NUR 550 Translation Research and Population Health Management Week 4 Assignment Benchmark – Part A: Population Health Research and PICOT Statement
NUR 550 Translation Research and Population Health Management Week 4 Assignment Benchmark – Part A: Population Health Research and PICOT Statement
Medication administration errors are a healthcare concern and efforts to prevent and reduce their occurrence can leverage on different interventions that include the use of health information technology (HIT). The susceptibility to medication administration errors (MAEs) among the critically-ill patients is higher than other population or patient demographics (Trimble et al., 2017). Therefore, this EBP project will assess the effectiveness of implementing health information technologies compared to the conventional medication management processes to reduce medication errors among the critically-ill patients.
There is no question that nurses are on the frontline of healthcare on multiple levels. In the arena of pregnancy and postpartum care, nurses play a vital role in not only the assessment of mother and baby’s physical well-being, but mental and emotional well-being as well. Recent studies show that women who are at an increased risk for developing postpartum depression (PPD) can be identified prior to delivery and prior to developing the disorder (Mughal et al., 2022). Quite naturally, nurses are at in the perfect position to identify these women that may be at risk, recommend treatment or support, and maintain follow-up care. Currently, there are screening questionnaires such as the Edinburgh Postnatal Depression Scale (EPDS) that are commonly completed by women post-delivery, often during the newborn well-check appointments.
| PICOT Question | |||
| P | Population | Among the critically ill patients | |
| I | Intervention | Integration of health information technology in the medication administration process | |
| C | Comparison | Use of conventional or normal medication administration process | |
| O | Outcome | Reduction n medication administration errors | |
| T | Timeframe | Duration of hospital stay | |
| PICOT
Create a complete PICOT statement. |
Among the critically ill patients (P), does the integration of health information technology (I) compared to conventional medication administration process (C), lead to a reduction in medication administration errors (O) during patient’s stay (T)? | ||
| Problem Statement
Create a problem statement for your PICOT. You will use this problem statement throughout your final written paper.
|
Medication administration errors are a health concern because of the adverse effects that they cause to patients and the need for healthcare providers, especially nurses, to develop interventions based on the use of evidence-based practice. Medication errors lowers quality care and patient outcomes. Medication errrs sometimes cause no harm to patients. However, in most cases, they devastate nurses and are harmful to patients. Nurses are a critical part of the care provision and have a duty to protect patients against errors in the medication administration process. The critically ill patients require close and effective monitoring and nurses remain accountable to anything that happens to the patients (Alotaibi & Federico, 2017). Interventions like the use of health information technology can enhance quality care outcomes and allow nurses to offer the most effective care to patients in critical conditions that include intensive care unit (ICU) (Naidu & Alicia, 2019). Health information technology enhances and transforms healthcare delivery as it leads to a reduction of human errors, facilitates better coordination among the interdisciplinary teams and improves overall practice efficiencies. By using health information technology models like electronic medication administration (e-MAR, barcode scanning and e-prescribing, stakeholders can reduce medication administration errors among nurses and enhance patient safety. | ||
References
Alotaibi, Y. K. & Federico, F. (2017). The impact of health information technology on patient safety. Saudi
Medical Journal, 38(12):1173-1180. doi: 10.15537/smj.2017.12.20631
Naidu, M. and Alicia, Y.L.Y. (2019). Impact of Bar-Code Medication Administration and
Electronic Medication Administration Record System in Clinical Practice for an Effective Medication Administration Process. Health, 11, 511-526. https://doi.org/10.4236/health.2019.115044
Trimble, A. N., Bishop, B., & Rampe, N. (2017). Medication errors associated with transition from insulin pens
to insulin vials. American Journal of Health-System Pharmacy, 74(2), 70-75. doi:10.2146/ajhp150726
In this course, you will be complete a 2-part assignment in which you conduct research about a population of focus, develop a PICOT statement, and write a Literature Review. The PICOT statement and Literature Review you write in this course can be used for your evidence-based practice project in the next course so be sure to select an issue you want to continue working on in your next course.
PICOT (Population/Problem, Intervention, Comparison, Outcome, and Time to achieve the outcome) is a method that helps clarify the qualities needed to create a good question out of a practice issue or problem affecting the population of focus. Additionally, the information derived from a good PICOT makes it easier to perform a literature search in order to find translational research sources that can be used to address the clinical problem.
Use a national, state or local population health care database to research indicators of disparity. Choose a mortality/morbidity indicator to identify a clinical problem or issue that you want to explore pertaining to a population of focus. Use this indicator to begin to formulate a PICOT and conduct research on the population.
NUR 550 Translation Research and Population Health Management Week 4 Assignment Benchmark – Part A: Population Health Research and PICOT Statement
Write a 750-1,000-word paper that analyzes your research and focuses on the population you have chosen. Describe the population’s demographics and health concerns, and explain how nursing science, health determinants, and epidemiologic, genomic, and genetic data may impact population health management for the selected population. Provide an overview of a potential solution for solving the health issue related to your population and the intended PICOT statement. Describe how the solution incorporates health policies and goals that support health care equity for the population of focus.
You are required to cite three to five sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and nursing content.
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 LopesWrite. Please refer to the directions in the Student Success Center.
Benchmark Part A
By pressing the “TAB” key once, you can indent the first sentence. The first header, as you can see, is not bolded and is the title of your paper as it appears on the Title Page. Your paper should be double-spaced throughout. Set your margins to 1″ from the top, bottom, and sides. Use only Times New Roman 12 font size.
In this course, you will complete a two-part assignment in which you will conduct research on a specific population, create a PICOT statement, and write a Literature Review. The PICOT statement and Literature Review you write in this course can be used for your evidence-based practice project in the following course, so choose an issue to work on in your next course.
This paper should be 750-1,000 words long and address the issues listed below. Include at least five scholarly sources in your paper. Prepare this assignment in accordance with the APA Style Guide, which can be found in the Student Success Center.
The following sentence is an example of an in-text citation. The American Nurses Association (ANA, 2016) advised nurses to seek opportunities to further their education. When referring to previously published evidence, use the past tense. Avoid using direct quotes because they add no value to your paper. Instead, paraphrase the information and properly cite the source. To complete this assignment, you must cite three to five sources. Sources must be recent (5 years) and relevant to the assignment criteria and nursing content.
NUR 550 Translation Research and Population Health Management Week 4 Assignment Benchmark – Part A: Population Health Research and PICOT Statement
A rubric is used for this assignment. Please review the rubric before beginning the assignment to become acquainted with the requirements for successful completion. This assignment must be submitted to LopesWrite. Before submitting your own paper, make sure to remove these instructions.
Clinical Problem or Issue Identification
This header is bolded, as you can see. In this section, you must conduct disparity research using a national, state, or local population health care database. You raised a potential issue in the Week 3 Discussion 1 forum. Select a mortality/morbidity indicator to identify a clinical problem or issue that you want to investigate in relation to a specific population. Every project based on evidence-based practice starts with a problem that needs to be solved. The problem statement expresses the concept, issue, or situation that you intend to address using evidence-based practice. The problem statement is the project’s foundation, and it is usually preceded by several paragraphs of background information that sets the stage for the project.
References
S. Knutsson and I. Bergbom (2016). A qualitative study of children’s thoughts and feelings about visiting critically ill relatives in an adult ICU. doi: 10.1016/j.iccn.2015.07.007
M. Zomorodi and B. L. White (2017). Noise levels in critical care units, both perceived and actual. doi: 10.1016/j.iccn.2016.06.004
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Discussion Questions (DQ)
Initial responses to the DQ should address all components of the questions asked, include a minimum of one scholarly source, and be at least 250 words.
Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source.
One or two sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words.
I encourage you to incorporate the readings from the week (as applicable) into your responses.
Weekly Participation
Your initial responses to the mandatory DQ do not count toward participation and are graded separately.
In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies.
Participation posts do not require a scholarly source/citation (unless you cite someone else’s work).
Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.
APA Format and Writing Quality
Familiarize yourself with APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required).
Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation.
I highly recommend using the APA Publication Manual, 6th edition.
Use of Direct Quotes
I discourage overutilization of direct quotes in DQs and assignments at the Masters’ level and deduct points accordingly.
As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content.
It is best to paraphrase content and cite your source.
LopesWrite Policy
For assignments that need to be submitted to LopesWrite, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me.
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Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own?
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Late Policy
The university’s policy on late assignments is 10% penalty PER DAY LATE. This also applies to late DQ replies.
Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances.
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Communication
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Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.
Perinatal mental health problems are prevalent among varied population’s mothers despite their economic levels. According to research, a substantial body of evidence revealed that a range of 10-15% mental health issues exists in maternal women in highly developed countries hence populations (Watson et al., 2019). A study in the Unites States revealed that the prevalence of depressive symptoms amongst pregnant women was 9% (Lara-Cinisomo, Clark, & Wood, 2018). Indeed, the minority populations such as Hispanic and Black mothers demonstrated a higher prevalence of depressive disorders and other mental health issues during the perinatal period. As such, it will be fundamental to create effective interventions that will address the issue amongst this population of minority women in the United States. As such, the following PICOT will be instrumental in addressing the issue:
In maternal mothers from minority populations, will the use of integrative non-pharmacological interventions compared to standard care practices lead to improved maternal mood within nine months?
Population Description
The phenomenon constitutes a serious issues and burden to the health of maternal women amongst minority women. According to studies, 5% of Latino women and 4% of black women initiated postpartum care for their mental health issues (Lara-Cinisomo, Clark, & Wood, 2018). Indeed, the black and Latina women were less likely to not only initiate but also maintain care after delivery, which leads to concerns about the health of their infants post-delivery and even pre-delivery (Mental Health America, n.d.). In addition, other mental health issues pre and post-term such as anxiety and PTSD exist more prevalently amongst these demographic compared to non-Hispanic Caucasian women. The concern for the existence of such high numbers impact the health of the mothers leading to a rise in cases of deaths caused by suicide. However, the impact is not only limited to the mothers but also extends to the infants with cases of preterm births, low birth-weights and poor interactions between the mothers and the infants prevailing.
Nursing science will involve the usage of evidence-based practices to manage the mental health conditions associated with pregnancy amongst minority women. Moreover, nursing science will undertake effective health promotion strategies such as preventative screening to reduce incidences of the mental health issues among the population. Health determinants such as the poverty level and access to insurance will determine the effectiveness of the offered solutions. In most cases, minority women do not have appropriate access to insurance due to high levels of poverty as well as language barriers.
The management of the mental health conditions in maternal mothers may also be dependent on genetic, epidemiologic, and genomic data. The epidemiologic data will help in the identification of the prevalence of mental health issues amongst the minority maternal mothers, which is essential in formulating cos-effective interventions. Moreover, public health genomics data will be crucial in identifying the causative behavioral, environmental and genetic (biologic) issues associated with mental health amongst minority maternal mothers (Molster et al., 2018). As such, the public health genomics will help in identifying the issues that should be targeted in order to improve the mental health wellbeing of maternal mothers in these two ethnicities.
Potential Solution for Intended PICOT
The adoption of an integrated mental health support to the mothers suffering from mental health issuers is fundamental when it comes to the improvement of their mental health. The non-pharmacological intervention will focus on maternal health as the primary outcomes. According to studies, the adoption of psychosocial support leads to educed depressive and anxiety symptom severity in perinatal women. The adoption of an integrated multidisciplinary support such as counseling from public health nurses, maternal seminars, and home visits by public health nurses is fundamental in ensuring better mental health during and after the pregnancy period (Tachibana et al., 2019). As such, the solution is effective in ensuring the existence of better healthcare outcomes in this population.
The solution is important when it comes to the incorporation of mental health goals and policies from relevant bodies. The World Health Organization has created a policy that looks to offer stratagems associated with the enhancement of the prevention, psychosocial wellbeing, as well as promotion of healthy mental health of mothers pre- and post-delivery (World Health Organization, n.d.). The adoption of the above integrated stratagems is thus fundamental in ensuring that the goals of the policy are achieved (Tachibana et al., 2019). Indeed, the solution will ensure equity for the minority population as they will receive services that are aligned with their non-Hispanic Caucasian maternal mothers, hence reduced mortality and morbidity rates amongst the population.
Conclusion
Maternal mental health issues are associated with various instances of mortalities and morbidities amongst the minority populations. The existing inequality in healthcare access has led to the disproportionate prevalence of the condition amongst this population. However, it is fundamental to address the issue using effective strategies. The adoption of an integrative multidisciplinary non-pharmacological approach has produced encouraging results. Indeed, the continuum support that is facilitated by such an approach ensures that healthcare equity and alignment with policies and goals are enjoyed by maternal women from minority populations.
References
Lara-Cinisomo, S., Clark, C. T., & Wood, J. (2018). Increasing diagnosis and treatment of perinatal depression in Latinas and African American women: addressing stigma is not enough. Women’s Health Issues, 28(3), 201-204. https://doi.org/10.1016/j.whi.2018.01.003
Mental Health America. (n.d.). Position statement 49: Perinatal mental health | Mental health america. Retrieved from https://www.mhanational.org/issues/position-statement-49-perinatal-mental-health
Molster, C. M., Bowman, F. L., Bilkey, G. A., Cho, A. S., Burns, B. L., Nowak, K. J., & Dawkins, H. (2018). The evolution of public health genomics: Exploring its past, present, and future. Frontiers in public health, 6, 247. https://doi.org/10.3389/fpubh.2018.00247
Tachibana, Y., Koizumi, N., Akanuma, C., Tarui, H., Ishii, E., Hoshina, T., … & Ito, H. (2019). Integrated mental health care in a multidisciplinary maternal and child health service in the community: the findings from the Suzaka trial. BMC pregnancy and childbirth, 19(1), 58. https://doi.org/10.1186/s12884-019-2179-9
Watson, H., Harrop, D., Walton, E., Young, A., & Soltani, H. (2019). A systematic review of ethnic minority women’s experiences of perinatal mental health conditions and services in Europe. PloS one, 14(1), e0210587. https://doi.org/10.1371/journal.pone.0210587
World Health Organization. (n.d.). Maternal mental health – Who. Retrieved from https://www.who.int/mental_health/maternal-child/maternal_mental_health/en/