week 3 qd 1 replay

HI, followed please find 3 QD discussions for which i need reply for. Each answer to ave 100 to 150 words each. Should you have any questions do no hesitate to contact me. Thank you :).

1- Lorraine:

1. The objective of this study was to describe reasons and determine causes of acceptance or refusal of the influenza vaccine by elderly people. An interview-based questionnaire was administered by the researchers. The results of this study reveal that the acceptance rate of the influenza vaccine needs to be increased in the elderly. A favorable outcome depends on conducting healthcare education campaigns with increased participation from professionals in the primary health system. These measures would help in ensuring a favorable attitude towards the vaccine.

Cristiano José Mendes Pinto, Everton Henrique Ramos Pereira, Camila Machado Teodoro, Rute Angelica Becari, Viviane Gomes de Assis, Josiane Cristina Ferrari, & Eduardo Luiz Hoehne. (2019). Vaccination against influenza in elderly people: factors associated with acceptance and refusal of the vaccine. Revista Da Sociedade Brasileira de Medicina Tropical, (0). https://doi-org.lopes.idm.oclc.org/10.1590/0037-86…

2. Promoting influenza prevention for elderly people in Hong Kong using a health action protocol is the aim of this study. Much of today’s research focuses on influenza prevention, whereas this article identifies the psychosocial variables affecting the behaviors of those not obtaining the vaccine.

Chun-Qing Zhang, Ru Zhang, Pak-Kwong Chung, Yanping Duan, Joseph Tak fai Lau, Derwin King Chung Chan, & Martin S. Hagger. (2018). Promoting influenza prevention for elderly people in Hong Kong using health action process approach: study protocol. BMC Public Health, (1), 1https://doi-org.lopes.idm.oclc.org/10.1186/s12889-018-6146-6

3. Theobjective of the third article was to help identify beliefs and attitudes regarding influenza vaccines in post transplantation recipients. In the 48 eligible individuals that partipated in this study, there was a strong correlation between health care provider recommendations and increase in vaccination adherence. This is a particularly vulnerable population, and more studies may be necessary to show more beliefs of vaccination practices in these populations.

Krimmel, T., Bannerji, R., Borysyuk, M., & Schneider, S. M. (2017). Influenza Adherence Tool Kit: Implementation and evaluation among allogeneic hematopoietic transplantation recipients. Clinical Journal of Oncology Nursing, 21(3), 339–344. https://doi-org.lopes.idm.oclc.org/10.1188/17.CJON.339-344

4. During the 2013-14 and 2014-15 influenza seasons, 321 pregnant women were recruited from the antenatal clinics of 4 out of 8 public hospitals in Hong Kong with obstetric services. The study showed that the education was important to increase vaccination rates, however, overall national rates remained low.

Wong, V. W. Y., Fong, D. Y. T., Lok, K. Y. W., Wong, J. Y. H., Sing, C., Choi, A. Y., … Tarrant, M. (2016). Brief education to promote maternal influenza vaccine uptake: A randomized controlled trial. Vaccine, 34(44), 5243–5250. https://doi-org.lopes.idm.oclc.org/10.1016/j.vacci…


During a local state fair, Minnesota residents >18 were interviewed regarding vaccines, reporting their beliefs regarding influenza and the vaccine. Willingness of vaccinations were understood and compared to those who received the vaccine. Education about herd immunity and local vaccination coverage could be a useful tool for increasing willingness to vaccinate, generating benefits both to individuals and communities.

Logan, J., Nederhoff, D., Koch, B., Griffith, B., Wolfson, J., Awan, F. A., & Basta, N. E. (2018). “What have you HEARD about the HERD?” Does education about local influenza vaccination coverage and herd immunity affect willingness to vaccinate? Vaccine, (28).https://doi-org.lopes.idm.oclc.org/10.1016/j.vaccine.2018.05.037


The Global Influenza Initiative was created to understand the many of the key challenges involved in influenza disease prevention, management, and treatment. The intiative is aims to make recommendations for improving vaccination rates and better understanding of the illness as a whole.

Paget, J. (2015). Preventing seasonal influenza worldwide through vaccination, education, and international cooperation: research, findings, and recommendations from the Global Influenza Initiative. Influenza and Other Respiratory Viruses, (S1), 1. https://doi-org.lopes.idm.oclc.org/10.1111/irv.12327

2- Chiamaka,

My six articles are on wound management.

Baranoski, S., Ayello, E. (2012). Advances in Skin & Wound Care: The Journal for Prevention and Healing. Retrieved from https://www.nursingcenter.com/cearticle?an=00129334-201202000-00010&Journal_ID=54015&Issue_ID=1293200

This article targeted the continuing education activity that are intended for physicians and nurses with an interest in skin and wound care and analyze the evolution of wound care dressings and future wound care trends. The weakness of the article is that the lack of primary goals of care for the prevention of wound-related infection because infection is a common complication of all open wounds.

Han, G., & Ceilley, R. (2017). Chronic Wound Healing: A Review of Current Management and Treatments. Advances in therapy, 34(3), 599–610. doi:10.1007/s12325-017-0478-y

Wound healing is a complex, highly regulated process that is critical in maintaining the barrier function of skin. Growth factors in wound healing have received significant attention in the field of wound healing in the past few decades. Hyperbaric oxygen has been used in wound healing on the basis of the principle that it can promote fibroblast proliferation, enhance immune function, and stimulate angiogenesis, among other functions but the weakness is these ideals have not necessarily borne out in practice, leading to some degree of controversy in its use.

Lindholm, C., Searle, R. (2016). Wound management for the 21st century: combining effectiveness and efficiency. Retrieved from https://onlinelibrary.wiley.com/doi/full/10.1111/iwj.12623

The strength about this article is they talk about the impact of wounds on the health system and how wounds have a variety of causes; some arise from surgical intervention, some are the result of injury, and others are a consequence of extrinsic factors, such as pressure or shear, or underlying conditions such as diabetes or vascular disease. They lacked in providing enough evidence on percentage of population with wound.

Maguire, J. (2014). Wound Care Management. Retrieved from www.todaysgeriatricmedicine.com/archive/032414p14.shtml

This article talked about geriatric wound care. They focus on the Pressure ulcers, neuropathic ulcers, and chronic wound conditions that continues to be a challenge in long term care (LTC) and skilled nursing facilities. They talked about how the health care system is focusing on reducing rehospitalizations and being partnerships with referral sources, but they fail in establishing sound and consistent processes regarding wound prevention

Ubbink, D. T., Brölmann, F. E., Go, P. M., & Vermeulen, H. (2015). Evidence-Based Care of Acute Wounds: A Perspective. Advances in wound care, 4(5), 286–294. doi:10.1089/wound.2014.0592

The strength of these article is it talked about the large variation and many controversies that exist regarding the treatment of, and care for, acute wounds, especially regarding wound cleansing, pain relief, dressing choice, patient instructions, and organizational aspects but lacked the evidence-based guidelines on acute wound care that will help achieve a more uniform policy to treat acute wounds in all settings and an improved effectiveness and quality of wound care.

Woo, K. (2013). Commentary: Trends in wound management. Retrieved from https://www.nursingcenter.com/journalarticle?Article_ID=1630550&Journal_ID=54015&Issue_ID=1630545

One strength about this article is they tried to address the growing demand in wound care management that is evidence based and cost-effective but lack on the information about number of factors, such as inadequate vasculature, coexisting medical conditions, and medications that prohibit the healing process.

3- Diana,

The article in the Journal of Pediatric Nursing, is a study designed and implemented as an educational tool for nurses on using “teach-back” to encourage nurses to check for patients and caregivers’ understanding of the discharge instructions prior to discharge. A strength of this study is that the data collected showed a positive effect on reducing medication errors after discharge. The weakness is that it was educating both the patient and their caregivers, and seeing that the patient population was comprised of minors, their caregivers, who were adults, were ultimately responsible. When working with an adult population a lot of the times they do not have caregivers who can help, so it may be hard to show how it will help in my population of adult patients.

With “Like a dialogue: Teach-back education in the Emergency department”, it was about how effective the method is in the ER. Its strength was that it was shown that it improves communication. Its weakness is that it was not focused on heart failure patients.

“Patient’s knowledge of heart failure medications: Are they understanding” was a limited study on using the “teach-back” method with the assistance of a heart failure navigator, pharmacist and a nurse. Its goal was to see if using the method would reduce the 30-day readmission rate and increase patient satisfaction scores. Its strength is that it is easy to verify the reduction of the readmission rate, since all hospitals are required to collect this data. But its weakness is that we will not have a patient navigator who will be responsible for doing all the education, I will be depending on nursing to help during their busy day.

“Reducing readmissions using teach-back: Enhancing patient and family education” was a study about the effectiveness of the teach-back method and if it enhanced the patients and family’s perceptions on their education about heart failure and if this reduced the 30-day readmission rate. This again can give me statistics that can show that using this method does have a positive effect on the readmission rate. Another strength is that this study was done in a magnet hospital like my facility. A weakness is that this study was done by a patient education work group who was trained in how to use this method. I will be doing a quick in-service on the method, so sometimes the nurses education may be limited.

“Using Teach-Back Method to Prevent 30-Day Readmissions in Patients with Heart Failure: A Systematic Review” was another study about how using the teach-back method can help reduce the 30-day readmission rates. This was a great article and was also eligible for providing continuing education for nurses. Its weakness is that it was a study done over a long period of time and mine will be a relatively short time frame.

“Using Teach-Back to Understand Participant Behavioral Self-Monitoring Skills Across Health Literacy Level and Behavioral Condition” was a study based on evaluating the health literacy pf patients and if they were able to change their behaviors after teach-back education. It was a great study that showed those with a lower level of health literacy were able to improve their understanding and behavior after being educated using the teach-back method. The weakness for me is that I will not be assessing a base line for everyone on their overall health literacy, so I won’t be able to really compare my results.

Kornburger, C., Gibson, C., Sadowski, S., Maletta, K., Klingbell, C. (2013). Using “Teach-Back” to Promote a Safe Transition from Hospital to Home: An Evidence-Based Approach to Improving the Discharge Process. Journal of Pediatric Nursing, 28(3), 282-291. https://doi.org/10.1016/j.pedn.2012.10.007.

Samuels-Kalow, M., Hardy, E., Rhodes, K., Mollen, C. (2016). “Like a Dialogue”: Teach-Back in the Emergency Department. Patient Education and Counseling, 99(4), 549-554. https://doi.org/10.1016/j.pec.2015.10.030.

King, T. & Smith, L. (2015). Patient’s knowledge of heart failure medications: Are they understanding? Heart and Lung: The Journal of Acute and Critical Care, 44(6), 557-557. https://www-clinicalkey-com.proxy.library.vcu.edu/#!/content/playContent/1-s2.0-S0147956315003040?returnurl=null&referrer=null

Peter, D., Robinson, P., Jordan, M., Lawrence, S., Casey, K., & Salas-Lopez, D. (2015). Reducing Readmissions Using Teach-Back: Enhancing Patient and Family Education. The Journal of Nursing Administration, 45(1), 35-42. https://doi.org/10.1097/nna.0000000000000155

Almkuist, K. D. (2017). Using Teach-Back Method to Prevent 30-Day Readmissions in Patients with Heart Failure: A Systematic Review. MEDSURG Nursing, 26(5), 309–351. Retrieved fromhttps://lopes.idm.oclc.org/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=a9h&AN=125833259&site=eds-live&scope=site

Porter, K., Chen, Y., Estabrooks, P., Noel, L., Bailey, A., Zoellner, J. (2016). Using Teach-Back to Understand Participant Behavioral Self-Monitoring Skills Across Health Literacy Level and Behavioral Condition. Journal of Nutritional Education and Behavior, 48(1), 20-26. https://doi.org/10.1016/j/jneb.2015.08.012.


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