nrs490 Week 3 assignment PICOT Statement Paper
nrs490 Week 3 assignment PICOT Statement Paper
When determining what evidence to use in practice, I hold the opinion that clinical significance is more important. This is because you will find that statistical significance may be prone to biases. Statistical significance basically indicates that the outcomes did not happen by chance. However, when a researcher fails to account for outliers and confounding variables, then this is bound to bring about questions on the significance of the relationship established by the research (Frank et al., 2021). It is therefore imperative that when deciding on a treatment or intervention that there is evidence of its clinical significance. This is because clinical significance will be evidence that the intervention will bear positive implications on the intended populations.
Review the Topic Materials and the work completed in
NRS-433V to formulate a PICOT statement for your capstone project.
A PICOT starts with a designated patient population in a
particular clinical area and identifies clinical problems or issues that arise
from clinical care. The intervention should be an independent, specified
nursing change intervention. The intervention cannot require a provider
prescription. Include a comparison to a patient population not currently
receiving the intervention, and specify the timeframe needed to implement the
change process.
Formulate a PICOT statement using the PICOT format provided
in the assigned readings. The PICOT statement will provide a framework for your
capstone project.
In a paper of 500-750 words, clearly identify the clinical
problem and how it can result in a positive patient outcome.
Make sure to address the following on the PICOT statement:
Evidence-Based Solution
Nursing Intervention
Patient Care
Health Care Agency
Nursing Practice
Prepare this assignment according to the guidelines found in
the APA Style Guide, located in the Student Success Center. An abstract is not
required.
This assignment uses a rubric. Please review the rubric
prior to beginning the assignment to become familiar with the expectations for
successful completion.
You are required to submit this assignment to Turnitin.
Please refer to the directions in the Student Success Center.
APA Writing Checklist
Use this document as a checklist for each paper you will write throughout your GCU graduate program. Follow specific instructions indicated in the assignment and use this checklist to help ensure correct grammar and APA formatting. Refer to the APA resources available in the GCU Library and Student Success Center.
☐ APA paper template (located in the Student Success Center/Writing Center) is utilized for the correct format of the paper. APA style is applied, and format is correct throughout.
☐ The title page is present. APA format is applied correctly. There are no errors.
☐ The introduction is present. APA format is applied correctly. There are no errors.
☐ Topic is well defined.
☐ Strong thesis statement is included in the introduction of the paper.
☐ The thesis statement is consistently threaded throughout the paper and included in the conclusion.
☐ Paragraph development: Each paragraph has an introductory statement, two or three sentences as the body of the paragraph, and a transition sentence to facilitate the flow of information. The sections of the main body are organized to reflect the main points of the author. APA format is applied correctly. There are no errors.
☐ All sources are cited. APA style and format are correctly applied and are free from error.
☐ Sources are completely and correctly documented on a References page, as appropriate to assignment and APA style, and format is free of error.
Scholarly Resources: Scholarly resources are written with a focus on a specific subject discipline and usually written by an expert in the same subject field. Scholarly resources are written for an academic audience.
Examples of Scholarly Resources include: Academic journals, books written by experts in a field, and formally published encyclopedias and dictionaries.
Peer-Reviewed Journals: Peer-reviewed journals are evaluated prior to publication by experts in the journal’s subject discipline. This process ensures that the articles published within the journal are academically rigorous and meet the required expectations of an article in that subject discipline.
Empirical Journal Article: This type of scholarly resource is a subset of scholarly articles that reports the original finding of an observational or experimental research study. Common aspects found within an empirical article include: literature review, methodology, results, and discussion.
Adapted from “Evaluating Resources: Defining Scholarly Resources,” located in Research Guides in the GCU Library.
☐ The writer is clearly in command of standard, written, academic English. Utilize writing resources such as Grammarly, LopesWrite report, and ThinkingStorm to check your writing.
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Nurses and other healthcare providers play an important role in the provision of care that promote optimum health of the diverse populations. They ensure that the mental health and wellbeing of the vulnerable populations are promoted through the provision of case-specific care. They also facilitate the creation of safe communities that support the mental health and wellbeing of those at risk. Therefore, this research paper explores the issue of post-traumatic stress disorder among African Americans and a PICOT question that can guide in addressing it.
Population Demographics
The population of focus in this clinical intervention is African Americans with post-traumatic stress disorder. The African Americans form a significant proportion of the population in America. According to statistics, the African Americans constitute about 41.4 million of the total population in America. This population translates into 12.7% of the whole population. It also makes them the second largest population of the minorities after the Hispanic/Latino population. The statistics also show that a bigger percentage of the population of the African Americans reside in the South compared to the North. The life expectancy of this population is estimated to be 76.1 years. Men are reported to have an estimated life expectancy of 72.9 years while women have 78.9 years. Their life expectancy is lower than that of the non-Hispanic whites that have a projected life expectancy of 79.8 years (OMH, n.d.). The health insurance coverage among them is also low. It is estimated that about 55.5% of the non-Hispanic blacks have a medical insurance coverage when compared to 75.4% in the non-Hispanic whites.
The Health Concern
The health concern of focus in this research that affects the African Americans in the US is post-traumatic stress disorder. According to a research by Hall-Clark et al. (2016), the prevalence rate of post-traumatic stress disorder is higher among African Americans when compared to individuals from other ethnic groups in America. This difference can be seen in the statistics that the lifetime prevalence of post-traumatic stress disorder among them is 8.7% when compared to 7.4% in the whites. The statistics also reveal that the risk of developing the disease in African Americans is 1.2 times than that of the whites (Hall-Clark et al., 2016). According to Sibrava et al. (2019), the clinical course of post-traumatic stress disorder in African Americans is worse when compared to that witnessed in individuals from other ethnicities. This can be seen in the literature review performed by the authors where there was chronic course of the disease among patients with post-traumatic stress disorder from African American origin. The worse clinical progress and outcomes among this population is attributed to the influence of factors that include socioeconomic disparities, high risk of traumatic stressors among them, enhanced exposure to assaultive violence, cultural differences, and overrepresentation in communities with high rates of crime, and pervasive marginalization in their societies (Sibrava et al., 2019). Therefore, the risk of functional and psychosocial disabilities among them is higher than in patients from other ethnicities in the state.
Nursing Science, Health Determinants, Epidemiologic and Genetic Data Impact on Health Management
Nurses have a critical role in promoting optimal health and wellbeing of the African American patients with post-traumatic stress disorder. They ensure that their knowledge in management of mental health disorders is utilized in promoting the recovery of these patients. They optimize the benefits of using both pharmacological and non-pharmacological interventions in managing the disorder among them. Statistics have consistently shown that African Americans are highly at a risk of post-traumatic disorder due to the influence of factors such as genetics and environmental exposures (Ehlers & Hinkson, 2017). Therefore, nurses explore the ways in which these factors such as environmental influences can be transformed to minimize their risks alongside reducing the health impacts of the disease on the affected.
Potential Solution
The use of non-pharmacological interventions in combination with pharmacological approaches has been shown to increase the health outcomes of patients suffering from post-traumatic stress disorder. Generally, pharmacological interventions entail the administration of drugs such as antidepressants, antipsychotics, benzodiazepines, and selective serotonin reuptake inhibitors. However, the use of selective serotonin reuptake inhibitors has been approved for treatment of post-traumatic stress disorder in the US (Leiva-Bianchi et al., 2018). Besides these medications, incorporating non-pharmacological intervention such as psychotherapy has proven effective in optimizing the outcomes of treatment. For instance, methods such as the use of cognitive behavioral therapy have proven to promote recovery by preventing relapse and lowering severity of symptoms. Cognitive behavioral therapy has also been shown to be effective in treating post-traumatic stress disorder that is unresponsive to medical therapy alone. Nevertheless, the use of combined intervention has not been largely explored among African American patients with post-traumatic stress disorder (Akbarian et al., 2015). Therefore, this intervention aims at exploring the use of cognitive behavioral therapy with selective serotonin reuptake inhibitors in the treatment of post-traumatic stress disorder among African American patients. The PICOT statement would be as follows:
In African American patients suffering from post-traumatic stress disorder, will treatment with cognitive behavioral therapy in combination with selective serotonin reuptake inhibitors, lead to reduced severity in symptoms within ten months when compared to the use of selective reuptake inhibitors alone?
How the Solution Incorporates Health Policies and Goals
The intervention incorporates the policies of optimizing the health outcomes of the patients. It aims at ensuring that optimum goals of care are achieved with the use of combined therapy. Healthcare goals also include the elimination of disparities in healthcare. Therefore, the intervention seeks to promote equity in the outcomes of healthcare among African Americans. Lastly, the intervention aims at promoting active physical and psychosocial functioning of African American patients with post-traumatic stress disorder (Matthew, 2015). Through this, it eliminates inequalities in their ability to engage in activities that promote their socioeconomic development, hence, the promotion of equity among the affected.
References
Akbarian, F., Bajoghli, H., Haghighi, M., Kalak, N., Holsboer-Trachsler, E., & Brand, S. (2015). The effectiveness of cognitive behavioral therapy with respect to psychological symptoms and recovering autobiographical memory in patients suffering from post-traumatic stress disorder. Neuropsychiatric disease and treatment, 11, 395.
Ehlers, N., & Hinkson, L. R. (2017). Subprime health: Debt and race in U.S. medicine. Minneapolis, MN : University of Minnesota Press.
Hall-Clark, B., Sawyer, B., Golik, A., & Asnaani, A. (2016). Racial/ethnic differences in symptoms of posttraumatic stress disorder. Current Psychiatry Reviews, 12(2), 124-138.
Leiva-Bianchi, M., Cornejo, F., Fresno, A., Rojas, C., & Serrano, C. (2018). Effectiveness of cognitive-behavioural therapy for post-disaster distress in post-traumatic stress symptoms after Chilean earthquake and tsunami. Gaceta sanitaria, 32, 291-296.
Matthew, D. B. (2015). Just medicine: A cure for racial inequality in American health care. New York : New York University Press.
OMH. (n,d.). Profile: Black/African Americans. Retrieved on 21st Jan. 2020 from https://www.minorityhealth.hhs.gov/omh/browse.aspx?lvl=3&lvlid=61
Sibrava, N. J., Bjornsson, A. S., Pérez Benítez, A. C. I., Moitra, E., Weisberg, R. B., & Keller, M. B. (2019). Posttraumatic stress disorder in African American and Latinx adults: Clinical course and the role of racial and ethnic discrimination. American Psychologist, 74(1), 101.