Benchmark – Capstone Project Change Proposal
In this assignment, students will pull together the capstone project change proposal components they have been working on throughout the course to create a proposal inclusive of sections for each content focus area in the course. For this project, the student will apply evidence-based research steps and processes required as the foundation to address a clinically oriented problem or issue in future practice.
Develop a 1,250-1,500 written project that includes the following information as it applies to the problem, issue, suggestion, initiative, or educational need profiled in the capstone change proposal:
Background
Clinical problem statement.
Purpose of the change proposal in relation to providing patient care in the changing health care system.
PICOT question.
Literature search strategy employed.
Evaluation of the literature.
Applicable change or nursing theory utilized.
Proposed implementation plan with outcome measures.
Discussion of how evidence-based practice was used in creating the intervention plan.
Plan for evaluating the proposed nursing intervention.
Identification of potential barriers to plan implementation, and a discussion of how these could be overcome.
Appendix section, if tables, graphs, surveys, educational materials, etc. are created.
Review the feedback from your instructor on the Topic 3 assignment, PICOT Question Paper, and Topic 6 assignment, Literature Review. Use this feedback to make appropriate revisions to these before submitting.
Prepare this assignment according to the guidelines found in the APA Style Guide,
PICOT Question
The following is an examination of the PICOT question for my capstone project. The PICOT question examines the population of focus in the project, the intervention for the population, the comparison of the intervention, the expected outcome, and the timelines within which the outcomes will be measured (Lira & Rocha, 2019).
PICOT Question
For patients diagnosed with chronic illness, does screening for depression as part of standard care procedures compared to no screening for depression in the standard care procedures, improve treatment efficacy in a period of a year?
P: Patients who are diagnosed with chronic illness
I: screening for depression as part of standard care procedures
C: no screening for depression in the standard care procedures
O: improved treatment efficacy
T: a year
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Population
The population of the study is patients who have been diagnosed with chronic health issues. People diagnosed with chronic conditions have an increased risk of developing mental health issues such as depression and anxiety. Therefore, this project focuses on this population to find effective strategies for providing nursing care that caters to their physical health needs and mental health.
Intervention
The proposed intervention for this project is screening for depression as a standard care procedure. Depressive symptoms should be considered during an assessment to help identify patients at risk because depression may worsen and affect how they manage the disease. Screening for depression is an effective method of improving patients’ treatment with different chronic health issues (Forbes & Eyre, 2016). According to Siu et al. (2016), screening and treating depression in adults with chronic illnesses is vital since the early discovery of depression may improve patient health and safety. Routine screening, for example, using screening tools, should be implemented in clinical areas to improve the diagnosis of depression among adult patients with chronic illness (Siu et al., 2016). Such screening tools include the Patient Health Questionnaire-2 (PHQ-2), which consists of two questions asking the patient to reflect upon the past two weeks. The intervention may take one year to be implemented because it has a process and involves different health professionals, organizations, and stakeholders. This would help nurses identify depression that would go unnoticed and untreated and worsen disease management and clinical outcomes. Patients with chronic illness who undergo screening are treated with depression early compared to patients not screened for it, leading to increased patient and nurse safety.
Comparison
A comparison is necessary to determine whether the absence of the intervention will affect the patients. The comparison factor is the absence of screening tools to assess whether patients have comorbid depression after diagnosis with chronic health issues. It is expected that the lack of screening tools for depression will reduce the rates at which nurses diagnose depression. Therefore, treatment for depression will not be a part of standard care for chronic illness patients. This problem may reduce treatment efficacy in chronic illness care.
Outcomes
The outcome that will be examined in the patients’ treatment efficacy varies depending on the specific chronic health issue. However, some general outcomes that indicate greater treatment efficacy include improved self-management of the disorder, medication adherence, and healthy coping with the condition (Farley, 2020). This capstone project will examine whether including an assessment for depression improves the patients’ ability to achieve these factors.
Timeline
The timeline for examining the impact of this intervention is a year. This is a relatively long period, but it is necessary given the nature of the study. Chronic health conditions are long term conditions in need of long-term care interventions. Therefore, a long period is needed to determine whether the change in care procedures has impacted the efficacy of treatments for the patients.
The PICOT Problem Relation to Evidence-Based Solution, Nursing Intervention, Patient Care, Health Care Agency, and Nursing Practice
Depression is a recurring condition that affects a patient’s feelings, health, and recovery from a chronic illness. Therefore, evidence-based solutions could help medical professionals to reduce the occurrence of depression among patients. Such solutions could be evidence-based nursing interventions that may lead to the effective control of depressive symptoms among adult patients using the least restrictive clinical settings (Curry et al., 2019). Therefore, nursing interventions should be implemented to reduce the prevalence of depression which negatively impacts patients’ well-being and affects patient care. Besides, depression compromises the quality of patient care, therefore, reducing patient satisfaction and safety. Thus, healthcare agencies develop and implement interventions to reduce depression and improve patient care. Notably, patient safety would be enhanced since the healthcare agency policies would limit patients’ exposure to danger caused by depression. Moreover, nurses enhance their practice to reduce undiagnosed patient depression and effectively treat depression. For example, nurses build a nurse-patient relationship during an assessment and use nursing interventions to treat depression (Curry et al., 2019).
References
Curry, S. J., Krist, A. H., Owens, D. K., Barry, M. J., Caughey, A. B., Davidson, K. W., … & Kubik, M. (2019). Interventions to prevent perinatal depression: US Preventive Services Task Force recommendation statement. Jama, 321(6), 580-587.
Farley, H. (2020). Promoting self‐efficacy in patients with chronic disease beyond traditional education: A literature review. Nursing Open, 7(1), 30-41.
Forbes, M. P., & Eyre, H. A. (2016). Screening for depression in coronary heart disease: detection of early disease states. In Cardiovascular Diseases and Depression (pp. 519-533). Springer, Cham.
Lira, R. P. C., & Rocha, E. M. (2019). PICOT: Imprescriptible items in a clinical research question. Arquivos brasileiros de oftalmologia, 82(2), 1-1.
Siu, A. L., Bibbins-Domingo, K., Grossman, D. C., Baumann, L. C., Davidson, K. W., Ebell, M., … & Krist, A. H. (2016). Screening for depression in adults: US Preventive Services Task Force recommendation statement. Jama, 315(4), 380-387.
Benchmark – Capstone Project Change Proposal
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