Identify one or more clinical foreground questions that, if posed, would be addressed by this study. Which PICOT components do your questions capture?
Anger and anxiety have been noted as significant influences in the levels of blood pressure in children. However, as within the results of this study in which the RNs studied a group of 264 students between the third and sixth grade, the indication is that anger control is a determinant for BP levels in children but anxiety does not indicate any statistically significant influence (Howell, Rice, Carmon & Hauber, 2007). In essence, for children with appropriate anger management skills, they have a lower risk of elevated diastolic pressure and hence normal BP even in situations that elicit anger. This cuts across girls and boys and there was significant impact on the systolic levels (Howell, Rice, Carmon & Hauber, 2007). In this case, the research can be utilized to answer the clinical question “For children between third grade and sixth grade (P), does early training and counseling on anger management skills (I) as compared to lack of it (C) help in minimizing the risk of elevated diastolic levels as a marker for blood pressure (O)?
Further, the research can be used to answer the following clinical questions;
Are girls more likely than boys to express anger than manifest it if subjected to similar conditions that elicit such reactions?
Does anxiety as an independent entity cause elevations in diastolic levels as a marker for blood pressure?
How, if at all, might evidence from this study be used in an evidence based practice (EBP) project (individual or organizational)?
In this study, the researchers sought to determine how the experiences of a previous traumatic birth and how they influence subsequent births. Apparently, the study results posit that the experiences of a previous traumatic birth can have a re-traumatizing or healing effect on the mother. These results provide a view point that the ability or lack of it in managing the experiences of a traumatic birth has a significant influence on how mothers approach the subsequent births (Beck & Watson, 2010). Professional management of the traumatic experiences for mothers in the event of a traumatic birth can help bring a healing effect so that the mother approaches the subsequent birth without necessarily conceiving ideas of a probability of such traumatic experience again. In this case, nurses have to play a proactive role in helping mothers who have experienced traumatic births in the past. Follow up programs should be designed to educate, counsel and help these mothers overcome the psychological experience so as this does not transit to a subsequent birth (Beck & Watson, 2010).
References
Beck, C. T., & Watson, S. (2010). Subsequent childbirth after a previous traumatic birth. Nursing research, 59(4), 241-249.
Howell, C. C., Rice, M. H., Carmon, M., & Hauber, R. P. (2007). The relationships among anxiety, anger, and blood pressure in children. Applied Nursing Research, 20(1), 17-23.
