Research Methodologies (NURS 3044): SP4 Assessment 1

By February 13, 2019Academic Papers

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Research Methodologies (NURS 3044): SP4

Assessment 1

Instructions:

·      Please read the background information below.  When you have read the background information, you can proceed to the questions on the Assessment Template. These questions relate to the background information.

·      You will need to apply the knowledge that you have gained from Topics 1-4 to complete these questions.

·      The marks allocated to each question are stated next to the question.

·      The word count is stated next to each question. Note that when the word count says ‘equivalent’ it means that you do not need to have that exact number of words to answer the question – just provide as much detail as required to answer the question.

·      You are advised to frequently refer to the Assessment Feedback Sheet to guide you on what characteristics of a reponse constitute an F2, F1, P2, P1, C, D, and HD grade.

·      As with all academic work, if you refer to the work of others to support your responses, you must reference this information using the UniSA Harvard Reference System. You do not need to reference the articles listed in the Tables in Question 2, but if any other sources are used, these should be referenced.

 

Background: Immunisation – Health beliefs

You are working as a registered nurse in a GP Practice and one of your roles is to promote immunisation for children (this may be the MMR or other recommended immunisations).  You have had a few parents refuse vaccinations for their children and this concerns you as you believe that this may leave the child and communities vulnerable to outbreaks of serious diseases.

 

You do not think that parents would deliberately expose their children to the risk of serious disease unless they were guided by a belief that immunisation was not safe.   You are vaguely aware via media reports that there is an anti-vaccine movement, and you want a quick overview of what it is all about. As most of us would do, you consult Google, and you find the following information. Read the information video below:

Web Link icon (1).png

The History of Vaccines: History of the anti-vaccination movement

The College of Physicians of Philadelphia (2017)

<https://www.historyofvaccines.org/content/articles/history-anti-vaccination-movements>

You could now choose the following actions:

·      Conclude that parents are entitled to make decisions about their child’s healthcare, even if it is against public health policy.

·      You could question your own belief system – after all, you are basing your practice on government guidelines and you trust that the government will make decisions about health care that are evidence-based, informed by experts in the field, and in the best interests of Australians. You haven’t checked the literature for evidence of immunisation safety yourself.

·      You could investigate whether there is any evidence of harm caused by immunisation, and to identify information that may influence parent’s beliefs or fears about immunisation.

Naturally, you are a great nurse with an inquiring mind. You want to be certain that there is good evidence that demonstrates that immunisations are safe for children.  You want to understand what information has led parents to be concerned about immunisation. Finally, you want to be able to have an informed discussion with the parents about their concerns based on current evidence to help them make the right decision for their children.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

*Please do not include the background information above when you submit the assessment template (below) to learnonline.

Assessment template

Question 1 (20 marks) (400 word equivalent)

Question 1A

After reading the background information, develop a researchable question from the background information that you have been given relating to immunisation. This question can be suited to quantitative or qualitative methods.  Type your question below:

 

 

Question 1B:  List three sources of information that would provide you with the best (strongest) evidence that would enable you to answer your research question.  For each of the three sources, give an example of the type of information that would be available to you from this source.

*The examples provided below represent a source of information and a type of information available from that source. It is not suggested that these are the best sources of evidence.

 

Source of information

Type of information

**Delete this message and the two examples below before submitting this template

Example: Australian Government Department of Health website

Example: Whooping Cough brochure (2016)

 

 

 

 

 

 

 

Question 1C: List five search terms that would assist you to find suitable literature to answer your question.  For each of the search terms, suggest an alternate word for which the  Boolean function  “or” could be used.

Keyword

Search term for Boolean ‘or”

1

 

2

 

3

 

4

 

5

 

 

Question 1D: If your search failed to find a satisfactory number of quality articles, outline the actions that you could take to improve your search results.

 


Question 2 (40 marks) (800 word equivalent)

Complete the attached table with the relevant information from each of the four articles. Do not use dot points.

Table 1. Meta-analysis (+/- systematic review)

 

Full reference:

Nursing

 

 

Taylor, L.E., Swerdfeger, A.L. and Eslick, G.D., 2014. Vaccines are not associated with autism: an evidence-based meta-analysis of case-control and cohort studies. Vaccine, 32(29), pp.3623-3629. Access via https://ac-els-cdn-com.access.library.unisa.edu.au/S0264410X14006367/1-s2.0-S0264410X14006367-main.pdf?_tid=0faa94de-0985-11e8-a381-00000aab0f01&acdnat=1517732953_c2e06dba46682bf164edc03782248b99

Search strategy

 

 

Inclusion/exclusion criteria

 

Issue  (what was being  studied)

 

Context (study setting)

 

Outcome (main findings)

 

 

 

 

 

Table 2. Systematic review

 

Full reference

Nursing

 

Jefferson, T., Price, D., Demicheli, V., Bianco, E. and European Research Program for Improved Vaccine Safety Surveillance (EUSAFEVAC) Project, 2003. Unintended events following immunization with MMR: a systematic review. Vaccine, 21(25-26), pp.3954-3960. Access via ScienceDirect Journals (Available from 1995 volume: 13)

Search strategy

 

 

Inclusion/exclusion criteria

 

Issue  (what was being  studied)

 

Context (study setting)

 

Outcome (main findings)

 

 

 

 

 

 

 

Table 3. Experimental quantitative studies

 

Full reference:

Nursing

 

 

Prymula, R., Bergsaker, M.R., Esposito, S., Gothefors, L., Man, S., Snegova, N., Štefkovičova, M., Usonis, V., Wysocki, J., Douha, M. and Vassilev, V., 2014. Protection against varicella with two doses of combined measles-mumps-rubella-varicella vaccine versus one dose of monovalent varicella vaccine: a multicentre, observer-blind, randomised, controlled trial. The Lancet, 383(9925), pp.1313-1324. Full text available via Elsevier ScienceDirect (Available from 07/01/1995 volume: 345 issue: 8941)

Study Design (e.g.: cohort, RCT,)

 

 

Population (how many participants, age, gender, disease, etc)

 

Intervention (what was being implemented)

 

Comparison (was the intervention being compared to another strategy, e.g. placebo?)

 

Outcome (main findings)

 

 

 

 

 

 

Table 4. Qualitative study

Full reference

Nursing

Guillaume, L.R. and Bath, P.A., 2004. The impact of health scares on parents’ information needs and preferred information sources: a case study of the MMR vaccine scare. Health Informatics Journal, 10(1), pp.5-22. Full text available via SAGE (Available from 1999 volume: 5 issue: 1)

Study Design (ie: cohort)

 

Population (how many participants, age, gender, disease, etc)

 

Issue  (what was being  studied)

 

Context (study setting)

 

Outcome (main findings)

 

 

 


Question 3  – 800 words

·       Discuss the reasons that the studies above would or would not be helpful in enabling you to have an informed discussion with parents about immunisation for their children.  Comment on the relative value of the studies to your argument. Use supporting evidence where appropriate.

 

 

 

 

 

 

 

 

Originally posted 2018-05-11 15:02:22.

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