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Nurses rely on evidence-based research to safely improve patients’ outcomes, work environment, and practice. The guidelines provided by evidence-based practice (EBP) are responsible for improving the quality of care in the healthcare setting by reducing hospital length of stay, hospital-acquired infections, and patients’ pain. Dagne and Beshah (2021) stated that the best valid, relevant research findings, standard guidelines, and expert opinions guide clinical decision-making. EBP on its own does not improve the quality of healthcare. Healthcare providers’ skills, knowledge, and experience are essential to the success of implementing evidence-based research results into practice.
My DNP project is about the mandatory depression screening of congestive heart failure (CHF) African American patients to improve adherence to treatment and compliance with the care plan. Going through the Agency for Health, Research, and Quality (AHRQ), I found this fascinating evidence-based article that supports my DNP project. The article is called “Practice-Based Interventions Addressing Concomitant Depression and Chronic Medical Conditions in the Primary Care Setting.” According to the Effective Health Care Program, adults diagnosed with depression and chronic diseases, including cancer, heart disease, human immunodeficiency virus (HIV), diabetes, and arthritis, benefit from collaborative care interventions to improve their outcomes and quality of life. The research included 24 published articles compiling data from twelve studies, nine randomized controlled and three preplanned. The studies lasted between six and sixty months, with sample sizes ranging from 56 t 1000 adults. All the studies specifically singled out depression as the targeted mental health disorder.
According to Van Nuys et al. (2018), 5.7 million Americans are diagnosed with CHF annually, costing approximately 32 billion dollars in lost productivity and treatment. CHF, a chronic cardiovascular disease, is also the cause of health disparities between Caucasians and African Americans. Van Nuys et al. (2018) noted that African Americans tend to develop CHF at a younger age. African Americans are also more likely to be hospitalized and die from CHF. Depression is a debilitating mental health condition that significantly impacts an individual’s quality of life. Addressing depression firsthand using a depression screening questionnaire allows healthcare providers and interdisciplinary teams to plan for the appropriate interventions. A referral to a mental health professional could be warranted based on depression.
The goal of the DNP project is to improve adherence to treatment by treating depression and CHF concurrently. The implementation of my DNP project has the potential to decrease the rehospitalization rates caused by CHF and improve patients’ quality of life due to compliance and their controlled depression.
All responses should be a minimum of 300 words, scholarly written, APA formatted, and referenced. A minimum of 2 references are required.
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