NRS 433V Research Critiques and PICOT Statement Final Draft

Literature Evaluation Table Student Name: Jatinder Kaur Summary of Clinical Issue (200-250 words): Child Obesity Childhood obesity is one of the challenges facing the United States and other developing economies. Obesity in children and young people is generally accepted as an epidemic having many adverse health effects, such as being a significant predictor of potential mental and physical health concerns. Obesity has been related to other more severe health issues, such as cardiovascular disorders and diabetes, in spite of the country’s highest rates of childhood obesity in the last three decades. There are still no simple treatment options as nurses and other health professionals continue to wrestle with this problem. Typically, health practitioners do not have a comprehensive guidance for where to treat the approximately one-third of their populations that present obesity with medical treatment that coexists with other medical conditions and issues. Various treatment models have been proposed to counter this growing public health issue, including the use of conventional treatments such as pharmacological interventions. Overemphasis on one treatment plan however can fail to generate the desired goals. While conventional methods for the prevention and management of obesity have put focus on drugs, wider attention is needed to other aspects of treatment. Such therapy procedures can include multilevel or holistic approaches that include both pharmacological and non-pharmacological procedures. For example, activities such as © 2019. Grand Canyon University. All Rights Reserved. evaluating the mental health effects of obesity on patients should be integrated into a broader focus. A multi-tiered public health approach to obesity that emphasizes promotion, prevention, and individualized approaches is therefore recommended. PICOT Question: Is the use of a multi-tiered approach to the treatment and management of childhood obesity more effective than overreliance on only pharmacological interventions in reducing obesity prevalence rates? Criteria APA-Formatted Article Citation with Permalink How Does the Article Relate to the PICOT Question? Quantitative, Qualitative (How do you know?) Article 1 Article 2 Cuda, S. E., & Censani, M. (2018). Pediatric Obesity Algorithm: A Practical Approach to Obesity Diagnosis and Management. Frontiers in pediatrics, 6. Heerman, W. J., Schludnt, D., Harris, D., Teeters, L., Apple, R., & Barkin, S. L. (2018). Scale-out of a community-based behavioral intervention for childhood obesity: pilot implementation evaluation. BMC public health, 18(1), 498. Bazyk, S., & Winne, R. (2013). A multi-tiered approach to addressing the mental health issues surrounding obesity in children and youth. Occupational therapy in health care, 27(2), 84-98. Apart from using pharmacological approaches, the report suggests the use of behavioral interventions in the diagnosis and treatment of childhood obesity and health problems. The article is specifically relevant to the PICOT problem since it suggests the implementation over decades of multi-tiered approaches to the treatment, prevalence and prevention of childhood obesity. The study uses quantitative design since, using pre-post survey, attendance rates, and reduction rates, the researchers quantitatively analyze the effects of community-based interventions. The study offers information on obesity for children The research is largely qualitative since it uses descriptive experiments to discuss the use of a multi-tiered approach to controlling obesity, including 20 approaches. The article is important to the PICOT problem since it proposes the use of algorithms and technological frameworks that provide knowledge on all aspects of the prevention and management strategies of obesity for a child. The research uses quantitative models since many quantitative metrics have been used, including BMI, prevalence rates and obesity comorbidities. 2 Article 3 between 0 and 12 years of age. Purpose Statement The thesis discusses previous research done on diagnosis, assessment, and management of pediatric analytics. NRS 433V Research Critiques and PICOT Statement Final Draft

The goal of the study is to analyze the adoption by Parks and Recreation Centers in three cities of the rigorously tested healthier family programs. Research Question What is the efficacy of the algorithm for pediatric obesity in diagnosing and treating childhood obesity? The research found that it is important to diagnose and treat childhood obesity as early as possible, as well as to consider comorbid conditions. Hospital setting, USA In the treatment and management of childhood obesity, are communitybased behavioral interventions effective? The findings of the study show that the use of evidence-based childhood obesity strategies is a significant part of the fight against obesity and its long-term health implications. Community setting, USA More than 100 papers on previous studies carried out on pediatric obesity algorithms were chosen by the researchers, of which 1000 children aged 6 to 12 years were sampled. The primary method of collection of data used for quantitative content analysis The study showed that the pediatric obesity algorithm would help direct health A total of 23 parent-child pairs were chosen from three partner locations. The study chose a total of 1000 children to be involved in the study. For data collection, interviews were used The key data collection techniques were used as questionnaires. The research found that the use of a multi-tiered approach to obesity Outcome Setting (Where did the study take place?) Sample Method Key Findings of the Study The research showed that the average attendance was around 7.6 per session for the program, with 71 percent 3 The aim of the study is to examine the effectiveness of the trend in obesity prevalence over the decade from 2013 to 2014 and the multi-tiered approach to childhood obesity prevention and management in public health. Is the multi-tiered approach to obesity management successful in reducing the rate of prevalence of childhood obesity? The outcome of the study showed that the multi-tiered approach is more successful than conventional childhood obesity management models. The research was undertaken in public healthcare settings. Recommendations of the Researcher Criteria practitioners to identify and treat childhood obesity with a realistic and evidence-based approach. The study recommends that families use algorithmic tools to manage and decrease obesity in children. participating. Management is more effective than conventional models. The study encourages the use of prevention and management techniques for community-based obesity, which can help to dramatically reduce BMIs and improve behavior among obesity patients. The research suggests future studies on the importance of a multi-tiered approach to obesity in public health, emphasizing health promotion, prevention, and individualized experiences. Article 4 Article 5 Article 6 APA-Formatted Article Citation with Permalink Rankin, A., Blood-Siegfried, J., Vorderstrasse, A., & Chlebowy, D. O. (2015). Implementation of childhood obesity identification and prevention strategies in primary care: A quality improvement project. International Journal of Pediatrics and Adolescent Medicine, 2(2), 59-63. Styne, D. M., Arslanian, S. A., Connor, E. L., Farooqi, I. S., Murad, M. H., Silverstein, J. H., & Yanovski, J. A. (2017). Pediatric obesity—assessment, treatment, and prevention: an Endocrine Society Clinical Practice guideline. The Journal of Clinical Endocrinology & Metabolism, 102(3), 709-757. Wilfley, D. E., Staiano, A. E., Altman, M., Lindros, J., Lima, A., Hassink, S. G., … & Improving Access and Systems of Care for Evidence‐Based Childhood Obesity Treatment Conference Workgroup. (2017). Improving access and systems of care for evidence‐based childhood obesity treatment: Conference key findings and next steps. Obesity, 25(1), 16-29. How Does the Article Relate to the PICOT Question? The research applies to the PICOT problem because it aims to explore culturally relevant methods for the treatment and management of childhood obesity. The article discusses suggested practices and guidelines for the treatment and prevention of childhood obesity. The research is important to the PICOT problem since it aims to investigate ways of improving access to childhood treatment. 4 Quantitative, Qualitative (How do you know?) Purpose Statement Research Question Outcome The research utilizes quantitative design because quantitative metrics such as BMI, prevalence rates, and rates of increase in childhood obesity are available. The goal of the research was to implement the identification and prevention guidelines for childhood obesity from evidencebased guidance into effect. Will the introduction in healthcare settings of evidencebased recommendations and standards help reduce the prevalence of obesity among children? The results of the study were to reduce childhood obesity-related morbidity and financial burdens. Setting (Where did the study take place?) Study was performed in the environments of pediatric primary care offices Sample There were a total of 80 patients chosen to participate in the study. Method For data collection, questionnaires and other quality metrics were used. Mixed approaches (both qualitative Quantitative design was used since and quantitative) are used in the the research examines changes that analysis. arise when referrals for 26 contact hours of intensive care are provided to children for six years. The purpose of the research is to The goal of the study was to formulate clinical guidelines and advance the translation of standards for pediatric obesity guidelines from the USPSTF to assessment, treatment, and design feasible, appropriate, and prevention. efficient sustainable treatment for patients with childhood obesity. What are the necessary clinical Can improved access and care guidelines for pediatric obesity systems reduce the prevalence of assessment, treatment, and childhood obesity? prevention? The research culminated in the development of an evidence-based guideline using the grading of recommendations, evaluations and processes of development. The research was conducted through an appointed Task Force within the Endocrine Society premises. A total of 6 experts were chosen to take part in the analysis. As it was a task force of 6 members who sat in a group to develop and evaluate standards, both questionnaires and focus 5 The study’s outcome included the need to include evidence-based treatment of childhood obesity with sustainable care delivery models. The research was conducted in primary healthcare environments. 46 national healthcare industry leaders were chosen to participate in the report. The interviews used in the analysis Key Findings of the Study Recommendations of the Researcher The study showed that improvements in practice, including the detection of childhood obesity and family reduction recommendations, positively minimize children’s obesity. The study recommends the introduction of evidence-based recommendations and criteria for enhanced detection of children at risk of childhood obesity and improved prevention of family obesity. groups were used. The results showed that involving experts from the Endocrine Society could help to establish successful strategies for preventing and managing childhood obesity. The researchers propose the need for future studies to concentrate on Understanding ways to affect systemic changes in food environments and overall daily morbidity, including ways to maintain a healthy BMI 6 The survey revealed that there are numerous obstacles that deter the adoption of the recommendations of the USPSTF. These challenges include high operational costs, low availability and the consistency of employee training. The study indicates the need for healthcare sector stakeholders to convene intensive immersive conferences to establish holistic treatment standards for patients with pediatric obesity. Literature Evaluation Table Student Name: Summary of Clinical Issue (200-250 words): PICOT Question: Criteria Article 1 Article 2 APA-Formatted Article Citation with Permalink How Does the Article Relate to the PICOT Question? Quantitative, Qualitative (How do you know?) Purpose Statement Research Question Outcome Setting (Where did the study take place?) Sample Method © 2019. Grand Canyon University. All Rights Reserved. Article 3 Key Findings of the Study Recommendations of the Researcher Criteria Article 4 Article 5 APA-Formatted Article Citation with Permalink How Does the Article Relate to the PICOT Question? Quantitative, Qualitative (How do you know?) Purpose Statement Research Question Outcome Setting (Where did the study take place?) Sample Method Key Findings of the Study Recommendations of the Researcher 2 Article 6 Running head: Rough Draft Quantitative Research Critique and Ethical Considerations Rough Draft: Quantitative Research Critique and Ethical Considerations Jatinder Kaur Grand Canyon University: NRS-433V 11/01/2020 1 Rough Draft: Quantitative Research Critique and Ethical Considerations 2 Quantitative Research Critique Article One A serious public health threat is childhood obesity. Childhood obesity affects 12.7 million babies, teenagers, and adolescents aged 2 to 19, according to the Centers for Disease Control and Prevention. Treatment for childhood obesity includes an understanding of the family and cultural context of the patient as well as medical and psychological awareness (obesitymedicine.org). Childhood obesity continues to be considered a big rising epidemic that occurs internationally and there appears to be a default in the treatment direction or treatments for this problem, despite the steady growth rate, being that the rate seems to go up rather than down over the last 30 years. The subject of consideration by the authors is the pediatric obesity algorithm that is evidencebased and used to diagnose childhood obesity, as well as other approaches used in the diagnosis of obesity, patient-specific treatments, weight control and evaluation methods. The purpose of this study is to help healthcare professionals, using the Pediatric Obesity Algorithm, find ways of treating children with obesity through evidence-based approaches. How does the article support the nurse practice issue? The Pediatric Obesity Algorithm was developed by healthcare practitioners who focused on the treatment of obesity in babies, children and teenagers. By defining the absence of a distinct direction or specific path to help promote the treatment of obesity among children, the article reveals faults or deficiencies in childhood obesity management. The authors of this article suggest the relevance of the Pediatric Obesity Algorithm and its effectiveness in childhood obesity diagnosis and management. In a single text, the Pediatric Obesity Algorithm incorporates empirical research, medical literature, and clinical knowledge to inform clinicians and help them adopt evidence-based practices (Obesitymedicine.org). Compared to conventional approaches that strictly rely on diet restriction and strenuous exercise routines that are often not practiced by Rough Draft: Quantitative Research Critique and Ethical Considerations 3 patients, the evidence-based strategies it provides to treat obesity in children can not be refuted. The algorithm ensures further treatments, including medicine , surgery, targeted evaluations, age-specific diagnoses and interventions, differential diagnosis results, and a variety of other procedures aimed at reducing obesity-related complications among children. Method of study A qualitative data collection was used by the authors by sorting 100 samples from papers derived from previous research on the benefits of the Pediatric Obesity Algorithm. Since the research was performed in healthcare centers throughout the United States of America, due to the errors associated with the studies in which this study was copped from, reliability on the outcome is limited. Results of Study This study concludes that, because of its role in using evidence-based strategies to inform healthcare professionals on how to diagnose and treat obesity, the Pediatric Obesity Algorithm is very relevant in diagnosing and treating childhood obesity. The research also shows that early approaches in childhood obesity management are striking out or reducing the long-term associated obesity complications. When studying a more comprehensive treatment pathway for childhood obesity, future researchers may very well rely on the findings of this study. Outcome Comparison “Are modern methods such as the Pediatric Obesity Algorithm successful in early detection , diagnosis, and treatment of childhood obesity?” The outcome of this study aligns with the PICOT issue. The expected outcome of this PICOT question and the outcome of this Rough Draft: Quantitative Research Critique and Ethical Considerations 4 study indicate that the approaches used in the diagnosis and management of obesity among children are expected to change. Quantitative Research Critique Article Two This article indicates that a long-term intervention aimed at treating, diagnosing and controlling childhood obesity includes the morbidity rate and financial burden incurred by childhood obesity. The authors of this study recommend the availability of a therapeutic course for obesity care that is evidence-based, short, and significant for all cultures. The goal of the study was to establish ways to use evidence-based sources to prevent obesity, diagnose and monitor the outcome of obesity care among children. How does the article support the nurse practice issue? Since the purpose of this research is to examine cultural competent approaches that can be used to control and treat obesity, its connection to the PICOT problem is seen in the study’s provision of a best-practice approach to diagnosing and treating obesity, including the use of evidence-based guidelines and ways of follow-up after care to manage adherence to the obesity treatment process. Method of study The environment used by the writers of this analysis was a pediatric healthcare facility situated in rural areas. The doctors and their assistants, nurses , and other medical assistants were members of the staff included in the report. The ages of participants declined to adulthood between the ages of 4. The majority of respondents were those of lower socioeconomic backgrounds who had Medicaid for their health care. Culture wise, Hispanics were 33 per cent of the participants. This research benefited from focusing on one facility, unlike other studies Rough Draft: Quantitative Research Critique and Ethical Considerations 5 carried out on two locations or facilities, resulting in similarities in respondents ‘ responses. The downside of this research was seen in the failure of the authors to properly explain how their data was obtained. Results of the study Healthcare facilities As a part of this research, healthcare facilities have had an improvement in the detection and diagnosis of childhood obesity due to detailed examinations of the infant, health history, and family history. There was also proper documentation of ways of reducing obesity, tracking the results of treatments and patient education. In the battle against childhood obesity, the introduction of evidence-based recommendations and the enhancement of targeted patient education as well as evaluations relating to the child and family are extremely significant. A motivational form of interviewing was used when emphasizing the importance of prevention and management to families and consumers. This research helps nurses to help improve their patients ‘ health by educating patients, recognizing at-risk groups and populat …