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Immunization Nursing Assignment

Added on - 23 Nov 2020

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Assessment 1 (2000 words)Instructions:Please read the background information below. When you have read thebackground information, you can proceed to the questions on the AssessmentTemplate. These questions relate to the background information.You will need to apply the knowledge that you have gained from Topics 1-4 tocomplete 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 toanswer 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 youon 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 yourresponses, you must reference this information using the UniSA Harvard ReferenceSystem. You do not need to reference the articles listed in the Tables in Question 5 but ifany other sources are used, these should be referenced.Background: Immunisation – Health beliefs*Nursing students: You are working as a registered nurse in a GP Practice and one of yourroles is to promote immunisation for children (this may be the MMR or other recommendedimmunisations). You have had a few parents refuse vaccinations for their children and thisconcerns you as you believe that this may leave the child and communities vulnerable tooutbreaks of serious diseases.*Midwifery students:You are working as a midwife in an antenatal clinic. One of your rolesis to promote vaccination against pertussis(whooping cough)for pregnant women. You havehad a few pregnant women decline vaccination. This concerns you as you know that if thepregnant woman is immune to pertussis that passive immunity is passed to her unborn babyto protect them against pertussis when they are newborn until thery are able to beimmunised themselvesVersion 3 AKAXJWKB
You do not think that parents/pregnant women would deliberately expose theirchildren/baby/themselves to the risk of serious disease unless they were guided by a beliefthat immunisation was not safe. You are vaguely aware via media reports that there is ananti-vaccine movement, and you want a quick overview of what it is all about. As most of uswould do, you consult Google, and you find the following information. Read the informationvideo below:The History of Vaccines: History of the anti-vaccination movementThe College of Physicians of Philadelphia (2017)<https://www.historyofvaccines.org/content/articles/history-anti-vaccination-movements>You could now choose one (or all) of the following actions:Conclude that parents/pregnant women are entitled to make decisions about theirchild’s/baby’s/own healthcare, even if it is against public health policy.You could question your own belief system – after all, you are basing your practiceon government guidelines and you trust that the government will make decisionsabout health care that are evidence-based, informed by experts in the field, and inthe best interests of Australians. You haven’t checked the literature for evidence ofimmunisation safety yourself.You could investigate whether there is any evidence of harm caused byimmunisation, and to identify information that may influence parent’s/pregnantwoman’s beliefs or fears about immunisation.Naturally, you are a great nurse/midwife with an inquiring mind. You want to be certain thatthere is good evidence that demonstrates that immunisations are safe for children andpregnant women. You want to understand what information has led parents/pregnantwomen to be concerned about immunisation. Finally, you want to be able to have aninformed discussion with the parents/pregnant women about their concerns based oncurrent evidence to enable them make the right decision for their children/babies andthemselves.*Please do not include this page of background information when you submit theassessment template to learnonline.Version 3 AKAXJWKB
Assessment 1 Template*Equivalent means that your responses may not equateexactlyto the number of words thatyou have written. As the format for this assessment is a template an approximate wordcount is given that reflects the work required to complete the template. Suggested wordcounts may be given in the template to guide you in how much detail is required in yourresponse. The template word count is not included in your word count. The template itself(without the background) equates to approximately 900 words. You will note an elevatedsimilarity percentage when this is submitted via TurnItIn because of the template. Yourlecturers/tutors are aware of this.Questions 1-4 (25 marks – 500 word equivalent)Question 1a.From the background information provided above relating to immunisation, develop aresearchable question. Type the question below:What are the harmful impacts of vaccination on the children or pregnant women?Question 1b:Identify the elements of (words relating to) PICO (or PIO, if appropriate) in the researchquestion that you have formulated:PIn pregnant womenIHow vaccination impactsCCompared to or against pertussisOAffect health and safety of unbornchild?Question 2a.What type of research methodology do you think should be used to answer theresearch question that you have formulated?QuantitativeQualitativeMixed methodsQuestion 2b.Justify why this methodology was chosen to answer the question (Approx 75 words-reference/s used to support your response should be written below your answer and are not includedin the word count).For researching about the use of vaccination and its impact on the unborn child and pregnantwomen, the qualitative research methodology is used as it provides an in-depth understandingand obtains information through conversational and open-ended communication(Maltezou andet.al., 2019).The qualitative method does not only provide answer about 'what' people think but also itanswers to question 'why' people think so. This is systematic observation method helps inrevealing the perception and behaviour of people, therefore, it is selected for gatheringinformation regarding use and impacts of vaccination.Version 3 AKAXJWKB
Lewis, R. and et.al., 2018. Coverage of pertussis and influenza vaccination in pregnantwomen in Wales 2017/18.Mallory, M. L., Lindesmith, L. C. and Baric, R. S., 2018. Vaccination-induced herdimmunity: Successes and challenges.Question 3a.List 3 places/sources of information that can be used to obtainreliable evidencetoanswer the research question that you have formulated:1.Vaccines for Pregnant Women2.3 Questions: Seth Mnookin on research to encourage vaccination3.How does immunisation work?Question 3b.Using one of the resources listed above,provide the details of aspecificresource/publicationthat is an example ofbest available evidenceto assist you in answering yourresearch question. Complete the table below:Provide the full reference/title for theresource/publicationVaccines forPregnant WomenProvide the URLhttps://www.vaccines.gov/who_and_when/pregnantQuestion 3c.Explain why the information source chosen is an example of best available evidence foranswering the research question that you have formulated. Refer to the Levels of Evidence andHierarchy of Evidence tables in Topic 2 (Approx 75 words - reference/s used to support your responseshould be written below your answer and are not included in the word count).The chosen source is an example of best available evidence for answering the research questionas this source provides the accurate and reliable data.Level 1 provides evidence from meta-analysis or a systematic review of the relevantRandomized Controlled Trial(Arriola and et.al., 2018). Level 2 provides evidence that areobtained from one well-designated RTC. Evidence of level 3 are obtained from well-designatedcontrolled trials without randomization. Evidence for level 4 are from cohort studies and forlevel 5 it is obtained from systematic reviews of qualitative and descriptive studies. Evidence forlevel 6 evidence are obtained from single qualitative or descriptive study. Level 7 evidence arethe opinions of authorities and expert committees report.Hofstetter, A. M. and et.al., 2018. Risk of rotavirus nosocomial spread after inpatientpentavalent rotavirus vaccination.Pediatrics.141(1). p.e20171110.Kaufman, J. and et.al., 2018. Face‐to‐face interventions for informing or educatingparents about early childhood vaccination.Cochrane Database of SystematicReviews.(5).Version 3 AKAXJWKB
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