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RESEARCH CRITIQUES

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

You are required to cite a minimum of three peer-reviewed sources to complete this assignment. Sources must be published within the last 5 years, appropriate for the assignment criteria, and relevant to nursing practice.  

  that can lead to cervical cancer decreased by 51% among girls aged 15–19 years and by 31% among women aged 20–24 years at up to 9 years after vaccination began (The National Cancer Institute, 2019). HPV vaccines prevent infection with HPV types 16 and 18, two  that cause about 70% of cervical cancers and an even higher percentage of some of the other HPV-caused cancers (The National Cancer Institute, 2019).

Proposed Evidence Based Practice Change

A potential practice change that I could implement in my clinical area is educate parents about HPV, HPV vaccine and possible complications that can occur without the vaccination. Educating parents about how cervical cancer is a cause from HPV and how it can be fatal is a change that can potentially help parents agree to the HPV vaccine. Providing educational pamphlets to parents of high school students about HPV and how HPV educational interventions in schools help prevent HPV is a great change that can occur in school systems.

Ethical Considerations

Ethical considerations associated with the nursing research of the two qualitative research articles were that the researcher was able to respect anonymity and confidentiality of all of the participants who participated in depth interviews. The people who participated in group discussions were voluntarily participating in the group study and were attending at their own free will. When the interviewers conducted interviews they only assessed relevant components that pertained to the study topic. In the quantitative research the participants used a self-administrated questionnaire to answer questions. The self-administered questionnaire made it confidential and protected the participant’s privacy.

Conclusion

 The practice problem is that many parents are not educated about HPV and HPV vaccines, therefore cause low acceptance rates. Evidence supports the practice change that I will be implementing because education about HPV and HPV vaccines causes acceptability. Education will help HPV vaccination rates. It is vital to implement intervention strategies to improve vaccine uptake. Results provide valuable information for future HPV programs intended to increase not only knowledge about HPV and HPV vaccine but also vaccination rates. An important first step in increasing HPV vaccination rates among adolescent females in the United States is to improve knowledge levels among key groups influential to the adolescents' vaccination behaviors. Education and information on the HPV vaccine is required to avoid misconceptions among lower education level mothers and to improve its acceptance. Education intervention greatly improves HPV and HPV vaccine knowledge levels among parents, healthcare staff, and school staff members. Education interventions offer a relatively low effort and potentially effective strategy for increasing HPV vaccination (Reiter, 2011).

References

CDC. (2019). Retrieved from https://www.cdc.gov/std/hpv/stdfact-hpv-vaccine-young-

women.htm

Haesebaert J., Lutringer-Magnin D, Kalecinski J, Barone G, Jacquard A-C, Leocmach Y, et al.

(2014). Disparities of perceptions and practices related to cervical cancer prevention and the acceptability of HPV vaccination according to educational Level in a French cross-sectional survey of 18–65 Years Old Women. PLoS ONE 9(10): e109320. https://doi.org/10.1371/journal.pone.0109320

Krawczyk A., Knäuper, B., Gilca, V., Eve Dubé, Samara Perez, Keven Joyal-Desmarais & Zeev Rosberger (2015) Parents’ decision-making about the human papillomavirus vaccine for their daughters: I. Quantitative results, Human Vaccines & Immunotherapeutics, 11:2,322-329, DOI: 10.1080/21645515.2014.1004030

National cancer institute. (2019). Retrieved from https://www.cancer.gov/about cancer/causes-

prevention/risk/infectious-agents/hpv-vaccine-fact-sheet

Reiter, P., Stubbs, B., Panozzo, C., Whitesell. D., & Brewer, N. HPV and HPV vaccine

education intervention: Effects on parents, healthcare staff, and school staff. Cancer

epidemiol biomarkers prev November 1 (2011). (20) (11) 23542361; DOI: 10.1158/1055-

9965.EPI-11-0562

Remes P., Veronica Selestine, John Changalucha, David A. Ross, Daniel Wight, Silvia de Sanjosé, Saidi Kapiga, Richard J. Hayes, Deborah Watson-Jones. A qualitative study of HPV vaccine acceptability among health workers, teachers, parents, female pupils, and religious leaders in northwest Tanzania. Volume 30, Issue 36, 3 August 2012, Pages 5363-5367. Science direct. https://doi.org/10.1016/j.vaccine.2012.06.025

Vermandere, H., Naanyu, V., Degomme, O. et al. Implementation of an HPV

vaccination program in Eldoret, Kenya: results from a qualitative assessment by

key stakeholders. BMC Public Health 15, 875 (2015) doi:10.1186/s12889-015-

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