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
Introduction
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.
Practice Issue
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
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).
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PICOT Question
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?
Literature Review
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).
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.
Recommendation
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
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.
Recommendation Analysis
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.
Conclusion
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
