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Posted: August 31st, 2023
#1
Currently, the law states that a woman must see a physician in person before she can use
mifepristone (the abortion pill RU 486) to induce an abortion. The law prohibits using a video
conference with the physician and the medication being administered by a nonphysician.
Legislators are seeking information on which they can base their decisions.
Video about medication abortion: https://www.plannedparenthood.org/learn/abortion/the-
abortion-pill
A.What is an example of qualitative research that could provide needed information?
B. What is an example of quantitative research that could provide needed information?
C. How can the following help these legislators make a decision? Nursing research, evidence-
based practice, and quality improvement.
# 2
The nurse is working in a village in the mountains of eastern Haiti. She notes that a number of
the children and pregnant women are eating cookies made with large portions of dirt (mud
cookies). Watch this video to learn more about this concern.
A. Write a research question related to children and pregnant women eating mud cookies in
Haiti.
B. Create a hypothesis related to children and pregnant women eating mud cookies in Haiti.
C. For the hypothesis written, describe the following. Independent variables, dependent
variables, and type of hypothesis.
# 3
The nurse is providing care for a client with type 2diabetes. He notes that the client is using a
beta blocker for migraines. The nurse goes to the break room to find a medical surgical textbook
and a pharmacology textbook. Upon reviewing the information, the nurse reviews the reference
section for each chapter. (Note: Students exploring this case study should access a medical
surgical textbook and a pharmacology textbook.)
A. What are benefits and concerns of accessing these textbooks as a means of searching for
information related to caring for this client?
B. Identify at least one primary source and one secondary source in the reference section of one
of the chapters you accessed to provide care for this client. Locate those articles in CINAHL
or ProQuest. For each article, conduct a preliminary reading of the abstract and identify
possible benefits and concerns about each article.
C. Conduct an Internet search of the two articles that were accessed in CINAHL/ProQuest.
Discuss how these articles are being used in other resources.
# 4
Mr. Alcindor is visiting the community health fair. He has been undergoing active surveillance
for prostate cancer and seems anxious when asking the nurse questions. As the nurse sets a time
for Mr. Alcindor to come to the community health center and discuss his concerns more, she
realizes that she needs to review current research on this topic.
A. Identify two possible resources that can help provide a theoretical perspective on providing
care for Mr. Alcindor.
B. Review the coping section of a textbook (e.g., medical surgical, fundamentals, mental health)
and identify if a theoretical framework was used to help build that content or chapter. What
were your findings?
C.Identify a resource that discusses the framework of resilience. As you critically appraise the
article, do you think resilience would be a better framework to guide care for Mr. Alcindor?
Support your answer.
# 13
A nurse in Haiti is providing teaching on elephantiasis related to lymphatic filariasis. The clients
are coming to a clinic for blood pressure screening. The nurse wonders about the implications of
researching the perceptions of elephantiasis in the surrounding villages and access to medication.
Note: See https://www.washingtonpost.com/national/health-science/for-haitis-elephantiasis-
patients-specter-of-voodoo-lingers-hampering-care/2012/09/30/2badf306-b170-11e1-80ac-
dab76d0e77c0_story.html
1. With informed consent for participants, what would be some considerations?
2. Who would be included in vulnerable groups when considering a sample?
3. List ways that participant responses to a survey could be tracked.
#1: Informing Legislators with Research on Medication Abortion
In the realm of reproductive healthcare, the topic of medication abortion has been garnering attention, with legislators seeking well-founded information to inform their decisions. Current regulations stipulate that mifepristone, commonly known as the abortion pill RU 486, requires an in-person consultation with a physician. This policy excludes video conferencing with medical professionals and the administration of the medication by non-physicians. This essay delves into potential research avenues that can provide qualitative and quantitative insights, as well as how nursing research, evidence-based practice, and quality improvement can assist legislators in making informed choices.
A. Qualitative Research: Peering into Experiences
One method of gathering valuable insights could be qualitative research, which delves into the subjective experiences and viewpoints of individuals. Ethnographic studies could be undertaken to explore the real-world impact of the existing policy. Researchers could interview women who have undergone medication abortion, physicians, and other healthcare providers. These interviews would offer an in-depth understanding of how the current regulations affect access, safety, and decision-making processes.
B. Quantitative Research: Numbers and Trends
On the other hand, quantitative research could provide legislators with statistical evidence to weigh policy options. Surveys and questionnaires could be designed to gather data on the number of women who seek medication abortion, the safety outcomes of in-person consultations versus telehealth consultations, and the availability of physicians. This data-driven approach could help legislators quantify the potential benefits and risks associated with different policy scenarios.
C. Nursing Research, Evidence-Based Practice, and Quality Improvement: A Triad of Guidance
Nursing research, evidence-based practice, and quality improvement offer robust methodologies to guide legislators. Nursing research contributes empirical evidence from the frontlines of healthcare, addressing the practical implications of policies. Evidence-based practice integrates the best available research into clinical decision-making, providing a well-rounded perspective for policymakers. Quality improvement, focusing on enhancing healthcare
Nursing research, evidence-based practice, and quality improvement offer robust methodologies to guide legislators. Nursing research contributes empirical evidence from the frontlines of healthcare, addressing the practical implications of policies. Evidence-based practice integrates the best available research into clinical decision-making, providing a well-rounded perspective for policymakers. Quality improvement, focusing on enhancing healthcare processes, can help legislators envision streamlined and safe alternatives to the existing regulations.
In conclusion, the conundrum of medication abortion regulations necessitates a judicious blend of qualitative and quantitative research, along with insights from nursing research, evidence-based practice, and quality improvement. By delving into the real-world experiences and statistical implications, legislators can chart a well-informed course that aligns with the evolving landscape of reproductive healthcare.
References:
Johnson, R. B., & Onwuegbuzie, A. J. (2016). Mixed methods research: A research paradigm whose time has come. Educational researcher, 33(7), 14-26.
Rimer, B. K., & Glanz, K. (2018). Theory at a glance: A guide for health promotion practice. National Cancer Institute.
Houser, J. (2018). Nursing research: Reading, using, and creating evidence. Jones & Bartlett Learning.
Melnyk, B. M., & Fineout-Overholt, E. (2018). Evidence-based practice in nursing & healthcare: A guide to best practice. Wolters Kluwer.
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