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8 pages/≈2200 words
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Health, Medicine, Nursing
Research Paper
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Evidence-Based Clinical Question Search (Research Paper Sample)


Evidence-Based Clinical Question Search Assignment
The purpose of this paper is to give you a practical application to implement the PICOT idea, supported by the evidence-based research have obtained in during the systematic review. You will apply evidence-based research findings, discovered from the clinical question, and then integrate those to support your suggested change in nursing practice.
Identify your refined PICOT question.
Using PubMed and the Cochrane collaboration database, do a systematic review of your clinical question.
Describe your systematic review and include an errors analysis.
Determine an evidence-based quantitative article from the search that contains an evidence-based randomized control trial.
Summarize the case study selected.
Describe the study approach, sample size, and the population studied.
Apply the evidence from this review to your practice specifically in your overview.
Evaluate the outcomes, identifying the validity and reliability.
Discuss if the study contained any bias.
Determine the level of evidence identified in the review.
New articles search needed, By Using PubMed and the Cochrane collaboration database and doing the systematic review is very important. an evidence-based quantitative article from the search that contains an evidence-based randomized control trial.
Please review the clinical question PICOT in the power point presentation as followings. Also, you can make any changes it may need.
P- Among healthy newborn infants and mothers in low- and middle-income countries
I- Does early initial breastfeeding in the first hour of life without delay
C- Compared with delay breastfeeding shortly after delivery and/or formula feeding,
O- Have an impact on benefits, positive behavioral and psychological outcomes in neonates and mothers,
T- From birth to 6 months of life


Early and Delayed Breastfeeding:
Effects in Infants, Mothers, and Society
Breastfeeding is the act of feeding an infant with milk from a woman’s breast and that same milk coming out from the mother is known to be the most nutritious food a child can get for the first six months of his or her life. Unfortunately, not all children are blessed to breastfeed from their mothers.
The aim of this paper is for the author to apply and implement their PICOT idea based on sought-out evidence based research done in the systematic review. Evidence-based research findings derived from clinical inquiries will be integrated to support the author’s suggested necessary changes in nursing practice.
Overview of the Clinical Question
There are several benefits of breastfeeding to the newborns, mothers, and society. These are classified further into:
Impact on babies:
Breast milk had evolved into the provider of the most optimal nutrition, internal and external body protection, and regulator of an infant’s development, growth, and metabolism. Breast milk also acts as a core component in compensating for delays in developmental growth in immune functions seen in neonates and is responsible for the reduction of intestine permeability in preparation for extra-uterine life (Dieterich et. al., 2013).
* Due to the binding of secretory IgA (sIgA), an antibody predominantly found in breast milk, in the gastrointestinal tract which prevents the penetration of pathogens and restricts the phagocytosis and/or cytotoxicity activities of pathogens. This activity of the sIgA provides temporal and ubiquitous immunoprotection (Dieterich et. a., 2013).
* Other involved microbiomes found in the gut are a result of breastfeeding and these microbiomes protect the neonate from harmful bacteria specifically linked with reduction in asthma and obesity in children. To further elaborate, these microbiomes are due to the interaction of oligosaccharides and the breast milk’s microbiota (Dieterich et. a., 2013).
* Additional function of microbiomes’ function includes regulation of genes expression of deposition and metabolism of fat (Dieterich et. a., 2013).
* Because of the hormones, growth factors, and neuropeptides found in breast milk, an infant’s development, growth, and regulation in intake of food were said to be affected which is why in the study of Dieterich et. al., they discussed that there is discrepancy found between breastfed and formula-fed babies (Dieterich et. al., 2013).
* Based on Dieterich et. al.’s study, it was said that because of the PROBIT experimental design, strong evidences of infants who were breastfed for six months had higher IQ scores and is further supported by the study of Binns et. al., 2016.
* Breastfed who were not breastfed or had a delay in breastfeeding was said to be at higher risk of contracting SIDS or Sudden Infant Death Syndrome. This association cannot be stated to be statistically strong; however, according to the American Academy of Pediatrics, breastfeeding is highly recommended to decrease the risk of SIDS (Dieterich et. al., 2013).
Impact on mothers:
* For mothers, they exhibit easier post-pregnancy weight loss in comparison with mothers who do not breastfeed.
* Lactation amenorrhea is also experienced by the mother wherein they temporarily experience contraceptive methods due to production of milk (lactating) and not having menstrual period (amenorrhea).
* Mothers who breastfeed tend to decrease their chances of contracting different forms of cancer such as breast, reproductive, and ovarian cancers. They also lower their risks in having typ...

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