Question

Please formulate 5 research titles about health and nursing with rationale. (Research should be applicable in the Philippines. )

RATIONALES: must be theoretical or conceptual based but you can also add your analysis but be sure it is supported with literature evidence. References must also be written.

Topic 1:

Title 1:

Rationale 1:

References 1:

Topic 2:

Title 2:

Rationale 2:

References 2:

(Do this until research title 5)

Answer 1

Topic 1: Women's Health Nursing Research Topics

Title 1: Breast Cancer Treatment & Prognosis

Rationale 1: Breast-conserving treatment and mastectomy are well-established local therapies for early-stage invasive breast cancer, and have similar survival and recurrence results with multimodal therapy. Neoadjuvant chemotherapy is commonly used for breast and axilla downstage diseases, facilitating breast recovery and preventing axillary lymph node dissection, and is more likely to succeed, HER2 positive or triple negative breast cancer. After breast surgery, adjuvant medical therapies are provided to remove clinically and radiographically occult micrometastatic disease that can grow into frank metastases if untreated. The burden of disease and biology dictates the patient's risk of recurrence, which directs the selection of suitable adjuvant medical therapies.

References 1: Moo, T. A., Sanford, R., Dang, C., & Morrow, M. (2018). Overview of Breast Cancer Therapy. PET clinics, 13(3), 339–354. https://doi.org/10.1016/j.cpet.2018.02.006

· Topic 2: Mental Health Nursing Research Topics

Title 2: Bipolar disorder

Rationale 2: Due to the high morbidity and mortality associated with bipolar disorder, long-term treatment is needed to prevent recurrence and reduce the productivity loss and the increased medical costs associated with this disease. Lithium is the agent with the most evidence of efficacy and approved medication for the bipolar disorder maintenance treatment. However, lithium may be more effective for patients with classical characteristics such as full remitting courses and typical manic symptoms than patients with non-classical bipolar characteristics such as mixed states and rapid cycling. Because lithium can be toxic at only twice the therapeutic dose, doctors should consider the age and medical history of patients when prescribing this medicine. Monitoring requirements; possible side effects; changes in the disease including more treatment-resistant forms; and the introduction of new agents, supported by more marketing and ongoing medical education programmes than the essentially generic lithium drug, have contributed to the decline in prescription rates for lithium. However, in many patients long-term lithium treatment continues to be effective , especially if the dose is periodically assessed as patients experience changes in their physical health and lithium tolerance. Until new agents have comparable evidence of efficacy, lithium will be considered a long-term first-line treatment for bipolar disorder, either as monotherapy or in combination therapy

References 2: Goodwin F. K. (2002). Rationale for long-term treatment of bipolar disorder and evidence for long-term lithium treatment. The Journal of clinical psychiatry, 63 Suppl 10, 5–12.

· Topic 3 : Primary Healthcare Nursing Research Topics

Title 3: Data Collection Ethics in Primary Healthcare

Rationale 3: The ethical responsibility of routinely gathering and processing medical data for some reason is the responsibility of the individuals and organisations. Internal organisational structures should make it possible to address most issues, but where they are complicated or challenging, external assistance should be obtained from an approved source, such as boards of ethics review. External accreditation agencies should inspect procedures for ethical scrutiny, as they inspect other facets of an entity.

References 3: Wade D. (2007). Ethics of collecting and using healthcare data. BMJ (Clinical research ed.), 334(7608), 1330–1331. https://doi.org/10.1136/bmj.39247.679329.80

· Health Promotion Research Topics

Title 4: Benefits and Shortages of Telemedicine

Rationale 4: In a context of tightened budgets, increasing costs, and fundamental changes in the organizational infrastructure of health care, telemedicine is emerging rapidly. Serious consideration of the technology suggests that it has the potential to affect health services delivery in many ways, but rapid technological change and a volatile and changing health care system make it extremely difficult to predict the directions that will be taken. Past experience shows that unanticipated consequences are likely, and that these may have significant effects on the health care system.Considerable study will be necessary before we have a good understanding of the effects and effectiveness of telemedicine. Careful research conducted now may go a long way toward the establishment of a rational policy toward telemedicine.

References 4: Grigsby, J., Kaehny, M. M., Sandberg, E. J., Schlenker, R. E., & Shaughnessy, P. W. (1995). Effects and effectiveness of telemedicine. Health care financing review, 17(1), 115–131.

• Healthcare Management Research Topics

Title 5: Medicare Benefits

Rationale 5: Medicare provides insurance from the costs of certain health care services, but conventional Medicare has comparatively high deductibles and cost-sharing provisions and does not impose any cap on the out-of-pocket expenses of beneficiaries for services provided by Sections A and B. In addition, conventional Medicare does not pay for those programmes that are essential for the elderly and the people with disabilities include long-term care and programmes, dental services, eyeglasses, and hearing aids. Given the benefit gaps in Medicare, cost-sharing provisions and the lack of an annual out-of-pocket expenditure cap, most beneficiaries covered by conventional Medicare have some form of supplementary coverage that helps cover the costs of the beneficiaries and fill the benefit gaps

References 5: Cotton, P., Newhouse, J. P., Volpp, K. G., Fendrick, A. M., Oesterle, S. L., Oungpasuk, P., Aggarwal, R., Wilensky, G., & Sebelius, K. (2016). Medicare Advantage: Issues, Insights, and Implications for the Future. Population health management, 19(S3), S1–S8. https://doi.org/10.1089/pop.2016.29013.pc