Prepare this assignment as a 1,500-1,750 word paper using the instructor feedback from the previous course assignments and the guidelines below.

PICOT Question 

Revise the PICOT question you wrote in the Topic 1 assignment using the feedback you received from your instructor.

The final PICOT question will provide a framework for your capstone project (the project students must complete during their final course in the RN-BSN program of study).

Research Critiques

In the Topic 2 and Topic 3 assignments, you completed a qualitative and quantitative research critique on two articles for each type of study (4 articles total). Use the feedback you received from your instructor on these assignments to finalize the critical analysis of each study by making appropriate revisions.

The completed analysis should connect to your identified practice problem of interest that is the basis for your PICOT question.

Refer to “Research Critiques and PICOT Guidelines – Final Draft.” Questions under each heading should be addressed as a narrative in the structure of a formal paper.

Proposed Evidence-Based Practice Change

Discuss the link between the PICOT question, the research articles, and the nursing practice problem you identified. Include relevant details and supporting explanation and use that information to propose evidence-based practice changes.

General Requirements

Prepare this assignment according to the APA. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite

Rubic_Print_Format

Course Code Class Code Assignment Title Total Points
NRS-433V NRS-433V-O501 Research Critiques and PICOT Statement Final Draft 300.0
Criteria Percentage 1: Unsatisfactory (0.00%) 2: Less Than Satisfactory (75.00%) 3: Satisfactory (83.00%) 4: Good (94.00%) 5: Excellent (100.00%) Comments Points Earned
Content 60.0%
Evidence of Revision 10.0% Final paper does not demonstrate incorporation of feedback or evidence of revision on research critiques. Incorporation of research critique feedback or evidence of revision is incomplete. Incorporation of research critique feedback and evidence of revision are present. Evidence of incorporation of research critique feedback and revision is clearly provided. Evidence of incorporation of research critique feedback and revision is comprehensive and thoroughly developed.
Nursing Practice Problem and PICOT Question 5.0% A nursing practice problem is not clearly described or a PICOT question is not included. PICOT question describes a nursing practice problem but lacks reliable sources. PICOT question describes a nursing practice problem and includes a few reliable sources. PICOT question articulates a nursing practice problem using supporting information from reliable sources. PICOT question clearly articulates a nursing practice problem using substantial supporting information from numerous reliable sources.
Background of Studies 5.0% Background of studies, including problem, significance to nursing, purpose, objective, and research questions, is incomplete. Background of studies, including problem, significance to nursing, purpose, objective, and research questions, is included but lacks relevant details and explanation. Background of studies, including problem, significance to nursing, purpose, objective, and research questions, is partially complete and includes some relevant details and explanation. Background of studies, including problem, significance to nursing, purpose, objective, and research questions, is complete and includes relevant details and explanation. Background of studies, including problem, significance to nursing, purpose, objective, and research questions, is thorough with substantial relevant details and extensive explanation.
Method of Studies 5.0% Discussion of method of studies, including discussion of conceptual/theoretical framework, is incomplete. Discussion of method of studies, including discussion of conceptual/theoretical framework, is inclu

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Research Critique Guidelines – Part II

Student’s name

Instructor

Course

Date

QUANTITATIVE STUDIES


Background

A six months exclusive breastfeeding is what World Health Organization other studies do recommend (Khanal et al., 2015). But, achieving this goal is hindered by different factors. It is within the protocols of healthcare services that exclusive breastfeeding is highlighted and deemed essential to both the mother and the child. Nowadays, healthcare providers are advocating people in taking self-responsibility to promote healthy living (Vural & Vural, 2017). This implies breastfeeding should a theme of concern to mothers before and after they give birth. Therefore, providing antenatal education about breastfeeding not improve the health of the mother but also perceived as one’s exercising self-care responsibilities (Khanal et al., 2015). As aforementioned, reaching the peak where breastfeeding mothers get the information they deserve, some psychological factors affect the initiation and duration of breastfeeding. Additionally, mother’s awareness about breastfeeding is affected by the healthcare setting, community, support they receive, as well as education which is the primary causal factor of unsuccessful breastfeeding initiation. Breastfeeding is viewed by most research agencies and organizations as the preferred method due to the qualities contained in human milk that not only promote growth toa child but also able to prevent diseases (Khanal et al., 2015). Eczema, necrotizing enterocolitis, otitis media, and gastroenteritis are some of the known infants’ illness that (Vural & Vural, 2017) says retard growth and increase the cost of care when children become ill and get admitted to hospitals. 

The PICOT question that this paper seeks to answer is, “For pregnant women, does breastfeeding education during pregnancy increase breastfeeding rates after delivery compared to no education?” I selected two quantitative studies that I will critique to examine the importance of prenatal breastfeeding education. The first article used is by Khanal et al. (2015) “Postpartum breastfeeding promotion and duration of exclusive breastfeeding in western Nepal,” and the second one is by Vural & Vural, (2017) about “The effect of prenatal and postnatal education on exclusive breastfeeding rates.”


How do these two articles support the nurse practice issue you chose?

These two articles show that breastfeeding is an important health practice that boosts an infant’s immunity which helps prevent disease and decrease costs. The primary goal of these two studie

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Research Critiques and PICOT Question Guidelines – Final Draft

Use this document to organize the content from your four studies into your final draft.

Quantitative and Quantitative Studies


Background

1. Summary of studies. Include problem, significance to nursing, purpose, objective, and research question.


How do these two articles support the nurse practice issue you chose?

1. Discuss how these articles will be used to answer your PICOT question.

2. Describe how the interventions and comparison groups in the articles compare to those identified in your PICOT question.


Method of Study:

1. State the methods of the articles you are comparing and describe how they are different.

2. Consider the methods you identified in your chosen articles and state one benefit and one limitation of each method.


Results of Study

1. Summarize the key findings of each of the studies into a comprehensive summary.

2. What are the implications of the four studies you chose in nursing practice?


Ethical Considerations

1. Discuss two ethical consideration in conducting research.

2. Describe how the researchers in the four articles you choose took these ethical considerations into account while performing their research.


Outcomes Comparison

1. What are the anticipated outcomes for your PICOT question?

2. How do the outcomes of the four articles you chose compare to your anticipated outcomes?

© 2019. Grand Canyon University. All Rights Reserved.

2

cid:D7D4B297-EEAE-4174-AD01-F87097282051@canyon.com

Research Critiques and PICOT Question Guidelines – Final Draft

Use this document to organize the content from your four studies into your final draft.

Quantitative and Quantitative Studies


Background

1. Summary of studies. Include problem, significance to nursing, purpose, objective, and research question.


How do these two articles support the nurse practice issue you chose?

1. Discuss how these articles will be used to answer your PICOT question.

2. Describe how the interventions and comparison groups in the articles compare to those identified in your PICOT question.


Method of Study:

1. State the methods of the articles you are comparing and describe how they are different.

2. Consider the methods you identified in your chosen articles and state one benefit and one limitation of each method.


Results of Study

1. Summarize the key findings of each of the studies into a comprehensive summary.

2. What are the implications of the four studies you chose in nursing practice?


Ethical Considerations

1. Discuss two ethical consideration in conducting research.

2. Describe how the researchers in the four articles you choose took these ethical considerations into account while performing their research.


Outcomes Comparison

1. What are the anticipated outcomes for your PICOT question?

2. How do the outcomes of the four articles you chose compare to your anticipated outcomes?

© 2019. Grand Canyon University. All Rights Reserved.

2

Literature Evaluation Table

Student Name:

Summary of Clinical Issue

Some women make it look so easy while breastfeeding their infants. However, many think it is tough to do it. The fact of the matter is breastfeeding is hard, and it’s like another job in itself, which does not come automatically for mothers who have just given birth. It is challenging for some women to keep up with the diet to maintain the flow of the milk and the type of food that will not react with the baby. For many reasons, this literature evaluation paper seeks to explore how breastfeeding women can improve the milk supply, as it is healthy for the baby and the mother. The PICOT question thus addressed is, “How does prenatal education impact a mother’s decision to initiate breastfeeding?” Pregnant women were chosen as the population of interest because upon giving birth, a woman decided to breastfeed or use formula milk. Prenatal breastfeeding education was the chosen intervention. That is because it is essential to educate pregnant women before giving birth so that better outcomes are expected after delivery in terms of how to breastfeed. The comparison that was chosen is women who received no education with those that were educated. They say the only key to success is education (Meedya et al., 2015). A person being better on a specific topic is defined by how knowledgeable she is. The outcome is the breastfeeding rate versus feeding formula.

PICOT Question:

P: in pregnant women, I: does Prenatal breastfeeding education, C: Formal prenatal breastfeeding education versus informal individual research or no education, O: Increase the breastfeeding Initiation Rate, initiation rate, T, over 3-month period before childbirth?

Criteria

Article 1

Article 2

Article 3

APA-Formatted Article Citation with Permalink

Meedya, S., Fahy, K., Parratt, J., & Yoxall, J. (2015). Supporting women to achieve breastfeeding to six months postpartum–The theoretical foundations of a successful program. Women and Birth28(4), 265-271.

Schreck, P. K., Solem, K., Wright, T., Schulte, C., Ronnisch, K. J., & Szpunar, S. (2017). Both prenatal and postnatal interventions are needed to improve breastfeeding outcomes in a low-income population. Breastfeeding Medicine12(3), 142-148.

Pitts, A., Faucher, M. A., & Spencer, R. (2015). Incorporating breastfeeding education into prenatal care. Breastfeeding Medicine10(2), 118-123.

How Does the Article Relate to the PICOT Question?

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Research Critique Guidelines – Part I

Qualitative Studies


Background of Study

The initial breastfeeding rate for the healthy people 2020 goal is 81.9% (Pitts, Faucher & Spencer, 2015). Pennsylvania recorded a 70.2% breastfeeding initiation rate in 2013. These figures show that breastfeeding is a global public health concern. Looking at the “ten steps to successful breastfeeding,” step three is “Inform all pregnant women about the benefits and management of breastfeeding.” The question posed: how does a mother’s decision to initiate breastfeeding impacted by the knowledge of breastfeeding during prenatal education vs. education on admission or none? Breastfeeding is the most natural method for mothers to feed infants and is highly recommended by Pediatricians, Nurse Midwives, and Lactation Nurses, yet breastfeeding rates remain extremely low. It also provides several other benefits for infants, such as the transfer of antibodies from mother to infant as a source of immunity against several illnesses. As a result, by breastfeeding, infant’s hospital re-ad-mission rates can decrease. There are some challenges and contextual factors that face low- and middle-income families, especially when receiving breastfeeding education interventions. These challenges, as discussed by Pitts, Faucher & Spencer (2015) and Schreck et al. (2017) in their studies, perhaps might hinder the duration supposed to be taken by breastfeeding mothers. Findings show that families who have their income are more likely to stop breastfeeding than those without. According to Schreck et al. (2017), an infant should start breastfeeding in the first hour after birth, and through the first six months of life because breast milk is believed to have essential nutrients and vitamins for healthy child development and growth. Therefore, this paper seeks to answer the PICO question: “How does prenatal education impact a mother’s decision to initiate breastfeeding?”


How do these two articles support the nurse practice issue you chose?

Pitts, Faucher & Spencer (2015) say that a child should be breastfed throughout the six months of life because breastfeeding is healthy for both the child and the mother. However, how is this supposed to be beneficial for both the mother and child without first knowing to breastfeed? Thus, these two qualitative articles try to educate women who are preparing to give birth and those already with infants to have the best knowledge about breastfeeding.

Looking at the Pitts, Faucher & Spencer (2015) qualitative study, it can be deduced that women’s breastfeeding initiation, duration, and exclusivity increases upon receiving prenatal breastfeeding education. Authors state that women are provided with