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Ebp Change Process Form

Content type

User Generated

Subject

Nursing

School

Advocate Kutsch College of Nursing

Course

BSN 4012 Nursing Leadership Management

Type

Homework

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xbune844

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EBP Change Process form

ACE Star Model of Knowledge Transformation

Name: _____________________

Star Point 1: Discovery (Identify topic and practice issue)

Identify the topic and the nursing practice issue related to this topic. (This MUST involve a

nursing practice issue.)

Topic: Treating Depression in Adult Patients

Nursing practice issue: employing cognitive behavioral therapy (CBT) as complimentary medication in

depressed patients

Briefly describe your rationale for your topic selection. Include the scope of the issue/problem.

The quality of the outcome of health/nursing practice justifies its effectiveness and efficiency. In

this regard, it is important that the appropriate approach is employed toward achieving the primary

objectives of the nursing practice, those of the care providers, and patient needs. According to Holland

& Rees (2010), nursing practices that are based on evidence concerning the primary goals is

considerably the most appropriate. Similarly, Fain (2008) asserts that evidence-based nursing practice

is an approach of care provision that recognizes and acknowledges the patient’s needs, and guarantee to

meet all the needs. Therefore, there is a need for a medication approach that meet all the needs of a

patient with depression thus, the need for the CBT as a complimentary nursing approach.

Star Point 2: Summary (Evidence to support need for a change)

Describe the practice problem in your own words and formulate your PICOT question.

Medication along cannot meet all the needs of a patient with depression. There is a need for a

nursing approach that meet both physiological and psychological, not to mention emotional, social and

religious, needs of the patient thus, the CBT. The PICOT formulated for this nursing practice issue is:

In adult patients with depression, does the combination of a physiological medication with CBT, as

compared to just the physiological medication alone, address the adverse symptoms of depression and

improve quality of life over a short span of time?

P: Adult patients with depression

I: Combining medication with CBT

C: just medication alone

O: address adverse symptoms of depression and improve quality of life

T: within a short span of time

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List the systematic review chosen from the Cochrane Database of Systematic Reviews from the

Chamberlain library. Type the complete APA reference for the systematic review selected.

Cuijpers, P., Berking, M., Andersson, G., Quigley, L., Kleiboer, A., & Dobson, K. S. (2013). A meta-

analysis of cognitive-behavioural therapy for adult depression, alone and in comparison, with

other treatments. The Canadian Journal of Psychiatry, 58(7), 376-385.

Dobkin, R. D., Menza, M., Allen, L. A., Gara, M. A., Mark, M. H., Tiu, J., ... & Friedman, J. (2011).

Cognitive-behavioral therapy for depression in Parkinson's disease: a randomized, controlled

trial. American Journal of Psychiatry, 168(10), 1066-1074.

Fiske, A., Wetherell, J. L., & Gatz, M. (2009). Depression in older adults. Annual review of clinical

psychology, 5, 363-389.

Flynn, H. A., & Warren, R. (2014). Using CBT effectively for treating depression and anxiety. Current

Psychiatry, 13(6), 45-53.

Morin, C. M., Vallières, A., Guay, B., Ivers, H., Savard, J., Mérette, C., ... & Baillargeon, L. (2009).

Cognitive-behavior therapy, singly and combined with medication, for persistent insomnia: acute

and maintenance therapeutic effects. JAMA: the journal of the American Medical

Association, 301(19), 2005.

List and briefly describe other sources used for data and information. List any other optional

scholarly source used as a supplement to the systematic review in APA format.

Huang, C., Dong, B., Lu, Z., Yue, J., & Liu, Q. (2010). Chronic diseases and risk for depression in old

age; a meta-analysis of published literature. Ageing Research Reviews, 9(2), 131-141.

This source provides insights about how certain chronic diseases pose risks of developing depression

and calling for the need to respond with both medication and therapeutic approaches for the disease and

its possible psychological complications; it supports the combination of medication and CBT.

Piet, J., & Hougaard, E. (2011). The effects of mindfulness-based cognitive therapy for prevention of

relapse in recurring major depressive disorder: a systematic review and meta-analysis. Clinical

Psychology Review, 31(6), 1032-1040.

This source also provides information on how the combination of medication and CBT can help

prevent relapses of depression and its associated mental complications; it supports the combination of

medication and CBT.

Briefly summarize the main findings (in your own words) from the systematic review and the

strength of the evidence.

From the findings of the literature review, it is evident that depression is associated with an array

of chronic diseases as some of the complications or manifestations. In adults, the impact of a disease,

including its adversities tend to cause depression, which then increases its severity of impact depending

on the circumstances in which the patient is. For example, health conditions such as cancer, diabetes,

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EBP Change Process form ACE Star Model of Knowledge Transformation Name: _____________________ Star Point 1: Discovery (Identify topic and practice issue) Identify the topic and the nursing practice issue related to this topic. (This MUST involve a nursing practice issue.) Topic: Treating Depression in Adult Patients Nursing practice issue: employing cognitive behavioral therapy (CBT) as complimentary medication in depressed patients Briefly describe your rationale for your topic selection. Include the scope of the issue/problem. The quality of the outcome of health/nursing practice justifies its effectiveness and efficiency. In this regard, it is important that the appropriate approach is employed toward achieving the primary objectives of the nursing practice, those of the care providers, and patient needs. According to Holland & Rees (2010), nursing practices that are based on evidence concerning the primary goals is considerably the most appropriate. Similarly, Fain (2008) asserts that evidence-based nursing practice is an approach of care provision that recognizes and acknowledges the patient’s needs, and guarantee to meet all the needs. Therefore, there is a need for a medication approach that meet all the needs of a patient with depression thus, the need for the CBT as a complimentary nursing approach. Star Point 2: Summary (Evidence to support need for a change) Describe the practice problem in your own words and formulate your PICOT question. Medication along can ...
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