Response

Peer response:

Follow the 3 x 3 rule: minimum three paragraphs per DQ, with a minimum of three sentences each paragraph.

· All answers or discussions comments submitted must be in APA format according to Publication Manual American Psychological Association (APA) (7th ed.)

· Minimum of two references for each question, not older than 2015.

Erich

DQ1. Most research problems can be solved either through quantitative or qualitative research design. However, using both quantitative and qualitative data is also possible through mixed methods research design. A mixed methods research can combine elements from either of the two methods. There are many uses of this type of design such as in complex research (Taguchi, 2018)

Using a mixed-method can be necessary if both types of data are essential in finding out the message. Using triangulation is one of the ways that mixed-method design can ensure validity. This process allows the ability to gather different but similar information that allows a better interpretation of the problem. It is important to gather data that is credible. Being able to ensure the research completed is feasible would require that the main intervention studied be specific and discrete aspects of an emerging intervention or the anticipated trial (Morgan, 2019).

It is also important to address the importance of why both quantitative and qualitative methods are needed to answer the research problem. Mixed research can be a great tool in finding answers but it should be used if the question deems it necessary. Conflicting data could compromise the results and this method should be consistent in gathering data (Cohen et al., 2019).

Erich

DQ2. Nursing interventions involve a distinctive process that involves developing, implementing, testing and disseminating. This can be applied in many different ways especially in nursing experience. There are not many ways to assess real world clinical settings but we can implement to achieve a better understanding (Polit, 2017)

There are various intervention theories I could take into my clinical experience. In intervention development, I would be able to conceptualize the issue at hand and be able to understand why current practices are not enough. Evidence-based research is at the basis of finding out the best methods of interventions. This allows for solutions, strategies, and outcomes (Polit, 2017).

The cultivation of relationships is another key intervention development I will use in my clinical experience. This could include listening with care and being able to engage. This skill is necessary to be able to implement effective change (Perry et al., 2019). This could lead to other activities such as being able to collaborate with colleagues.

Erich

DQ3. For this patient this documentation indicates several different issues upon examination of the genitalia. The urethral opening of a newborn is examined to check on the flow of urine and to see if it is being blocked or in the right place. This is to prevent Not only UTI’s but to prevent damage to kidneys and bladder. The dorsal location of the urethral opening indicates hypospadias (McInerny et al., 2016).

The documentation of the undescended testicle indicates cryptorchidism. The hernia could be an indirect issue of the undescended testicle. The opening of the abdomen although small indicates gastroschisis (McInerny et al., 2016).

The major issues that will need to be addressed are the gastroschisis as it will require surgery. The other issues are also of importance to discuss as also the hypospadias will require surgery and the hernia could possibly require surgery (Hammer & McPhee, 2018)

Erich

DQ4. My concerns for this child are that of malnutrition and depression. The potbelly could indicate kwashiorkor. This is a symptom of malnutrition and shows extreme deficiency in dietary proteins over a long period of time (Norris,2018).

If the child is being passive it can be due to them prefer being alone and have lower levels of engagement (Norris, 2018). Although the parents have not shown interests or been proactive in the health of their child, knowledge about the child and medical history is necessary. Therefore, communication is vital. Phone calls would be my main approach to trying to communicate with the parents.

If this approach fails, it would be necessary to seek what is best for the child’s welfare as they have signs of neglect. As a caregiver it is often by law that I must report this abuse and would notify my superior with my concerns. Nurses fall under mandated reporters and this comes with the responsibility of gathering evidence and facts as well as reporting neglect (Giardino & Giardino, 2015).