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Assessment 1 (2000 words)
• Please read the background information below. When you have read the background information, you can proceed to the questions on the Assessment Template. These questions relate to the background information.
• You will need to apply the knowledge that you have gained from Topics 1-4 to complete these questions.
• The marks allocated to each question are stated next to the question.
• The word count is stated next to each question. Note that when the word count says ‘equivalent’ it means that you do not need to have that exact number of words to answer the question – just provide as much detail as required to answer the question.
• You are advised to frequently refer to the Assessment Feedback Sheet to guide you on what characteristics of a response constitute an F2, F1, P2, P1, C, D, and HD grade.
• As with all academic work, if you refer to the work of others to support your responses, you must reference this information using the UniSA Harvard Reference System. You do not need to reference the articles listed in the Tables in Question 5 but if any other sources are used, these should be referenced.
1. Read the background information and view the weblink.
2. After reading the background section, complete Questions 1-4.
3. For Question 5, read the two journal articles provided.
4. For each of the journal articles, complete the information sections in the relevant table in Question
5. Complete the discussion section in Question 6.
Background: Immunisation – Health beliefs
*Nursing students: You are working as a registered nurse in a GP Practice and one of your roles is to promote immunisation for children (this may be the MMR or other recommended immunisations). You have had a few parents refuse vaccinations for their children and this concerns you as you believe that this may leave the child and communities vulnerable to outbreaks of serious diseases.
*Midwifery students: You are working as a midwife in an antenatal clinic. One of your roles is to promote vaccination against pertussis (whooping cough) for pregnant women. You have had a few pregnant women decline vaccination. This concerns you as you know that if the pregnant woman is immune to pertussis that passive immunity is passed to her unborn baby to protect them against pertussis when they are newborn until they can be immunised themselves
You do not think that parents/pregnant women would deliberately expose their children/baby/themselves to the risk of serious disease unless they were guided by a belief that immunisation was not safe. You are vaguely aware via media reports that there is an anti-vaccine movement, and you want a quick overview of what it is all about. As most of us would do, you consult Google, and you find the following information. Read the information below:
The History of Vaccines: History of the anti-vaccination movement
The College of Physicians of Philadelphia (2017)
As you want to have an informed discussion with the parents/pregnant women you are working with, you decide to examine the available research. You are aware that both qualitative and quantitative evidence inform evidence based practice, so you may choose either approach (or both). For instance, you may investigate the evidence around the safety of vaccination or you may explore why parents/pregnant women are concerned about immunisation.
*Please do not include this page of background information when you submit the assessment template to learnonline.
Assessment 1 Template
*Equivalent means that your responses may not equate exactly to the number of words that you have written. As the format for this assessment is a template an approximate word count is given that reflects the work required to complete the template. Suggested word counts may be given in the template to guide you in how much detail is required in your response. The template word count is not included in your word count. The template itself (without the background) equates to approximately 900 words. You will note an elevated similarity percentage when this is submitted via TurnItIn because of the template. Your lecturers/tutors are aware of this.
Questions 1-4 (25 marks – 500 word equivalent)
Question 1a. From the background information provided above relating to immunisation, develop a researchable question. Type the question below:
Question 1b: Identify the elements of (words relating to) PICO or PICo in the research question that you have formulated (delete irrelevant table)
Question 2a. What type of research methodology do you think should be used to answer the research question that you have formulated?
Question 2b. Justify why this methodology was chosen to answer the question (Approx 150 words, reference as per UniSA Harvard Referencing System)
Question 3: Name one (1) suitable health academic database for the above formulated research question, and develop a search plan that will assist in finding relevant studies for the research question. You will need to identify a search term and synonym, and explain how you will combine them using Boolean Operators. You may like to include truncations and wildcards to improve your strategy.
Search plan:
Question 4a. Find a research study (either primary or secondary) that answers your research question, and provide its details in the table below
Citation [please paste the full citation in UniSA Harvard Reference Style in the right column]
URL [please paste the URL of the study in the right column to allow markers to locate the study]
Question 4b. First, explain why the research study chosen answers the research question that you have formulated in Question 1a. Second, rate the level of evidence (LoE) of the chosen study by referring to a suitable Levels of Evidence system (e.g. the NHMRC levels of evidence table). (Approx 150 words, reference as per UniSA Harvard Referencing System)

Question 5 (25 marks - 500 word equivalent)
Complete the template below by providing the requested information relating to some of the specific components of the research articles listed. IBNU students only need to complete the two articles that are for ‘IBNU students only’ and IMBW students only need to complete the two articles that are for ‘IBMW students only’.
Table 1.
**Journal articles available in the Assessment folder on the Learnonline site
IBNU students only:
IBMW students only: Li-Kim-Moy, J, Yin, J, Heron, L, Leask, J, Lambert, S, Nissen, M, Sloots, T & Booy, R, 2017. ‘Influenza vaccine efficacy in young children attending childcare: A randomised controlled trial’. Journal of paediatrics and child health, vol. 53, no.1, pp.47-54.
McMillan, M, Clarke, M, Parrella, A, Fell, D, Amirthalingam, G & Marshall, H, 2017. ‘Safety of tetanus, diphtheria, and pertussis vaccination during pregnancy’. Obstetrics & Gynecology, vol. 129, no. 3, pp.560-573.
Study design/methodology (e.g.: meta-analysis, systematic review, cohort, RCT, ethnography, phenomenology, etc)
Research problem

Research question or aim
Inclusion/exclusion criteria
Search strategy/data collection (how was the study set up and implemented; what intervention was used)
Results (main findings)
Table 2.
IBNU students only
IBMW students only: Enkel, S, Attwell, K, Snelling, T & Christian, H, 2018. ‘Hesitant compliers’: Qualitative analysis of concerned fully-vaccinating parents’. Vaccine, vol. 36, no. 44, pp.6459-6463.
O'Shea, A, Cleary, B, McEntee, E, Barrett, T, O'Carroll, A, Drew, R & O'Reilly, F, 2018. ‘To vaccinate or not to vaccinate? Women’s perception of vaccination in pregnancy: a qualitative study’. BJGP open, vol. 2, no. 2, pp1-8.
Study design/methodology (e.g.: meta-analysis, systematic review, cohort, RCT, ethnography, phenomenology, etc)
Research problem

Research question or aims
Study population (how many participants, age, gender, disease, etc)
Data collection method
(how information was collected )
Data analysis
Results (main findings/themes)
Question 6 – (1000 words/45 marks)
Discuss the reasons why the studies above would or would not be helpful in enabling a nurse/midwife to have an informed discussion with parents/a pregnant woman about immunisation for their children/themselves.
You may like to include:
• The relative value of qualitative and quantitative research in clinical practice generally.
• The results of the specific studies (Q 5), and the relative value of the studies to a discussion with parents/a pregnant woman (include LOE etc.)
• Further information that may be useful in an informed discussion with parents/a pregnant woman about immunisation for their children/ themselves.
*5 marks will be given for writing, presentation and correct use of Harvard UniSA referencing for all responses in the template as per the assessment feedback sheet.

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