NUR 550 Benchmark – Part B: Literature Review Assignment
Description of the Clinical Issue
is recognized as a highly prevalent disorder with serious health problems to the patients, their families and the community as a whole. According to statistics, the lifetime prevalence of the disease in the US is 16% while it affects above 30 million Europeans (Gartlehner et al., 2017). The statistics imply that more than 16 million people in America aged above 18 years are affected by the disease on an annual basis (Dunlop et al., 2019). The disorder is mainly characterized by symptoms that include low self-confidence, low vigor, aversion of activities without any reason, and low mood. Functional impairment occurs due to the influence of a wide range of symptoms that include suicidality, impaired concentration, sleep disturbance, and anhedonia (). The risk of its recurrence is significantly high, which increases the disease burden as well as the need for interventions that aim at promoting the mental and physical health of the patients. Sadly, the severity of the symptoms and the effects it has on one’s health increases with every subsequent recurrence. For instance, relapses result in significant mental, social, physical, and financial costs to the family, patient, and the society as a whole (Zhang et al., 2018).
According to statistics, the prevalence of major depressive disorder among African-Americans in the state is lower than that of Caucasians. Despite their low prevalence, the risks of complications are significantly higher among them. The disparity is largely due to factors such as low utilization of available healthcare services, limited access to existing mental health services, and access to low-quality mental health services. There is also the fact that norms and cultural values influence the use of mental health services by African-Americans. It is expected that a society’s negative perception of mental health issues, influenced by cultural beliefs and practices, will reduce use of available mental health services (Sohail et al., 2014).
The use of antidepressants is widely regarded as the gold standard for treating major depression. Medications such as selective serotonin reuptake inhibitors have consistently been shown in studies to be effective in treating the disorder’s symptoms and relapse (Zhang et al., 2018). Non-pharmacological interventions are also being used more frequently in the treatment of major depressive disorder. The preference for non-pharmacological methods stems from the health benefits associated with antidepressant therapies. According to statistics, up to 63% of patients on antidepressant therapy experience adverse effects from their medications, with 7-15% discontinuing treatment (Gartlehner et al., 2017). There is limited evidence on whether combining pharmacotherapy and non-pharmacotherapy reduces the health consequences of major depressive disorder. As a result, the following PICOT question will be used to guide this proposed research:
In African-American patients with major depressive disorder, will the use of combined intervention involving cognitive behavioral therapy and antidepressants reduce severity of complications when compared to the use of antidepressants alone within 12 months?
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NUR 550 Benchmark – Part B: Literature Review Assignment
NUR 550 Benchmark – Part B: Literature Review Assignment: In Part A, you described the population and quality initiative related to your PICOT (Population/Problem, Intervention, Comparison, Outcome, and Time to achieve the outcome) statement. In this assignment, you will formalize your PICOT and research process.
Use the GCU Library to perform a search for peer-reviewed research articles. Find five peer-reviewed primary source translational research articles.
In a paper of 1,250-1,500 words, synthesize the research into a literature review. The literature review should provide an overview for the reader that illustrates the research related to your particular PICOT. Include the following:
Introduction: Describe the clinical issue or problem you are addressing.
Methods: Describe the criteria you used in choosing your articles
Synthesize the Literature: Part A: Discuss the main components of each article (subjects, methods, key findings) and provide rationale for how this supports your PICOT; Part B: Compare and contrast the articles: Discuss limitations, controversies, and similarities/differences of the studies.
Areas of Further Study: Analyze the evidence presented in your articles to identify what is known, unknown, and requires further study.
You are required to cite five to 10 sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and nursing content.
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.
Re: Topic 6 DQ 2
Computed tomography (CT) lung cancer screening is still a relatively new preventative measure that can be approved and covered by health insurance. Therefore, information and communication to these patients is critical. Copeland et. al., (2019) found many barriers for patients to obtain their lung cancer screenings, one of which included patients lack of awareness about screening availability. There are many forms of communication technologies including printed materials, media campaigns, community outreach, and interpersonal communication (Office of Disease Prevention and Health Promotion [ODPHP], 2021). A great way to communicate screening availability is by utilization of registered nurse case managers employed by health insurance companies. Many insurance companies are now asking patients their history or current use of nicotine products during their initial and annual renewal of their insurance policies. Case managers could pull that data and determine patients who qualify for these screenings. They can then complete outreach phone calls to these patients to get them scheduled for their screenings.
References
Copeland, A., Criswell, A., Ciupek, A., & King, J. C. (2019). Effectiveness of lung cancer screening implementation in the community setting in the United States. Journal of Oncology Practice, 15(7), e607–e615. https://doi.org/10.1200/jop.18.00788
Office of Disease Prevention and Health Promotion. (2021, June 23). Health communication and health information technology. Healthy People. Retrieved July 24, 2021, from https://www.healthypeople.gov/2020/topics-objectives/topic/health-communication-and-health-information-technology
