NR730 Week 3 A Building Block of the NDP Project Discussion

Psychiatric patients with multiple chronic conditions often face complex challenges in receiving effective and safe care within mental health centers. As Lake and Turner (2019) highlight, managing medications is crucial in their treatment outcomes, patient safety, and overall quality of care (Lake & Turner, 2019). The proposed doctor of nursing practice (DNP) change project aims to examine the impact of implementing a medication management protocol for psychiatric patients with multiple chronic conditions in mental health centers. This paper will address the project’s PICOT question, analyze how it addresses the identified practice problem, and evaluate how the outcome aligns with evidence-based interventions.

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The PICOT question for this change project is: For psychiatric patients with multiple chronic conditions in mental health centers, what is the impact of implementing a medication management protocol, compared to current practice, on treatment outcomes, patient safety, and quality of care in 10 weeks? The identified practice problem for this DNP change project revolves around psychiatric patients with multiple chronic conditions in mental health centers. According to Daré et al. (2019), most psychiatric patients often require complex medication regimens, and the current practice may lack a standardized approach to medication management, leading to suboptimal treatment outcomes, compromised patient safety, and a potential decline in the quality of care provided. Semahegn et al. (2020) further argue that approximately 33% of individuals experiencing significant psychiatric disorders face enduring disability and dependence as a result of inadequate adherence to their prescribed medication. The PICOT question proposes implementing a medication management protocol to address this problem.

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The PICOT question effectively addresses the identified practice problem by focusing on the impact of the medication management protocol on treatment outcomes, patient safety, and quality of care. The question acknowledges the importance of considering the broader implications of the medication management protocol and its potential to address the identified practice problem comprehensively. The PICOT question also specifies a 10-week timeframe for assessing the impact of the medication management protocol. This timeframe aligns with the need for timely evaluation of interventions in healthcare settings while allowing for adequate data collection and analysis. Additionally, the question seeks to measure treatment outcomes, patient safety, and quality of care, key indicators of effective and evidence-based interventions.

References

Daré, L. O., Bruand, P.-E., Gérard, D., Marin, B., Lameyre, V., Boumédiène, F., & Preux, P.-M. (2019). Co-morbidities of mental disorders and chronic physical diseases in developing and emerging countries: A meta-analysis. BMC Public Health, 19(1). https://doi.org/10.1186/s12889-019-6623-6

Lake, J., & Turner, M. S. (2019). Urgent need for improved mental health care and a more collaborative model of care. The Permanente Journal, 21(2017), 17–24. https://doi.org/10.7812/tpp/17-024

Semahegn, A., Torpey, K., Manu, A., Assefa, N., Tesfaye, G., & Ankomah, A. (2020). Psychotropic medication non-adherence and its associated factors among patients with major psychiatric disorders: A systematic review and meta-analysis. Systematic Reviews, 9(1). https://doi.org/10.1186/s13643-020-1274-3

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The PICOT Question: A Building Block of the DNP Project

Discussion

Purpose

The purpose of this assignment is to examine a PICOT question, which will serve as the mechanism for the development of the DNP practice change project.

Instructions

Reflect on your readings this week and respond to the following:

State your proposed DNP practice change project PICOT question.

Examine how your PICOT question addresses the identified practice problem.

Evaluate how the outcome identified in your PICOT question aligns with the evidence-based intervention.

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 outcomes:

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)

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:

Apply clinical scholarship methodologies for designing, developing, implementing, and evaluating quality improvements and the translation of evidence-based practice, to improve healthcare outcomes at the micro, meso, or macrosystem level. (PCs 1, 3, 5; POs 3, 5, 9)

Appraise and synthesize the highest level of evidence available to improve the quality, cost-effectiveness, and healthcare outcomes of diverse populations. (PCs 1, 2, 3, 4, 6, 8; POs 4, 5, 6, 8)