Evidence-based practice proposal Capstone Project Topic Selection and Approval Essay

Evidence-based practice proposal Capstone Project Topic Selection and Approval Essay

Evidence-based practice proposal Capstone Project Topic Selection and Approval Essay

Post-Partum Depression

Promoting the optimum health and wellbeing of childbearing women is essential in nursing and healthcare. Nurses and other healthcare providers ensure that childbearing women receive care that minimizes their predisposition to health problems, including post-partum depression. Post-partum depression arises if pregnant mothers experience challenges with pregnancy or are born to families with a history of the disorder. Therefore, this paper examines the issue of post-partum depression.

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Problem Issue

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The selected practice issue is post-partum depression. Post-partum depression is a depression that affects some women following pregnancy and childbirth. It occurs six weeks after delivery and has adverse effects on the health and wellbeing of the mother and child (Mughal et al., 2021). Mothers affected by post-partum depression experience symptoms that include feeling sad, angry, insomnia, crying more frequently, and feelings of wanting to hurt the baby. The risk factors associated with post-partum depression include inadequate social support, difficulties during, and traumatic stress during pregnancy (Singh et al., 2021). The use of drugs and substances such as tobacco during pregnancy also predisposes pregnant mothers to post-partum depression. The effects of post-partum depression on infants include impaired motor and mental development, low self-esteem, and behavioral issues (Deribachew et al., 2018).

Setting

Post-partum depression develops approximately six weeks after delivery. Ethnic variations exist in the prevalence of the problem in the USA. For example, the rate is higher among women of American Indian and African American ethnicities when compared to those of American White ethnicity. Setting related factors such as traumatic experiences, stress, lack of social support, and substance abuse predispose pregnant mothers to post-partum depression following childbirth (Ghaedrahmati et al., 2017). Often, the management of post-partum depression entails using antidepressants and psychological interventions such as cognitive behavioral therapy to promote coping.

Description

Post-partum depression is a highly prevalent problem among women following childbirth. It can have detrimental consequences on the cognitive and social health of the infant, spouses, and other family members. The prevalence of post-partum depression in Western countries ranges from 10-15% in all women in their first year of birth (Wang et al., 2021). Societies have varying rates of post-partum depression. For example, the levels of post-partum depression are lower in Australian and European women compared to those in the USA (Anokye et al., 2018). According to Singh et al., (2021), the global prevalence of post-partum depression ranges from 5.0% to 74.0%. Women living in poor-resource settings are increasingly predisposed to poor outcomes due to low access to care for post-partum depression, which results in post-partum depression being undiagnosed, untreated, and under-identified (Anokye et al., 2018). The risk factors for post-partum depression such as social, biological, family support, partner violence, obstetric, and psychological factors vary significantly based on the pregnant mothers’ cultural, ethnicity, and socio-demographic characteristics (Ghaedrahmati et al., 2017). Therefore, interventions that address the unique factors for post-partum depression should be adopted.

Effect of the Problem

Post-partum depression has adverse effects on the health of mothers, infants, spouses, families, and societies. According to Deribachew et al., (2018), depressive disorders, including post-partum depression, contribute to a significant proportion of impairment among women globally. Post-partum depression causes havoc on the cognitive and emotional growth of infants and adolescents (Ghaedrahmati et al., 2017). The affected women experience low quality of life due to symptoms such as anxiety, irritability, decreased libido, insomnia, and feelings of sadness and wanting to hurt the infant. In addition, women lose their social and occupational functioning leading to productivity decline in the family and society (Wang et al., 2021). Post-partum depression also contributes to mortality among women during the post-delivery period. For example, post-partum depression is the leading cause of maternal mortalities in the UK, China, and India (Hahn-Holbrook et al., 2018). Post-partum depression also acts as a cause of disease burden in the affected populations. For instance, the costs incurred in seeking medical care for the affected, loss of productivity, and need for intensive family and social support make it a cause of a significant burden to the family and other members of the community (Mughal et al., 2021). Consequently, the disorder should be addressed effectively to ensure the health of the mothers, infants, and their significant others in the community.

Significance and Implications for Nursing Practice

Post-partum depression has significance and implications for nursing practice. Nurses have a crucial role in ensuring that pregnant mothers and women during the post-partum period receive care that minimizes their risk of depression. They are responsible for providing safe communities for expectant mothers and their infants. They should reduce the risk factors contributing to post-partum depression in their communities. In doing this, nurses promote the optimum health of mothers, infants, their families, and the communities as a whole (Singh et al., 2021). Therefore, nurses should implement evidence-based interventions to minimize and prevent the development of post-partum depression among the women they serve in their practice.

Proposed Solution

The proposed solution to address post-partum depression in community settings entails early identification of mothers at risk and providing them psychological interventions to promote coping. Early identification of mothers at risk of post-partum depression should be made during the antenatal period. The mothers identified as at risk of the disorder should be provided with psychological interventions such as cognitive behavioral therapy to enhance their coping with their stressful experiences (Karami et al., 2018). Psychological interventions also empower pregnant mothers to identify their strengths and community resources to avert the effects of post-partum depression. The impact of the proposed solution on nursing practice includes the promotion of safety, quality, and efficiency in the care of pregnant mothers (Amani et al., 2021). Nurses will also play the role of identifying those at risk and providing psychological interventions to minimize the risk of post-partum depression.

Conclusion

Post-partum depression has adverse effects on the health and well-being of mothers, infants, their families, and the community. Post-partum depression develops six weeks after childbirth. Nurses and other healthcare providers play critical roles in addressing it. Therefore, early identification of pregnant mothers at risk and psychological interventions such as cognitive-behavioral therapy should be considered.

References

Amani, B., Merza, D., Savoy, C., Streiner, D., Bieling, P., Ferro, M. A., & Lieshout, R. J. V. (2021). Peer-Delivered Cognitive-Behavioral Therapy for Postpartum Depression: A Randomized Controlled Trial. The Journal of Clinical Psychiatry, 1, 0–0. https://doi.org/10.4088/JCP.21m13928

Anokye, R., Acheampong, E., Budu-Ainooson, A., Obeng, E. I., & Akwasi, A. G. (2018). Prevalence of postpartum depression and interventions utilized for its management. Annals of General Psychiatry, 17(1), 18. https://doi.org/10.1186/s12991-018-0188-0

Deribachew, H., Mariam, Dessalegn, B., Tadesse, Z., & Siyoum, D. (2018). Prevalence of postpartum depression.

Ghaedrahmati, M., Kazemi, A., Kheirabadi, G., Ebrahimi, A., & Bahrami, M. (2017). Postpartum depression risk factors: A narrative review. Journal of Education and Health Promotion, 6, 60. https://doi.org/10.4103/jehp.jehp_9_16

Hahn-Holbrook, J., Cornwell-Hinrichs, T., & Anaya, I. (2018). Economic and Health Predictors of National Postpartum Depression Prevalence: A Systematic Review, Meta-analysis, and Meta-Regression of 291 Studies from 56 Countries. Frontiers in Psychiatry, 8, 248. https://doi.org/10.3389/fpsyt.2017.00248

Karami, A., Omrani, R., & Danaei, N. (2018). Comparison of the Effectiveness of Cognitive Behavioral Therapy (CBT) and Acceptance and Commitment Therapy (ACT) on Anxiety and Depression in Premature Infants Mothers. Clinical Psychology Studies, 8(31), 139–156. https://doi.org/10.22054/jcps.2018.8797

Mughal, S., Azhar, Y., & Siddiqui, W. (2021). Postpartum Depression. In StatPearls. StatPearls Publishing. http://www.ncbi.nlm.nih.gov/books/NBK519070/

Singh, D. R., Sunuwar, D. R., Adhikari, S., Singh, S., & Karki, K. (2021). Determining factors for the prevalence of depressive symptoms among postpartum mothers in lowland region in southern Nepal. PLOS ONE, 16(1), e0245199. https://doi.org/10.1371/journal.pone.0245199

Wang, Z., Liu, J., Shuai, H., Cai, Z., Fu, X., Liu, Y., Xiao, X., Zhang, W., Krabbendam, E., Liu, S., Liu, Z., Li, Z., & Yang, B. X. (2021). Mapping global prevalence of depression among postpartum women. Translational Psychiatry, 11(1), 1–13. https://doi.org/10.1038/s41398-021-01663-6

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In collaboration with the approved course preceptor, students will identify a specific evidence-based topic for the capstone project change proposal. Students should consider the clinical environment ( Community private clinic) in which they are currently employed or have recently worked. The capstone project topic ( Postpartum depression) can be a clinical practice problem, an organizational issue, a leadership or quality improvement initiative, or an unmet educational need specific to a patient population or community. The student may also choose to work with an interprofessional collaborative team.

Students should select a topic that aligns to their area of interest as well as the clinical practice setting in which practice hours are completed.

Write a 500-750 word description of your proposed capstone project topic. Include the following:

The problem or issue, intervention, quality initiative, educational need, or collaborative interprofessional team project that will be the focus of the change proposal.
The setting or context in which the problem or issue, intervention, quality initiative, educational need, or collaborative interprofessional team project can be observed.
A description (providing a high level of detail) regarding the problem or issue, intervention, quality initiative, educational need, or collaborative interprofessional team project.
Effect of the problem or issue, intervention, quality initiative, educational need, or collaborative interprofessional team project.
Significance of the topic and its implications for nursing practice.
A proposed solution to the identified project topic with an explanation of how it will affect nursing practice.
You are required to cite to a minimum of eight peer-reviewed sources to complete this assignment. Sources must be published within the last 5 years, appropriate for the assignment criteria, and relevant to nursing practice. Plan your time accordingly to complete this assignment.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

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