Assignment: Implementation into Practice Essay

Assignment: Implementation into Practice Essay

A Sample Answer For the Assignment: Assignment: Implementation into Practice Essay

Title: Assignment: Implementation into Practice Essay

Assignment  Implementation into Practice Essay

Introduction

The contemporary approaches in health service delivery focus on value-based care in which quality outcomes depend on the utilization of evidence-based practice. In order to achieve this, medical database need to be reviewed to acquire insights on latest practices in patient care. Comparative analysis of research is vital to inform health-care decisions based on the provision of health services to patients (Shamseer et al., 2015). The approach provides articles for care providers to analyze literature materials to affirm their effectiveness, benefits as well as harms associated with different treatment options. Often, the evidence obtained from research studies are essential for practice and policy formulation. This is because the articles found can be used to compare medical devices, surgeries, tests and drugs in addition to the analysis of the ways used for delivery of health care for a specific disease. The Agency for Healthcare Research and Quality (AHQR) provides online summaries of resources that can be retrieved to guide evidence in clinical decision. However, despite being easy to obtain the articles, the effectiveness and accuracy of the online summaries in AHQR remains uncertain. Besides, the practical application of these materials to make real-time clinical decisions in order to improve patient care is riddled by paradoxes of lack of authenticity.

The present article aims to address the gaps of ineffectiveness of research by analyzing the evidence generated by summaries of reviews on AHRQ. Specifically, the study will bridge the gap in health delivery by focusing on the topic about the efficaciousness as well as safety of the screening method as regards postpartum depression. The purpose of the assessment will be to evaluate the effectiveness of the research articles for the benefit of health workers, consumers as well as policymakers. Barriers associated with implementation of the practice will be analyzed and this will be followed by the recommendations on how to address the challenges.

Discussion of the Practice

Postpartum depression (PPD) is a condition of depressive episodes that temporarily manifest after childbirth and has a 7.1% period prevalence lasting 3 months (Kendig et al., 2017). The condition readily affects mothers with a history of negative life events, depression and those who lack social support. PPD affects the health of the mother and can have extended impact on the life development of the child (O’Connor et al., 2016). Early screening and detection of post-partum depression can support as well promote treatment for fast recovery of the women affected by the condition (Knights et al., 2016). Besides, the approach ensures adequate follow-up of mothers diagnosed with PPD to reduce the adverse events of the condition. The Edinburgh Postnatal Depression Scale (EPDS) is a structured assessment tool that can be used for early detection of PPD (Howard et al., 2014). The tool is used for early and late detection of post-partum depression in mothers to guide evidence on treatment.

Assessment of the Extent to which the Practice is being Implemented

EPDS tends to be the screening tool that receives the widest application in the detection of post-partum depression in women. According to the AHRQ reviewers in 2015, the tool is defined by a set of ten questions, which a patient is required to complete and ranges in a scale of 0 to 30 (Milgrom et al., 2015). The analysis reveals that the likelihood of developing the condition is directly proportional to the score on the scale. Besides, a score of 13 or more is used to validate a diagnosis of major depression for the post-partum women. Nonetheless, a cut-off score of 10 is used to categorize women who need further evaluation and counseling (Thombs et al., 2014).

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The AHRQ published and updated a review report on the effectiveness as well as the safety of EPDS for screening of PPD. According to a study by Knights et al. (2016), EPDS score that is conducted within 96 hours after delivery can be used to predict PPD in females. In a research by Bell and Andersson (2016), the EPDS score conducted within 2 months of delivery correlates with the

early EPDS scores. This implies that both the early and late scores can be implemented in an institution to predict the possibility of the presence of PPD for women. In addition, findings by Kendig et al. (2017) affirm that an ideal screening test to determine postpartum depression is not defined in terms of timing, sensitivity, frequency and specificity. This means that the balance between benefits and harms associated with the EPDS does not depend on time but rather with its characteristics in detecting the condition. However, screening mothers using the EPDS questionnaire 96 hours after delivery provides the best evidence in ruling out or making a diagnosis of PPD in participants. Based on this premise, implementation of early screening is essential to confirm postpartum condition for prompt recommendation with psychiatric consultation. Conversely, Milgrom et al. (2015) contend that early screening can foreshadow the likelihood of PPD and with this, late EPDS is recommended to assess the condition in women. O’Connor et al. (2016) suggest that re-screen can be implemented to complement findings from EPDS score. This entails the use of PAP10, which implies analysis of psychiatry history, preterm delivery, anomaly, as well as EPDS score rating of 10. The approach is an effective method to determine the presence of the condition and guides on decision for future follow-up.

Evaluation of the Barriers to Implementation into Practice

There was low to moderate strengths of evidence from the summaries of studies on the AHRQ reviews on the use of EPDS for screening of postpartum depression. Most of the research articles used retrospective study designs which limited the ability to obtain accurate information on the use of EPDS to guide evidence for implementation into clinical practice (Thombs et al., 2014). Nonetheless, the high scores on the EPDS scale were not confirmed as important for psychiatric consultation. This means that the implementation of EPDS cannot be used as a standalone strategy for addressing postpartum depression in women (Howard et al., 2014). Besides, the use of the tool may be associated with false reporting due to selection bias in the EPDS score.

Ways to Overcome the Barriers

The ineffectiveness associated with implementation of EPDS can be addressed by rescreening to detect unwarranted bias. This entails serial testing in which two-screening approaches are undertaken (Kendig et al., 2017). In this approach, early testing using the EPDS is undertaken and this is followed by a specific PAP10 instrument to identify or rule out the ideal characteristics of postpartum depression (Bell & Andersson, 2016).). However, post-partum follow-up rate should be increased when using the EPDS scores to reduce false negative outcomes due to poor reporting among the affected women.

Sample Answer for Assignment: Implementation into Practice Essay Included After Question

Assignment: Implementation into Practice Essay  Conclusion

The potential and effectiveness of implementation of EPDS for postpartum screening is based on broad consensus on the characteristics of review results from AHRQ. The latter provides comparative outcomes that inform evidence on the adoption of the approach for diagnosis of PPD. From the analysis, the use of EPDS scorings provided richer data that indicate high post-partum follow-up rate to address underlying incidences of psychiatric illness in women. Based on this argument, it is evident that AHRQ comparative effectiveness reviews offer convenient access to a host of evidence-based information which can be retrieved to guide decision on clinical practice.

DNP 820 Week 5 Implementation Into Practice Assignment
Details:
The Institute of Medicine set a goal that 90% of health care decisions should be evidence-based by 2020. At best guess, less than 10% of decisions use best evidence. Bridging the gap between research, findings, and practice implementation is one strategy to meet this important goal. This assignment will help you to find gaps that may be used for your project.
General Requirements:
Use the following information to ensure successful completion of the assignment:
• Review the Agency for Healthcare Research and Quality (AHRQ) website to complete the assignment.
• Doctoral learners are required to use APA style for their writing assignments. The APA Style Guide is located in the Student Success Center. An abstract is not required.
• This assignment uses a rubric. Please Review the rubric prior to the beginning to become familiar with the expectations for successful completion.
• Use at least two additional scholarly research sources published within the last 5 years. Provide citations and references for all sources used.
• You are required to submit this assignment to LopesWrite. Please refer to the directions in the Student Success Center.
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Directions:
Select a practice from the AHRQ comparative effectiveness research site and write a 1,000-1,250 word paper that looks at a gap that exists between research findings and the implementation of those findings in practice. Include the following:
1. Discuss the practice.
2. Assess to what extent the practice is being implemented.
3. Evaluate the barriers to implementation into practice.
4. Propose ways to overcome the barriers.
5. Discuss the resources available on the selected site to inform translation.

For assignments that need to be submitted to Lopes Write, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me.

Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes.

Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own?

Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for tips on improving your paper and SI score.

Late Policy

The university’s policy on late assignments is 10% penalty PER DAY LATE. This also applies to late DQ replies.

Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances.

If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect.

I do not accept assignments that are two or more weeks late unless we have worked out an extension.

As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.

Communication

Communication is so very important. There are multiple ways to communicate with me:

Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class.

Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.

Important information for writing discussion questions and participation

Welcome to class

Hello class and welcome to the class and I will be your instructor for this course. This is a -week course and requires a lot of time commitment, organization, and a high level of dedication. Please use the class syllabus to guide you through all the assignments required for the course. I have also attached the classroom policies to this announcement to know your expectations for this course. Please review this document carefully and ask me any questions if you do. You could email me at any time or send me a message via the “message” icon in halo if you need to contact me. I check my email regularly, so you should get a response within 24 hours. If you have not heard from me within 24 hours and need to contact me urgently, please send a follow up text to

I strongly encourage that you do not wait until the very last minute to complete your assignments. Your assignments in weeks 4 and 5 require early planning as you would need to present a teaching plan and interview a community health provider. I advise you look at the requirements for these assignments at the beginning of the course and plan accordingly. I have posted the YouTube link that explains all the class assignments in detail. It is required that you watch this 32-minute video as the assignments from week 3 through 5 require that you follow the instructions to the letter to succeed. Failure to complete these assignments according to instructions might lead to a zero. After watching the video, please schedule a one-on-one with me to discuss your topic for your project by the second week of class. Use this link to schedule a 15-minute session. Please, call me at the time of your appointment on my number. Please note that I will NOT call you.

Please, be advised I do NOT accept any assignments by email. If you are having technical issues with uploading an assignment, contact the technical department and inform me of the issue. If you have any issues that would prevent you from getting your assignments to me by the deadline, please inform me to request a possible extension. Note that working fulltime or overtime is no excuse for late assignments. There is a 5%-point deduction for every day your assignment is late. This only applies to approved extensions. Late assignments will not be accepted.

If you think you would be needing accommodations due to any reasons, please contact the appropriate department to request accommodations.

Plagiarism is highly prohibited. Please ensure you are citing your sources correctly using APA 7th edition. All assignments including discussion posts should be formatted in APA with the appropriate spacing, font, margin, and indents. Any papers not well formatted would be returned back to you, hence, I advise you review APA formatting style. I have attached a sample paper in APA format and will also post sample discussion responses in subsequent announcements.

Your initial discussion post should be a minimum of 200 words and response posts should be a minimum of 150 words. Be advised that I grade based on quality and not necessarily the number of words you post. A minimum of TWO references should be used for your initial post. For your response post, you do not need references as personal experiences would count as response posts. If you however cite anything from the literature for your response post, it is required that you cite your reference. You should include a minimum of THREE references for papers in this course. Please note that references should be no more than 5 years old except recommended as a resource for the class. Furthermore, for each discussion board question, you need ONE initial substantive response and TWO substantive responses to either your classmates or your instructor for a total of THREE responses. There are TWO discussion questions each week, hence, you need a total minimum of SIX discussion posts for each week. I usually post a discussion question each week. You could also respond to these as it would count towards your required SIX discussion posts for the week.

I understand this is a lot of information to cover in 5 weeks, however, the Bible says in Philippians 4:13 that we can do all things through Christ that strengthens us. Even in times like this, we are encouraged by God’s word that we have that ability in us to succeed with His strength. I pray that each and every one of you receives strength for this course and life generally as we navigate through this pandemic that is shaking our world today. Relax and enjoy the course!

Hi Class,

Please read through the following information on writing a Discussion question response and participation posts.

Contact me if you have any questions.

Important information on Writing a Discussion Question

• Your response needs to be a minimum of 150 words (not including your list of references)
• There needs to be at least TWO references with ONE being a peer reviewed professional journal article.
• Include in-text citations in your response
• Do not include quotes—instead summarize and paraphrase the information
• Follow APA-7th edition
• Points will be deducted if the above is not followed

Participation –replies to your classmates or instructor

• A minimum of 6 responses per week, on at least 3 days of the week.
• Each response needs at least ONE reference with citations—best if it is a peer reviewed journal article
• Each response needs to be at least 75 words in length (does not include your list of references)
• Responses need to be substantive by bringing information to the discussion or further enhance the discussion. Responses of “I agree” or “great post” does not count for the word count.
• Follow APA 7th edition
• Points will be deducted if the above is not followed
• Remember to use and follow APA-7th edition for all weekly assignments, discussion questions, and participation points.
• Here are some helpful links
• Student paper example
• Citing Sources
• The Writing Center is a great resource