Benchmark -Evidence-Based Practice Project Literature Review Paper
Family nursing theories emphasize the dynamic associations among family members, illustrating shifts in distinctive patterns in the relationships between parents and children, and features of family interactions that improve or interrupt development. Family nurses evaluate the health of the whole family to recognize health issues and risk factors, assist in creating interventions to solve health issues, and implement the solutions to improve family or individual health. The purpose of this paper is to address the family issue of alcoholism through the framework of the Family Systems Theory.
Background of the Selected Family Issue
The family issue selected in this paper is alcoholism. Alcoholism is selected because it is an issue that has touched virtually everyone in society to some degree. Alcohol consumption creates severe issues not only for consumers but also for the family members and society, especially when it is abused for a long (McCrady & Flanagan, 2021). Alcoholism is manifested by challenges in regulating drinking habits, preoccupation with drinking alcohol, urge to drink more to experience the same impact, continuing drinking despite the dire issues it creates and suffering withdrawal symptoms. Dependency on alcohol affects the physical, mental, emotional, and financial health of an individual. Alcohol addiction has serious impacts on various aspects of one’s life, which often extend to family and society. Alcoholism impacts families through the creation of damaged relationships and failure to establish strong emotional ties (McCrady & Flanagan, 2021).
Alcoholism might be influenced by environmental, genetic, social, and psychological variables. It poses severe risks including alcohol consumption disorder and damage to parts of the brain that are associated with pleasure, capacity for self-control, and judgment. Importantly, alcoholism negatively impacts family dynamics and family nurses should critically assess and implement health interventions to address this issue. The utilization of the Family System Theory is ideal in this case because it enables nurses to analyze alcoholism as a family issue and not an individual issue affecting the consumer solely.
Overview of the Family System Theory
According to the Family Systems Theory, a family is a unit consisting of an intricate social system where individuals interact to affect the behaviors of one another. Since family members are interconnected, the family system should be perceived in its entirety and not in distinct parts. Any change in a family member is likely to impact the whole family system and create changes in other members of the family (McCrady & Flanagan, 2021). The Family Systems Theory was chosen to address the issue of alcoholism because it is made up of concepts and schemes that provide a structure for perceiving the family as a system. Therefore, this theory goes beyond an individual alcohol consumer in the family and focuses on the entire family based on the idea that a family is interconnected and a problem faced by one family member affects the entire family (Alexander & Robbins, 2019). This theory encourages nurses to consider individual clients as participating members of a bigger family system. As such, this is an appropriate theory to frame the review of alcoholism because the behavior of one alcoholic member of the family can affect the members of the family in meaningful and lasting ways.
Strengths and Weaknesses of the Family System Theory
Family systems theory is anchored on the principle that all family members are elements of the entire unit (Alexander & Robbins, 2019). As such, each family member has particular duties, functions, and interactions. The theory is associated with various strengths such as strengthening the family relationships and structure, reducing emotional cutoff, creating a stable emotional system, introducing a new way of perceiving family issues, the process is supported by professionals, enhances communication, and ensures a healthy environment for children. Ultimately, the theory does not only lead to enhanced outcomes for a family member but also provides an opportunity for honest, empathetic, and change that can benefit all family members and enable a strong foundation for building and sustaining vibrant, supportive relationships (McCrady & Flanagan, 2021). On the other hand, family systems theory is associated with various weaknesses. The theory may not be effective for unwilling clients, it does not treat problems that have no connection to the family, it can be emotionally overwhelming, there is the possibility of temporary tension because of highlighted personal criticisms, and possible traumatic triggers.
This theory applies to the identified issue of alcoholism. The utilization of this theory through family systems therapy is essential in helping an alcoholic individual to come to terms with the causes and impacts of his or her behavior (McCrady & Flanagan, 2021). However, the other family members also have roles to play. For instance, a member of a family may be heavily drinking because the parents have high expectations and often express their disappointment in that member of the family, which dents his or her confidence and make them look for comfort in alcohol. In such a case, this theory may be used to bring the whole family together and devise better approaches to addressing the issue and supporting one another.
Summary of the Findings
Several studies have demonstrated the effectiveness of family systems theory in addressing issues such as alcoholism. This theory asserts that a family is an emotional unit where every member has a duty and must comply with certain norms (Malik, 2020). Duties within the emotional system create patterns all over the dynamic system and the conduct of every member influence the other members. These patterns can result in balance or dysfunction within the system depending on the dynamism in the system’s operation and human connection within the systems (Malik, 2020). Therefore, there is a need for families to work collaboratively through therapy or counseling irrespective of the operations in human connection systems or family emotional systems.
Study findings indicate that utilization of family systems therapy can lead to a rapid reduction in alcohol use (Alexander & Robbins, 2019). Therefore, it is clear that this therapy is a crucial treatment plan. When dealing with alcoholism, the family system theory can guide providers to ensure that the treatment plan integrates the impacts of the family in the client’s care (Malik, 2020). Alcoholism could be a sign of a dysfunctional response to trauma and an individual could resort to alcohol to numb the emotional and mental pain of the experience from the family system. The most interesting aspect of the family systems theory is the emphasis on the interconnection of emotional states within the family unit (Alexander & Robbins, 2019). Therefore, the change should involve everyone in the family.
Alcoholism is a condition that is challenging to understand. Delving into the family system theory implies looking at the family connections involving an individual and determining how to apply the connections to manage the care of a person affected by alcoholism. When dealing with alcoholism addiction, prevention of physical problems may alleviate the present and potential chronic issues of the patient. However, integrating the family unit and recognizing them as a case to the issue of alcoholism or support group can lead to a profound improvement in the future outcomes of the patient.
Alexander, J. F., & Robbins, M. (2019). Functional family therapy. In Encyclopedia of Couple and Family Therapy (pp. 1232-1240). Cham: Springer International Publishing. https://doi.org/10.1007/978-3-319-49425-8_161
Laser-Maira, J. A., Blair, D., Echevarria, J. B., Castro, O., & Conger, J. (2019). Youth and Their Families: A Guide to Treating Adolescent Substance Use Through Family Systems Therapy. Oxford University Press, USA.
Malik, N. (2020). Family systems theory. In Encyclopedia of Behavioral Medicine (pp. 855-856). Cham: Springer International Publishing. https://doi.org/10.1007/978-3-030-39903-0_746
McCrady, B. S., & Flanagan, J. C. (2021). The role of the family in alcohol use disorder recovery for adults. Alcohol research: current reviews, 41(1). DOI: 10.35946/arcr.v41.1.06
The purpose of this assignment is to write a review of the research articles you evaluated in your Topic 5
“Evidence-Based Practice Project: Evaluation of Literature” assignment. If you have been directed by your instructor to select different articles in order to meet the requirements for a literature review or to better support your evidence-based practice project proposal, complete this step prior to writing your review.
A literature review provides a concise comparison of the literature for the reader and explains how the research demonstrates support for your PICOT. You will use the literature review in this assignment in NUR-590, during which you will write a final paper detailing your evidence-based practice project proposal.
In a paper of 1,250-1,500, select eight of the ten articles you evaluated that demonstrate clear support for your evidence-based practice and complete the following for each article:
- Introduction – Describe the clinical issue or problem you are addressing. Present your PICOT statement.
2. Search methods – Describe your search strategy and the criteria that you used in choosing and searching for your articles.
3. Synthesis of the literature – For each article, write a paragraph discussing the main components (subjects, methods, key findings) and provide rationale for how the article supports your PICOT.
4. Comparison of articles – Compare the articles (similarities and differences, themes, methods, conclusions, limitations, controversies).
5. Suggestions for future research: Based on your analysis of the literature, discuss identified gaps and which areas require further research.
6. Conclusion – Provide a summary statement of what you found in the literature.
7. Complete the “APA Writing Checklist” to ensure that your paper adheres to APA style and formatting criteria and general guidelines for academic writing. Include the completed checklist as an appendix at the end of your paper.
Refer to the “Evidence-Based Practice Project Proposal – Assignment Overview” document for an overview of the evidence-based practice project proposal assignments.
NUR 590 Topic 7 DQ 1
Propose strategies for disseminating your evidence-based practice project proposal. Consider the necessary stakeholders who need to review or approve the proposal (both internal and external) and what methods you will use to communicate.
Disseminating evidence to stakeholders and decision makers within the organization is crucial to getting the proposed solution implemented throughout the organization. The evidence must have evidence based research that supports the proposed solution and must show how the solution will improve the performance of the organization. After the completion of a research or evidence based project, the information must be disseminated amongst the staff. The purpose behind performing a research project or evidence based project is to create change and to advance patient care. The information that is distributed amongst the staff is quite important. Having a dissemination plan is so vital because there are barriers. The barriers can involve not having the education or information readily available, costs of disseminating the information to staff, and staff being resistant to the new change or information. Using a tool for a dissemination plan will help guide the researcher find all the components necessary to form a formal dissemination plan that specifically reflects the user’s needs and interests (Carpenter, Nieva, Albaghal, & Sorra, 2014). The tool provides six useful components on successfully disseminating the research findings. The components consist of defining the research, identifying target users, working with dissemination partners, communicating the research, communicating the research, evaluating the success of the dissemination process, and developing an action plan (Carpenter, Nieva, Albaghal, & Sorra, 2014). Utilizing the tool will not only provide better outcomes for the researcher but the staff members that are receiving the new information. External Stakeholders would be investors and donors. Internal stakeholders to reach out to would be executive and managers.
Carpenter,D., Nieva, V., Albaghal, T. & Sorra, J. (2014). Development of a Planning Tool to Guide Research Dissemination. Retrieved from: http://www.ncbi.nlm.nih.gov/books/NBK20603/
Dissemination is spreading evidence-based practice information to a variety of clinical settings to increase understanding and adoption of new or changed evidence-based practice. Proposing evidence-based practice projects in a diverse but related setting allows for the uptake of stakeholder support that would increase resources to conduct more complex studies and implement enhanced interventions. Stakeholders are very important as not only can studies require financial backing for equipment, clinical resources and personnel, but also require stakeholders that can understand the gravity a project or proposal has on improving patient related health outcomes (Cunningham-Erves, Mayo-Gamble, Vaughn, Hawk, Helms, Barajas & Joosten, 2020).
Considering my evidence-based project, internal stakeholders would primarily be health care facilities and specifically the outpatient/public nutrition department. Approval would be needed from a health care facility in order to obtain consents and access to the target population and because consent and privacy must be ethically followed approval from a health care facility may already have detailed policies regarding such proposals. Direct communication with administration and the nutrition department will be ideal to maintain good faith in stakeholder support as the project is tailored towards the nutritional field (Warren, Constantinides, Blake & Frongillo, 2021).
External stakeholders would include support from those outside of the health care facility such as local or public dieticians/nutritionists, patients, and public education programs. You can also include digital or virtual stakeholders that could support structured and guided ways to use technology for diet modification and nutritional information. While direct communication for public services and patients can be facilitated, technological stakeholder support may need technical communication for improvements and utilization (Warren, Constantinides, Blake & Frongillo, 2021).
Jennifer Cunningham‐Erves, Tilicia Mayo‐Gamble, Vaughn, Y., Hawk, J., Helms, M., Barajas, C., & Joosten, Y. (2020). Engagement of community stakeholders to develop a framework to guide research dissemination to communities. Health Expectations, 23(4), 958-968. http://dx.doi.org.lopes.idm.oclc.org/10.1111/hex.13076
Warren, A. M., Constantinides, S. V., Blake, C. E., & Frongillo, E. A. (2021). Advancing knowledge about stakeholder engagement in multisectoral nutrition research. Global Food Security, 29. https://doi-org.lopes.idm.oclc.org/10.1016/j.gfs.2021.100521
You are required to cite eight peer-reviewed 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. A link to the LopesWrite technical support articles is located in Class Resources if you need assistance.
This benchmark assignment assesses the following programmatic competencies:
MBA-MSN; MSN-Nursing Education; MSN Acute Care Nurse Practitioner-Adult-Gerontology; MSN Family Nurse Practitioner; MSN-Health Informatics; MSN-Health Care Quality and Patient Safety; MSN-Leadership in Health Care Systems; MSN-Public Health Nursing
3.2: Analyze appropriate research from databases and other information sources to improve health care practices and processes.
Topic 7 DQ 1
Identify two major policy issues that affect the current state of health care delivery and population health equity in the United States (may be state or federal). What impact do these population health policies and initiatives have on advanced nursing practice?
Topic 7 DQ 2
Select an effective current health policy that focuses on or affects population health. What components of this policy make it effective? Conduct research on its history and the factors that influenced its development.
Topic 7 Participation
Topic 7: Policies Affecting Practice and State of Health Care Delivery
- Identify major policy issues affecting the state of health care delivery and population health equity.
2. Analyze the components of effective population-based health policies.
3. Discuss the impact of population health policies and initiatives on advanced nursing practice.
Advanced Practice Nursing: Essential Knowledge for the Profession
Read Chapter 9 in Advanced Practice Nursing: Essential Knowledge for the Profession.
Population Health: Creating a Culture of Wellness
Read Chapter 7 and review Chapter 10 in Population Health: Creating a Culture of Wellness.
Evidence-Based Practice in Nursing and Healthcare
Review Chapter 19 in Evidence-Based Practice in Nursing and Healthcare.
Health Policy and Health Services Delivery
Read “Health Policy and Health Services Delivery,” by Tullai-McGuinness and Reimer, from Encyclopedia of Nursing Research(2017).
The Untapped Potential of the Nurse Practitioner Workforce in Reducing Health Disparities
Read “The Untapped Potential of the Nurse Practitioner Workforce in Reducing Health Disparities,” by Poghsyan and Carthon, from Policy, Politics, and Nursing Practice (2017).
How to Write a Literature Review in 30 Minutes or Less
View “How to Write a Literature Review in 30 Minutes or Less,” by Taylor, located on YouTube (2017).
Course Code Class Code Assignment Title Total Points
NUR-550 NUR-550-O500 Benchmark – Part B: Literature Review 250.0
Criteria Percentage Unsatisfactory (0.00%) Less than Satisfactory (80.00%) Satisfactory (88.00%) Good (92.00%) Excellent (100.00%)
Introduction 5.0% An introduction is not included. An introduction is present, but it lacks detail or is incomplete. An introduction is present. An introduction is clearly provided and well developed. A comprehensive introduction is thoroughly developed with supporting details.
Methods 15.0% A discussion of methods, including criteria used to select the articles, is not included. A discussion of methods, including criteria used to select the articles, is present, but it lacks detail or is incomplete. A discussion of methods, including criteria used to select the articles, is present. A discussion of methods, including criteria used to select the articles, is clearly provided and well developed. A comprehensive discussion of methods, including criteria used to select the articles, is thoroughly developed with supporting details.
Literature Synthesis, Part A 15.0% A discussion of the main components of each article, including subjects, methods, key findings, and rationale for how the article supports the PICOT statement, is not included. A discussion of the main components of each article, including subjects, methods, key findings, and rationale for how the article supports the PICOT statement, is present, but it lacks detail or is incomplete. A discussion of the main components of each article, including subjects, methods, key findings, and rationale for how the article supports the PICOT statement, is present. A discussion of the main components of each article, including subjects, methods, key findings, and rationale for how the article supports the PICOT statement, is clearly provided and well developed. A comprehensive discussion of the main components of each article, including subjects, methods, key findings, and rationale for how the article supports the PICOT statement, is thoroughly developed with supporting details.
Literature Synthesis, Part B 15.0% A discussion of the limitations, controversies, similarities, and differences of the studies is not included. A discussion of the limitations, controversies, similarities, and differences of the studies is present, but it lacks detail or is incomplete. A discussion of the limitations, controversies, similarities, and differences of the studies is present. A discussion of the limitations, controversies, similarities, and differences of the studies is clearly provided and well developed. A comprehensive discussion of the limitations, controversies, similarities, and differences of the studies is thoroughly developed with supporting details.
Areas of Further Study (C3.2) 15.0% An analysis of evidence in the articles to identify what is known, unknown, and needed for further study is not included. An analysis of evidence in the articles to identify what is known, unknown, and needed for further study is present, but it lacks detail or is incomplete. An analysis of evidence in the articles to identify what is known, unknown, and needed for further study is present. An analysis of evidence in the articles to identify what is known, unknown, and needed for further study is clearly provided and well developed. A comprehensive analysis of evidence in the articles to identify what is known, unknown, and needed for further study is thoroughly developed with supporting details.
Required Sources 5.0% Sources are not included. Number of required sources is only partially met. Number of required sources is met, but sources are outdated or inappropriate. Number of required sources is met. Sources are current, but not all sources are appropriate for the assignment criteria and nursing content. Number of required resources is met. Sources are current, and appropriate for the assignment criteria and nursing content.
Organization and Effectiveness 20.0%
Thesis Development and Purpose 7.0% Paper lacks any discernible overall purpose or organizing claim. Thesis is insufficiently developed or vague. Purpose is not clear. Thesis is apparent and appropriate to purpose. Thesis is clear and forecasts the development of the paper. Thesis is descriptive and reflective of the arguments and appropriate to the purpose. Thesis is comprehensive and contains the essence of the paper. Thesis statement makes the purpose of the paper clear.
Argument Logic and Construction 8.0% Statement of purpose is not justified by the conclusion. The conclusion does not support the claim made. Argument is incoherent and uses noncredible sources. Sufficient justification of claims is lacking. Argument lacks consistent unity. There are obvious flaws in the logic. Some sources have questionable credibility. Argument is orderly, but may have a few inconsistencies. The argument presents minimal justification of claims. Argument logically, but not thoroughly, supports the purpose. Sources used are credible. Introduction and conclusion bracket the thesis. Argument shows logical progressions. Techniques of argumentation are evident. There is a smooth progression of claims from introduction to conclusion. Most sources are authoritative. Clear and convincing argument that presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative.
Mechanics of Writing (includes spelling, punctuation, grammar, language use) 5.0% Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice or sentence construction is used. Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register) or word choice are present. Sentence structure is correct but not varied. Some mechanical errors or typos are present, but they are not overly distracting to the reader. Correct and varied sentence structure and audience-appropriate language are employed. Prose is largely free of mechanical errors, although a few may be present. The writer uses a variety of effective sentence structures and figures of speech. Writer is clearly in command of standard, written, academic English.
Paper Format (Use of appropriate style for the major and assignment) 5.0% Template is not used appropriately or documentation format is rarely followed correctly. Template is used, but some elements are missing or mistaken; lack of control with formatting is apparent. Template is used, and formatting is correct, although some minor errors may be present. Template is fully used; There are virtually no errors in formatting style. All format elements are correct.
Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style) 5.0% Sources are not documented. Documentation of sources is inconsistent or incorrect, as appropriate to assignment and style, with numerous formatting errors. Sources are documented, as appropriate to assignment and style, although some formatting errors may be present. Sources are documented, as appropriate to assignment and style, and format is mostly correct. Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error.