Identify a theory or model which can be used as a framework for a future evidence-based project
Content Requirements:
Review literature regarding issues or concerns within your selected area of advanced practice nursing. Select a theory or model which is relevant to your selected area of advanced practice nursing. Offer a meaningful context for evidence-based practice surrounding the issue or concern which you identified.
Address Theoretical Framework to Support Evidence-based Practice Assignment
Identify and describe a theory or model, and explain its relevance to the selected area of advanced practice
Describe an issue or concern regarding the selected area of advanced practice and explain its impact on health care outcomes.
Explain how the theory or model can be used as a framework to guide evidence-based practice to address the issue or concern, and discuss the unique insight or perspective offered through the application of this theory or model.
Full Answer Section
- Preparation: Actively planning to change.
- Action: Implementing the change.
- Maintenance: Sustaining the change over time.
Mental Health in Family Practice:
Mental health concerns are prevalent in primary care settings. NPs can play a crucial role in screening, diagnosis, and treatment of mental health conditions. However, patient adherence to treatment plans can be a challenge.
TTM's Relevance:
The TTM can guide NPs in:
- Assessing Patient Readiness: Identifying a patient's stage of change regarding mental health interventions (e.g., medication, therapy).
- Tailoring Interventions: Providing stage-specific support. (e.g., motivational interviewing for those in contemplation).
- Promoting Long-Term Adherence: Developing strategies for patients to maintain positive mental health practices.
Unique Insights from TTM:
- Individualized Approach: Focuses on the patient's journey, not a one-size-fits-all approach.
- Motivational Strategies: Provides a framework for supporting patients at various stages of change.
- Sustainability Focus: Highlights the importance of promoting long-term mental health management.
Evidence-Based Project Example:
An NP could use the TTM framework to design an intervention study. The study might compare different strategies for supporting patients with depression, based on their stage of change identified by the TTM. This could involve:
- Motivational Interviewing: For patients in contemplation.
- Education and Support Groups: For patients in preparation or action stages.
- Telehealth Medication Management: For patients in maintenance to improve adherence.
By utilizing the TTM, NPs can develop evidence-based practices that effectively address mental health concerns in family practice settings.
Sample Answer
Theory for Evidence-Based Practice in Advanced Practice Nursing
Area of Focus: Let's consider Mental Health Management in Family Practice by Nurse Practitioners (NPs).
Theory: The Transtheoretical Model (TTM) by Prochaska and DiClemente (1983) offers a valuable framework for understanding patient behavior change related to mental health.
TTM Explained:
The TTM posits that individuals progress through stages of change when modifying behaviors:
- Precontemplation: Not yet considering change.
- Contemplation: Thinking about making a change.