University of New England ABSN Student

Category: EBP 1 Posts

Final Paper with Brief Overview

This paper looks at the influence that combined oral contraceptives (COCs) have on the formation of venous thromboembolism (VTE). Three scholarly articles were examined for any clinical significance regarding the relationship between VTEs and the use of COCs. The purpose of this paper was for four nursing students to gain a better insight on the relationship so we can provide more efficient care to our patients. This paper was used as a tool for learning more about the types of oral contraceptives and their effects on women’s vascular system. 

Final Reflection

Writing this essay taught me a lot throughout the semester. I’ve never done a project like this before and wasn’t sure what to expect. I’m glad I ended up working with a great group. Right away we all laid out our expectations and formulated a plan as to what we were going to write about. Fortunately, we all worked together very well so we didn’t have many bumps in the road. I’ve never worked on a group assignment where the whole group worked together as much. We had realized that to be most successful we had to do major parts together such as constructing the drafts and final essay. I think that doing group work like this helped me professionally in the nursing field because it taught me group skills that I can transfer over to working as a nurse. I learned that during times of difficulties I should speak up and tell my group members as to how I’m feeling. There were times where I had a hard time understanding the texts of the articles and my teammates did great with taking the time to pause and to help me. It made the process go much smoother and allowed us to move much faster in our progress. Through my clinical experiences, I’ve learned just how important teamwork is. I’m fortunate that both what I’m learning in the clinical field and in the class room are helping me to become a better nurse. 

Appraisal and Synthesis

Before starting our research, I knew that birth control was correlated with the formation of blood clots but I was unsure as to why or how. As 4 women in this class, we chose this topic because we felt like it effected all of us. When we began to dive into our PICOT question, looking at the research, we discovered that there was much about birth control that we didn’t know. Our research has thought us that the use of combined oral contraceptives increases someone’s risk in developing blood clots. This risk though is effected by what hormones are used, how many, pregnancy, and any history of developing clots (MI, stroke, PE). I guess I could say that my appraisal and synthesis has changed by assumptions, but I didn’t have many assumptions to begin with. I feel like my assumption is just reinforced. Through my appraisal and synthesis, I feel like I’ve learned a lot regarding hormonal birth control and it will positively impact my future role as a nurse. I can now educate patients more effectively about the negative effects of birth control. Specifically, I can provide better teaching for those with a history of blood clots, educating them on risks and which birth controls have the lowest risk. My team members and I have reached the same conclusion I believe. I say this based off our conversations about the topic and our new understanding of it. Team SeaDogs has worked well together so far. The biggest issue I’ve seen is finding the time and place to meet up together. Half the group lives in Portland, with one member not driving, another in Biddeford, and I live in Auburn. I’ve found that not having class during our schedule time helps with this as we all have that block of time free. Another challenge that we have faced is fully understanding what the assignment is asking of us. Some are stronger writers than others, so sometimes it takes us a moment to make sure we are all on the same page with an assignment. 

Planning the Journey

For our topic, my group has decided to focus on how women ages 15-30 risks for developing blood clots are effected by their usage of either birth control pills or non-hormonal IUDs. So far, we have a good team dynamic of coming together to get the work done. We plan on meeting either between classes or during the schedule time for our EBP class. We will hold one another accountable by asking one’s thoughts and contributions for this paper. We will choose dates and times that allows everyone to attend that way no one person is doing more work than another. If a team member isn’t participating as much as they should then I think our communication skills are good enough with one another that we can discuss why that person isn’t doing as much as they should. Since we have already picked a topic that is an interest for us all I don’t see a major disagreement coming up but if one does then we will use a democratic approach to solve it. A benefit about working as a team is the variety of perspectives that will be coming into forming this paper. Just in our discussion about our topic so many different questions arise that we wanted to look further into. A barrier that we might encounter would be the lack of literature on our topic. 

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