Who would you place on each subcommittee? Why did you choose them? What charge would you give to each subcommittee?

Topic: Forming Committees

Order Description
You are the chairperson of a large IS Committee in charge of implementing a new EHR. The committee is so large that you are not getting anything done. For example, you met for 4 hours yesterday and only got through 3 of the 15 items on the agenda, because everyone wants to have his or her say in each issue. The committee make-up is as follows:

Project leader
HIM Director
Vice President, Finance
Vice President, Clinical Services
Chief Information Officer
Director, Lab
Director, Radiology
4 computer programmers
Vice President, Nursing
2 vendor representatives
Director, Cardiopulmonary Services
Director, Materials Management
Director, Research
3 systems analyst
2 database administrators
Director, Training
The decision has been made to create subcommittees. The subcommittees will be:

Training
Data Management (date quality, data collection, and data retrieval)
Development (programming, customization)
Conversion
Interfaces
All representatives should be on at least one subcommittee.

Who would you place on each subcommittee? Why did you choose them? What charge would you give to each subcommittee?

McCuen, C., Sayles, N. B., & Schnering, P. (2008). Case Studies in Health Information Management. Clifton Park, NY: Thomson Delmar Learning, pp. 366-367.

 

"Looking for a Similar Assignment? Get Expert Help at an Amazing Discount!"

Identify a practice/problem/policy on your assigned unit. Be specific as to how this affects the unit you are working on. Prepare and abstract on your proposed change.

Improving self-image among patients in the burn unit. This project seeks to evaluate and identify known risk factors contributing to self-image and depression in burn victims. I will be implementing a journal at the bedside to assist patients during their healing process. By allowing them to express their concerns and fears. This will assist patients in understanding different methods of coping through writing.

Capstone Clinical Project: The project must demonstrate the students ability to synthesize and apply the knowledge and skills acquired in the academic program to real world nursing issues & problems

1. Identify a practice/problem/policy on your assigned unit. Be specific as to how this affects the unit you are working on. Prepare and abstract on your proposed change.
2. Find evidence to support this practice/policy change. You may use research articles, meta analysis, and integrative reviews from peer reviewed journals. Summarize the evidence from at least 5 professional sources (No older than 5 years).
3. Evaluate the evidence. Is the evidence strong enough to change practice/policy or support a current practice/policy? Does the evidence support the practice/policy?
4. Make recommendations based on the evidence. How could you apply your recommendations on your unit?
5. Prepare a poster presentation to disseminate your findings. After approval from the nurse manager and professor, disseminate your findings to your assigned unit. Posters may be constructed using the following:
6. http://www.makesigns.com follow the link to scientific posters
7. APA format 7 Pages
8. PLEASE use images, Charts and graphs in this paper
9. organization
10. spelling.

 

"Looking for a Similar Assignment? Get Expert Help at an Amazing Discount!"

Application: Pulmonary Function Testing Order Description Patients with respiratory disorders often require short-term and long-term treatment. While short-term treatments may successfully relieve a patient’s current symptoms, long-term treatment and management is a necessary component of the care plan. Prior to establishing a care plan, it is essential to complete a thorough patient evaluation. Patients presenting with symptoms of respiratory disorders such as chronic obstructive pulmonary disease (COPD) frequently require pulmonary function testing. These pulmonary function tests are designed to assess patient lung function. Results of these tests can be used in conjunction with the COPD guidelines to develop effective treatment and management plans for patients. To prepare: Review the COPD guidelines in the Global Initiative for Chronic Obstructive Lung Disease article in this week’s Learning Resources. Reflect on COPD diagnosis, management, and prevention strategies suggested in the guidelines. Consider how to implement these strategies in a clinical setting. Locate and select a case study from a reputable source on a patient whose condition required pulmonary function testing. Consider the COPD guidelines for diagnosis and think about a potential diagnosis for the patient in the case study that you selected. Reflect on treatment and management options based on the patient’s diagnosis. To complete: Write a 2- to 3-page paper that addresses the following: Describe COPD diagnosis, management, and prevention strategies suggested in the COPD guidelines. Explain how to implement these strategies in a clinical setting. Explain your diagnosis for the patient in the case study that you selected. Compare the patient’s pulmonary function test results to the COPD guidelines when making your diagnosis. Describe treatment and management options based on the patient’s diagnosis. This Assignment is due by Day 7. Reminder: The School of Nursing requires that all papers submitted include a title page, introduction, summary, and references. The Sample Paper provided at the Walden Writing Center provides an example of those required elements (available at https://writingcenter.waldenu.edu/57.htm). All papers submitted must use this formatting.

Application: Pulmonary Function Testing
Order Description
Patients with respiratory disorders often require short-term and long-term treatment. While short-term treatments may successfully relieve a patient’s current symptoms, long-term treatment and management is a necessary component of the care plan. Prior to establishing a care plan, it is essential to complete a thorough patient evaluation. Patients presenting with symptoms of respiratory disorders such as chronic obstructive pulmonary disease (COPD) frequently require pulmonary function testing. These pulmonary function tests are designed to assess patient lung function. Results of these tests can be used in conjunction with the COPD guidelines to develop effective treatment and management plans for patients.
To prepare:
Review the COPD guidelines in the Global Initiative for Chronic Obstructive Lung Disease article in this week’s Learning Resources.
Reflect on COPD diagnosis, management, and prevention strategies suggested in the guidelines. Consider how to implement these strategies in a clinical setting.
Locate and select a case study from a reputable source on a patient whose condition required pulmonary function testing.
Consider the COPD guidelines for diagnosis and think about a potential diagnosis for the patient in the case study that you selected.
Reflect on treatment and management options based on the patient’s diagnosis.
To complete:
Write a 2- to 3-page paper that addresses the following:
Describe COPD diagnosis, management, and prevention strategies suggested in the COPD guidelines. Explain how to implement these strategies in a clinical setting.
Explain your diagnosis for the patient in the case study that you selected. Compare the patient’s pulmonary function test results to the COPD guidelines when making your diagnosis.
Describe treatment and management options based on the patient’s diagnosis.
This Assignment is due by Day 7.
Reminder: The School of Nursing requires that all papers submitted include a title page, introduction, summary, and references. The Sample Paper provided at the Walden Writing Center provides an example of those required elements (available at https://writingcenter.waldenu.edu/57.htm). All papers submitted must use this formatting.

 

"Looking for a Similar Assignment? Get Expert Help at an Amazing Discount!"

What did this person do to recognize you? I was nominated by several people in the organization. What actions did he or she take? Nominating and writing a very nice essay on my behalf. Describe the setting and your feelings. The setting was very formal and a auditorium for Nurses week. The entire auditorium was full and very prestigious people were in attendance. I was shocked when I found out among all the nominees that I had won.

ENCOURAGE THE HEART
Order Description
Writer here are a series of questions I needed to answer and reflect on. I’m attaching references to this order as well. Please use my answers to the questions as well as enhance them. Also please reference: Kouzes & Posner. (2012). J-B Leadership Challenge. 5th edition. Chapters 10, 11, & 12. Here are the questions and my responses. I’m attaching them as well so that you can see them better.

1. Think back over the times when someone has personally recognized and rewarded you for outstanding performance- the times when someone showed genuine appreciation for what you accomplished.
2. Select one time that you would consider your most memorable recognition- a time when you felt the most appreciated by someone. Recall the story in as much vivid detail as you can. When I was recognized for Nursing Education Award in 2014. What made this time so memorable? It was during Nursing week and held in the auditorium. It was the very first time this award was given. Why did you recall this particular experience? I recalled this experience because I was nominated from the whole hospital and I was up against some very stiff competition. The award was also very nice.
3. What did this person do to recognize you? I was nominated by several people in the organization. What actions did he or she take? Nominating and writing a very nice essay on my behalf. Describe the setting and your feelings. The setting was very formal and a auditorium for Nurses week. The entire auditorium was full and very prestigious people were in attendance. I was shocked when I found out among all the nominees that I had won.
4. How can you personally recognize someone? I have written several emails and given verbal recognition in front of the person supervisor. What will you do to make the recognition special for this person? I personally believe in a small token of appreciation such as a gift card is always nice. Who else should know about this person’s achievement and the actions this person took to accomplish what they did? I believe not only the manager of the person but maybe the next in line the Director. How can you publicize it? We have a Nursing Newsletter that gets published monthly that could be a good place to recognize someone.
5. What have you learned about yourself as a leader and your leadership capabilities from the activities in this course? What I’ve learned is that every leader needs to look at the whole picture of every situation before making a judgement. I believe the best leaders empower their staff as well as recognize them. Good leaders are accessible and good resources.

 

"Looking for a Similar Assignment? Get Expert Help at an Amazing Discount!"

What did this person do to recognize you? I was nominated by several people in the organization. What actions did he or she take? Nominating and writing a very nice essay on my behalf. Describe the setting and your feelings. The setting was very formal and a auditorium for Nurses week. The entire auditorium was full and very prestigious people were in attendance. I was shocked when I found out among all the nominees that I had won.

ENCOURAGE THE HEART
Order Description
Writer here are a series of questions I needed to answer and reflect on. I’m attaching references to this order as well. Please use my answers to the questions as well as enhance them. Also please reference: Kouzes & Posner. (2012). J-B Leadership Challenge. 5th edition. Chapters 10, 11, & 12. Here are the questions and my responses. I’m attaching them as well so that you can see them better.

1. Think back over the times when someone has personally recognized and rewarded you for outstanding performance- the times when someone showed genuine appreciation for what you accomplished.
2. Select one time that you would consider your most memorable recognition- a time when you felt the most appreciated by someone. Recall the story in as much vivid detail as you can. When I was recognized for Nursing Education Award in 2014. What made this time so memorable? It was during Nursing week and held in the auditorium. It was the very first time this award was given. Why did you recall this particular experience? I recalled this experience because I was nominated from the whole hospital and I was up against some very stiff competition. The award was also very nice.
3. What did this person do to recognize you? I was nominated by several people in the organization. What actions did he or she take? Nominating and writing a very nice essay on my behalf. Describe the setting and your feelings. The setting was very formal and a auditorium for Nurses week. The entire auditorium was full and very prestigious people were in attendance. I was shocked when I found out among all the nominees that I had won.
4. How can you personally recognize someone? I have written several emails and given verbal recognition in front of the person supervisor. What will you do to make the recognition special for this person? I personally believe in a small token of appreciation such as a gift card is always nice. Who else should know about this person’s achievement and the actions this person took to accomplish what they did? I believe not only the manager of the person but maybe the next in line the Director. How can you publicize it? We have a Nursing Newsletter that gets published monthly that could be a good place to recognize someone.
5. What have you learned about yourself as a leader and your leadership capabilities from the activities in this course? What I’ve learned is that every leader needs to look at the whole picture of every situation before making a judgement. I believe the best leaders empower their staff as well as recognize them. Good leaders are accessible and good resources.

 

"Looking for a Similar Assignment? Get Expert Help at an Amazing Discount!"

1. Aim and purpose of the analysis 2. Justify the concept’s significance to nursing – why is empowerment significant to nursing? Definition of the Concept of Empowerment (This definition is based on the literature review) 1. Describe derivation of definition from common usage and nursing use 2. Describe and cite a variety of appropriate authoritative sources from the literature regarding the nature of the concept of empowerment

Topic: The Concept Analysis on Empowerment

Order Description
The Concept Analysis will be on “Empowerment”
Introduction needs to include:
1. Aim and purpose of the analysis
2. Justify the concept’s significance to nursing – why is empowerment significant to nursing?
Definition of the Concept of Empowerment (This definition is based on the literature review)
1. Describe derivation of definition from common usage and nursing use
2. Describe and cite a variety of appropriate authoritative sources from the literature regarding the nature of the concept of empowerment
3. The definition of empowerment should reflect synthesis and evaluation of definitions from appropriate sources
List of Defining Characteristics or Attributes
1. Each attribute should be clearly stated as succinctly as possible
2. Each attribute is logically an essential element of the concept of empowerment as defined above
3. Each attribute is stated in as measureable of a form as the abstractness the concept allows
4. The listed attributes comprise all essential attributes of the concept of empowerment as it has been defined above
Identify Antecedents and Consequences of the Concept of Empowerment
Case Identification
1. Identify a case that demonstrates all the attributes of the concept of empowerment
2. Identify a borderline case that demonstrates most of the attributes of the concept of empowerment but not all; they may differ in just a single attribute
3. Identify a related case which is similar to the concept of empowerment, but does not contain all the defining attributes
4. Identify a contrary case which is opposite of the concept of empowerment

 

"Looking for a Similar Assignment? Get Expert Help at an Amazing Discount!"

1. Identify various types of groups. 2. Discuss the “curative factors” of groups. In your psychiatric textbook by Mary Townsend, please read chapter 10 prior to participating in your Community Mental Health Experience. This chapter discusses therapeutic group concepts and all of the different ways in which working with and in groups can help improve the lives of patients with psychiatric and substance abuse disorders.

Topic: Alcoholics Anonymous Curative Factors

Order Description
Objectives for Support Group Observational Experience

The Curative Factors of Groups
Objectives:
1. Define the purpose of a group.
1. Identify various types of groups.
2. Discuss the “curative factors” of groups.
In your psychiatric textbook by Mary Townsend, please read chapter 10 prior to participating in your Community Mental Health Experience. This chapter discusses therapeutic group concepts and all of the different ways in which working with and in groups can help improve the lives of patients with psychiatric and substance abuse disorders.

Assignment:
1) Define a group.
2) Identify the various types of groups.
3) Attend TWO SUPPORT GROUP meetings. You may select two “open” meetings of your choice (i.e., Alcoholics Anonymous (AA); Narcotics Anonymous (NA); Alanon; Survivors of Suicide; Gamblers Anonymous, and others that offer support to one another in the group setting; NOT an educational group).
4) After attending BOTH meetings:
a) Discuss Curative Factors
i) Choose two of the 11 group “curative factors” (covered in chapter 10) that were obviously beneficial to individual members attending the groups.
ii) Discuss which curative factors you choose and why you choose these two particular curative factors.
iii) Elaborate on a variety of ways you could see that these factors were present and how they were catalysts in producing change the lives of individuals in the group (such as statements that the members shared within the group or non-verbal behaviors such as nodding “yes” to what is being said, or by other non-verbal interactions indicating positive change within the lives of the group members).
In completing the typed written portion of the assignment, APA format is required.
11 curative factors
1.The Instillation of Hope. By observing the progress of others in the group with similar problems, a group member garners hope that his or her problems can also be resolved.

2.Universality.Through universality, individuals come to realize that they are not alone in the problems, thoughts, and feelings they are experiencing. Anxiety is relieved by the support and understanding of others in the group who share similar (universal) experiences.
3.The Imparting of Information. Knowledge is gained through formal instruction as well as the sharing of advice and suggestions among group members.
4.Altruism. Altruism is assimilated by group members through mutual sharing and concern for each other. Providing assistance and support to others creates a positive self-image and promotes self-growth.
5.The Corrective Recapitulation of the Primary Family Group. Group members are able to re-experience early family conflicts that remain unresolved. Attempts at resolution are promoted through feedback and exploration.
6.The Development of Socializing Techniques. Through interaction with and feedback from other members within the group, individuals are able to correct maladaptive social behaviors and learn and develop new social skills.
7.Imitative Behavior. In this setting, one who has mastered a particular psychosocial skill or developmental task can be a valuable role model for others. Individuals may imitate selected behaviors that they wish to develop in themselves.
8.Interpersonal Learning. The group offers many and varied opportunities for interacting with other people. Insight is gained regarding how one perceives and is being perceived by others.
9.Group Cohesiveness. Members develop a sense of belonging that separates the individual (“I am”) from the group (“we are”). Out of this alliance emerges a common feeling that both individual members and the total group are of value to each other.
10.Catharsis.Within the group, members are able to express both positive and negative feelings—perhaps feelings that have never been expressed before—in a nonthreatening atmosphere. This catharsis, or open expression of feelings, is beneficial for the individual within the group.
11.Existential Factors. The group is able to help individual members take direction of their own lives and to accept responsibility for the quality of their existence. It may be helpful for a group leader to explain these curative factors to members of the group. Positive responses are experienced by individuals who understand and are able to recognize curative factors as they occur within the group.
Paper example:
Running head: CURATIVE FACTORS WITHIN ALCOHOLICS ANONYMOUS1

Curative Factors within Alcoholics Anonymous
Student Name
Bluegrass Community and Technical College
Curative Factors Within Alcoholics Anonymous
Substance addictions can be terrifying things. They can destroy interpersonal relationships, families, careers, and lives. Unfortunately, many people battling addictions to alcohol, narcotics, and even food lose everything that matters to them before they either realize they have a problem or seek help.
Alcoholics and Narcotics Anonymous are two such groups that people to work through their addictions through support of others that have gone through the same problems. A group is “a collection of individuals whose association is founded on shared commonalities of interest, values, norms, or purpose. Membership in a group is generally by chance, by choice, or by circumstance.” (Townsend, 2011, p. 168) Self-help groups “allow clients to talk about their fears and relieve feelings of isolation, while receiving comfort and advice from others undergoing similar experiences.”(Townsend, 2011, p. 169)
As I have an uncle that is an alcoholic, I decided to attend two Alcoholics Anonymous meetings. I previously had to attend an AA meeting for the Sociology class I took in high school, but feel that as I more fully understand the purpose of self-help groups. I attended meetings on February 5, and February 12 respectively at The Ridge. Many of the attendees were residents of the Adult Dependency Recovery Unit, and as such were already participating in the Milieu therapy available at The Ridge. Many of those that were not residents of the Ridge had not been to AA meetings before.
One gentleman stated that he had lost his job in 2009 and hadn’t been able to find one that could support his family in the same way he had been doing prior to losing his job. He informed the group that he drank quite a bit before losing his job, but in order to handle the stress of being unemployed or under employed he began drinking more. He hadn’t realized he had a problem until his wife had threatened with divorce two weeks before he attended this meeting. When I talked to him, he jokingly stated that prior to realizing he had a problem, he thought, “AA was for quitters!”
Therapeutic groups are so helpful due to eleven curative factors: instillation of hope, universality, imparting of information, altruism, corrective recapitulation of the primary family group, development of socializing techniques, imitative behavior, interpersonal learning, group cohesiveness, catharsis, and existential factors. Although I saw all of these factors to some extent, the two primary factors I noticed were the instillation of hope and the imparting of information.
“By observing the progress of others in the group with similar problems, a group member garners hope that his or her problems can be resolved.”(Townsend, 2011, p. 170) Following the meeting on February 5, the gentleman I mentioned above appeared very excited, and informed me that he couldn’t believe that so many others had the same problems he was having, and knew how he felt. Many others had drinking problems before the economy collapsed and began drinking more afterwards. Unfortunately for these group members, many lost their homes and families before they sought help. After the first meeting he attended, he pledged that he would quit drinking and work on repairing his marriage and family life. Several residents of The Ridge had been sober for several years and recently relapsed into drinking. They appeared hopeful that they would be able to truly kick their addiction once and for all.
“Knowledge is gained through formal instruction as well as the sharing of advice and suggestions among group members.” (Townsend, 2011, p. 170) There were no group speakers when I went to the meetings, but there were several members that had been sober for years that were able to impart information to newer members about how they stayed sober for so long. One member informed the rest of the group that the only reason she had been sober for so long (5 years!) was because she had extracted herself from friendships that encouraged her drinking. When she decided to get sober, those friends didn’t encourage her to stop. In fact, they kept her drinking for months before she had the strength to end those “friendships.” She did reiterate that it is a daily challenge to not drink, and that on stressful days it was, “so hard not to give in to that glass of wine, or vodka, or beer.” She imparted the knowledge that no matter what, even if there were setbacks, as long as they knew it was possible to get back on track, nothing was possible, even staying sober.
Alcoholics Anonymous and other self-help groups offer many curative factors that allow people to work through their problems and addictions while garnering information from people that have gone through the same issues. After attending these meetings, I truly believe that the instillation of hope is the most important curative factor these groups facilitate. Without hope, people will not feel confident in whatever knowledge they may glean, or feel encouraged by any other curative factor.
References

Townsend, M. C. (2011). Essentials of psychiatric mental health nursing: Concepts of evidenced-based practice (5th ed.). Philadelphia, PA: F.A. Davis Company.Sent from my iPhone

 

"Looking for a Similar Assignment? Get Expert Help at an Amazing Discount!"

Briefly introduce your next capstone section. While this may seem redundant at each section, it is important to remind the reader of your research at the beginning of each section. The reason for this? In the event someone is interested in your research, but they do not want to read the entire research study paper, they can easily learn about your research in the beginning of every section. This section requires one paragraph in length.

Category: Uncategorized

Topic: Methods

Order Description
Title Here
Student Name (First and Last)
Method
Briefly introduce your next capstone section. While this may seem redundant at each
section, it is important to remind the reader of your research at the beginning of each section.
The reason for this? In the event someone is interested in your research, but they do not want to
read the entire research study paper, they can easily learn about your research in the beginning of
every section. This section requires one paragraph in length.
Research Method and Design Appropriateness
Elaborate on the differences among various research methodologies. What are the
differences between qualitative research and quantitative research? Which was more appropriate
for your study? Why? More than likely, this will be a descriptive research project, focusing more
on the literature surrounding the topic, rather than conducting actual quantitative or qualitative
research. This section requires two paragraphs in length.
Population
Discuss your study population. The study population is the larger picture of the research.
If you were conducting research focused on childhood education, your study population would
include children who are in school. This may be at a local level, state level, national level, or
even at the global level. You determine the study population by how big you want the scope of
your project to be. This section requires two paragraphs in length.
Sampling Frame
Elaborate on your sampling frame here. The sampling frame is the smaller picture of the
study population that you can actually obtain information from. For instance, in the same
research that is interested in childhood education, the sampling frame may be 10 students from a
local school. These ten students would then be used in your data collection process. This section
requires one paragraph in length.
Data Collection
Discuss the collection of your data. Was it quantitative or qualitative? How did you
collect the data? How did you protect the integrity of the data? For our example, if 10 nursing
home residents could be interviewed; this would be qualitative in nature. Likewise, conducting a
numerical poll would be quantitative. If you conduct personal interviews, you will want to ensure
minimal researcher bias. This section requires two paragraphs in length.
Data Analysis
Discuss the process where you analyzed your data. How did you analyze it? If
quantitative, what statistical tool did you use? If qualitative, how did you interpret the
information? This section requires one paragraph in length.
References
Remember that any reference in your reference list must be present in your paper in the form of a
citation (Author, year). Likewise, any citation in your paper must be present in your
reference list. Refer to your APA Handbook 6th edition for more detailed information on
developing a reference list. For your Assignment 3 you need a minimum of six (6)
scholarly references.

Assignment 3 Grading Rubric: Methods
Criteria Points Possible
Title of Proposed Topic/Research 5
Methods 10

Introduction
There has been a controversy surrounding the issue of vaccines. There are people who vaccinate their children and others who do not vaccinate their children. All the people on the different sides of the coin have varied reasons that they can validate. Many people assert that the vaccines can be riskier than the disease that they seem to be protecting. Some countries are not vulnerable to the changes that are prevented by the vaccines because the diseases are not prevalent in such countries. Many people in America have complained about instances of autism because of continued use of vaccines for preventing illnesses. Parents in such countries should avoid vaccinating their children
Background
This part describes the existing information in the field that relates to vaccination and the side effects. Vaccination is one of the greatest achievements in the medical field because it aims at preventing the occurrence of disease (Durbach, 2014). The discovery has seen many deaths being prevented and many children have been saved from various illnesses. However, vaccines have received several criticism in the current health system with many people citing complications that arise due to vaccinations. There is increased complacency towards immunization practices. In the United States, anti-vaccination campaigns are increasing. The central argument is as to whether people should vaccinate or not is on the link between vaccination and autism. There is an increase in the number of platforms against the vaccination and a number is published daily on the Internet. The United States is afraid of the exposure to sickness and other disease causing conditions.

General Problem Statement
The general problem is the link between vaccination and autism. Many people have complained about the effects of vaccines. Some people assert that the effects of the vaccines on the body are dangerous than the disease being prevented by the vaccine. There have been instances where vaccine manufacturers have faced lawsuits against their products. In the 1970s during the outbreak of the swine flu in the United States, the vaccine administered caused more deaths than the disease. Current research shows that almost 50% of Americans have mixed feelings on the validity of vaccination (Largent, 2012). Under normal circumstances of medication, parents are not made aware of the choices that they have in regard to vaccination. Out of all the vaccinated children in a US kindergarten class, six must be disabled, 10 may be asthmatic and 50 live with autism. About 30 years ago, instances of autism had not come up (Conis, 2015). Instances of the disease came up when the vaccination came up in the United States. Many of the people also have speculations that vaccines have some elements of mercury.
Specific Problem Statement
The specific problem is that many people in the United States have complained of instances of autism because of the vaccination that some of the people undergo.
Purpose Statement
This part discusses the reason of carrying out the research. The purpose of this research is to determine whether a relationship exists between vaccination and autism.
Research Questions

This part tackles the questions that the research aims at answering. Most of the questions that are answered in the research are based on instances that have seen criticism on autism. The research is aimed at answering the following questions
RQ1: Can you vaccinate your child against a virus?
RQ2: How long does a vaccine last in a child?
RQ3: Is there a link between vaccination and autism?
References
Durbach, N. (2014). Bodily matters: The anti-vaccination movement in England ; 1853-1907. Duke Univ. Press.
Conis, E. (2015). Vaccine nation: America’s changing relationship with immunization.
Largent, M. A. (2012). Vaccine: The debate in modern America. Baltimore: Johns Hopkins University Press.
LITERATURE REVIEW
Introduction
Literature review involves obtaining knowledge from a number of already written articles that presents methodological contributions to a specific topic of study. In this context we find that due to more advances in the field of medicine, children can now be protected more as compared to the old days. This is due to vaccination interventions which have seen many diseases being control while others have become extinct courtesy of vaccination. For example the elimination of polio disease in the United States is mainly due to vaccination. Vaccines are considered to be safe because they are mainly given to children only if they have been approve by the health professionals such as doctors and research scientists. (Honda et al., 2005) This section of the research is therefore going to discuss certain aspects of vaccination effects as connected to autism which is a myth in this context that it is caused by the vaccination. The areas of coverage are; facts about vaccination and vaccines, the side effects of vaccination by comparing the results of vaccinated and unvaccinated children and the vaccination versus the autism spectrum disorder.
The facts about vaccination and vaccines
Vaccination is the process of vaccine introduction into the body by administering it through the mouth or by injecting the child with a substance that eventually produce antibody against a specific disease, mainly biological preparations tends to improve the immunity against a particular disease. They typically contain a small amount of agent that resembles microorganism. Vaccines usually work through mimicking of the disease as it stimulates the immune system responses so that the build of defense against the disease takes place. Vaccines are entirely made by using a good number of different processes. Vaccines may contain the live viruses that are attenuated (i.e. the weakened or the altered so that they cause no illness), therefore we have the inactivated or the killed vaccines in the form of organisms or the viruses. The inactivated toxins are mainly for the bacterial diseases where the toxins are generated by the bacteria and not bacteria themselves that cause illness or even they are merely the segments of pathogens, this entirely includes both the subunit and the conjugate vaccines (Betsch et al., 2012).
In a situation where a large is vaccinated against a specific disease, we find that even the unvaccinated individuals are also protected in the long run. This situation is what is known as herd immunity. Different disease has different level of percentage of people who must be vaccinated so that the herd immunity becomes active. For example polio virus need that 84-86% of the total number of people is to be vaccinated while for measles virus which is highly contagious disease needs more than 94% of the individuals in a community to be vaccinated for herd immunity to be active. Herd immunity is found to be very important in fighting diseases outbreak, especially in the situations where the vaccines have failed to provide the protection due to the fact that some people cannot get vaccinated for example the pregnant women, children who are under the age or even the individuals with complicated/compromised immune systems.
Today vaccines are found to have reduced and in many cases they have eliminated so many diseases that used to kill or severely used to disable people in just few past generations. For example, the smallpox vaccination has eliminated the small pox disease worldwide. Currently the children do not need to get the smallpox shots anymore because the disease is inexistence. While on the other hand by vaccinating the children against the rubella- German measles, the risk that was known that the pregnant women will eventually pass the same virus on to the fetus or the new-born is found to have dramatically decreased and therefore birth defects that are associated with the virus is no longer seen in the United States.

The vaccination side effects
It has been reported that the environmental toxins tends to reduce the vaccine effectiveness. The research published by the journal of America medical association shows that the women exposure to the perfluorinated compounds when they are about to give birth or after birth can reduce the effectiveness of the vaccines in the child’s body. These perfluorinated compounds are mainly found in cookware or in food wrappings. Some are found in the events when one is doing personal care or even in the cleaning products etc. The report says that those mothers who are having twice the perfluorinated compounds level in the blood system have children who have 40% decrease in number of the antibodies in their blood system after being vaccinated with diphtheria-vaccines while for those 7 year old children who have the double levels of the perfluorinated compounds tends to have their antibodies reduced by 50% after being vaccinated with the diphtheria vaccine. (Betsch et al., 2012).
The research have also shown that individuals who are vaccinated are said to be asymptomatic carriers to the disease hence is capable of both spreading it and even contract the same disease itself. It is documented that those people who are vaccinated against the pertusis disease are capable of contracting it or spread it unknowingly. This was documented by the FDA baboon studies that was done recently and the research concluded that even if the vaccine for the pertusis can reduce the clinical effects of the disease symptoms in an individual, the elimination of the disease is not done totally for example the research showed that the newly born baby baboons were asymptomatic carriers of pertusis even if they had been vaccinated with the DPT vaccines and therefore they were capable of infecting others in their vicinity. It is therefore assumed that vaccinated people puts people at risk and this raises question of the vaccinating the healthcare workers before allowing them to handle the high risk populations of patients. The vaccinated people do mainly contract the diseases due to fact that the immunity acquired from vaccination is temporary and that the microorganisms used may get to evolve thus evading the vaccines (Betsch et al., 2012).
It is also documented that vaccines tends to promote disease mutations in the individuals. The vaccines usually puts more pressure on the microorganisms for them to develop the version so that the disease which is mutated. The veterinary vaccine study in the Australia found that by using two differentt vaccines of virus to fight the same disease in animals will make the viruses to mutate through recombination technique hence producing more virulent viruses. In Australia, the new strains of the dangerous whooping cough bacteria have been reported and the research says that the vaccine is responsible for its outbreak. This is mainly because whooping cough which is primarily associated to Bordetella pertusis as its causative agent; it is at the same time caused by another microorganism known as B. Parapertusis which the vaccine known to control whooping cough doesn’t protect, it was reported at the Penn state scientists that the pertusis vaccine is responsible for the enhancement of colonization of the B. Parapertusis thus making the disease more virulent and therefore outbreaks are seen. On the other hand it has been reported that the Flu vaccination always raises the risk of contracting more serious cases of flu illness. Such flu illness includes H1N1. The research that the vaccines that flu vaccines that are administered seasonally tends to weaken the children immunity thus putting them at risk of being infected by influenza viruses that are mainly not included in the vaccines while the unvaccinated child tends to develop more antibodies that fights against wider variety of viruses of the influenza disease as compared to the vaccinated ones. (Gangarosa et al., 1998)
The controversy of vaccine and autism
Autism is mainly the delay in development of some multiple primary functions that includes the communication, and the spoken language. The social interaction with one another and the overall repetitive behaviours is one of the main characteristics in autism. The report that dates back to 1700s says that people suffered from autism even during the early days before the invention of the vaccines. It is until the 1950s that autism was named officially and by 1994 the rates of autism started rising up drastically. The increase of this condition is due to the increased report of the cases and that many people are now aware of the disorder as compared to the old days. In the past days, people thought that they were suffering from a type of disability. A slow learning ability, or they had mental retardation or even the illness known as the ill defined psychiatric but as per now they are considered as those suffering from the autism but upto date the real cause of autism is not known but what is more positive is that the many people have now made great milestones in the understanding of the very condition autism spectrum disorder (Barber, 2013)
It has been reported that autism has a strong component of genetic. The studies reports that identical twins that have autistic sibling tends to have a chance of about 75% of also having the disorder while that of fraternal twins tends to have only 3% chance of the disorder (Honda et al., 2005). Autism is found more in individuals with more genetic syndrome as well as to those with autistic parents. The condition is found also to be four times likely to occur in men. It is believed to occur from several diferent genes rather than from just a single genetic mutation thus it becomes harder to get identified. The prenatal genetic factors and the insult are also believed to be causing autism but this is yet to be confirmed. Other causes is believed to be environmental conditions even though it also not yet confirmed and the studies are also underway to try investigate the environmental pollutants, the pesticides, the hormones in the foods we eat, the PCBs and even the heavy metals if they play a role in the cause of this condition. With all these and other research, it has been confirmed that autism is not caused by immunizations including the MMR vaccine (Honda et al., 2005).
The studies also show that by administering too many vaccines at the same time it does not cause autism. Many individuals in the holistic and the naturopathic communities are currently concerned with the issue that too many vaccines at the same time at the early stages of the child may be harmful to the immature child’s immune system. In the theory context it somehow makes sense but scientifically infants are highly exposed to far more in his/her first year. It is found that in the first year, the child is exposed to be infected with nine viruses during the play group activities or day-care. Giving the child five shots at once is therefore not harmful to the child’s immune system (Barber, 2013).
In summary to the topic of vaccination in connection to autism, the research has it that the vaccinations that are mainly done to the children are not in one or the other responsible for the widespread condition of autism that is currently being experienced across the world. The vaccines are said to be safe and are administered after thorough study by the scientists and the medical workers and it is only a myth that autism spectrum disorder is caused by vaccines.

References
Barber, R. A. (2013). Using the Reliable Change Index Statistic to Analyze Developmental Changes in Infants at Risk for Autism Spectrum Disorder

Betsch, C., Brewer, N. T., Brocard, P., Davies, P., Gaissmaier, W., Haase, N… & Rossmann, C. (2012). Opportunities and challenges of Web 2.0 for vaccination decisions: Vaccine 30(25), 3727-3733.

Honda, H., Shimizu, Y., & Rutter, M. (2005) No effect of MMR withdrawal on the incidence of autism: a total population study. Journal of Child Psychology and Psychiatry, 46(6), 572-579

Gangarosa E. J., Galazka, A. M., Wolfe, C. R., Phillips, L. M., Miller, E., Chen, R. T., & Gangarosa, R. E. (1998). Impacts of anti-vaccination movement on Pertusis control: the untold story. The Lancet, 351(9099), 356-361

 

"Looking for a Similar Assignment? Get Expert Help at an Amazing Discount!"

This assignment enables the student to meet the following course outcomes: CO 2: Apply research principles to the interpretation of the content of published research studies. (POs #4 and #8) CO 4: Evaluate published nursing research for credibility and clinical significance related to evidence- based practice. (POs #4 and #8)

Appraising the Evidence Guidelines
PURPOSE
The purpose of this paper is to interpret the two articles identified as most important to the group topic.
COURSE OUTCOMES
This assignment enables the student to meet the following course outcomes:
CO 2: Apply research principles to the interpretation of the content of published research studies. (POs #4 and #8)
CO 4: Evaluate published nursing research for credibility and clinical significance related to evidence- based practice. (POs #4 and #8)

DUE DATE
Refer to the course calendar for due date information. The college’s Late Assignment policy applies to this activity.

TOTAL POINTS POSSIBLE
150 POINTS
REQUIREMENTS
The paper will include the following.
1. Clinical question
a. Description of problem
b. Significance of problem
c. Purpose of paper
2. Description of findings
a. Summarize basics in the Matrix Table as found in Assignment Documents in e-College.
b. Describe
i. Concepts
ii. Methods used
iii. Participants
iv. Instruments including reliability and validity
v. Answer to “Purpose” question
vi. Identify next step for group
3. Conclusion of paper
4. Format
a. Correct grammar and spelling
b. Use of headings for each section
c. Use of APA format (sixth edition)
d. Page length: three pages
PREPARING THE PAPER
1. Please make sure you do not duplicate articles within your group.
2. Paper should include a title page and a reference page.

DIRECTIONS AND ASSIGNMENT CRITERIA
Assignment Criteria Points % Description
Problem 20
13%
1. Problem is described: What is the focus of your group’s work?
2. Significance of the problem is described: What health outcomes result from your problem? Or what statistics document this is a problem? You may find support on websites for government or professional organizations.
3. Purpose of your paper: What will your paper do or describe? “The
purpose of this paper is to . . .”

**Please note that although most of these questions are the same as you addressed in paper 1, the purpose of this paper is different. You can use your work from paper 1 for items 1 and 2 above, including any suggestions for improvement provided as feedback. Item 3 above should be specific to this paper.
Description of
Findings: Summary
20

13% Summarize the basics of each article in a matrix table that appears in the appendix.

Description of
Findings: Description 60 41% Describe in the body of the paper the following.
• What concepts have been studied?
• What methods have been used?
• Who are the participants or members of the samples?
• What instruments have been used? Did the authors describe the reliability and validity?
• How do you answer your original “purpose of this paper” question? Do the findings of the articles provide evidence for your answers? If so, how? If not, what is still needed to be able to answer your question?
• What is needed for the next step? Identify two questions that can help guide the group’s work.
Description of
Findings: Conclusion 20 13% Conclusion: Review major findings in your paper in a summary paragraph.
Format 30
20%
1. Correct grammar and spelling
2. Use headings for each section: Problem, Synthesis of the Literature
(Concepts, Methods, Participants, Instruments, Implications for Future Work), Conclusion.
3. APA format (sixth ed.): Appendices follow references.
4. Paper length: Three pages
Total 150 100%

GRADING RUBRIC
Assignment Criteria Outstanding or Highest Level of Performance

A (92–100%) Very Good or High Level of Performance

B (84–91%) Competent or Satisfactory Level of Performance

C (76–83%) Poor, Failing or Unsatisfactory Level of Performance
F (0–75%)

 

"Looking for a Similar Assignment? Get Expert Help at an Amazing Discount!"