Literature Review Section of the EBP Project Proposal

You will write your Literature Review Section of your EBP Project Proposal. Here is a Review of Literature Example (Word) (See Attachment to use as a model or guide). To conduct your literature review, you begin with the search strategy, gather your resources, then start writing your literature review and gap analysis.

Search Strategy

In the literature review section, you are to identify your search strategy, which can include the following:

– the databases and internet sites or search engines used to explore the literature (CINAHL, Medline, Google, Yahoo, etc.)

– the search terms you used

– the beginning and ending dates of the period covered in this study

– the time period when the search was conducted (e.g., Fall 2008)

– any special journals hand-searched and any relevant sources used in performing the literature search

Description of Literature or Gaps in the Literature

The literature review section is a review of studies that are related to your phenomenon. It should take up about eight to ten pages. The purpose is to tell the reader what is known about your phenomenon and lead the reader to what is not known about your phenomenon (your research problem). You should have sub-headings throughout this section of the paper.

The literature section discusses the relevant research related to your study. Do not discuss each study individually; instead, synthesize the literature based on your literature matrix. You can discuss individual findings of studies (include all eight studies that you described in your literature matrix in Weeks #4 (See attachment with 2 studies from week #4) and include the one you are creating this week with the other 6 studies) as appropriate including the statistical findings and study samples. This section needs to tell the reader what is known about your clinical area of interest. (My clinical area of interest: Behavioral / Mental Health. You will also summarize your review of the literature and discuss the gaps you have identified.

Assignment Instructions

Your assignment should be:

– Eight to ten pages, no cover page required, and the page count doesn’t include the references list.

– Your search strategy

– Description of articles (who, population, sample, what was done, statistical findings, limitations, and so on)

– Gaps section: the gaps you have identified from your literature search.

– FREE OF PLAGIARISM (TURNITIN ASSIGNMENT)

Week 9 Review of Literature Example

Written by Jennifer Oddy, Entitled: Distress And Coping of Mothers of Children With Muscular Dystrophy

Introduction

The purpose of this literature review is to discuss the current knowledge regarding experiences of mothers who care for their child with muscular dystrophy, their coping mechanisms, and to understand their lived experiences in order to provide better nursing care to these mothers. Not only will the current knowledge be addressed, this literature review will also speak to what is unknown about this phenomenon. The concepts of maternal stress/well-being, adjustment, anxiety, and coping will all be addressed as common themes emerging from the data.

The research question for this study is: What are the lived experiences of mothers who care for their child with muscular dystrophy?

The search for literature took place in the spring of 2015, which was completed using EBSCOhost to search 17 online databases through the Regis College Library. Google Scholar was also used, which brought up articles from PubMed that have been utilized. Eight peer- reviewed research journal articles were obtained and scrutinized for the purpose of this review of literature and the literature matrix (Appendix B). Search terms included: children, chronic disease, mother, distress, coping, muscular dystrophy, maternal experience, stress, and adjustment. To ensure the most relevant literature was cited, the majority of the articles were from 2007-2013. One article was from 2003, two from 2005, and the remaining five articles were between 2007 and 2013. The older articles were included for the purpose of their significance to the subject matter. However, this gap in literature provides evidence that there is need for further research regarding the lived experiences of mothers who care for their child with muscular dystrophy.

This review of literature will include empirical and theoretical sections, as well as a brief description of how the researcher arrived at this topic of interest. In the empirical literature section, the literature from eight peer-reviewed journals will be synthesized. Individual findings from certain articles will be cited in order to provide details about the experiences of mothers caring for their child with muscular dystrophy. These experiences will then be related to the discipline of psychology, demonstrating the importance of a multi-disciplinary approach. The empirical literature will be concluded with the gap in literature and why there is a need to further investigate this topic. These topics are all used to form the following sub-headings: overview, lifestyle as a contributor to maternal stress and well-being, difficulty adjusting, anxiety directly relates to quality of life, the struggles of coping, maternal stress related to other disciplines, a summary, and the gaps in literature. The purpose of these sub-headings is to organize the empirical literature section.

Empirical Literature Overview. There have been a number of research articles that delve into the experiences of mothers who care for their child with muscular dystrophy. The Literature Matrix (Appendix B) is an overview of eight research articles that studied the experiences and lifestyle of these women. Two research articles were literature reviews and six were experimental studies. One study used a conceptual model to guide the research, which will be presented in the theoretical section of this literature review.

Children and families who are faced with the stress of having a child with muscular dystrophy must adapt to physical, emotional, social, and financial challenges. The increase in every-day caregiving requirements, lifestyle, the disease complexities, and family dynamics can influence long-term health outcomes (Barlow & Ellard, 2005). In addition, the financial status and interactions of the child and/or family with their environment can be severely impacted (Brown et al., 2007). Through this review of literature from the eight articles, four emerging themes became evident: the lifestyle associated with having a child with muscular dystrophy affects maternal stress and well-being; mothers experience difficulty adjusting; maternal anxiety is directly related to quality of life; and the struggles with the experience of coping. This empirical research section will use the themes to organize the literature, followed by a brief section about maternal distress relating to other disciplines, as well as the gap in the current literature.

Lifestyle as a contributor to maternal stress and well-being. While both mothers and fathers may have worries about maintaining family function when caring for a child with muscular dystrophy, typically the mother herself is identified as the primary caregiver (Brown et al., 2008). This is described as “carrying the burden,” since the mothers are the individuals following through with doctor appointments, monitoring the child’s status, administering medications/treatments, all in addition to feeding the rest of the family and cleaning the home (Brown, et al. 2008). This places a large stressor on the mother, who may be so concerned about everyone else’s well-being, that she may not have time for her own. The literature has shown that the lifestyle of having a child with muscular dystrophy can severely impact maternal well-being (Barlow & Ellard, 2005).

Carroll, Gallagher, and Phillips (2010) conducted a descriptive comparative study regarding the psychosocial predictors of sleep quality in parents caring for a child with a chronic disease. The researchers used convenience sampling to obtain 67 parents of children with developmental disabilities to compare to 42 parents of typically-developing children. The results of the study identified sleep quality as an important aspect of well-being and strongly related it to overall quality of life. There is reasonable consensus across the literature that problematic and challenging behaviors are a main source of stress for parents of children with a chronic disease (Carroll et al., 2010). Having a child with muscular dystrophy may invoke a state of stress in mothers. Unfortunately, stress has been found to be the strongest predictor of poor sleep quality (β =.45, t = 4.17, p <.001) and accounted for 30% of the variation in sleep quality among mothers who care for a child with a chronic disease. Knowing this, it is no surprise that parents of children with chronic disease report poorer sleep quality than parents who do not face this burden. In addition, the majority of these parents met the “poor sleepers” criterion. While sleep is something that most people take for granted, it is an important part of well-being that can be altered in impeding circumstances such as having a child with muscular dystrophy (Carroll et al., 2010).

Another descriptive comparative research study conducted by Nereo, Fee, and Hinton (2003), was aimed at examining parental stress in mothers of boys with muscular dystrophy (MD). The sample was done by consecutive and convenience sampling, and consisted of 112 mothers of boys with MD, 800 mothers of healthy children, 28 mothers of children with cerebral palsy, and 46 siblings of boys with MD. The results demonstrated that stress related to child behavior was higher in the MD group (23.98) than the normative group (18.7). The mean MD parent-child dysfunctional interaction score was also much great in the MD group (M=23.98) than the normative sample (M=18.7). Lastly, the mean MD difficult child score (M=30.64) was greater than the…

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