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NRS 490 Topic 3 DQ 1

Submit a summary of six of your articles on the discussion board. Discuss one strength and one weakness to each of these six articles on why they may or may not provide sufficient evidence for your practice change.

My Capstone project is about alternatives to the suicide smock. When inmates come into jail, often times the emotional instability of a person is heightened by the nature of the crime, drug addiction, previous incarceration history, or sudden loss of freedom accompanied by legal troubles. Suicidal ideation is highly prevalent in the corrections setting and the suicide smock is often used as a means to keep the inmate safe while on suicide watch. The smock is a green cushioned suit that has no sleeves and is a “dress-like” covering. It is hindersome to movement and inmates often express humiliation due to being seen by judges or other inmates. I believe this treatment increases the length of time a patient is on SI watch and may add to the degree of depression and anxiety of the inmate. Here are six articles:

 1) Suicide Prevention in Correctional Facilities: Reflections and next steps (Hayes, 2013). This article takes a look at suicide prevention from many different angles, including the physical, treatment, and psychological aspects of SI. There are several suggestions to change the current system to encourage inmates to reach out for help, rather than be scared of punishment. This article is peer reviewed and published is  psychiatry journal.

Reference:

Hayes, L.M. (2013). Suicide prevention in correctional facilities: reflections and next steps. International Journal of Law and Psychiatry, 36. Retrieved from www.ncianet.org/suicide-prevention-in-correctional-facilities-reflections-and-next-steps/

2) Can’t We do Better on Suicide Prevention in Prisons? (Troustine, 2013). Although this article completely supports my view and the changes that need to be made for inmate safety, it is not a peer reviewed article. It does contain great information, including pictures and accurate information on suicide suits and the bulky burden it places on inmates.

Reference:

Tourstine, J. (2013). Cann’t we do better on suicide prevention in prisons? Retrieved from: www.bostonmagazine.com/news/blog/2013/02/01/prison-suicide-safety-smocks/

3) Suicide Prevention in Administrative Segregation Units. (Sanchez, 2013). This is a peer-reviewed article in a correctional journal that mentions methods of helping to prevent suicide in jails and prisons other than segregation and suicide suits. This article is informative and discusses changes some prisons have made to help lower the occurrence of SI in the facilities.

Reference:

Sanchez, H.G. (2013). Suicide prevention in administrative segregation units. Journal of Correctional Health Care, 19(2). Retrieved from

http://journals.sagepub.com/doi/full/10.1177/1078345812474638

4) National Study on Jail Suicide (Hayes, 2012). Although the same author of another article found on a similar subject, and excellent review of statistics associated with jail suicides and precipitating factors leading to suicide. She also touches on reasons for SI in jails and preventative measures. Great source!

Reference:

Hayes, L.M. (2013). National study on jail suicides. Journal of Correctional Health Care, 18(3). Retrieved from journals.sagepub.com/doi/full/10.1177/1078345812445457

5) Surveillance of Suicidal and Non-Suicidal Self-Injury in the New York City Jail System

ANSWER 2

*11 Facts about teen pregnancy. (2015). Retrieved from https://www.dosomething.org/us/facts/11-facts-about-teen-pregnancy

This article has been extremely helpful, as it provides concise statistics without a ton of extraneous information. It was easy to read and gather information quickly. However, the information was narrow topic-wise.

*Postcard: Teen pregnancy affects graduation rates. (2013). Retrieved from http://www.ncsl.org/research/health/teen-pregnancy-affects-graduation-rates-postcard.aspx

This source was, again, concise and easy to read and gather info. However, the amount of information was small and the topic content was narrow.

*Teen pregnancy statistics. (2015). Retrieved from http://www.teenhelp.com/teen-pregnancy/teen-pregnancy-reasons.html

This source was excellent, in that it highlighted the effects of “abstinence-only sex education”. However, it was also limited and a small amount of information.

*CDCs abortion surveillance system FAQs. (2014). Retrieved from https://www.cdc.gov/reproductivehealth/data_stats/abortion.htm

This source was extremely helpful, in that it provides me with the factual evidence to support the causative factors behind abortion in the US. This helped to bolster my argument for additional education for minors.

*Unintended pregnancies cost federal and state governments $21 billion in 2010. (2015). Retrieved from https://www.guttmacher.org/news-release/2015/unintended-pregnancies-cost-federal-and-state-governments-21-billion-2010

I gained some very valuable information from this site about the financial cost to our government related to unplanned pregnancies. This source also provided specific information pertaining to my state as well.

* Sobie, A. R., & Reardon, Ph.D, D. C. (n.d.). Detrimental effects of adolescent abortion. Retrieved from http://afterabortion.org/2001/detrimental-effects-of-adolescent-abortion/

This article was essential in my quest to find the long term negative effect of abortion on young girls. This has helped me to shape my argument for helping to prevent our youth from having to make this type of decision.

ANSWER 3

This writer has chosen the topic issue of lack of diversity within the nursing profession and possible solutions to developing and instituting realistic changes across the board.

American Association of Colleges of Nursing (2011). Enhancing diversity in nursing work-force. Fact sheet. Retrieved from http://www.aacn.nche.edu/me-dia/pdf/diversityFS.pdf

Strength: Offered statistical references point from BSN to Doctoral education levels. Gave clear reference to why there is a need for a diversified workforce. Gave clear strategies in developing diversified nursing education.

Weakness: May present as bias because it is the voice of the national voice for university and four-year college education programs in nursing.

American Nurse Association (2010). IOM future of nursing report. Retrieved from http://www.nursingworld.org/MainMenuCategories/ThePracticeofProfessionalNursing/workforce/IOM-Future-of-Nursing-Report-1

Strength: Discussed recommendations that should occur across the board to ensure that nursing improves and extends its efforts to a diversified force. Gave insight on the expectations of the future of nursing in many different areas including education and working outside the limitation that have been set forth.

Weakness: The strategies that were discussed in the forum were generalized and did not do into detailed regarding minorities and retention in the workforce

Department of Health and Human Services (US), Health Resources and Services Administration. (2010). The registered nurse population: findings from the 2008 national sample survey of registered nurses. Rockville (MD): HHS; 2010References

Strength: Offered statistical data to give an overview of where minorities are employed and to what level of employment.

Weakness: These statistic finding is from 2008 from a national sample survey and need more updated stat results to compare to.

Mapedzahama, V., Rudge, T., West, S., &Perron, A. (2012). Black nurse in white space? Rethinking the in/visibility of race within the Australian nursing workplace. Nursing Inquiry, 19(2), 153-164.

Strength: this article analyses data from a critical qualitative study with 14 skilled black African nurses. Thus, documenting their experiences of nurse to nurse racism and prejudice within the workplace.

Weakness: May seem bias due to the focus on Migrate African nurses and other issues may have been the underlined tone of dissatisfaction such as language competency, communication barriers and customs of beliefs.

Melillo, K. D., Dowling, J., Abdallah, L., Findeisen, M., & Knight, M. (2013). Bring diversity to nursing: recruitment, retention, and graduation of nursing students. Journal of Cultural Diversity, 20(2), 100-104.

Strength: Discussed the issue of gains with ethical and racial representation in the nursing profession but goes on to state that nursing in fact does not mirror the US. Discussed the project that used at the University of Massachusetts in the manner of pre-entry, retention, and graduation of minority and educationally and economically disadvantaged students. Thus, having an in depth look at the problem and offering solutions.

Weakness: Even though it discussed methods to get minorities into the nursing workforce. Did not discuss how or why there are minorities in leadership roles or motivation for higher levels of education post BSN.

Nielsen, A., Stuart, L. A., & Gorman, D. (2014). Confronting the cultural challenge of the whiteness of nursing: Aboriginal registered nurses’ perspectives. Contemporary nurse: a journal for The Australian nursing profession, 48(2), 19

Strength: this article the provision made to employ more Aboriginal nurses diverse to help improve the health of the Aboriginal people health which was the equivalent to the third world countries. It discussed the strategies taken to make this materialize and the setbacks that happened due to the Aboriginal nurses based on the whiteness of nursing and the push back that they experienced.

Weakness: Many may not understand or know what or who an Aboriginal person is at first introduction. FYI: I finally determined that they are dark skin Australians that live in a certain region 9my simple version). Again, could be considered confusing to some people.

The data obtained were all within a 5-year requirement timeframe and were peered reviewed journals or documentation. They offered either qualitative or quantitative data research.

 

What do you think?

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