NR 500 Week 6 Speakers Notes

Student Name

Chamberlain University

NR-500: Foundational Concepts & Applications

Prof. Name:

Date

Introduction

I am currently pursuing my master’s in Family Nurse Practitioner (FNP) at Chamberlain University. In this presentation, I will discuss evidence-based practice (EBP) and its application to nursing. I will provide an example of the conceptual model used to implement EBP and discuss how it aligns with my practice track, the Family Nurse Practitioner. Additionally, I will explain the rationale behind obtaining this advanced degree, as well as concerns in my field of interest, particularly the prevention of teenage depression and suicide. Recommendations for practice changes and guidelines for enhancing patient outcomes, including factors both internal and external, will be covered. I will also discuss how the National Organization of Nurse Practitioner Faculties (NONPF) competencies are relevant to addressing teenage depression and suicide. The conclusion will reflect on the information presented.

Importance of Evidence-Based Practice

Evidence-based practice (EBP) involves the collection, processing, and implementation of research findings to improve clinical outcomes, enhance the work environment, and ultimately support better patient care (Schub et al., 2017). EBP ensures that nursing practice is grounded in reliable evidence, which benefits patients through improved safety and quality of care (Bushell, 2019). The primary goal of EBP is to provide the best possible care, promote patient safety, and optimize overall well-being. Additionally, it helps healthcare professionals update their practices in alignment with the latest research and clinical innovations (Stevens, 2017). EBP also ensures that limited health resources are used efficiently, making it a critical component of healthcare decision-making.

Conceptual Model

The Advancing Research and Clinical Practice through Close Collaboration (ARCC) model, introduced by Melnyk in 1999, supports advanced practice nurses in implementing evidence-based practices (Melnyk et al., 2017). This model is particularly effective in large organizations, including hospitals and community health settings, and is based on cognitive-behavioral theory. It guides organizations in assessing strengths and weaknesses related to EBP and selecting mentors to lead the process. While challenging, identifying qualified EBP mentors is crucial to the model’s success. Despite any limitations in mentoring experience, the support provided can encourage other nurses to adopt EBP principles, improving both clinical and patient outcomes (Melnyk et al., 2017). In the context of teenage depression, the ARCC model can be utilized to introduce depression screening tools, enabling early identification and intervention for mental health needs.

Area of Interest

Teenage depression is a major health issue, often leading to suicide. Depression is a significant factor in teen suicides, making teenagers with untreated depression up to twelve times more likely to attempt suicide (CDC, 2019). The CDC reports approximately 800,000 deaths by suicide each year, with depression and suicide being the leading causes of death among 15 to 29-year-olds (Santhanam, 2019). Depression does not discriminate, affecting all races and genders, though it is notably higher among Black youth (Santhanam, 2019). In 2019, 1.9 million teenagers were diagnosed with depression (CDC, 2019). Addressing this issue requires primary care providers to be proactive in identifying at-risk individuals. Advanced practice nurses can play a critical role in suicide prevention by asking the right questions and fostering trust to identify those in need of urgent care (Santhanam, 2019).

Issue/Concern and Recommendations for Change

Depression is a sensitive topic, often avoided in conversations. It is essential to screen for depression in high-risk patients, particularly those who have experienced trauma such as domestic violence or abuse, as these individuals are more likely to develop mental health disorders (Lusk et al., 2011). Trauma can contribute to low self-esteem and depression, which may not be immediately apparent. For example, a patient recovering from a hemorrhage may appear physically well, yet harbor emotional distress due to an abusive relationship. Health professionals must be diligent in uncovering these underlying issues to ensure patient safety and well-being. Additionally, school-based mental health programs like Creating Opportunity for Personal Empowerment (COPE) have proven effective in reducing anxiety and depression among teenagers (Lusk et al., 2011). Mental health screenings in schools, along with improved access to mental health providers, are crucial to addressing teenage depression and preventing suicides.

Factors Influencing Change

Teenagers may struggle with discussing their mental health issues due to fear of judgment or repercussions. Stigma surrounding mental health can deter them from seeking help (Corrigan, 2004). Other contributing factors include bullying, socioeconomic status, and the lack of mental health services in underserved areas (Santhanam, 2019). Depression resulting from bullying can lead to significant behavioral health issues and, in extreme cases, suicide. Additionally, socioeconomic barriers often prevent teens in low-income areas from accessing care. As healthcare providers, it is essential to recognize these factors and ensure that depression and suicide screenings are integrated into routine care for teenagers.

NONPF Competencies

The National Organization of Nurse Practitioner Faculties (NONPF) sets standards for nurse practitioner education and competency. Leadership and policy competencies are particularly relevant to addressing teenage depression and suicide. Leadership skills are essential for collaborating with primary care providers, school counselors, and mental health professionals to improve patient outcomes. Policy competency, which involves advocating for quality, equitable care, also plays a vital role in addressing mental health issues (Chan et al., 2020). Nurse practitioners must be equipped with both leadership and policy knowledge to drive systemic change that improves care for patients suffering from depression and suicidal ideation.

Conclusion

As advanced practice nurses in the family nurse practitioner track, it is crucial to understand and apply evidence-based practice (EBP) to ensure safe, effective, and high-quality care for our patients. The ARCC model provides a framework for implementing and sustaining EBP in clinical settings. By increasing the availability of mental health services, particularly in schools, we can reduce rates of teenage depression and suicide. Furthermore, incorporating depression screening into primary care, and addressing factors such as stigma, socioeconomic status, and bullying, will contribute to better patient outcomes. It is essential to continue advocating for evidence-based practices that address the complex mental health needs of teenagers.