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PICO Question For Major Depressive Disorder Assignment Discussion

PICO Question For Major Depressive Disorder Assignment Discussion

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PICO Question

The rising incidence of major depressive disorder (MDD) and suicidality among young African American adults presents a critical public health challenge. In response to this pressing issue, stakeholders from diverse professional backgrounds, including psychiatrists, social workers, and psychiatric nurse practitioners, have voiced concerns about the escalating rates and the urgent need for intervention. Through collaborative efforts and evidence-based practices, there is a concerted effort to address the systemic barriers and improve access to culturally responsive care for this vulnerable population (Cai et al., 2021)PICO Question For Major Depressive Disorder Assignment Discussion.

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Discussion With Stakeholders

In determining the prevalence of major depressive disorder (MDD) and suicidality among young African American adults, I spoke with a psychiatrist specializing in adolescent mental health, a social worker, and a psychiatric nurse practitioner. The psychiatrist shared instances of increased referrals of young African American patients presenting with symptoms of depression and suicidal ideation, citing a noticeable uptick in severe cases over the past few years. For example, she mentioned a recent case of a 19-year-old African American male who attempted suicide due to undiagnosed MDD exacerbated by social isolation and lack of access to mental health resources. The social worker recounted her interactions with at-risk youth in underserved neighborhoods, highlighting the pervasive stigma surrounding mental health issues and the limited availability of culturally competent services. PICO Question For Major Depressive Disorder Assignment Discussion

The psychiatric nurse practitioner, drawing from her clinical experience, discussed the challenges of identifying early warning signs of depression and suicidality among young adults during routine screenings, emphasizing the importance of collaboration between healthcare providers and community organizations to implement targeted interventions (Kumar et al., 2020)PICO Question For Major Depressive Disorder Assignment Discussion. These stakeholders unanimously agreed that the escalating rates of MDD and suicidality among this population constitute a critical public health concern necessitating coordinated efforts to address systemic barriers, destigmatize mental illness, and improve access to culturally responsive care.

Feasibility of the Identified Problem

After reviewing internal evidence and consulting stakeholders both within and outside of nursing, it remains evident that the increasing cases of major depressive disorder (MDD) and suicidality among young adults, particularly within the African American population, represent a critical clinical problem for my DNP project. Despite the ambitious nature of the intervention, which includes screening, interviewing, and education initiatives, it appears feasible to address within a short time frame of 8-12 weeks given the necessary resources and support. However, according to McHugh et al. (2023), a comprehensive follow-up to assess the effectiveness of evidence-based interventions require a longer period of time to determine their long-term effects. Local resources, including participants, funding, and space, are available and can be mobilized to facilitate the implementation of the intervention. In addition, there is administrative support for focusing on this clinical problem, with different stakeholders including mental health nurse practitioners, psychiatrists and social workers emphasizing on the need to address the issue (Assari et al., 2019)PICO Question For Major Depressive Disorder Assignment Discussion. This indicates a conducive environment for undertaking the DNP project and effectively address the impact of MDD and suicidality among young adults.

PICOT Question

I have also reviewed Chapter 3 of my Melnyk text, and the PICO question developed for my DNP project is as follows: “In African American individuals aged 16-25 experiencing major depressive disorder (P), what are the effects of screening, interviewing, and education interventions on susceptible individuals (I) compared to standard psychiatric care with no prior screening, interviewing, and education interventions (C) on decreasing mortality (suicide rates), decreasing morbidity (sick rates), and reducing hospitalization rates (O)?” This PICO question will guide my literature search, helping me identify relevant evidence to inform interventions aimed at addressing the rising cases of major depressive disorder and suicidality among young African American adults, while considering the impact on mortality, morbidity, and hospitalization rates as key outcome measures. PICO Question For Major Depressive Disorder Assignment Discussion

Conclusion

The dialogue surrounding the prevalence of major depressive disorder (MDD) and suicidality among young African American adults highlight the importance of targeted interventions and collaborative approaches to address this public health concern. Through engagement with stakeholders and a thorough review of internal evidence, the identified clinical problem remains a viable focus for a DNP project. The formulation of a precise PICO question serves as a roadmap for navigating the next steps in evidence-based practice, guiding the exploration of effective interventions and outcomes aimed at reducing mortality, morbidity, and hospitalization rates among this demographic. PICO Question For Major Depressive Disorder Assignment Discussion

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References

Assari, S., Gibbons, F. X., & Simons, R. (2019). Depression among black youth; Interaction of class and place. Brain Sciences, 8(6). https://doi.org/10.3390/brainsci8060108

Cai, H., Xie, X.-M., Zhang, Q., Cui, X., Lin, J.-X., Sim, K., Ungvari, G. S., Zhang, L., & Xiang, Y.-T. (2021). Prevalence of suicidality in major depressive disorder: A systematic review and meta-analysis of comparative studies. Frontiers in Psychiatry, 12. https://doi.org/10.3389/fpsyt.2021.690130

Kumar, A., Kearney, A., Hoskins, K., & Iyengar, A. (2020). The role of psychiatric mental health nurse practitioners in improving mental and behavioral health care delivery for children and adolescents in multiple settings. Archives of Psychiatric Nursing, 34(5), 275–280. https://doi.org/10.1016/j.apnu.2020.07.022

McHugh, S., Riordan, F., Kerins, C., Curran, G., Lewis, C. C., Presseau, J., Wolfenden, L., & Powell, B. J. (2023). Understanding tailoring to support the implementation of evidence-based interventions in healthcare: The CUSTOMISE research programme protocol. HRB Open Research, 6, 7–7. https://doi.org/10.12688/hrbopenres.13675.1

PICO Question For Major Depressive Disorder Assignment Discussion

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