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Tuesday, 12 April 2016

Why does teen pregnancy and sexually transmitted diseases remain high in the U.S. 2.. What can healthcare providers do that decrease the rate of teen pregnancy and STD’s in the US?

Why does teen pregnancy and sexually transmitted diseases remain high in the U.S.
What can  healthcare providers do that decrease the rate of teen pregnancy and STD’s in the US?
* These questions should be researched and incorporated in the body of the paper and answered.
This is my introduction already done.
Adolescent Sex
Teen pregnancy and sexually transmitted diseases continue to be an important healthcare issue in the 20thcentury.  Although teen pregnancy rates have dropped there are still concerns and healthcare problems that are associated with teen pregnancy.   Often times they are afraid to discuss sex with their parents and deny will deny being sexually active at all.  There are problems that manifest with adolescent pregnancy for the mother and often times the infants as well.  The high school drop out rate among pregnant high school students is approximated at about 70 percent and is cited as the number reason teens drop out prior to graduation.  There is also an estimated $7 billion revenue cost associated with teen pregnancy in the United States alone. [KD2] The risk of young people engaging in early sexual intercourse is largely due to the lack of sexual education, peer pressure and social influences. 
Chlamydial infection, gonorrhea, HIV/AIDS, primary and secondary syphilis, and hepatitis B virus infection are amid the highest reported STDs with chlamydia noted as the most dominate which is likely due to the fact that there is more vigorous testing.  Some of the other noted STDs are genital herpes, trichomoniasis, Chancroid, and HPV.  Often times and without any signs or symptoms present more than one pathogen is involved with sexually transmitted diseases. Typically the only environments in which there remain viable pathogens is the bodily fluids from the genitourinary tract requiring there to be intimate contact for them to be acquired.
Although it affects men and women chlamydia is predominately seen in young women and is the most common nationally known sexually transmitted disease in the U.S.  Bodily fluids from the genitourinary tract are typically the environments in which there remain viable pathogens, so intimate contact is generally required to obtain STDs.  Chlamydia infections are asymptomatic in most women and can be transmitted during childbirth with thepotential of a newborn developing pneumonia as a complication.  If it is not treated chlamydia can spread to the uterus and fallopian tube creating further health problems and permanent damage to the reproductive system.
Teaching abstinence is the most affective way to prevent pregnancy and STDs but sexuality and curiosity of sex begins at a young age and exploration into sexuality is a natural part of personal development.  I feel it is our[KD3] role and responsibility as healthcare providers to provide adolescents and teens with the information and risk factors involved with having sex.  They need to be educated on contraceptives, pregnancy and STD prevention.
There is an urgent need for programs that adequately addresses the impacts of peer groups, social norms and the influences they have on an adolescents decision about having sex (Kalmuss, Davidson, Cohall, Laraque, & Cassell, 2011).  Evidence from the literature indicates that engaging in a comprehensive sex education which teaches both abstinence and contraception could lead to delayed initiation of and frequency of sex, a decrease in the number of partners and an increase in the use of contraception which may also lead to a reduction of adolescent and teen pregnancy (Basch, 2011).Providing such knowledge about pregnancy, sex, contraceptive use and STD will also provide a foundation and direction in making responsible choices.

2.  Building on what you wrote in Part 1 last week, locate, read, and write about the research and findings in two articles about your topic. These articles should have been published in the past two years in refereed nursing journals. Your paper should analyze, compare, and contrast the authors' hypotheses, methods, and findings. In addition, you need to make revisions to Part 1 based on the feedback from your instructor, your readings, and/or discussions in class.

  • Part 3: Synthesis of literature and proposal
  • Part 4: Editing as needed and submission of the completed paper
For Part 3 of the research review paper, you will do a synthesis of the literature and create a research proposal.
Before you begin, review the overall assignment instructions from Weeks 1 and 2. Revise Parts 1 and 2 of your paper, as needed, on the basis of instructor feedback, new knowledge acquired in class, or discussion questions and/or additional readings.
Part 3 will probably be the most challenging part of the assignment, so allow yourself plenty of time to think about what you've read and develop an argument for further research. Using the knowledge gained from work on Parts 1 and 2, identify one research question that has not been investigated previously or that you would address in a different way than you've read about so far. This is sometimes known as gap analysis, in that you are looking for a gap in the existing body of knowledge where new research would contribute to an understanding of the issue in a way that could improve clinical practice for the nurse practitioner and improve patient outcomes.
Your research question must be clearly related to Parts 1 and 2. Be sure to state this clearly as a research question. Explain why you think this is a gap in existing research (relate directly to published research), its clinical relevance (why you think your specific research question is an important area to explore), and your ideas about research design (how you would conduct research to investigate it). Include a discussion of whether your question would lend itself to a quantitative, qualitative, or mixed design; why; and how you might be able to acquire participants for the study.

APA style with research less than 2 years old.

 Revison of 1st part with the questions inside the introduction and the litature research due by Tuesday at 9pm


Incorporated and resubmitted revisions to Part 1 with Part 2.
Selected articles appropriate to the topic identified in Part 1 and as per the criteria defined in the assignment.
Ensured the paper summarizes selected authors' hypotheses, methods, and findings.
Ensured the paper follows APA format and is written creatively in the student's own words.
 Research part:
Clearly discussed the clinical significance.
Accurately summarized prior research.
Clearly defined the gap in research leading to your proposed research question.
Clearly stated your research question.
Ensured that your suggestions for methods are rational, doable, and appropriate for the proposed question.
Ensured that the paper is well organized and well written and demonstrates significant development in your ability to think and write from initial submission. Properly followed APA format.

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