What is the importance of a literature review and what should you avoid when conducting a literature review?
Submission Instructions:
1) Watch the entire scenario. In the scenario assignment, you are asked to reflect on responses to the presented scenario.
2) Fill out the template attached below
3) Compose the last question on the template reflection in a Word document and be sure to address, at a minimum, the following questions:
*Why do you feel the way you do about the issue presented?
*Of the four responses offered in the scenario, which do you think is the most ethical and why?
*Which ethical theory would you use to support your stance? Why does this theory work?
4) Support your conclusions with evidence and specific examples from the textbook, including a minimum of one theory of ethics to defend your stance.
Original Work, No Plagiarism, Cite and Reference
Hugo is a graduate student working on a research study that is seeking to explore the efficacy of a new medicine for the prevention of chemotherapy-induced peripheral neuropathy. As part of his duties, he is asked to make himself available during participant recruitment to clarify any questions that the recruitment personnel or the participants may have. On one of these occasions, a research nurse named Phoebe is obtaining informed consent from a young adult named Simon.
The informed consent form includes information on the purpose of the study, a double-blinded, randomized intervention trial to test the efficacy of a medicine for the prevention of chemotherapy-induced peripheral neuropathy. The form explains the risks and benefits of participation at length, including the anticipated side effects of the new medicine.
The benefits are thought to outweigh the risks. The participants in the treatment arm of the study may benefit from the medicine's hypothesized prevention of chemotherapy-induced peripheral neuropathy. Participants in both groups will receive close monitoring of neuropathy symptoms and evidence-based care while being in the study. Finally, the form explains that the information collected may help to lead to the discovery of an agent that may reduce chemotherapy-induced peripheral neuropathy, of which there are currently no none effective preventative treatments.
As Phoebe is reviewing the informed consent form, Simon appears somewhat uncomfortable and apprehensive. Hugo thinks that his response may be related to the surroundings and/or situation. They are sitting in the exam room shortly after Simon learned of the treatment options for advanced stage colorectal cancer and the doctor left without answering all of his questions. Simon also has additional oncology appointments shortly after the consent discussion.
Hugo is also struck by Simon's interaction with Phoebe. He nods and his occasional brief responses sound more like someone receiving a set of instructions than an indication of understanding.
During the time it takes to complete the informed consent form, which is quite lengthy, Hugo begins to wonder whether Simon truly understands the research study and his part in it. Hugo also questions whether Simon understands what randomization is and how this technique will affect him as a research participant. Hugo is distracted from his thoughts by movement from across the room. Simon is ready to place his signature on the informed consent form. He seems to be eager to do so. The form states that study subjects have the right to refuse to participate and that they may withdraw at any time, but Hugo begins to question whether Simon truly has a choice in giving his consent. Do the benefits from this study, overwhelm any concerns he may feel regarding being in the study?
Hugo is unsure how to address his discomfort with the informed consent process that he has just witnessed and he begins to deliberate about what course of action he should take to address his concerns.
Discussion Questions:
1. How could the informed consent form or the process of obtaining informed consent be modified to address Hugo's concerns?
2. What types of questions or techniques could have Phoebe provided to assess Simon's understanding of the study?
3. How would you describe “randomization” to a prospective study participant?
4. How would you respond to a participant who says “can we skip the rest of this and sign the form” during the informed consent discussion?
Using statistics (collecting data and making decisions) helps prevent the number of mistakes or wrong decisions that are made. By using data, there is a clearer answer to a decision as opposed to going with a gut decision, which may not be consistent for a variety of reasons. What are your thoughts on using data to make most or all of the decisions for a patient? After this data is collected and analyzed using the method that was described in the initial question. Do you think it is appropriate to run these kinds of experiments continuously together this kind of information? Or do you think there are downsides to using the scientific method in this way?
PLEASE RESPOND TO THE FOLLOWING IN 50 WORDS OR MORE:
Barrier #2; Nurses are not visible in healthcare policy making.
According to Anders (2021), nurses are professionals who are directly involved in patient care. Engagement front line nurses have with patients, and other healthcare professionals, make them ideal healthcare policy advocates. They have appropriate academic education and clinical expertise to serve as experts in sharing their knowledge with policymakers and others. Any other profession cannot replicate the situational knowledge of the healthcare needs of patients that this large workforce offers.
However, nurses’ access to policy-making processes is limited. The author supports the concept of barrier by explaining that despite nursing’s intrinsic involvement in the advocacy of the individual patient, the nursing voice is often not heard at a public level. Since nurses represent approximately 50% of the global health workforce, they should be actively involved in policy-making processes. However, nursing representation at the government and boardroom level is still slim (Anders, 2021).
The author suggests how nurses can participate in policy development. Meaningful policy change can occur at the institutional level, where nurses are accustomed to functioning. Nurses’ involvement in self‐governance within hospitals presents opportunities for staff nurses to participate in the clinical governance at a local level. Nurses can also begin as a member contributing to online discussions, blogs, or social media interest groups sponsored by the association, then progress to active participation in any number of subcommittees, and finally run for office.
References
Anders R. L. (2021). Engaging nurses in health policy in the era of COVID-19. National Library of Medicine 56(1), 89–94. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7675349/Links to an external site.
Please see the attachment for instructions
View the TED Talk “5 Ways to Listen Better”Links to an external site. by Julian Treasure (TEDGlobal, 2011). Next, complete the linked listening assessmentLinks to an external site.. In light of Treasure’s talk, respond to the following questions:
Finally, in light of the assessment, share any personal listening goals you may have to improve your own listening skill.
Be sure to respond to your peers as well. As a reminder, connect to a scholarly source beyond the TED Talk.
Reference
TEDGlobal. (2011). 5 ways to listen better. http://www.ted.com/talks/julian_treasure_5_ways_to_listen_better#t-377732
Explore one of the agencies for quality improvement listed in this module’s lecture. Write a one-page summary of what the agency does, who it affects, and how it is utilized. Below is the list of agencies.
There are many agencies that assist hospitals in becoming expert in using continuous quality improvement. Key organizations include:
