When caring for pregnant women, it is important to care for the whole person. This means you not only manage the pregnancy and treat conditions, but you also promote healthy behaviors and good lifestyle choices. Through health promotion, you can help to ensure the safety of both the mother and the baby. Your role in health promotion is to identify health risks that might result in pregnancy complications, educate patients on these risks, and provide the necessary support to help patients mitigate these risks. In this Discussion, you examine implications of drug use, alcohol consumption, dietary habits, and environmental exposures during pregnancy, and you consider ways to educate pregnant women about such risks.

To prepare:  Due 10.10.17 by 12 noon

1. Review Chapter 2 of the Tharpe et al. text and the 

2. Article from the Centers for Disease Control and Prevention in this week’s  Learning Resources:

3. Consider lifestyle changes that pregnant women must make in relation to smoking. Select one of these topics to be the focus of an educational media piece you would create for health promotion during pregnancy.

· 4. Think about the patient population that you treat within your practicum setting. Consider ways to educate these patients on health promotion as it relates to the topic you selected. Then, consider the types of educational pieces, such as posters, that might be most effective with your patient population.

Post a detailed description of the educational media piece you would create for health promotion during pregnancy. Explain why you selected the particular topic (SMOKING), as well as why you selected the type of media (POSTER),  and how and why it is suitable for your patient population.

Note: Attach the POSTER to your Discussion posting before the References.

DUE ON: OCT. 17.17 by 12 noon

APA FORMAT

ZERO PLGIARISM

1&1/2 PAGE only.

:earning Resource/Required Readings/References

Schuiling, K. D., & Likis, F. E. (2017). Women’s gynecologic health (3rd ed.). Burlington, MA: Jones and Bartlett Publishers.

• Review Chapter 30, “Diagnosis of Pregnancy and      Overview of Prenatal Care” (pp. 781-797)

This chapter examines the diagnosis of pregnancy, routine prenatal care, and patient education strategies for pregnant women.

Tharpe, N. L., Farley, C., & Jordan, R. G. (2017). Clinical practice guidelines for midwifery & women’s health (5th ed.). Burlington, MA: Jones & Bartlett Publishers.

• Review: Chapter 2, “Care of the Woman During      Pregnancy” (pp. 49-90)

This chapter explores the care of women during pregnancy, including common health conditions and health promotion.

• Chapter 3, “Care of the Pregnant Woman with      Prenatal Conditions” (pp. 93-154)

This chapter examines the care of women who suffer from complications during pregnancy and focuses on interventions that maximize health outcomes for the mother and baby.

Centers for Disease Control and Prevention. (2011). During pregnancy. Retrieved from http://www.cdc.gov/pregnancy/during.html

This website emphasizes the need for health promotion during pregnancy. Implications of smoking, alcohol, infections, and environmental exposures are explored.

Optional Resources

Centers for Disease Control and Prevention. (2012b). Women’s health. Retrieved from http://www.cdc.gov/women/

National Institutes of Health. (2012). Office of Research on Women’s Health (ORWH). Retrieved from http://orwh.od.nih.gov/

U.S. Department of Health and Human Services. (2012a). Womenshealth.gov. Retrieved from http://www.womenshealth.gov/

Report Issue

Assignment 1: Sociocultural Norms, Health, and Nursing  The discussion assignment provides a forum for discussing relevant topics for this week based on the course competencies covered.  Post a response to one of the two discussion topics below, using information from the lectures, reading assignments, library resources, and Internet resources. All responses should be posted to the appropriate topic in the Discussion Area.  

Topic 1: Vulnerable Populations  As you discovered in this week’s lectures and textbook readings, numerous vulnerable populations exist in the community. Identify three local organizations in your community that deliver healthcare services to vulnerable populations. Based on your research findings, answer the following: 

•Which population does each organization serve? 

•What services does it provide? 

•Where does it get its funding (local, state, or federal sources)? 

•Evaluate the relative value of each organization’s services to individuals and families in the vulnerable population it serves.  

Topic 2: Stigma Associated with Disease  Some vulnerable populations may have diseases, health impairments, and pregnancy that bring humiliation and predisposed judgment. Unfortunately, these health conditions can cause vulnerable populations to become ostracized by the general public. 

•What ways would you choose to function as an advocate for vulnerable populations? 

•Discuss the types of assistance you might provide to each of the following clients: ◦A 24-year-old pregnant woman who is currently homeless and unmarried ◦A 16-year-old girl who has run away from her foster home and who has an IV drug habit ◦An immigrant worker whose TB skin test just came back positive ◦An employed, married man who contracted Hepatitis B through a blood transfusion 30 years ago  Citations should conform to APA guidelines. You may use this APA Citation Helper as a convenient reference for properly citing resources or connect to the APA Style website through the APA icon below.

NRS-433V Week 2 Topic 2 DQ1 

Qualitative data has been described as voluminous and sometimes overwhelming to the researcher. In what ways could a researcher manage and organize the data? 

Topic 2 DQ2 

Nursing research is used to study a dilemma or a problem in nursing. Examine a problem you have seen in nursing. Why should it be studied? Justify your rationale.

Assignment 1 PICOT Statement and Literature 

The first step of the EBP process is to develop a question from the nursing practice problem of interest. Select a practice problem of interest to use as the focus of your research. Start with the patient and identify the clinical problems or issues that arise from clinical care. Following the PICOT format, write a PICOT statement in your selected practice problem area of interest, which is applicable to your proposed capstone project. The PICOT statement will provide a framework for your capstone project (the project students must complete during their final course in the RN-BSN program of study). Conduct a literature search to locate research articles focused on your selected practice problem of interest. This literature search should include both quantitative and qualitative peer-reviewed research articles to support your practice problem. Select six peer-reviewed research articles which will be utilized through the next 5 weeks as reference sources. Be sure that some of the articles use qualitative research and that some use quantitative research. Create a reference list in which the six articles are listed. Beneath each reference include the article’s abstract. The completed assignment should have a title page and a reference list with abstracts. Suggestions for locating qualitative and quantitative research articles from credible sources: 1. Use a library database such as CINAHL Complete for your search. 2. Using the advanced search page check the box beside “Research Article” in the “Limit Your Results” section. 3. When setting up the search you can type your topic in the top box, then add quantitative or qualitative as a search term in one of the lower boxes. Research articles often are described as qualitative or quantitative. To narrow/broaden your search, remove the words qualitative and quantitative and include words that narrow or broaden your main topic. For example: Diabetes and pediatric and dialysis. To determine what research design was used, review the abstract and the methods section of the article. The author will provide a description of data collection using qualitative or quantitative methods. Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required. https://www.guideline.gov/(week 1) 

                                      Discussion: Treating Childhood Abuse

In 2012, statistics in the United States indicated that state CPS agencies received 3.4 million referrals for child abuse and neglect. Of these, nearly 700,000 children were found to be victims of maltreatment: 18% were victims of physical abuse and 78% were victims of neglect (CDC, 2014). Child sexual abuse makes up roughly 10% of child maltreatment cases in the United States (CDC, 2014). The CDC considers sexual abuse at any age a form of violence. Child abuse of any kind can lead to an increased state of inflammatory markers in adulthood, as well as multiple physical illnesses and high-risk behavior such as alcoholism and drug abuse. If a PMHNP identifies child abuse, there may be a need to report the abuse to authorities. Once able to provide treatment, the PMHNP can be instrumental in reducing the long-term effects of child abuse.

In this Discussion, you recommend strategies for assessing for abuse and analyze influences of media and social media on mental health. You also evaluate the need for mandatory reporting of abuse.

                                                                             Assignment

· What strategies would you employ to assess the patient (Child) for abuse?   

   Explain why you selected these strategies.

· How might exposure to the media and/or social media affect the patient?

· What type of mandatory reporting (if any) is required in this case? Why?

PLEASE, INCLUDE INTRODUCTION, CONCLUSION, 3 OR MORE REFERENCES LESS THAN 5 YEARS OLD, AND ANSWER ALL THE QUESTIONS AS INSTRUCTED.

                                                            Learning Resources

Required Readings

Sadock, B. J., Sadock, V. A., & Ruiz, P. (2014). Kaplan & Sadock’s synopsis of psychiatry: Behavioral sciences/clinical psychiatry (11th ed.). Philadelphia, PA: Wolters Kluwer.

• Chapter 31, “Child Psychiatry” (pp. 1216–1226)

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.

• “Trauma- and      Stressor-related Disorders”

Pfefferbaum, B., & Shaw, J. A. (2013). Practice parameter on disaster preparedness. Journal of the American Academy of Child & Adolescent Psychiatry, 52(11), 1224–1238. Retrieved from http://www.jaacap.com/article/S0890-8567(13)00550-9/pdf 

American Psychiatric Nurses Association. (2017). Childhood and adolescent trauma. Retrieved from http://www.apna.org/i4a/pages/index.cfm?pageID=4545

Document: Childhood Abuse Case Study (PDF). REVIEW THE ATTACHED DOCUMENT

Stahl, S. M. (2014). Prescriber’s Guide: Stahl’s Essential Psychopharmacology (5th ed.). New York, NY: Cambridge University Press. 

To access information on the following medications, click on The Prescriber’s Guide, 5th Ed. tab on the Stahl Online website and select the appropriate medication.

                                                  Optional Resources

Thapar, A., Pine, D. S., Leckman, J. F., Scott, S., Snowling, M. J., & Taylor, E. A. (2015). Rutter’s child and adolescent psychiatry (6th ed.). Hoboken, NJ: Wiley Blackwell. 

• Chapter 50, “Provision of      Intensive Treatment: Intensive Outreach, Day Units, and In-Patient Units”      (pp. 648–664)
• Chapter 58, “Disorders of      Attachment and Social Engagement Related to Deprivation” (pp. 795–805)
• Chapter 59, “Post Traumatic      Stress Disorder” (pp. 806–821)
• Chapter 64, “Suicidal Behavior and Self-Harm”      (pp. 893–912)

Week 5 Independent t Test Exercises

To prepare:

Refer to the Week 5 t Test Exercises and follow the directions to perform a t test.

Download and save the Polit2SetC.sav data set. You will open the data file in SPSS.

Compare your data output against the tables presented in the Week 5 t Test Exercises SPSS Output.

Formulate an initial interpretation of the meaning or implication of your calculations.

Refer to the Week 5 ANOVA Exercises and follow the directions to perform an ANOVA using the Polit2SetA.sav data set.

Formulate an initial interpretation of the meaning or implication of your calculations.

To complete:

Complete the Part I, Part II, and Part III steps and Assignments as outlined in the Week 5 t Test Exercises page.

Complete the steps and Assignment as outlined in the Week 5 ANOVA Exercises page.

Create one document with your responses to the t test exercises and the ANOVA exercises.

Part I

The hypothesis being tested is: Women who are working will have a lower level of depression as compared to women who are not working.  

Using Polit2SetC SPSS dataset, which contains a number of mental health variables, determine if the above hypothesis is true.

Follow these steps when using SPSS:

1. Open Polit2SetC dataset. 

2. Click Analyze then click Compare Means, then Independent Sample T-test.

3. Move the Dependent Variable (CES_D Score “cesd”) in the area labelled Test Variable. 

4. Move the Independent Variable (Currently Employed “worknow”) into the area labelled Grouping Variable. The worknow variable is coded as (0= those women who do not work and 1= those women who are working).  Click on Define Groups in group 1 box type 0 and in group 2 box type 1. Click Continue.

5. Click continue and then click OK. 

Assignment: Through analysis of the data and use of the questions below write one to two paragraphs summarizing your findings from this t-test. 

1. How many women were employed versus not employed in the sample?

2. What is the total sample size?

3. What are the mean (SD) CES-D scores for each group?

4. Interpret the Levene’s statistic. (Hint: Is the assumption of homogeneity of variance met? Are equal variances assumed or not assumed?)

5. What is the value of the t-statistic, number of degrees of freedom and the p-value?

6. Does the data support the hypothesis? Why or why not? 

Part II

Hypothesis: Women who reported depression scores in wave 1 and wave 2 of the study did not have a significant difference in their level of depression.  

Using Polit2SetC SPSS dataset, determine if the above hypothesis is true.

Follow these steps when using SPSS:

1. Open Polit2SetC dataset. 

2. Click Analyze then click Compare Means, then Paired Samples T-test.

3. First click on CES-D Score (cesd) and move it into the box labelled Paired Variables (in the rectangle for Pair 1 of Variable 1 and then click on CESD Score, Wave 1 (cesdwav1) and move it into the Paired Variables box (in the rectangle next to CES-D Score, pair 1, variable 2).

4. Click continue and then click OK. 

Assignment: Through analysis of the data and use of the questions below write one to two paragraphs summarizing your findings from this t-test. 

1. What is the total sample size?

2. What are the mean (SD) CES-D scores at wave 1 and wave 2?

3. What is the mean difference between the two time periods?

4. What is the value of the t-statistic, number of degrees of freedom and the p-value(sig)?

5. Does the data support the hypothesis? Why or why not? 

Part III

Using Polit2SetC dataset, run independent groups t-tests for three outcomes. The outcome variables are CES-D Score (cesd), SF12: Physical Health Component Score, standardized (sf12phys) and SF12: Mental Health Component Score, standardized (sf12ment). 

Follow these steps when using SPSS:

1. Open Polit2SetC dataset. 

2. Click Analyze then click Compare Means, then Independent Sample T-test.

3. Move the Dependent Variables (CES_D Score “cesd”, SF12: Physical Health Component Score, standardized (sf12phys), and SF12: Mental Health Component Score, standardized (sf12ment) ) in the area labelled Test Variable. 

4. Move the Independent Variable (Educational Attainment “educatn”) into the area labelled Grouping Variable. The educatn variable is coded as (1= no high school credential and 2=diploma or GED).  Click on Define Groups in group 1 box type 1 and in group 2 box type 2. Click Continue.

5. Click continue and then click OK. 

Assignment: Create a table to present your results, use the table 6.3 in Chapter 6 as a model.  Write one or two paragraphs explaining your results. 

REFERENCES

Gray, J.R., Grove, S.K., & Sutherland, S. (2017). Burns and Grove’s the practice of nursing research: Appraisal, synthesis, and generation of evidence (8th ed.). St. Louis, MO: Saunders Elsevier.

· Chapter 25, “Using Statistics to Determine Differences”

Chapter 5, “Statistical Inference”

Chapter 6, “t Tests: Testing Two Mean Difference