NSG 4076 Week 10 Part 2: Evaluation Process

Part 2: Evaluation Process

Studies show that limited availability of personal protective equipment, inadequate medication, an unreasonable amount of work, fear of contracting the virus, and lack of qualified training, have put frontline healthcare workers like nurses with unimaginable levels of stress(Kantor & Kantor, 2020). Additionally, psychological discomfort especially when caring for a covid-19 patient has also led to mental problems like depression and anxiety. My aggregate of 3 middle-aged women between the ages of 35 and 44 years working at the Fort Pierce, Florida, Advanced Eye Care Center, had a similar encounter which led to the diagnosis of depression. However, as a result of the current restrictions, I decided to implement psychological digital intervention which is the most effective approach in managing mental problems for this population (Lin et al., 2021). The purpose of this paper is to evaluate the effectiveness of the psychological digital intervention in managing depression among my aggregate.

Implementation Process

Before deciding on which intervention to implement, I provided my aggregate with different kinds of psychological digital intervention to choose from, of which all of them were comfortable with group sessions through zoom, provided by a professional mental health therapist(Lin et al., 2021). My aggregate decided on a specific time, between 5 pm to 6 pm, which was convenient for all of them. The therapist made a schedule based on that time and formulated a plan which was followed successfully for a positive outcome. All the three women were committed to the therapy, without failing to attend even a single session. The intervention was implemented as planned, with the common goals of managing the symptoms of depression and promoting the well-being of my aggregate, in addition to the acquisition of appropriate stress coping mechanisms to promote their resilience.

Evaluation of The Outcome

To evaluate the effectiveness of the intervention, outcome measures such as improved scores on both GAD-7 and PHQ assessment scales in addition to reduced depression symptoms were utilized. After a few weeks of therapy sessions, one of my aggregate reported improved symptoms, with better coping mechanisms such as opening up to a friend and family members regarding their work-related stress (Ezenwaji et al., 2019). The other two aggregates also displayed positive results, reporting that they had adopted self-care management and self-control skills which have been very helpful in remission of the depression symptoms. The GAD-7 and PHQ scores of all the 3 group members improved over time, as they were still willing to continue with the sessions for optimal benefit. Generally, the intervention was successful in managing the mental issues reported by my aggregate.

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Comparison between Projected Effectiveness and Actual Effectiveness after Implementation of the Intervention

With the implementation of the psychological digital intervention (group therapy),it was expected that my aggregate displayed a significant improvement in the GAD-7 and PHQ scores, with complete remission of symptoms within 6 to 8 weeks. However, the outcome was expected to be different for each of my aggregate depending on the severity of their condition. For the one with mild depression, it was expected that she will be able to manage her symptoms within 4 weeks with only the therapy sessions (Kantor & Kantor, 2020). For the one with moderate depression, therapy was expected to work, but the patient was to be monitored for the possibility of initiating medication. For the last patient with moderately severe depression, it was expected that the psychiatrist would recommend the use of antidepressants such as amitriptyline to promote the effectiveness of the intervention.

However, it was quite impressive that all the three women were able to display positive results as mentioned in the previous paragraph upon implementation of the intervention, with reduced GAD-7 and PHQ scores and complete remission of symptoms within the expected time, even without the use of medication. To be precise, one of my aggregates reported that she was able to talk about her working situation and how it impacts her mental health with other colleagues and family members promoting appropriate resilience (Lin et al., 2021). All three women also reported after implementation of the intervention that they were able to adopt appropriate stress coping skills such as exercise, yoga, and deep breaths just as expected. Generally, his strategy has been proven to be an effective way of dealing with mental problems among frontline healthcare workers.

Conclusion

Frontline healthcare workers like my aggregate are frequently impacted by stressorsthat promote mental health problems like depression and anxiety. The best way to manage and prevent mental health issues among this population is to promote frequent mental health examinations by talking to a psychiatrist about their work-related stress. Surprisingly, just talking to a mental health professional even on ‘zoom’ has proven to be an effective way of promoting the mental health of nurses. Implementation of psychological digital intervention (group therapy) led to a positive outcome for my aggregate in the management of depression and promoting the mental health of this population.

NSG 4076 Week 10 Part 2: Evaluation Process References

Ezenwaji, I. O., Eseadi, C., Okide, C. C., Nwosu, N. C., Ugwoke, S. C., Ololo, K. O., … & Oboegbulem, A. I. (2019). Work-related stress, burnout, and related sociodemographic factors among nurses: Implications for administrators, research, and policy. Medicine, 98(3).DOI: 10.1097/MD.0000000000013889

Kantor, B. N., & Kantor, J. (2020). Mental health outcomes and associations during the coronavirus disease 2019 pandemic: a cross-sectional survey of the US general population. MedRxiv. https://doi.org/10.1016/j.jagp.2021.01.076

Lin, T., Stone, S. J., Heckman, T. G., & Anderson, T. (2021). Zoom-in to zone-out: Therapists report less therapeutic skill in telepsychology versus face-to-face therapy during the COVID-19 pandemic. Psychotherapy, 58(4), 449. https://doi.org/10.1037/pst0000398

Instructions

Evaluation of Plan Effectiveness Criteria

Over the past nine weeks, you selected an aggregate and conducted a risk assessment of its health, developed a care plan to address those health risks, planned to implement one intervention in a small group from the aggregate, and considered the effectiveness of the intervention on the health of the small group. It is time now for you to present your final submission of this Capstone project.

There are two parts to this assignment.

Part 1: A 10-15 slide power point presentation addressing the following:

A detailed description of the aggregate including strengths and weaknesses
A risk assessment of the aggregate
Diagnoses based on the risk assessment
A detailed care plan for the aggregate
A description of at least one intervention that was implemented (or the implementation itself if presented as a power point)
Part 2: In a Microsoft Word document of 3-4 pages formatted in APA style, you will describe the evaluation process of the intervention(s) you implemented.

Include the following in your paper:

An evaluation of the effectiveness of the intervention:

Did I implement the intervention as planned? If not, what were the reasons?
Interview/measure outcomes for two or three members of your group to determine/measure the effectiveness of the intervention(s).
Include transcripts of the interviews with the participants from the group in the appendix of your paper.
Finally, compare the projected effectiveness of your plan before implementation with the actual effectiveness after implementation.
Are there visible signs of success (for example, reduced health issues)? If yes, describe. If no, describe what signs you would anticipate and rationale for no change.
You may want to use the responses to the above two criteria to measure the actual effectiveness of the intervention.
Conclusion
Cited at least two scholarly references