Assignment: NR702A week 4 Discussion Evidence-Based Intervention: Rationale

Assignment: NR702A week 4 Discussion Evidence-Based Intervention: Rationale

Assignment: NR702A week 4 Discussion Evidence-Based Intervention: Rationale

Evidence-Based Intervention: Rationale

Discussion

Purpose

The purpose of this discussion is to analyze the evidence-based intervention chosen for your DNP practice change project. The evidence-based intervention must be supported by research articles demonstrating that the intervention is effective in changing the outcome for your project. This research is the foundation for choosing the evidence-based intervention, along with other factors that might support the intervention at the practicum site.

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Instructions

Review this week’s readings and provide your response in 150 words or less:

State your practice question in PICOT format.

Create your rationale for choosing your evidence-based intervention.

List the high-level steps or activities in your evidence-based intervention implementation plan.

Use Grammarly and current APA format for the posts. Do not repeat the prompts in the post. Provide respectful and thought-provoking feedback to your student colleagues. Ask for clarification and elaboration if needed.

Please click on the following link to review the DNP Discussion Guidelines on the Student Resource Center program page:

Link (webpage): DNP Discussion GuidelinesLinks to an external site.

Program Competencies

This discussion enables the student to meet the following program competencies:

Integrates scientific underpinnings into everyday clinical practice. (POs 3, 5)

Applies organizational and system leadership skills to affect systemic changes in corporate culture and to promote continuous improvement in clinical outcomes. (PO 6)

Uses analytic methods to translate critically appraised research and other evidence into clinical scholarship for innovative practice improvements. (POs 3, 5)

Appraises current information systems and technologies to improve health care. (POs 6, 7)

Analyzes health care policies to advocate for equitable health care and social justice to all populations and those at risk due to social determinants of health. (POs 2, 9)

Creates a supportive organizational culture for flourishing collaborative teams to facilitate clinical disease prevention and promote population health at all system levels. (PO 8)

Translates a synthesis of research and population data to support preventative care and improve the nation’s health. (PO 1)

Leads others in professional identity, advanced clinical judgment, systems thinking, resilience, and accountability in selecting, implementing, and evaluating clinical care. (POs 1, 4)

Course Outcomes

This discussion enables the student to meet the following course outcomes:

Synthesize scientific knowledge, theory, and practice expertise to inform evidence-based practice and impact outcomes. (PCs 1, 2, 3, 4, 5, 7, 8; POs 1, 3, 4, 5, 6, 9)

Design an evidence-based translational science project to address a practice problem. (PCs 1, 2, 3, 4, 5, 7, 8; POs 1, 2, 3, 4, 5, 6, 7, 8, 9)

Apply effective strategies in project design for managing practice problems in healthcare delivery at the micro, meso, and macro-system levels. (PCs 1, 2, 3, 4, 5, 7, 8; POs 1, 2, 3, 4, 5, 6, 7, 8, 9)

Assignment: NR702A week 4 Discussion Evidence-Based Intervention Rationale Solution

Evidence-Based Intervention: Rationale Discussion

Practice Question

The following practice question will serve as the basis for the DNP project: For adult psychiatric patients, does the implementation of a mindfulness-based stress reduction program, compared to current practice, impact anxiety levels in 8-10 weeks?

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Rationale for Choosing the Evidence-Based Intervention

The evidence-based intervention selected is the utilization of a mindfulness-based stress reduction program. This choice is backed by a thorough examination of research findings, which consistently show the efficacy of MBSR in reducing anxiety symptoms among individuals with psychiatric conditions. The chosen approach aligns with principles that emphasize holistic care and patient-centeredness, providing an all-encompassing method that empowers individuals to address their anxiety symptoms actively.

In addition to addressing the psychological component of anxiety, MBSR offers valuable strategies to improve emotional well-being. The literature review (Liu et al., 2021; Goldberg et al., 2020; Maddock & Blair, 2023; Yang et al., 2021) indicates that this intervention may mitigate medication reliance, a critical factor in mental health treatment. Additionally, the chosen intervention is in line with the current emphasis on patient-centered, holistic methods that prioritize the empowerment and well-being of the patient.

High-Level Steps in the Evidence-Based Intervention Implementation Plan

1. Initiate the Program – Introduce the MBSR program to the psychiatric team, explaining the aim and methodology. Train the nursing staff and inform potential participants about the study.
2. Implementation (Weeks 2-9) – Conduct weekly sessions led by trained MBSR nursing staff, including guided meditation practices, gentle yoga, and group discussions. Provide supporting materials for daily home practice.
3. Project Wrap-Up (Week 10) – Review the intervention, gather post-intervention data, and encourage participant feedback to assess the program’s effectiveness.
4. Data Analysis and Interpretation – Organize and analyze data systematically, preparing it for interpretation.

The chosen intervention offers a comprehensive method to address anxiety in psychiatric patients, backed by solid evidence and a clear implementation plan.

References

Goldberg, S. B., Riordan, K. M., Sun, S., Kearney, D. J., & Simpson, T. L. (2020). Efficacy and acceptability of mindfulness-based interventions for military veterans: A systematic review and meta-analysis. Journal of Psychosomatic Research, 138(110232), 110232. https://doi.org/10.1016/j.jpsychores.2020.110232

Liu, X., Yi, P., Ma, L., Liu, W., Deng, W., Yang, X., Liang, M., Luo, J., Li, N., & Li, X. (2021). Mindfulness-based interventions for social anxiety disorder: A systematic review and meta-analysis. Psychiatry Research, 300(113935), 113935. https://doi.org/10.1016/j.psychres.2021.113935

Maddock, A., & Blair, C. (2023). How do mindfulness-based programmes improve anxiety, depression and psychological distress? A systematic review. Current Psychology (New Brunswick, N.J.), 42(12), 10200–10222. https://doi.org/10.1007/s12144-021-02082-y

Yang, X., Fang, Y., Chen, H., Zhang, T., Yin, X., Man, J., Yang, L., & Lu, M. (2021). Global, regional and national burden of anxiety disorders from 1990 to 2019: Results from the global burden of disease study 2019. Epidemiology and Psychiatric Sciences, 30(36). https://doi.org/10.1017/s204579602100027