NR 505 Week 7 Recommendation for an Evidence-Based Practice Change PowerPoint Presentation
NR 505 Week 7 Recommendation for an Evidence-Based Practice Change PowerPoint Presentation
§Mental health problems are crucial public health concerns
§Early diagnosis important in improving treatment outcomes
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§Psychiatric practitioners implement evidence-based interventions for optimum outcomes
§This presentation examines the need for routine mental health screening on mental health outcomes
Mental health problems are among the crucial public health concerns in most global states. Mental disorders such as depression and substance use disorders have risen globally over the past decade. The rise places immense pressure on the existing healthcare systems, since there is a need for the provision of high-quality care for different populations. Health promotion interventions such as routine screening can improve the current disease burden due to mental health illnesses due to timely diagnosis and treatment. Psychiatric mental health nurse practitioners play a crucial role in the adoption of evidence-based interventions that improve safety, quality, and efficiency outcomes in mental disease management. Therefore, the purpose of this presentation is to propose the need for routine screening on mental health disorders screening and early treatment among young adults aged 15-25 years old. The areas of focus in the presentation include the analysis of the practice issue, PICOT question, review of literature, and recommendations.
§The practice issue is the rise in mental health problem among the population
§There is minimal focus on routine screening services for mental health problems
§Routine screening facilitates early diagnosis and treatment
§The practice site has not implemented change initiatives to address the problem
The practice issue of focus in this presentation is the need for routine screening for mental health problems. Mental health problems comprise a crucial issue in America. According to statistics, more than one in five people in America have mental health problems. About 5.8 million people in America had mental health problems in the United States in 2021. Despite these rates, the utilization of interventions such as routine screening for mental health problems has not been considered in America. Routine screening of patients is an effective tool that can facilitate timely diagnosis and treatment. It also lowers the disease burden since the risk of complications due to mental health disorders reduces. Studies have shown that routine screening has benefits in mental health problems. The practice site has witnessed an increase in the rate of mental health problems such as major depression and substance use disorders. However, it has not considered any change initiative to address the problem, hence, the focus of the proposed project (Doupnik et al., 2020).
Importance and Impact on Health Outcomes
§Mental health problems act as a source of disease burden
§It lowers quality of life and contributes to premature mortality
§Nurse practitioners are responsible for initiating change in their practice
§Impact: early diagnosis and treatment, reduction in complication rates, and improved patient outcomes
An increase in mental health problems is significant in many ways. First, mental health problems are a source of disease burden to patients, their families, communities, and state as a whole. Mental health problems contribute to high costs of healthcare for patients and their families. Patients require frequent hospital visits and hospitalization for symptom and comorbidities management. Mental health problems also lead to a decline in productivity. Patients cannot function normally and optimally in their social and occupational roles. They also miss their work as they seek healthcare services for their mental health problems. These effects lower their quality of life as well as those of their families. Mental health problems also contribute to premature mortalities. Nurse practitioners play the crucial role of implementing change initiatives in their practice. The changes address the prioritized and potential health needs of their populations. This implies that nurse practitioners have the responsibility of implementing change initiatives to facilitate timely diagnosis and optimum treatment outcomes in mental health. The proposed initiative that entails routine screening for mental health problems will enable early diagnosis and treatment. It will also minimize complications associated with mental health problems for improved prognostic outcomes. Patient outcomes such as satisfaction, empowerment, and costs will also improve (Lean et al., 2019).
§P: Adolescents and young adults aged 15-25 years
§I: Routine mental health screening
§O:Diagnosis and treatment of mental health conditions
§In adolescents and young adults aged 15-25 years of age in a primary care setting, what is the effect of routine mental health screening compared to no screening on diagnosis and treatment of mental health conditions over 12 months after initiation of the intervention?
The PICOT question for the proposed project is; In adolescents and young adults aged 15-25 years of age in a primary care setting, what is the effect of routine mental health screening compared to no screening on diagnosis and treatment of mental health conditions over 12 months after initiation of the intervention?
§Routine patient screening reduce the risk of suicide
§Incorporating follow-up to routine screening improve diagnosis and treatment rates
§Routine screening should utilize standardized tools for improved outcomes
§Routine screening increases treatment rates
The reviewed literature showed that routine screening is effective in reducing the risk of suicidality among patients with mental health problems that included depression and post-traumatic stress disorder. The studies showed that the benefits of routine screening could also be translated into other aspects of mental health such as health seeking habits by patients. The studies also revealed that the effectiveness of routine screening improves if follow-up care is incorporated to it. The follow-up care facilitates timely identification and treatment of any mental health issues. The studies also shared the theme of the need for standardization in routine screening. The tools utilized in the screening should be standardized to increase the rates of accurate diagnoses and timely treatment. It was also evident from the studies that routine screening increases the utilization of mental health treatments. Most of the diagnosed patients were initiated on treatments timely, hence increased utilization of mental health services by the population (Bentley et al., 2020; Doupnik et al., 2020; Lean et al., 2019).
§Routine screening is effective in detecting mental health problems
§Routine screening improves self-management among patients
§Routine screening improves intent to seek healthcare services
§There is paucity of evidence on the impact f routine screening in mental health
The reviewed studies also shred the common theme of increased detection of mental health problems with routine screening. The screening helped in the detection of cases with no clear symptoms of mental health disorder, hence, timely management. It was also discovered from the review that routine screening improves self-management behaviors among patients and those at risk of mental health problems. These populations benefited from health education on lifestyle and behavioral modifications needed for them to minimize and manage mental health disorder symptoms. The patient’s intent to seek mental healthcare services was also found to increase with routine screening. Patients were motivated to be proactively involved in managing their health problems, hence, increased health seeking.
§Routine mental health screening should be incorporated into mental health practice
§Screening practices should be standardized
§Organizational strategies such as training staff on screening improve outcomes
§Routine screening increases diagnosis and treatment rate for mental health problems
The recommendation from the reviewed studies is that routine screening for mental health disorders is effective when implemented in primary care. The screening facilitates timely diagnosis of mental health disorders and initiation of treatment. The studies also recommend the standardization of routine screening tools to improve the accuracy level of diagnosis and timely treatment. Most authors recommended the importance of institutional support for successful implementation of routine screening for mental health problems. Support in the forms of training promote competency development and sustainability of routine screening use in primary care settings.
Stakeholders Impacted by Change
§Patients’ significant others
§Nurse leaders and managers
The proposed recommendation will affect several stakeholders. One of them is psychiatric mental health nurses. The nurses will need to perform routine screening of patients for mental health problems. They will also perform routine evaluation and propose any improvements needed to increase the accuracy in diagnosis and treatment. The other stakeholder is patients with mental health disorders. Patients will benefit from timely diagnosis and initiation of treatments. This will minimize the risk of complications with mental health disorders. The significant others of the patients will benefit from reduced disease burden, cost of care, and unaltered social and occupational productivity among their patients (Bahraini et al., 2022). Nurse leaders and managers will also have to provide the support and supervision needed for the success of the proposed initiative. They will also lobby for resource support for the initiative.
§The recommendation aligns with the organization’s mission
§Nurses are ready to implement it to improve outcomes
§It will improve patient outcomes
§The recommendation is feasible for the organization
The proposed recommendation for routine screening aligns with the mission of the organization, which focuses on promoting safety, quality, and efficiency of healthcare services. Routine screening will enhance quality of mental health services through timely diagnosis and treatment. It will also enhance efficiency by improving prognostic outcomes in mental health problems. The organizational stakeholders, including nurses are ready to implement the recommendation. They have the required competencies in the translation of evidence into practice. The recommendation will improve patient outcomes such as patient-centeredness, and health seeking behaviors, healthcare costs. Based on the above, the recommendation is feasible for the organization.
§The Mental health problems are crucial public health concerns
§Routine mental health screening is proposed
§Evidence shows it increases diagnosis and treatment rate
§The recommendation will benefit various stakeholders
In summary, mental Health problems are crucial public health concerns in the modern society. Early detection through screening and initiation of treatment improves prognostic outcomes. Therefore, routine mental health screening is proposed to increase diagnosis and treatment rate for mental health problems among adolescents and adults aged 15-25 years old. The existing evidence supports the intervention. The recommendation will affect various stakeholders that include nurses, nurse managers and leaders, and the significant others of the patients.
NR 505 Week 7 Recommendation for an Evidence-Based Practice Change PowerPoint Presentation References
Bahraini, N., Reis, D. J., Matarazzo, B. B., Hostetter, T., Wade, C., & Brenner, L. A. (2022). Mental health follow-up and treatment engagement following suicide risk screening in the Veterans Health Administration. PLOS ONE, 17(3), e0265474. https://doi.org/10.1371/journal.pone.0265474
Bentley, K. H., Sauer-Zavala, S., Stevens, K. T., & Washburn, J. J. (2020). Implementing an evidence-based psychological intervention for suicidal thoughts and behaviors on an inpatient unit: Process, challenges, and initial findings. General Hospital Psychiatry, 63, 76–82. https://doi.org/10.1016/j.genhosppsych.2018.09.012
Doupnik, S. K., Rudd, B., Schmutte, T., Worsley, D., Bowden, C. F., McCarthy, E., Eggan, E., Bridge, J. A., & Marcus, S. C. (2020). Association of Suicide Prevention Interventions With Subsequent Suicide Attempts, Linkage to Follow-up Care, and Depression Symptoms for Acute Care Settings: A Systematic Review and Meta-analysis. JAMA Psychiatry, 77(10), 1021–1030. https://doi.org/10.1001/jamapsychiatry.2020.1586
Lean, M., Fornells-Ambrojo, M., Milton, A., Lloyd-Evans, B., Harrison-Stewart, B., Yesufu-Udechuku, A., Kendall, T., & Johnson, S. (2019). Self-management interventions for people with severe mental illness: Systematic review and meta-analysis. The British Journal of Psychiatry, 214(5), 260–268. https://doi.org/10.1192/bjp.2019.54
Translating knowledge into practice establishes evidence-based practice (EBP) within the nursing profession. Nurse practitioners participate in the dissemination of research evidence to support the creation of practice interventions. The purpose of this assignment is to prepare students to disseminate evidence to support practice. Students will synthesize the information they have gathered during the course to formulate a presentation advocating for a practice change in relation to an area of interest to NP practice.
This assignment enables the student to meet the following course outcomes:
- CO1: Integrate evidence-based practice and research to support advancement of holistic nursing care in diverse healthcare settings. (PO 1,4)
- CO2: Integrate knowledge related to evidence-based practice and person-centered care to improve health outcome. (PO 1, 2)
- CO3: Demonstrate professional and personal growth through a spirit of inquiry, scholarship, and service in diverse healthcare settings. (PO 3, 4)
- CO4: Develop knowledge related to research and evidence-based practice as a basis for designing and critiquing research studies. (PO 1, 5)
- CO5: Analyze research findings and evidence-based practice to advance holistic care initiatives that promote positive healthcare outcomes. (PO 1, 2, 5)
Sun., 11:59pm MT Sunday
- Submit your PowerPoint file to the Dropbox by 11:59 p.m. MT Sunday at the end of Week 7.
Students are expected to submit assignments by the time they are due. Assignments submitted after the due date and time will receive a deduction of 10% of the total points possible for that assignment for each day the assignment is late. Assignments will be accepted, with penalty as described, up to a maximum of three days late, after which point a zero will be recorded for the assignment. Quizzes and discussions are not considered assignments and are not part of the late assignment policy.
Total Points Possible
This assignment is worth 200 points.
In Week 7, students will create a PowerPoint slide show with notes pages discussing their PICOT question, literature review, and recommendations for change. In Week 8, students will create a Kaltura recording of the presentation for the Peer Discussion thread.
Criteria for Content
Students will synthesize the information they have gathered during the course to formulate a presentation advocating for a practice change in relation to an area of interest to NP practice.
In a PowerPoint Presentation, address the following.
- Title Slide
- Introduction (1 slide): Slide should identify concepts to be addressed and sections of the presentation. Include speaker’s notes that explain, in more detail, what will be covered.
- Practice Issue (1-3 slides): Describe the area of interest and practice issue/problem related to NP practice selected in week 2. Explain why the issue/concern is important to nurse practitioner practice and its impact on health outcomes. Provide speaker notes. Provide scholarly references to support your ideas.
- PICOT Question (1 slide): Provide the PICOT question developed in week 2. Describe each element of your PICOT question in one or two sentences, being sure to address all the following:
- P-Population and problem – What is the nursing practice concern or problem and whom does it affect?
- I–Intervention – What evidence-based solution for the problem would you like to apply?
- C–Comparison – What is another solution for the problem? Note that this is typically the current practice, no intervention at all, or alternative solutions.
- O–Outcome – Very specifically, how will you know that the intervention worked? Think about how you will measure the outcome.
- T–Time frame – What is the Timeframe involved for the EBP initiative or the target date of completion?
- Literature review (2-4 slides):Summarize the literature review completed in week 5. Discuss themes and special concerns. Discuss any unique insight or perspective offered from the literature. Provide speaker notes. Speaker notes and/or slides include citations from scholarly nursing literature which support the assertions presented.
- Recommendations (3 slides):
- Slide 1: Identify the evidence-based recommendation for the identified practice change. Speaker’s notes should fully explain the recommended change and rationale for the change. Provide support from scholarly references to support the recommendation.
- Slide 2: Identify the key stakeholders impacted by the recommended change. Speaker’s notes add detail.
- Slide 3: Analyze the recommendation in terms of fit, feasibility, and appropriateness as discussed by Dang and Dearholt (2018), Ch. 8. Speaker’s notes add detail. *Note: information regarding stakeholders, fit, feasibility, and appropriateness may be based on personal experience or on information you found in your research. If the identified factors come from the literature, provide reference citations to support your ideas.
- Conclusion: (1 slide)Slide provides summary points of presentation. Speaker’s notes provide final comments on the topic.
- References: Reference elements provided in APA format, may use bullets. Hanging indents not required.
Preparing the Presentation
- Application: Use Microsoft Power Point to create the presentation. Submit as a .ppt or .pptx file.
- Length: The PowerPoint presentation should be between 9-13 total slides (excluding title and reference slides).
- Speaker notes should be used and include in-text citations when applicable. Use the Notes Page view feature in PowerPoint to include speaker notes.
- Submission: Submit the PowerPoint file to the Week 7 Dropbox.
Best Practices in Preparing the Presentation
The following are best practices in preparing this presentation:
- Review directions thoroughly.
- Follow submission requirements.
- Make sure all elements on the grading rubric are included.
- Follow rules of grammar, spelling, word usage, and punctuation consistent with formal, scientific writing.
- Review the Creating a Professional Presentation located in Course Resources.
- Correctly cite and reference ideas and information that come from scholarly literature.
- Abide by Chamberlain University academic integrity policy.
|Introduction(1 slide)||10||5%||Introduction includes concepts to be addressed. Identify sections of the PowerPoint presentation. Speaker notes include details of what will be covered in the presentation.|
|Nursing Practice Issue/Problem||20||10%||Describes one specific issue or concern within the selected area of advanced practice nursing. Explanation of the impact of this issue or concern on health outcomes. Provide speaker notes. Speaker notes and/or slides include citations from scholarly nursing literature which validate the importance of the issue or concern.*The nursing practice issue/problem description may be reused from the Week 2 worksheet|
|PICOT question||20||10%||Includes the PICOT question in the standard PICOT question format with each letter separately, such as: P = I = C = O = T =PICOT question =Speaker notes accurately and clearly describe each of the PICOT elements.*The PICOT question and explanation may be reused from the Week 2 worksheet|
|Literature Review||50||25%||Summarize the literature review completed in week 5. Discuss themes and special concerns. Discuss any unique insight or perspective offered from the literature. Provide speaker notes. Speaker notes and/or slides include citations from scholarly nursing literature which support the assertions presented.|
|Recommendations Slide 1: Identify EBP change||20||10%||Slide 1: Identify the evidence-based recommendation for the identified practice change. Speaker’s notes should fully explain the recommended change and rationale for the change. Provide support from scholarly references to support the recommendation.|
|Recommendations Slide 2: Identify key stakeholders||20||10%||Slide 2: Identify the key stakeholders impacted by the recommended change. Speaker’s notes add detail.|
|Recommendations Slide 3: Analyze fit, feasibility, and appropriateness||20||10%||Slide 3: Analyze the recommendation in terms of fit, feasibility, and appropriateness as discussed by Dang and Dearholt (2018), ch. 8. Speaker’s notes add detail.*Note: information regarding stakeholders, fit, feasibility, and appropriateness may be based on personal experience or on information you found in your research. If the identified factors come from the literature, provide reference citations to support your ideas.|
|Conclusion(1 slide)||10||5%||Summarize key information presented in PowerPoint presentation. Provide speaker notes.|
|170||85%||Total CONTENT Points= 170 pts|
|APA Format||10||5%||Ideas and information that come from scholarly sources must be cited and referenced correctly. In-text and parenthetical citations must be used and may be provided on the slide or within the speaker notes. Slides, speaker notes, and reference elements are consistent with current APA format. May use bullets on the reference slide. Hanging indents not required.|
|Presentation of Slides||10||5%||PowerPoint presentation includes title slide, 9-13 content slides, and reference slide(s). Presentation of slides is professional in appearance and tone. Balance among space, words and graphics, and color is effective.|
|Writing Mechanics||10||5%||Rules of grammar, spelling, word usage, and punctuation are followed and consistent with formal written work as found in the current APA manual.|
|30||15%||Total FORMAT Points = 30 pts|
|ASSIGNMENT TOTAL = 200 points|
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