East Los Angeles College Nurs

Reply to Discussion

post 1

After completing this activity, it has really opened up my eyes on what I would have to do as a nurse if presented with a natural disaster in the hospital setting. For example, Southern California is well known for fires and earthquakes. In the occasion this were to happen, the nurses need to be readily prepared. They need to have an evacuation plan that they have training for. However, there should also make a plan for themselves and their family. When responding to a disaster, they still have their patients to attend to that they cannot leave. I think something that is extremely important when responding during a disaster is the priority of the patient. If I was in the situation, I would assist to the patients who are able to walk and ambulate themselves, and then assist the ones who are unable to more because they would need more attention. Also, the nurses need to know where their supplies are in the case that they need it during the disaster. Lastly, I believe a big nursing role will be them staying composed. I’m sure all of the patients will be scared so it is up to the nurses to stay calm and have good communication throughout this event even if they are the ones afraid as well.

As of right now, my current population is labor and delivery moms and babies. The current challenges that may occur is if the patient has an epidural and is unable to walk. Furthermore, if the patient is in active labor and is getting ready to delivery her baby. I believe those can be challenges because if the patient is in a lot of distress and pain, she won’t want to move, or it may even distress the baby because mom is in distress. Also, if mom has an epidural, she won’t be able to walk. I believe that the best way to get them out of the room is to use sheets to drag them out into safety or use specific transportation for the OB patients, if the floor provides them. Nurses on this floor would also need to know how to transport the babies in the case of emergency if mom is unable to transport her baby herself.

I think that the best way to get more hands on training is getting FEMA CERT training. In this training, the program educates people about preparing for hazards that can impact the area they are in or even around them with basic disaster response skills, like fire safety, light search and rescue, team organization, and disaster medical operations. I think this would be great for nurses so that they are knowledgeable in the case this does happen and they need to take care of a mom and her baby.

References:

Disaster Preparedness. (n.d.). American Nurses Association. Retrieved from https://www.nursingworld.org/practice-policy/work-environment/health-safety/disaster-preparedness (Links to an external site.)

Obtaining my Independent Study (IS) certificate? (2020, Feb 5). FEMA. Retrieved from https://www.fema.gov/faq/obtaining-my-independent-study-certificate (Links to an external site.)

Edited by Lanica Buhain on Jul 19 at 10:11am

post 2

Nurses play a pivotal role at every stage of the disaster. “In disaster management, nurses work with other healthcare providers to identify and plan for risks, participate in preparedness education and training, response efficiently and effectively in a timely manner, and participate in the recovery process with other disaster management teams” (Al Harthi et al, 2020). In the event of a disaster, nurses need provide immediate nursing care as an initial responder to save as many people as possible. In this process, nurses should be able to manage time and prioritize the severity of patients to minimize casualties. Critical thinking is necessary at this point because a lot of sources, like electricity, will be gone due to disaster.

My current patient population is pregnant women and neonates. When disaster occurs, pregnant women would face many challenges. Delivering baby can happen anytime and anywhere. If they start having contraction and about to start labor during or after disaster, they are at higher risk of infection as the sterile equipment might not be available. Patients who are unstable and need bedrest will be hard to evacuate especially when the elevator is not available during disaster. Furthermore, disaster can give a lot of stress to both mothers and infants. “For a fetus, receiving a small amount of stress hormones can have outsize negative effects” (Ahmen, 2019). “Babies of stressed mothers were mopre likely to have a difficult temperament and lower social and problem-solving skills” (Moss et al., 2021).

I can have more hands-on training to supplement the academic study of disaster management by participating emergency preparedness and response training. Routine training will prepare me for disaster and make myself more confident to response. “The Community Emergency Response Team (CERT) program educates volunteers about disaster preparedness for the hazards that may impact their area and trains them in basic disaster response skills, light search and rescue, team organization, and disaster medical operations” (Ready.gov, 2021).

References:

Ahmen, A. (2019, March 6). The stress of a natural disaster can take a toll on babies in utero. The Atlantic. https://www.theatlantic.com/family/archive/2019/03…

Al Harthi, M., Al Thobaity, A., Al Ahmari, W., & Almalki, M. (2020). Challenges for Nurses in Disaster Management: A Scoping Review. Risk management and healthcare policy, 13, 2627–2634. https://doi.org/10.2147/RMHP.S279513

Moss, K., Simcock, G., & Mclean, M. (2021, March 25). Pregnant mother’s stress during floods can disadvantage their babies, but it’s not inevitable. Here’s what we can do right now. The Conversation. https://theconversation.com/pregnant-mothers-stres…

Ready.gov. (2021, Apr, 12). Community emergency response team. https://www.ready.gov/cert

All tutors provide: high quality help, quick responsive communication, original explanations and answers with any outside resources cited.

ORDER THIS OR A SIMILAR PAPER AND GET 20% DICOUNT. USE CODE: GET2O

East Los Angeles College Nurs

A research critique demonstrates your ability to critically read an investigative study. For this assignment, choose a research article related to nursing.

Articles used for this assignment cannot be used for the other assignments (students should find new research articles for each new assignment).

The selected articles should be original research articles. Review articles, concept analysis, meta-analysis, meta-synthesis, integrative review, and systemic review should not be used.

  • Mixed-methods studies should not be used.
  • Dissertations should not be used.
  • Your critique should include the following:
  • Research Problem/Purpose

State the problem clearly as it is presented in the report.

Have the investigators placed the study problem within the context of existing knowledge?

Will the study solve a problem relevant to nursing?

  • State the purpose of the research.
  • Review of the Literature
  • Identify the concepts explored in the literature review.
  • Were the references current? If not, what do you think the reasons are?

Was there evidence of reflexivity in the design (qualitative)? 

Theoretical Framework

  • Are the theoretical concepts defined and related to the research?
  • Does the research draw solely on nursing theory or does it draw on theory from other disciplines?
  • Is a theoretical framework stated in this research piece?

If not, suggest one that might be suitable for the study.

Variables/Hypotheses/Questions/Assumptions (Quantitative)

  • What are the independent and dependent variables in this study?
  • Are the operational definitions of the variables given? If so, are they concrete and measurable?
  • Is the research question or the hypothesis stated? What is it?
  • Conceptual Underpinnings, Research Questions (Qualitative)

Are key concepts defined conceptually?

Is the philoosoophical basis, underlying tradition, conoceptual framework, or ideological orientation made explicit and is it appropriate for the problem?

  • Are research questions explicitly stated? Are the questions consistent with the study’s philosophical basis, underlying tradition, conceptual framework, or ideological orientation?
  • Methodology
  • What type of design (quantitative, qualitative, and type) was used in this study?

Was inductive or deductive reasoning used in this study?

State the sample size and study population, sampling method, and study setting.

  • Did the investigator choose a probability or non-probability sample?
  • State the type of reliability and the validity of the measurement tools (quantitative only)
  • Qualitative studies (answer the following questions in addition to those above except the last bulleted item)

Were the methods of gathering data appropriate?

Were data gathered through two or more methods to achieve triangulation?

  • Did the researcher ask the right questions or make the right observations and were they recorded in an appropriate fashion?
  • Was a sufficient amount of data gathered?
  • Was the data of sufficient depth and richness?
  • Were ethical considerations addressed? Were appropriate procedures used to safeguard the rights of study participants?
  • Data Analysis

What data analysis tool was used?

Was saturation achieved? (qualitative)

  • How were the results presented in the study?
  • Were the data management (e.g., coding) and data analysis methods sufficiently described? (qualitative)
  • Identify at least one (1) finding.
  • Summary/Conclusions, Implications, and Recommendations
  • Do the themes adequately capture the meaning of the data?

Did the analysis yield an insightful, provocative and meaningful picture of the phenomenon under investigation?

Were methods used to enhance the trustworthiness of the data (and analysis) and was the description of those methods adequate?

Are there clear explanation of the boundaries/limitations, thick description, audit trail?

  • What are the strengths and limitations of the study?
  • In terms of the findings, can the researcher generalize to other populations? Explain.
  • Evaluate the findings and conclusions as to their significance for nursing (both qualitative and quantitative).
  • The body of your paper should be 4–6 double-spaced pages plus a cover page and a reference page. The critique must be attached to the article and follow APA guidelines.
  • RUBRIC

NURS_350_OL – NURS350-Research Critique

ORDER THIS OR A SIMILAR PAPER AND GET 20% DICOUNT. USE CODE: GET2O