the same scope. There is no clinical difference and licensure; but the education requirements/credentials for the BSN are ACCOUNTABILITY FOR EDUCATION: A LEGISLATIVE ISSUE 5 practically doubled in comparison. A nurse with a BSN performs in more complex procedures, utilizing … Get a 10 % discount on an order above $ 100 Use the following coupon code : NURSING10

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