Child, Adolescent and Family Nursing

Child, Adolescent and Family Nursing
Child, Adolescent and Family Nursing

Child, Adolescent and Family Nursing

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Thank you so much for helping for this assignment. Please have a look and try to make a good essay so I can get the good marks.

Essay Part B

NRSG 257 Child, Adolescent and Family Nursing

Critical Evaluation of Artefacts for one of the following essay topics


Evaluate the psychosocial effects of living with asthma in relation to nursing care of the primary school aged child. Discuss how this information will guide evidence based Australian nursing practice.

In part A I submitted the list of artifacts and their screenshot and why you think those artifacts are good for your critical evaluation. Which i submitted 17/08/2015

Part B (Now we have to concentrate on this part please)

The essay is aimed at critically evaluating the content of the artefacts in the portfolio and the importance of using and evaluating evidence-based artefacts, when caring for children, adolescents and their families in relation to current Australian nursing practice. This should include the following;

• Demonstration of what learning was achieved through the content of the artefacts selected for the portfolio relevant to the chosen essay topic.

• Evaluation of evidence and value of the information or message within the chosen artefacts. The essay will demonstrate the ability to critically evaluate the research contained in the artefact portfolio. This will be undertaken whilst discussing the importance/value of the evidence-base for future nursing practice.

• This assessment task will allow students to demonstrate their critical thinking and reasoning, as well as their research skills. Students will also demonstrate how evidence based information can be implemented into contemporary Australian Nursing practice.

I am going to include list of artefacts which I used for Assignment part (A). Please have a look

Please include the following questions in given essay

• What are the strength of each artefact?

• What are the weakness of each artefacts?

• What are the limitation of each artefacts?

• How these artefacts can relate to evidence based learning?

• How these artefacts will work for Australian nursing perspectives?

Dear sir, you can use other supportive article’s references to support the essay.

1. APA Referencing

2. At least 25 genuine references from 2010 to 2015 study based,

3. 90 % references has to be research based Journal article

4. Australian and New Zealand based study article preferable.

5. Please have a look Rubric guideline for given topic, I need good grades in this assignment so please do me a favour and try to make a good essay

If you need any other information, please let me know

Thank you so much for you help and support.



Family Nursing

Australian Institute of Health and Welfare (2011) summarised various aspects concerning asthma in Australia. The strengths of the artefact include its coverage of a broad scope of aspects that are of interest to the study topic. The artefact gives factual information including the prevalence of asthma in children (Saini, Krass, Smith, Bosnic-Anticevich, & Armour, 2011, Pg. 190). It also highlights the impacts of asthma from varied viewpoints. Weaknesses of the artefact include its focus on basic concepts regarding asthma, but failure to highlight treatment and management concepts of the disease (Katelaris, Sacks, & Theron, 2013, Pg. 507). It also has limitations such as its failure to identify the impacts of the disease from a psychosocial perspective. Nevertheless, the artefact gives important information that could propel epidemiologic studies that would in turn facilitate evidence-based practice (Lim, Kobzik, & Dahl, 2010). Indication of a high prevalence of the disease in Australia would motivate stakeholders to take necessary measures for countering the occurrence (Gibbs, 2015; Pal, Dahal, & Pal, 2009; Rosenkranz, Rosenkranz, & Neessen, 2012). The item offers information that is relevant to nursing practice in Australia. Nurses would understand that the Australian population has a higher predisposition to asthma, and they would need to offer intensive patient education to promote the health of their community (Goeman, Abramson, McCarthy, Zubrinich, & Douglass, 2013). The artefact also describes financial expenditures directed to asthma management. Such data gives nurses a rich background concerning the financial impacts of the disease on the Australian population.

Blanchard, Morris, Birrell, Stephens-Reicher, Third, & Burns, (2014) examined the young population in Australia for asthma. The researchers noted that asthma had undesirable impacts on the quality of life that people led. They indicated that asthma has negative impacts on patients from psychological social and developmental perspectives (Kozyrskyj, Kendall, Jacoby, Sly, & Zubrick, 2010, Pg. 540). The strengths of the artefact include its comprehensive reporting of the scientifically-conducted research. The article gives high-level evidence concerning psychosocial impacts of asthma on the lives of patients. In their methodology, the investigators offered respondents an opportunity to point out concerns that affected their well-being (Blanchard et al., 2014, Pg. 6). The practice was advantageous as it resulted in first-hand data concerning psychosocial impacts of asthma. However, some aspects of the study reported in the artefact present weaknesses and limitations. For instance, the researchers used pre-validated instruments of measuring the impacts of asthma on the quality of the lives of patients (Blanchard et al., 2014, Pg. 14). The survey is also limited in that it addresses people of ages between twelve and twenty-five years, a group that does not coincide with the school-age children. The study offered recommendations whose implementation would promote evidence-based practice. It described a need for practice that purposes to facilitate the education of populations concerning asthma and its impacts on people’s lives. The study sought to influence nursing practice by recommending that the practitioners in health care undertake more education regarding the managements and handling of asthma patients (Evers, Jones, Iverson, & Caputi, 2013).

National Asthma Council Australia (2015) defined and described the diagnoses of asthma in children (National Asthma Council Australia, 2015, Pg. 8). The handbook also explained the difficulties encountered when diagnosing asthma in juveniles (Potter, 2010, Pg. 1). The strengths of the artefact include a high level of the credibility of its results. It was sourced from a government agency, and it offers detailed and specific principles concerning asthma. The handbook offers a clear distinction between concepts of asthma that present in children and the ones that occur in adults (Martel, Malo, Perreault, & Beauchesne, 2009, Pg. 197; The Cancer Council, 2015). It also explained how various psychosocial factors influence the management of asthma in patients (National Asthma Council Australia, 2015, Pg. 41). The handbook also identifies psychosocial factors that trigger the occurrence of asthma (Suglia, Chambers, Rosario, & Duarte, 2011; The Australasian Society of Clinical Immunology and Allergy (ASCIA), 2014). Its weakness is that it dwells solely on practice and, it does not include investigative work. Therefore, the handbook is limited to practice, and it does not offer much of research. The artefact applies to evidence-based practice as it gives standardised guidelines concerning the management of asthma in pediatrics. It is a handy tool for nursing practice as it offers guidelines on various management practices for patients with asthma (Baiardini, Braido, Bonini, Compalati, Canonica, 2009, Pg. 230).

Collins, Gill, Chittleborough, Martin, Taylor, and Winefield (2008) explored psychosocial impacts of asthma on school-age children. The researchers purposed to use a representative sample to examine the effects that asthma has on the psychosocial lives of children. They found that children who had asthma were often unhappy, and their health status was generally poor. The strengths of the article include its high degree of relevance to the study topic. The article uses keywords that relate directly to childhood asthma and its psychosocial impacts in the lives of patients (Suglia, Duarte, Sandel, & Wright, 2010, Pg. 636). The study also included a large number of participants, hence ensuring that the results obtained were a representation of large children population. There was also an elevated response rate in the participation of respondents in the study, an event that enhanced the reliability of the study (Collins et al., 2008, Pg. 490). Findings from the research also concurred with those of other studies making them realistic. Weaknesses of the study reported in the article include failure to take objective measurements of asthma for instance by applying the peak flow rate to assess lung functionality (Bruzzese, Sheares, Vincent, Du, Sadeghi, Levison, Evans, 2011, Pg. 998). It had major limitations such as a possible bias considering that participants had to respond to phone calls that some may have missed. The study applies to evidence-based practice by involving a scientific research to identify psychosocial impacts of asthma on school children. The investigation influences nursing practicing by establishing a connection between asthma and mental morbidities (Collins et al., 2008, Pg. 491; Feitosa, Santos, Barreto-Carmo, Santos, Teles, Rodrigues, & Barreto, 2011, Pg. 160).

Brown, Gallagher, and Fowler (2013) examined the self-efficacy of parents of school-age asthmatic children in managing the disease. The study offers an authoritative reference to the study topic. The researchers identified factors that influenced care and management of asthma in children as offered by their parents. Among the factors were parents’ health education and social disparities (Giallo, Bahreinian, Brown, Cooklin, Kingston, Kozyrskyj, 2015). Weaknesses presented in the study include the involvement of a small sample size that would generate controversy concerning generalisation of findings. Another critical weakness of the study was its employment of instruments that had not been widely explored in other research works. The study had limitations such as bearing influence from insufficiency of previous studies addressing major concepts in research. The study propels evidence-based learning as it identifies and describes the necessary interventions of enhancing self-efficacy of the parents of asthmatic juveniles. It impacts on nursing practice as nurses would drive educative programs to such parents.

The Royal Children’s Hospital Melbourne (2015) gave guidelines concerning asthma management in children. The hospital defined asthma and related it to other health complications linked to it. The artefact explained the pathophysiology of asthma among children and described different pharmacological interventions applied in the management of the ailment for pediatrics (Lowe, Carlin, Bennett, Hosking, Allen, Robertson, Dharmage, 2010). The artefact is authoritative in that it is from a reputable healthcare institution in Australia. It applies perfectly to the study topic by describing appropriate assessment and management strategies for the disease. The artefact grades asthmatic conditions on the basis of severity. It would be necessary for the study to relate disease severity to the psychosocial impacts it has on children. Weaknesses of the artefact include its failure to describe impacts of asthma on patients’ lives. The resource is also limited in that it does not offer investigative information but just gives guidelines (National Asthma Council Australia, 2014). The article has significant impact on evidence-based learning as it outlines standardised assessment and treatment strategies for the disease (Schultz & Martin, 2013, Pg. 13). It influences the Australian nursing perspective by recommending particular practices in asthma management and treatment (Perzanowski, Miller, Tang, Ali, Garfinkel, Chew, Barr, 2010, Pg. 118). Nurses would refer to such guidelines when handling and treating asthmatic patients.


Australian Bureau of Statistics. (2013). Asthma. Retrieved from

Australian Institute of Health and Welfare. (2011). Asthma in Australia. Retrieved from

Baiardini I, Braido F, Bonini M, Compalati E, Canonica GW. (2009). Why do doctors and patients not follow guidelines? Curr Opin Allergy Clin Immunol, 2009(9), 228–233.

Blanchard, M., Morris, J., Birrell, E., Stephens-Reicher, J., Third, A., & Burns, J. (2014). National Young People and Asthma Survey: issues and opportunities in supporting the health and wellbeing of young people living with asthma (1st ed.). Melbourne. Retrieved from

Brown, N., Gallagher, R., Fowler, C., & Wales, S. (2013). Asthma management self-efficacy in parents of primary school-age children. Journal Of Child Health Care, 18(2), 133-144. doi:10.1177/1367493512474724

Bruzzese, J.-M., Sheares, B. J., Vincent, E. J., Du, Y., Sadeghi, H., Levison, M. J., … Evans, D. (2011). Effects of a School-based Intervention for Urban Adolescents with Asthma: A Controlled Trial. American Journal of Respiratory and Critical Care Medicine, 183(8), 998–1006. doi:10.1164/rccm.201003-0429OC

Collins, J., Gill, T., Chittleborough, C., Martin, A., Taylor, A., & Winefield, H. (2008). Mental, Emotional, and Social Problems Among School Children with Asthma. J Asthma, 45(6), 489-493. doi:10.1080/02770900802074802

Evers, U., Jones, S. C., Iverson, D., & Caputi, P. (2013). “Get Your Life Back”: process and impact evaluation of an asthma social marketing campaign targeting older adults. BMC Public Health, 13, 759. doi:10.1186/1471-2458-13-759

Feitosa, C. A., Santos, D. N., Barreto-Carmo, M. B., Santos, L. M., Teles, C. A. S., Rodrigues, L. C., & Barreto, M. L. (2011). Behaviour problems and prevalence of asthma symptoms among Brazilian children. Journal of Psychosomatic Research, 71(3), 160–165. doi:10.1016/j.jpsychores.2011.02.004

Giallo, R., Bahreinian, S., Brown, S., Cooklin, A., Kingston, D., Kozyrskyj, A. (2015) Maternal Depressive Symptoms across Early Childhood and Asthma in School Children: Findings from a Longitudinal Australian Population Based Study. PLoS ONE 10(3), e0121459. doi:10.1371/journal.pone.0121459

Gibbs, J. E. M. (2015) Eucalyptus Pollen Allergy and Asthma in Children: A Cross-Sectional Study in South-East Queensland, Australia. PLoS ONE 10(5): e0126506. doi:10.1371/journal.pone.0126506

Goeman, D. P., Abramson, M. J., McCarthy, E. A., Zubrinich, C. M., & Douglass, J. A. (2013). Asthma mortality in Australia in the 21st century: a case series analysis. BMJ Open, 3(5), e002539. doi:10.1136/bmjopen-2012-002539

Katelaris, C. H., Sacks, R., & Theron, P. N. (2013). Allergic rhinoconjunctivitis in the Australian population: Burden of disease and attitudes to intranasal corticosteroid treatment. American Journal of Rhinology & Allergy, 27(6), 506–509. doi:10.2500/ajra.2013.27.3965

Kozyrskyj, A. L., Kendall, G. E., Jacoby, P., Sly, P. D., & Zubrick, S. R. (2010). Association Between Socioeconomic Status and the Development of Asthma: Analyses of Income Trajectories. American Journal of Public Health, 100(3), 540–546. doi:10.2105/AJPH.2008.150771

Lim, R. H., Kobzik, L., & Dahl, M. (2010). Risk for Asthma in Offspring of Asthmatic Mothers versus Fathers: A Meta-Analysis. PLoS ONE, 5(4), e10134. doi:10.1371/journal.pone.0010134

Lowe, A. J., Carlin, J. B., Bennett, C. M., Hosking, C. S., Allen, K. J., Robertson, C. F., … Dharmage, S. C. (2010). Paracetamol use in early life and asthma: prospective birth cohort study. BMJ : British Medical Journal, 341, c4616. doi:10.1136/bmj.c4616

Martel, M. J., Rey, E., Malo, J. L., Perreault, S., Beauchesne, M. F. (2009). Determinants of the incidence of childhood asthma: a two-stage case-control study. Am J Epidemiol., 2009(169), 195–205.

National Asthma Council Australia (2015). Australian Asthma Handbook- Quick Reference Guide. (1st ed.). Melbourne. Retrieved from

National Asthma Council Australia. (2014). New National Asthma Management Guidelines Released. Retrieved from

Pal, R., Dahal, S., & Pal, S. (2009). Prevalence of Bronchial Asthma in Indian Children. Indian Journal of Community Medicine : Official Publication of Indian Association of Preventive & Social Medicine, 34(4), 310–316. doi:10.4103/0970-0218.58389

Perzanowski, M. S., Miller, R. L., Tang, D., Ali, D., Garfinkel, R. S., Chew, G. L., … Barr, R. G. (2010). Prenatal acetaminophen exposure and risk of wheeze at age 5 years in an urban low-income cohort. Thorax, 65(2), 118–123. doi:10.1136/thx.2009.121459

Potter, P. C. (2010). Current guidelines for the management of asthma in young children. Allergy, Asthma & Immunology Research, 2(1), 1–13. doi:10.4168/aair.2010.2.1.1

Rosenkranz, R. R., Rosenkranz, S. K., & Neessen, K. J. (2012). Dietary factors associated with lifetime asthma or hayfever diagnosis in Australian middle-aged and older adults: a cross-sectional study. Nutrition Journal, 11, 84. doi:10.1186/1475-2891-11-84

Saini, B., Krass, I., Smith, L., Bosnic-Anticevich, S., & Armour, C. (2011). Role of community pharmacists in asthma – Australian research highlighting pathways for future primary care models. The Australasian Medical Journal, 4(4), 190–200. doi:10.4066/AMJ.2011790

Schultz, A., & Martin, A. C. (2013). Outpatient Management of Asthma in Children. Clinical Medicine Insights. Pediatrics, 7, 13–24. doi:10.4137/CMPed.S7867

Suglia, S. F., Chambers, E., Rosario, A., & Duarte, C. S. (2011). Asthma and obesity among 3 year old urban children: The role of sex and the home environment. The Journal of Pediatrics, 159(1), 14–20.e1. doi:10.1016/j.jpeds.2011.01.049

Suglia, S. F., Duarte, C. S., Sandel, M. T., & Wright, R. J. (2010). Social and environmental stressors in the home and childhood asthma. Journal of Epidemiology and Community Health, 64(7), 636–642. doi:10.1136/jech.2008.082842

The Australasian Society of Clinical Immunology and Allergy (ASCIA). (2014). Food Allergy and Anaphylaxis Update. Retrieved from

The Cancer Council. (2015). Health effects of secondhand smoke for infants and children. Retrieved from

The Royal Children’s Hospital Melbourne,. (2015). Asthma Acute. The Royal Children’s Hospital Melbourne. Retrieved 15 August 2015, from

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