GCU NUR 550 Translation Research and Population Health Management Week 4 Assignment

GCU NUR 550 Translation Research and Population Health Management Week 4 Assignment  

GCU NUR 550 Translation Research and Population Health Management Week 4 Assignment

Benchmark – Part A: Population Health Research and PICOT Statement

Nurses and other healthcare providers play an important role in the provision of care that promote optimum health of the diverse populations. They ensure that the mental health and wellbeing of the vulnerable populations are promoted through the provision of case-specific care. They also facilitate the creation of safe communities that support the mental health and wellbeing of those at risk. Therefore, this research paper explores the issue of post-traumatic stress disorder among African Americans and a PICOT question that can guide in addressing it.

Population Demographics

The population of focus in this clinical intervention is African Americans with post-traumatic stress disorder. The African Americans form a significant proportion of the population in America. According to statistics, the African Americans constitute about 41.4 million of the total population in America. This population translates into 12.7% of the whole population. It also makes them the second largest population of the minorities after the Hispanic/Latino population. The statistics also show that a bigger percentage of the population of the African Americans reside in the South compared to the North. The life expectancy of this population is estimated to be 76.1 years. Men are reported to have an estimated life expectancy of 72.9 years while women have 78.9 years. Their life expectancy is lower than that of the non-Hispanic whites that have a projected life expectancy of 79.8 years (OMH, n.d.). The health insurance coverage among them is also low. It is estimated that about 55.5% of the non-Hispanic blacks have a medical insurance coverage when compared to 75.4% in the non-Hispanic whites.

The Health Concern

The health concern of focus in this research that affects the African Americans in the US is post-traumatic stress disorder. According to a research by Hall-Clark et al. (2016), the prevalence rate of post-traumatic stress disorder is higher among African Americans when compared to individuals from other ethnic groups in America. This difference can be seen in the statistics that the lifetime prevalence of post-traumatic stress disorder among them is 8.7% when compared to 7.4% in the whites. The statistics also reveal that the risk of developing the disease in African Americans is 1.2 times than that of the whites (Hall-Clark et al., 2016). According to Sibrava et al. (2019), the clinical course of post-traumatic stress disorder in African Americans is worse when compared to that witnessed in individuals from other ethnicities. This can be seen in the literature review performed by the authors where there was chronic course of the disease among patients with post-traumatic stress disorder from African American origin. The worse clinical progress and outcomes among this population is attributed to the influence of factors that include socioeconomic disparities, high risk of traumatic stressors among them, enhanced exposure to assaultive violence, cultural differences, and overrepresentation in communities with high rates of crime, and pervasive marginalization in their societies (Sibrava et al., 2019). Therefore, the risk of functional and psychosocial disabilities among them is higher than in patients from other ethnicities in the state.

Nursing Science, Health Determinants, Epidemiologic and Genetic Data Impact on Health Management

Nurses have a critical role in promoting optimal health and wellbeing of the African American patients with post-traumatic stress disorder. They ensure that their knowledge in management of mental health disorders is utilized in promoting the recovery of these patients. They optimize the benefits of using both pharmacological and non-pharmacological interventions in managing the disorder among them. Statistics have consistently shown that African Americans are highly at a risk of post-traumatic disorder due to the influence of factors such as genetics and environmental exposures (Ehlers & Hinkson, 2017). Therefore, nurses explore the ways in which these factors such as environmental influences can be transformed to minimize their risks alongside reducing the health impacts of the disease on the affected.

Potential Solution

The use of non-pharmacological interventions in combination with pharmacological approaches has been shown to increase the health outcomes of patients suffering from post-traumatic stress disorder. Generally, pharmacological interventions entail the administration of drugs such as antidepressants, antipsychotics, benzodiazepines, and selective serotonin reuptake inhibitors. However, the use of selective serotonin reuptake inhibitors has been approved for treatment of post-traumatic stress disorder in the US (Leiva-Bianchi et al., 2018). Besides these medications, incorporating non-pharmacological intervention such as psychotherapy has proven effective in optimizing the outcomes of treatment. For instance, methods such as the use of cognitive behavioral therapy have proven to promote recovery by preventing relapse and lowering severity of symptoms. Cognitive behavioral therapy has also been shown to be effective in treating post-traumatic stress disorder that is unresponsive to medical therapy alone. Nevertheless, the use of combined intervention has not been largely explored among African American patients with post-traumatic stress disorder (Akbarian et al., 2015). Therefore, this intervention aims at exploring the use of cognitive behavioral therapy with selective serotonin reuptake inhibitors in the treatment of post-traumatic stress disorder among African American patients. The PICOT statement would be as follows:

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In African American patients suffering from post-traumatic stress disorder, will treatment with cognitive behavioral therapy in combination with selective serotonin reuptake inhibitors, lead to reduced severity in symptoms within ten months when compared to the use of selective reuptake inhibitors alone?

How the Solution Incorporates Health Policies and Goals

The intervention incorporates the policies of optimizing the health outcomes of the patients. It aims at ensuring that optimum goals of care are achieved with the use of combined therapy. Healthcare goals also include the elimination of disparities in healthcare. Therefore, the intervention seeks to promote equity in the outcomes of healthcare among African Americans. Lastly, the intervention aims at promoting active physical and psychosocial functioning of African American patients with post-traumatic stress disorder (Matthew, 2015). Through this, it eliminates inequalities in their ability to engage in activities that promote their socioeconomic development, hence, the promotion of equity among the affected.

GCU NUR 550 Translation Research and Population Health Management Week 4 Assignment   References

Akbarian, F., Bajoghli, H., Haghighi, M., Kalak, N., Holsboer-Trachsler, E., & Brand, S. (2015). The effectiveness of cognitive behavioral therapy with respect to psychological symptoms and recovering autobiographical memory in patients suffering from post-traumatic stress disorder. Neuropsychiatric disease and treatment, 11, 395.

Ehlers, N., & Hinkson, L. R. (2017). Subprime health: Debt and race in U.S. medicine. Minneapolis, MN : University of Minnesota Press.

Hall-Clark, B., Sawyer, B., Golik, A., & Asnaani, A. (2016). Racial/ethnic differences in symptoms of posttraumatic stress disorder. Current Psychiatry Reviews, 12(2), 124-138.

Leiva-Bianchi, M., Cornejo, F., Fresno, A., Rojas, C., & Serrano, C. (2018). Effectiveness of cognitive-behavioural therapy for post-disaster distress in post-traumatic stress symptoms after Chilean earthquake and tsunami. Gaceta sanitaria, 32, 291-296.

Matthew, D. B. (2015). Just medicine: A cure for racial inequality in American health care. New York : New York University Press.

OMH. (n,d.). Profile: Black/African Americans. Retrieved on 21^st Jan. 2020 from https://www.minorityhealth.hhs.gov/omh/browse.aspx?lvl=3&lvlid=61

Sibrava, N. J., Bjornsson, A. S., Pérez Benítez, A. C. I., Moitra, E., Weisberg, R. B., & Keller, M. B. (2019). Posttraumatic stress disorder in African American and Latinx adults: Clinical course and the role of racial and ethnic discrimination. American Psychologist, 74(1), 101.

In this course, you will be complete a 2-part assignment in which you conduct research about a population of focus, develop a PICOT statement, and write a Literature Review. The PICOT statement and Literature Review you write in this course can be used for your evidence-based practice project in the next course so be sure to select an issue you want to continue working on in your next course.

PICOT (Population/Problem, Intervention, Comparison, Outcome, and Time to achieve the outcome) is a method that helps clarify the qualities needed to create a good question out of a practice issue or problem affecting the population of focus. Additionally, the information derived from a good PICOT makes it easier to perform a literature search in order to find translational research sources that can be used to address the clinical problem.

Use a national, state or local population health care database to research indicators of disparity. Choose a mortality/morbidity indicator to identify a clinical problem or issue that you want to explore pertaining to a population of focus. Use this indicator to begin to formulate a PICOT and conduct research on the population.

Write a 750-1,000-word paper that analyzes your research and focuses on the population you have chosen. Describe the population’s demographics and health concerns, and explain how nursing science, health determinants, and epidemiologic, genomic, and genetic data may impact population health management for the selected population. Provide an overview of a potential solution for solving the health issue related to your population and the intended PICOT statement. Describe how the solution incorporates health policies and goals that support health care equity for the population of focus.

You are required to cite three to five 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.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. Please refer to the directions in the Student Success Center.