Evidence Based Practice in Nursing

EvidenceBased Practice in Nursing

EvidenceBased Practice in Nursing

Theevidence based research aims at encouraging smoking cessation amongadolescents who are pregnant. The discussion is based on threeimportant issues. The first issue is determination of the keywords ofthe research. The keywords are important in ensuring effective searchof reference resources from online databases (Bernadette and Ellen,2015). The second issue is starting electronic search using the keywords in three reputable online databases. These databases areCINHAL, PubMed, and MEDLINE. The final step is identifying andreviewing three suitable articles for the evidence based research.Evidence based practice is important in healthcare because it enableshealth professionals to find appropriate solutions for medicalproblems or challenges.

  1. Identification of keywords

Thereare four main key words in the research topic: Smoking Cessationamong Adolescents Who Are Pregnant. The key words are smoking,cessation, pregnant, and adolescents.

  1. Electronic Search

CINAHLPlus with Full Text Search

Iused Google search to locate the website of CINAHL Plus with FullText. The search generated the linkhttp://www.aacn.org/wd/practice/content/cinahl.pcms?menu=practice.I entered the four key words and got one search result titled “NovelMarkers in the Acute Coronary Syndrome: BNP, IL-6, PAPP-A.”

MEDLINESearch

Googlesearch directed me to the web link of MEDLINE. The link ishttps://www.nlm.nih.gov/bsd/pmresources.html.The next step involved typing the four key words (smoking, cessation,pregnant, and adolescents) in the search space and then clicking thesearch icon. The search generated 49 results. I narrowed the searchby clicking the NLM Web Archives refine search option. 18 resultswere generated. I selected the first article that has all the fourkey words. The title of the article is “Home Visits ProgramCompared with Traditional Clinic Care for Pregnant Adolescents:Cost-Effectiveness Analysis.”

PubMedSearch

Googlesearch generated the link to the PubMed web page. The link ishttp://www.ncbi.nlm.nih.gov/pmc/.I typed the four key words in the search part and then clicked thesearch sign. 2,574 results were generated. Under the Display SettingsI selected sort by publication date. This is to ensure that the mostrecent articles that were published in 2016 appear on the first page.I selected the 11tharticle in the search results which is: “Social integration andmaternal smoking: A longitudinal analysis of a national birthcohort.”

  1. Review of Reference List

Elizabeth,A. and Weiwei, L. (2016). “Social integration and maternal smoking:A longitudinal analysis of a national birth cohort.” Matern ChildHealth J. 2016 Aug 20(8): 1586–1597. Retrieved fromhttp://www.ncbi.nlm.nih.gov/pmc/articles/PMC4958414/?report=classic

Elizabethand Weiwei (2016) have doctorate degrees in medicine. They are,therefore, credible experts who have sufficient research and academicknowledge. They use the article to effectively explain how smokingbehavior affects pregnant women and recent mothers. The authors showthat smoking behavior by pregnant girls and women can be controlledthrough adopting positive behavioral and socio-demographic patterns.The content of the article is useful for the evidence based research.This is because it provides statistics about pregnant girls andwomen. The article is written in simple format and language. It isthus easily understood by people who are in both medical andnon-medical professions.

Laurie,G. and Louis, L. (2002). “Novel Markers in the Acute CoronarySyndrome: BNP, IL-6, PAPP-A.” American Association ofCritical-Care Nurses. Retrieved from http://ajcc.aacnjournals.org/content/11/2/168.full

Laurieand Louis (2002) explain how smoking behavior causes the acutecoronary syndrome especially among pregnant women. Acute coronarysyndrome is a form of cardiovascular disease that negatively affectsthe health of pregnant women and adolescents. Pregnant adolescentsand women should, therefore, stop smoking so as to minimizedevelopment of the risky acute coronary syndrome. The authors of thearticle are credible. They are Professors based at the Division ofCardiology, University of Miami School of Medicine. The content ofthe article is weak and not appropriate for the evidence basedresearch because it offers minimal explanation of how smokingnegatively affects the health of pregnant adolescents. The article isnot easy to understand because it is written using complicatedmedical terminologies like ST-segment elevation and arterialatherosclerosis. Information presented in the article is veryrelevant in the present healthcare context.

Whalen,P. S., Wilson-Smith, M. R., Pereira, L., &amp Caughey, A. B. (2015).Home Visits Program Compared With Traditional Clinic Care forPregnant Adolescents: Cost-Effectiveness Analysis [280]. Obstetrics&amp Gynecology, 125, 89S-90S. Retrieved from https://www.researchgate.net/publication/275664981_Home_Visits_Program_Compared_With_Traditional_Clinic_Care_for_Pregnant_Adolescents

Whalenet al. (2015) are competent researchers. They have doctorate degreesin various medical disciplines. They have authored several researchpublications that have been subjected to effective peer review. Theauthors compare the health risks of pregnant adolescents and pregnantwomen. Pregnant adolescents have poor birth outcomes and, therefore,they should be assisted in overcoming risky habits like smoking. Thecontent of the article is very helpful for the research on smokingcessation. The article shows that the home visit program is importantassisting pregnant adolescents cease smoking. Measures should be madeto reduce the cost of accessing the home visit programs. The mostappropriate value for the program in the United States is estimatedas $2,650. The article is written in a clear, simple, andprofessional manner. Medical workers, patients, and non-healthworkers can easily understand the results and recommendations of thearticle.

References

Bernadette,M. and Ellen, F. (2015). andHealthcare. New York: Wolters Kluwer.

Elizabeth,A. and Weiwei, L. (2016). “Social integration and maternal smoking:A longitudinal analysis of a national birth cohort.” Matern ChildHealth J. 2016 Aug 20(8): 1586–1597. Retrieved fromhttp://www.ncbi.nlm.nih.gov/pmc/articles/PMC4958414/?report=classic

Laurie,G. and Louis, L. (2002). “Novel Markers in the Acute CoronarySyndrome: BNP, IL-6, PAPP-A.” American Association ofCritical-Care Nurses. Retrieved from http://ajcc.aacnjournals.org/content/11/2/168.full

Whalen,P. S., Wilson-Smith, M. R., Pereira, L., &amp Caughey, A. B. (2015).Home Visits Program Compared With Traditional Clinic Care forPregnant Adolescents: Cost-Effectiveness Analysis [280]. Obstetrics&amp Gynecology, 125, 89S-90S. Retrieved from https://www.researchgate.net/publication/275664981_Home_Visits_Program_Compared_With_Traditional_Clinic_Care_for_Pregnant_Adolescents