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. The purpose of this paper is to interpret the two articles identified as most important to the group topic.

Describe the problem: What is the focus of your group’s work? (PERINATAL SAFETY)

2. Significance of problem: 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 the paper: What will your paper do or describe?
***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 paper 1 for items 1 & 2 above, including any faculty suggestions for
improvement provided as feedback (paper 1 attached)

Evidence Matrix Table: Data Summary (Appendix A) – (60 points/30%)

Categorize items in the Matrix Table, including proper intext citations and reference list entries for each article.

1. References (recent publication within the last 5 years)

2. Purpose/Hypothesis/Study Question(s)

3. Variables: Independent (I) and Dependent (D)

4. Study Design

5. Sample Size and Selection

6. Data Collection Methods

7. Major Findings (Evidence)

c. Description of Findings (60 points/30%)

Describe the data in the Matrix Table, including proper intext citations and reference list entries for each article.

1. Compare and contrast variables within each study.

2. What are the study design and procedures used in each study; qualitative, quantitative, or mixed method

study, levels of confidence in each study, etc.?

3. Participant demographics and information.

4. Instruments used, including reliability and validity.

5. How do the research findings provide evidence to support your clinical problem, or what further evidence

is needed to answer your question?

6. Next steps: Identify two questions that can help guide the group’s work.

d. Conclusion (20 points/10%)

Review major findings in a summary paragraph.

1. Evidence to address your clinical problem.

2. Make a connection back to all the included sections

3. Wrap up the assignment and give the reader something to think about.

e. Format (30 points/15%)

1. Correct grammar and spelling

2. Include a title and reference page

3. Use of headings for each section:

o Problem

o Synthesis of the Literature

− Variables

− Methods

− Participants

− Instruments

− Implications for Future Work

4. Conclusion

5. Adheres to current APA formatting and guidelines

6. Include at least two (2) scholarly, current (within 5 years) primary sources other than the textbook

7. 3-4 pages in length, excluding appendices, title and reference pages

Perinatal Safety
Valeria De Armas
Chamberlain University
November 15, 2020
Week 3 Perinatal Safety
In the healthcare sector, numerous challenges may arise, affecting the wellness of the
underlying populations. Sometimes, the occurrence of these challenges may affect the normal
operations carried out by the associated parties making it hard to promote wellness. Women
particularly require specialized attention when pregnant and soon after giving birth. The primary
reason for this conclusion is based on the idea that failure to provide the required attention before
and after birth may result into adverse effects such as the death of the newborn, the mothers or
both. Such incidents continue to be reported among the minority communities and those living in
the underdeveloped nations. There is a need to sensitize the workplace and the nursing field of
interest to ensure that the provision of care is directed towards improving the safety of the
mothers and the unborn babies before birth as well as the resulting beneficiaries after birth.
Improving the safety of patients before and after birth will play a crucial role in the provision of
a platform for guaranteed health outcomes in the process.
The problem
As mentioned above, there are diverse factors which may affect the overall wellness of
patients in a community. For instance, people living in underdeveloped communities may face
challenges in health and wellness as far as the absence of a reliable healthcare system is
concerned. These challenges may affect the abilities of these populations to guarantee better
health outcomes in the process.
The adoption of a reliable policy or guidelines will go a long way in the improvement of
the overall levels of wellbeing achieved by mothers before and after delivery. In this case, it has
been argued that the introduction and implementation of the 39-week rule are essential in
reducing the increasing cases of perinatal mortality. Patel, Khatib, Kurhe, Bhargava & Bang
(2017) claim the adoption of neonatal resuscitation training in the healthcare sector is essential in
handling incidents of perinatal mortality. By 2016, the United States reported perinatal deaths at
a rate of 6.00 for every 1000 births and late deaths. This figure shows that perinatal safety is
essential not only before but also after birth.
PICOT Question
Therefore, the PICOT question which should guide the research, in this case, will focus
more on the collection of data about the role of the various interventions in improving the safety
of mothers before and after birth.
P: Pregnant mothers/women
I: 39-week rule and nursing critical thinking skills
C: No intervention
O: Improved perinatal safety
T: Before and after birth
Based on the information given above, one can formulate a PICOT question as follows:
Among the pregnant women, what is the effectiveness of using the 32-week rule and
nursing critical thinking on improving perinatal safety of the mothers and babies before and after
birth as compared to no intervention?
Purpose of the paper
The purpose of this paper is to explore the effectiveness of the introduction of policies
such as the 32-week rule and critical thinking skills of perinatal nurses on improving the safety
of women and babies both before and after birth.
Levels of evidence
The analysis given above shows that there is a need to come up with a framework for
exploring the topic through a quantitative and exploratory question. The question asked, in this
case, is exploratory since it intends to gather more information about the effectiveness of an
intervention in preventing and upholding the safety of pregnant women even after birth. The
qualitative study should focus more on the evaluation of the past evidence about the role of the
32-week rule in promoting the safety of mothers and their children before and after birth.
Search strategy
In an attempt to gather the required evidence, the following search terms will be used:
32-week rule, a bundle of care, perinatal safety. The primary databases which will be
used in the process include PubMed, EMBASE, PMC and UpToDate. The primary decision
made in this case was influenced by the selection of the right keywords and databases. Also,
looking at peer-reviewed articles is essential in the process. A study by Gabrysch et al. (2019)
and Patel, Khatib, Kurhe, Bhargava & Bang (2017) is essential in supporting the ultimate
The sensitivity of pregnant women and newborn babies from a health dimension calls for
the adoption of the ultimate framework for improving the overall levels of care offered to the
patients. On the same note, it is argued that the lack of sufficient skills for the nurses who attend
pregnant women before and after birth as well as their newborn kids has continued to the
increased safety risks and consequences in the long run. Therefore, through the consideration of
the role played by the implementation of the right interventions such as the provision of
additional training to the affected nurses, it is easy to counter the challenges which continue to
arise affecting the underlying parties and groups of beneficiaries. On the same note, some
practitioners may not have sufficient insight into the effects of the adoption of the right measures
in the management of patient care and the outcomes of pregnant women. There is a gap in
knowledge and practice which may continue to affect the abilities of expectant mothers to
receive the desired care and attention before and after giving birth. Therefore, gathering data
about the effectiveness of improving critical skills of perinatal nurses and policies such as the 32week rule can help to boost knowledge in reducing mortality rates which continue to be reported.
Gabrysch, S., Nesbitt, R. C., Schoeps, A., Hurt, L., Soremekun, S., Edmond, K., … & Kirkwood,
B. (2019). Does facility birth reduce maternal and perinatal mortality in Brong Ahafo,
Ghana? A secondary analysis using data on 119 244 pregnancies from two clusterrandomized controlled trials. The Lancet Global health, 7(8), e1074-e1087.
Patel, A., Khatib, M. N., Kurhe, K., Bhargava, S., & Bang, A. (2017). Impact of neonatal
resuscitation trainings on neonatal and perinatal mortality: a systematic review and metaanalysis. BMJ paediatrics open, 1(1).
NR449 Evidence-Based Practice
RUA: Analyzing Published Research Guidelines
Evidence Matrix Table
Smith, Lewis (2013),
What should I eat? A focus
for those living with
diabetes. Journal of
Nursing Education, 1 (4)
Study Question(s)
How do educational support
groups effect dietary modifications
in patients with diabetes?
Study Design
Size &
N- 18
from local support
group in Pittsburgh,
Focus Groups
Major Finding(s)
Support and education
improved compliance with
dietary modifications.

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