Category: Nursing

  • [Solved] Nain

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    – 2 years ago **files (1)** – ## _NR_RUA_PAPER_INFO.docx **## _NR_RUA_PAPER_INFO.docx** **Due date:** APRIL 11TH. **Total points possible:** 120 points ## Preparing the assignment: Follow these guidelines when completing this assignment. Speak with your faculty member if you have questions. …

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    – 2 years ago

    **files (1)**

    – ## _NR_RUA_PAPER_INFO.docx

    **## _NR_RUA_PAPER_INFO.docx**

    **Due date:** APRIL 11TH.

    **Total points possible:** 120 points

    ## Preparing the assignment: Follow these guidelines when completing this assignment. Speak with your faculty member if you have questions.

    In this paper, the student will provide a detailed description of the relationship between the category from the NCLEX-RN® examination blueprint, the priority concept (topic) selected based on assessment performance, and professional practice.

    1) Write a 4–6-page paper (not including the title page or reference page) using APA format.

    2) Include the following sections:

    a. Introduction – 12 points/10%.

    · Offer a detailed description of the purpose statement for the paper.

    · Identify the priority concept (topic) from the Clinical Judgment Readiness Exam and align to one of the four (4) main categories of the NCLEX-RN® examination blueprint:

    a. Assurance of a safe and effective care environment

    b. Health promotion and maintenance of health

    c. Preservation of the patient population’s psychosocial integrity

    d. Preservation of the patient population’s physiological integrity

    · Provide a detailed description of the relationship between the category from the NCLEX-RN® examination blueprint and the priority concept (topic).

    · This section should not exceed two (2) paragraphs. A paragraph is 3-5 sentences.

    b. Importance – 12 points/10%

    · Describe the primary importance of the priority concept (topic) to professional practice.

    · Describe the importance of the priority concept (topic) to the health status of a patient population.

    · Include 2 potential negative effect(s) to professional practice if the priority concept (topic) is unresolved.

    · Include 2 potential negative effect(s) to the patient population if the priority concept (topic) is unresolved.

    · Provide appropriate, adequate, and relevant scholarly support for this section.

    c. Healthcare Disparities, Inequalities, and Interventions – 30 points/ 25%

    · Identify a primary patient population that may be negatively influenced by the priority concept (topic) if unresolved.

    · Identify a healthcare resource to support evidence-based professional practice related to the priority concept (topic).

    · Summarize potential priority concept (topic) healthcare disparities and inequalities related to diverse populations.

    · Propose an evidence-based solution for the priority concept (topic) related to healthcare disparities.

    · Identify an evidence-based practice intervention.

    · Discuss patient education considerations related to the priority concept (topic).

    · Provide appropriate, adequate, and relevant scholarly support for this section.

    d. Legal & Ethical Considerations and Intervention Challenges – 18 points/ 15%

    · Identify one (1) ethical and one (1) legal implication for addressing the priority concept (topic) in professional practice.

    · Discuss one (1) strategy in prevention of an ethical dilemma related to the priority concept (topic) in professional practice.

    · Discuss one (1) strategy in prevention of legal consequences related to the priority concept (topic) in professional practice.

    · Identify one (1) anticipated challenge to the success of preventing the priority concept (topic) in professional practice.

    · Identify one (1) anticipated challenge to the success of resolving the priority concept (topic) in professional practice.

    · Provide appropriate, adequate, and relevant scholarly support for this section.

    e. Participants and Interdisciplinary Approach – 12 points/10%

    · Identify three (3) parties (identify two (2) members of a discipline outside of nursing) who will be involved in the implementation of the priority concept (topic) interventions.

    · Discuss the role of these member in the intervention implementation for the priority concept (topic).

    · Discuss the benefit of including the identified interdisciplinary members from disciplines outside nursing to promote evidence-based professional practice.

    · Provide appropriate, adequate, and relevant scholarly support for this section.

    f. Quality Improvement – 12 points/10%

    · Provide at least one (1) benefit in patient outcomes from addressing the priority concept (topic) within the clinical environment.

    · Provide at least one (1) benefit to the nursing profession that will result from addressing this priority concept (topic) in clinical professional practice.

    · Discuss at least one (1) resource utilized to promote improved patient outcomes in the clinical environment.

    · Discuss at least one (1) resource utilized to increase professional nurse knowledge promoting improved clinical professional practice.

    · Provide appropriate, adequate, and relevant scholarly support for this section.

    g. Conclusion – 12 points/10%

    · Provide a thorough recap of the purpose to promote increased evidence-based professional practice knowledge related to the priority concept (topic) deficiency.

    · Summarize resources identified to support improved evidence-based professional practice related to the priority concept (topic).

    · Include a complete statement describing why addressing the priority concept (topic) matters for patient outcomes and evidence-based professional practice.

    · This section should provide no new information and should be limited to 1-2 paragraphs.

    h. APA Style and Organization 12 points/10%

    · References are submitted with paper.

    · Uses current APA format and is free of errors.

    · Grammar and mechanics are free of errors.

    · Paper is 4-6 pages, excluding title and reference pages.

    · A minimum of three (3) scholarly, peer reviewed, primary sources from the last 5 years, excluding the textbook, are provided.

    · Each section should have a cited source to support information provided.

    For writing assistance, visit the Writing Center.

    **## _NR_RUA_PAPER_INFO.docx**

    **Due date:** APRIL 11TH.

    **Total points possible:** 120 points

    ## Preparing the assignment: Follow these guidelines when completing this assignment. Speak with your faculty member if you have questions.

    In this paper, the student will provide a detailed description of the relationship between the category from the NCLEX-RN® examination blueprint, the priority concept (topic) selected based on assessment performance, and professional practice.

    1) Write a 4–6-page paper (not including the title page or reference page) using APA format.

    2) Include the following sections:

    a. Introduction – 12 points/10%.

    · Offer a detailed description of the purpose statement for the paper.

    · Identify the priority concept (topic) from the Clinical Judgment Readiness Exam and align to one of the four (4) main categories of the NCLEX-RN® examination blueprint:

    a. Assurance of a safe and effective care environment

    b. Health promotion and maintenance of health

    c. Preservation of the patient population’s psychosocial integrity

    d. Preservation of the patient population’s physiological integrity

    · Provide a detailed description of the relationship between the category from the NCLEX-RN® examination blueprint and the priority concept (topic).

    · This section should not exceed two (2) paragraphs. A paragraph is 3-5 sentences.

    b. Importance – 12 points/10%

    · Describe the primary importance of the priority concept (topic) to professional practice.

    · Describe the importance of the priority concept (topic) to the health status of a patient population.

    · Include 2 potential negative effect(s) to professional practice if the priority concept (topic) is unresolved.

    · Include 2 potential negative effect(s) to the patient population if the priority concept (topic) is unresolved.

    · Provide appropriate, adequate, and relevant scholarly support for this section.

    c. Healthcare Disparities, Inequalities, and Interventions – 30 points/ 25%

    · Identify a primary patient population that may be negatively influenced by the priority concept (topic) if unresolved.

    · Identify a healthcare resource to support evidence-based professional practice related to the priority concept (topic).

    · Summarize potential priority concept (topic) healthcare disparities and inequalities related to diverse populations.

    · Propose an evidence-based solution for the priority concept (topic) related to healthcare disparities.

    · Identify an evidence-based practice intervention.

    · Discuss patient education considerations related to the priority concept (topic).

    · Provide appropriate, adequate, and relevant scholarly support for this section.

    d. Legal & Ethical Considerations and Intervention Challenges – 18 points/ 15%

    · Identify one (1) ethical and one (1) legal implication for addressing the priority concept (topic) in professional practice.

    · Discuss one (1) strategy in prevention of an ethical dilemma related to the priority concept (topic) in professional practice.

    · Discuss one (1) strategy in prevention of legal consequences related to the priority concept (topic) in professional practice.

    · Identify one (1) anticipated challenge to the success of preventing the priority concept (topic) in professional practice.

    · Identify one (1) anticipated challenge to the success of resolving the priority concept (topic) in professional practice.

    · Provide appropriate, adequate, and relevant scholarly support for this section.

    e. Participants and Interdisciplinary Approach – 12 points/10%

    · Identify three (3) parties (identify two (2) members of a discipline outside of nursing) who will be involved in the implementation of the priority concept (topic) interventions.

    · Discuss the role of these member in the intervention implementation for the priority concept (topic).

    · Discuss the benefit of including the identified interdisciplinary members from disciplines outside nursing to promote evidence-based professional practice.

    · Provide appropriate, adequate, and relevant scholarly support for this section.

    f. Quality Improvement – 12 points/10%

    · Provide at least one (1) benefit in patient outcomes from addressing the priority concept (topic) within the clinical environment.

    · Provide at least one (1) benefit to the nursing profession that will result from addressing this priority concept (topic) in clinical professional practice.

    · Discuss at least one (1) resource utilized to promote improved patient outcomes in the clinical environment.

    · Discuss at least one (1) resource utilized to increase professional nurse knowledge promoting improved clinical professional practice.

    · Provide appropriate, adequate, and relevant scholarly support for this section.

    g. Conclusion – 12 points/10%

    · Provide a thorough recap of the purpose to promote increased evidence-based professional practice knowledge related to the priority concept (topic) deficiency.

    · Summarize resources identified to support improved evidence-based professional practice related to the priority concept (topic).

    · Include a complete statement describing why addressing the priority concept (topic) matters for patient outcomes and evidence-based professional practice.

    · This section should provide no new information and should be limited to 1-2 paragraphs.

    h. APA Style and Organization 12 points/10%

    · References are submitted with paper.

    · Uses current APA format and is free of errors.

    · Grammar and mechanics are free of errors.

    · Paper is 4-6 pages, excluding title and reference pages.

    · A minimum of three (3) scholarly, peer reviewed, primary sources from the last 5 years, excluding the textbook, are provided.

    · Each section should have a cited source to support information provided.

    For writing assistance, visit the Writing Center.

  • [Solved] MOD 6 DISC

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    **To Prepare:** Reflect on your decision to pursue a specialty within the MSN or PMC program, including your professional and academic goals as they relate to your program/specialization/certification. – [\ \ USW1_NURS_6003_AcademicandProfessionalSuccessDevelopmentPlanTemplate.docx](https://www…

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    Assignment Prompt & Instructions

    **To Prepare:**

    Reflect on your decision to pursue a specialty within the MSN or PMC program, including your professional and academic goals as they relate to your program/specialization/certification.

    – [\
    \
    USW1_NURS_6003_AcademicandProfessionalSuccessDevelopmentPlanTemplate.docx](https://www.sweetstudy.com/files/usw1-nurs-6003-academicandprofessionalsuccessdevelopmentplantemplate-docx-10253463 "USW1_NURS_6003_AcademicandProfessionalSuccessDevelopmentPlanTemplate.docx")
    – [\
    \
    MOD6DISCUSSION.docx](https://www.sweetstudy.com/files/mod6discussion-docx-10253467 "MOD6DISCUSSION.docx")

    – 2 years ago

  • [Solved] Mod.4IN Discussion/APA STYLE/Turnitin-Plagiarism FREE

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    **Topic:** _**Population & Community Health Promotion**_ What are specific actions that health professionals can take regardless of their practice area and site to promote population and community health? #### Course Textbook Mason, D. J., Gardner, B. D., Outlaw, H. F., & O’Grady, T. E. (2016). Chap…

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    Assignment Prompt & Instructions

    **Topic:** _**Population & Community Health Promotion**_

    What are specific actions that health professionals can take regardless of their practice area and site to promote population and community health?

    #### Course Textbook

    Mason, D. J., Gardner, B. D., Outlaw, H. F., & O’Grady, T. E. (2016).

    Chapters 19, 23, and 28

    **Submission Instructions:**

    – Post should be at least 500 words, formatted and cited in current APA style with support from at least 2 current academic sources within past 5 years

    – 2 years ago

  • [Solved] Mod.4D Discussion/APA STYLE/Turnitin-Plagiarism FREE

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    Topic: _**Caring for Chinese, Filipino, & Vietnamese Populations**_ After studying [Module 4: Lecture Materials & Resources](https://stu.instructure.com/courses/43801/pages/module-4-lecture-materials-and-resources "Module 4: Lecture Materials & Resources"), discuss the following: 1. Describe health …

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    Topic: _**Caring for Chinese, Filipino, & Vietnamese Populations**_

    After studying [Module 4: Lecture Materials & Resources](https://stu.instructure.com/courses/43801/pages/module-4-lecture-materials-and-resources "Module 4: Lecture Materials & Resources"), discuss the following:

    1. Describe health and illness practices that may augment problems associated with the treatment of hypertension for Chinese-American clients.
    2. Describe the locus-of-control variable that some Filipino Americans have that may influence health-seeking behavior.
    3. Describe the importance of folk medicine and folk healers to Vietnamese Americans.

    #### Course Textbook/Chapters

    – Giger, J. N., & Haddad, L. (2021). _Transcultural Nursing: Assessment and Intervention_ (8th ed.). St. Louis, MO:  Elsevier.

    – Chapters 16, 17, and 18

    **Submission Instructions:**

    – Post should be at least 500 words, formatted and cited in current APA style with support from at least 2 current academic sources within past 5 years

    – 2 years ago

  • [Solved] Mod.4D Asian Culture Outline/APA STYLE/Turnitin-Plagiarism FREE

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    _**Outline for the "Cultural Assessment" Assignment to come**_ – Create an outline for your "comprehensive assessment" of how your selected cultural (Asian) group’s beliefs and practices might impact healthcare decision-making, treatment adherence, your communication, your interventions, and your ed…

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    Assignment Prompt & Instructions

    _**Outline for the "Cultural Assessment" Assignment to come**_

    – Create an outline for your "comprehensive assessment" of how your selected cultural (Asian) group’s beliefs and practices might impact healthcare decision-making, treatment adherence, your communication, your interventions, and your education to align with the patient's cultural values and preferences.

    **Submission Instructions:**

    – Download, rename, edit, and submit the outline template included.
    – Utilize Interview powerpoint with speaker notes included

    – [\
    \
    OutlineTemplate.docx](https://www.sweetstudy.com/files/outlinetemplate-docx-10252357 "OutlineTemplate.docx")
    – [\
    \
    AsianCulturalInterviewPresentation.pptx](https://www.sweetstudy.com/files/asianculturalinterviewpresentation-pptx "AsianCulturalInterviewPresentation.pptx")
    – [\
    \
    AsianCulturalInterviewPresentation.pptx](https://www.sweetstudy.com/files/asianculturalinterviewpresentation-pptx-10252369 "AsianCulturalInterviewPresentation.pptx")

    – 2 years ago

  • [Solved] medication study guide

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    medication study guide – 2 years ago **files (1)** – ## medicationstudyguide.docx **## medicationstudyguide.docx** This week, you will create a Medication Study Guide to share with your peers. This guide is intended to be a useful learning tool for you to use as you prepare for your clinical courses…

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    medication study guide

    – 2 years ago

    **files (1)**

    – ## medicationstudyguide.docx

    **## medicationstudyguide.docx**

    This week, you will create a Medication Study Guide to share with your peers. This guide is intended to be a useful learning tool for you to use as you prepare for your clinical courses.
    **You may choose whichever medication interests you the most.**

    **Please pick from one of the following medications that interests you to create your guide:**

    | | | | | |
    | — | — | — | — | — |
    | Chlorpromazine | Fluphenazine | Haloperidol | Loxapine | Perphenazine |
    | Aripiprazole | Asenapine | Clozapine | Iloperidone | Olanzapine |
    | Paliperidone | Quetiapine | Risperidone | Ziprasidone | Lurasidone |
    | Brexpiprazole | Cariprazine | Lumateperone | Benztropine | Propranolol |
    | Deutetrabenazine | Valbenazine | | | |

    **Create** a 3- to 4-page (excluding visual elements) Medication Study Guide for your assigned psychotropic medication agents that may be utilized by you and colleagues for study. Your medication guide should be in the form of an outline and should include a title page, citations, and references. You should incorporate visual elements, such as concept maps, charts, diagrams, images, color coding, mnemonics, and/or flashcards. Be creative!

    **Note:** Your Medication Study Guide should
    **not** be in the format of an APA paper.

    **Also Note:** Your guide should be informed by the
    _FDA-Approved and Evidenced-Based, Clinical Practice Guidelines Research_.

    Areas of importance that you should address—but are not limited to—include:

    · Description of the psychopharmacological medication agent, including brand and generic names, as well as appropriate FDA indication uses

    · Any supporting, valid, and reliable research for non-FDA uses

    · Drug classification

    · The medication mechanism of action

    · The medication pharmacokinetics

    · The medication pharmacodynamics

    · Appropriate dosing, administration route, and any considerations for dosing alterations

    · Considerations of use and dosing in specific specialty populations, such as children, adolescents, elderly, pregnant people, those exhibiting suicidal behaviors, etc.

    · Definition of half-life, why half-life is important, and the half-life for your assigned medication

    · Side effects/adverse reactions potential

    · Discuss clinical concerns with EPS and Tardive Dyskinesia

    **Note:** Be sure to include screening tools that would be utilized.

    · Contraindications for use including significant drug to drug interactions

    · Overdose considerations

    · Diagnostics and labs monitoring comorbidities considerations

    · Legal, ethical, and social considerations

    · Pertinent patient education considerations

    Support your rationale with a minimum of
    **three (3)** academic resources.

    **## medicationstudyguide.docx**

    This week, you will create a Medication Study Guide to share with your peers. This guide is intended to be a useful learning tool for you to use as you prepare for your clinical courses.
    **You may choose whichever medication interests you the most.**

    **Please pick from one of the following medications that interests you to create your guide:**

    | | | | | |
    | — | — | — | — | — |
    | Chlorpromazine | Fluphenazine | Haloperidol | Loxapine | Perphenazine |
    | Aripiprazole | Asenapine | Clozapine | Iloperidone | Olanzapine |
    | Paliperidone | Quetiapine | Risperidone | Ziprasidone | Lurasidone |
    | Brexpiprazole | Cariprazine | Lumateperone | Benztropine | Propranolol |
    | Deutetrabenazine | Valbenazine | | | |

    **Create** a 3- to 4-page (excluding visual elements) Medication Study Guide for your assigned psychotropic medication agents that may be utilized by you and colleagues for study. Your medication guide should be in the form of an outline and should include a title page, citations, and references. You should incorporate visual elements, such as concept maps, charts, diagrams, images, color coding, mnemonics, and/or flashcards. Be creative!

    **Note:** Your Medication Study Guide should
    **not** be in the format of an APA paper.

    **Also Note:** Your guide should be informed by the
    _FDA-Approved and Evidenced-Based, Clinical Practice Guidelines Research_.

    Areas of importance that you should address—but are not limited to—include:

    · Description of the psychopharmacological medication agent, including brand and generic names, as well as appropriate FDA indication uses

    · Any supporting, valid, and reliable research for non-FDA uses

    · Drug classification

    · The medication mechanism of action

    · The medication pharmacokinetics

    · The medication pharmacodynamics

    · Appropriate dosing, administration route, and any considerations for dosing alterations

    · Considerations of use and dosing in specific specialty populations, such as children, adolescents, elderly, pregnant people, those exhibiting suicidal behaviors, etc.

    · Definition of half-life, why half-life is important, and the half-life for your assigned medication

    · Side effects/adverse reactions potential

    · Discuss clinical concerns with EPS and Tardive Dyskinesia

    **Note:** Be sure to include screening tools that would be utilized.

    · Contraindications for use including significant drug to drug interactions

    · Overdose considerations

    · Diagnostics and labs monitoring comorbidities considerations

    · Legal, ethical, and social considerations

    · Pertinent patient education considerations

    Support your rationale with a minimum of
    **three (3)** academic resources.

  • [Solved] Hypnosis for labor pains

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    PICOT help 1500 words – 2 years ago **files (1)** – ## NRS-445-RS-T1-LiteratureEvaluationTable_23Mar25.docx **## NRS-445-RS-T1-LiteratureEvaluationTable_23Mar25.docx** ![](https://www.sweetstudy.com/questions/hypnosis-for-labor-pains) **NRS-445 Topic 1: Literature Evaluation Table** **Student Name…

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    Assignment Prompt & Instructions

    PICOT help

    1500 words

    – 2 years ago

    **files (1)**

    – ## NRS-445-RS-T1-LiteratureEvaluationTable_23Mar25.docx

    **## NRS-445-RS-T1-LiteratureEvaluationTable_23Mar25.docx**

    ![](https://www.sweetstudy.com/questions/hypnosis-for-labor-pains)

    **NRS-445 Topic 1: Literature Evaluation Table**

    **Student Name:**

    **Faculty Name:**

    **Background of Nursing Practice Problem (one paragraph; no more than 250 words): Women often experience a significant amount of pain during the birthing process. This pain is often debilitating and can cause further complications if not properly addressed. One of the common methods to alleviate pain during childbirth is an epidural. However, the epidural is often accompanied by many complications. As a result, more women are opting for more natural methods of reducing pain during childbirth. One method that is not as often used but has shown promising results is the use of Hypnosis. Hypnosis can be taught during pregnancy and can help women in labor reduce their perception of pain.**

    **PICO(T) Question:** _Use the PICOT question developed in Topic 1 Discussion Question (DQ) 2 and refine it as needed._

    | | | |
    | — | — | — |
    | **PICO(T) Question Template** |
    | **P** | **Population** | Pregnant women |
    | **I** | **Intervention** | Hypnosis |
    | **C** | **Comparison** Comment by Author: Current practice or no practice | Epidural |
    | **O** | **Outcome** Comment by Author: Must be a measurable patient outcome | Reducing pain |
    | **T** | **Timeline** Comment by Author: Optional<br> <br>_(optional)_ | In Labor |
    | **Intervention** |
    | In_<br>pregnant women (P), how does <br>hypnosis_ (I) compared to <br>an epidural (C) affect <br>reducing pain (O) within_<br>the labor process_(T)? |
    | **Problem Statement** |
    | It is not known if the implementation of <br>hypnosis_(I) would impact <br>pain reduction_(O) among <br>pregnant women (P). |

    | | | | | |
    | — | — | — | — | — |
    | **Criteria** | **Article 1** | **Article 2** | **Article 3** | **Article 4** |
    | **APA Reference**<br>Include the GCU permalink or working link used to access the article | Shmueli, A., Salman, L., Chen, R., Hiersch, L., Wiznitzer, A., & Gabbay-Benziv, R. (2017). 738: <br>The duration of the second stage of labor – do we underestimate the impact of epidural analgesia? <br>_American Journal of Obstetrics & Gynecology_, <br>_216_, S429. <br>[https://doi-org.lopes.idm.oclc.org/10.1016/j.ajog.2016.11.472](https://doi-org.lopes.idm.oclc.org/10.1016/j.ajog.2016.11.472) | Werner, A., Wu, C., Zachariae, R., Nohr, E. A., Uldbjerg, N., & Hansen, Å. M. (2020). Effects of antenatal hypnosis on maternal salivary cortisol during childbirth and six weeks postpartum—A randomized controlled trial. <br>_PLoS ONE_, <br>_15_(5), 1–18. <br>[https://doi-org.lopes.idm.oclc.org/10.1371/journal.pone.0230704](https://doi-org.lopes.idm.oclc.org/10.1371/journal.pone.0230704) | Uludağ, E., & Mete, S. (2021). The effect of nursing care provided based on the philosophy of hypnobirthing on fear, pain, duration, satisfaction and cost of labor: a single-blind randomized controlled study: The effect of nursing care on the labor process and cost. <br>_Health Care for Women International_, <br>_42_(4–6), 678–690. <br>[https://doi-org.lopes.idm.oclc.org/10.1080/07399332.2020.1835916](https://doi-org.lopes.idm.oclc.org/10.1080/07399332.2020.1835916) | Uludag, E., & Mete, S. (2023). Feelings and Experiences of Turkish Women Using Hypnobirthing in Childbirth: A Non-Traumatic Childbirth Experience. <br>_International Journal of Caring Sciences_, <br>_16_(1), 344–351. |
    | **Purpose/Aim of Study** | To understand the impact of an epidural as a pain analgesic. | Explore the effect of a brief antenatal training course in self-hypnosis on salivary cortisol during childbirth and 6 weeks postpartum. | Evaluate hypnobirthing as supportive care during childbirth. | To examine opinions, emotions and experiences of women who were hypnotized during childbirth. |
    | **Research question(s)** | The duration of the second stage of labor – do we underestimate the impact of epidural analgesia? | Does hypnosis reduce cortisol levels during childbirth? | Can hypnobirthing be an effective method used in the plan of supportive care for childbirth. | Did women who were hypnotized during childbirth have a better overall perception and experience during the birthing process? |
    | **Design**<br>Is the article qualitative, quantitative, or mixed methods? Explain how you determined the type of research design. | Qualitative and I determined this because this is an observational study. | Quantitative and I determined this because the article is on a randomized controlled trial. | This is a quantitative article as it is a randomized controlled trial. | This is a qualitative article as explicitly stated in the article and no actual randomized controlled trial was performed. |
    | **Setting**<br>Where did the study take place? What type of setting: inpatient, outpatient, etc.? | A university affiliated medical center in an inpatient setting. | Obstetrics Department at Aarhus University Hospital, Denmark | University Hospital between January 2015 and February 2017. | Internet search of blogs between March 14 through Mar 21, 2017. |
    | **Sample**<br>Number and characteristics of participants | 15,449 live, singleton, vaginal deliveries between 37 to 42 weeks. | 139 women in the hypnosis group, 136 women in the active comparison group, and 87 women in the control group | The study was completed with 150 pregnant women, including 75 in the control group and 75 in the intervention group. All women had a vaginal delivery at University Hospital during the specified time. | Eighty-two birthing stories in these blogs were examined using keywords and 13 written by women using hypnobirthing were included into the study. |
    | **Methods**<br>Interventions/Instruments | Maternal demographics and labor data including use of epidural, induction of labor or use of oxytocin | The women in the <br>**hypnosis** group attended three 1-hour classes on self-<br>**hypnosis** for <br>**childbirth** held over three consecutive weeks with four supplementary audio recordings, including a 20-minute section especially meant for labor. The women in the relaxation group had three antenatal classes in various relaxation methods, each lasting one hour held over three consecutive weeks. The usual care group received only ordinary antenatal care, which included a nuchal translucency scan about gestational week 12, an anomaly scan about gestational week 19, four to five visits at the midwifery clinic, and a tour of the birth department. | The nurses working in the delivery room provided the pregnant women in the control group with routine care. This routine care consisted of greeting pregnant women, establishing vascular access, performing an enema, providing the required treatment, and performing interventions to teach pushing in the second stage of <br>**labor**. The supportive nursing care structured according to the Philosophy of HypnoBirthing was provided by the researcher to the pregnant women in the intervention group. Before the intervention, the women completed an introduction form over their demographics and background. Following the intervention, women completed the Visual Analog Scale for pain, the Women’s Perception of Supportive Care During Labor Scale, and the Satisfaction with Labor Experience Sub-Scale. | No intervention was performed. A blog search regarding childbirth was performed and the integrity and quality of the blogs were analyzed before being included. |
    | **Analysis**<br>How were the collected data analyzed? | Multivariate linear regression | Participant characteristics are presented as means with standard deviations for continuous variables and as frequencies for categorical variables. Saliva cortisol concentrations, CAR and CDD are presented as means with standard deviations. Additionally, a Spearman rank correlation test was used to examine the correlation between saliva cortisol concentrations and psychological outcomes in the total sample. | To compare the <br>**labor** fear and pain mean scores of the latent, active, transition phases of the first stage of <br>**labor** in the intervention and control groups according to group, time and group*time interaction, the "Multi-Way Analysis of Variance for Repeated Measures" was used, for the advanced analysis "One-Way Analysis of Variance in Repeated Measures" was used, and the "Bonferroni Corrected Paired T-Test" was performed to compare the measures with each other.<br> <br>To determine the effect of <br>**labor** pain, fear, and duration on the satisfaction with <br>**labor** and <br>**labor** cost according to the supportive care, "Multiple Regression Analysis" was used. | A content analysis of the information was used for the coding of data, finding of themes, arrangement of codes and themes, identification and interpretation of findings. |
    | **Outcomes/key findings** of the study and implications for nursing practice<br> <br>Summary of study results | Parity, epidural, oxytocin augmentation, birth weight and maternal age were significant confounders for second stage length. Also, Epidural analgesia is associated with higher than one hour difference in second stage duration. | The cortisol concentrations differed between the hypnosis group and the usual care group at wake up and in the evening. Between the hypnosis group and the relaxation group, no differences were found at any time point in pregnancy. | A statistically significant difference was found between the <br>**labor** fear and pain mean scores in terms of group, time and group*time interaction. Additionally, there was a significant difference between the post-intervention, active phase and transition phase <br>**labor** fear and pain mean scores of the groups in terms of the intervention performed: the fear of <br>**labor** and <br>**labor** pain was lower in the intervention group compared to the control group. | The women reported being more prepared for childbirth, they enjoyed being able to move more freely, there muscles were more relaxed, and they had an overall sense of knowing what to do. |
    | **Recommendations of the researcher** | The researchers recommend a reconsideration of ways to manage second stage labor. | A brief course in antenatal hypnosis training compared to a short course in relaxation and usual care did not have any influence on saliva cortisol concentration 6 weeks postpartum. The intervention may influence the release of cortisol during the extreme labor work and the first hours after childbirth with no long-term consequences. However, further research is needed. | The researchers recommended that nursing care based on the Philosophy of HypnoBirthing should be provided during <br>**labor** to reduce the fear and pain of <br>**labor**, shorten the duration of <br>**labor**, increase the level of satisfaction with <br>**labor**, and decrease the costs during <br>**labor**. | Women should make use of hypnobirthing to get prepared for childbirth. |
    | **Explain how this article supports your proposed PICO(T) question.** | This article describes one of the negative effects of an epidural and in this case, it is prolonged labor. | This article is directly related to my PICOT question as it tests the effects of a hypnosis intervention. | I chose this article because it shows the positive effects on the use of hypnosis to reduce labor pain. | This is a qualitative article that explains the experiences of women that used hypnosis during childbirth and it supports my PICOT. |

    © 2023. Grand Canyon University. All Rights Reserved.

    2

    ## image1.jpeg

    **## NRS-445-RS-T1-LiteratureEvaluationTable_23Mar25.docx**

    ![](https://www.sweetstudy.com/questions/hypnosis-for-labor-pains)

    **NRS-445 Topic 1: Literature Evaluation Table**

    **Student Name:**

    **Faculty Name:**

    **Background of Nursing Practice Problem (one paragraph; no more than 250 words): Women often experience a significant amount of pain during the birthing process. This pain is often debilitating and can cause further complications if not properly addressed. One of the common methods to alleviate pain during childbirth is an epidural. However, the epidural is often accompanied by many complications. As a result, more women are opting for more natural methods of reducing pain during childbirth. One method that is not as often used but has shown promising results is the use of Hypnosis. Hypnosis can be taught during pregnancy and can help women in labor reduce their perception of pain.**

    **PICO(T) Question:** _Use the PICOT question developed in Topic 1 Discussion Question (DQ) 2 and refine it as needed._

    | | | |
    | — | — | — |
    | **PICO(T) Question Template** |
    | **P** | **Population** | Pregnant women |
    | **I** | **Intervention** | Hypnosis |
    | **C** | **Comparison** Comment by Author: Current practice or no practice | Epidural |
    | **O** | **Outcome** Comment by Author: Must be a measurable patient outcome | Reducing pain |
    | **T** | **Timeline** Comment by Author: Optional<br> <br>_(optional)_ | In Labor |
    | **Intervention** |
    | In_<br>pregnant women (P), how does <br>hypnosis_ (I) compared to <br>an epidural (C) affect <br>reducing pain (O) within_<br>the labor process_(T)? |
    | **Problem Statement** |
    | It is not known if the implementation of <br>hypnosis_(I) would impact <br>pain reduction_(O) among <br>pregnant women (P). |

    | | | | | |
    | — | — | — | — | — |
    | **Criteria** | **Article 1** | **Article 2** | **Article 3** | **Article 4** |
    | **APA Reference**<br>Include the GCU permalink or working link used to access the article | Shmueli, A., Salman, L., Chen, R., Hiersch, L., Wiznitzer, A., & Gabbay-Benziv, R. (2017). 738: <br>The duration of the second stage of labor – do we underestimate the impact of epidural analgesia? <br>_American Journal of Obstetrics & Gynecology_, <br>_216_, S429. <br>[https://doi-org.lopes.idm.oclc.org/10.1016/j.ajog.2016.11.472](https://doi-org.lopes.idm.oclc.org/10.1016/j.ajog.2016.11.472) | Werner, A., Wu, C., Zachariae, R., Nohr, E. A., Uldbjerg, N., & Hansen, Å. M. (2020). Effects of antenatal hypnosis on maternal salivary cortisol during childbirth and six weeks postpartum—A randomized controlled trial. <br>_PLoS ONE_, <br>_15_(5), 1–18. <br>[https://doi-org.lopes.idm.oclc.org/10.1371/journal.pone.0230704](https://doi-org.lopes.idm.oclc.org/10.1371/journal.pone.0230704) | Uludağ, E., & Mete, S. (2021). The effect of nursing care provided based on the philosophy of hypnobirthing on fear, pain, duration, satisfaction and cost of labor: a single-blind randomized controlled study: The effect of nursing care on the labor process and cost. <br>_Health Care for Women International_, <br>_42_(4–6), 678–690. <br>[https://doi-org.lopes.idm.oclc.org/10.1080/07399332.2020.1835916](https://doi-org.lopes.idm.oclc.org/10.1080/07399332.2020.1835916) | Uludag, E., & Mete, S. (2023). Feelings and Experiences of Turkish Women Using Hypnobirthing in Childbirth: A Non-Traumatic Childbirth Experience. <br>_International Journal of Caring Sciences_, <br>_16_(1), 344–351. |
    | **Purpose/Aim of Study** | To understand the impact of an epidural as a pain analgesic. | Explore the effect of a brief antenatal training course in self-hypnosis on salivary cortisol during childbirth and 6 weeks postpartum. | Evaluate hypnobirthing as supportive care during childbirth. | To examine opinions, emotions and experiences of women who were hypnotized during childbirth. |
    | **Research question(s)** | The duration of the second stage of labor – do we underestimate the impact of epidural analgesia? | Does hypnosis reduce cortisol levels during childbirth? | Can hypnobirthing be an effective method used in the plan of supportive care for childbirth. | Did women who were hypnotized during childbirth have a better overall perception and experience during the birthing process? |
    | **Design**<br>Is the article qualitative, quantitative, or mixed methods? Explain how you determined the type of research design. | Qualitative and I determined this because this is an observational study. | Quantitative and I determined this because the article is on a randomized controlled trial. | This is a quantitative article as it is a randomized controlled trial. | This is a qualitative article as explicitly stated in the article and no actual randomized controlled trial was performed. |
    | **Setting**<br>Where did the study take place? What type of setting: inpatient, outpatient, etc.? | A university affiliated medical center in an inpatient setting. | Obstetrics Department at Aarhus University Hospital, Denmark | University Hospital between January 2015 and February 2017. | Internet search of blogs between March 14 through Mar 21, 2017. |
    | **Sample**<br>Number and characteristics of participants | 15,449 live, singleton, vaginal deliveries between 37 to 42 weeks. | 139 women in the hypnosis group, 136 women in the active comparison group, and 87 women in the control group | The study was completed with 150 pregnant women, including 75 in the control group and 75 in the intervention group. All women had a vaginal delivery at University Hospital during the specified time. | Eighty-two birthing stories in these blogs were examined using keywords and 13 written by women using hypnobirthing were included into the study. |
    | **Methods**<br>Interventions/Instruments | Maternal demographics and labor data including use of epidural, induction of labor or use of oxytocin | The women in the <br>**hypnosis** group attended three 1-hour classes on self-<br>**hypnosis** for <br>**childbirth** held over three consecutive weeks with four supplementary audio recordings, including a 20-minute section especially meant for labor. The women in the relaxation group had three antenatal classes in various relaxation methods, each lasting one hour held over three consecutive weeks. The usual care group received only ordinary antenatal care, which included a nuchal translucency scan about gestational week 12, an anomaly scan about gestational week 19, four to five visits at the midwifery clinic, and a tour of the birth department. | The nurses working in the delivery room provided the pregnant women in the control group with routine care. This routine care consisted of greeting pregnant women, establishing vascular access, performing an enema, providing the required treatment, and performing interventions to teach pushing in the second stage of <br>**labor**. The supportive nursing care structured according to the Philosophy of HypnoBirthing was provided by the researcher to the pregnant women in the intervention group. Before the intervention, the women completed an introduction form over their demographics and background. Following the intervention, women completed the Visual Analog Scale for pain, the Women’s Perception of Supportive Care During Labor Scale, and the Satisfaction with Labor Experience Sub-Scale. | No intervention was performed. A blog search regarding childbirth was performed and the integrity and quality of the blogs were analyzed before being included. |
    | **Analysis**<br>How were the collected data analyzed? | Multivariate linear regression | Participant characteristics are presented as means with standard deviations for continuous variables and as frequencies for categorical variables. Saliva cortisol concentrations, CAR and CDD are presented as means with standard deviations. Additionally, a Spearman rank correlation test was used to examine the correlation between saliva cortisol concentrations and psychological outcomes in the total sample. | To compare the <br>**labor** fear and pain mean scores of the latent, active, transition phases of the first stage of <br>**labor** in the intervention and control groups according to group, time and group*time interaction, the "Multi-Way Analysis of Variance for Repeated Measures" was used, for the advanced analysis "One-Way Analysis of Variance in Repeated Measures" was used, and the "Bonferroni Corrected Paired T-Test" was performed to compare the measures with each other.<br> <br>To determine the effect of <br>**labor** pain, fear, and duration on the satisfaction with <br>**labor** and <br>**labor** cost according to the supportive care, "Multiple Regression Analysis" was used. | A content analysis of the information was used for the coding of data, finding of themes, arrangement of codes and themes, identification and interpretation of findings. |
    | **Outcomes/key findings** of the study and implications for nursing practice<br> <br>Summary of study results | Parity, epidural, oxytocin augmentation, birth weight and maternal age were significant confounders for second stage length. Also, Epidural analgesia is associated with higher than one hour difference in second stage duration. | The cortisol concentrations differed between the hypnosis group and the usual care group at wake up and in the evening. Between the hypnosis group and the relaxation group, no differences were found at any time point in pregnancy. | A statistically significant difference was found between the <br>**labor** fear and pain mean scores in terms of group, time and group*time interaction. Additionally, there was a significant difference between the post-intervention, active phase and transition phase <br>**labor** fear and pain mean scores of the groups in terms of the intervention performed: the fear of <br>**labor** and <br>**labor** pain was lower in the intervention group compared to the control group. | The women reported being more prepared for childbirth, they enjoyed being able to move more freely, there muscles were more relaxed, and they had an overall sense of knowing what to do. |
    | **Recommendations of the researcher** | The researchers recommend a reconsideration of ways to manage second stage labor. | A brief course in antenatal hypnosis training compared to a short course in relaxation and usual care did not have any influence on saliva cortisol concentration 6 weeks postpartum. The intervention may influence the release of cortisol during the extreme labor work and the first hours after childbirth with no long-term consequences. However, further research is needed. | The researchers recommended that nursing care based on the Philosophy of HypnoBirthing should be provided during <br>**labor** to reduce the fear and pain of <br>**labor**, shorten the duration of <br>**labor**, increase the level of satisfaction with <br>**labor**, and decrease the costs during <br>**labor**. | Women should make use of hypnobirthing to get prepared for childbirth. |
    | **Explain how this article supports your proposed PICO(T) question.** | This article describes one of the negative effects of an epidural and in this case, it is prolonged labor. | This article is directly related to my PICOT question as it tests the effects of a hypnosis intervention. | I chose this article because it shows the positive effects on the use of hypnosis to reduce labor pain. | This is a qualitative article that explains the experiences of women that used hypnosis during childbirth and it supports my PICOT. |

    © 2023. Grand Canyon University. All Rights Reserved.

    2

    ## image1.jpeg

  • [Solved] Health Promotion and Disease Prevention Discussion 4

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    – 2 years ago **files (1)** – ## healthpromotiondiscussion4.docx **## healthpromotiondiscussion4.docx** Case: S.M. is a nurse practitioner in a large midwestern city. Today she is participating in a health fair at the Islamic Cultural Center. She is anticipating attendance by many families of Arab-A…

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    Assignment Prompt & Instructions

    – 2 years ago

    **files (1)**

    – ## healthpromotiondiscussion4.docx

    **## healthpromotiondiscussion4.docx**

    Case: S.M. is a nurse practitioner in a large midwestern city. Today she is participating in a health fair at the Islamic Cultural Center. She is anticipating attendance by many families of Arab-American descent.

    S.M. knows common health issues in Arab Americans include cardiovascular disease and diabetes. Her goals today are to gain the trust of the families she meets, learn about their health behaviors, provide education about healthy lifestyles, and arrange any follow-up care that may be needed.

    During the health fair, S.M. assesses her clients’ risk factors, including person-dependent factors and
    environmental-dependent factors. List at least 3 examples of a person-dependent factors and environmental dependent-factors

    1.
    **Define and describe the primary goals of screening.**

    2.
    **Discuss your thoughts on the relationship between economics and nutrition. How would you advise people of low socioeconomic status to eat healthy on a budget? How would you respond to patients whose financial restraints limit their access to food?**

    3.
    **Identify potential barriers to patient teaching and how you would address these barriers.**

    500 words, APA style, 2 academic resources

    **## healthpromotiondiscussion4.docx**

    Case: S.M. is a nurse practitioner in a large midwestern city. Today she is participating in a health fair at the Islamic Cultural Center. She is anticipating attendance by many families of Arab-American descent.

    S.M. knows common health issues in Arab Americans include cardiovascular disease and diabetes. Her goals today are to gain the trust of the families she meets, learn about their health behaviors, provide education about healthy lifestyles, and arrange any follow-up care that may be needed.

    During the health fair, S.M. assesses her clients’ risk factors, including person-dependent factors and
    environmental-dependent factors. List at least 3 examples of a person-dependent factors and environmental dependent-factors

    1.
    **Define and describe the primary goals of screening.**

    2.
    **Discuss your thoughts on the relationship between economics and nutrition. How would you advise people of low socioeconomic status to eat healthy on a budget? How would you respond to patients whose financial restraints limit their access to food?**

    3.
    **Identify potential barriers to patient teaching and how you would address these barriers.**

    500 words, APA style, 2 academic resources

  • [Solved] Health Assessment Discussioin 4

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    Executive Solution Overview

    – 2 years ago **files (1)** – ## HAdiscussioin4.docx **## HAdiscussioin4.docx** **Chief Complaint**: A 75-year-old female reports experiencing pain in her chest while walking up steps today. **Subjective:** Could not sleep previous night. Feels like an ache or a burning sensation at the center of st…

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    – 2 years ago

    **files (1)**

    – ## HAdiscussioin4.docx

    **## HAdiscussioin4.docx**

    **Chief Complaint**: A 75-year-old female reports experiencing pain in her chest while walking up steps today.

    **Subjective:** Could not sleep previous night. Feels like an ache or a burning sensation at the center of sternum. Denies any arm pain, pain was at a scale of 8 in the AM now it is at a 2. Suffers from History of hypertension, denies heart disease, denies leg swelling up, denies pain feeling worse when taking deep breath.

    **VS:** BP 129/70, (HR) 72 and regular, (RR) 16 unlabored, temperature 98.8°F, oral pulse oximetry is 99%

    **General:** obese female, alert, in no acute distress.

    **HEENT**: Atraumatic, normocephalic, PERRLA, EOMI, sclera with mild icterus, nares patent, nasopharynx clear, poor dentition – multiple carries.

    **Respiratory**: CTA AP&L

    **Neck/Throat:** carotids are 2+ without bruits; thyroid is not palpable; no lymphadenopathy

    **Heart:** S1 and S2 normal without murmur, gallop, or rub

    1.
    **What other subjective data would you obtain?**

    2.
    **What other objective findings would you look for?**

    3.
    **What diagnostic exams do you want to order?**

    4.
    **Name 3 differential diagnoses based on this patient presenting symptoms?**

    5.
    **Give rationales for your each differential diagnosis.**

    500 words, APA style, 2 Academic Resources

    **## HAdiscussioin4.docx**

    **Chief Complaint**: A 75-year-old female reports experiencing pain in her chest while walking up steps today.

    **Subjective:** Could not sleep previous night. Feels like an ache or a burning sensation at the center of sternum. Denies any arm pain, pain was at a scale of 8 in the AM now it is at a 2. Suffers from History of hypertension, denies heart disease, denies leg swelling up, denies pain feeling worse when taking deep breath.

    **VS:** BP 129/70, (HR) 72 and regular, (RR) 16 unlabored, temperature 98.8°F, oral pulse oximetry is 99%

    **General:** obese female, alert, in no acute distress.

    **HEENT**: Atraumatic, normocephalic, PERRLA, EOMI, sclera with mild icterus, nares patent, nasopharynx clear, poor dentition – multiple carries.

    **Respiratory**: CTA AP&L

    **Neck/Throat:** carotids are 2+ without bruits; thyroid is not palpable; no lymphadenopathy

    **Heart:** S1 and S2 normal without murmur, gallop, or rub

    1.
    **What other subjective data would you obtain?**

    2.
    **What other objective findings would you look for?**

    3.
    **What diagnostic exams do you want to order?**

    4.
    **Name 3 differential diagnoses based on this patient presenting symptoms?**

    5.
    **Give rationales for your each differential diagnosis.**

    500 words, APA style, 2 Academic Resources

  • [Solved] • Review the Resources and examine the Clark Healthy Workplace Inventory, found on page 20 of Clark (2015).

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    a brief description of the results of your Work Environment Assessment. Based on the results, how civil is your workplace? – 2 years ago

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    a brief description of the results of your Work Environment Assessment. Based on the results, how civil is your workplace?

    – 2 years ago