Practice Proposal

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Investigate a health care issue or problem in your area of disciple that can be improved by implementing an evidence-based intervention. The resolution of this problem or issue should support or improve patient care. Use the PICO format to develop a PICO question (clinical question) for your proposed evidence-based intervention project. Refer to the “PICO Guide” to help guide you through this process.

In a formal paper of 500

Describe the health care issue or problem you selected. Explain why it is a problem in your discipline.
Describe the target population for your intervention and explain how the population is affected by this issue or problem.
Based on the results of your PICO formatting, draft one or two questions for your proposed topic. These questions will be the basis for your implementation plan.

Sample Solution

Improving Postpartum Depression Screening: A PICO Question Approach

Area of Discipline: Large language models (LLMs) are not currently trained in a specific medical discipline. However, I can provide a general example related to nursing or healthcare administration to illustrate the PICO format for an evidence-based intervention project.

Healthcare Issue: Postpartum depression (PPD) is a significant public health concern affecting women after childbirth. It is estimated that 10-15% of women experience PPD, impacting their well-being and their ability to care for their newborns. However, due to stigma and lack of awareness, many cases go undiagnosed and untreated.

Problem in Nursing: Nurses play a crucial role in postpartum care and have the opportunity to screen for PPD. However, traditional screening methods like self-report questionnaires might not always be effective in identifying women at risk. This can lead to missed diagnoses and delayed interventions, negatively impacting both mothers and infants.

Target Population: Women in the postpartum period (typically, the first year after childbirth) are the target population for this intervention. This includes women with a history of mental health issues, a lack of social support, and those experiencing stressful life events.

PICO Question Format:

P (Population): Women in the postpartum period (first year after childbirth)

I (Intervention): Use of a brief, validated mobile health (mHealth) screening tool for PPD compared to a traditional paper-based questionnaire.

C (Comparison): Standard postpartum care with paper-based PPD screening questionnaire.

O (Outcome): Increased rates of PPD detection and timely intervention among women in the postpartum period.

Why is this a PICO question?

This PICO question clearly identifies the target population (women postpartum), the proposed intervention (mHealth screening tool), the comparison group (standard paper-based screening), and the desired outcome (increased PPD detection). This format allows for a focused research study to evaluate the effectiveness of the mHealth intervention in improving PPD screening rates.

Alternative PICO Question:

P (Population): First-time mothers in the postpartum period with limited social support.

I (Intervention): Individualized postpartum support groups facilitated by nurses compared to standard postpartum care.

C (Comparison): Standard postpartum care without nurse-facilitated support groups.

O (Outcome): Reduced symptoms of depression and anxiety among first-time mothers with limited social support.

This alternative PICO question explores a different intervention (support groups) for a specific subgroup within the postpartum population (first-time mothers with limited social support) with a focus on reducing depressive and anxiety symptoms.

These PICO questions can be the foundation for an evidence-based intervention project aimed at improving patient care by enhancing the detection and treatment of postpartum depression.

 

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