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Hi there are 3 parts to this assignment.
Hi the assignment is to make a short picot paper. (AN EXAMPLE IS ATTACHED). The topic in the example is clinical provider shortage.
I WORK IN MATERNITY UNIT SO MY TOPIC IS “Do pregnant women who have elective labor inductions at term (39-41 weeks) have an increased risk of unplanned cesarean sections compared to those who go into spontaneous labor?” See attached ebp topic for clarification.
The whole thing must be oriented to nursing issues and solutions
THATS 1 ASSIGNMENT
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THIS PICOT AND THE FOLLOWING PARTS OF THE ASSIGNMENT IS PART OF A FINAL PAPER TO BE PREPARED BY END OF SEMESTER
SECOND PART-----
I WORK IN MATERNITY UNIT SO MY TOPIC IS “Do pregnant women who have elective labor inductions at term (39-41 weeks) have an increased risk of unplanned cesarean sections compared to those who go into spontaneous labor?” See attached ebp topic for clarification.
I NEED 8 SCHOLARLY ARTICLE SOURCES should be current within the last 5 years and closely relate to the PICOT statement developed earlier. The articles may include quantitative research, descriptive analyses, longitudinal studies, or meta-analysis articles. ---ONCE THESE 8 ARTICLES ARE ACQUIRED, USE THAT TO FILL IN THE ATTACHED LITERATURE EVALUATION TABLE, WHICH IS THE SECOND PART OF THIS ASSIGNMENT
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PART THREE--
A literature review analyzes how current research supports the PICOT, as well as identifies what is known and what is not known in the evidence. Students will use the information from the earlier PICOT Statement Paper and Literature Evaluation Table assignments to develop a 750-1,000 word review that includes the following sections:
- Title page
- Introduction section
- A comparison of research questions
- A comparison of sample populations
- A comparison of the limitations of the study
- A conclusion section, incorporating recommendations for further research
Prepare this assignment according to the guidelines found in the APA Style
THATS IT. SO YOU WILL BE SUBMITTING 3 DOCUMENTS.
- PICOT PAPER LIKE IN THE ATTACHED EXAMPLE WITH MY TOPIC.
- FIND ARTICLES AND FILL ATTACHED LITERATURE EVALUATION TABLE
- LITERATURE REVIEW PAPER (AN EXAMPLE IS ATTACHED)
Oh, just a P.S. the articles you find is needed for my final paper. so please provide working links in the literature evaluation table.
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Explanation & Answer
Attached.
Running Head: NURSING EBP PROJECT ARTICLE REVIEW1
Literature Review
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NURSING EBP PROJECT ARTICLE REVIEW2
Literature Review
Induction of labor is usually an obstetric intervention. Its application is typically
recommended in cases where both the mother and the baby would have more health benefits in
case the delivery is initiated early enough compared to expectant management. Some of the
conditions that might lead to labor induction include the presence of a pre-eclampsia,
oligohydramnios, post-term pregnancy or any growth within the uterus that might lead to
complicated delivery. Both spontaneous and induced deliveries can generally lead to cesarean
delivery. However, there is an increased concern that induction of labor exposes pregnant
women to higher risks of undergoing cesarean delivery. The use of cesarean delivery is never
recommended because it carries some severe possible outcomes for the mother. The
complications that might develop could implicate the current pregnancy or the subsequent
pregnancies or even the newborns.
Keywords; elective labor induction, spontaneous delivery, cesarean delivery, at term.
Researchers have done quite a lot of work regarding the relationship between cesarean
delivery and labor induction. Reaching a final agreement concerning this issue of contention has
been difficult. The main reason is that of differing results and findings by different medical
researchers. Another problem that might contribute to the differing conclusions is that cesarean
delivery could be a result of a medical complication during an early delivery or that made it
necessary for the woman to undergo an induced birth. It is from such medical complications that
certain scholars argue that induction of labor should not be incriminated to be the sole cause of
caesarean delivery.
NURSING EBP PROJECT ARTICLE REVIEW3
The influence of labor induction on cesarean delivery can be better isolated using
propensity scores compared to the control of confounding using the analytical methods that have
been used traditionally. The best way for this research is, therefore, the use of propensity scores.
The scores could be used to depict the possibility of a pregnant woman being induced against the
chances of not undergoing an induction in a given gestation period.
The methods of propensity score used in this study were matching and adjustment. These
two methods were able to create a balance between the groups being treated. Creating a balance
was to ensure that no bias was depicted in the estimating the effect of labor induction on
caesarian delivery. The propensity score matching, in comparison to the traditional covariate
adjustment, enables one even to interpret the causes.
Eight articles were considered for the study with the three main sections being
retrospective cohort studies. The three research articles were of level three.7804 women were
used, and labor induction was applied in 43.6% of the women (Ethrenthal, Jiang & Strobino,
2010). The duration of the study was two years and seven months. According to the findings of
this study, labor induction contributed to an increase in the chances of cesarean sections that
were unplanned by twenty percent. The research was also done on low-risk parous women
(Jonsson, Cnnatingius & Wikstrom, 2013). The study involved 7 973 women with three hundred
and forty-three of the women having an elective labor induction. Fifty-two percent of the
induced women did not progress and had to undergo an unplanned cesarean section. Some of the
induced women had to endure a cesarean section as a result of a fetal heart rate that was not
reassuring. This research concluded that elective induction of labor almost doubled the risks of
caesarian delivery. The third study also involved low-risk women. Th study included eight
hundred and ...