Utilizing virtual visits for telemedicine and education (I) for pregnant women lacking prenatal care
Paper details
Phenomenon of Interest
Can utilizing virtual visits for telemedicine and education (I) for pregnant women lacking prenatal care (P) increase the number of women that obtain routine prenatal care (O) compared to women only seeking care in emergency rooms with little to no prenatal care (C)?
My quantitative study
Nguyen, E., Engle, G., Subramanian, S., & Fryer, K. (2021). Telemedicine for Prenatal Care: A Systematic Review. https://doi.org/10.1101/2021.05.14.21257232
My Qualitative Study
Kozica-Olenski, S. L., Soldatos, G., Marlow, L., Cooray, S. D., & Boyle, J. A. (2022). Exploring the acceptability and experience of receiving diabetes and pregnancy care via telehealth during the COVID-19 pandemic: a qualitative study. BMC pregnancy and childbirth, 22(1), 932. https://doi-org.libproxy.usouthal.edu/10.1186/s128…
Step 1: Introduction
Write an introduction to the topic and end the paragraph with a thesis statement. The introduction should include 2-3 attention grabbing statements and end with 1 concise thesis statement that describes the overall purpose of your paper.
Step 2: Comparing Quantitative and Qualitative Research
Students should provide a robust discussion on the differences between quantitative and qualitative research. This discussion should also include key characteristics of both types of research and the data collection processes of each that make them unique to one another. To address this topic more thoroughly consider the following questions:
a. how is data classified ?
b. how is data collected?
c. how is data analyzed?
d. how do the studies differ?
Peer reviewed and/or textbooks should support this discussion. This section should be 1-2 paragraphs.
Step 3: Connecting your POI to the Literature
In this section, you should be considering the results and clinical implications from both studies; quantitative meta-analysis and/or systematic review and qualitative single study. How do they support your PICO clinical question/POI? For this discussion, you should include the actual outcome you outlined in your PICO/clinical question. Then consider/describe how the results and data collected contribute to practice supporting that outcome measures? Consider the scope of the Advanced Practice Nurse role throughout your discussion. This section should be 1-2 paragraphs and include peer reviewed and/or textbooks to support this discussion.
Step 4: Quantitative Meta-analysis and/or Systematic Review Discussion/Critique
In this section of the paper, you will discussing the appraisal completed from the tool and elaborating on the following areas in a thorough, detailed discussion. Please describe each of the following criterions:
- purpose and findings
- how participants or sample of studies were selected; was a sufficient sample of participants or studies met, why or why not? Be sure to specify how many studies and what types of study designs were included. You may also include how many participants were selected, why is this significant. What was the inclusion/exclusion criteria. Support with evidence from the study.
- methodology and data collection; how does this influence the validity and reliability of findings? Review the methods and data collections sections of the study and include how you came to the conclusion that the findings are valid and reliable-support with evidence. You must distinguish both from one another to show understanding.
- identify the level of evidence and significance of rating. Could the level have been higher if different criteria was used in their selection process? What influence does the inclusion/exclusion criteria have on the level of evidence?
- support for using in practice based on quality rating; if you do not support use in practice, explain why.
All answers should be fully supported from information in the study. Discussions should be detailed and robust demonstrating a full understanding of the content. This section serves as a critical component to demonstrate understanding of the appraisal process and therefore should be one of the longer sections of the paper. It is expected to be 1-2 pages in length.
Step 5: Qualitative Single Study Article Discussion/Critique
In this section of the paper, you will discussing the appraisal completed from the tool and elaborating on the following areas in a thorough, detailed discussion. Please describe each of the following criterions as it relates to your POI:
- purpose or new insights discovered
- participant sample; include when data saturation or other criteria was used to determine the number of participants needed for participant selection, was it enough? How do you know that it was enough, not enough? Provide evidence to support your answer.
- how was data interpreted? Provide details from the study on the data collection process and explain credibility, strengths, and weaknesses of the data collection process.
- how were themes generated? Was the concept of confirmability, a measure of trustworthiness or neutrality met in this process? Were there new insights or a better understanding of the phenomenon-describe how this is met/unmet
- support your level of evidence and quality rating, justify your answer and include concepts of dependability and transferability
All answers should be fully supported from information in the study. Discussions should be detailed and robust demonstrating a full understanding of the content. This section serves as a critical component to demonstrate understanding of the appraisal process and therefore should be one of the longer sections of the paper. It is expected to be 1-2 pages in length.
Step 6: Considering Risks and Ethics
Now that you have reviewed different types of research to support practice changes, you must think about how the impact of change might effect others. Are there any risks of ethical concerns? How will you ensure protection of participants. What processes will you put in place to support ethical conduct in practice? Consider the various types of ethical concerns and discuss how you will mitigate these risks and concerns. Is there any potential benefit or harm to your population? Include findings from your quantitative, qualitative studies and guideline or position statement as support in your answers.
To fully address this section you will choose from either option (a) or option (b) and address either:
(a) potential risks (i.e., psychological, loss of confidentiality, social, economic, or other). How will you mitigate the potential risks?
OR
(b) ethical concerns (i.e., vulnerable populations, patient rights, equity, anonymity, safety, conflict of interest, informed consent, or other). How will you mitigate the ethical concerns?
Additional support from textbooks and/or APA peer reviewed resources should be included. This section should be 2-3 paragraphs.
Step 7: Scope of Practice
Before you can implement changes, you must consider all of your findings from your literature search. While you should conduct a more thorough and exhaustive search before implementation, we want you to use the findings from this course to consider:
Discuss how the findings in your appraised qualitative study add or detract to the findings in your appraised quantitative study. Consider (a) transparency, (b) meaningfulness, (c) rationale for strategic decisions, (d) understanding of the conclusions and ideas generated, and (e)details and depth to understanding the implications, as applicable. Explain how these findings may help inform your approach to implementation of a practice/system change within the scope of your advanced practice nurse role.
Address each of these criterions in your answer and include proper support from peer reviewed resources (appraised studies/guideline) and/or textbooks. This section should be 2-3 paragraphs in length.
Step 8: Conclusion
Provide a conclusion paragraph to the paper summarizing all main points. A conclusion should NOT state any new information that was not previously addressed in the paper. While it can re-state the purpose of your writing, it should not repeat the thesis verbatim. Additionally, it should summarize the main points of each section.
Step 9: Turnitin
Be sure to submit your paper to turnitin. You do not have to submit your studies or the appraisal tools to turnitin as they will skew your similarity report findings. Faculty will view your similarity report upon submission. You are expected to view the report for similarity and make any necessary changes, then re-submit prior to the due date. Be sure to submit all 5 documents to the submission area by the due date. Label all documents with your name and assignment type, i.e. McMullan T Final Paper; McMullan T Single study
See Rubric for specific Scholarship deductions.
Page limit: 8 pages, excluding title page and references
References: you must include at least 2 additional peer reviewed references (not including text books) and in addition to your apprasial studies. Therefore, you should have a minimum of 5 references (2 studies), 2 additional peer reviewed studies, and a text book.
All References should be current, no older than 5 years.
To see the rubric, go the next section of the Module and click on the rubric link.
Requirements: no more than 8 pages
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