Nursing Homework:   RUA WEEK 3 | Nursing

Clinical Requirement:

RUA WEEK 3 NR449Week3RUAAPATemplateExample.docx Your Title Here Your Name (without credentials) Chamberlain University College of Nursing Course Number: Course Name Name of Instructor Assignment Due Date Title of Your Paper in Upper and Lower Case (Centered, Bold) This Template is a guide, please refer to your rubric for all criteria, and feel free to adjust the headings names. This is just an example of how to structure your paper using headings with some content from the rubric. Type your introduction here. Although the first paragraph after the paper title is the introduction, no heading labeled “Introduction” is used. This is a great place to utilize a scholarly resource, to emphasize why the topic is important. Clinical Question This section will discuss your Clinical Question. Be sure to talk about these following rubric criteria below. 1. Describe the problem. What is the focus of your group’s work? 2. Explain the significance of the problem in terms of patient outcomes. What health outcomes result from your problem? Or what statistics document this is a problem? You may find support on websites for government or professional organizations. 3. PICOT question in support of the group topic. 4. State the purpose of your paper. What will your paper do or describe? This is similar to a problem statement. “The purpose of this paper is to . . .” Levels of Evidence In this section discuss your Clinical Question and the Evidence that would be used to answer this. Be sure to talk about these following rubric criteria below. 1. Identify the type of question being asked (therapy, prognosis, meaning, etc.). 2. What is the best type of evidence to answer that question (e.g., RCT, cohort study, qualitative study, etc.)? Search Strategy In this section you will discuss how you found two relevant articles to support your discussion on your groups clinical question. You do not need to discuss the articles, this will come in later assignments. This is a discussion on your search strategy. Be sure to talk about these following rubric criteria below. 1. List search terms and results. 2. Databases used (start with the CU library). Link your search with the PICOT question described above. 3. Refinement decisions. As you did your search, what decisions did you make in refinement to get your required articles down to a reasonable number for review? Were any limits used? If so, what? Relevant Articles 4. Identification of two (2) most relevant articles (primary sources published within the last 5 years). Conclusion Papers should end with a conclusion or summary. It should be concise and contain no new information. No matter how much space remains on the page, the references always start on a separate page (insert a page break after the conclusion so that the references will start on a new page). References (centered, bold) Type your reference here using hanging indent and double line spacing (under “Paragraph” on the Home toolbar ribbon). Refrences in alphabetical order. See your APA Manual and the resources in the APA section of Resources for reference formatting. Journal Citation Example: Author, A. A., Author, B. B., & Author, C. C. (Year). Title of article.  Title of Periodical,  volume number(issue number), pages. https://doi.org/xx.xxx/yyyy Website Example: Lastname, F. M. (Year, Month Date).  Title of page. Site name. URL Format for Books: Author, A. A. (Year of publication). Title of work: Capital letter also for subtitle. Publisher Name. DOI (if available) TemplateforAskingPICOTQuestions.doc Template for Asking PICOT Questions INTERVENTION In ____________________(P), how does ____________________ (I) compared to ____________________(C) affect _____________________(O) within ___________(T)? ETIOLOGY Are____________________ (P), who have ____________________ (I) compared with those without ____________________(C) at ____________ risk for/of ____________________(O) over ________________(T)? DIAGNOSIS OR DIAGNOSTIC TEST In ___________________(P) are/is ____________________(I) compared with _______________________(C) more accurate in diagnosing _________________(O)? PROGNOSIS/PREDICTION In ______________ (P), how does ___________________ (I) compared to _____________(C) influence __________________ (O) over _______________ (T)? MEANING How do _______________________ (P) with _______________________ (I) perceive _______________________ (O) during ________________(T)? Short Definitions of Different Types of Questions: Intervention: 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). Diagnosis: Questions addressing the act or process of identifying or determining the nature and cause of a disease or injury through evaluation. Prognosis/Prediction: Questions addressing the prediction of the course of a disease. Meaning: Questions addressing how one experiences a phenomenon. Sample Questions: Intervention: In African-American female adolescents with hepatitis B (P), how does acetaminophen (I) compared to ibuprofen (C) affect liver function (O)? Etiology: The question could read: 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)? 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)? 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)? Meaning: How do 20-something 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)? Copyright, Ellen Fineout-Overholt, 2006. This form may be used for educational & research purposes without permission. RUAwk3paper-2.docx 1 2 Rua Topic Search Strategy Student name Chamberlain University College of Nursing 449 Evidence Based Practice Cynthia Butterman Due Date RUA Topic Search Strategy The focus of this paper is to identify a problem selected by our group and show its significance. The focus of this group is to identify how parents of children with cancer apply self-care and coping mechanisms to their day-to-day life, to begin healing from the situation they find themselves in. According to a National Library of Medicine article, parents who utilize some sort of social support experience a decrease in stress in both them and their child (Melguizo-Garín et al., 2022). Parents who utilize group or family therapy tend to have increased health outcomes because not only are they helping themselves to reduce stress, but they are building coping mechanisms to help deal with the disease of their loved one. In a study performed by the University of Rzeszow in Poland, statistics shows that 53% of the parent’s experience exhaustion due to the inability to take time for themselves and practice self-care (Lewandowska, 2021). Learning stress reducing techniques, having psychological assistance, and coping mechanisms not only help parents but it can also help the rest of the family while dealing with this difficult process. The topic for our group is self-care and coping mechanism. The PICOT (patient, intervention, comparison, outcome, and time) question our group created is (P)In families/parents dealing with children with cancer (I) how does support group therapy (C) compared to non-standardized self-care influence (O) coping mechanism (T) over 5 years. This picot question supports our topic and properly answers the question in detail about how parents cope and the need for self-care. The purpose of this paper is to research a topic and answer our picot question in detail. It will provide evidence on how parents with children with cancer are in need of group therapy compared to parents who do not receive it and how self-care not only help parents but the entire family circle in one. Levels of Evidence The goal of this paper is to identify the type of question that is being asked or more specifically what the PICOT question is. The question centers around the importance of the use of coping mechanisms and self-care when coming to terms with your child being diagnosed with cancer. Terminal illnesses like cancer are life changing both to the person that is diagnosed but also to their family. Learning how to come to terms with and move forward after hearing the news is difficult for everyone involved. Parents may find that they are unable to balance their work schedules and finances, while also being supportive and present for the rest of their family. The National Cancer Institute offers some self-care tips for families that have had someone receive a cancer diagnosis. Taking the time to check in on spouses, going out to dinner with friends, or attending a support group can help parents to realize that they are not alone and in term help them to build the strength necessary to face the circumstances. | Being involved in social settings helps to create and find communities that can support you through the process ( Support for Families When a Child Has Cancer, 2018). The National Cancer Institute has both online and in person support groups to create an accessible channel that serves to counsel and support families facing similar situations ( Support for Families When a Child Has Cancer, 2018).| A study perform by the PIADI Group in Spain shows that parents who involve themselves in group therapy and social settings have a reduction in stress ( Melguizo-Garín et al., 2023). The evidence showcased by the result of the study conducted by the PIADI Group, Junta de Andalucia, Spain proved that parents who received and utilized self-care, strategies, coping mechanisms, and frequented social settings were better able to comprehend, digest, and continue forward after receiving the news when compared to their counterparts who did not behave similarly (Melguizo-Garín et al., 2023).| Families who received support from their communities, families, friends, and health care staff were found to experience reduced stress level and an increase in their life satisfaction compared to families who did not receive the same support (Melguizo-Garín et al., 2023). Search Strategy The list of search terms used was broad as the chosen topic revealed that there was plenty of research about coping mechanisms and self-care strategies amongst parents with children diagnosed with cancer. The search term was social support for parents who have children with cancer (Melguizo-Garín et al., 2023, Melguizo-Garín et al., 2022). This research began in Chamberlain University library with the search producing 2708 results of articles that were peer reviewed and published between 2018 and 2023. Other databases and search engines used were google which led to the National Cancer Institute. The articles from Chamberlain University that lead to National Library of Medicine contain information which directly correlates and supports the research and provides answers to the PICOT question (Melguizo-Garín et al., 2022, Melguizo-Garín et al., 2023). In the beginning of my research, I had to refine my search to find the most appropriate articles. I used search terms that were direct and concise to ensure I would find articles that directly correlated to the topic of this paper. I noticed that when I used different types of search terms, I could not find the proper articles for the research in question. As the research continued, I realized that based on the search terms, you may not find the specific articles need it, which I used the term above to refine my search. By using the search term that found the proper articles I was able to expand my research and have more articles to choose from and have a broader search. There were no limits to the search. The two most relevant articles within five years were both found at Chamberlain University using ProQuest and PubMed online (national library of medicine) (Melguizo-Garín et al., 2023, Melguizo-Garín et al., 2022). Conclusion To conclude, this paper describes a research criterion that allows to express the focus of the group, explain the significance of the problem, offer statistics and health outcome. It also includes the PICOT question and states the purpose of the paper. It also provides evidence that supports the answers to the PICOT question. Finally, it explains the search strategy and the resources used. It lists the database and the sources used to provide evidence for this paper. This paper also focusses on the problem and the self-care and coping mechanism for parents with children with cancer. References Lewandowska, A. (2021). Influence of a Child’s Cancer on the Functioning of Their Family. Children, 8(7), 592. https://doi.org/10.3390/children8070592 Melguizo-Garín, A., Benítez-Márquez, M. D., Hombrados-Mendieta, I., & Martos-Méndez, M. J. (2023). Importance of Social Support of Parents of Children with Cancer: A Multicomponent Model Using Partial Least Squares-Path Modelling. International Journal of Environmental Research and Public Health, 20(3), 1757. https://doi.org/10.3390/ijerph20031757 https://www.proquest.com/docview/2774899417?parentSessionId=zrjmBWaPAUiJk5ZXQ65qZk9Rg2%2Fn4wT3YkWXPG0K3tA%3D&pq-origsite=primo&accountid=147674 Melguizo-Garín, A., Martos-Méndez, M. J., Hombrados-Mendieta, I., & Ruiz-Rodríguez, I. (2022). Relation Between Social Support Received and Provided by Parents of Children, Adolescents and Young Adults With Cancer and Stress Levels and Life and Family Satisfaction. Frontiers in Psychology, 13. https://doi.org/10.3389/fpsyg.2022.728733 https://www.proquest.com/docview/2613284353?parentSessionId=MTmV9PruiJqsxKNRl%2BzI1bherCcUvyqkzNtViJ6k9Cg%3D&pq-origsite=primo&accountid=147674 Support for Families When a Child Has Cancer. (2018, October 15). National Cancer Institute; Cancer.gov. https://www.cancer.gov/about-cancer/coping/caregiver-support/parents