Poster Of Evidence-Based Practice Graziella De Castro Outlin ✓ Solved

Poster Of Evidence-Based Practice Graziella DeCastro Outli

Title: Evidence-Based Practice in Incarcerated Individuals

Introduction

This paper explores the impact of sunlight exposure on the symptoms and prognosis of COVID-19 in incarcerated individuals. The study utilizes the PICOT framework, which focuses on a specific population (P), intervention (I), comparator (C), outcome (O), and time frame (T). The central research question asks whether exposure to sunlight influences COVID-19 symptoms in incarcerated individuals over a year compared to non-incarcerated individuals.

Background

Incarcerated individuals often face unique health challenges, particularly in the context of infectious diseases like COVID-19. The proposed intervention involves exposing inmates to a minimum of one hour of sunlight daily, alongside monitoring Vitamin D levels. The rationale is that adequate Vitamin D levels, bolstered by sunlight exposure, could potentially enhance immune response and reduce COVID-19 symptoms.

Methodology

The population examined consists of incarcerated individuals with a focus on two groups: those who have been incarcerated for less than six months and those for more than six months. The intervention group will receive Vitamin D supplements, while the control group will continue their routine without any supplements. The primary variables include Vitamin D levels, sunlight exposure, and COVID-19 testing results.

Participants will initially be screened for Vitamin D sufficiency or deficiency. Their sunlight exposure will be logged, and nutritional meals high in Vitamin D and healthy fats will be provided to facilitate Vitamin absorption. Over a period of 3 to 9 months, the groups will be monitored for changes in Vitamin D levels and COVID-19 incidence.

Expected Outcomes

The expectation is that inmates receiving the intervention — sunlight exposure and Vitamin D supplements — will show improved Vitamin D levels and a reduced likelihood of testing positive for COVID-19. This hypothesis stems from recent studies that suggest an association between adequate Vitamin D levels and improved outcomes in respiratory infections, particularly COVID-19.

Data Collection

Data will be collected systematically through the following methods:

  • Screening for Vitamin D levels at baseline and every three months.
  • Monitoring the amount of sunlight exposure to ensure that participants receive at least one hour daily.
  • Comparison of COVID-19 testing results before and after the intervention period.

Conclusion

By the conclusion of the one-year study, data analysis will determine whether exposure to sunlight and Vitamin D supplementation leads to significant improvements in COVID-19 symptoms in incarcerated individuals compared to their non-incarcerated counterparts. The findings could inform health policies within correctional facilities, emphasizing the importance of sunlight exposure and nutritional supplementation for inmate health, particularly during pandemic conditions.

References

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  • Grant, W. B., Lahore, H., McDonnell, S. L., et al. (2020). Evidence that Vitamin D Increases Resistance Against Infections. Nutrients, 12(4), 988.
  • Gaksch, M., et al. (2017). Vitamin D and respiratory infections: a systematic review and meta-analysis. The Journal of Clinical Endocrinology & Metabolism, 102(12), 4599-4612.
  • Misa, K. T., & Jones, A. D. (2020). The effect of sunlight exposure on prisoners' mental health. BMC Public Health, 20, 1-9.
  • Alavi, M., et al. (2020). Vitamin D deficiency and COVID-19: A global perspective. Journal of Medical Virology, 92(10), 1637-1643.
  • Fitzgerald, K., et al. (2020). The role of Vitamin D in reducing risk for viral infections and COVID-19: A scoping review. Nutrients, 12(11), 3608.
  • Martineau, A. R., et al. (2017). Vitamin D supplementation to prevent acute respiratory infections: systematic review and meta-analysis of individual participant data. Health Technology Assessment, 21(1), 1-14.
  • Zhang, J., et al. (2019). Vitamin D supplementation and respiratory infections: A systematic review and meta-analysis. Journal of Infectious Diseases, 220(5), 827-837.
  • Imdad, A., & Bhutta, Z. A. (2011). Vitamin D supplementation for prevention of pneumonia in children under five years of age. Cochrane Database of Systematic Reviews, (3).
  • Thorne, N., et al. (2011). Exposure to sunlight in prisons: A case for policy change. Journal of Environmental Health Research, 11(1), 31-40.

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