Literature Review Evaluation on Syphilis

Literature Review Evaluation on Syphilis
Student Name
Institutional Affiliation
Literature Review Evaluation on Syphilis
Literature Evaluation Table
Change Topic: Does provider education concerning syphilis screening in the third-trimester impact screening rates within obstetric medical facilities within a three-month timescale, compared to a context where there was no education? Untreated syphilis in pregnant women contributes to neonatal mortality, stillbirth, neurologic impairment, and bone deformities. I conducted a secondary search to identify and critically appraise the scholarly articles relevant to the change topic.
Criteria

Article 1

Article 2

Article 3

Article 4

Author, Journal (Peer-Reviewed), and
Permalink or Working Link to Access Article

Biswas and colleagues, Journal of the American Sexually transmitted diseases Association, https://journals.lww.com/stdjournal/FullText/2018/07000/Characteristics_Associated_With_Delivery_of_an.1.aspx

Lazarini, F. M., & Barbosa, D. A. Revista latino-americana de enfermagem,
/j/rlae/a/gjqXpt8vnSRY8cKFtgKMDbq/?lang=en&format=html

Matthias, J. M., Rahman, M. M., Newman, D. R., & Peterman, T. A. sexually transmitted diseases, 44(8), 498. /pmc/articles/PMC6190676/

Chan, E. Y., Smullin, C., Clavijo, S., Papp-Green, M., Park, E., Nelson, M., ... & Wagman, J. A. PLOS ONE. https://doi.org/10.1371/journal.pone.0249419

Article Title and Year Published

Characteristics associated with delivery of an infant with congenital syphilis and missed opportunities for prevention—California, 2012 to 2014. (2018).

Educational intervention in Primary Care for the prevention of congenital syphilis. (2017).

Effectiveness of prenatal screening and treatment to prevent congenital syphilis, Louisiana and Florida, 2013–2014. (2017).

A qualitative assessment of structural barriers to prenatal care and congenital syphilis prevention in Kern County. (2021).

Research Questions (Qualitative)/Hypothesis (Quantitative)

Hypothesis: Mothers with congenital syphilis and those without congenital syphilis need early prenatal care to prevent the adverse health outcomes related to the infection.

To determine whether educational interventions are effective in reducing the rate of vertical transmission of congenital syphilis.

To determine whether prenatal screening, as well as treatment, prevents congenital syphilis.

Structural barriers undermine prenatal care as well as the prevention of congenital syphilis within Kern County.

Purposes/Aim of Study

The authors aimed to point out features linked to giving birth to a baby with congenital syphilis as well as missed prevention opportunities amongst pregnant mothers with syphilis within California.

Assess the effectiveness of the primary caregiver-provided educational intervention on the congenital syphilis rates in Brazil.

Examine the impacts of the current screening tools and prevention of congenital syphilis within two States with a high incidence of syphilis.

The article aims to examine structural hindrances to access to prenatal care and utilization as well as prevention of congenital syphilis within Kern County.

Design (Type of Quantitative, or Type of Qualitative)

Cohort quantitative research.

Quasi-experimental study.

Cross-sectional study.

quasi experimental design.

Setting/Sample

Sample size (n) = 427, females aged between 15 to 47.
The setting is California from March 13, 2012, to December 31, 2014.

Lodrina municipality, Parana, October
2013 to
December 2015.
Sample size = 102 before
workshop, and 85 after
workshop, Age: 38 years, Sex: females = 78/102

Syphilis incidence
within expectant
mothers from
2013 to 2014,
in Florida and Louisiana.
Sample size (n) is 710, and 155 congenital syphilis cases

Kern County, CA.
Sample size = 42 recently pregnant or pregnant individuals.

Methods: Intervention/Instruments

Data were derived from the California Department of Public Health’s surveillance record.

Educational intervention.
Questionnaires were utilized where training supported the answers.

Congenital syphilis diagnosis criteria.

Interview transcripts were employed.
Reflexive thematic analysis, as well as deductive methodology, was employed.

Analysis

Fisher exact test or Chi-squared (if counts less than 5).

McNemar test (for correlated
frequencies).

Frequencies.

Qualitative thematic analysis

Key Findings

Results indicated that 29 percent of congenital mothers were tested <40 days prior to giving birth compared to 0 percent of non-congenital syphilis mothers.

The average number of correct answers rose from 53 percent to 74.3 percent following an educational intervention. The observance of professional education was 92.6 percent. There was a substantial decline in the vertical spreading rate of syphilis from 75 percent in 2013 to 40 percent in 2015.

710 expectant mothers infected with syphilis within Florida and Louisiana were associated with 155 cases of congenital syphilis

Structural hindrances encountered by postpartum and pregnant individuals to prenatal medical care access as well as utilization included: prejudice around drug abuse when pregnant, citizenship status, absence of medical care coverage, lower reproductive health education, as well as gender inequality.

Recommendations

Multidimensional efforts are required to address research gaps within congenital syphilis prevention as well as mitigate congenital syphilis incidence in California.

The article encouraged introducing educational programs in the workplace tailored to enhance patient care quality and safety.

There is a need to re-screen within the last trimester within high-risk locales for congenital syphilis.

The interventions to prevent congenital syphilis require an investigation of the multifaceted atmosphere of social determinants of health within which individuals infected with syphilis resided.

Explanation of How the Article Supports EBP/Capstone Project

The articl...