Poster Of Evidence-Based Practice Goal: Develop A Clinical ✓ Solved

Poster Of Evidence-Based Practice Goal: Develop a clinical

Develop a clinical practice question using PICO(T) that focuses on a clinical issue to improve the quality of care.

1. Identify a clinical problem/opportunity, draft a PICOT question.

2. Review the literature, make recommendations.

3. Create a poster and add it onto your last slide of your PowerPoint presentation to disseminate your findings.

The presentation should be original work and logically organized in current APA style including citation of references.

The presentation should be clear and concise, and students will lose points for improper grammar, punctuation, and misspelling.

Incorporate a minimum of 4 current (published within the last five years) scholarly journal articles or primary legal sources (statutes, court opinions) within your work.

PowerPoint presentation with 6 slides, excluding the title slide and the reference slide.

Speaker notes expanded upon and clarified content on the slides.

Paper For Above Instructions

Evidence-based practice (EBP) has become an essential cornerstone in the realm of healthcare, facilitating high-quality patient care through informed clinical decisions based on the best available evidence. Within this framework, the development of a clinical practice question is crucial in driving research and interventions that improve patient outcomes. This paper will outline a clinical practice question using the PICO(T) format, review relevant literature, and discuss recommendations based on the findings, culminating in a poster that conveys these insights for healthcare professionals.

Identifying the Clinical Problem

For the purposes of this paper, the identified clinical problem is the prevalence of depression among patients with chronic illnesses, particularly diabetes. Studies have shown that chronic diseases often co-occur with mental health disorders, leading to poorer health outcomes (Katon et al., 2017). The relationship is bidirectional; chronic illness can exacerbate depressive symptoms while depression can hinder the management of chronic conditions (Sherwood et al., 2016). Therefore, the PICO(T) question developed is: In adult patients with diabetes (P), how does implementing a structured depression screening program (I) compared to standard care (C) affect the identification and management of depression (O) within six months (T)?

Drafting the PICOT Question

The PICO(T) framework aids in clearly articulating the question. In this case:

  • P (Population): Adult patients with diabetes
  • I (Intervention): Implementation of a structured depression screening program
  • C (Comparison): Standard care without routine depression screening
  • O (Outcome): Identification and management of depression
  • T (Time): Within six months

Reviewing the Literature

A review of the literature reveals that many health care settings overlook the mental health needs of patients with chronic illnesses, leading to underdiagnosis and inadequate management of depression. A systematic review by Gensichen et al. (2018) indicates that structured screening for depression in primary care settings leads to improved diagnosis and management outcomes. Similarly, a randomized controlled trial by von Korff et al. (2019) found that patients with diabetes who were screened for depression and received coordinated care did significantly better in terms of mental health outcomes than those who received standard treatment.

Furthermore, a cohort study by Gonzalez et al. (2020) reported that integrating mental health screenings into routine diabetes care resulted in a 30% increase in clinically diagnosed depression rates. These findings underscore the importance of early identification of depression in individuals with diabetes to implement timely interventions and improve quality of life.

Recommendations

Based on the literature reviewed, several recommendations can be made:

  • Healthcare settings should adopt a routine depression screening protocol for all patients with chronic illnesses, particularly diabetes, to ensure early identification and appropriate intervention.
  • Training for healthcare providers on the importance of mental health screening in chronic illness management should be mandated.
  • Integrating behavioral health teams into primary care settings can facilitate a more comprehensive approach to patient care.
  • Continuous education and community outreach programs should be developed to increase awareness of the relationship between chronic diseases and mental health issues.

Creating the Poster

The final element of this project involves creating a poster to succinctly communicate the findings and recommendations. The poster should visually represent the PICO(T) question, the clinical problem identified, and outline potential intervention strategies along with evidence from literature supporting the recommendations.

In summary, developing a clinical practice question using PICO(T) is instrumental in addressing complex health issues such as depression among patients with diabetes. The review of relevant literature highlights the significance of structured depression screening and its positive impact on patient outcomes. By implementing the recommendations derived from this work, healthcare systems can significantly enhance the quality of care provided to patients facing chronic illness and mental health challenges.

References

  • Gensichen, J., Nothelle, H., & Driessen, M. (2018). Depression in patients with diabetes: a systematic review. Diabetes Care, 41(1), 172-180.
  • Gonzalez, J. S., et al. (2020). The role of diabetes self-management in reducing depression. Diabetes Spectrum, 33(4), 309-316.
  • Katon, W., et al. (2017). Impact of depression on chronic medical illness. Journal of Clinical Psychiatry, 78(5), e618-e626.
  • Sherwood, A., et al. (2016). Depression and cardiovascular disease: a review. Canadian Journal of Cardiology, 32(12), 1464-1473.
  • von Korff, M., et al. (2019). Impact of a depression care management intervention on diabetes-related outcomes. Diabetes Care, 42(10), 1922-1930.
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  • Sethi, M. (2020). Evidence-Based Practice in Nursing: A Review of the Literature. Nursing Standard, 35(4), 48-54.

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