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Discovery: Topic and Practice Issue
The topic and the nursing practice issue related to this topic
The chosen health-related topic relates to childhood obesity. The nursing practice issue refers to educating childrens mothers on the significance of preventing childhood obesity because it is detrimental for the childs health and can lead to obesity at an adult age.
The rationale for the topic selection. The scope of the issue/problem
The reason for choosing this topic is that many children in the USA are obese. The scope of the issue may be explained by the fact that about 10% of US children under the age of five suffer from obesity (Benjamin Neelon, Østbye, Hales, Vaughn, & Ward, 2016). Hence, early feeding practices should be seriously reconsidered to choose the most beneficial ones (Daniels et al., 2015).
Summary: Evidence to Support Need for a Change
The practice problem and the PICOT question
The practice problem is that due to parents insufficient knowledge of beneficial feeding practices, it is impossible to prevent obesity in too many cases. The PICOT question is, In obese children (P), will the educational intervention for mothers (I) compared to no education (C) result in improved feeding practices (O) within six months (T)?
The main findings from the systematic review and the strength of the evidence
Woo Baidal et al. (2016) have conducted a systematic review to investigate the risk factors for childhood obesity over the first three years of life. Scholars have found that such factors as maternal pre-pregnancy body mass index (BMI), accelerated infant weight gain, and high infant birth rate can contribute to childhood obesity. The strength of evidence is high since Woo Baidal et al. (2016) have based their findings on 282 scholarly articles investigating the selected health issue.
Evidence-based solutions for the trial project
Solution: Educating mothers of newborn babies on healthy feeding practices.
Translation: Action Plan
Care standards, practice guidelines, or protocols to support your intervention planning
Practice guidelines issued by the World Health Organization recommend that healthcare workers should assess children for obesity and excessive weight ( WHO releases guidelines, n.d.).
Stakeholders, their roles and responsibilities in the change process
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Nursing leader (me): creating the intervention and controlling its flows
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Nurse manager: distributing duties to nurses and supporting them in case of any complications
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Nurses: providing education to patients mothers
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Childrens mothers: receiving education and applying the received knowledge to promote their childrens health
The nursing role in the change process
My nursing role involves creating the intervention and controlling its implementation, as well as analyzing results and preparing the final report. Other nursing roles are associated with the implementation of the change and reporting to the leader about achievements or obstacles.
Stakeholders by position titles important to the project
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Nurse leader: because this person arranges the whole project and controls it.
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Nurses: because they provide the practical implementation of the change.
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Mothers: because it is their responsibility to supervise their childrens participation in the project and fulfill the nurses recommendations.
The type of cost analysis that will be needed prior to a trial
The analysis of costs will involve the prediction of expenses on the materials. A nursing leader might be involved with this phase.
Implementation
The process for gaining permission to plan and begin a trial
To gain permission, it will be necessary to address the hospitals administration. There is no specific committee, group, or leader involved.
The plan for educating the staff about the change process trial
A meeting will be held before the project for all the nursing stakeholders to explain the process of change and the role of each of them in the process. They will be asked to participate due to their exceptional experience and practical skills, and knowledge.
The implementation timeline for the change process
Start time: January 2020
End time: July 2020
Steps:
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recording data before the project
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providing education
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recording data after the intervention
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analyzing results
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disseminating findings
The measurable outcomes based on the PICOT
The measurable outcome is the change in childrens BMI. It will be measured based on the records taken before and after the intervention.
The forms that might be used for recording purposes during the pilot change process
Not applicable.
The resources available to staff during the change pilot
Access to libraries (on-site and online), Internet materials, and digital applications.
The meetings of certain stakeholders throughout the trial
No meetings have been planned so far.
Evaluation
Reporting the outcomes of the trial
A report will be prepared and distributed in print form or via email.
The next steps for the use of the change process information
The change leader will prepare and publish a scholarly article in a professional journal.
References
Benjamin Neelon, S. E., Østbye, T., Hales, D., Vaughn, A., & Ward, D. S. (2016). Preventing childhood obesity in early care and education settings: Lessons from two intervention studies. Child: Care, Health and Development, 42(3), 351358. Web.
Daniels, L. A., Mallan, K. M., Nicholson, J. M., Thorpe, K., Nambiar, S., Mauch, C. E., & Magarey, A. (2015). An early feeding practices intervention for obesity prevention. PEDIATRICS, 136(1), e40e49. Web.
WHO releases guidelines to address overweight and obesity in children. (n.d.). Web.
Woo Baidal, J. A., Locks, L. M., Cheng, E. R., Blake-Lamb, T. L., Perkins, M. E., & Taveras, E. M. (2016). Risk factors for childhood obesity in the first 1,000 days: A systematic review. American Journal of Preventive Medicine, 50(6), 761779. Web.
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